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Affinity Rx • Pharmacy Legislation Update • Parkinson’s Disease

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published by the British Columbia Pharmacy Association  |  www.bcpharmacy.ca  |  Volume 20. No. 9

JUN/JUL 2012

Highlights from the BCPhA Conference 2012


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Affinity Affinity

BCPhA prescribed member discounts BCPhA prescribed member discounts

Welcome to Affinity Rx! Welcome to Affinity Rx! Affinity Rx is a new BCPhA member service, which offers exclusive and limited discounts as well as value-added services.

You may also share the savings with your colleagues, family and friends. Affinity Rx is a new BCPhA member service, which offers exclusive and limited discounts as well as value-added services. You may also share the savings with your colleagues, family and friends. Below is a list of some of the offers available starting June 1, 2012. Below is a list of some of the offers available starting June 1, 2012. To gain access to these great savings, login to www.bcpharmacy.ca and go to the Member Support - Affinity Rx section. To gain access to these great savings, login to www.bcpharmacy.ca and go to the Member Support - Affinity Rx section.

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Vancouver Canucks - 15% off single tickets Wireless phone plans——10exclusive rates ongame premium packages BC Lions — No transaction fees additional savings on select games Optical discounts — 10% off the& lowest price Wireless phone plans — tickets exclusive on premium packages Discounted show/event in rates Vancouver, New York, Optical — 10% off the lowest price Orlando,discounts and Las Vegas Discounted show/event tickets in Vancouver, New York, Orlando, and more! Las Vegas ...and many ...and many more!

HOW TO ACCESS THE DEALS HOW TO ACCESS THE DEALS Login to www.bcpharmacy.ca and go to the Member Support - Affinity Rx section or email vince.lee@bcpharmacy.ca Login to www.bcpharmacy.ca and gowww.bcpharmacy.ca to the Member Support - Affinity Rx section or email vince.lee@bcpharmacy.ca THE TABLET 2 Jun/Jul 2012


THE TABLET

JUN/JUL 2012  |   VOLUME 20. NO.9

contents Editor-in-Chief Kathie Taylor 604.269.2863, kathie.taylor@bcpharmacy.ca

8 up close

16 on the cover

Senior Editor Elise Riedlinger 604.269.2866, elise.riedlinger@bcpharmacy.ca Advertising Sales Shannon Ward, OnTrack Media 604.639.7760, tablet@ontrackco.com The Tablet is published by the BCPhA. Views expressed herein do not necessarily reflect those of the Association. Contributed material is not guaranteed space and may be edited for brevity, clarity and content. BCPhA offices: #1530-1200 West 73rd Avenue Vancouver, BC  V6P 6G5 telephone: 604.261.2092 or toll-free in bc: 1.800.663.2840 fax: 604.261.2097 toll-free fax: 1.877.672.2211 e-mail: info@bcpharmacy.ca web: www.bcpharmacy.ca

14 bill 35 passes

Pharmassist: 1.800.667.2190 For confidential counselling referral for employment or addiction related assistance Publication agreement #40810576

Cover Photo: BCPhA board member Don Cocar presents Moiz Lalani with the Honorary Life Member Award at the BCPhA Annual Conference 2012.

Features 16 13

Columns

Regulars

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President’s Message From inspiration to action

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Up Close 50 years in pharmacy

Highlights from Victoria

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10

Affinity Rx BCPhA prescribed member discounts

CEO’s Message Telling pharmacy’s story

Skin Care Pharmacy Plant stem cells

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Member Services Professional liability insurance

27

DPIC hcG and weight loss

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Career Opportunities Find a job in pharmacy

Cover Article: Conference 2012 Review

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Pharmacy Legislation Update Bill 35 passes

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Student News Another year completed

24

Parkinson’s Disease The pharmacist’s role

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Professional Services Clinical sessions at conference

Got a suggestion for an article in The Tablet? Email info@bcpharmacy.ca with your story ideas.

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SMALL TALK

In the news BCPhA Board of Directors election results

Eligibility change to medication review services

Thank you to everyone who voted in the recent BC Pharmacy Association Board of Directors election. We are pleased to announce our newly-elected board members:

In late April, the PharmaCare Newsletter announced that funding to support expanded patient access to medication review services was in place for this year. Effective May 1, 2012, a patient with five medications (i.e., any prescription medication, non-prescription drug

Don Cocar, pharmacist and owner of Dyck’s Pharmacists in Kelowna, has been re-elected and will continue for his second three-year term. Julie Ford, pharmacist at Glover’s Medicine Centre Pharmacy in Kamloops, has been elected to her first term. Victor Ikari, pharmacy manager and owner at Peoples Drug Mart #072 in Ashcroft, is re-joining the board. He previously served two terms, completing six years in August 2010. All three elected members will serve on the board for a three-year period, beginning in September 2012 until August 2015. After serving two consecutive three-year terms, Ken Foreman and John Tse will be leaving the Board of Directors at the end of August. Thank you to Ken and John for their hard work and dedication to our association.

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product, compounded drug product, and/or injection that has a DIN or PIN) that have been entered into PharmaNet within the last six months is eligible. Previously, patients were required to have seven such medications.


MEET THE BOARD

Meet…John Tse reimbursed appropriately. The association is key in ensuring there is a face and voice of pharmacy. Over the next three years it’s critical for the profession to support the association and, subsequently, allow the association to support the profession. In August, you’ll be leaving the Board of Directors. Any parting words?

John Tse graduated from the UBC Faculty of Pharmaceutical Sciences in 1988 and began working in community pharmacy with London Drugs. He continued to work there full time while returning to school to begin his MBA, which he completed in 1993. He currently holds the position of vice president, pharmacy and cosmetics, for London Drugs. What do you see for the year ahead in pharmacy? Our biggest challenge in the year ahead is the deflation of prescription drug pricing, and the changing revenue streams because of government legislation. This will be a significant challenge and impacts the finances of pharmacies, as well as resources at the front line level. It’s a game changer.

It’s been fun - and a lot of work! I think you need to be involved to appreciate how timeconsuming it is. I would definitely recommend that others get involved on behalf of the profession. Park your allegiances and biases at the door and sit here as a member of the profession serving the public. When patients and the public benefit, pharmacy does too. Who do you most admire and why? That’s a great question and takes a bit of thought, but I’d have to say Obama. It’s his ability for public speaking, and clearly communicating to a large audience in a manner that everyday individuals understand. It’s so powerful. I take every opportunity I can to listen to him and learn. What advice would you give to pharmacists just starting their careers?

As well, the profession is at a crossroads, and it’s up to you to partake and help shape the change. It will be an unnerving but exciting time, full of change but also opportunity. It depends on how involved, engaged and proactive you can be in creating positive outcomes for your patients and yourself. There’s a professional and a business side of pharmacy, and it’s about striking a balance in a mindful and meaningful way. What do you do when you’re not being a pharmacist? I run, and I like to golf. I still have a young family, so I enjoy spending time with them. I also love to travel – I’ve been to Turkey, Egypt, southeast Asia, and New Zealand, to name a few. I haven’t been to Russia yet, so I still have a few places left to discover! What’s next for John Tse? I really enjoy what I’m doing. Four years ago I also became responsible for cosmetics. It’s a completely different portfolio; it’s regulated like drugs but, unlike pharmacy which is a demand product, cosmetics are a discretionary purchase. I’ll be travelling to some upcoming skincare shows in Europe and Hong Kong over the next few months.

You are choosing to enter a wonderful profession. I’d tell new pharmacists that we’re just on the leading edge of demand – the baby boomers are moving into their golden years and we’re only going to see that demand increase.

I’m already involved on a national level with pharmacy, and sit on the Canadian Association of Chain Drug Stores (CACDS) council. I also remain engaged in the PSA process and shaping where pharmacy is going, in terms of how pharmacy will be recognized and reimbursed, as well as practice standards. There’s so much work left to do!

Greg Shepherd, Vancouver (604) 317-9608, gshepherd@pharmasavebc.ca

Don Cocar, Kelowna (250) 808-1308, don@dycksdrugs.com

David Pavan, Vancouver (604) 301-2620, david.pavan@gmail.com

Ralph Lai, Langley (604) 881-3882, ralph_lai@owfg.com

Derek Desrosiers, Richmond (604) 276-5236, derekd@unipharm.com

Allison Nourse, Vancouver (604) 276-5280, allisonn@unipharm.com

Shakeel Bhatti, Langley (604) 534-6605, shakeelbhatti@shaw.ca

Ken Foreman, Cloverdale (604) 575-5740, kforeman@pharmasavebc.ca

John Tse, Richmond (604) 272-7650, jtse@londondrugs.com

Bill Bright, Calgary (403) 410-4805, bbright@shoppersdrugmart.ca

Caren Heughan, Victoria (250) 388-5181, carenheughan@gmail.com

Nadeem Zia, Surrey (604) 585-5666, nadeem.family.pharmacist@gmail.com

Why is BCPhA important? BCPhA has an extremely important role to play in informing government and payers of the value of pharmacy and why it needs to be

Board of Directors

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GREG SHEPHERD | PRESIDENT

From inspiration to action Applying new insights to everyday practice

The BCPhA Annual Conference 2012

was a great success and I’m glad I had the opportunity to speak with so many of you in Victoria. This year’s theme was Pharmacy Innovation and we carefully chose our keynote speakers and pharmacy sessions to provide members with the tools and techniques to help master innovation in their own practices. Innovation is a word that gets thrown around a lot these days, but when it comes to advancements in patient care, community pharmacy in British Columbia can take great pride in knowing that we really are leading the way in Canada. But we can’t be satisfied with what we’ve accomplished to date. We have to keep improving and advancing our profession and our practice so we are truly recognized as primary health care providers. Now is the time to integrate pharmacy innovation into your practice!

Innovation is also about the new face of pharmacy, and the new faces who will help us lead this change – in particular, the pharmacy students joining the profession with such great enthusiasm. At the conference, we had a total of 29 students from UBC’s Faculty of Pharmaceutical Sciences, including our five BCPhA Student Ambassadors and four hard-working student volunteers. Congratulations to all the recipients of the BCPhA Annual Awards – you are excellent examples of the innovation and drive needed to carry the profession forward. And also a big thank

“Now is the time to integrate pharmacy innovation into your practice!”

I hope you took back some valuable insights from this year’s conference – whether it’s incorporating social media into your business model as recommended by Miss 604; showing your patients that you not only care for them, but care about them as per Joseph Michelli’s keynote address; or taking advantage of the great amount of trust that Canadians have in pharmacists to expand our scope of practice, as polls from Ipsos Reid have shown. We also had the opportunity to listen to Dr. Bill Cavers from the BC Medical Association, who discussed the four priorities of the General Practice Service Committee (GPSC): “value us, train us, support us, pay us.” These are equally important for pharmacists, and I think we’ll see collaboration as a key part of innovation in the future.

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you to Sam Louie, who again hosted our awards dinner and charmed the audience with his fantastic humour. As well, I want to express my gratitude to all of our sponsors, especially our partner sponsor, the College of Pharmacists of BC. Thank you all for your continued support. I hope everyone left this year’s event feeling inspired, motivated, and ready to take on whatever challenges exist around that next corner. Next year’s conference will be held at the Grand Okanagan Resort and Conference Centre in Kelowna, from May 30 to June 1. I look forward to seeing even more of you there next year!


GERALDINE VANCE | CEO

Standing up to tell pharmacy’s story Proving pharmacists are not just trusted, but valued

I have been

reflecting on our annual conference in light of the recent passage of Bill 35, the Pharmaceutical Service Act. As many of you know, our conference theme this year was Pharmacy Innovation. Our keynote speakers challenged us to think about what this means to the day-to-day delivery of patient care by pharmacists across the province. So, I thought it would be useful to look up a definition of innovation and came across the following: “innovation is the creation of better or more effective products, processes, services, technology or ideas that are accepted by government and society” – in short, doing something differently that is of value to the people you impact. Joseph Michelli, one of our keynote speakers for the Friday session, said this all comes down to getting those patients and customers to “love us” or to ascribe value to the relationship they have with their pharmacist.

elected officials. In my few short months at the Association, I have discovered that this doesn’t come easily to pharmacists. You are not people that easily tell the story of the difference you make to the patients you serve. I suggest to you that this has to change. If pharmacists are to be supported to deliver much needed care, the elected officials that make the decisions about where to spend health care dollars must have a clear understanding of what you do and why it matters. Interestingly, your patients are clear about the role you play in their health care. In a recent public opinion survey the BCPhA

“There can be little doubt that pharmacy must clearly demonstrate its value to the people of British Columbia ”

I certainly believe the challenge to do things differently and prove the value of the services pharmacists deliver has never been more important. We are about to enter a new relationship with the provincial government and with that comes uncertainty. I have said for some time that the introduction of legislation that provides a governance framework for the one billion dollar Pharmacare program makes sense. But, the legislation provides sweeping powers for the Minister and his officials and it is not yet clear what the accompanying regulations will mean for the operation of community pharmacy. There can be little doubt that pharmacy must clearly demonstrate its value to the people of British Columbia and our

commissioned, 88 per cent of those polled said pharmacists play a critical role in BC’s health care system, 77 per cent believe pharmacists have an important role to play in being a key player in managing people’s health for those who don’t have a family doctor, and 80 per cent said that any cuts to community pharmacy will be particularly painful for small and remote communities. So the job ahead means we need to do a better job of ensuring the many innovative solutions pharmacists deliver to our primary health care system are understood and valued by those who will determine the future of pharmacy in BC.

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UP CLOSE

BCPhA member John Holden in his youth

John Holden and his wife, Gretel, participate in Pharmacist Awareness Week in 2010.

Celebrating 50 years in pharmacy by Elise Riedlinger It was 1958 – the year that Canada-wide broadcasting started, a loaf of bread cost 19 cents, and Elvis Presley was inducted into the U.S. Army. John Holden, a BCPhA member now celebrating his 50th year in pharmacy, was just finishing high school and looking to land his first real job. “I was a Chilliwack farm boy,” he said. “It’s a good place to be from. But when I went looking for work, there wasn’t any.” Holden managed to find a job with the Toronto Dominion bank, but after half a day they let him go. “They said I wouldn’t make it as a banker because I didn’t seem like someone who could stand on my feet for years!” He laughed at the irony of later becoming a pharmacist. Luckily, his short stint in banking turned out for the best, because Holden was soon drawn into the profession of pharmacy instead.

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“A friend’s dad owned a pharmacy in Chilliwack called Hipwell’s Pharmacy, so he got me a job apprenticing there.” Holden had also been to the pharmacy open house at the University of British Columbia the year before, and his time at Hipwell’s pharmacy solidified his interest. After apprenticing for a year, he headed off to UBC to complete his professional training. At that time, the pharmacy program was three years, since Holden had already completed first year arts and sciences in grade 13. “Thank goodness I had already gotten physics out of the way!” he joked. “It was about 26 hours of courses a week.” He graduated in 1962 and spent a couple of years working in Lower Mainland at Drug Craft pharmacy in Brentwood Centre. Then, in 1964 Holden moved to Port Alberni, and worked at a pharmacy there for four years before buying it himself. Since then, Holden has been the pharmacy owner and manager at the Somass Drug Store in Port Alberni.


“Well really there’s three sections,” he explained. “I’m the dispensary manager, while my daughter Trisha is the front store manager, and Trina – who’s like a second daughter - is in charge of the paperwork.” After half a century in pharmacy, Holden said, “The way I practice hasn’t really changed. All the things being promoted are things we were taught when I went through. We were extremely patient-focused, we had a good rapport with the doctors.” Holden maintained that he wouldn’t have stayed in pharmacy this long if he didn’t enjoy it. “My favourite part is the interactions with patients of all kinds. Every day is different – not one day in the last 50 years has been the same.” As for embracing an expanded scope of practice, such as injections, Holden said, “If I was 10 years younger, I would’ve taken the course. I had horses so I’m quite capable of giving injections.”

He has a modified 1967 Chevelle station wagon that’s plum mist metallic with ghost flames and a 350 small block, as well as a completely restored 1966 Ford Mustang. For new pharmacists entering the field, Holden’s advice was, “do what you’ve been trained to do - personal customer interaction and care.” In a city of just over 17,000, Holden said it’s the regular, faithful customers who’ve been coming in for years that help his business survive. (In fact, he stops the interview twice because a patient walks in the store. Now if that doesn’t emphasize his complete focus on patient care, what does?) And while he’s looking forward to the relaxation of retirement, he also has great memories of the past. “Nowadays, I couldn’t find my way down the boulevard at UBC,” he said, “But I’ve heard the new building is beautiful. “When I retire I’ll make a pilgrimage back.”

Asked if he’ll retire anytime soon, he said maybe in one or two years: “Then, my main focus will be working on my cars.”

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SKIN CARE PHARMACY

A revolutionary technology in rejuvenating skin care Elham Rahmani Neishaboor, Pharm. D., Ph.D.

Plant stem cells Stem cells and regenerative medicine

Stem cells in the human skin

Stem cells are undifferentiated cells with unique growth characteristics. They can make identical copies of themselves as well as differentiate to become specialized cells such as skin cells. Stem cells have therefore a big potential in regenerative medicine.

Human skin is the largest repository of adult stem cells in the body. Skin stem cells reside in the basal layer of the epidermis where they remain dormant until they are activated by tissue injury or disease.3 It is impossible to incorporate live cells into a skin care product. Instead, companies are creating products with specialized peptides and enzymes or plant stem cells to protect the human skin stem cells from damage or stimulate the skin’s own stem cells. This means that the stem cell can receive the message to create proteins, carbohydrates and lipids to help repair fine lines, wrinkles and restore and maintain firmness and elasticity.3

Adult stem cells are already used in transplant medicine to treat leukemia and severe burns.1 Regenerative therapies have a big potential to be used in the future to treat Parkinson’s, Alzheimer’s and diabetes.2 Stem cell research is a fascinating, hot topic that is already used in skin and hair rejuvenation. There are two types of stem cells in the human body: embryonic stem cells and adult stem cells. • Embryonic stem cells can differentiate into all cell types of the body. • Adult stem cells located in some adult tissues can only differentiate into their own or related cell types. These cells act as a repair system for the body.

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Plant stem cells to protect skin stem cells In contrast to human, plant cells have the ability to regenerate the whole plant. Besides, all plant cells can dedifferentiate and become a stem cell. Mibelle Biochemistry developed a novel technology enabling the cultivation of cells from rare and endangered plant species.4 This technology, based on the unique totipotency of plant cells, uses the wound healing mechanism of plants. A part of a plant is wounded to induce the formation of callus cells. This wound healing tissue consists of dedifferentiated


cells, which are stem cells. These stem cells are rich in epigenetic factors and metabolites, which assure the longevity of cells and protect skin stem cells. They can be used as cosmetic ingredients after harvesting and encapsulation into liposomes.

treat the existing wrinkles and signs of aging: Matrixyl 3000TM and RenovageTM.8 This combination works not only at a cellular level to prevent aging, but also on the skin surface to treat the signs of visible aging.

An in-vitro test was conducted on umbilical cord blood stem cells (UCBSC) with Malus Domestica (a Swiss apple with excellent storability) stem cell extract. Results showed that Malus Domestica stem cell extract has a positive effect on UCBSC’s artificial growth thus maintaining the growth and the proliferative activity of UCBSC.4 Malus Domestica extract has also been shown to protect skin stem cells and delay the senescence of hair follicles.4

Bottom line

Rejuvenating skin care products using plant stem cell technology Emerge Swiss Apple Stem Cell Serum uses an exclusive formulation high percentage of PhytoCellTec®, Matrixyl 3000®, and Collagen® that magnify the regenerative results.5 Collagen is the main structure element of the skin and is therefore largely responsible for skin smoothness and tone. Matrixyl 3000® increases cell turnover, firmness, elasticity and smoothness and brings about fine line reduction. XTEMcell products are made from cloned stem cells from the date palm. It has been chosen for cloning because of its unparalleled ability to live and thrive in the desert in the driest, most arid areas and be able to remain hydrated and conserve water.6 Xtemcell cloned these desirable properties and created a series of anti-aging skincare products such as Cell Renewal Night Cream, Reset Serum, Cell Rebuilding Daytime Cream, and Repair Eye Contour Cream.6 Protocell produced by EmerginC is a protective facial moisturizer that provides serious anti-aging results for all skin types.7 Protocell incorporates PhytoCellTec® extract. Another potent ingredient in Protocell is Aqua Cacteen, an ultra-refined elixir from the prickly pear Opuntia Cactus, a cactus rich in flavones, vitamins, antioxidants, minerals and polysaccharides, and known for its super-hydrating, protecting, and soothing properties. Extensive laboratory studies of the active ingredients in Protocell and Protocell Eye prove a significant and visible decrease in the wrinkle depth of crow’s feet. Skin Doctors YouthCell night concentrate contains PhytoCellTec® Malus Domestica plus two additional anti-aging peptides to

In conclusion, plant stem cells represent the latest tool in our fight against skin aging. This does not mean that all our current tools (retinoids, peptides, antioxidants, vitamins, and more) need to be discarded. On the contrary, as is true often in cosmetics, a multitude of tools combined on the skin will provide an optimal therapeutic result. By combining these stem cells with other anti-aging ingredients, like antioxidants, neuropeptides and glycolic acid, the beauty industry will see its first products that actually reverse the aging process.

References available upon request; please contact the BCPhA Communications team.

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Helping People Live Better Lives To learn more about the Peoples Drug Mart and Peoples Pharmacy programs, contact:

Frank Fidyk 778-678-6717 or Ian Maxwell 604-431-3595 ext 23 email: fgfidyk@telus.net email: ianm@pdmstores.com www.peoplesdrugmart.com

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CYRIL LOPEZ  |  CHIEF OPERATING OFFICER

We’ve got your back with professional liability insurance Our Newly-Registered Pharmacist

membership campaign launches in June as we wait on the PEBC results declared in July. The Newly-Registered Pharmacist membership is available to prior year grads as well, so graduates from the class of 2011 can avail of this special offer. We offer 2011 and 2012 grads a special price of $350 for their first year membership. Besides professional liability insurance, membership benefits offer wealth management, financial literacy coaching and multiple retail offers under our newly-launched Affinity Rx program. Check out the outstanding offers we bring to you on the following page. For the few grads who have not undertaken the Administration of Injections course, this is an opportunity to take advantage of the special $400 member price. Personal professional liability insurance: In its Jan/Feb/Mar 2012 ReadLinks issue (page 4), the College of Pharmacists of BC reminded its registrants of the requirements of HPA bylaw 81 and PPP#60. I have received a number of questions arising from this section of the College’s note: The professional liability insurance coverage must meet the following criteria: a)The policy provides occurrence-based coverage or claims made coverage with an extended reporting period of at least three years; and, b) if not issued in the registrant’s name, the group policy covers the registrant as an individual. I want to confirm that: • BCPhA’s program’s professional liability program is an occurrence-based policy. • As such, the three-year extended reporting period is not applicable.

BCPhA also offers personal professional liability insurance to regulated pharmacy technicians under its Insurance Subscription program. Remember that the criterion to measure the value of insurance coverage is not the premium level. Rather, it is the reputation of the insurer, and the comfort knowing that it will not seek to reject your claim on frivolous grounds when you make one. Please contact Linda Tinnion or myself for the application form. Other FAQs on the BCPhA personal professional liability insurance program are: 1. Does my policy cover me in situations like: • relief assignments in pharmacies other than my employment location/s • if I work as a contractor rather than an employee, or both • in flu clinics other than my usual practice location • practice in multiple locations at various times during the year • practice outside normal business hours and days. Answer: Yes, the policy will provide protection in all practice settings as long as you provide professional advice within your scope of practice. 2. Does my policy cover me for advice I may give in social settings? Answer: Yes, if professional advice you give in social settings, like your child’s soccer game, result in a claim being brought against you, your policy will provide you with protection.

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MARK HO | STUDENT NEWS

A new generation of pharmacists Skits night was another huge success this year,

and we had a great turn out of attendees. For those who remember, skits night is a much-anticipated event, where students from all four years and the faculty each put together a sketch performance with live acting and videos, and compete for the top prize. Everyone did a great job showcasing their creativity, with skits ranging from a Magic School Bus theme, to the faculty’s Wizard of Oz parody. Congratulations to the fourth years for winning this year’s skits night, and to the runner up – the first years! Of course, pharmacy is never just fun and games. Our students had to endure a torturous month in April studying for exams. Throughout the day (and night), you could find pharmacy students at Woodward Library preparing for their next exam. For the fourth years, this was a time to prepare for the OSCEs and PEBCs! Let’s just say when summer finally arrived, it was a huge sigh of relief. Congratulations to all the fourth year students for graduating and finishing their licensing exams. The best of luck to all of you in your future careers! At the same time that the fourth years were writing their OSCEs, there were 29 students attending the BCPhA conference in Victoria! It was an amazing experience and everyone enjoyed a great weekend of networking, learning and socializing. The weather was sunny and warm, enabling students to explore the beautiful city during their free time. There were amazing speakers, including Canadian pollsters and authors of Canuckology Darrell Bricker and John Wright; Joseph Michelli who helped make Pike Place in Seattle a success; and many current pharmacists and board members sharing their insights on innovative pharmacy practices. One of the most memorable moments for all the students was an impromptu “chill” session with Dean Sindelar, as we openly discussed a variety of topics. We were all very touched that he took time out of his busy schedule to personally connect with all of us. And nothing ends a conference better than a night of conversation with all the BCPhA board members, who took us out for the evening to socialize outside the structured nature of a conference. Needless to say, all students thoroughly enjoyed the experience, and I’m sure there will be many more student attendees at next year’s BCPhA Conference in Kelowna!

Introducing Affinity Rx After selecting and negotiating

discount rates with many vendors, we are pleased to introduce Affinity Rx, a new BCPhA member service that offers exclusive and limited discounts, as well as value-added services. Our goal is to find discounts that meet the following criteria: 1. Good value – prices that are better than what the general public can access 2. Ease of access – either a dedicated person for members to contact at the vendor or a discount code that can be easily used online 3. Few limitations – not having blackout dates on when you can receive a discount on hotels, car rentals or even movies 4. Large variety – so that we have something for almost everyone in our membership 5. Easy to share – movie tickets, ski tickets, Canucks tickets and others can be given away as gifts, meaning they are fully transferrable. In June, we launched a few great offers to start things off: • Hotels around the world that are 10 – 15 per cent cheaper than any other hotel booking website • Cineplex movie tickets at 15 – 30 per cent off • Vancouver Whitecaps tickets that are $5-$39 off • Playland event tickets from PNE to Summer Playland Festival (SPF 2012). We have a number of other offers that will be launching throughout the year including Vancouver Canucks, BC Lions, wireless phone/data plans, and optical. For a listing of all the great offers, please log in to www.bcpharmacy.ca and go to the Member Support – Affinity Rx section. If you have any questions or suggestions for Affinity Rx, please email our new Manager of Member Services, vince.lee@bcpharmacy.ca

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PHARMACY LEGISLATION UPDATE

Bill 35 now law The closing of the legislative session

brought with it the passage of Bill 35, the Pharmaceutical Services Act. While this was a definitive act, in many ways it marks the beginning of a process to chart the future of community pharmacy in BC. The legislation has several areas of concern. It provides Ministerial discretion over virtually all areas of how pharmacy operates. The legislation deals with the government’s requirement to consult with industry on everything from listing drugs on the formulary and changing drug pricing and incentives, to audit and inspection. We have concerns that there needs to be much greater clarity on when and how government must consult with industry. As expected, the legislation allows the government to set pricing for generic drugs and to regulate commercial aspects of pharmacy’s operations related to rebates, incentives, etc. Many aspects of the legislation appear to simply move existing practice into legislation.

Others in the privacy community have raised significant concerns about the lack of privacy protection of patient health information housed on PharmaNet. One of our most significant concerns relates to a lack of commitment by government on how it will work with pharmacy on charting the future for clinical services and support for rural pharmacies. We are hopeful that the Minister will agree to enshrine an official process in the regulations. This will go some distance to

“We are hopeful that the Minister will agree to enshrine an official process in the regulations.”

The real work comes now in better understanding exactly what remains the same in terms of the day-to-day operation of the PharmaCare program and its impact on pharmacists, what is different, and what will be handled in regulations. The challenge with regulations is that there is no official process by which they are reviewed by the public and key stakeholders, and they do not need to go back to the Legislature for passage. The issue of appropriate oversight by third-parties is of significant concern to us. Our government has made a commitment to greater openness and transparency. We are troubled that the legislation appears to reduce, not increase the transparency that we believe is appropriate for a publicly-funded program.

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confirming his government’s commitment to using pharmacists to help ease access issues in primary care delivery. The government’s first priority is to develop regulations related to pricing and incentives. In the debate in the Legislature, the Minister made it clear that he intends to act on these two issues quickly. He made it clear that he believes “the prevalence of incentives or rebates has had a negative impact on taxpayers.” The Association and our partner in the original agreement, the Canadian Association of Chain Drug Stores (CACDS), are making a submission to government on these two crucial issues. We are scheduled to have an opportunity to review our submission with officials in July. Once our submission is complete, it will be posted on the BCPhA website for members to review. We will continue to update you as the process moves forward over the next few months.


PARKASH RAGSDALE  |  DIRECTOR, PROFESSIONAL SERVICES

Clinical sessions at conference

In this past year, pharmacists have been

making good use of our profession’s expanded scope of practice. For example, the number of renewed and adapted prescriptions continues to steadily increase, and well over 100,000 medication review services were provided to eligible patients. In addition, BC’s 1,680 pharmacists authorized to inject administered more than 100,000 influenza vaccinations, more than 10,000 vaccinations in response to pertussis outbreaks in Fraser Health and Vancouver Coastal regions, and are partners in the province’s HPV One-Time Vaccination Program.

BC pharmacists. Dr. Deborah Thompson shared her extensive experience on smoking cessation, breaking down myths and providing numerous practice pearls for pharmacists to advocate and assist their patients in their efforts to stop smoking. Pharmacists also heard Drs. Reginald Smith and Hector Baillie debate the use of warfarin versus the new oral anticoagulants for atrial fibrillation. Cameron Zaremba and Arleigh Bell led a workshop on best practices when setting up a vaccination clinic, ending with a live demonstration of a herpes zoster immunization.

As our profession continues to change at a rapid pace, this year’s theme of Pharmacy Innovation served as a signpost to mark where we have come from and where we can go from here. As a result, our program focused on supporting both the business and clinical practice sides of community pharmacy. Here are some highlights from our practice-focused sessions.

Thanks to all of you who were able to take time away from your practice to attend the conference. Our goal is to ensure the sessions are not only relevant and applicable, but cover topics members want to learn more about. Planning is starting soon for our 2013 conference in Kelowna, so please let us know if you have suggestions for future topics.

“Clinical Pharmacy Services – Leading by Example” was a panel discussion facilitated by Sam Louie, with pharmacy manager Kevin Cox from Drugstore Pharmacy, Jolly Gill, co-owner of a Pharmasave, and Nafisa Merali, pharmacy manager and owner of Naz’s Prescription Plus pharmacy. These pharmacists from diverse practices and regions of BC have each been recognized for their innovative practices and exceptional use of expanded scopes of practice. They spoke about driving change regardless of your practice environment, how a team with the right attitudes can achieve a common vision, building your practice around your strengths, and how therapeutic relationships with patients contribute to developing relationships with physicians. The panelists also discussed their support of regulated technicians, continual professional development and increasing pharmacist roles in primary care. Our pharmacy practice sessions touched on several hot topics for BC pharmacists. Attendees had their first chance to hear from newly-appointed registrar of the College of Pharmacists of BC, Bob Nakagawa, on their role and challenges in ensuring the public receives the highest standard of patient care from

Injection authority stats: • 1,680 pharmacists authorized to administer injections • More than 100,000 influenza vaccine doses administered in 2011-2012 • More than 10,000 publicly funded Adacel (Tdap) vaccine doses administered in Fraser Health and Vancouver Coastal regions in response to whooping cough outbreak since February 2012

Smoking cessation stats: • More than 100,000 orders for smoking cessation products placed through HealthLink BC.

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ON THE COVER | BCPHA ANNUAL CONFERENCE 2012

Highlights of the BC Annual Conference Nearly 300 members of the pharmacy community gathered in Victoria for the BCPhA Annual Conference from May 24 to 26, 2012. Thursday evening opened with a pirate-themed exhibit and treasure hunt, where delegates collected gold coins from each exhibitor to enter into the grand prize draw. Friday featured two keynote sessions: Darrell Bricker and John Wright, pollsters from Ipsos Reid, and Dr. Joseph Michelli, a customer service consultant. This was followed by a panel discussion on clinical pharmacy services with three pharmacist leaders from around BC. The evening concluded with the BCPhA Annual Awards, hosted by Sam Louie. The following day included sessions on using social media for business, smoking management, oral anti-coagulants and advancing your injections practice, as well as remarks from new College of Pharmacists of BC (CPBC) registrar, Bob Nakagawa. Attendance at conference qualified as learning for pharmacists to apply towards their Continuing Education (CE) requirement for the CPBC’s Professional Development and Assessment Program (PDAP).

Roche exhibitors Trevor Baker and John Melvin have a little fun with their pirate props.

BC Centre for Disease Control (BCCDC) exhibitor Chelsea Haines.


CPhA 2012

Scotiabank exhibitor Patty Scrase takes a bite out of a pirate’s gold coin.

BCPhA staff Parkash Ragsdale, Linda Tinnion and Cyril Lopez embrace the pirate theme.

UBC student volunteers Michelle Shih, Jonathan Chan, Michael Wong and Soomi Hwang.

Merck exhibitors Michelle Kramell, Mariliam Rodriguez, Shara Campsall, Sheila Davis and Craig Dickau, with Parkash Ragsdale, BCPhA (third from left).

(below, middle) Lifescan exhibitors Joel Cawkell (with his pet parrot) and Alek Arsenault. (below) BoehringerIngelheim exhibitors Linda Morden and Paul Casson.

BCPhA Honorary Life Member Louanne Twaites, with William Heese, BCPhA Board of Directors Past President.


ON THE COVER | BCPHA ANNUAL CONFERENCE 2012

Pharmacy Innovation sessions and speakers Dr. Joseph Michelli, bestselling author of The Starbucks Experience: 5 Principles for Turning Ordinary to Extraordinary, discusses how to achieve the ultimate customer experience.

Rebecca Bollwitt, known online as Miss 604, provides the best tips on social media for businesses.

Drs. Hector Baillie and Reginald Smith (not pictured) discuss oral anti-coagulants in their afternoon session.

Geraldine Vance, BCPhA CEO, and Greg Shepherd, BCPhA president, are presented with a gift from Bilal Maqbool on behalf of the Pakistan Pharmacist Delegation, with BCPhA board member Nadeem Zia.

(far left) Darrell Bricker and John Wright share their knowledge of what Canadians really think.

(left) Pharmacy manager Kevin Cox, shares his experience with clinical pharmacy services in a panel discussion with pharmacist leaders Jolly Gill, Nafisa Merali, and facilitator Sam Louie.

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ON THE COVER | BCPHA ANNUAL CONFERENCE 2012

“A great opportunity to connect with leaders in our profession who are helping to shape the future of pharmacy in BC.” - Aaron Sihota, second year, BCPhA Student Ambassador

Cameron Zaremba and Arleigh Bell take a hands-on approach to their session “Expanding your administration of injections practice – Moving past the flu.”

“Can’t wait until I attend the conference as a full member!” - Erik MacKinnon, second year student

Dr. Deborah Thompson presents on smoking cessation therapies. College of Pharmacists of BC Registrar, Bob Nakagawa.

BCPhA Annual Awards dinner (above) Target’s Jeff May, and the Canadian Pharmacists Association’s Ruth Ackerman and Miguel Lopez-Dee.

(left) MC Sam Louie charms the audience as usual at the BCPhA Annual Awards dinner. Geraldine Vance, BCPhA CEO, Barbara Walman, Pharmaceutical Services Division (PSD) Assistant Deputy Minister, and UBC Dean Robert Sindelar. Sheila Davis, Merck and Sheira Stuart, Bayer. Mykle Ludvigsen, Jeff Slater, Kris Gustavson, Bob Nakagawa, Penny Denton, Jerry Casanova, College of Pharmacists of BC.


ON THE COVER | BCPHA ANNUAL CONFERENCE 2012

BCPhA Annual Awards

Congratulations to our 2012 recipients

Allison Nourse accepted the Achievement Award from BCPhA president Greg Shepherd on behalf of Todd Dew, owner and pharmacy manager of Hogarth’s Clinical Pharmacy. Todd was recognized for his dedication to educating patients, mentoring pharmacists and working with health care providers to promote the BC Medication Management Project (BCMMP).

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BCPhA vice-president Ralph Lai (far left) presented this year’s Certificate of Recognition – Service to members of the Clinical Services and Clinical Services I.T. Sub-Committees, made up of representatives from BCPhA, CACDS, and the Ministry of Health. They are (from second left to right) Allison Nourse, Keith Lee, Parveen Mangat, Stacy Johnson, Sammy Lee, Barbara Gobis Ogle, Parkash Ragsdale and Suzanne Taylor. (Not pictured: Kevin Wong)

The APOTEX Inc. Award in Pharmaceutical Sciences was presented by corporate accounts director Paul Buxton (left) to UBC students Yoshitomo Ito and Rince Wong for their leadership skills, involvement in student affairs and commitment to their communities.

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BCPhA president Greg Shepherd presented the Certificate of Recognition – Distinguished Service to Ken Foreman of Pharmasave Pacific for his many years of service on the Association’s Board of Directors. John Tse of London Drugs also received the Certificate of Recognition, but was unable to attend the awards dinner.


Our newest Honorary Life Member is Moiz Lalani (r), owner and pharmacist for Shoppers Drug Mart in Vancouver for the past 22 years. Moiz is a well-known and respected member of community pharmacy, always willing to contribute and provide guidance. His award was presented by BCPhA director Don Cocar.

The annual Friend of Pharmacy Award goes to someone who is not a pharmacist but has made an outstanding contribution to our profession in BC. This year’s recipient was former CEO Marnie Mitchell, who received her award from BCPhA director Derek Desrosiers.

The Pfizer Consumer Healthcare Bowl of Hygeia Award recognizes outstanding community service, and is presented in each province. In addition to her use of innovation in pharmacy practice and commitment to patient health, Nazlin Khamis of Chilliwack has served on many community boards and often speaks to health care groups and associations. Her award was presented by Rene Trinidad, Professional Medical Specialist/Professional Relations at Pfizer Consumer Healthcare.

The Takeda Magnum Opus Award recognizes a pharmacist in each province who has successfully expanded their practice as a result of advanced training or education. Ingrid Pidsosny, pharmacist manager of Loblaw Pharmacy in Courtenay, chose to donate her $1,000 award to the Heart and Stroke Foundation of Canada in memory of her late father. Her award was presented by Dana Peoples, national key account manager of Takeda (l), to Moh Jaswal, Loblaw’s senior director of pharmacy operations, who accepted on her behalf.

BCPhA director David Pavan (l) presented the Ben Gant Innovative Practice Award to Ray Gaucher, pharmacist and owner of West End Medicine Centre in New Westminster in recognition for his dedication to providing innovative patient care, including the Ostomy supply centre that now serves more than 3,000 patients in his community.

The Murray Dykeman Mentorship Award is presented to a pharmacist who exhibits the same kind of leadership as its namesake, our Association’s first president. Mona Kwong, pharmacy manager of Howe Street Pharmacy in Vancouver, exemplifies leadership and dedication to community pharmacy. She received her award from BCPhA director Ken Foreman, the first recipient of the Murray Dykeman Mentorship Award.

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BCPHA STUDENT COMMONS

Investing in the future The BC Pharmacy Association is contributing $450,000 over the next five years for a student commons in UBC’s new pharmaceutical sciences building opening this September. The contribution, announced by BCPhA director Shakeel Bhatti at a lunch held during the annual conference, will be recognized by naming the BCPhA Student Commons, and with BCPhA being the co-presenter, in perpetuity, of the annual White Coat ceremony. The Student Commons will serve as a venue for both informal and organized interdisciplinary discussions and collaborations amongst pharmacy student groups and with other health disciplines. It will

be a flexible space that can host various educational seminars, for example, injections training for fourth years. “The BCPhA Student Commons will support, inspire, and engage emerging student leaders to become more involved with pharmacyrelated issues in BC, and as future members of our association,“ said Greg Shepherd, president of the BCPhA Board of Directors.

(left to right) Greg Shepherd, president, BCPhA; Ralph Lai, vicepresident, BCPhA, Dr. Arlene Sindelar, UBC; Bob Nakagawa, registrar, CPBC; Geraldine Vance, CEO, BCPhA; Parkash Ragsdale, deputy CEO, BCPhA; Renée Dagenais, student ambassador; Peter Zed, professor and associate dean, Practice Innovation; Robert D. Sindelar, professor and dean, UBC Faculty of Pharmaceutical Sciences; Shakeel Bhatti, BCPhA board director; Aaron Sihota, student ambassador; and Joseph Michelli, keynote presenter.

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GIG3135

Robert D. Sindelar, professor and dean, UBC Faculty of Pharmaceutical Sciences and Peter Zed, professor and associate dean, Practice Innovation, join students from their faculty, as well as BCPhA staff and board members at the BCPhA Annual Conference 2012 in Victoria.

“Many of us are UBC Faculty of Pharmaceutical Sciences alumni,” said Shepherd. “So we know first-hand just how important it is to have a strong connection between the Faculty and the BCPhA.” The luncheon was also an opportunity to honour Dean Robert Sindelar, who is completing his 10-year term as Dean at the end of 2012 and will remain with the Faculty to continue a distinguished teaching and research career in his field of medicinal chemistry.

Anyone can make an error. Protect yourself. Preventing dispensing errors and the potential injuries to clients is the focus of this educational series. To help you understand and deal with these issues, Grain Insurance and Guarantee Company has commissioned a series of articles from Ms. Marie Berry, B.A., B.Sc. (Pharm), LL.B. Ms. Berry is a pharmacist and lawyer specializing in health care law. You can find her article at http://graininsurance.com/ pharmacy/page_bcpa.html For more information about the specialized insurance products that can protect all you’ve worked for, contact Stephen or Stuart Adams at 604-251-3571 or 1-877-251-4079, or email pharmacy@theadamsgroup.ca

“We are honoured that the BCPhA has made such a significant investment in our students,” said Dean Sindelar. “We have a long-standing partnership with the BCPhA and look forward to continuing to work together to advance pharmacy education and patient care.”

Building Update: May 2012 The Faculty of Pharmaceutical Sciences building is 78 per cent complete and on track to open in September for the start of the 2012-2013 academic year. Pharmacy students will benefit from an increased number of learning spaces equipped with educational technologies to enhance academic studies. Stateof-the-art laboratories and the Faculty’s partnership with the Centre for Drug Research and Development (CDRD) will allow for continuing excellence in pharmaceutical science research. Other features such as The Story of Medicines, an interactive interpretive centre that tells the story of pharmacy and drug development through custom-built touch-screen technology, will enable the Faculty to engage with communities in new and exciting ways. The Canadian Architect Award-winning building will also be a place where BCPhA members and pharmacy practitioners can further develop their careers with continuing professional development opportunities and connect with one another at annual events. To learn more, visit www.building.pharmacy.ubc.ca

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FOCUS ON DISEASE

The pharmacist’s role in managing Parkinson’s disease For many British Columbians, Parkinson’s disease gained recognition when actor Michael J. Fox revealed in 1998 that he had been diagnosed with the disease. But in reality, it is the second most common progressive degenerative neurological disorder after Alzheimer’s. There are approximately 11,000 people in our province living with Parkinson’s. The average age of diagnosis is 60, but as many as 20 per cent of people with Parkinson’s are diagnosed under the age of 50. Parkinson’s disease results from the death of brain cells that produce the neurotransmitter dopamine. The causes of cell death are unclear and there is no known cure. Parkinson’s can be treated in a variety of ways including rehabilitation, stress management and, in select cases, surgery. However, the most common form of treatment is medication, meaning that community pharmacists often play a significant role in caring for patients with the disease. One of those pharmacists is Magdalena Kowalska-Villarroel, pharmacy manager at the Pharmasave in Newport Village, Port Moody, who has also given presentations to Parkinson’s support groups on medications and treatment options. “From my experience,” said Kowalska-Villarroel, “some of the most commonly used medications for Parkinson’s patients are Sinemet – both regular and controlled release – and Azilect, a MAO-B inhibitor. Other commonly seen medications include COMT inhibitors, Amantadine, and Anticholinergic medications.” Parkinson’s patients are often on other medications that do not directly treat the disease itself, but help with other symptoms, such as laxatives for constipation.

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“Parkinson’s patients often have constipation, and for a number of reasons,” said Kowalska-Villarroel. “It may be due to improper functioning of part of the nervous system responsible for regulating smooth muscle activity, a side effect of medications used to treat the disease, such as Cogentin, or other common causes like stress, lack of exercise or a diet low in fibre.” Kowalska-Villarroel said it’s essential that all causes are determined and addressed. She also noted there are multiple interactions between Parkinson’s medications and both prescription and non-prescription drugs. “The addition of any medication to the patient’s current therapy should be carefully assessed,” she said. “Some of the interactions between Parkinson’s medications and other prescription medications include Levodopa with MAO Inhibitors, or Eldepryl (selegiline) with multiple antidepressants (e.g. Citalopram, Sertraline, Fluoxetine, Venlafaxine).” Patients should also be advised to seek advice every time they purchase OTC medications, including mineral-containing multivitamins. Some common interactions include Levodopa with iron supplements; Azilect (rasagiline) with DM and decongestants; Azilect (rasagiline) with St.John’s Wort; or Eldepryl (selegiline) with DM. The timing of administration is extremely important as well. Parkinson’s medications given late (even within a half hour) can lead to severe loss of function and patient anxiety. “An issue that comes up with Parkinson’s patients is compliance,” said Kowalska-Villarroel. “They are very often on multiple medications with complex regimens and their therapies are usually not limited to Parkinson’s disease medications alone.


“We pharmacists can help with this by blister packing their medications or recommending a medication reminder with a sound alarm.” Kowalska-Villarroel also provides other recommendations to her Parkinson’s patients, such as diet restrictions while on certain medications: “Levodopa competes with certain amino acids for absorption, so the absorption of levodopa may be impaired in some patients on high protein diets. “Azilect interacts with tyramine-rich foods so they should be avoided or minimized, for example processed meats and fish, aged cheese spreads or poultry skin.” Overall, as Kowalska-Villarroel notes, “The role of the pharmacist in management of the disease is clearly significant.” “We can help by checking for interactions and counseling on drug use, providing education regarding diet adjustments while on certain medications or dealing with constipation, advising patients on the use of OTC medications, and providing emotional support to patients as well as their family members and caregivers who may be in the pharmacy more often than the patients themselves.” Kowalska-Villarroel’s pharmacy is very involved with clinical pharmacy services overall, including vaccinations, adapting prescriptions, and conducting medication reviews. She recalls one med review she did with one of her Parkinson’s patients. “It was very helpful not only to him, but also to his wife who is his primary caregiver. It gave them a better understanding of his current therapy,” she said. “There’s always something new that patient can learn from a detailed medication review, even if it’s just diet adjustments (he had a significant problem with constipation) or a warning regarding OTC medication use.” Her advice to other pharmacists who offer care to Parkinson’s patients is simple: “Always ask a lot of questions – don’t expect the patient to know what issues to bring up. Ask about their use of OTC medications, diet, bathroom habits, and overall well-being. Ask open-ended questions.” Whether it’s with Parkinson’s patients or others, Kowalska-Villarroel says that the interaction with people is definitively one of her favourite things about being a pharmacist. “Every patient who enters our pharmacy is treated as a family member and is a pleasure to talk to. I appreciate the trust that the public has in us as professionals and I embrace the fact that we are often their first-line health care providers.”

Learning more Parkinson’s is a complex disease that has both motor and non-motor components. The primary motor symptoms are resting tremor, rigidity, bradykinesia (slowness of movement which can become akinesia or an absence of movement when Parkinson’s is advanced), and postural impairment. Non-motor symptoms include reduced facial expression; reduced vocal volume and quality; small handwriting; low blood pressure; constipation and bladder problems; changes in mood such as depression apathy and/or anxiety; difficulty with sleep; fatigue, and deterioration in memory and thinking. The progression of the disease and accompanying symptoms vary significantly with each individual. There are seven categories of Parkinson’s medications currently available in Canada: • Levodopa (levodopa/benserazide [Prolopa®], levodopa/carbidopa [Sinemet®, Sinemet® CR]) • Dopamine Agonists (bromocriptine [Parlodel®], pramipexole [Mirapex®], ropinirole [ReQuip®]) • Amantadine (Symmetrel®) • COMT Inhibitors (entacapone [Comtan®]) • Levodopa/carbidopa/entacapone (Stalevo®) • Monoamine-Oxidase-B Inhibitors (MAO-B) (selegiline [Eldepryl®], rasagiline [Azilect®]) • Anticholinergic Drugs (Apo®trihex, benztropine [Cogentin®], trihexyphenidyl [Artane®]) Parkinson Society British Columbia (PSBC) is a charitable organization that exists to address the personal and social consequences of Parkinson’s disease through education, community outreach, funding scientific research, advocacy and public awareness. For more information, visit www.parkinson.bc.ca

Magdalena Kowalska-Villarroel, at Pharmasave in Newport Village, Port Moody


DPIC

by Rob Gair, BSc (Pharm), CSPI

Chewing the fat about hCG and weight loss Food allergy vs intolerance A pharmacist calls the BC Drug & Poison Information Centre about a patient who is presenting with a prescription written by a naturopath for hCG 200 IU SC daily. The patient says it’s for weight loss and is asking about side effects. The pharmacist wonders if hCG is indicated for weight loss and if naturopathic physicians are allowed to prescribe it?

What is hCG? hCG (human chorionic gonadotropin) is a glycopeptide hormone produced by the human placenta and excreted in the urine of pregnant women.1 It is essential for early maintenance of the corpus luteum during pregnancy and for normal development of testes in the male fetus.

Theory in weight loss The concept of using hCG for weight loss dates back nearly 60 years when British endocrinologist Albert Simeons advocated the use of low dose chorionic gonadotropin injections (125 IU daily for six days per week) as an adjunct to a very low calorie diet (500 kcal daily) for the treatment of obesity.2 He observed weight loss and body fat redistribution in males treated with hCG for a hypogonadal disorder called Frolich’s syndrome and he theorized that the same would be observed in patients with “simple obesity.”

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He proposed that hCG helped patients tolerate the low calorie diet by reducing hunger and weakness, and in 1954 he reported that over 500 patients had successfully lost 20 to 30 pounds using his method.

Evidence for effectiveness Simeons’ method has been controversial from the beginning. A 1969 editorial on the subject called for additional study and questioned the role of hCG as a weight loss therapy.3 In 1995, a meta-analysis of eight uncontrolled and 16 controlled trials examining the effects of hCG in the treatment of obesity concluded there was no scientific evidence that hCG brought about weight loss or fat redistribution, nor did it reduce hunger or induce a feeling of well-being.4 Nevertheless, Simeons’ method continues to be promoted in the popular media and by alternative medicine practitioners. A recent commentary suggests that Simeons’ observations in patients with Frolich’s syndrome were misinterpreted and that weight loss observed in patients with simple obesity is due to the low calorie diet and nothing else.5

hCG products and possible adverse effects Currently, there are three injectable hCG products in Canada. Chorionic Gonadotropin for Injection® and Pregnyl® are both available in unreconstituted 10,000 unit vials and derived from the


urine of pregnant women.6.7 Ovidrel® is derived from recombinant DNA and is available as choriogonadotropin alpha measured in micrograms.8 These products are indicated for the treatment of female infertility and selected hormonal disorders in men. Serious adverse effects are a possibility and the U.S. Food and Drug Administration (FDA) has received reports of depression, pulmonary embolism, cerebrovascular events, cardiac arrest, and death associated with the use of “off-label” hCG injections.9 Several homeopathic hCG preparations intended for oral administration may also be available but these are not expected to be pharmacologically active and are considered “illegal” by the FDA.

Recommendations Naturopathic physicians are restricted from prescribing choriogonadotropin alpha (Ovidrel®) but, for reasons that are not clear, the same restrictions do not apply to the other injectable hCG products.10 Hence, whether pharmacists dispense prescriptions for injectable hCG intended for weight loss comes down to a matter of ethics. Given the lack of evidence showing efficacy and the potential for serious adverse events, pharmacists may choose not to fill such prescriptions. Pharmacists choosing to dispense prescriptions for injectable hCG should ensure their patients are informed of the risks.

References 1. P  arker KL, Schimmer BP. Pituitary hormones and their hypothalamic releasing hormones. In: Brunton LL, Laxo JS, Parker KL, editors. Goodman & Gilman’s the pharmacological basis of therapeutics. 11th ed. Toronto: McGraw-Hill; 2006 p:1489-510. 2. S imeons, AT. The action of chorionic gonadotropin in the obese. Lancet. 1954;267:946-7. 3. Albrink MJ. Chorionic gonadotropin and obesity? Am J Clin Nutr. 1969;22:681-5. 4. L  ijesen GK, Theeuwen I, Assendelft WJ, Van Der Wal G. The effect of human chorionic gonadotropin (HCG) in the treatment of obesity by means of the Simeons therapy: a criteria-based meta-analysis. Br J Clin Pharmacol 1995;40:237-43. 5. Toffle RC. “There they go again” – hCG and weight loss. W V Med J. 2011;107:12-3. 6. P  harmaceutical Partners of Canada. Chorionic Gonadotropin for Injection, USP. Package Insert. Richmond Hill, ON; 2008. Available from: http://ppcdrugs.com/en/ products/product_inserts/EN_WebInsert_ChorGonad.pdf 7. M  erck Canada Inc. Pregnyl® Package Insert. Kirkland QC; 2011. Available from: http://www.merck.ca/assets/en/pdf/products/PREGNYL-PM_E.pdf 8. R  epchinsky C, editor. Compendium of pharmaceuticals and specialties. 2012 ed. Ottawa: Canadian Pharmacists Association; 2012. 9. U  .S. Food and Drug Administration. Questions and answers on HCG products for weight loss [updated 2011 Jun 12; cited 2012 May 25]. Available from : http:// www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/ MedicationHealthFraud/ucm281834.htm 10. College of Naturopathic Physicians of British Columbia. Scope of Practice for Naturopathic Physicians: Standards, Limits and Conditions for Prescribing, Dispensing and Compounding Drugs. Vancouver, BC 2010. Available from : http:// www.cnpbc.bc.ca/Policies-and-Procedures.html?reload

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CAREER OPPORTUNITIES

be provided to patients. You must be able to work with minimal supervision, prioritize tasks, and provide excellent service to patients. Pharmacy is open Monday to Friday 9am to 5:30 pm, Saturday 9am to 1pm (except summer closed), no stats. Pay is based on experience and performance, $20-28 per hour. Contact: Tenneille Metz, clinicph@telus.net, Phone: 250.782.3100, Fax: 250.782.8120

ARE YOU MAXIMIZING THE VALUE OF YOUR MEMBER BENEFITS? Corporate Members can place free Career Opportunities listing in these columns and on the web. General Members looking for new career opportunities get free access to PostYour-Resume. To learn more, log in and visit the Career Opportunities. The BCPhA Career Opportunities connects our members like no other job board, bringing member employers and potential employees together, and it is free!

FRUITVALE/WEST KOOTENAYS Fruitvale IDA Pharmacy is currently seeking a full-time and part-time pharmacist. Join our team in a diverse “one-of-a-kind” pharmacy experience and help provide personalized healthcare and excellent service to our friendly clients. Areas we focus on include palliative, pain management, bio-identical replacement therapy. We currently service several long-term care villages. Along with the pleasant, friendly working environment, we offer a competitive wage and benefit package including payment of professional dues and continuing education opportunities. Send resume to Lou Iverson, Fruitvale IDA Pharmacy, 1942 Main St. Box 490, Fruitvale, BC. V0G 1L0.Email: Iverson@netidea.com, Phone: 250.367.9331, Fax: 250.367.7111

ABBOTSFORD Pharmasave in Abbotsford looking for full-time and part-time pharmacists. No evenings and occasional weekends. Pharmacy is located inside the new Abbotsford Regional Hospital. Renumeration paid according to experience. Contact Shaf or Shabita at 604.870.5600 or info@pharmasaveabby.com. Fax: 604.870.2955

KELOWNA

CHILLIWACK Full-time staff pharmacist. Must be licensed to practice in BC. Experience in retail pharmaceutical systems and dispensing procedures, exceptional communication and organizational skills, strong customer/patient satisfaction orientation, ability to maintain the optimum balance between the profession of pharmacy and business of pharmacy, strong problem solving and analytical skills, ability to work productively as a member of a dynamic and fast-paced team. Excellent base salary rates, annual bonus opportunity, full benefit package, educational allowances, paid med. checks, career growth opportunities. Please send resumes to njoshi@rexall.ca COQUITLAM Specialized, high quality patient care pharmacy looking for an energized full-time pharmacist for 18 month contract position for maternity leave possibility to extend to permanent full time at the end of the contract. Very unique and rewarding environment with a distinct focus on high-level patient support with exceptional customer service. Hours: Mon to Fri (daytime). Competitive salary and benefits. If you are seeking a truly innovative work environment, please fax resume to Kelly Subica 1.866.246.7796 or email: Kelly.subica@mckesson.ca CUMBERLAND Vancouver Island Health Authority is recruiting temporary and causal pharmacists for the Cumberland Health Centre Retail Pharmacy on Vancouver Island. Join a top employer with great benefits and a competitive salary. Email: hraccesshumanresources@viha.ca DAWSON CREEK Clinic pharmacy - just renovated. Looking for a smiling, passionate and seasoned regulated pharmacy technician with experience in BC. Goal is to free up pharmacists’ time so that more clinical services can

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Full-time or part-time staff pharmacist needed. Must be licensed to practice in BC; experience in retail pharmaceutical systems and dispensing procedures; exceptional communication and organizational skills; strong patient satisfaction orientation; ability to maintain optimum balance between profession and business of pharmacy; strong problem solving/ analytical skills; and ability to work productively as a member of a dynamic fast-paced team. Katz Group Canada Ltd. offers excellent base salary rates, annual bonus opportunity, full benefits package, educational allowances, paid med. checks, career growth opportunities. Please send resumes to njoshi@rexall.ca LANGLEY An independent community pharmacy in Langley is looking for an energetic, independent and highly motivated full-time pharmacist. Interested in clinical work, developing strong therapeutic relationships with patients and communicating with physicians. Attention to detail and time management skills are essential. Our pharmacy is on the leading edge of community practice and continuously looking for new ways to increase our level of patient care. An excellent opportunity for a pharmacist interested in developing new programs and expanding community pharmacy practice. Compensation is competitive, excellent hours - no evenings, rarely weekends. Contact: contact@gloverfamilypharmacy.ca, fax: 604.534.8383 A part-time pharmacist is required for a pharmacy in a medical building in downtown Langley city. Store hours are Monday to Friday, 9am - 6pm, and Saturday, 9am - 5pm. The pharmacy is closed Sundays and holidays. Experience on applied robotics an asset. For further info, please contact Gerry Kitson, valphar@hotmail.com OSOYOOS Pharmasave Osoyoos is seeking a friendly fulltime BC licensed pharmacist to join our team. New Grads welcome to apply. Would you like to have the

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opportunity to actually get to know your patients and build a strong rapport with the local health care professionals? For the past year we have made medication management counseling a priority and offer various clinical services to our patients; we encourage our pharmacists to get out from behind the counter and connect with the community. We offer a comprehensive benefits package. If you are interested in joining our Pharmasave family you are invited to submit your resume in confidence to: Pam Davis & Jolly Gill at pdavis@pharmasave011.com Pharmasave Osoyoos is seeking a friendly full-time BC licensed pharmacy technician. We are looking for an individual who is highly motivated, organized, and has great customer service skills and. Previous experience is an asset. Please submit your resume in confidence to Pam Davis & Jolly Gill, at pdavis@pharmasave011.com Pharmasave Osoyoos is seeking a pharmacy student for the remainder of the summer of 2012. We would like to invite you to have a great learning experience this summer. Your primary focus will be patient focused care under the supervision of a pharmacist. Please submit your resume in confidence to Pam Davis & Jolly Gill at pdavis@pharmasave011.com PORT ALBERNI Vancouver Island Health Authority is seeking a pharmacy coordinator and casual pharmacists for the West Coast General Hospital in Port Alberni on Vancouver Island. Three years running, VIHA has been a Top Employer in Canada and BC. Comprehensive benefits accompany the competitive salary. To learn more and apply: https://viha.hua.hrsmart.com/ats/ job_search.php Pharmacy Coordinator: https://viha.hua.hrsmart.com/ ats/js_job_details.php?reqid=4244 Pharmacist: https://viha.hua.hrsmart.com/ats/js_job_ details.php?reqid=5663 PORT COQUITLAM Pharmasave in Port Coquitlam is looking for a parttime or full-time pharmacist to join our team. The ideal candidate will be self motivated and possess excellent communication skills. Prior knowledge of Kroll, compounding experience, injection training certification and compression stocking fitting would be an asset. We are a community based pharmacy focused on customer care. If you would like to be part of our pharmacy team please email your resume in confidence to Darin Fenton at ps190job@telus.net PRINCE GEORGE Costco Pharmacy operates 63 pharmacies in 8 provinces across Canada. Our pharmacies provide an environment that enhances patient care. Costco offers great salary, benefits and opportunities. If you are seeking a challenging and rewarding career in a professional retail pharmacy, we are looking for you. The qualified candidates will be highly motivated to provide excellent pharmacy care and customer service. Please apply by emailing or faxing your resumes to: Ed Toth, B.S.P, Pharmacy Operations Manager, Western Canada. Phone 604.444.9344, Fax: 425.427.7735, etoth@costco.com.


SALMON ARM Pharmasave 244 in beautiful Salmon Arm is now accepting applications for a full-time pharmacy assistant/technician position. We are looking for a friendly and experienced individual to join our team of professionals. Please submit your resume in confidence to Troy Cook at tcook@pharmasave244.ca SURREY NAZ’s Pharmacy is seeking a full-time pharmacist for our Surrey location. We are a group of independent, community-based pharmacies that provide patientcentered practices.We offer the autonomy of an independent pharmacy, with the stability, competitive wage and benefits package of the large chain stores, without the micromanaging and corporate layers. We pride ourselves on our dedication to our employees and interest in long-term relationships. New graduates and any experience level welcome to apply. Please send resume to Nafisa Merali, Tel: 604.603.7923, Fax: 604.608.3230, hr@nazpharmacy.com. Community Care Pharmacy is looking for a full-time licensed pharmacy technician. We specialize in long term care. You would be working with 6 pharmacists and 4 pharmacy technicians. Competitive wage and benefit package. Hours are 9 to 5:30, no Sundays. Your work schedule would be more conductive to family life. Please call Godfriet Keller, 604.583.5312 godfriet@shaw.ca Part-time pharmacist needed for independent community pharmacy. Friendly environment, flexible shifts and no evenings. We offer a competitive wage. Must be able to work some weekends. New Grads Welcome! Please fax your resume. Contact: T el. 604.543.6677, Fax 604.543.4433 Looking for a motivated pharmacist who is available nights, weekends and some day shifts as well. Must be motivated to participate in Medication Reviews and help us grow the business. Provide top notch customer service while adhering to all our policies and procedures. Job opening should be available end of July. Shifts will consists primarily of 6 to 8 hours. Call or email for more information. asdm2235@ shoppersdrugmart.ca, phone: 604.495.8382, fax: 604.495.8386 VANCOUVER Part-time pharmacist position available ‘immediately’. Shoppers Drugmart Pharmacy is located at 3303 Main St Vancouver BC, V5V 3M8. Please contact Henry Tel: 778.328.9580 or email “Associate SDM2252” asdm2252@shoppersdrugmart.ca. NAZ’s Pharmacy is seeking a full-time pharmacist for our Vancouver location. We are a group of independent, community-based pharmacies that provide patient-centered practices. We offer the autonomy of an independent pharmacy, with the stability, competitive wage and benefits package of the large chain stores, without the micromanaging and corporate layers. We pride ourselves on our dedication to our employees and interest in long-term relationships. New graduates and any experience level are welcome to apply. Please send your resume to Nafisa Merali, Tel: 604.603.7923, Fax: 604.608.3230, Email: hr@nazpharmacy.com Macdonald’s Prescriptions (Fairmont Building) is looking for a full-time registered pharmacy technician. Our company provides the full range of services

from regular dispensing, all types of compounding, unit-dosing packaging, specialty renal pharmacy, plus more. No evenings or Sundays and holidays. Must be able to work under minimal supervision, handle occasional pressure effortlessly, and work well in a fast paced environment as a team member. Compounding and sterile prep experience will be an asset and necessity. Very competitive salary ($25 + per hour) and benefits. Please fax resume to 604.872.4207 or email vzuccaro@unipharm.com. The Chemist Pharmacy is seeking a full-time pharmacist/pharmacy manager. Competitive wages plus full extended medical and dental coverage. New grads welcome. Please send resumes to careers@ thechemist.ca or call 604.928.3837, Fax: 604.630.2351 for more information. Looking to hire ASAP. Two regular part-time pharmacists who are able to work two of the three shifts from Friday to Sunday (no evenings or holidays). Available to provide paternity leave and vacation coverage in June, July, August 2012 and Jan 2013, experienced in retail pharmacy, exceptional communicational and organizational skills, able to work productively as a member of a dynamic team. If required, willing to work at two different locations, both in the Lower Mainland. Second language is an asset. Please apply via email ymm@yyoung.com or by fax 604.324.1727 Pharmasave at Broadway and Commercial is looking for a full-time experienced regulated pharmacy technician (or assistant) for our busy pharmacy. We offer a great benefits package and competitive wage. Work experience with Kroll is an asset. Looking for an individual who is organized, friendly; works well with others and has great customer service skills. Please e-mail your resume in confidence to Zaitoon at ps077@telus.net. Phone 604.251.1293, Fax: 604.251.1248. Part-time pharmacist needed for an independent pharmacy in Vancouver. No Sundays or evenings required. Cantonese speaking is an asset. If interested, please call Mary at 604.683.6381 or fax resume to 604.683.8623. A busy pharmacy is looking for a self-motivated, wellorganized, efficient registered pharmacy technician to join our team in Vancouver full-time. You must work well under minimal supervision, handle pressure effortlessly, work as a team player, be able to take initiative and prioritize your work load. You must have strong and efficient technical skills as this position is very fast paced. Excellent hours, no evenings or weekends. Competitive wage starting at $25.00 $28.00 per hour based on experience. Medical and Xental package provided after 3 months. We cover your liability insurance through BCPhA and the CPBC annual fee. Fax resume to 778.737.2889 or email khtong@shaw.ca VICTORIA Part-time staff pharmacist 26.5 hours per week. You must be licensed to practice in BC. Experience in retail pharmaceutical systems and dispensing procedures, exceptional communication and organizational skills, strong patient satisfaction orientation, ability to maintain the optimum balance between the profession and business of pharmacy, strong problem solving skills, work productively as a member of a dynamic and fast-paced team. Excellent base salary rates, career growth opportunities. Successful applicants may be required to complete a criminal record screening

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before commencing employment with Katz Group Canada Ltd. Please send resumes to njoshi@rexall.ca. Permanent part-time Home and Community Care Pharmacist, responsible for practicing client centered care by identifying and resolving potential drug therapy problems in the community setting. Provides medication counseling and drug information to clients and health care workers. Conducts home visits for community-dwelling clients and provides academic detailing sessions to optimize prescribing practices. For more info see Vancouver Island Health Authority posting at: https://viha.hua.hrsmart.com/ats/ js_job_details.php?reqid=7284 or contact Leslie Barker phone: 250.388.2285, cell: 250.213.2207 Full-time pharmacist (4 month contract) required to work at the UVic Campus Pharmacy, Shelbourne Plaza Pharmacy and Cadboro Bay Compounding Pharmacy, owned and operated by Naz Rayani. Looking for an engaged, clinically oriented outgoing pharmacist to work at our unique community pharmacies. Our focus is on patient-centered practice with a desirable and friendly population. All applications are confidential. Compensation is commensurate with experience. Please submit applications to jobs@victoriapharmacy.com Full-time pharmacist and full-time pharmacy technician required to work at the UVic Campus Pharmacy, Shelbourne Plaza Pharmacy and Cadboro Bay Compounding Pharmacy. Our focus is on patient-centered practice with a desirable and friendly population. All applications are confidential. Compensation is commensurate with experience. jobs@victoriapharmacy.com Vancouver Island Health Authority has an exciting pharmacy leadership position available! We are looking for a new Director of Pharmacy to be based in Victoria, BC. Join a top employer with great benefits and a competitive salary. For more information: Email: hraccesshumanresources@viha.ca Full-time or part-time staff pharmacist needed. Must be licensed to practice in BC; have experience in retail pharmaceutical systems and dispensing procedures; exceptional communication, organizational skills, strong patient satisfaction, ability to maintain the optimum balance between the profession and business of pharmacy, strong problem solving and analytical skills. Ability to work productively as a member of a dynamic and fast-paced team. Katz Group Canada Ltd. offers excellent base salary rates, annual bonus opportunity, full benefits package, educational allowances, paid med. checks, career growth opportunities. Please send resumes to njoshi@rexall.ca. Forbes Pharmacies are a local success story, located in beautiful Victoria, now accepting resumes for parttime and full-time pharmacists to join and add to our success. When you join The Forbes Pharmacy Group you become one of the family. We work hard and well as a team. Your strengths and passions are recognized. We offer a competitive salary and benefits package, and full pharmacy technician coverage. Please submit your CV along with cover letter to Forbes’ President, Mike Forbes, at mforbes@forbespharmacy.ca. WHITE ROCK Medicine Guru-PharmaChoice is seeking a pharmacist for our White Rock location. We are an independent community based pharmacy operating under PharmaChoice banner. Looking for a relief pharmacist who can work few morning hours during most of the

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weekdays. Pharmacist who has experience in the community pharmacy setting and who has worked in the White Rock community preferred. Please contact us to learn more, send resume to medicineguruwr@ pharmachoice.ca or fax at 604.542.4895 OPPORTUNITIES ACROSS BC COSTCO PHARMACY - part-time staff pharmacists and certified technicians required for various locations across BC. Costco Pharmacy provides a practice environment which enhances patient care and equipped with semi-private and private counselling areas, a great working environment, opportunities for advancement in addition to highly competitive rates. Benefit package includes extended health coverage, contribution to company pension, RRSP plans and CE reimbursement. Seeking ambitious, high-energy certified pharmacy technicians, who enjoy working in a fast-paced team environment. Please send your resumes to: Ed Toth, BSP, Pharmacy Operations Manager, Western Canada phone: 604.444.9344, Fax: 425.427.7735, E-mail: etoth@costco.com FOREWEST HOLDINGS - We are currently looking for pharmacists to join our rapidly expanding company. Forewest Holdings operates 30 locations in BC and Alberta and we will be expanding in the near future. Interested in hiring pharmacists committed to clinical pharmacy practice in the community setting, possess an entrepreneurial spirit and team players. Pharmacists interested in developing their skills to grow a pharmacy business in an independent environment encouraged to apply. Looking for pharmacists committed to building relationships with customers and physicians and will work hard to make their store a destination for health & wellness info. Please send your resume to spremji@forewest.ca LONDON DRUGS is accepting applications for pharmacist positions throughout BC. Pharmacists will have the opportunity to be involved with patient care initiatives offered such as INR monitoring, Long Term Care, Certified Diabetes Education, immunization and clinics such as osteoporosis screening, heart health, diabetes, and smoking cessation. We offer competitive salary and benefit package, moving allowances, professional working environment, scheduled meal breaks, semi-private counseling booths, automated robotic dispensing machines and employee discounts. Please apply in confidence to: Shawn Sangha, B.Sc. (Pharm), London Drugs Ltd. Pharmacy Operations Manager, BC. Tel: 604.272.7469, Fax: 604.448.1075 E-mail: ssangha@londondrugs.com OVERWAITEA FOOD GROUP - consisting of Overwaitea Foods, Save-On-Foods, PriceSmart Foods, Urban Fare and Coopers Foods are hiring. Staff pharmacist positions are available across BC and Alberta. Relief pharmacist floater positions and pharmacy technician positions in are also available. An excellent pharmacy practice environment with personal growth and career development potential. Very competitive wages and benefits including pharmacist incentive plan. Contact: Chi Quon, Regional Pharmacy Manager, 604.881.3574, fax: 604.882.7896, chi_quon@owfg.com, www.saveonfoods.com PEOPLES DRUG MART and Peoples Pharmacy have several locations throughout beautiful BC offering a desired combination of employment opportunity and unbeatable lifestyle. Contact: Smita Natha, Professional Services Manager, Peoples Drug Mart, 520-4400 Dominion Street, Burnaby, BC. V5G 4G3 Tel: 604.431.3595 ext. 26, Fax: 604.431.3596, Email: smitan@pdmstores.com

pharmacy for Katz Group Canada, a leading drug store company and the largest integrated retail pharmacy network in Canada. Rexall is dedicated to the health and well-being of our customers and patients and strives to provide the best possible pharmacy care in a pharmacy first environment. Our Long Term Care pharmacists and pharmacy techs provide highly specialized clinical and medication management services for residents of nursing homes, retirement residences, assisted living facilities and group homes through dedicated pharmacies. Please visit our website at www.rexallcareers.ca or contact Neerav Joshi, Pharmacy Recruitment Manager njoshi@rexall.ca SHOPPERS DRUG MART is one of the most recognized and trusted names in Canadian retailing. The company is the licensor of full-service retail drug stores operating under the name Shoppers Drug Mart. With over 1,000 Shoppers Drug Mart and Pharmaprix stores operating in prime locations in each province and three territories, the company is one of the most convenient retailers in Canada. At Shoppers Drug Mart, we have always remained true to our belief that the root of our success lies with our people. We pride ourselves on the quality and commitment of our employees who thrive on exciting challenges. THRIFTY FOODS - Bring your professionalism and your dreams to Thrifty Foods new frontier and become an important part of our company as we grow together. Pharmacy manager and staff positions available. Thrifty Foods Pharmacy is committed to offering a comprehensive pharmacy service to these communities. Competitive wages and benefits. Interested candidates please submit resume to Nafeesa Shaikh, Pharmacy Recruitment and Retention Specialist, Sobeys Pharmacy Group. Toll Free #: 1-800790-0733 x. 7704, Phone #: (902) 468-1000 x. 7704 Fax #: (877) 662-1955 BUSINESS OPPORTUNITIES At PHARMASAVE we understand that you want to be in business for yourself, not by yourself. You can have the best of both worlds! Maintain your freedom and independence while having access to the most comprehensive retail and professional programs in the industry. Pharmasave’s proven products, programs and strong national brand are always at your service. We are a true cooperative that is 100% member owned and governed. Not only do you benefit from owning your own business, you share in the economic advantages of a 400+ strong group of stores. You will be an owner in an organization that delivers all of its profits directly back to you, the shareholder. If you are a store owner/pharmacist interested in purchasing a pharmacy, or if you are planning on selling your business, please give us a call. Our only priority is you and your success! Contact Dave Reston, CEO, Pharmasave Pacific, Tel: 604.575.5730 or 1.800.665.3344, dreston@pharmasavebc.ca Port Alberni - A super community pharmacy for sale. Viable Rx department. Price will include 2700 sqft. Strata lot. Easier financing if required. Alberni Valley economy is on rebound. Tel: 250.723.9323, Fax: 250.723.8221 Are you thinking of selling your pharmacy? Overwaitea Food Group may be interested. If you would like more information contact us at pharmacybuyer2012@gmail.com. Email: pharmacybuyer2012@gmail.com Listings have been edited for brevity – for complete job postings please visit www.bcpharmacy.ca

REXALL- Since 1904, Rexall has been a trusted name in retail pharmacy. Rexall is also the flagship

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NEW MEMBERS General Sarah Al-Khafaji, Manishkumar Amin, Sandip Bains, Michael Barbary, Kulbir Basran, Orna Blumenfeld Elizur, Mark Chan, Wui Ming Chang, Vaughn Chauvin, Jason Chimko, Aram Cho, Elisabeth Clark, Jo Cindrelle’Lvira Dela Cruz, Anna Eldridge, Jeanette Ewasiuk, Amr Farghali, Leah Ferreira, Dieter Foss, Richard Fung, Brian Gardner, Vipandeep Grover, Jin Huh, Paul Isiko, Jung-Hwa Koo, Matthew Krumpak, Cindy Kuan, Dawn Laurienzo, Matthew Lee, Matthew Lloyd, Shamsher Mahil, Nazim Manji, Joelle Mbamy, Peter Neamatala, Mark Pastro, Ronakkumar Patel,Laura Poirier, Heather Price, Dinah Purewal, Michael Ragheb, Shilpa Ramani, Shatha Saleh, Ami Shah, Melody Shirvan, Manjinder Sooch, Jo-Ann Stimac, Diane Bei Tan, Alaa Tayel, Karim Virani, Elaine Wong, Adnan Dan Zafar Corporate Bridge Pharmacy PriceSmart Foods Pharmacy #2240 Shoppers Drug Mart #2109 Shoppers Drug Mart #2121 Target Pharmacy Canada The Antidote Pharmacy #2 ASSOCIATION CONTACTS Geraldine Vance Chief Executive Officer 604.269.2860, Geraldine.Vance@bcpharmacy.ca Parkash Ragsdale Deputy CEO, Director, Professional Services 604.269.2862, parkash.ragsdale@bcpharmacy.ca Cyril Lopez Chief Operating Officer 604.269.2869, cyril.lopez@bcpharmacy.ca Kathie Taylor Director, Communications 604.269.2863, kathie.taylor@bcpharmacy.ca Elise Riedlinger Manager, Communications 604.269.2866, elise.riedlinger@bcpharmacy.ca Vince Lee Manager, Member Services 604.269.2867, vince.lee@bcpharmacy.ca Bryce Wong Manager, Professional Services 604.269.2865, bryce.wong@bcpharmacy.ca Riva Pickering Coordinator, Professional Services 604.261.2092, riva.pickering@bcpharmacy.ca Linda Tinnion Assistant, Member Services 604.269.2864, linda.tinnion@bcpharmacy.ca Ray Chow Database Administrator Member & Corporate Services 604.269.2868, ray.chow@bcpharmacy.ca Emilija Stanic Executive Assistant 604.269.2861, emilija.stanic@bcpharmacy.ca Starr Rempel Receptionist and Administrative Assistant 604.261.2092, starr.rempel@bcpharmacy.ca 604.261.2092, Toll-free: 1.800.663.2840 info@bcpharmacy

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Partner: College of Pharmacists of British Columbia Diamond: Bayer Inc., LifeScan Canada Ltd., Merck Platinum: Boehringer Ingelheim (Canada) Ltd. Gold: Apotex Inc. Silver: London Drugs, Safeway, Shoppers Drug Mart Corporation Bronze: Pacific Blue Cross, Roche, Manulife Financial Exhibitors: ACR Systems Inc., Adams Cambie Insurance Services Ltd., Afexa Life Sciences Inc., Apotex Inc., Bayer Inc., Boehringer Ingelheim (Canada) Ltd., Desante Financial, Galenova, Heel Canada, Hydration Pharmaceuticals Canada Inc., Jamp Pharma Corporation, Johnstone’s Benefits, LifeScan Canada Ltd., Lundbeck Canada, McKesson Canada, Medical Futures Inc., Medisca Inc., Odan Laboratories Ltd., Pacific Blue Cross, PCCA Canada, Pendopharm, Purdue Pharma Canada, Roche, Sanofi, Scotiabank, Trudell Medical International, Xenex Laboratories

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