Tennessee Pharmacist Journal Fall 2022

1 - December 1, 2022

selected will each be awarded $3,000. Up to $60,000 in scholarships may be awarded for this academic year.

To be eligible to apply for the Pharmacists Mutual Community Pharmacy Scholarship, students must meet the following criteria:

• Current students must be a P3 or P4 pharmacy student in the 2023-2024 academic year

Eligible students must plan to practice in one of the following settings:

an independent or small chain community pharmacy, or

an underserved geographic or cultural community, preferably in an independent or small chain community pharmacy

PUBLICATION STAFF

Julie

BOARD OF DIRECTORS

PAST-PRESIDENTS

IMMEDIATE PAST-PRESIDENT

TREASURER

James

CHAIR, CHAIN PHARMACISTS

Mitchell

CHAIR, COMPOUNDING PHARMACISTS

Susan

PRESIDENT, HEALTH-SYSTEM PHARMACISTS

Jennifer

CHAIR, INDEPENDENT PHARMACISTS

Brent Dunlap, PharmD

CHAIR, LONG-TERM CARE PHARMACISTS

Amber Cagle Gott, PharmD

CHAIR, PHARMACISTS

Brent Thompson, PharmD, MBA

CHAIR, PHARMACY TECHNICIANS

Wendi Owens, CPhT

PRESIDENT, STUDENT PHARMACISTS

Maya Patel

EXECUTIVE DIRECTOR

Anthony Pudlo, PharmD, MBA

Tennessee Pharmacist (ISSN 1047-0166) is published by the Tennessee Pharmacists Association, 1732 Lebanon Pike Circle, Nashville, TN 37210 [email: tpa@tnpharm.org, website: www.tnpharm.org]. Tennessee Pharma

TABLE OF CONTENTS

Stepping Up for Patients and the Profession

The hardest battle that you will ever have to fight is between who you are now and who you know you can become. My vision of pharmacy practice is clear. Pharmacists, with the aid of pharmacy technicians practicing at the top of their license, will be recognized as the drug ther apy experts providing high-quality pharmacist-provided patient care! Pharmacists will also be recognized as the most highly qualified pro vider of many primary patient-care services.

If you follow me on social me dia or have spoken to me at length, you will have seen or heard about Pharmacy Gladiators. I believe that pharmacists and pharmacy techni cians, regardless of practice setting, are gladiators in the healthcare are na. Gladiators wore little armor but were skilled fighters. They found a weapon that best served them and their strengths, and they battled un til the end.

Whether you are a pharmacy technician in a large health system, a pharmacist in longterm or ambulatory care, whether you work at a national chain, are an independent phar macy owner, or teach in academia, if you work in the drug industry or are a provider educa tor for a PBM—if the patients you serve are your focus, then you are a Pharmacy Gladiator. Just like the Roman gladiators, pharmacists and pharmacy technicians put on our armor and pick up our weapons as we go into combat every day. I am honored to have the opportunity to serve the profession with the great est battalion of Pharmacy Gladia tors in the country!

I am extremely excited to be able to work with the amazing group of volunteer leaders and paid staff at the Tennessee Pharmacists Association. Under the leadership of Dr. Anthony Pudlo, we have add ed some of the country’s most high ly touted association management staff to our team. Additionally, TPA has partnered with some of the most renowned experts in their in dustry, including Harris Frazier Gov ernment Relations and Pierce Public Relations. I often quote Jim Collins about getting the right people on the bus and then finding the right seat for each person. I truly believe Anthony is working to get the right people on the bus. I look forward to seeing the progress of TPA with ev eryone in their best seat.

Motivate with Momentum

The profession of pharmacy and our patients have recently won some battles. TPA led the charge in a huge win for Tennes see pharmacists and our patients with landmark legislation for enforceable PBM reform. In addition, TPA also worked tire lessly to expand the role of pharmacy technicians. At a national level, we have seen the end of retroactive DIR fees on the hori zon, and the FTC investigating the anti-competitive tactics of the PBM monopolies. However, there are many more battles on the horizon.

While TPA spearheaded recent legislation that will allow techni cians to practice at the top of their license, TPA must continue to work with the Tennessee Board of Phar macy to ensure that the intent of

Jay Phipps, PharmD, FACA, FACVP

the law is captured in the rules. I believe that, for pharmacists to practice at the top of their license, pharmacy technicians must also be able to practice at the top of their license.

The last time there were sig nificant changes to the Tennessee Pharmacy Practice Act, I was a stu dent. One of the hot-button items was pharmacist provision of immu nizations. Pause and think about where our state would be as a result of the pandemic, if TPA, under Dr. Baeteena Black’s leadership, had not fought adamantly for advancing the practice of pharmacists to provide immunizations. It is time again to get ready to battle for our profession and our patients. Abraham Lincoln said, “Be sure to put your feet in the right place, then stand firm.” Now, we at TPA must advocate for legisla tion to expand the scope of practice for pharmacists in ALL practice set tings. All Tennesseans will benefit from pharmacists with an expanded scope of practice. Our patients de serve pharmacists who practice at the top of our license, and TPA will continue to fight for our patients and our profession. Stand firm!

“

Our patients deserve pharmacists who practice at the top of our license, and TPA will continue to fight for our patients and our profession.

Promote the Profession

While pharmacists and pharma cy technicians are great at providing exceptional care, we are NOT good at telling our story. When is the last time you reached out to local me dia to tell the story of how you are providing exceptional pharmacistprovided patient care or about the phenomenal work of pharmacy technicians in patient care?

I have never been prouder to be in the pharmacy profession than today. At the recent TPA Summer Meeting, I spoke with pharmacists who work in clinical trials in endocri nology and those who care for pa tients in pediatric oncology, hospice, intensive care, large chain pharma cies, and new independent start ups. The one overwhelming theme was that pharmacists and phar macy technicians stand up for our

patients. As your pharmacy associ ation, TPA will work to promote our members and profession, to tell the story of pharmacists and pharmacy technicians. I would like to provide training for pharmacists and phar macy technicians in telling our sto ry. In addition, I believe that every pharmacist and pharmacy techni cian should be provided a press re lease and instructions on what to do with it, following any TPA-sponsored training or meeting. Our members also need innovative resources to promote themselves, their orga nizations, and practice sites to the media, as a tool for the education of the public. TPA needs to make it easy for you to tell your story and promote the profession.

PRESIDENT’S

Focus on the Future

Finally, TPA has a long history of being one of the strongest state pharmacy associations in the na tion. The current structure of TPA has served us well in the past. How ever, you, the members of TPA, de serve an organization structured to serve you best today and in the future. TPA’s Revisioning Commit tee is taking a fresh look to ensure that your organization continues to serve you in the best possible way. Over the upcoming months, we will organize meetings where you can voice your thoughts on TPA’s struc ture. I welcome your thoughts and ideas over the next year, to make certain that your organization is representing you and your pharma cy practice.

W E H E L P P H A R M A C I E S

P U T S A F E T Y A T

T H E C E N T E R O F

V E R Y T H I N G

H E Y D O

A Year of Progress at TPA

This August, as I reached my one-year anniversary of joining TPA as Execu tive Director, I looked back to reflect on the hundreds of amazing TPA members I have spoken to and met— the heartbeat of TPA. Thank you for your time and generosity as I have listened and learned.

With Kim Jones’s leadership as Presi dent, along with the entire Board and leaders throughout the organization, I am pleased to say that there are wins to celebrate, and I would like to share them with you in this format.

In 2021, the TPA Board of Directors approved a new 3-year strategic plan, focused on efforts to empower grassroots advocacy, build leadership, equip the profession with resources and education, and optimize TPA’s in frastructure and engagement oppor tunities. The TPA leadership commit ted investments of time and money into advocacy, communications, and remaining relevant into the future.

Everything we do, from conferences and digital education to public policy and professional development, is organized around serving the needs of members. That is what makes TPA the professional home for pharma cists, pharmacy technicians, and stu dent pharmacists in Tennessee, and I hope you have felt the renewed en ergy behind our staff’s work for you

We also want TPA to be a home for professional connections, personal networking, and enthusiastic engage ment in the variety of opportunities offered. The return of live meetings brought more than 500 to attend TPA meetings. In addition, we continue to make the home of Tennessee phar macy feel like a home. I welcome all members at any time to the new TPA offices at 1732 Lebanon Pike Circle in Nashville.

TPA’s more than 300 leaders and their direct activity on various committees and task forces are making a differ ence. To help committees succeed, I have assigned a TPA staff member to each for support. The discussions, projects, webinars, and newsletters all reflect renewed engagement and connection among members.

To support members’ wide-ranging activity on social media, we renewed our focus to enhance our communi cations online, reaching close to 5,000 Facebook followers, 4,000 Twitter followers, 1,300 Instagram followers, and 800 through LinkedIn, to spread the word about TPA to members and beyond. We also enhanced our weekly communication in the ’10 for Tenn’ and reformatted various ‘Soci ety News’ communications.

Our policy efforts saw success in the legislative session, and strong voices were heard throughout House of Delegate debates. With new contract

Anthony Pudlo, PharmD, MBA Executive Director Tennessee Pharmacists Association

lobbyists actively working with the Legislative and Regulatory Policy Committee, TPA’s reputation as a trusted resource and evidence-based intermediary ensured that the voice and influence of TPA members are heard where and when it is most im portant, and supported by an experi enced public policy team.

To each and every TPA member— thank you for being part of the strong heritage at the Tennessee Pharma cists Association. Your engagement, leadership, and support from across the state have created these suc cesses and milestones in my short time at TPA—you have made all the difference!

“People don’t care how much you know until they know how much you care.” —Theodore Roosevelt

CALL FOR CLINICAL PHARMACY MANAGERS

Recently, TPA created a space for Tennessee pharmacists to collaborate on managerial, leadership, and clinical topics. Each quarter, engaged pharmacy leaders convene virtually to discuss these topics and bring focus to other key practice issues, including antimicrobial stewardship, opioid management, drug diversion, and more. This group accepts new members on a rolling basis and welcomes anyone who would like to join, share ideas, and learn from other practice leaders.

If you are interested in joining, please contact jade@tnpharm. org for a signup link. Don't miss this opportunity to engage with your fellow TPA members!

TPA Welcomes Our Newest Staff

ARIEL CLARK, PharmD

Manager of Education and Practice Development

• Manage grant programs

• Oversee CE and non-CE programs

JADE JOCHEM, PharmD

Executive Fellow

• Facilitate student and new practitioner opportunities

• Assist in strategic priorities

EMERALD JOHNSON

Manager of Events and Administrative Affairs

• Coordinate external and internal meetings

• Facilitate partner and sponsor relationships

DANIELLE MccOY, MPH

Project Manager

• Oversee COVID-19 and other vaccination initiatives

BRENT SNYDER, BS

Manager of Communications and Digital Engagement

• Manage website and social media

• Manage print and electronic communications

OLIVIA WELTER, PharmD

Director of Professional Affairs

• Regulatory and payor issues

• Leadership programs

• Practice resources

October is Pharmacists Month in Tennessee and American Pharmacists Month

October is American Pharmacists Month and Pharmacists Month in Tennessee—the perfect time to recognize pharmacists and share the positive impact you make in your community! Throughout October, TPA and the American Pharmacists As sociation (APhA) ask you to help raise awareness of pharmacists’ contributions to healthcare and everything you do for your patients. Pharmacists, student pharmacists, pharmacy staff, and advocates are asked to share this message:

Pharmacists are essential providers of accessible care.

TPA urges you to participate in American Pharmacists Month (APhM) and engage with TPA through your social media efforts! Tweet, retweet, and follow @tnpharmacists on Twitter, find us on Facebook at facebook.com/tnpharmacists, and engage with us on Instagram at @tnpharmacists.

There are many different days and ways to celebrate pharmacy professionals in the coming weeks:

• October 1-31: American Pharmacists Month • #APhM2022 • pharmacistsmonth.com

• October 12: Women Pharmacist Day • #WomenPharmacistDay • womenpharmacistday.com

• October 16-22: National Pharmacy Week • #PharmacyWeek • ashp.org/pharmacyweek

• October 18: National Pharmacy Technician Day • #RxTechDay • ptcb.org/history/pharmacy-technician-day

Leadership Opportunities: YOU Lead TPA

And the Winner Is...

Congratulations to KELLY COVERT, PharmD, BCPS, Assistant Professor of Pharmacy Practice at ETSU Bill Gatton College of Pharmacy! Dr. Covert won a $50 gift card for being the first TPA member to submit the correct solution to “Not Throwin’ Away My Shot, ” the vaccine word search in TPA’s 2021-2022 Winter Journal. The solution is shown below. THANK YOU to everyone who played!

GETTING THE MOST

The Tennessee Pharmacists Association is led and di rected by YOU! In just a few weeks, TPA will be sending out calls for leadership volunteers. Eligible members will be able to submit applications to run for office in TPA and TPA practice societ ies and for delegate service. If you would like to be a decisionmaker for TPA, please consider volunteering when the call for leaders is sent to members this fall. The future of the association rests in YOUR hands! For more information, please feel free to contact me at lisa@tnpharm.org or 615-256-3023. I look forward to hearing from you!

Lisa Hull, BS, CPhT

Membership Engagement Coordinator

Governor Lee Signs Enforceable PBM Reform Bill into Law

On May 25, 2022, Governor Bill Lee signed Senate Bill 2458 / House Bill 2661 into law (as Public Chapter 1070). Thanks to Lt. Governor Randy McNally and Speaker Cam eron Sexton, the many legislators who supported the bill, and the hundreds of Tennessee Pharmacists Association members and their patients engaging in grassroots advocacy, this legislation will ensure that patients have access to their pharmacy of choice, pharmacies will re ceive adequate com pensation for medica tion products and their dispensing, and the law will be enforceable by the Tennessee Department of Commerce and Insurance (TDCI).

With multiple co-prime sponsors in the Senate and the House, the bill passed as amended with an 82-9 vote in the House. Hours later in the Senate, the companion bill passed on a 32-0 vote. With a letter from TPA cosigned by national organization partners, the Governor signed the bill despite pushback by the PBM industry. In order to promulgate rules by the TDCI, the law took effect imme diately. For all other purposes, the law will take effect on January 1, 2023.

Much of this law offers clean-up language to 2021’s Public Chapter 569, yet TPA advocated for key provisions to ensure all provisions can be properly enforced by the TDCI, which align with the Arkansas law that was defended by the U.S. Supreme Court in Rutledge v. PCMA

Summary points of the law include:

€ Medication Product Reimbursement

y Following the proper appeals process, PBMs shall reimburse contracted pharmacies no less than the actual cost for a prescription drug or device.

y The reimbursement appeals process of a PBM must be approved by the TDCI.

y If a pharmacy wins an appeal, the PBM must reim burse the proper rate within 7 days and the PBM must pay or waive the cost of any transaction fee to reverse and rebill the claim.

y If a pharmacy loses an appeal, the PBM must dem onstrate where a pharmacy can obtain the product currently in stock at a price that is less than the challenged rate within 7 days. If the PBM cannot produce this information, they must reimburse at the actual cost of the pharmacy.

y This does not apply to TennCare.

€ Professional Dispensing Fee

y PBMs shall pay a professional dispensing fee at a rate not less than the current TennCare dispensing fee IF…the pharmacy would qualify for an enhanced dispensing fee for low-volume pharmacies (current ly at $11.98), which is currently defined by TennCare standards as less than 65,000 prescriptions per year.

y The TDCI is authorized to promulgate rules to properly enact this provision. TPA has already been in communication with various third-party payers to determine a proper verification for an enhanced dispensing fee to a pharmacy, which is a question already raised by PBMs.

€ Patient Access to Pharmacy of Choice and Anti-Steerage Provisions

y PBMs cannot interfere with the right of a patient to choose a contracted pharmacy, nor offer financial or other incentives to utilize a pharmacy owned by or financially beneficial to the PBM or covered entity.

y PBMs must allow pharmacies the opportunity to be in-network if they are licensed in the state AND are willing to accept the same terms and conditions for at least one of their networks in the state.

y PBMs cannot prevent a pharmacy from participating in a preferred or non-preferred network of pharma cies.

y PBMs cannot charge patients different co-payments or provide any inducement or financial incentives for using any pharmacy within a given network

€ Definitions

y Clarification for ‘covered entity’ – includes plans gov erned by the Employee Retirement Income Security Act of 1974 (ERISA), while excluding Medicare Part D plans.

€ Role of the TDCI

y The TDCI will institute an external appeals process for any appeal denied by a PBM.

y There is clear determination that this law applies to ERISA plans.

y Any violations of this law can be clearly enforced by the department.

Over the next several months, TPA will advocate for timely promulgation of rules by the TDCI. In addition, TPA will stay in communication with key stakeholders to en sure that proper implementation and enforcement of the law occur, while offering education across many practice areas to showcase the importance of this law.

Strengthen AdvocAcy. Strengthen PhArmAcy.

ImpactIng advocacy through the pharmpac and general advocacy Fund

The Tennessee Pharmacists Association’s commitment to leg islative involvement is critical to the future of the profession of pharmacy. It is important for pharmacists to make sure that key legislators understand the important role that today’s pharma cists play in enhancing the health care of Tennesseans, and this interaction remains an important way to allow for positive changes in pharmacy practice.

An important way that TPA can impact legislative issues is by using political action funds carefully and wisely to provide sup port to legislators and candidates who are supportive of phar macy’s role in delivering patient care. The Tennessee Pharma cy Political Action Committee and the General Advocacy Fund play an important role in enhancing the legislative mission of the profession of pharmacy in Tennessee. While both funds are necessary in promoting pharmacy to legislators, there are some major differences between them.

TPA encourages every pharmacist, student pharmacist, phar macy technician, and pharmacy business to make a contribu tion to one of these funds, at any level, to assure that our voice is heard!

T ENNESSE E PharmPAC

tnpharm.org/pharmpac

The Tennessee Pharmacists Political Action Committee— PharmPAC—has a primary purpose of providing financial as sistance to those candidates for public office who are support ive of the profession of pharmacy and recognize the value of quality pharmaceutical care and services. PharmPAC permits pooling of pharmacist resources, providing the means for more substantial contributions than can be made by individuals, and most importantly, recognition of Tennessee pharmacists as the source of support.

GENERAL ADVOCACY FUND

Tennessee

tnpharm.org/tpa-gaf

TPA’s General Advocacy Fund (GAF) allows members and businesses to contribute to TPA’s overall advocacy strategy, outside of giving to PharmPAC. These funds are used to pay for advocacy activities, which include programming for TPA’s Pharmacy Day on the Hill, contracted lobbyists, marketing and advocacy tools, and other fundraising costs.

HHS Issues Guidance for Pharmacies After Roe v. Wade Reversal

On July 13, 2022, the U.S. Department of Health and Human Services released guidance for pharma cies regarding federal civil rights laws in light of the recent reversal of Roe v. Wade. The guidance does not have the force of law, and the laws referenced in the guidance are long-standing civil rights protections regarding sex and disability discrimination. Pharmacists in Tennessee should consider the fol lowing when reviewing the federal guidance and state laws in light of the overturn of Roe v. Wade:

• Tennessee state law previously prohibited abor tion past 8 weeks, or past 6 weeks if the fetus has a heartbeat. Now, all abortions are prohibited due to the “Trigger Law.” Therefore, Tennessee state law prohibits dispensing products such as mife pristone and misoprostol when used to induce an abortion. HOWEVER, these drugs may still be prescribed and dispensed when used for other in dications (miscarriage, ulcers, Cushing syndrome, postpartum bleeding, etc.). Pharmacists may consider requesting an indication when receiving a prescription or order for these medications.

• Tennessee state law allows pharmacists and institutions to refuse to provide “contraceptive procedures, supplies, and information when such refusal is based upon religious or conscientious objection,” and also protects them against any li ability when they choose to do so.

• There are no criminal protections for those who perform abortions, even if the abortion would be life-saving, except for affirmative defense.

We understand that confusing and sometimes contradictory information is being shared. TPA is here to assist. Please email Olivia Welter at olivia@ tnpharm.org with any questions.

Thank You, PharmPAC Donors!

TPA recognizes and thanks the generous contributors to the Tennessee Pharmacists Political Action Committee (PharmPAC) during the 2021 calendar year. PharmPAC contributions are vital to the advancement of pharmacy practice in Tennessee. Contribute to PharmPAC today, at tnpharm.org/pharmpac.

PharmPAC Gold Level Donors ($1,000-$9,999)

Epic Pharmacies

Independent Pharmacy PAC of Tennessee Okies Pharmacy (Will Bunch)

PharmPAC Silver Level Donors ($500-$999)

Denise Barker Eddie Rowe Rick Sain

Lacey Sexton

Barry Walton

Leslie Shepherd Wolfe

PharmPAC Bronze Level Donors ($250-$499)

Kimberly Bibb Baeteena Black Blount Discount Pharmacy

Phonzie Brown

Jim Bundy Dover Family Pharmacy (Marty Blane)

Douglas Duncan Graves Family Pharmacy (Emily Graves) Sherry Hill Rebecca Hopper Donald Jones

Kim Jones Jason Kizer

Phil Lafoy

Aubrey Nunley

James Petty Jay Phipps

Plateau Drugs (Brent Dunlap)

Nina Smothers

Natalie Tate Eleanor Twigg

Mac Wilhoit

Brian Winbigler

PharmPAC Members (Up to $249)

Amber Cagle

Leonard Compton

Macy England

Jeanne Ezell

Brandon Farmer

Jeremiah Glass

Stacey Grant Hassler Drugs (Gena Hassler)

Brian Henderson Rob Lucas

Kam Nola

Thomas Rawl

Mollie Scarbrough

Kenneth Smith

Mark Sullivan

Kent Walker

Steve Zaver

TPA Hires Meagan Frazier, Harris Frazier Contract Lobbyist Services

In an effort to establish and expand upon its legacy of knowledgeable advocates at the state legislature, TPA hired Meagan Frazier and the Harris Frazier Government Rela tions team to serve as its contract lobbyists for 2022.

In November and December 2021, TPA conducted an extensive search and interview process to evaluate various contract lobbyists to represent the pharmacy profession in Tennessee. Meagan Frazier and the Harris Frazier team were chosen in a highly competitive selection process. As the profession of pharmacy reacts to many pressures, TPA will continue to be proactive and push the profession for ward into the future.

Frazier and the Harris Frazier team were selected at a point of leadership and philosophical change for TPA’s representation at the state legislature. She will lead the As sociation’s advocacy efforts and help to achieve legislative and regulatory advances that affect how each Tennessee pharmacy professional practices on a daily basis. She will help open doors to advancing pharmacy care and pharma cy technician roles in Tennessee, with assistance from TPA

staff and leadership. “Meagan has success fully guided her clients through complex issues, such as medication safety regula tions, state funding needs, and profession al licensing requirements. She is the best fit for TPA, as we will need an all-hands-on-deck approach to advocating for the profession of pharmacy, now and into the future,” said TPA Executive Director Anthony Pudlo

A Dickson County native, Meagan Frazier has a solid reputation for her hard work on hospital, health care, busi ness, and transportation issues. She is well known for her knowledge of the Tennessee General Assembly’s rules and procedures, as well as her relationships within all three branches of state government. A licensed attorney, Frazier graduated from the Nashville School of Law after earning a B.S. in Public Relations at Middle Tennessee State Univer sity. She arrived on Capitol Hill in 2001, by working for the Tennessee House of Representatives and the state Treasury Department. Frazier joined Harris Frazier Government Rela tions in 2003 and became a partner in 2008.

Board of Pharmacy Sees Changes in Leadership, Rules, and Members

Leadership Transition

In February 2022, Lucy Adkins Shell, PharmD, became the new Executive Director of the Tennessee Board of Pharmacy. TPA is excited to work with Dr. Shell, as she is a leader and expert in pharmacy prac tice initiatives in the state.

Rules Revision

TPA has been in attendance at Board of Pharmacy meetings throughout the year to share updates on the Association’s affairs. Most recently, TPA presented alongside PTCB on advanced pharmacy technician roles. This presentation shared more information with Board of Pharmacy members, as they begin to review their rules that regulate the profession. In addition, representatives of nuclear pharmacy technicians provided the Board with more information on what technician practice looks like in that setting.

Prior to every Board meeting in the upcoming year, the Board’s Rules Review Committee will meet to discuss potential changes to their rules. Dr. Melissa McCall, VicePresident, and Dr. Richard Breeden are the members who make up this committee. The first of these meetings oc curred on July 25, when the committee considered how to approach the process. Ultimately, the rules were divided into groups, and the Board plans to tackle each group during a different committee meeting.

The highest priority topics for the Board in rules revision are those related to pharmacy technicians and pharmacy interns. In addition to a full review, a general approach will be to consider how often waivers are be ing granted for certain rules and whether those rules are still needed.

TPA intends to be heavily involved in this revision and will solicit feedback from members throughout the process.

Board of Pharmacy Appointments

Marlin “Marty” Blane, PharmD, JD, has been appointed by Governor Bill Lee to serve on the Tennessee Board of Pharmacy. Dr. Blane earned his Doctor of Pharmacy degree at the Uni versity of Tennessee College of Phar macy with honors, and later earned his Doctor of Jurisprudence degree from the University of Tennessee College of Law. In addition to being a licensed pharmacist, he was admitted to the practice of law in Ten nessee by the Tennessee Supreme Court in 2000. He also serves as a clinical preceptor for students of Lipscomb Uni versity College of Pharmacy and Union University College of Pharmacy. He is now lead pharmacist and owner of the Dover Family Pharmacy in Dover, Tennessee.

Dr. Blane will serve as a pharmacist member of the Tennessee Board of Pharmacy for the next six years and help advance its mission to serve Tennesseans by provid ing a fair, flexible, and positive regulatory environment for pharmacy-related industries.

This cycle, Dr. Katy Wright will roll off the Board of Pharmacy. TPA would like to thank her for all her years of service to the Board and congratulate her on a success ful term.

TPA has provided names of pharmacists to Governor Bill Lee to consider for appointment to fill Dr. Wright’s seat. Several outstanding pharmacists were nominated for this position, and TPA is hopeful that one of our en gaged members is selected to be appointed to serve on the Board.

Patient safety. Professional practice. Community impact.

PTCB’s Certified Pharmacy Technician (CPhT) Program is fundamental across pharmacy practice and is the foundation for all PTCB specialty and advanced credentials.

Assessment-Based Certificates

State pharmacy associations like ours work with PTCB because PTCB chooses excellence.

State pharmacy associations like ours work with PTCB because PTCB chooses excellence.

Advanced Certifications

Build your team with confidence.

Build your team with confidence.

Compounded Sterile Preparation Technician® (CSPT®) Certification

Employers who rely on PTCB consistently report improved employee performance, greater efficiency, lower turnover, and reduced time and expense to train and advance pharmacy technicians.

Employers who rely on PTCB consistently report improved employee performance, greater efficiency, lower turnover, and reduced time and expense to train and advance pharmacy technicians.

Advanced Certified Pharmacy Technician (CPhT-Adv) Certification

Choose PTCB. Choose Excellence.

View PTCB’s full suite at ptcb.org/credentials

View PTCB’s full suite at ptcb.org/credentials

Thank You to the TPREF Donors! JANUARY 1 THROUGH DECEMBER 31, 2021

Olugbenga Abijo

Jennifer Aiken

Denise Barker

Baeteena Black

Bradley Boucher

Chris Finch

Andrew Finney

Steve Foster Ned Giles

Jeremiah Glass

Emily Quintanilla

Laura Raney

Zac Renfro

Rick Sain

Julie Schuffman

The Tennessee Pharmacists Research and Education Foundation (TPREF), a 501(c)3 taxexempt educational organization, serves to fund initiatives to:

• Increase patient access to pharmacist-pro vided patient care services;

• Enhance the knowledge, ethics, and skills of pharmacists; and

• Improve the standard of care for pharma cist-provided patient care.

Thank you to those individuals who contrib uted in 2021.

To contribute to TPREF for 2022, please visit tnpharm.org/tpref.

Don Branam

Cindy Brasher

Beth Breeden

Andrea Bryant

Debbie Byrd

Larry Calhoun

Thomas Campbell

Alan Corley

Terry Cost Diane Crutchfield

Roger Davis

Tamara Davis Dianne Duncan Sarah Eudaley

Jeanne Ezell Glen Farr

Bill Greene

Jason Greene

David Gregory

Tracy Hagemann

Nancy Hart

Paula Hinson

Kim Jones

Justin Kirby

Jason Kizer

Shawna Lightfoot

Sheila Mitchell Kam Nola

David Pesterfield

Paul Petersen

Jay Phipps

Anthony Pudlo

Lucy Shell

Martha Shepard

Susan Shepard

Larry Shepherd

Gena Hawk Stewart

Kent Stoneking

Natalie Tate

Jennifer Tatum-Cranford

Jimmy Torr

Tim Tucker

James Wheeler

Casey White Randle Williams

Brian Winbigler

Leslie Shepard Wolfe Steve Zaver

Donor Recognition Ceremony Recognized Donors and Special Honorees

On July 29, 2022, the Tennessee Pharmacists Research and Education Foundation (TPREF) hosted a special event to recognize donors to the Building Tennessee’s Pharmacy Future campaign (listed at right), and to celebrate two phar macists whose generosity of spirit inspired generosity in others and whose dedication led to monumental advances in pharmacy practice.

Dr. Gary Cripps and Dr. Micah Cost were honored by their colleagues with Legacy Contributions that allowed ar eas in the Center for Tennessee Pharmacy to be permanently commemorated in their names. This private gathering celebrated the individuals, their families, and those who contributed to the initiatives.

To honor the brilliance, vision, and sacrifice of phar macist Gary Cripps, TPA leaders Ray Marcrom, Baeteena Black, and Roger Davis set out to have the TPA confer ence room named for Dr. Cripps. “In the past,” said Dr. Marcrom, “pharmacy was often left out of critical health care decisions in Tennessee. But thanks to the efforts of Dr. Cripps and many of our pharmacists, we now have a seat at the table.” An innovative and forward-thinking pharmacy leader, Dr. Cripps moved pharmacy ahead in the early days of the TennCare pharmacy program and in many other ways.

A plaque memorializing Dr. Cripps’ contributions to pharmacy practice in Tennessee hangs in what is now the Gary Cripps Execu tive Conference Room, etched with the names of his devoted peers who successfully reached their fundrais ing goal of $50,000 to honor him posthumously for his lifetime of service and commitment to others.

With Micah Cost’s tenure as TPA Executive Director coming to an end in 2021, the TPA Executive Committee organized an effort to honor his legacy and his many con tributions to pharmacy in Tennessee. Due to Dr. Cost’s commitment to students and the future of pharmacy, the Committee decided to raise $25,000 for the privilege of naming the student workroom in his honor.

Kim Jones, 2021-2022 TPA Presi dent, spearheaded efforts to bring the fundraising initiative to TPA members. As a result, the Center for Tennessee Pharmacy, which Dr. Cost was instru mental in bringing into existence, now houses the newly-redesigned Micah Cost Center for Professional Development, a space for student pharmacists. A plaque honoring him as ”Mentor, Guide, and Champion for Tennessee Pharmacy” displays the 60+ individuals who contributed to Building Tennessee’s Pharmacy Future in his name.

Micah Cost

Gary Cripps

Gary Cripps Family in the Gary Cripps Executive Conference Room

Terry Cost, Gayle Cost, and Micah Cost

Pharmacy Legends ($10,000 or Greater)

Baeteena Black

Alan Corley and Family

Micah Cost

First Pharmacy Services

Donald Jones

Pharmacy Plus Programs

Anthony Pudlo

Rick Sain

Martha and David Shepard

Pharmacy Visionaries ($5,000 – $9,999)

Don Branam

Terry Brimer Roger Davis Doug Duncan

Paula Hinson Ray Marcrom

Leslie Shepard Wolfe

Building Tennessee’s Pharmacy Future DONORS

Pharmacy Innovators ($2,500 – $4,999)

Denise Barker

Jim McBride

Lucy A. Shell Buddy Stephens

Pharmacy Champions ($1,000 – $2,499)

Emily Brinser

Phonzie Brown

Debbie Byrd

Dianne Duncan Glen Farr

FountainRx

Pharmacy Friends ($100 – $999)

Jason Greene

Hollin Hicks Justin Kirby

Kay Ryan

Joe Saffles

Larry Shepherd

Eddie Sturgeon Mark Sullivan Natalie Tate Whit Taylor Randle Williams

Olugbenga Abijo

Jennifer Aiken

Julianna Bolton Brad Boucher Christopher Bowens Cindy Brasher Beth Breeden Richard Breeden Andrea Bryant Larry Calhoun Tom Campbell Rick Chinouth

Peter Chyka

Terry Cost Kelly Covert Brian Cross Diane Crutchfield

Tamara Davis Sarah Eudaley

Jeanne Ezell

Carla Fahhoum

Chris Finch Andrew Finney Stephan Foster

Teresa Fulcher

Ned Giles

Jeremiah Glass Stacey Grant Bill Greene David Gregory Justin Griner Monica Guttman Tracy Hagemann Patricia Harris Nancy Hart Rebecca Hopper

Lisa Hull Jason Hutchens Sarah Isaacs

Kim Jones Todd Karpinski Brittany Kelley Jason Kizer Linda Knecht

Jeff Lewis Shawna Lightfoot Rob Lucas Sheila Mitchell

Sharon Moore

Tara Moore John Muchka Kam Nola Gene Parsons Paul Peterson Jay Phipps

Ashley Pugh Emily Quintanilla Laura Raney Julie Schuffman Susan Shepard

Gena Stewart Kent Stoneking Jennifer Tatum-Cranford Jimmy Torr

Judy Trac Brenda Warren James Wheeler Casey White Steve Zaver

Rebecca Hopper, Roger Davis, Alan Corley, and Denise Barker

Baeteena Black, Buddy Stephens, Doug Duncan, and Ray Marcrom

During the ceremony, TPA unveiled a striking new permanent display featuring the names of everyone who had contributed to Building Tennessee’s Pharmacy Future. Larger than 6’x6’, this display will be updated periodically as new donors contribute and current donors transition to higher levels of giving.

COVID-19 Updates

Point-of-Care Testing and Treatment

Pharmacists have been essential for community health throughout the COVID-19 pandemic. Pharmacy has made strides as a profession, including our ability to provide point-of-care testing and subsequently or der necessary therapies. According to HealthData. gov (bit.ly/3ptV3WN) as of August 3, 112 estab lished locations in Tennessee have the capacity to provide this service to our communities.

In addition, the Emergency Use Authorization (EUA) for Paxlovid allows pharmacists to determine if patients are eligible to receive this medication, based on adequate health information. Medica tion lists and patients’ kidney and liver function are assessed and considered when making the deci sion to prescribe Paxlovid.

Pharmacists can continue to support Tennes see communities by expanding point-of-care test ing capabilities in their pharmacies, which allow patients improved access to care. If you want to expand this service into your pharmacy, visit the U.S. De partment of Health and Human Services web page addressing “Expanding State and Territorial Test to Treat Locations” (bit.ly/3bgUWon) to learn more.

Pharmacists specifically interested in prescribing Paxlovid may email Calita Richards with the Tennessee Department of Health at calita.richards@tn.gov.

Pediatric Vaccinations

On June 18, 2022, the Centers for Disease Control and Prevention (CDC) released the recommendation for children as young as 6 months of age to receive the COVID-19 vaccination series and for children 5 years and older to receive boosters.

In Tennessee, the collab orative practice agreement (CPA) between the pharmacy and the physician dictates pa tient age limits on pharmacists’ ability to administer vaccines. There is no standard restric tion in Tennessee statutes or within the Board of Pharmacy rules. Pharmacies should re view their CPAs to ensure that they can vaccinate down to 6 months old, prior to administering any vaccinations for this population.

The PREP Act limits pharmacy technicians to vaccinat ing only individuals 3 years old or older.

Advancing Pharmacy Practice Through the Next Decade: PAI 2030

ASHP’s Practice Advancement Initiative 2030 (PAI 2030) provides pharmacy teams with guidance for ad vancing healthcare, patient outcomes, and pharmacy practice through 59 recommendations.

Specifically, the PAI 2030 Self-Assessment Tool is de signed to help determine how well your practice setting aligns with the PAI 2030 recommendations.

The survey format is applicable to both institutional and ambulatory care pharmacy practice settings. Partici pants can complete the assessment, which takes about 45 minutes, from the perspective of a single practitioner or as an organization. The results will identify several areas for improvement. From there, a list of priorities for imple menting change can be developed.

So far, only two health systems in Tennessee have conducted official assessments. Here are some tips to help you get started:

1. Consider using learners to complete the assessment. Student pharmacists on APPE management rotations or PGY1/PGY2 pharmacy practice residents can help com plete the self-assessment while learning more about your health-system.

2. Consider using learners to complete the assessment. The tool provides an analysis of gaps in your practice, to help as you develop the strategic plan for your department.

3. Block time on your calendar.

Having a dedicated timeframe for completing the 45-minute assessment can keep you focused and on track. You can also print out the assessment and complete it at your own pace.

For more information and to access the Self-Assessment Tool, visit ashp.org/pai.

TPA Members Come Together at the 2022 Winter Meeting

TPA’s first in-person meeting in two years couldn’t come soon enough for the members, presenters, and sup porters who joined us in Nashville, February 26-March 1. Pharmacists, student pharmacists, and pharmacy techni cians came from across the state, eager to reconnect with friends and colleagues, earn CE, and learn about advances and legislative initiatives affecting patients and pharmacy practice.

Legislators attended our Legislative Reception on Monday night for the opportunity to discuss important pharmacy issues with TPA members. For Pharmacy Day on the Hill on Tuesday (bot tom right), pharmacy professionals and student pharmacists gathered on the steps of the Capitol before beginning formal visits with legislators.

The 2022 Winter Meeting included educational tracks for health-system pharmacists, community pharmacists, and student pharmacists, as well as a House of Delegates meeting, news about regulatory changes and pending leg islation affecting practice pharmacy, and opportunities to meet with legislators during the Legislative Reception and Pharmacy Day on the Hill. Join us for all that and more, at our 2023 Winter Meeting on February 25-28 in Nashville!

WINTER

House of Delegates Adopts Resolutions in Support of Vaccine Provision and Prescribing/Dispensing Autonomy

RESOLUTION 22.1

TENNESSEE PRESCRIBING/DISPENSING AUTONOMY

WHEREAS, the goal of pharmacy practice is to help assure optimal outcomes of patient care when medications are considered for the treatment and prevention of disease; and,

WHEREAS, pharmacists are integrally involved in the provision of drug-related patient care as a partner with physicians and other prescribers who are routinely engaged in assessing and reassessing patient needs and creating care plans based on those needs; and,

WHEREAS, data guiding and defining the optimal use of medications are generated routinely by inquiry and observation over a period of time; and,

WHEREAS, legislatures have long defined that prescribers are authorized to pre scribe medications for management of disease and disorders even though the use of the medication may not be officially approved by government or other regulatory agencies; and,

WHEREAS, physicians and other prescribers should be trusted to use best clinical judgment in defining the approach to care for an individual patient; and,

WHEREAS, pharmacists, in considering the fulfilling of orders for medication which are issued by prescribers, are both responsible for and capable of making good con sideration of the risk/benefit of a given prescription for an individual patient; and,

WHEREAS, the pharmacist should not be compelled to fulfill a prescription where they consider the risk to outweigh benefits; and,

WHEREAS, the pharmacist should not be prevented from fulfilling a prescription for a patient where they consider the benefit to outweigh risks; and,

WHEREAS, the rapid emergence and propagation of the recent COVID-19 pandemic has resulted in the need for caregivers to consider use of medications when no of ficial approval for the use of these medications in management of this syndrome has existed and evidence supporting such use has been sparse; and,

WHEREAS, certain individuals and organizations and even legislatures have sought to limit the authority of prescribers to use medications “off label”; and,

WHEREAS, these attempts to limit the ability of prescribers to use these medications results in the inability of prescribers to use best clinical judgment, including consid eration of newly generated information, in the provision of patient care; and,

WHEREAS, both prescribers and dispensers should be legally responsible for deci sions which are made related to prescribing and dispensing medications;

NOW, THEREFORE BE IT RESOLVED, that the Tennessee Pharmacists Association en courages the Tennessee Legislature to take no steps to limit the ability of a licensed/ authorized Tennessee prescriber to use best clinical judgment in selecting medica tion therapy for addressing patient care needs; and,

BE IT FURTHER RESOLVED, that the Tennessee Pharmacists Association encourages the Tennessee Legislature to take no steps to force a pharmacist to fulfill a prescrip tion which is considered by the pharmacist, after consideration of patient character istics and clinical needs, to be ill-advised or otherwise inappropriate; and,

BE IT FURTHER RESOLVED, that the Tennessee Pharmacists Association encourages the Tennessee Legislature to make no law which absolves prescribers and dispens ers of potential liability related to judgments made in the clinical care process, including prescribing and dispensing medications.

RESOLUTION 22.2 PROVISION OF VACCINES IN TENNESSEE

WHEREAS, 2,000 adults and 300 children in the United States die each year from vaccine-preventable diseas es; and,

WHEREAS, vaccines have been one of the most suc cessful public health inter ventions in recorded history; and,

WHEREAS, childhood vacci nation rates have plummet ed in recent years; and,

WHEREAS, pharmacists and pharmacies play an integral role in vaccine distribution and administration; and,

WHEREAS, pharmacists are among the most acces sible healthcare providers and have the highest level of training and expertise in medication therapy; and,

WHEREAS, the Tennessee Pharmacists Association is committed to improv ing public health through pharmacist-provided patient care services;

NOW, THEREFORE BE IT RESOLVED, that the Tennes see Pharmacists Association will vigorously and publicly promote and advocate for the use of vaccines to pre vent unnecessary morbidity and mortality of Tennessee residents, especially chil dren; and,

BE IT FURTHER RESOLVED, the Tennessee Pharmacists Association will advocate for the expansion of pharmacist and pharmacy involvement in the provision of all vac cines.

Pharmacy Residents and Students Present Research During Winter Meeting

On February 27, TPA hosted pharma cy residents and student pharmacists presenting posters of their research projects during the 2022 Winter Meeting in Nashville. Thirty partici pants from 15 programs presented their findings and answered attend ees’ questions about their research. Thanks to all, and congratulations to the Best Poster and Distinguished Poster winners!

Thank

SPONSORS

• APCI

• Compliant Pharmacy Alliance Cooperative

• Morris & Dickson Co., LLC

• Novo Nordisk

• Pharmacists Mutual

• Pharmacy Plus

to

BEST POSTER

Ashontae T. Gloudoua, PharmD

Ascension Saint Thomas Hospital West

Comparison of sedative and opioid requirements in patients receiving fentanyl versus hydromorphone while on extra corporeal membrane oxygenation (ECMO)

DISTINGUISHED POSTERS

Austin J. Heiing, PharmD

Ascension Saint Thomas Hospital Rutherford

Evaluation of the efficacy of tenecteplase versus alteplase for the treatment of acute ischemic stroke in a multicenter health system

Tina Susan Mathew, PharmD

CHI Memorial Hospital – Chattanooga Medication use evaluation on collagenase ointment inpa tient utilization following implementation of restriction cri teria and unit dosing at a community hospital

2022 Winter Meeting Supporters!

EXHIBITORS

• AbbVie

• AbbVie Women’s Health

• APCI

• AstraZeneca

• Bayer

• Cardinal Health - Knoxville

• CMP Pharma

• Compliant Rx

• CSL Behring LLC

Eagle Pharmaceuticals

Innocoll Biotherapeutics

Liberty Software

Morris & Dickson Co.,

Novo Nordisk

Nordisk

Tennessee

National

Pharmacy Plus

Ritedose

SCA Pharma

Shionogi Inc.

Swisslog Healthcare

Diabetes

Takeda

Fun, Friends, and Celebrations at 2022 Summer Meeting

Pharmacists, pharmacy technicians, student pharma cists, supporters, and guests from across our great state and beyond convened at the Westin Chattanooga, June 16-19, for TPA’s 2022 Summer Meeting!

Our first in-person Summer Meeting since 2019, every one was happy to reconnect with friends and colleagues, meet new ones, learn from our engaged, knowledgeable presenters, and hear from our supporters about goods and services that may benefit our practices.

Over the course of the meeting, we honored our award recipients and newly-elected board members, and we heard from the state’s highest-ranking legislative leaders during the House of Delegates, before adopting two new resolutions to guide the Association forward. Our 80s-themed indoor/out door closing party was a blast, and we had fun competing in a Wine Ring Toss game and Red Envelope Challenge, benefit ing TPREF.

We hope you’ll join us for more fun and games, more CE, and more ways to connect, during the 2023 TPA Summer Meeting in New Orleans, June 22-25!

Casey White and Micah Cost rocked their ‘80s garb at the Closing Party.

Pharm2Tables: Summer Meeting attendees donated 77 pounds of food and raised funds equivalent to nearly 1,000 meals for the Chattanooga com munity.

Summer Meeting

Representative Yusuf Hakeem of Chattanooga and Jason Kotecki of

Adulthood

Lt. Governor Randy McNally and House Speaker Cameron Sexton shared remarks before our House of Delegates ses sion and held a meet-and-greet for attendees.

TPA House of Delegates Resolves to Support Just Culture and Rest Periods

Thanks to Brad Boucher, Rebecca Hopper, and many other gen erous Summer Meeting attend ees, $1,800 was raised for the Tennessee Phar macists Research and Education Foundation (TPREF) through participation in the Red Envelope Challenge and Wine Ring Toss.

Call for Resolutions

If you feel something needs to be changed, submit a resolution for pos sible consideration by the TPA House of Delegates during the 2023 TPA Winter Meeting in Nashville.

It’s easy to submit resolutions online!

To learn more, visit: tnpharm.org/resolutions

RESOLUTION 22.3 JUST CULTURE

WHEREAS, medication errors are a major source of morbidity and mor tality per the Institute of Medicine (IOM); and,

WHEREAS, a healthcare professional was criminally convicted as a result of a medication error; and,

WHEREAS, pharmacists are the leading medication safety experts within our healthcare system; and,

WHEREAS, a “Just Culture” approach to medication safety reflects a sys temic, non-punitive approach that emphasizes shared accountability for negative outcomes as well as recognizing individual accountability; and,

WHEREAS, a Just Culture approach to medication safety emphasizes nonpunitive reporting of medication errors and system vulnerabilities to improve the overall care of patients through system optimization; and,

WHEREAS, a number of organizations have endorsed the concept of a Just Culture approach to medication safety;

NOW, THEREFORE BE IT RESOLVED, TPA strongly supports the Just Culture approach to medication safety and will work to encourage the implementation of Just Culture in health systems, pharmacies and other healthcare institutions and organizations throughout the state; and,

BE IT FURTHER RESOLVED, TPA supports the efforts of healthcare professionals in the implementation of Just Culture in their respective practices and institutions.

RESOLUTION 22.4

REST PERIODS FOR PHARMACISTS

WHEREAS, pharmacists frequently work eight to twelve hour shifts with no mandatory rest breaks; and,

WHEREAS, pharmacists could have impaired judgment from lack of men tal rest and lack of adequate hydration and nutrition and therefore could cause patient harm from performing pharmacist duties under duress;

NOW, THEREFORE BE IT RESOLVED, that the Tennessee Pharmacists As sociation strongly supports all employers to grant pharmacists working six hours or more a 30-minute uninterrupted break; and,

BE IT FURTHER RESOLVED, that the Tennessee Pharmacists Association collaborate with the Tennessee Board of Pharmacy to explore imple menting mandatory rest breaks to protect patient health and safety as well as decrease pharmacist burnout.

Changing of the guard: Incoming TPA Presi dent Jay Phipps and Outgoing President Kim Jones with Executive Director Anthony Pudlo

Rebecca Hopper

Brad Boucher

GET TO KNOW THE TPA PRESIDENT

On June 19, 2022, during the TPA Summer Meeting in Chattanooga, Jay Phipps, PharmD, FACA, FACVP, of McKenzie, Tennessee, was installed as the 2022-2023 President of TPA. We asked Dr. Phipps to answer the following questions, to help TPA members get to know their President. Here is what he told us.

What is your pharmacy background?

I am a first-generation college graduate who graduated with my Doctor of Pharmacy degree from the University of Tennes see Health Science Center. While in pharmacy school, I was very active with the Tennessee Society of Student Pharmacists (TSSP), serving as the president-elect before being elected as the na tional president of the American Pharmacists Association-Acad emy of Students of Pharmacy (APhA-ASP).

I owe much of my success in pharmacy to the opportunities afforded me by APhA-ASP, including interning at the U.S. Sur geon General’s office and being the first voting stu dent member of the APhA Board of Directors. Upon graduation with my Doctor of Pharmacy degree, I completed a residency in Drug Information and Phar macotherapy at the University of Tennessee Drug In formation Center.

During my residency, the relationships I built as a student leader allowed me to open a new pharma cy in McKenzie. After a couple of years as a partner ship, I went on my own and rebranded the pharmacy as Phipps Pharmacy. Phipps Pharmacy has grown to four locations in middle and west Tennessee, pro viding traditional pharmacy services, pharmacy doctor-provided patient care such as Medication Therapy Management (MTM), provision of B-12 injections, and monoclonal antibody therapy, as well as the prescribing of COVID-19 oral antivirals. In addition, Phipps Pharmacy provides prescription compounding and our signature compliance packaging, Phipps Pack, to patients in their own homes and assisted living facilities across Tennessee.

How has TPA influenced you to become a leader?

One of my most vibrant memories as a TSSP member is of a breakfast at a TPA Winter Meeting. I happened to have been sitting between two pharmacy gladiators, Drs. Ray Marcom and Alan Corley. Before that breakfast, I had never seriously thought about independent pharmacy practice as a viable career alterna tive. However, Ray and Alan told stories from their coliseums— stories of fighting for their patients and their profession. They were practicing pharmacy with a patient-first focus. These phar macy gladiators and their stories seemed larger than life and in spired me to pursue patient care in independent practice.

A few months after the TPA Winter Meeting, Drs. Tim and Tony Tucker reached out to me, asking if I would be interested in opening a new pharmacy. I am humbled that these pharma cy gladiators took a risk on me as a young kid. Tim demonstrat ed to me that you can be a leader in your local community, as well as at a state and national level. While the personalities of Tim and his older brother Tony are completely different, Tony is a great leader in his own right, with a strong history of providing great patient care in the community that he loves.

While I was super involved as a student, I will be candid that life got in the way as I began my pharmacy practice. I at tended the occasional meeting or training but provided no sig nificant value to the Association. A few years ago, our pharma cy was awarded a grant for Count It! Lock It! Drop It! Following

the grant presentation, then TPA staffers, Drs. Lucy Shell, Micah Cost, and I had a lunch meeting. After this meeting, I began to think about all that TPA was doing for me and how little I was doing for the profession. I then decided that it was time to step up and get in the game, instead of watching from the sidelines.

Who are some of your most influential mentors?

My most influential mentor is Patricia Turner, the retired practice manager for McKenzie Medical Center (MMC). Patricia is a phenomenal manager of people with a keen understand ing of business, combined with an insatiable work ethic. Under Patricia’s leadership, MMC grew from a one-doctor practice with a staff of two, to 25 medical provid ers and 330 total employees. While she was not a pharmacist or even in pharmacy, she is an invalu able resource in owning and managing a business and, more importantly, the people on your team.

One of the best changes in pharmacy over the past 10 years is that pharmacists, especially in in dependent practice, have become more collegial. Pharmacists share more ideas and best practices than ever before. I would challenge more pharma cists and pharmacy technicians to either formally or informally mentor other professionals.

If any TPA member would like a mentor and believe that my experience would be beneficial to them, then reach out to me. I would be humbled to help. My personal contact information is available from the TPA office.

What do you like to do outside of pharmacy?

My main focus outside of pharmacy is family. I have a col lege freshman, Sawyer, who is playing football at Trine Univer sity in Angola, Indiana. Daisy and I are extremely excited to get the thrill of the game day experience for Thunder Football, which historically has one of the largest attendances in Division III NCAA football. I also enjoy watching and coaching Eli, who is 7, playing football, baseball, and basketball. Both of the boys keep me laughing, with the constant barrage of both practical and corny jokes.

Over the past several years, I have committed to developing youth through activities such as baseball, football, soccer, scout ing, and the shooting sports. I focus on teaching hard work, ac countability, and finding joy in other people’s success. One of my greatest rewards is to see the huge smiles from former play ers as they share their success stories and, just as importantly, the successes of their friends.

In addition, I am active in my community as a county com missioner, the Secretary/Treasurer of the McKenzie Chamber of Commerce, and the vice-chair of the Carroll County Drug Pre vention Coalition. I am also an MBA candidate at the University of Indiana Kelley School of Business.

I am a huge animal lover, with a flock of cats, two dogs, and a small herd of Hereford cows named Ms. Kitty, Lilly, Martha, and Nelly.

“

I began to think about all that TPA was doing for me and... decided that it was time to step up and get in the game...

2022 TPA AWARD WINNERS

NINA SMOTHERS,

STEPHAN L. FOSTER

LAIRD E. LEAVOY

NANCY HART

ATHENA L. V.

SHEILA LANKFORD

KATIE VANDENBERG

KATY WRIGHT

NICHOLE FOSTER

Congratulations to the newly-installed TPA Board of Directors! We appreciate their commitment to leading the Association into the future, and we honor the board members whose terms have expired after a year of exceptional progress. Thank you!

TPA Board of Directors

IN

Jay Phipps, PharmD, FACA, FACVP President

Jeff Lewis, PharmD, BCPS, BCACP, CDCES President-Elect

James “Jimmy” Torr, PharmD, MS Treasurer

Casey White, PharmD, MBA, BCPS, BCNSP, BCCCP, FASHP Speaker, House of Delegates

Susan Morgan, PharmD Chair, TCPS

Mitchell Lingerfelt, PharmD Chair, TSCP

Jennifer Pauley, PharmD, BCPS, BCOP

President, TSHP

Brent Dunlap, PharmD Chair, TSIP

Amber Cagle Gott, PharmD Chair, TSLTCP

2022

Brent Thompson, PharmD, MBA Chair, TSP

Wendi Owens, CPhT Chair, TSPT

Maya Patel, PharmD Candidate President, TSSP

Jason Hutchens, PharmD, BCPS, BCACP Past President

Raewyn Snodderly, PharmD

Past President

Jason Kizer, PharmD

Past President

Kim Jones, PharmD, BCPS, FASHP

Immediate Past President

Anthony Pudlo, PharmD, MBA Executive Director

TPA Members Bring the Heat to Phoenix for ASHP Summer Meetings

Making the most of the first in-person Summer Meeting of the American Society of Health-System Pharmacists (ASHP) since the pandemic, TPA members enjoyed a full slate of educational programming and networking opportunities with health-system pharmacists and pharmacy technicians from across the country in Phoenix. Tennessee delegates helped voice the opinion of all Tennessee pharmacy professionals in the ASHP House of Delegates.

Anthony Pudlo and Mark Sullivan

TPRN—A Lifeline for Impaired Pharmacy Professionals

Pharmacists, student pharmacists, and pharmacy technicians are at risk for chemical dependency for many reasons, and impairment creates major problems—not just in their own lives, but in the potential harm to patients who rely on them. Recognizing this, the Tennessee Pharmacists Association has a vigorous program in place to provide assistance to impaired colleagues.

An impaired pharmacy professional may be identified by another person or through voluntary self-identification. TPRN works to identify and facilitate acute treatment and to provide long-term support for the recovering pharmacist, student, or technician, with the goal of their returning to a productive place within the profession.

If you are a pharmacist, student pharmacist, or pharmacy technician who needs assistance, or if you know someone who might need help, please call 615-256-3023 or visit tnpharm.org/tprn to learn more.

TPA Members Help Bridge Pharmacy Education & Practice at AACP Summit

On June 2-3, 2022, the American Association of Colleges of Pharmacy (AACP) hosted a Bridging Pharmacy Education and Practice Summit across six sites nationwide, including Lipscomb University in Nashville. The summit is the first major initiative of the AACP Transformation Center, with the purpose of achiev ing consensus and providing action-oriented recommenda tions to address two major questions: 1) What does pharmacy workforce optimization look like? and 2) To achieve an opti mized pharmacy workforce, what is needed, and what changes are required? The results of this summit will be reported and shared with all stakeholders, to help bridge the gaps between education and pharmacy practice across the country.

Tennessee Delegates to the ASHP House of Delegates: Don Branam, Jodi Taylor, Jennifer Pauley, and Meredith Gilbert Plock

Casey White, Marie Chisolm-Burns, and Anthony Pudlo

As APhA hosted its first in-person Annual Meeting since the pandemic, Tennessee pharmacists and other TPA members used the meeting to come together and celebrate each other! For the first time in many years, TPA along with support from the colleges of pharmacy, hosted an all-Tennessee reception to recognize and celebrate those Tennessee pharmacy professionals receiving awards from APhA!

TPA Members Shine at APhA Annual Meeting in San Antonio

In addition, TPA members helped to represent the state through involvement in the APhA House of Delegates! Tennessee delegates included Casey White, Chelsea Renfro, Hillary Blackburn, Adam Welch, Traci Poole, and Cindy Fisher.

OPA Independent Pharmacy Expo

The Ohio Pharmacists Association Independent Pharmacy Expo 2022 Virtual is a must-attend event for owners, prospective owners, pharmacists and others who have an interest in commu nity pharmacy practice. You’ll learn from nationally known speakers, exhibitors with products and services to meet your pharmacy’s needs, and peers who are expanding services.

CPE Topics:

Full conference brochure, program descriptions

CE Topics:

The Ohio Pharmacists Association Independent Pharmacy Expo 2022 Virtual is a must-attend event for owners, prospective owners, pharmacists and others who have an interest in community pharmacy practice. You’ll learn from nationallyknown speakers, exhibitors with products and services to meet your pharmacy’s needs, and peers who are expanding services.

• DEA Audit: Avoid These Mistakes!

• Let’s Make A Deal: Choose the Decreased DIR Fee Big Deal Door

• Implementation of Collaborative Practice Agreements

• Collaborative Practice-Retail Pharmacy Model

DEA Audit: Avoid These Mistakes!

• Care Planning: Know, Express, and Leverage Your Value

Let’s Make A Deal: Choose the Decreased DIR Fee

• Diagnostic Testing and Treatment Implementation for Your Pharmacy

• Expand Your Pharmacy to Multiple Locations

Sunday, September 18: Streamed, Home-Study CPE with Speaker Q&A and Expo Hall

Opportunity to earn 7 hours of continuing pharmacy education credit

On-Demand CPE until November 18, 2022

Opportunity to earn 7 hours of continuing education credit

Access virtual exhibits, which support independent pharmacy.

Access virtual exhibits, which support independent pharmacy

Model

Casey White, Chelsea Renfro, Hillary Blackburn, Adam Welch, Traci Poole, Cindy Fisher, and Anthony Pudlo

2021 Recipients of the “Bowl of Hygeia” Award

2021 Recipients of the “Bowl of Hygeia” Award

C. A. Leon Alzola Washington

Michael R. Blaire Arizona Robert E. Hodge II Arkansas

Katherine E. Bass California

Nancy Stolpman Colorado Jill Fitzgerald Connecticut

Megan Willey Delaware

Paul Ackerman Florida

Laird Miller Georgia Chris Lynch Illinois Omolola A. Adeoye-Olatunde Indiana

Steven W. Sayler Iowa Doug Funk Kansas

Melinda C. Joyce Kentucky TJ Woodard Louisiana

Amelia Arnold Maine Charmaine Rochester-Eyeguokan Maryland JoAnn Sanborn Michigan

Bill Mosby Mississippi Salim (Sam) Tadrus Missouri Mike Bertagnolli Montana

Jennifer Tilleman Nebraska Cheryl Durand New Hampshire

Gary A. Rotella New York Mollie Ashe Scott North Carolina

Terry Altringer North Dakota Greg Adams Oklahoma

Amy D. Valdez Oregon

Trish Klatt Pennsylvania Tara Higgins Rhode Island

Cheri Kraemer South Dakota Thomas Marcrom Tennessee Charlotte Weller Texas

Gregory Myers Utah Troy D. Spaulding Vermont

Charles Tarasidis Virginia

Merrie Kay Alzola Washington

The “Bowl of Hygeia”

The

Foundation, the National Alliance of State Pharmacy

have assumed

for

this prestigious recognition

History Hall located in

Jennifer Ortega New Mexico

Rebecca Sorrell Alabama Richard A. Holt Alaska

Lucio R. Volino New Jersey

Krista D. Capehart West Virginia

Hashim Zaibak Wisconsin

Carolyn Rachel-Price Washington DC

Photo Not Available David E. Burke Ohio

Photo Not Available John T. Johnson South Carolina

Craig Frederick Wyoming

Photo Not Available Fran D’Egidio West Virginia 2020 Recipient Presented in 2021

C. A. Leon Alzola Washington

Michael R. Blaire Arizona Robert E. Hodge II Arkansas

Katherine E. Bass California Nancy Stolpman Colorado Jill Fitzgerald Connecticut Megan Willey Delaware

Paul Ackerman Florida Laird Miller Georgia

Chris Lynch Illinois Omolola A. Adeoye-Olatunde Indiana

Steven W. Sayler Iowa

Doug Funk Kansas Melinda C. Joyce Kentucky TJ Woodard Louisiana

Amelia Arnold Maine Charmaine Rochester-Eyeguokan Maryland JoAnn Sanborn Michigan

Bill Mosby Mississippi Salim (Sam) Tadrus Missouri Mike Bertagnolli Montana

Jennifer Tilleman Nebraska Cheryl Durand New Hampshire

Gary A. Rotella New York Mollie Ashe Scott North Carolina

Terry Altringer North Dakota Greg Adams Oklahoma Amy D. Valdez Oregon Trish Klatt Pennsylvania Tara Higgins Rhode Island

Cheri Kraemer South Dakota

Thomas Marcrom Tennessee Charlotte Weller Texas

Gregory Myers Utah Troy D. Spaulding Vermont Charles Tarasidis Virginia

Merrie Kay Alzola Washington

The “Bowl of Hygeia”

Jennifer Ortega New Mexico

Rebecca Sorrell

Richard A.

Lucio R. Volino

Krista D. Capehart West Virginia

Hashim Zaibak

Carolyn Rachel-Price Washington

Craig

Did you miss out on attending the TPA Summer Meeting in Chattanooga?? If so, or if you attended but are interested in a CE event you missed, we’ve got you covered! TPA has put together a webinar-based Summer Meeting Encore package offering 4.25 hours of CE for pharmacists and 3 hours of CE for pharmacy technicians. Included are presentations on Community Health Workers, Quality Measures, Post-COVID, and Diabetes Management Technology. Registration is $25 for members ($50 for nonmembers). Scan the QR code or visit beeid.org/5669d5e68d12 to get started!

Are you a pharmacist or technician providing immunizations who needs to update your bloodborne pathogen training? Dr. Stephan Foster is partner ing with TPA to share his expertise on OSHA regulations in ten 1-hour ses sions from September 27 to November 8, at 11 AM and 5 PM CT. To find the time that works best for you, visit tnpharm.org/osha-update, scan the QR code, or contact ariel@tnpharm.org with any questions.

The Tennessee Primary Care Association (TPCA) and TPA have partnered to showcase pharmacists' impact on primary care. This two-part series will highlight how pharma cists’ intervention can impact medication adherence and medications of concern. The series will be held Wednesday, September 21, 2022, 1-2 PM CT (bit.ly/3qx5aX4), and Wednesday, October 19, 2022, 1-2 PM CT (bit.ly/3QDBfan). Primary care pharmacists will share their experiences and how they impact patient outcomes, specifically in man aging diabetes, hyperlipidemia, and hypertension.

CALENDAR

OF EVENTS

2022

SEPT. 13-14 Tennessee Board of Pharmacy Meeting, Nashville, TN

OCT. 1-4 NCPA Annual Convention, Kansas City, MO 15-18 ACCP Global Conference on Clinical Pharmacy, San Francisco, CA

NOV. 3-6 ASCP Annual Meeting and Exhibition, San Antonio, TX 8-9 Tennessee Board of Pharmacy Meeting, Nashville, TN

DEC. 4-8 ASHP Midyear Clinical Meeting and Exhibition, Las Vegas, NV

PHARMACISTS’ IMPACT ON PRIMARY CARE

2023

JAN. 24-25 Tennessee Board of Pharmacy Meeting, Nashville, TN

FEB. 25-28 TPA WINTER MEETING, NASHVILLE, TN

MAR. 14-15 Tennessee Board of Pharmacy Meeting, Nashville, TN 21-24 AMCP Annual Meeting, San Antonio, TX 24-27 APhA Annual Meeting and Exposition, Phoenix, AZ

MAY 9-10 Tennessee Board of Pharmacy Meeting, Nashville, TN

JUNE 22-25 136th TPA SUMMER MEETING, NEW ORLEANS, LA

JULY 18-19 Tennessee Board of Pharmacy Meeting, Nashville, TN 22-26 AACP Annual Meeting, Aurora, CO

SEPT. 12-13 Tennessee Board of Pharmacy Meeting, Nashville, TN

OCT. 14-17 NCPA Annual Convention, Orlando, FL 26-29 ASCP Annual Meeting and Exhibition, Kissimmee, FL

You can change the outlook of your pharmacy by banding together with like-minded, locally integrated pharmacies in Tennessee. CPESN Tennessee and CPESN North East Tennessee (NET) are clinically integrated networks of local pharmacies across the state that provide enhanced pharmacy services, such as medication optimization, to improve the health of their patients.

What are the benefits of being part of CPESN Tennesse and CPESN NET?

n CPESN Tennessee and CPESN NET are owned by its participating pharmacies

n CPESN Tennessee and CPESN NET empower its participating pharmacies with educational resources and training to help change pharmacy workflow and improve patient care.

n CPESN Tennessee and CPESN NET engage health plans and non-PBM payers to contract for enhanced pharmacy services. These relationships provide new revenue opportunities for pharmacies and result in improved outcomes and decreased costs to the sponsor.

Stop putting it off. It is time to make significant improvements to the health of your pharmacy and its impact within your community. Plan to attend the upcoming webinar explaining how CPESN Tennessee and CPESN NET can help you. The future of local pharmacy practice in America starts with CPESN networks.

Scan to register for the Introduction to CPESN Networks webinar.

For more information about these networks contact Jessica Robinson at jrobinson@cpesn.com or visit www.cpesn.com

YOU

You Want to Take Better Care of Your Patients Yet Find That Prescription

Doesn’t Cover Your Costs to Do

PRSRT STD

PRSRT STD

U.S. Postage PAID Nashville, TN Permit No.

U.S. Postage PAID Nashville, TN Permit No.