Michigan Pharmacist Oct./Nov./Dec. 2023 by Michigan Pharmacists Association

MICHIGAN T H E O F F I C I A L J O U R N A L O F T H E M I C H I G A N P H A R M A C I S T S A S S O C I AT I O N

MPA’s 140th President

SARAH

HILL HAPPY 140TH ANNIVERSARY MPA!

2023 Oct./Nov./Dec. | Vol. 61, Issue 4

MPA outlines celebration plans for its 140th anniversary. (p. 4)

MichiganPharmacists.org

FOUNDATION UPDATE Help "Foster the Future of Pharmacy" by donating to MPF. (p. 12)

IN THIS ISSUE LEGISLATIVE UPDATE

ON THE COVER

EDUCATION

3 President’s Platform

4 CEO Corner

8 Student Focus

26 MPST President

27 MSPT Focus

Hope Broxterman reflects on her time as MPA president.

resident-elect 20 PCandidates

MPA's president-elect candidates outline their vision for the association.

MPA CEO Mark Glasper details some of MPA's plans for celebrating its 140th anniversary.

MSPT President Erith Welch outlines the section's priorities and upcoming events.

Aleksandar Stajic highlights the importance of student pharmacist advocacy.

50-year MPA member Henry Yee reflects on career, how roles of technicians have changed.

CEO: Mark Glasper; EDITOR: Ryan Weiss; PUBLISHER: Bryan A. Freeman Michigan Pharmacist (ISSN 1081-6089) is the official journal of the Michigan Pharmacists Association, published four times a year at 408 Kalamazoo Plaza, Lansing, MI 48933. Publication Number: USPS-345-600. Phone: (517) 484-1466, Fax: (517) 484-4893 Website: MichiganPharmacists.org, E-mail: MPA@MichiganPharmacists.org, Advertising Information: Visit MichiganPharmacists.org/news-publications/advertising-opportunities or contact Bryan Freeman, MPA marketing and communications director, at (517) 377-0257 or BryanFreeman@MichiganPharmacists.org

2 MichiganPharmacists.org

All opinions expressed in Michigan Pharmacist are not necessarily official positions or policies of the Association. Publication of an advertisement does not represent an endorsement. Michigan Pharmacist is subject to the standards established by the Association. Michigan Pharmacist is distributed as a regular membership service, paid for through allocation of membership dues. © Michigan Pharmacists Association, 2023

— PRESIDENT’S PLATFORM —

AN HONOR TO SERVE

Broxterman Reflects on Time as MPA President

t is hard to believe that in a few short weeks, 2024 will be upon us. This year has flown by, yet, it has provided for me an extensive learning experience and an enriching one as MPA president. While representing our association and our valued profession, I have seen our profession in a new light and from different focal points. I will be forever grateful to have had this unique and inspirational experience.

BY HOPE BROXTERMAN,

Pharm.D.; president, Michigan Pharmacists Association

At the beginning of this year, I wrote about the momentum pharmacy gained from expanding our role to deliver direct patient care during the pandemic such as providing testing, vaccinations and treatment for COVID-19 and utilizing telemedicine to help close the gap on health care. Shortly thereafter, Senate Bill 219 was passed, providing the next step to ensuring patients’ access to immunizations and testing for COVID-19 and influenza. I am proud of all the hard work and effort put forth by MPA and its dedicated members to ensure the passing of this bill and I look forward to future legislative wins in Lansing. Later, I highlighted opportunities for our profession and asked “what do you want the future of pharmacy to look like?” Building on the momentum gained, our profession continues to be recognized for our achievements of delivering direct patient care, which allows pharmacists to help fill the void in underserved patient populations – especially with a shortage of other health care providers. The possibilities for our profession seem endless if we all join and advance our capabilities – both skillset and legislatively. I am excited for our profession’s future. Recently, I had a glimpse of our profession’s future when I was invited to attend Ferris State University’s

College of Pharmacy’s White Coat Ceremony. Simply put, it was inspirational. I had the honor of welcoming the class of 2027 to the profession. Engaging with these students and their families framed for me the possibilities and opportunities of our profession’s future. As I shook the hand of each new student who walked across the stage after donning their white coat, I could see the excitement in their eyes as they embarked on their professional career. I experienced the dedication, commitment and promise of becoming a new pharmacist when interacting with them. These student pharmacists are the promise of our profession. In that audience was the next MPA president, the next pharmacist researcher to unravel a therapeutic option, the next outstanding pharmacy preceptor who influences their student pharmacists to step out of their comfort zone and the next community pharmacist who dedicates their practice to make their patients’ lives better each day. Take a moment to reflect on your White Coat Ceremony or the first time you set foot in your pharmacy practice setting. When I think back to my White Coat Ceremony, I never envisioned the endless opportunities that the profession of pharmacy would provide me – and most importantly, our patients. I am proud to be a part of this association where we have such amazing, active members, dedicated to enhancing the profession of pharmacy, ultimately improving patient care in our communities. It is truly an honor to serve as your president and I look forward to serving as chair next year while working closely with incoming 2024 President Sarah Hill.

"While representing our association and our valued profession, I have seen our profession in new lights and from different focal points. I will be forever grateful to have had this unique and inspirational experience." 2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— CEO CORNER —

HAPPY 140

ANNIVERSARY MPA!

T BY MARK GLASPER, chief executive officer, Michigan Pharmacists Association

hank goodness for historical markers! It took a casual stroll by the one in front of MPA’s headquarters to remind us that MPA was founded 140 years ago on Nov. 14, 1883. The MPA Executive Board took time out from its September meeting to celebrate along with staff in the photos on the next page.

MPA has always made its home in the state capital of Lansing. It had its humble beginnings in the Michigan National Bank Tower (now the Boji Tower) at 124 Allegan St. MPA owned its first building at 815 N. Washington Ave. before moving to its present location at 408 Kalamazoo Plaza. Speaking of humble, I am likewise to follow in the noble footsteps of my predecessors; John Butts (1946-1961), Bob Johnson (1962-1969), Lou Sesti (1969-1994); and Larry Wagenknecht (1994-2021) – all great organization and staff leaders. Butts and Johnson both served under the title of Executive Director and Sesti changed the title to Chief Executive Officer and Executive Director; now, I serve simply as CEO. The name and look of the organization have changed as well over the years. Founded as the Michigan State Pharmaceutical Association, the name changed to the Michigan Pharmacists Association in 1973. No less than five logos have adorned MPA stationery, websites and electronic communications, including four social media sites.

You Can Help Celebrate We are planning a number of ways to help celebrate this momentous occasion and you can help! We will

produce a pharmacy flashback video commemorating the anniversary to air at the 2024 Annual Convention & Exposition, which also will be our last in Detroit for a while as we take ACE on the road for at least the next five or so years. You can contribute to the video by sending us photos you may have accumulated over the years. Or, we would love to get videos from MPA past presidents, 25 and 50year members and even past staff wishing MPA a happy 140th anniversary. Just send your short videos (up to one minute) to MPA@MichiganPharmacists.org.

140 Only Comes Around Once We plan to celebrate all year long and we hope you celebrate along with us. We’re going to award the 140th attendee at ACE with a special gift and honor those members making $140 donations to the Michigan Pharmacy Foundation and the Michigan PAC. Stay tuned for how you can honor the legacy of MPA. We’re also pursuing a proclamation from Gov. Gretchen Whitmer, which is fitting for an organization that has strived to provide its members with the tools, resources and support needed to advance the profession of pharmacy and provide quality patient care for 140 years.

LET'S CELEBRATE! LET'S CELEBRATE! LET'S CELEBRATE!

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— CEO CORNER —

The historical marker in front of MPA Headquarters marks the founding of the association in 1883.

The MPA Executive Board poses in front of MPA Headquarters in September.

The MPA Executive Board poses with staff in front of MPA Headquarters in September.

MPA staff poses in front of MPA Headquarters in September.

MPA LOGOS OVER THE YEARS

2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— EVENTS CALENDAR —

EVENTS CALENDAR

MPA, local association and national pharmacy organization events, as well as health observances, are included below. For the most up-to-date information, please visit our online calendar at MichiganPharmacists.org/events.

OCTOBER 2023

1-31 1-31 7-8 12 14-17 15-21 17 26 27

NOVEMBER 2023

1-30

Wednesday, Nov. 1 – Thursday, Nov. 30

Sunday, Oct. 1 – Tuesday, Oct. 31

1-30

Wednesday, Nov. 1 – Thursday, Nov. 30

Saturday, Oct. 7 – Sunday, Oct. 8

Sunday, Oct. 1 – Tuesday, Oct. 31

American Pharmacists Month Nationwide

Health Literacy Month Nationwide

Upper Peninsula Division Fall Conference The Northern Center at Northern Michigan University

Thursday, Oct. 12

Women Pharmacist Day Nationwide

Saturday, Oct. 14 – Tuesday, Oct. 17

NCPA National Convention Orlando, Florida

Sunday, October 15 – Saturday, Oct. 21

Pharmacy Week in Michigan

6 16 17

Thursday, Oct. 26

MSHP Board of Directors Meeting Crowne Plaza Lansing West

Friday, Oct. 27

2023 MSHP Annual Meeting Crowne Plaza Lansing West

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COPD Awareness Month Nationwide

CSPM Board of Directors Meeting Virtual Only

Monday, Nov. 6

MPA Executive Board Meeting Virtual Only

6-12

Wednesday, Dec. 6 – Thursday, Dec. 12

22-1

National Handwashing Awareness Week Nationwide

National Influenza Vaccination Week Nationwide

Friday, Dec. 22 – Monday, Jan. 1*

MPA Office Closed: Holidays MPA Headquarters, Lansing

* MPA will have limited office availability from the 26th to 28th.

Thursday, Nov. 16

MPF Board of Trustees Meeting Virtual Only

Friday, Nov. 17

MSPT Board of Directors Meeting Hybrid Meeting

18-24 23-24

Thursday, Nov. 23 – Friday, Nov. 24

5-11

Tuesday, Dec. 5 – Monday, Dec. 11

Thursday, Nov. 2

Saturday, Nov. 18 – Friday, Nov. 24

Tuesday, Oct. 17

National Pharmacy Technician Day Nationwide

American Diabetes Month Nationwide

DECEMBER 2023

U.S. Antibiotic Awareness Week Nationwide

MPA Office Closed: Thanksgiving MPA Headquarters, Lansing

Tuesday, Nov. 28

MSCP Board of Directors Meeting Virtual Only

Please note: Some board and committee meetings may be subject to a change in format to virtual or in-person at the discretion of the members. Please check the MPA website or contact MPA@MichiganPharmacists.org for more information.

— CE EVENTS —

FRIDAY, OCT. 27, 7:30 a.m.-5:30 p.m. MSHP Annual Meeting 2023 Crowne Plaza Lansing West, an IHG Hotel, 925 S. Creyts Road, Lansing, MI The MSHP Annual Meeting offers up to six hours of live continuing education credit. Programming is geared toward health-system pharmacists, residents, pharmacy technicians and student pharmacists.

MONDAY, DEC. 4, Noon-1 p.m. MI Pharmacy Law and Ethics Update 2023, Quarter 4 This program meets the pharmacy law educational requirements for pharmacy technicians, and ethics and jurisprudence educational requirements for pharmacists.

https://www.lecturepanda.com/a/2023MSHPAnnualMeeting

https://www.lecturepanda.com/a/MIPharmacyLawandEthics Update2023-Q4

THURSDAY, NOV. 9, 9 a.m.-1 p.m.

WEDNESDAY, DEC. 6, 9-11 a.m.

MPA Presents NASPA Pharmacy-Based Point of Care Test & Treat (POCT) National Certificate Program Point-of-care testing empowers clinicians to use effective, fast technology to aid their decision-making at the “point-of-care” to improve patient health. Pharmacy-based pointof-care testing utilizes CLIA-waived (Clinical Laboratory Improvement Amendments -waived) tests that offer near-immediate results in nonlaboratory settings. Pharmacists and pharmacies are increasingly offering this public health service to promote prevention, early detection, treatment and disease management. https://www.lecturepanda.com/a/MPAPOCT112023

SATURDAY, DEC. 2 (LIVE WEBINAR) Pharmacy Technician Immunization Administration - Self Study The self-study component must be completed before the live session date. https://www.lecturepanda.com/a/PharmacyTechnicianImmunizationHomeStudy

APhA Pharmacy-Based Immunization Training APhA’s Pharmacy-based Immunization Delivery certificate training program is based on national educational standards for immunization training from the Centers for Disease Control and Prevention. This practice-based curriculum represents a fusion of science and clinical pharmacy. The program, which emphasizes a health care team approach, seeks to foster the implementation of interventions that will promote disease prevention and public health. The purpose of this certificate training program is to prepare pharmacists with the comprehensive knowledge, skills and resources necessary to provide immunization services to patients across the lifespan. https://www.michiganpharmacists.org/event/apha-pharmacy-basedimmunization-training-2

MONDAY, DEC. 11, 4-6 p.m. Implicit Bias Training 2.0: Education, Practice, and Teams Implicit Bias 2.0: Education, Practice and Teams is the second offering in our Michigan Pharmacists Association Implicit Bias Training series. If you have taken our original offering of Michigan Pharmacy Implicit Bias, this is a great session to build upon your knowledge and understanding of diversity, equity and inclusion. This is also a great session to start out on your DEI/Implicit Bias journey. https://www.lecturepanda.com/a/ImplicitBias20EducationPracticean dTeams-December

QUESTIONS

If you have any questions about any of these MPA education events, please email MPA@MichiganPharmacists.org. Michigan Pharmacists Association (MPA) is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education.

2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— STUDENT FOCUS —

STUDENT PHARMACIST ADVOCACY & YOUR ROLE "Student pharmacists are essential in promoting the financial stability of the field. We raise our voices in favor of measures that reduce student loan debt and provide pharmacists with equitable compensation as the cost of education rises." 8 MichiganPharmacists.org

BY ALEKSANDAR STAJIC, 2026 Pharm.D. candidate, Wayne State University

have personally experienced the transformative effect of student activism in influencing the future of pharmacy in Michigan as a student representative for the Michigan Pharmacists Association. Statewide, student pharmacists have risen to the occasion, speaking up, supporting causes and leading projects advancing our industry.

Advocacy brings about good change and enhances patient care. As student pharmacists, we close the knowledge gap between the classroom and the real world by actively participating in advocacy initiatives, ensuring that our field aligns with the changing demands of the health care system. Our advocacy effort places a high priority on legislation that expands the role of pharmacists. As student delegates, we support legislation that would give pharmacists a broader scope of authority, allowing them to use their entire skill set to help patients. As we continue throughout the curriculum, we fully understand why pharmacists should be essential health care team members, and our advocacy efforts must highlight those advantages. We actively engage in legislative advocacy at both the state and federal levels. We address important national problems, including assuring patient access to inexpensive pharmaceuticals and promoting policies encouraging pharmaceutical innovation by working with other student pharmacist associations nationwide. We firmly state that the pharmacy profession is dedicated to improving patients' lives by standing together nationwide. Another crucial component of our advocacy efforts is interprofessional collaboration. We build a cohesive

health care environment where experts collaborate easily to enhance patient outcomes by developing strong partnerships with other health care professions. Through advocacy, we stress the need to work together and ensure pharmacists are seen as crucial medical team members. Student pharmacists are essential in promoting the financial stability of the field. We raise our voices in favor of measures that reduce student loan debt and provide pharmacists with equitable compensation as the cost of education rises. We encourage a vast pool of bright people to pursue a career in pharmacy by making education and financial security more accessible, ultimately benefiting the patients we serve. We also care deeply about the profession's mental health and wellness. As student representatives, we work to foster a culture that puts current and future pharmacists' welfare first. We are fostering a resilient and compassionate staff that is better able to deliver high-quality patient care by fighting for mental health services and stress management programs. The commitment and passion shown by my fellow students serves as an ongoing source of inspiration for me as a student state pharmacy association

— STUDENT FOCUS — representative. We present a unified face as a group, guiding the future of our industry in Michigan and abroad. Student advocacy has an effect that extends far beyond the boundaries of the classroom; it spreads throughout communities and has a long-term impact on the future of medical care. The future generation of health care professionals will be shaped by pharmacists and pharmacy students' advocacy involvement might be greatly influenced by their advice. Bringing students to state association events is one efficient method pharmacists can accomplish this. These events give students a lively and engaging setting to experience firsthand the impact of lobbying in the pharmaceutical industry. Pharmacists give students an invaluable opportunity to hear from industry leaders, make connections with seasoned advocates and develop the confidence to raise their

views on important health care problems by actively participating in such events. Pharmacy students in Michigan have an unrivaled opportunity to engage in advocacy and influence the future of their field by attending Pharmacy Day at the Capitol. This annual event offers students a strong forum for interaction with important stakeholders, decision makers and business leaders, giving them the chance to see the legislative process in action and obtain insightful knowledge about health care policymaking. Pharmacy students can express their opinions, discuss ideas and fight for causes that will directly affect their future profession and patient care by taking part in this event. Additionally, Pharmacy Day at the Capitol gives students the chance to develop vital networking abilities, forge long-lasting relationships within the pharmacy community

and deepen their comprehension of the opportunities and problems encountered by the industry. Pharmacy students can greatly advance pharmacy practice and affect good change in Michigan's health care system through their presence and active involvement – proving that their voices do matter in determining the future of pharmacy. Student advocacy is a key component of the development of Michigan's pharmacy industry. Statewide, student pharmacists are leaders – not merely of the future, but also of the present. We are improving patient care, supporting good reforms that will shape pharmacy's future and establishing our place as crucial health care team members through advocacy work. We remain steadfast in our goal of creating a better and healthier future for all Michiganders as we continue to advocate for our issues.

— NEW PRACTITIONER SPOTLIGHT —

NEW PRACTITIONER MEMBER SPOTLIGHT Member Since: 2018

Kimberly Vo Pharm.D., PGY2 HSPAL resident at Corewell Health West

Why did you join MPA? MPA offers an abundance of resources and opportunities to grow as a professional and promote the advancement of pharmacy. With the tools MPA provided me as a pharmacy student, I was able to discover more about the profession and my passions, stay informed on the changes to the profession and share my experiences with peers. Following graduation, I stayed with MPA because I want to work alongside pharmacy professionals to advocate for our profession and contribute towards the future generations of pharmacists. Why did you become a pharmacist? After years of agony and encountering nearly every medical specialty, I was finally diagnosed with a rare autoimmune disorder and became in awe with how medicine “fixed” me. From that point forward, I wanted to work in health care to support patients like me. What are you hoping to accomplish in the short-term and long-term? In the shortterm, I’d like to support my fellow MSHP Educational Affairs Committee Members to execute a successful MSHP Annual Meeting in

October, complete my PGY2 in HSPAL and my Master of Health care Administration (MHA), then transition into a role that aligns with my professional interests. In the long-term, I wish to continue advocating for the profession of pharmacy and patientcentered care, improve knowledge on the social determinants of health and health-related social needs, foster a collaborative and inclusive environment for pharmacy and other health care professionals, and provide professional development opportunities for pharmacy students and new practitioners. Where do you see pharmacy in the future? With legislation to support, pharmacists will increase patient access to essential health care, pharmacists will work in tandem with other health care professionals, and pharmacy automation will continue to grow. What do you like to do in your free time? When I take time for myself, I enjoy reading books (thriller, mystery, romance, literary fiction, you name it), playing with my two cats, and trying new foods. All book and/or restaurant recommendations are welcome!

2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— MEMBERSHIP —

FROM THE DESK OF

MEMBERSHIP

am thrilled to announce the launch of our upcoming Member-Get-aMember campaign here at the Michigan Pharmacists Association (MPA)! Your support and dedication have always been the driving force behind our success. Now, we invite you to play an even more significant role in shaping the future of pharmacy in Michigan.

Why Get Involved? As the director of membership, I know that our members are our most passionate advocates. By participating in our Member-Get-a-Member campaign, you can: BY SCOTT WALSH,

director of membership, Michigan Pharmacists Association

Strengthen Our Community: Help us grow our MPA family by introducing new members who are equally passionate about pharmacy and patient care. Together, we'll create a stronger, more vibrant community. Amplify Your Impact: Every new member you bring onboard is a voice for positive change in our industry. Your efforts will directly contribute to the advancement of pharmacy practice in Michigan. Enjoy Exclusive Rewards: We understand the significance of acknowledging your dedication. That's why we've crafted enticing rewards and incentives to honor your valuable contributions. When you successfully recruit a pharmacist, you'll receive a $30 coupon per pharmacist you recruit, which will be added to your MPA profile. Likewise, for each technician you bring into the MPA fold, you'll earn a $10 coupon. Your efforts truly make a difference! New MPA members (July 1-Aug. 30) Christina Abro Mariam Abro Zohdi Abushaban Shaima Aldaibil Hamza Ali-Ahmed Alexa Alie Drecila Alinj Zahraa Aljibory Yacoub Apoian Carla Araujo Malath Arobaye Sandi Banour Brett Beauchamp Soha Beydoun Zeinab Beydoun Zoe Biggart

10 MichiganPharmacists.org

Shawn Bonner Jessica Cameron Ashleigh Campbell Jobin Chacko Guadalupe Chavez Roua Daher Betsy Davis Margaret de Voest Kyle Decker Jeffrey Dennis Gretchen Eickelberg Revanda Elia Kimberly Eliason Elizabeth Foster Michael Gardner Jazlyn Gaton Kristina Geesey Mary Godsey Christy Graham

Sabrina Gregor Caren Heath Benjamin Herr Nemer Hijazi Dawn Hunsberger Sydney Jablonski Claire Jen Ranya Jiddou Dylan Kakos Kevin Kar Kelly Kepley Wahida Khanam Clyde Killingbeck Emma Klaserner Judson Knott Philip Kociemba Karen Korson Arvind Kumar Alexis Ladson

mirna Lateef Lauren Linenfelser Kamara Little Sherry Lubonski Douglas Luther Asya Makki Suhair Mawari Nusrat Miah Dawn Nimmo Matthew Palmer Sonal Patel Jazmin Peck Elizabeth Petrovitch Libin Philip Nicole Rumao Nanette Sabell Melissa Sanville Jenna Schwartz Anujkumar Shah

Armando Shakouri Cecilia Shamoon Christiana Shore Minji Sohn Nathan Stang Amanda Sumerix Ziaullah Syed Rilee Szczesniak Andrew Tironi Daniel Trakul Mehreen Virk Hannah Wang Stacy Weldon Marshall Westfall Morgan Wood Anna Wu Nardeen Yaldo Sanjay Zachariah Yibeltal Zeleke

— MEMBER SPOTLIGHT —

MEMBER SPOTLIGHT

Sara Murphy CPhT, Munson Medical Center

How did you get into pharmacy technician practice? My husband is in the Coast Guard, which means we move every couple of years. Prior to moving to Michigan we were living in Virginia and I was working at Traders Joes. We were in the midst of COVID-19 and with the move, I knew I wanted a job that was less directly people facing and that would be able to move with me. I started looking for jobs, and I saw the pharmacy technician job at Munson Medical Center. I talked to a friend who was a hospital pharmacy technician in California about her experience and I decided to apply. I got the job and started in January 2021. Did you work in a different industry or practice before becoming a pharmacy technician? If so, what prompted you to change career paths? Prior to being a pharmacy technician I worked in a variety of different industries. I’ve been a food service manager at a youth camp, a barista at a café, a cook at a grocery store, a sales associate at a clothing store and a team member at a grocery store. I even went to school and became a licensed esthetician. I decided to look for other options because I wanted a job that could really turn into a career and give me more educational options. What is your educational background? Have you or do you plan to complete the process to become a Certified Pharmacy Technician? If yes to either, why did you choose to strive for this certification? After high school I did get some college credits, but never finished a degree. Later I attended a trade school to get my esthetician license. I hope to go back to school in the future to get my bachelor’s degree. Earlier this year I tested and became a Certified Pharmacy Technician. I am currently studying to take the test to be a Certified Compounded Sterile Preparation Technician with the goal of getting my CPhT Advanced certification. Munson Medical Center is the first hospital I’ve ever worked at. I am a pharmacy technician here, but I am trained in and get the opportunity to work in a variety of areas. I am trained as a sterile IV lab technician, med history technician, home infusion technician, Pyxis super user, carousel super user and all of our core dispensing areas. I love that I get to have variety and develop new skills. Working in all the different areas also helps me understand the big picture and the “why” of how we can work together as a team to give patients the best care possible.

What do you enjoy most about your current position and practice? I enjoy the challenge of learning new areas and skills. I think each time I learn a new skill, that I become a better technician because I have a better understanding of all that we do to provide care for our patients. It also helps me to be adaptable and be able to step in to help solve problems when needed. How did you get involved in MPA and MSPT? Why do you think it’s important for technicians to be involved in the association? I am close friends with the current MSPT president, Erith Welch. She is actually the person who hired me at Munson Medical Center even though I didn’t have any experience as a pharmacy technician or working at a hospital. She was extremely encouraging to me about my career while she was my manager and has continued to encourage me even as she has moved away from the hospital setting. I'm also friends with the current MPA president, Hope Broxterman. I’ve gotten the opportunity to talk to both of them about MPA and what it offers and decided to get involved. I think it is important for technicians to get involved in the association because the more technicians there are, the larger our combined voice is to advocate for our needs and pharmacy as a whole. What activities have you been engaged in outside of pharmacy, including any professional appointments, advocacy involvement and volunteer activities? Earlier this year, I got the opportunity to participate in the Frontline Leadership Program held by Munson Medical Center. In the program we had group education and mentorship sessions with a variety of our hospital leadership team members and worked on a project for our department and presented it to hospital leadership and staff. Please include any personal information that you feel comfortable sharing. This includes where you have lived, your family life and your personal interests. I live in Traverse City with my husband, Morgan, and my two cats, Ginny and Charlie. Morgan and I are both from California originally, but have also lived in Massachusetts, Virginia and now Michigan. We are both very passionate about board games and have a decent sized collection. We attend a weekly game night and have recently started attending trivia nights in town as well. I love to sew and am currently learning how to bind books. I love going to concerts and live shows whenever I can. 2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— FROM THE FOUNDATION —

oday, I write to you with an opportunity that is close to my heart and is of profound importance to our pharmacy profession and society at large. The Michigan Pharmacy Foundation (MPF) seeks your support in our mission "To Foster the Future of Pharmacy."

As Michigan Pharmacists Association (MPA) members, you have a unique opportunity to contribute to the growth and development of the pharmacy profession by investing in MPF’s initiatives. I submit to you that it is our collective responsibility to ensure that the pharmacy profession in Michigan continues to thrive and supporting MPF initiatives is a crucial step in that direction.

BY RICK DRABEK, executive director, Michigan Pharmacy Foundation

Why do we need to invest in the pharmacy profession? Let's consider a few facts. In the world we live in today, health and well-being are at the forefront of our consciousness. From the common cold to more severe illnesses, medicines have become a lifeline and pharmacy professionals are the trusted custodians of this lifeline. By investing in the future of pharmacy, we invest in the future of health, wellness and the vitality of our communities. In addition, the pharmacy profession is evolving rapidly. Gone are the days when pharmacists simply filled prescriptions behind a counter. Today, those in the pharmacy profession are the very backbone of our health care system, playing an integral role in patient care and education. They are the bridge connecting health care providers and patients, ensuring the safe and effective delivery and use of medications. Our Foundation is dedicated to creating opportunities for aspiring pharmacists by providing scholarships, encouraging and supporting innovative research through grants that help maximize health and wellness, and delivering leadership development training to those in the pharmacy profession. At MPF, we are optimistic about the future of pharmacy. We believe that with the help of your donation, we can shape a future where those in the pharmacy profession are recognized as essential health care providers and where every individual has access to quality pharmaceutical care. Furthermore, your donation is an investment that yields exponential returns in the form of a healthier, happier society. We invite you to join us in our Foundation’s mission by making your contribution today at Donate2MPF.org. Your donation will be a testament to the support MPF has provided the pharmacy profession over the past 30 years and confidence in the Foundation delivering on its Mission “To Foster the Future of Pharmacy” in the years ahead. Thank you for considering this request. Your donation will make a difference and help secure a brighter future for pharmacy in Michigan. If you have any questions or would like more information about the Foundation's program and where your investment will be put to work, please don't hesitate to contact me at RDrabek@MichiganPharmacists.org or better yet, please call me at (517) 377-0227.

"Our Foundation is dedicated to creating opportunities for aspiring pharmacists by providing scholarships, encouraging and supporting innovative research through grants that help maximize health and wellness, and delivering leadership development training to those in the pharmacy profession." 12 MichiganPharmacists.org

— LEGISLATIVE UPDATE —

THE VOICE OF

PHARMACY IS HEARD Pharmacy Day at the Capitol 2023

he Michigan Pharmacists Association (MPA) hosted its 23rd Pharmacy Day at the Capitol and its 13th Medication Takeback event Sept. 14 on the state Capitol lawn in Lansing. The event boasted over 170 volunteers in attendance, who collaborated to attend over 60 legislative visits to speak about the value pharmacists bring to their communities.

About Pharmacy Day at the Capitol

BY ERIC ROATH, Pharm.D., MBA, MPA director of government affairs

Pharmacy Day at the Capitol (PDAC) is an event that is regularly hosted in September each year to allow pharmacists, pharmacy technicians and pharmacy students an opportunity to practice state-level advocacy. Originally a biannual event, the impact of Pharmacy Day at the Capitol was so significant that MPA has held it annually for most of the past 10 years. During the COVID-19 pandemic, PDAC was held virtually in 2020 and in person in 2021. The 2022 event was cancelled due to complicating factors in the legislature’s schedule. This meant 2023 was the year pharmacy made its big comeback. Thanks to the enthusiasm of volunteers, this year’s PDAC amplified pharmacy’s voice louder and better than ever. With a new format, new sponsors and a new generation of impassioned pharmacy students, MPA made the voice of pharmacy heard loud and clear.

"This meant 2023 was the year pharmacy made its big comeback. Thanks to the enthusiasm of volunteers, this year’s PDAC amplified pharmacy’s voice louder and better than ever. With a new format, new sponsors and a new generation of impassioned pharmacy students, MPA made the voice of pharmacy heard loud and clear." 2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— LEGISLATIVE UPDATE — Legislative Priorities Pharmacy has made great strides in the state of Michigan these past two years. With the passage of House Bill (HB) 4348 in 2022 (requiring licensure and oversight of PBMs in the state) and Senate Bill (SB) 219 in 2023 (authorizing pharmacists to immunize and conduct test-to-treat programs for COVID-19 and influenza) all signs indicate that we are reaching a turning point for our profession. However, that doesn’t mean there isn’t more to be done. Advocates at this year’s PDAC focused on four primary topics pertaining to the profession, each of which will help pharmacy professionals continue to provide the highest level of patient care in our communities. • Immunizations and CLIA-waived Testing: Though the passage of SB 219 was a critical step toward ensuring patients’ access to immunizations and testing for COVID-19 and influenza in the state of Michigan, it is important that steps be taken to ensure that these services are implemented as soon as possible. The Board of Pharmacy must act with haste to promulgate the required rules associated

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with these practices and approve training programs to allow pharmacists to implement the privileges granted by this legislation. Additionally, pharmacy advocates expressed the urgent need for the legislature to expand upon these provisions and guarantee reimbursement for these services if provided and billed under a pharmacist’s NPI. • Pharmacist-Prescribed Hormonal Contraception: Expanding access to hormonal contraception through pharmacist-prescriptive authority has been shown to decrease the rates of unintended pregnancy in the United States and increase women’s access to reproductive health services, particularly in areas with reduced access to health care providers. Currently, 27 states and the District of Columbia allow pharmacists to prescribe and dispense self-administered hormonal contraception. Legislation must be passed to allow pharmacists to prescribe hormonal contraception and be reimbursed the prescription and screening services to advance access to critical health care services in the state of Michigan.

• White Bagging: According to the American Society of Health-System Pharmacists, “white bagging occurs when health payers require a narrow network of plan-selected pharmacies to dispense clinician-administered drugs and bill a patient’s prescription medication plan rather than their medical plan. White bagging is a risk-prone process that should only be considered when determined by the medical provider to be necessary and appropriate to support patient care.” At PDAC, pharmacy advocates worked to expand awareness regarding the practice of white bagging within the legislature and emphasized the need for legislation to be introduced to prohibit payer-mandated white bagging in the state. • Pharmacy Benefit Manager (PBM) Oversight: While we wait for the provisions of HB 4348 to take effect in January 2024, pharmacy has continued to express concerns regarding the conduct of PBMs. Rules promulgated by the Department of Insurance and Financial Services (DIFS) failed to address several ambiguities in the law, including definitions of “good faith and fair dealing,” “reasonable and

— LEGISLATIVE UPDATE — adequate access,” “non-discrimination against nonaffiliated pharmacies” and “maximum allowable cost list.” Additionally, the Legislature must take steps to establish that an easy and accessible complaint form be made available through DIFS and that legislators hold the department accountable for addressing complaints in a timely manner. Advocates at this year’s PDAC pressed legislators for additional action to address the gaps in PBM regulations to ensure the implementation of fair and transparent business practices between pharmacies, PBMs and insurers.

Next Steps While PDAC was an undeniable success, there is still much work to be done. MPA continues to advocate on behalf of its members for the issues that affect your practice most, but it is up to you to bring about positive change. You can do this by: • Developing a relationship with your senator and representative. The Legislature reaches out to MPA for a consensus opinion on matters of policy, but this only has an impact if constituents

reach out and emphasize the importance of these issues. Your legislators want to hear from you, and they want to do what’s best for the patients and professionals residing in their district. They can only do this if they hear directly from you. • Keep up to date on the issues. The four subjects emphasized at PDAC only begin to scratch the surface of the issues facing our profession and our patients. As part of your membership in MPA, we work to keep you updated on all regulatory matters at the state and federal level pertaining to the practice of pharmacy. Keep an eye on our communications and raise your voice when you have questions or concerns. • Support Pharmacy PAC. We at the association couldn’t do any of this without your support. By donating to Pharmacy PAC, you’re allowing us to continue to work on your behalf and support the legislators who have a vested interest in the profession of pharmacy and our patients. For more information on how to donate, visit our website at MichiganPharmacists.org and click the “Donate Now” link at the top of the page.

Thank You I want to emphasize that none of this would be possible without your dedicated commitment to our profession. I extend my thanks to every pharmacist, pharmacy technician and administrator who took the time out of their busy schedule to attend this year’s event. Thanks also to the students who took time away from their studies to take part in advocacy and make their voices heard. It is encouraging to see so many young professionals taking an interest in the future of pharmacy. Last, but not least, thank you to each of this year’s event sponsors. Without you, this event would not have been possible. Thank you all to your commitment to the profession and I look forward to seeing you at next year’s event. • Platinum Sponsor: Walgreens • Gold Sponsors: Henry Ford Health System, Pfizer • Silver Sponsors: AAPA, Hometown Pharmacy, Kroger, Meijer, Walmart • Bronze Sponsor: Rite Aid

2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— PROFESSIONAL AFFAIRS —

Highlights from a Landmark Event:

The Michigan Community Pharmacy Summit

KAREN FARRIS, U-M

FARAH JALLOUL, MPA

MICHAEL KLEPSER, FSU

MICHELLE KELLY, FSU

BRITTANY STEWART, WSU

BY BRITTANY STEWART, RD, Pharm.D. and HANADI THOMAS SALAMEY, BS Pharm Ferris State University (FSU), the University of Michigan (U-M), the Wayne State University Eugene Applebaum College of Pharmacy and Health Sciences (WSU) and the Michigan Pharmacists Association (MPA) have collaborated to develop the Michigan Community Pharmacy Coalition (MCPC). The purpose of the MCPC is to identify a roadmap to ensure the growth and sustainability of community pharmacy practice over the next 20 years in Michigan. The coalition members are Michael Klepser and Michelle Kelly (FSU); Karen Farris (U-M); Brittany Stewart (WSU) and Farah Jalloul (MPA).

Some of the key objectives of the coalition are to: • Identify opportunities to partner with key stakeholders, such as payers, health systems and public health. • Identify the skills and knowledge that pharmacy graduates must possess to be successful in community pharmacy practice.

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• Examine the current state of pharmacy education to identify gaps that should be addressed to better position graduates to practice in future models of community practice. The coalition decided the most optimal way to meet the objectives and bring stakeholders together to discuss these critical issues was to host a Community Pharmacy Summit. The MCPC met several times during the planning phase and conducted a SWOT (strengths, weaknesses, opportunities and threats) analysis related to community pharmacy practice in Michigan. The coalition then distributed a 10-question Qualtrics survey to attendees one month prior to the summit to collect demographics and SWOT analysis data. The SWOT data was collated and used as a tool to develop engaging breakout discussion sessions for the summit. The SWOT results were presented at the summit and given to all attendees to be able to identify innovative opportunities for growth and formulate action steps.

— PROFESSIONAL AFFAIRS —

"The summit was a successful, exciting and engaging day full of networking and discussions for moving community pharmacy practice forward in Michigan." Figure 1. Summit Priority Action Items

IMAGE

REIMBURSEMENT

ADVOCACY

TECHNOLOGY

•P ositive image campaign promoting community pharmacy

• Enhance curricula related to reimbursement, billing and prescription claims

• Develop an Advocacy Toolkit

•S howcase community pharmacy residencies and student-focused programs at MPA ACE

• Support lobbying groups that support pharmacist reimbursement

• Identify efficient pharmacy care models that manage workflow and create educational materials/ workshops for implementation

• I ntegrate more community pharmacy education and training into the Colleges of Pharmacy

• Develop a community pharmacy mentorship program to expose students to role models in the community setting

Event Recap The Michigan Community Pharmacy Summit was held on June 6, 2023, at MPA headquarters in Lansing. There were 39 pharmacists and four student pharmacists from across the state that attended representing independent pharmacy, chain pharmacy, the Michigan Board of Pharmacy, academia and MPA. The summit was a significant landmark event that brought together the three Michigan Colleges of Pharmacy (COP), MPA and pharmacy stakeholders from across Michigan. To the knowledge of the MCPC, an event of this nature has never been held in Michigan previously. It was history in the making.

Summit Proceedings The beginning of the summit featured a brief presentation by the three Michigan schools of pharmacy to present updates about their curriculum landscape and goals related to community pharmacy practice. MPA provided an update on membership and community pharmacy resources. The plan for the summit was to create engaging and productive conversations with the attendees from across the state and to gather feedback from practicing pharmacists, as the MCPC wanted to hear from the valuable pharmacy leaders about critical community pharmacy practice issues.

• Increase community pharmacist presence at board of pharmacy and legislative hearings • Increase Student Michigan Pharmacists Association (SMPA) and Colleges of Pharmacy student-led advocacy projects

• Work with payers to create credentialing and a contract model for clinical service billing • Create and implement systems that allow bidirectional e-prescribing communication between pharmacies and prescribers

The attendees were divided into groups of eight to 12 people who participated in 20-minute breakout discussions on four different topics. MCPC members facilitated the breakout discussions, with the student pharmacists serving as scribes during the sessions. During each breakout session, there were key takeaway points and action items developed. Following the breakout discussions, the attendees came back together and were given the opportunity to choose four action items they would like to see the MCPC work on moving forward. Figure 1 highlights some of the toppriority action items that were identified from the breakout discussions. The summit was a successful, exciting and engaging day full of networking and discussions for moving community pharmacy practice forward in Michigan. All attendees were provided valuable feedback and are motivated to get student pharmacists excited about a career in community pharmacy. This is the beginning of the rejuvenation of community pharmacy practice in Michigan and the MCPC is excited to continue to meet to discuss high-priority action items, develop a plan to move forward with the implementation of the action items and prepare pharmacy graduates to be successful in community pharmacy practice. Stay tuned! There are plans to host another summit in the next nine to 12 months. Keep an eye out for the comprehensive summit data that will be published at a later date and presented by the MCPC at the 2024 MPA Annual Convention & Exposition (ACE). We hope to see you all there! 2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— EDUCATION —

2024 ANNUAL CONVENTION & EXPOSITION FRIDAY, FEB. 23 – SUNDAY, FEB. 25

T BY LISA N. POWERS,

CAE, CTA, director of education and events, Michigan Pharmacists Association

he Michigan Pharmacists Association’s (MPA) staff have been gearing up for the 2024 Annual Convention & Exposition (ACE) throughout the summer and are excited to welcome you back one final time to the Detroit Marriott at the Renaissance Center, Feb. 23-25, 2024.

Yes, you read that right. After 15 years of ACE in Detroit, the 2024 Convention will be our last at the Marriott. We are looking forward to seeing members new and old coming together in support of the pharmacy profession. In addition, this year’s Awards Banquet will be bigger and better than ever as we celebrate the who’s who in pharmacy, with our last traditional banquet – you won’t want to miss this special event! Registration opened on Oct. 10. Find out more here: https://www.michiganpharmacists.org/educationevents/annual-conference-exhibition/ You already know that MPA provides a vast array of pharmacy-sourced, timely, educational opportunities during the convention, but there are many other options available to look forward to during your time in Detroit, including: • Exhibit Hall: With more exhibitors than ever before, we encourage you to meet with the sponsors and exhibitors who help make ACE a success each year during our exclusive exhibit hours. Friday’s receptions will include refreshments and Saturday’s exhibit hall includes a luncheon. Please take this opportunity to thank them for their support as well as establishing connections to further your business.

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• Michigan Pharmacy PAC Luncheon: Join us for the most anticipated legislative luncheon of the year for politically engaged pharmacy professionals. Hear more about the legislative landscape in Michigan, and honor elected officials who have contributed to the advancement of pharmacy. • MSHP Student Pharmacist Luncheon: The Michigan Society of Health-System Pharmacists (MSHP) hosts a luncheon that’s free to student pharmacists each year on Saturday afternoon. Students are invited to network with other up and coming pharmacists from the three Michigan Colleges of Pharmacy. An established pharmacy leader will be placed at each table to allow attendees to interact with an experienced practitioner. Healthsystem pharmacists are encouraged to attend this luncheon as well to network with emerging professionals. • Practice Setting Luncheons and Annual Meetings (CSPM, MSCP, MSPT): The Consultant and Specialty Pharmacists of Michigan (CSPM), the Michigan Society of Community Pharmacists (MSCP) and the Michigan Society of Pharmacy Technicians (MSPT) practice sections will each hold

— EDUCATION — their annual meeting luncheons on Saturday afternoon. You won’t want to miss your section's luncheon, annual meeting, awards and networking opportunity on Saturday! • MSPT Pharmacy Tech Connect Reception: Friday evening at the Convention brings you the TechConnect Reception in the President’s Suite. Join Pharmacy Technicians for an evening of appetizers and your favorite adult beverages starting at 7:30 p.m. • MPF Adopt-a-Student: The Michigan Pharmacy Foundation (MPF) will once again host the Adopt-a-Student program through a special fundraising campaign. Individuals can support the Adopt-a-Student program by making a tax-deductible donation to allow Student MPA (SMPA) members the opportunity to attend the MPA Annual Banquet at no cost on Saturday evening. • House of Delegates: The MPA House of Delegates is the policyforming body of the Association. At each Annual Convention & Exposition, the House of Delegates convenes to discuss proposed policy changes and review the MPA Bylaws. Several awards are also presented during the House Session as well as special reports.

• Student Saturday (New event!): Student Saturday is devoted to having opportunities for student involvement during each portion of the day. Start your day with a resume review appointment, or with the PGY2 panel at 8:30 a.m. Then, join us for our keynote presentation at 10:15 a.m. followed by the MSHP Student Luncheon, free to all students. Take a trip afterwards through the exhibit hall until the NASPA Self-Care Competition begins at 2 p.m. Your afternoon student designated session is “Financial Planning for Students, Residents and Emerging Leaders” with our Student Social directly afterwards bringing you refreshments, activities and a chance to engage with other students and pharmacy professionals. The evening brings the Awards Banquet consisting of dinner, drinks, awards and all the pomp and circumstance. Reach out to MPA with any questions or additional needs – we’re here and happy to help! * Many of the above options require additional registration – add these ACE staple events to your cart when registering for the conference.* None of our amazing educational programming or networking opportunities would be possible without you, our members, coming together yearly to advance and promote the profession. We can’t thank you enough and are excited to see you again in Detroit in February!

2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— MPA IN ACTION —

2024

PRESIDENT-ELECT CANDIDATES

RYAN J. GREENLEY is the regional pharmacy manager at Aspirus Health in the Upper Peninsula, consisting of four hospitals and clinics and four outpatient pharmacies. Previously, Greenley practiced for three years as pharmacy manager with Walgreens and three years as pharmacy manager with Shopko Pharmacy. Prior to these roles, he spent four years as a pharmacy technician with Shopko Pharmacy. He received his bachelor’s degree in biological sciences in 2008 from Michigan Tech University. Greenley completed his Doctor of Pharmacy at Ferris State University in 2012, where he served as class president and was awarded the Dr. Robert A. Zustiak Memorial Award for outstanding achievement in clinical pharmacy. In 2012, MPA awarded Greenley the Dean’s Professionalism award for outstanding commitment to advancement of ethics and professionalism of pharmacy. Greenley previously served on the MPA Local Association Development Committee, MPA Professional Affairs Committee, the Michigan Pharmacy Foundation Board of Trustees, the Michigan Society of Community Pharmacists (MSCP) Board and the MSCP Member Education and Communication Committee. Greenley also served as president of the MPA-Upper Peninsula Division and as a member of the Pharmacy Advocacy Response Team. He is currently serving in his sixth year as a member of the MPA Executive Board. Greenley has been an MPA member for 11 years and currently resides in Chassell with his wife, Jill, a pharmacist with UP Health System and a fourth-generation pharmacist whose familyowned pharmacy has been open since 1929. The couple have three children Leo (7), Grace (5) and Beau (2). List what you consider MPA’s priority projects or programs should be – reflecting either an expansion of current activities or entirely new services. I have an

exceptionally high level of respect for the many valuable services that MPA provides for its members. MPA is often my first stop for many professional resources, including legislative, clinical and practice, as well as continuing education, to name only a few. These are services I am excited to continue to support into the future. But it is the professional practice and legislative advancement efforts that MPA is uniquely positioned to influence that I believe is at the foundation of MPA’s importance. For far too long we have been faced with the same hurdles, such as provider status and the advancement of pharmacy services; pharmacy benefit manager (PBM) reform and fair reimbursement; and workplace environment. I believe it is this area that MPA has the greatest opportunity to influence in a way that, as individuals, we cannot accomplish on our own without MPA. It is what sets MPA apart as a vital aspect of the profession of pharmacy in Michigan.

What will be your top priority as president of MPA? Why do you believe this issue is important? As president, it would be my top priority to advance the influence and impact of MPA on legislative and professional practice advancement initiatives. This starts with increasing visibility of the unique position MPA is in to influence change, as well as its many accomplishments

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in doing so already. This can be enhanced by growing contributions to, and involvement of, MPA members, in these efforts. This needs to occur at both the local and state association level by re-energizing and instilling passion in new and current members to leverage the strength of our incredible association. Without a strong membership committed to supporting MPA, we would not have a voice to advocate and advance the profession of pharmacy. Therefore, I will be equally committed to growing new members and increasing current members’ activity in MPA.

Why do you think it is important for MPA members to be actively involved in the association? At the heart of MPA’s

ability to influence the advancement of professional practice and legislative priorities is its members. The active members of MPA guide and influence the direction that MPA takes. The more members who are actively involved in MPA, the more accurately MPA can represent the true state of the profession and the more accurately MPA can represent the needs of Michigan pharmacists and technicians. Therefore, the increase of new MPA members and the increase of current member activity in MPA is critical to ensure MPA is ultimately delivering the greatest value to the profession and its members.

— MPA IN ACTION —

The Michigan Pharmacists Association (MPA) is currently holding elections for the 2024 MPA Executive Board. Two candidates are vying for president-elect this year: Ryan J. Greenley of Chassell and Jamie Tharp of Ann Arbor. Read the information provided to learn more about the candidates, and be sure to vote by Tuesday, Oct. 31.

JAMIE THARP, PHARM.D., BCSCP is the pharmacy assistant director of compounding compliance at Michigan Medicine and an adjunct clinical instructor at the University of Michigan College of Pharmacy. Prior to her current role, Tharp has also held a leadership position at the University of Michigan Children’s and Women’s hospitals and spent 14 years in leadership and clinical practice at HomeMed, the U-M home infusion pharmacy. Tharp earned her Doctor of Pharmacy degree from the University of Michigan College of Pharmacy in 2004 and achieved board certification in sterile compounding in 2020. She is serving as a director on the Michigan Pharmacists Association (MPA) Executive Board and has previously served two terms on MPA’s Consultant and Specialty Pharmacists of Michigan board (2016-18, 2020-22). She was awarded the CPSM Pharmacist of the Year in 2019. She also participated in the Michigan Pharmacy Foundation Health Professional Leadership Academy (2014-15). Tharp is a member of the American Society of Health-System Pharmacists (ASHP) and the ASHP Section of Inpatient Care Practitioners, Sterile Compounding Section Advisory Group (member 2021-22 to 2022-23, vice-chair 2023-24). Tharp has presented nationally and at state level on topics of compounding regulation, safety and LEAN management within pharmacy. List what you consider MPA’s priority projects or programs should be – reflecting either an expansion of current activities or entirely new services. I believe the following are

some of MPA’s priorities requiring expansion or new services.

• Retain/expand membership As MPA president, I would continue to advocate for novel ways to make affording membership possible for all pharmacy professionals in the state (e.g., offer monthly membership-dues/payment structures, change in renewal date away from end-of-year holiday-bills season, offer dues discounts for members also affording national pharmacy association membership, and offer new member recruitment discounts or incentives). • Find new revenue sources MPA offers services that are currently under-utilized by members (e.g., professional and personal insurance through PSI). MPA staff need to continue to find ways to market services in ways that describe mutual benefit for members and MPA. MPA secures some of its income through grant funding. I would like to see MPA work with members to consider novel grant-funded opportunities (e.g., Michigan Pediatric Safety Collaboration to Standardize Compounded Oral Liquids). • Hone member services with greatest value while economizing MPA-staff resources MPA provides many valuable services to members. However, some services and events have low utilization and/or attendance. I will support MPA staff in evaluating services being provided that require disproportionate effort to value. I will also encourage MPA to continue

evaluating member-led activities to increase engagement (e.g., special interest groups, virtual round table topic discussions, hosted chat forums, etc).

What will be your top priority as president of MPA? Why do you believe this issue is important? As president of MPA, my top priority would be to continue the ongoing work to secure the long-term health and vitality of the organization to ensure it will continue to serve members far into the future. I would support the MPA CEO and staff to continue to offer valuable member services while being fiscally responsible. MPA needs to continue to innovate to find ways to retain and increase membership and offer engaging educational and networking opportunities for members. I would love to see MPA offer additional mentorship opportunities in advocacy and civic engagement. Attending Board of Pharmacy meetings, legislative committee meetings, speaking directly with legislators, or contacting the Board of Pharmacy can be an intimidating experience. MPA staff and other members often attend or participate in these activities and could partner with members interested in new advocacy opportunities. I would also like to find ways to engage members who are not actively affiliated with an MPA practice section, local chapter, or committee to demonstrate the increased value of membership through engagement.

2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— MPA IN ACTION —

Why do you think it is important for MPA members to be actively involved in the association? Being a licensed professional and working within pharmacies licensed within the state of Michigan requires an active awareness of changes within state legislation and the Board of Pharmacy. MPA acts as a critical partner advocating for pharmacists and the practice of pharmacy within the state. I have engaged with MPA staff numerous times over the years to seek understanding about laws/standards and partnered with MPA as a content expert advocating for legislative changes. It has been valuable to leverage their contacts within state government during periods of regulatory change and industry uncertainty (e.g., during the COVID-19 pandemic).

As an active member in both state and national pharmacy associations, I believe my individual effort is more impactful at the state-level. I have also come to appreciate that there are fewer unique subject matter experts within each state organization, and it is important for every member to contribute their unique skill sets and knowledge to advocate for the profession within our state. Having an active voice in local chapters, practice sections, and/or committees allows members to participate in proposing resolutions through the House of Delegates, guiding advocacy through lobbying state legislators, and steering/ developing educational content shared with all members. Active participation in MPA is personally and professionally fulfilling and can be a way to expand your professional network beyond your direct coworkers.

— CE HOMESTUDY —

PRESENTS

MPA ADVANCING TECHNICIANS THROUGH LEGAL DEPARTMENTS

Learning Objectives: At the end of this activity, participants should be able to: 1. Describe legal requirements that must be satisfied to engage in "tech-check-tech" product verification 2. E xplain how "techcheck-tech" may be performed in community pharmacies 3. D escribe corresponding responsibility and how a pharmacist satisfies their requirements 4. P redict how pharmacy technicians may evolve in their support of pharmacists and documenting resolution of "red flags"

— FREE CONTINUED EDUCATION — Register Here: https://www.lecturepanda.com/a/AdvancingTechniciansThroughLegalDepartments-HomeStudy

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— ON THE COVER —

‘WHAT WE CAN DO FOR MPA’: 2024 MPA President Sarah Hill sets goal of increasing member engagement BY RYAN WEISS, communications manager,

Michigan Pharmacists Association

s a kid, Sarah Hill used to love turning on the “Kirk’s Pharmacy” sign that hung in the basement of her childhood home in Brighton, watching its soft glow fill the room. The sign came from her paternal grandfather, Jim Kirk, an independent pharmacist who owned his own pharmacy in Detroit.

Though Kirk died before Hill was born, she credits him as one of her earliest inspirations toward a career in pharmacy – and eventually, becoming the 140th president of the Michigan Pharmacists Association (MPA). “Other than him, I had never known anyone who worked in a pharmacy,” Hill said. “However, that quiet legacy of my grandpa’s community pharmacy planted the seed in my mind.” Hill’s maternal grandfather, Donald Labun, also played a big role in her pursuit of pharmacy. Hill was an academically strong student in high school with a love of science, but she struggled to think of a career that would suit her. Then, during her junior year, Labun’s health took a turn for the worse. “When we visited him, I was amazed to see the number of medications that he was taking,” Hill said. “I wondered how his doctors could possibly know how all those different medications interacted with each other and if the combination was actually helping him or making him worse. Our high school had us take some standardized tests to see what occupations we might have aptitude for. One stood out to me – pharmacist. I did a little more research into it and found that it sounded like a career that would balance my love of science, desire to help people and would work well with the family life that I hoped to have one day.” Hill wanted to stay close to home during college and applied to all three state colleges that offer pharmacy school – Wayne State University, Ferris State University and the University of Michigan. Wayne State turned out the be the best fit. 2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— ON THE COVER —

2024 MPA President Sarah Hill and husband Jonathan Hill at ACE.

Hill and husband Jonathan's four children.

Hill was part of the Honors College and supported the Warriors’ athletic teams as a member of the cheerleading squad. When it came time to apply for pharmacy school, the natural choice was to stay in the Motor City. Hill was accepted into Wayne State’s Eugene Applebaum College of Pharmacy in 2006.

Even though she wasn’t required to, Hill returned the next month and has scarcely missed a meeting since. She has worked to increase student involvement and female membership with the WCPA, which resulted in the creation of a designated seat on the board for a Wayne State student. The University of Michigan also now has a designated student board seat.

It was during this period Hill first became involved with MPA. In her P2 year, professor Geri Smith required all students to attend a professional organization meeting. Admittedly, Hill procrastinated until the last minute. The only meeting left at the time was for the Wayne County Pharmacists Association. “I hopped into my little Ford Escort and headed down I-94,” Hill said. “Little did I know that I was heading toward a life-changing event.”

“I have since moved an hour away and have four small children, yet I still log on every month to attend the WCPA meetings, because being with other passionate pharmacists reminds me why I love what I do and what we are fighting for,” Hill said. “It helps me to see the best in our profession and fills me up with enthusiasm for all that pharmacy is and will one day become.”

Hill stepped into a tiny conference room at the Dearborn Hampton Inn that was packed to the brim with pharmacists. At first glance, most appeared to be men who were many decades her senior. However, the attendees immediately made her feel welcomed. Over the next two hours, she witnessed a lively discussion and Hill was frequently called upon to weigh in during the meeting. After it was over, the WCPA asked Hill to come back the next month so they could hear more from a student’s perspective.

“We worked long hours in an unconventional work environment to make sure that our patients’ needs were met, all while building relationships with the nurses and doctors on the health care team,” she said. “From

Hill is pictured with the pharmacy team at St. John Pharmacy (now named Ascension Pharmacy).

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Hill received her Doctor of Pharmacy from Wayne State in 2010. In 2011, she helped start Ascension Pharmacy in Lansing, a contract pharmacy embedded in the Community Mental Health Building. Hill said it is one of her proudest professional achievements.

Hill and WCPA representatives are shown at the House of Delegates during ACE – along with Hill’s baby, who attended the whole conference.

— ON THE COVER —

Hill was a scholar athlete for Wayne State University cheerleading during undergrad and pharmacy school.

Hill and Wayne County Pharmacists Association grab lunch at ACE.

counting medications on do-it-yourself counters made from folding tables elevated on McKesson totes, to expanding into a thriving pharmacy with three times the staff 12 years later, it has been a wild ride. It was such a special experience to be able to design the layout of the pharmacy, establish workflow procedures and make a thousand little decisions that add up to what a pharmacy will become. None of it would have been possible without my outstanding team who worked to build something impressive together.” Much like she worked to increase student engagement with the WCPA, one of Hill’s priorities as MPA president is to increase member engagement in the Association. “We are blessed to have a wonderful staff at MPA that works tirelessly for us. But as John F. Kennedy would say, it is time for us to ask ourselves what we can do for MPA,” Hill said. “We need members to bring their unique perspectives to MPA, so we can represent all of pharmacy and speak with one voice to advocate for our profession. We need volunteers who are willing to serve on committees and share their thoughts on the direction of pharmacy, we need members to attend legislative functions like Pharmacy Day at the Capitol and send emails for the Pharmacy Advocacy Response Team.

Hill with professor and MPA member Carol Stutrud on Wayne State’s graduation day.

“Most importantly, we need to share the work that MPA is doing with the people we are working elbow-to-elbow with in our pharmacies. Many pharmacy professionals are not aware of the great value of MPA membership. By encouraging more pharmacists and pharmacy technicians to join MPA, we add their voices to our own and make the unified voice of pharmacy even stronger. I want to leave behind an even more resilient association and a legacy that we can pass on to future generations of pharmacy professionals.” Hill lives in Howell with her husband, Jonathan, and their four children. In her spare time, Hill enjoys playing guitar, painting, volunteering at church and making her children’s Halloween costumes every year.

“We are blessed to have a wonderful staff at MPA that works tirelessly for us. But as John F. Kennedy would say, it is time for us to ask ourselves what we can do for MPA.”

Hill studied abroad in Peru and learned about medicinal plants during pharmacy school.

2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— MSPT PRESIDENT —

PRIORITIES & HAPPENINGS I

n years past, the Michigan Society of Pharmacy Technician (MSPT) practice section has held several priorities to provide direction and focus to activities, events and membership outreach. Some of those activities included sending postcards to newly-licensed pharmacy technicians or emails to new licensees about joining MPA.

BY ERITH WELCH,

MSPT president

In the last year, MSPT has narrowed its many priorities to only two: collaboration with local pharmacy associations and increasing membership. With these two priorities as the new focus, the board has been working on developing year-round events that facilitate networking, fun and continuing education (CE). As life is busy for everyone, the board has been brainstorming ways to make its events as accessible as possible to working technicians with lives just as busy outside of the pharmacy as they are inside the pharmacy. One of the events the board is working on is a quarterly

This event satisfies both priorities through the local association competition and its incentives to promote membership. The board is working to accredit, organize and kick off the first trivia event at this year’s Annual Convention & Exposition (ACE)! There is still quite a bit of work and details to iron out between now and ACE. If there is anyone interested in being part the trivia planning, prizes and promotional efforts, please feel free to reach out to any MSPT board member to get involved. Another event the board is working to put together is a Fall CE and Wine Tour in Traverse City. This event would focus heavily on connecting membership from all practices by bringing them together in beautiful northern Michigan. The timeline would include an evening meet and greet for those participating on a Friday night, followed by a one-hour CE program prior to a wine tour that will take place on a Saturday morning into the early afternoon. The rest of the weekend will have events and activities for membership to participate in.

“Another event the board is working to put together is a Fall CE and Wine Tour in Traverse City. This event would focus heavily on connecting membership from all practices by bringing them together in beautiful northern Michigan." virtual trivia night that would be accredited for one live CE credit. The goal of the event would be to offer a fun live CE event without the need for participants to travel. The most important part of this event is that it will be free for members and first-time non-members. There will be other free trivia event incentives for those who join MPA through the trivia event. In addition to being a live trivia event, we will track which local association has the most attendance. At the end of the year, whichever association has the most active participation will win the Live Trivia Trophy that will be awarded annually.

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This event also has a work group that is working on the details, including coordinating affordable lodging options. If there is anyone interested in being a part of activity planning or has ideas you would like to see included, please feel free to reach out to any MSPT board member to get involved! MSPT board has a lot of renewed energy and ideas to shake things up and establish new events. MSPT has quarterly board meetings and would welcome anyone to join and listen in to all the fun and exciting events the MSPT board is cooking up for the coming months.

50 M

— MPST FOCUS —

YEARS OF SERVICE TO PHARMACY

Longtime MPA member Henry Yee talks evolution of technicians and the value of membership BY RYAN WEISS, MPA communications manager

uch has changed in pharmacy since 50-year Michigan Pharmacists Association (MPA) member Henry Yee first walked out of Wayne State University in 1975.

with his patients. I said well, this is something I think I would like to do. I like to interact with people. I decided to apply for pharmacy school and luckily they accepted me.”

One of the most drastic changes has been the evolution of pharmacy technicians. When Yee first broke into the business, technicians were known as clerks whose main function was to essentially operate the cash registers and help the pharmacists count. That is certainly no longer the case.

Yee started his career with Cunningham Drug. Cunningham’s, which primarily operated in Michigan, was once the largest drug store chain in the state.

“Now we see technicians out in the field doing immunizations and helping patients with blood glucose monitoring and things like that,” Yee said. “Several of my technicians have actually gone on to other health professions; some have gone into nursing, some actually became pharmacists, so I was glad that I was able to offer them some direction to give them aspirations towards a profession. I think one of my best achievements was trying to mentor people, give them direction and goals to set. And I was very happy to see the outcomes of several of my technicians.”

He stayed with the chain until one year after graduation, when he was recruited by Kmart; he would remain with Kmart for the next 30 years. Yee mentored numerous technicians during his time at Kmart – including the future CEO of Walgreens, Rosalind Brewer, who led the company from 2021 to 2023. Brewer had come to the Detroit Kmart pharmacy after graduating from Cass Technical High School in the summer before she began studying at Spelman College in Atlanta.

Yee said pharmacy has also become more patient-oriented, which he considers a positive change. “We're now focused on the patient, on the health needs of the patient,” he said. “I think in the beginning we were basically more field-oriented and now that dynamic has shifted towards the patient.” Yee was born in Detroit and raised in the suburban city of Wyandotte, where he also attended school. He said the driving force behind his decision to go into pharmacy was the respect that was given to those in the profession. “I remember going into the pharmacy and speaking to the pharmacist and all the patients,” he said. “I thought well this is great, everybody's calling him 'sir' and he seemed to be very friendly and he liked to interact

“I think we all (started with Cunningham’s) back then, it was basically the only chain around,” Yee recalled.

“I remember her as being very bright, very poised, very outgoing; she had a terrific personality,” Yee said. “She loved to interact with our patients. I was just glad to see that she went on further with her career. I followed the career as she went along, she went through the various roles at Sam's Club, Walmart and Starbucks and now Walgreens. I just knew she was a great person to work with.” Yee said he also had the privilege of nominating Marjorie Fisher for the Michigan Society of Pharmacy Technicians (MSPT) Technician of the Year award in 2006, which she won. Yee and Fisher worked at Kmart together for 30 years. “She was a primary example of how technicians could help patients live healthier lives,” Yee said. “She was out there helping our diabetic patients learn how to use their new glucose meter and … giving patients the help that they needed to live through their diagnoses, which I

“I remember going into the pharmacy and speaking to the pharmacist and all the patients,” he said. “I thought well this is great, everybody's calling him 'sir' and he seemed to be very friendly and he liked to interact with his patients. I said well, this is something I think I would like to do. I like to interact with people. I decided to apply for pharmacy school and luckily they accepted me.” 2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— MPST FOCUS — thought was great." Fisher and Yee would reunite in a way when they both hired on at Kroger later in their careers, though at neighboring locations. Kmart fell on financial troubles in the mid2000s and began downsizing; Yee was one of the casualties. He was let go, but was recruited by Smith’s Food and Drug – a subsidiary of Kroger – and moved to the mining town of Elko, Nevada, where he worked for the next six years. Yee worked every other weekend in Elko and returned to Michigan on his off weeks. “I used to tell my friends I was only working part-time because they’d see me all the time,” he joked. But when he was “off” he wasn’t exactly relaxing – Yee would spend his free time volunteering at the Cabrini Clinic in Detroit. He would continue to do so all the way up until the COVID-19 pandemic.

“I would strongly courage anybody who has time to volunteer for free clinics,” he said. When the Kroger near his Michigan home began hiring for a pharmacy manager, Yee was asked if he’d like to come back and take the position. He did, and that’s where he stayed until he retired in 2019. But even in retirement he was able to keep himself busy. During the COVID-19 pandemic, Yee joined the Federal Emergency Management Agency (FEMA) and went across the country administering COVID-19 vaccines. “I met a lot of great pharmacists, great technicians who helped us in this effort and I think was a historic effort to try to get COVID under control,” he said. “Even in retirement we still have an opportunity to serve the public.” During MPA’s Annual Convention & Exposition (ACE) in February, Yee was honored as a 50year member of MPA. He has served in various roles during his time with the association, including being selected by former Executive

Director Lou Sesti to serve on the Employee Pharmacists committee. Over the years, he has been a board member, past president and past chairman of the Wayne County Pharmacists Association. He stressed the importance of staying involved with the association, something he did even when he went to Nevada to practice. “I think that being involved in MPA keeps you current in the profession,” he said. “I know I try to go to the ACE whenever I can. For me it's like going to a class reunion, you get to see people that you've worked with over the various years and you connect that way. I'm just very proud to have been a member of MPA for the last 50 years. It doesn't seem like it was that long; I joined when I was in pharmacy school and of course I've been a member of ever since. I just felt it was a valuable tool to keep me current in my profession. I would encourage all pharmacists to join.”

SAFETY TIP Work Environment

Design a work environment that is physically designed to minimize distractions. Confirm that all necessary equipment is available and working. Assure safe storage of topicals, internals, and concentrates. Have safety checks in place for receiving and approving ingredients into inventory and for returning ingredients to proper locations in storage.

For more information about the APMS PSO Continuous Quality Improvement (CQI) program, go to http://medicationsafety.org or give APMS a call at (866) 365-7472.

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— LADC FEATURE —

LOCAL ASSOCIATION SPOTLIGHT:

KENT COUNTY PHARMACISTS ASSOCIATION BY BROOKE ROE, pharmacist at Meijer; president of KCPA

KCPA Board Dinner

KCPA’s Lisa Diephouse was awarded the Ernie Koch Striving for Excellence Award at ACE 2022.

Number of years as MPA Member and number of years with local? 13. When was your local formed? The Kent County Pharmacists Association was founded many years ago and welcomes pharmacist, student and pharmacy technician involvement. KCPA has supported our profession in Kent County and was excited to have Ionia, Mecosta and Montcalm counties join our association in 2021. How did you learn about your local association? I learned about our local association during my third year of pharmacy school Where and when does your Local hold meetings? We hold a

mixture of in-person and virtual meetings once per month September through May. KCPA does not meet June through August. You can find the most up-to-date information about our meetings through Facebook (Kent County Pharmacists Association) or email (kcpapharmacists@ gmail.com).

Why do you feel it is valuable to support and join a local association? How has it benefitted you? Involvement in KCPA has

deepened my connection to the area we represent (through community

KCPA Kids Food Basket – KCPA volunteers lend a helping hand at Kids Food Basket.

service) and with local pharmacy professionals (through networking opportunities). It has added value to both my personal and professional life by allowing me to better understand my “why” within pharmacy.

Do you have a favorite event or memory related to your local?

Well, KCPA has some great events with even better people. I’d say our annual holiday party is always a highlight, where we socialize together at an event (bowling, improv show, etc.). However, I also really enjoy the opportunities to get involved with community service events locally and learn more about new medications at educational dinners.

Please list any upcoming events (continuing education, membership recruitment or social events) Our meetings will be held the third Tuesday of each month (either in-person or virtually). Additionally, we’re looking forward to some community service and educational opportunities this fall before gearing up for our holiday gathering. We invite all pharmacy professionals from Kent, Ionia, Montcalm and Mecosta counties to stay connected via Facebook and/or email.

Who is a good contact at your local for further information and questions? Brooke Roe (president), Sara Brown (president-elect) or

Courtney Biehl (secretary)

2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— LADC FEATURE —

LOCAL MEETINGS AND EVENTS Capital Area Pharmacists Association

Genesee County Pharmacists Association

Nov. 29 – Pain CE, 7-8:30 p.m., virtual

The GCPA was scheduled to finalize its upcoming fall/winter events at its Sept. 27 board meeting. Contact geneseepharmacists@gmail.com to inquire about upcoming GCPA activities.

Dec. 30 – Advent House Contact: capapharm@gmail.com

Kent County Pharmacists Association Macomb County Pharmacists Association Nov. 16 – MCPA meeting Contact: mcpa@gmail.com

Nov. 21 – KCPA meeting Dec. 19 – KCPA meeting Contact: kcpapharmacists@gmail.com

To submit items to be included on the LADC calendar, please email Communication@MichiganPharmacists.org.

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— COVER YOUR ASSETS —

PROVIDING PEACE OF MIND

Considering the right life insurance for you September was Life Insurance Awareness Month and choosing the right type of insurance is important to protect your family’s future and your peace of mind. Life insurance can protect your family’s financial future. It not only pays for funeral and burial expenses, but it also offers a way to provide for your family in the event of your death. It can provide tax-free funds to continue their standard of living and still achieve their life goals. It can also be used to provide money for your favorite charity, like the Michigan Pharmacy Foundation. BY RON DEVERS,

CIC, CPIA, director of operations, PSI Insurance Agency

The next consideration is what kind of insurance to buy. Term insurance is a popular affordable option that runs for a specific length of time (its term), such as 10, 20 or 30 years. Annual premiums usually cost less the younger you are when you buy it. Also, there are a variety of endorsements that can be added to allow for guaranteed renewability or increases at certain times though out the term of the policy.

Whole life insurance tends to cost more than term insurance, but doesn’t have a time limit. It accumulates cash value, which can grow over time. You can borrow against the assets for various expenses or use it as collateral. Again, after your death, the proceeds are paid generally tax free to your beneficiary. To illustrate the difference between term and whole life insurance, I liken it to renting versus purchasing a home. Term insurance is like renting – if you pay your rent on time, you can stay. You can renew your lease and continue to pay and stay. Whole life, on the other hand, is like buying a home. It bills equity within the policy that can be used in the future for a variety of reasons. Purchasing life insurance doesn’t have to be a daunting process. Give PSI Insurance Agency a call and we can discuss and build a plan that’s right for you. Let our family protect your family.

2023 Oct./Nov./Dec. | Vol. 61, Issue 4

— PAAS NATIONAL —

AUDITORS CRACK DOWN ON PHARMACIES THAT BYPASS PLAN LIMITS

AAS National® analysts want to warn pharmacies about an uptick in PBMs flagging prescriptions for bypassing plan limit rejects. These prescriptions are being marked as discrepant and face full recoupment. Share this information with your staff and ensure that claims are not unintentionally being put at risk for audit/recoupment.

BY TRENTON THIEDE,

Pharm.D., MBA, president, PAAS National®, expert third-party audit assistance and FWA/HIPAA compliance

When pharmacies receive a reject of plan limit or exceeds maximum daily dose, pharmacy staff must follow the plan guidelines to submit the claim appropriately. The plan sending this rejection is telling the pharmacy that the dosage is not covered without additional requirements. This could mean prior authorization, switching to a different dose, or changing to another medication. Pharmacies that manipulate the days’ supply to bypass the rejection are putting those claims at risk of recoupment. PBMs can easily track when pharmacies run a claim, receive a reject, and immediately rebill for the same quantity but different days’ supply. This raises a red flag that the plan reject was likely not adhered to appropriately – low hanging fruit for PBM auditors. Reducing the quantity and/or split billing prescriptions can also be an audit risk. If a reduced quantity is submitted to bypass the plan limit (e.g., to get under a dollar threshold), the claim is still in jeopardy of being recouped. Beyond circumventing a plan limit, the payor may argue it increased costs through additional refills, dispensing fees, and patient copays. One patient complaint to their plan could lead to big trouble for network pharmacies.

PAAS Tips:

• Always bill the accurate days’ supply based on the instructions for use indicated on the prescription • Make sure all staff are instructed to follow plan rejects appropriately and not change the days’ supply to get a paid claim • Check with the PBM help desk for guidance on rejects that are vague or unclear • Do not split bill rejected claims n Charging the patient cash often leads to complaints [from the patient to an employer or PBM] and can be considered non-compliance with the provider manual and lead to remediation, including potential network termination n If you have exhausted all plan options and the patient insists on paying cash for the full prescription, be sure that you document authorization from the patient that they desired to pay the full cost and did not want to wait for the proper channels • If having difficulties with prescribers following through on prior authorization, enlist the patient to help. The patient could contact the prescriber and/or file a complaint with their insurance which may speed up the process. PAAS National® is committed to serving community pharmacies and helping keep hard-earned money where it belongs. Contact PAAS today at (608) 873-1342 or info@paasnational.com to see why PAAS Audit Assistance membership might be right for you. Copyright © 2023 PAAS National, LLC. Unauthorized use or distribution prohibited. All use subject to terms at https://paasnational.com/terms-of-use/.

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