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The Official Publication

Of The Florida
Pharmacy Association
DEC. 2015

2016 LEGISLATIVE PREVIEW

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florida
PHARMACY TODAY
Departments
4 Calendar
4 Advertisers
5 Presidents Viewpoint
7 Executive Insight
20 FPA News & Notes
27 Buyers Guide

VOL. 78 | NO. 12
DECEMBER 2015
THE OFFICIAL PUBLICATION OF THE
FLORIDA PHARMACY ASSOCIATION

Features

9
13
14
15

FPA 2016 Legislative Preview

Governmental Affairs Committee


Call for Nominations Norm Tomaka & Family
Community Service Award
Lets Face It Facebook Utilization as a Tool
in Pharmacy Education

DECEMBER 2015

Mission
Statements:

FPA Calendar
2015-16

DECEMBER
24-25 Christmas Holidays
(FPA Office Closed)
JANUARY
1

New Years Day


(FPA Office Closed)

12

2016 Legislative Session Begins

19-20 Florida Pharmacist Legislative


Days Event
23 - 24 FPA Law and Regulatory
Conference
23-24 Law Conference
Sandestin
31

Last day to submit election ballots


FEBRUARY

28 - Awards Nomination Due

of the Florida Pharmacy


Today Journal
MARCH

4 - 7

APhA Annual Meeting


Baltimore, MD

11

Legislative Session ends

19-20 FPA Committee and


Council Meetings
Orlando
APRIL
16 - 17 FPA Clinical Conference
Tampa
MAY
1 - 3

NASPA Leadership Retreat

Deadline for FPA Resolutions

Deadline for Vice Speaker and


Director nominations

21-22 FPA CE Conference


Jacksonville

For a complete calendar of events go to www.pharmview.com


Events calendar subject to change
CE CREDITS (CE cycle)
The Florida Board of Pharmacy requires 10 hours LIVE Continuing Education as
part of the required 30 hours general education needed every license renewal period.
There is a new 2 hour CE requirement for pharmacists on the dispensing of controlled
substances effective this biennial renewal period.
Pharmacists should have satisfied all continuing education requirements for
this biennial period by September 30, 2017 or prior to licensure renewal. Consultant
pharmacists and technicians will need to review their licenses and registrations by
December 31, 2016.
For Pharmacy Technician Certification Board Application, Exam Information and
Study materials, please contact the FPA office.
For more information on CE programs or events, please contact the Florida Pharmacy
Association at (850) 222-2400 or visit our website at www.pharmview.com

The Florida Pharmacy Today Journal is


a peer-reviewed journal which serves as a
medium through which the Florida Pharmacy Association can communicate with
the profession on advances in the sciences of
pharmacy, socio-economic issues bearing on
pharmacy and newsworthy items of interest
to the profession. As a self-supported journal,
it solicits and accepts advertising congruent
with its expressed mission.

of the Florida Pharmacy Today


Board of Directors

The mission of the Florida Pharmacy Today


Board of Directors is to serve in an advisory
capacity to the managing editor and executive editor of the Florida Pharmacy Today
Journal in the establishment and interpretation of the Journals policies and the management of the Journals fiscal responsibilities.
The Board of Directors also serves to motivate
the Florida Pharmacy Association members
to secure appropriate advertising to assist the
Journal in its goal of self-support.

Advertisers
THE HEALTH LAW FIRM............................... 12
KAHAN HEIMBERG, PLC............................... 23
PHARMACISTS MUTUAL................................ 2
PPSC..................................................................... 21

CONTACTS
FPA Michael Jackson (850) 222-2400
FSHP Tamekia Bennett (850) 906-9333
U/F Art Wharton (352) 273-6240
FAMU Leola Cleveland (850) 599-3301
NSU Carsten Evans (954) 262-1300
DISCLAIMER

Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered. This information is provided with the
understanding that neither Florida Pharmacy Today nor the Florida Pharmacy Association
is engaged in rendering legal or other professional services through this publication.

If expert assistance or legal advice is required, the services of a competent professional
should be sought. The use of all medications or other pharmaceutical products should be
used according to the recommendations of the manufacturers. Information provided by
the maker of the product should always be consulted before use.
4 |

FLORIDA PHARMACY TODAY

E-MAIL YOUR
SUGGESTIONS/IDEAS TO
dave@fiorecommunications.com

The Presidents Viewpoint


BY GUEST COLUMNIST SCOTT TOMERLIN PRESIDENT-ELECT

Pharmacists as Health Care Providers

Whats in a Name, and Why is it Important?

t is widely accepted that pharmacists are experts in medication therapy management (MTM) and are
also considered to be the most accessible of all health care professionals. In
many areas of pharmacy, pharmacists
have multiple daily patient care interactions that lead to improved patient outcomes.
Over the years, pharmacy has adapted its practice to meet the needs of the
changing health care environment. For
example, consider the adoption of patient care standards, MTM and immunizations as expanded areas of pharmacy practice. Additionally, registered
pharmacy interns are now able, with
proper training and supervision, to
administer all vaccines recommended
by the CDC to adults. We are dedicated to the empowerment of pharmacists
in the advancement of our profession,
so as to remain a viable partner in the
health care continuum for both ourselves and future pharmacists.
FPA Past President Karen Whalens
presidential theme, Collaboration is
Key, is especially pertinent now. The
Florida Pharmacy Association (FPA),
Florida Society of Health-Systems
Pharmacists (FSHP) and Florida Independent Pharmacy Network (FIPN)
have collaborated on the language for
a new Senate Bill (SB 692), sponsored
by Sen. Denise Grimsley, and a House
companion bill (HR 547) sponsored by
Rep. Edwin Narain. This new legislation is entitled Access to Pharmacist
Services Act of 2016. The FPA Board of
Directors endorses this bill.
Passage of the Access to Pharmacist Services Act of 2016 would allow
a consultant pharmacist or Doctor of
Pharmacy licensed in Florida to per-

form such acts already occurring in the


Veterans Administration, U.S. Public
Health Services Corps, nursing homes
and home health care institutions to
occur in all areas of pharmacy practice
and would further define and clarify
the pharmacist scope of practice to include:

FPA Past President Karen


Whalens presidential theme,
Collaboration is Key, is
especially pertinent now.
The Florida Pharmacy
Association (FPA), Florida
Society of Health-Systems
Pharmacists (FSHP)
and Florida Independent
Pharmacists Network
(FIPN) have collaborated
on the language for a
new Senate Bill (SB 692),
sponsored by Sen. Denise
Grimsley, and a House
companion bill (HR 547)
sponsored by Rep. Edwin
Narain.

Medication management, patient


health and wellness assessments,
counseling and referrals related to

Scott Tomerlin, FPA President-Elect

medications and health care services for all pharmacists in all practice
settings.
Order and evaluate any laboratory,
diagnostic or clinical testing in all
practice settings when, in the judgment of that pharmacist, it is considered necessary for patient care,
as currently allowed by consultant
pharmacists and Pharm. D.s in licensed home health care agencies
and nursing home facilities.
Initiate, modify, discontinue and
administer drugs within the context
of a drug therapy management order or in collaboration with one or
more providers in all practice settings.

This act, if passed, directly spells


out in legislation, that pharmacists are
health care providers and that, in collaboration with other health care colleagues, we are part of the health care
DECEMBER 2015

2015-16 FPA Board of Directors


The Florida Pharmacy Association gratefully acknowledges the hard work
and dedication of the following members of the FPA leadership who work
diligently all year long on behalf of our members.

Suzanne Kelley..................................................................................................Board Chair


Timothy Rogers..........................................................................................FPA President
Alexander Pytlarz.................................................................................... FPA Treasurer
Scott Tomerlin...........................................................................................President-Elect
Jackie Donovan........................................................................Speaker of the House
Carol Motycka................................................................Vice Speaker of the House
Thomas Johns......................................................................................... FSHP President
Jennifer Raquipo................................................................................. Region 1 Director
Michael Hebb.........................................................................................Region 2 Director
Tom Cuomo.............................................................................................Region 3 Director
Linda Lazuka.........................................................................................Region 4 Director
Robert Parrado...................................................................................Region 5 Director
Luther Laite IV.....................................................................................Region 6 Director
David Mackarey.................................................................................. Region 7 Director
Humberto Martinez..........................................................................Region 8 Director
Mitchell Fingerhut.............................................................................Region 9 Director

Florida Pharmacy Today Journal Board


Chair.............................................................. Carol Motycka, motycka@cop.ufl.edu
Vice Chair....................................................Cristina Medina, cmmedina@cvs.com
Treasurer....................Stephen Grabowski, sgrabowski@seniormmc.com
Secretary.............. Verender Gail Brown, brownvgrx4304@hotmail.com
Member.................................................Joseph Koptowsky, docjik1215@aol.com
Member.............................. Rebecca Poston, Rebecca.Poston@flhealth.gov
Member.................................................Patricia Nguebo, notablep@hotmail.com
Member................................................................Norman Tomaka, FLRX9@aol.com
Member........................................................................Stuart Ulrich, Stuarx@aol.com
Member............................................................. Don Bergemann, don@bceinfo.com
Executive Editor................Michael Jackson, mjackson@pharmview.com
Managing Editor...................Dave Fiore, dave@fiorecommunications.com
Journal Reviewer....................... Dr. Melissa Ruble, mruble@health.usf.edu
Journal Reviewer....................................Dr. Angela Hill, ahill2@health.usf.edu

team. This opens the door to allow


health benefit plans or insurers to
provide payment or reimbursement
for pharmacists patient care services
when the services are provided under
the pharmacists lawful scope of practice.
Benefits of achieving pharmacist
provider status may include:
Improved patient access to pharmacist-provided patient care services.
Deeper integration of pharmacist
collaboration with other health care
providers in patient care and medication adherence outcomes.
Defined opportunities for pharmacists in provision of patient care.
Greater professional satisfaction as
a result of positive impact in patient
care outcomes.
Increase in demand of pharmacistprovided patient care services.
A pathway for third-party reimbursement of pharmacist-provided
patient care services.
The ability to help play a role in
quality measures that are now the
mainstay of many health care systems.
This legislation further creates a
greater demand for pharmacist patient
care services. Data consistently illustrates that investment in pharmacistprovided patient care services yields a
return in overall health care cost savings and improved patient care outcomes far greater than the amount invested in providing these services.
Since 1997, Doctors of Pharmacy and consultant pharmacists were
given the authority to order laboratory and diagnostic assessments in the
nursing home and home health care
settings under Florida law. Through
the joint partnership of FPA and FSHP,
both associations are working together
to modify this existing law to allow a
greater number of patients to be served
(in all settings) by including pharmacists who are currently excluded from
this law.
The FPA has a longstanding House
of Delegates-approved policy that advocates for the expansion of laboratory
services that Doctors of Pharmacy and
See Viewpoint continued on p. 8

6 |

FLORIDA PHARMACY TODAY

Executive Insight
BY MICHAEL
JACKSON,
RPH
MICHAEL JACKSON, BPHARM,
EVP & CEO,
FLORIDA
PHARMACY ASSOCIATION

Reducing Competition to Save Money

lorida has undergone significant


changes within its Medicaid program over the past five years.
What started out as a pilot project has
now expanded into a statewide managed care program for Medicaid recipients, essentially privatizing health
care services for the poor and indigent. As part of this project, Medicaid
patients were asked to select available
health plans in their region with the assistance of a choice counselor. There is
even a tool available online so patients
can use their computers from the comfort of their homes. Enrollment is mandatory for all Medicaid recipients with
the exception of:
Women who are eligible only for
family planning services;
Women who are eligible only for
breast and cervical cancer services; and
Persons who are eligible for emergency Medicaid for aliens.
The purpose of such a program was
created by the Legislature under Part IV
of Chapter 409 of the Florida Statutes,
and likely its purpose was to better ensure predictability and sustainability of
the costs associated with Florida Medicaid. Lets keep in mind that Medicaid
is actually a state and federal collaboration of health care for the indigent with
funding from both state and federal
agencies. According to an October presentation to the Senate Health and Human Services Subcommittee, the federal government pays about 60.5 percent
of the Medicaid program costs, with the
state picking up the remaining 39.5 percent.
Changes in the pharmacy costs for
Medicaid, and likely for health care in

general, are being attributed to the costs


of hepatitis C and cystic fibrosis drugs.
Many of our member providers are also
seeing very large increases in the costs
of prescription drugs, and may be the
focus on any policy decisions that the
legislature may look at.
This is all very interesting, but let us
get back to the subject of this article and

According to an October
presentation to the Senate
Health and Human
Services Subcommittee,
the federal government
pays about 60.5 percent
of the Medicaid program
costs, with the state
picking up the remaining
39.5 percent.
open up what is happening to pharmacy. Recent activity in the managed care
industry for this patient population saw
a number of pharmacies learning that
they were no longer part of their areas
Medicaid managed care network for
pharmacy services. We are seeing a side
effect of the statewide Medicaid managed care program, no pun intended.
In response to inquiries from the
FPA membership, a letter was sent to
the Agency for Health Care Adminis-

Michael Jackson, B.Pharm

tration expressing dismay over the retraction of pharmacy networks. The


FPA was concerned over patient access
and choice and asked that the Agency
provide more information to Medicaid
recipients on how they can seek assistance when choosing plans. Of course,
there isnt much of a choice when some
regions of Florida have only two plan
options to select.
It is also troubling to discover that
provider network access standards required of these plans include that a
pharmacy has to be within a 20-mile
drive in an urban area, or within 45
miles if the patient lives in a rural area.
Let us put this particular discussion
on the geographic map for an area in
Northwest Florida. Meeting these network access standards by the plans
means that it is OK for a Medicaid patient to travel from Century to Pensacola to get a prescription filled. For

See Executive Insight continued on p. 9


DECEMBER 2015 |

FPA STAFF
Executive Vice President/CEO
Michael Jackson
(850) 222-2400, ext. 200

Director of Continuing Education


Tian Merren-Owens, ext. 120
Controller
Wanda Hall, ext. 211

Educational Services Office Assistant


Stacey Brooks, ext. 210
Coordinator of Membership
Christopher Heil, ext. 110

Viewpoint continued from p. 6

consultant pharmacists can provide.


The intent of the Access to Pharmacist Services Act of 2016 is to be inclusive to ALL pharmacists, B.S. and
Pharm. D. degree holders alike, allowing B.S. pharmacist practitioners the
ability to participate in this opportunity. We believe that a pharmacist becomes a pharmacist upon completion
of licensure, regardless of the terminal

Scott Tomerlin, President Elect


Jackie Donovan, Speaker of the
House
Carol Motycka, Vice Speaker of the
House

FSHP OFFICERS
Tom Johns, President
Christine Gegeckas, Immediate
Past President

FLORIDA PHARMACY TODAY BOARD


Chair..................................... Carol Motycka, St. Augustine
Vice Chair................................Cristina Medina, Hollywood
Treasurer...............................Stephen Grabowski, Tampa
Secretary.........................Verender Gail Brown, Orlando
Member..................................... Joseph Koptowsky, Miami
Member..............................Rebecca Poston, Tallahassee
Member.............................................. Patricia Nguebo, Ocala
Member................................. Norman Tomaka, Melbourne
Member..............................Stuart Ulrich, Boynton Beach
Member.......................Don Bergemann, Tarpon Springs
Executive Editor.........Michael Jackson, Tallahassee
Managing Editor.........................Dave Fiore, Tallahassee

This is a peer-reviewed publication.


2015, FLORIDA PHARMACY JOURNAL, INC.
ARTICLE ACCEPTANCE: The Florida Pharmacy Today is a publication that welcomes
articles that have a direct pertinence to the
current practice of pharmacy. All articles
are subject to review by the Publication Review Committee, editors and other outside
referees. Submitted articles are received
with the understanding that they are not
being considered by another publication. All
articles become the property of the Florida
Pharmacy Today and may not be published
without written permission from both the
author and the Florida Pharmacy Today.
The Florida Pharmacy Association assumes
no responsibility for the statements and
opinions made by the authors to the Florida
Pharmacy Today.
The Journal of the Florida Pharmacy
Association does not accept for publication
articles or letters concerning religion,
politics or any other subject the editors/
publishers deem unsuitable for the
readership of this journal. In addition,
The Journal does not accept advertising
material from persons who are running
for office in the association. The editors
reserve the right to edit all materials
submitted for publication. Letters and
materials submitted for consideration for
publication may be subject to review by the
Editorial Review Board.
FLORIDA PHARMACY TODAY, Annual subscription - United States and foreign, Individual $36; Institution $70/year; $5.00 single
copies. Florida residents add 7% sales tax.
FLORIDA PHARMACY ASSOCIATION

610 N. Adams St. Tallahassee, FL 32301


850/222-2400 FAX 850/561-6758
Web Address: http://www.pharmview.com
8 | FLORIDA PHARMACY TODAY

The Pharmacist Services Act of 2016 is a step toward


advancement of pharmacist-direct patient care services
regardless of worksite, improved patient outcomes and a
reduction in overall health care spending.
degree. It is for this reason we have
advocated on behalf of ALL pharmacists to have the opportunity to be included in this bill.
If ever there was a time for pharmacists to unite and be active, it is
now. A unified profession is a strong
profession, active in its resolve, and
embracing new horizons without fear.
As was stated at the beginning of
this article, we are the most patientaccessible health care professionals.
The Pharmacist Services Act of 2016
is a step toward advancement of pharmacist-direct patient care services regardless of worksite, improved patient
outcomes and a reduction in overall
health care spending. When we join
together to collaborate with each other, the advancement of pharmacy will
be successful. At the end of the day,
our patients win, we win, and there
are no losers! Please join us today in
this endeavor.
Ask your state representative to
support HB547 by Rep. Edwin Narain
and SB692 sponsored by Sen. Denise
Grimsley.
FPA PRESIDENTS COMMITTEE
Timothy Rogers, FPA President
Suzanne Kelley, Board Chair
Alexander Pytlarz, FPA Treasurer

Kathy Baldwin, President Elect


Tony Frezza, Treasurer
Steve Kessinger, Treasurer Elect
Jennifer Austin, House of Delegates Chair
George Malone, House of Delegates Chair Elect

FIPN OFFICERS
Steven Nelson, President
Lois Adams, Vice President and
PAC Vice-Chair
Scott Paramore, Secretary and
Treasurer

EDITORS NOTE: House Bill 547


was heard in the Heath Quality Subcommittee at their meeting on Dec. 1. While
this bill had general support by the committee, questions were raised on several
amendments that were approved to go on
the bill. This created some confusion, along
with objections from the medical associations. The committee elected to temporarily postpone further action on the bill. The
Florida Pharmacy Association and Florida Society of Health-System Pharmacists
met with the Florida Medical Association
in an attempt to sort out the confusion and
craft a plan to achieve the intent of the legislation. The 2016 legislative session will
begin on Jan. 12 and this bill may have another opportunity for review.

Executive Insight continued from p. 7

our members that may not be familiar with that area of Florida, a patient
would have to travel from the Florida
Alabama line in the northern end of
Escambia County to the southern end,
a few miles from the Gulf of Mexico. Dont forget that after the prescription is picked up, the patient must then
travel home, which would be a 90-mile
round trip.
Remember that we are talking about
a patient population that has limited income or resources and must rely
upon public support for their health
care. Many of these patients may already be transportation-challenged.
In some cases, there may be a pharmacy in the communities where these
patients live that is willing to provide
high-quality pharmacy services but, for
whatever reason, the pharmacy is not
considered eligible to be a participating

Many of these patients


may already be
transportation-challenged.
In some cases, there
may be a pharmacy in
the communities where
these patients live that is
willing to provide highquality pharmacy services
but, for whatever reason,
the pharmacy is not
considered eligible to be a
participating provider.
provider.
So what is the purpose and reason
for restricting access to pharmacies by
these plans? Some of what we are hearing is that limiting the network makes
it easier to get favorable pricing on pre-

scription drugs from pharmacy providers. In theory, if a pharmacy is able


to get a larger market share, then that
should lower costs to the payer. Retraction of the pharmacy market through

local newspaper can be an opportunity to get your message on the desks of


decision makers. I imagine that members of the Florida House and Senate
read news from their districts on the

If you are affected by these network closures,


the comment pages in your local newspaper
can be an opportunity to get your message on
the desks of decision makers.
network restrictions may lower prescription drug costs in theory, but that
is not what we see happening with
claims of pharmacy costs increasing.
Somewhere, the math is not adding up.
While we are on this discussion,
why is it that a pharmacy business that
has been serving patients for years,
that can provide value-added services such as medication therapy management, comprehensive medication
review, home delivery, increasing immunization rates and other similar services, is denied the ability to care for
the citizens in their community? Remember that these are the same business entities that support the local little
league baseball teams, school functions
and other charitable events. They are
the local businesses that pay the taxes and fees used to fund the very entitlement programs that their neighbors
may rely upon in periods of financial
need. Why are the dollars that they pay
to the state and federal government to
support health care and other services
OK, but their professional services are
not acceptable?
Obviously, we will not get the answers to those questions, so the best
thing to do is to change public opinion
and public policy. You change public
opinion by getting those you have been
serving over the years to speak for you.
If you are affected by these network
closures, the comment pages in your

issues. There might be some things in


this article that you can use to shape
your messaging. On the public policy side, the Legislature has to be made
aware of what is happening with Medicaid. They need to understand how restricting networks and limiting access
affects quality of care for the indigent.
We believe that pharmacy providers
want to compete in an open marketplace and create jobs and opportunities. You cannot do that if the only door
of opportunity you have to go through
is closed, locked and sealed.
The FPA is in conversation with
key members of the House and Senate on this issue. While we are having this conversation, we need for each
of our members to do the same with
your state legislators. Watch future Stat
News for action items for the 2016 legislative session.

DECEMBER 2015

FPA 2016 Legislative Preview


By Michael Jackson, FPA EVP/CEO
tools, such as our Facebook page, our Twitter account and our
breaking news section on the FPA website. Watch for our Stat
News messaging on emerging issues that you may need to
be aware of. Should the FPA send you an alert asking you to
reach out to members of the House and Senate or to the Governors Office, your active participation can make a difference.
We have enjoyed several years of proactive legislative campaigns and want to keep that momentum going. Also, mark
your calendars for Jan. 19 20, 2016 and plan to attend the
Florida Pharmacists Legislative Days here in Tallahassee.
Below are some of the issues of interest that we are either
monitoring or advocating for. A full report will be made
available during the annual meeting in Ft. Lauderdale on
June 30 July 3, 2016. We hope that you will attend.
CURRENT LEGISLATION
KEY BILLS

The 2016 legislative session is right around the corner,


with an early start in January. Normally, the session begins
in March and runs 60 days. The House and Senate will begin their work Jan. 12 and will end on March 11, unless there
is a need to extend. For the past several years, the Florida
Pharmacy Association has been working on numerous pharmacy issues, including expansion of immunization services, getting clarity on maximum allowing cost pricing by the
PBMs and changing the clinical laboratory statutes to recognize pharmacists as health care providers. These issues, and
many more, are included in the legislative report that you can
find on the Pharmview.com menu under FPA Advocacy Program. You can also find information in the May 2015 issue of
Florida Pharmacy Today in an article entitled Another Home
Run Session.
Planning for the 2016 session began back in July after the
annual meeting, when the Governmental Affairs Committee
met to craft our 2015-2016 advocacy plan. This plan was presented to the FPA Board of Directors at their August meeting
and (with some minor changes) approved. Our lobbyists and
FPA staff are already working on issues related to that plan
and collaborating with the Florida Society of Health System
Pharmacists. Information is being published on proposed legislation that can be found on Phamrivew.com in our Legislative Action Center. There is already an action alert related
to closed pharmacy networks that our journal readers need to
pay close attention to. You can follow the progress on these issues through our website and through the FPAs social media
10

FLORIDA PHARMACY TODAY

Bill Name: SB 748 - Physician Assistants


Bill Summary: Revising circumstances under which a
physician assistant may prescribe medication; authorizing a
licensed physician assistant to perform certain services as delegated by a supervising physician; deleting provisions related
to examination by the Department of Health; requiring a designated supervising physician to maintain a list of approved
supervising physicians at the practice or facility, etc.
Position: Monitoring
Bill Name: SB 676 - Prescribing of Medications
Bill Summary: Expanding the categories of persons who
may prescribe brand name drugs under the prescription drug
program when medically necessary; requiring a hospital to
provide specified advance notice to certain obstetrical physicians before it closes its obstetrical department or ceases to
provide obstetrical services; requiring the Board of Nursing
to establish a committee to recommend a formulary of controlled substances that may not be prescribed, or may be prescribed only on a limited basis, by an advanced registered
nurse practitioner; requiring that certain health insurers that
do not already use a certain form use only a prior authorization form approved by the Financial Services Commission,
etc.
Position: Monitoring
Bill Name: SB 210 - Prescribing of Medications
Bill Summary: Health Care; Expanding the categories of
persons who may prescribe brand name drugs under the prescription drug program when medically necessary; exempt-

ing controlled substances prescribed by an advanced registered nurse practitioner or a physician assistant from the
disqualifications for certification or licensure, and for continued certification or licensure, as a deputy pilot or state pilot; applying existing penalties for violations relating to the
prescribing or dispensing of controlled substances by an advanced registered nurse practitioner; redefining the term
practitioner to include advanced registered nurse practitioners and physician assistants under the Florida Comprehensive Drug Abuse Prevention and Control Act for the purpose
of prescribing controlled substances if a certain requirement
is met, etc.
Position: Monitoring

pharmaceutical services exclusively from a mail order pharmacy, etc.


Position: We support this legislation

Bill Name: SB 152 - Ordering of Medication


Bill Summary: Revising the authority of a licensed physician assistant to order medication under the direction of a supervisory physician for a specified patient; authorizing an advanced registered nurse practitioner to order medication for
administration to a specified patient; authorizing a licensed
practitioner to authorize a licensed physician assistant or advanced registered nurse practitioner to order controlled substances for a specified patient under certain circumstances,
etc.
Position: Monitoring

Bill Name: HB 583 - Provision of Pharmaceutical


Services
Bill Summary: HB 583 Mail Order Services - Provides requirements for health insurers & HMOs with respect to pharmaceutical services received from mail order pharmacies;
requires health insurers & HMOs to provide insured & subscribers living with chronic illness explanation & comparison
of payment methods & charges for pharmaceutical services
from mail order pharmacies & other providers of pharmaceutical services.
Position: We support this legislation

Bill Name: HB 423 - Drug Prescription by Advanced


Registered Nurse Practitioners & Physician
Assistants
Bill Summary: Expands categories of persons who may
prescribe brand drugs under prescription drug program
when medically necessary; exempts controlled substances
prescribed by ARNP or physician assistant from disqualifications for certification or licensure as deputy or state pilot; applies certain existing penalties to ARNPs; requires ARNPs &
physician assistants who prescribe controlled substances to
make certain designation, comply with registration requirements, & follow specified standards of practice; redefines
term practitioner to include ARNPs & physician assistants
under Florida Comprehensive Drug Abuse Prevention &
Control Act.
Position: Monitoring

Bill Name: HB 547 - Access to Pharmacist


Services Act
Bill Summary: Provides responsibilities of consultant
pharmacist & doctors of pharmacy; provides for payment or
reimbursement for certain pharmacist services.
Position: We support this legislation

PHARMACY PRACTICE
Bill Name: SB 780 - Provision of Pharmaceutical
Services
Bill Summary: Providing that an insured living with a
chronic illness may not be required to obtain pharmaceutical
services exclusively from a mail order pharmacy; requiring
health insurers to provide to an insured living with a chronic illness an explanation and comparison of payment methods and charges for pharmaceutical services from mail order
pharmacies and other providers of pharmaceutical services;
providing that a health maintenance organization subscriber living with a chronic illness may not be required to obtain

Bill Name: SB 692 - Access to Pharmacist


Services Act
Bill Summary: SB 692 - Practice of Pharmacy - Citing this
act as the Access to Pharmacist Services Act; providing duties and responsibilities of a consultant pharmacist and a doctor of pharmacy; providing for payment or reimbursement for
a pharmacists patient care services separate and apart from
payment or reimbursement for prescription medications, etc.
Position: We support this legislation

CONTROLLED SUBSTANCE ISSUES


Bill Name: SB 852 - Medical Marijuana
Bill Summary: Repealing provisions relating to the compassionate use of low-THC cannabis; creating the Florida
Medical Marijuana Act; authorizing a registered patient or a
designated caregiver to purchase, acquire, and possess up to
the allowed amount of medical marijuana for a patients medical use; requiring a registered patient or a designated caregiver to demonstrate certain actions in order to maintain the
specified protections; requiring the department to notify law
enforcement of the expired or cancelled identification card in
certain circumstances, etc.
Position: Monitoring
Bill Name: SB 616 Cannabis
Bill Summary: Removing cannabis from the schedule of
controlled substances, etc.
Position: Monitoring
Bill Name: SB 554 - Hemp Production
Bill Summary: Citing this act as the Hemp Industry Development Act; specifying that hemp is an agricultural crop;
DECEMBER 2015 |

11

requiring the registration of hemp growers; providing registration requirements; allowing the department to assess registration fees; providing exemptions; providing for an affirmative defense to certain charges relating to cannabis; providing
exceptions to other laws, etc.
Position: Monitoring
Bill Name: SB 460 - Experimental Treatments for
Terminal Conditions
Bill Summary: Revising the definition of the term investigational drug, biological product, or device; providing for
eligible patients or their legal representatives to purchase and
possess cannabis for medical use; authorizing certain licensed
dispensing organizations to manufacture, possess, sell, deliver, distribute, dispense, and dispose of cannabis; exempting
such organizations from specified laws, etc.
Position: Monitoring
Bill Name: SB 422 - Health Insurance Coverage For
Opioids
Bill Summary: Providing that a health insurance policy
that covers opioid analgesic drug products may impose a prior authorization requirement for an abuse-deterrent opioid
analgesic drug product only if the insurer imposes the same
requirement for each opioid analgesic drug product without
an abuse-deterrence labeling claim, etc.
Position: Monitoring

Representing Health Care Professionals

DOH Investigations
Licensure Discipline
Medicare/Medicaid Defense
Administrative Hearings
Contract Litigation
George F. Indest III,
J.D., M.P.A., LL.M.

1101 Douglas Avenue


Altamonte Springs, FL 32714
Telephone: (407) 331-6620
www.TheHealthLawFirm.com

12

FLORIDA PHARMACY TODAY

Bill Name: HB 4021 Cannabis


Bill Summary: Removes cannabis from schedule of controlled substances; conforms provisions.
Position: Monitoring
Bill Name: HB 363 - Health Insurance Coverage For
Opioids
Bill Summary: Provides that health insurance policy covering opioid analgesic drug products may impose prior authorization requirement for abuse-deterrent opioid analgesic drug product only if insurer imposes same requirement
for each opioid analgesic drug product without abuse-deterrence labeling claim; prohibits such health insurance policy
from requiring use of opioid analgesic drug product without
abuse-deterrence labeling claim before providing coverage
for abuse-deterrent opioid analgesic drug product.
Position: Monitoring
Bill Name: HB 271 - Hemp Production
Bill Summary: Designates act Hemp Industry Development Act; specifies that hemp is agricultural crop; requires
registration of hemp growers; provides registration requirements; provides exemptions; requires rulemaking; provides
for affirmative defense to certain charges relating to cannabis;
provides exceptions to other laws.
Position: Monitoring
Bill Name: HB 65 - Pub Rec/Low-THC Cannabis
Patient Registry/DOH
Bill Summary: Exempts from public records requirements
personal identifying information of patients & physicians
held by DOH in low-THC cannabis patient registry or former
compassionate use registry; exempts information related to
ordering & dispensing low-THC cannabis; authorizes specified persons & entities access to exempt information; requires
that information released from registry remain confidential;
provides penalty; provides for future legislative review & repeal; provides statement of public necessity.
Position: Monitoring
Bill Name: HB 63 - Medical Use of Low-THC Cannabis
Bill Summary: Allows registered patients & designated
caregivers to purchase, acquire, & possess low-THC cannabis
subject to specified requirements; allows cultivation or processing licensee, employee, or contractor to acquire, cultivate,
transport, & sell low-THC cannabis; allows retail licensee to
purchase, receive, possess, store, dispense, & deliver low-THC
cannabis; prohibits certain actions regarding acquisition, possession, transfer, use, & administration of low-THC cannabis;
clarifies that person is prohibited from driving or boating under influence of low-THC cannabis; provides duties of DOH;
provides implementation requirements; specifies act does not
require or restrict health insurance coverage for purchase of
low-THC cannabis.
Position: Monitoring

Governmental Affairs Committee


By Bill Garst

The Governmental Affairs Committee (GAC) is charged with providing guidance to the Board of
Directors on legislative or regulatory issues.
This past summer, the GAC met in Orlando to discuss
plans for FPAs upcoming legislative agenda. The following
items were approved for guidance to the Board of Directors:
1. Advocate for standalone legislation and rule making
a. FPA should advocate for changes to F.S.
400.0121 that would help provide relief to
pharmacies that are struggling with getting
adequate supplies of pain medications to treat
their patients.
b. Intern registry should have a designated expiration date.
c. The three-hour vaccine safety requirements in
F.S. 465.009 should allow ACPE providers to
deliver this program.
d. Continue efforts to support national provider
status initiatives.
e. Advocate for changes to Florida laws to allow
pharmacists to dispense a 30-day supply of
maintenance medications (currently it is only
a three-day supply) when the provider cannot
be contacted.

2. Advocate for, if opportunity presented


a. Consider recommended changes to the pharmacy practice act as identified in the draft revisions to F.S. 463.0125 to help pharmacists with
patient health and wellness issues and advocate for changes if an opportunity is presented.
3. Monitor
a. Continue to monitor for development of Floridas medical marijuana initiatives.
What can you do to help? Right now there is movement
to shrink Medicaid networks to exclude many pharmacies.
Go to the FPA website (pharmview.com), click on FPA Advocacy Program, then Legislative Action Center, scroll down to Action Alert and click on Take Action under Medicaid Pharmacy
Networks Shrinking. Follow the instructions and you will find
your state senators and state representatives office phone
numbers, along with talking points. Give them a call and tell
them that limiting access to pharmacy services is a bad idea.
The talking points contain eight succinct points that explain
FPAs position very well.
DECEMBER 2015

13

Call for Nominations


Norm Tomaka & Family
Community Service Award
The Florida Pharmacy Foundation invites FPA
members to nominate a pharmacy student who has
rendered outstanding service for the 2016 Norm
Tomaka & Family Community Service Award.
Established last year by Norm Tomaka, this award recognizes a pharmacy
student who has demonstrated a sustained involvement in a charitable
organization or community service program at a state or local level, promoted
community service within the pharmacy profession and served as a positive
motivator for student pharmacists involved in the Florida Pharmacy Association.
Eligible nominees are students enrolled in a pharmacy school in the state of
Florida who are also active members of the FPA.
The lucky winner will be recognized at the 2016 Florida Pharmacy Association
Annual Meeting with a $1,000 check.
If you would like to obtain an official nomination form or learn more about
the Norm Tomaka & Family Community Service Award, please contact Anne
Wade at the Florida Pharmacy Foundation Office, annewfpf@gmail.com or 800222-2400. The deadline for nominations is January 13, 2016.

14

FLORIDA PHARMACY TODAY

Lets Face It Facebook Utilization as a Tool in


Pharmacy Education

Andreina Ottman, PharmD Candidate1*, Jacqueline Walker, PharmD Candidate1, Krisy-Ann Thornby,
Pharm.D.1, Assistant Professor of Pharmacy Practice
Lloyd L. Gregory School of Pharmacy
Palm Beach Atlantic University
901 South Flagler Drive
P.O. Box 24708
West Palm Beach, Florida 33416
andreina_ottman@pba.edu
Tel: 407-340-3337
*Corresponding author

Conflict of interest: The authors report


no conflicts of interest.
Main text word count: 2280
Separate references word count: 197
Number of references: 8
Number of tables: 2
Number of figures: 0

Introduction
The life of a current pharmacy student is driven by the evolution of technology and its effect on education.
With the advancement of technology
came the introduction of social media
(SM)an interactive platform for sharing, creating, discussing and modifying user-generated content; and social
networking sites (SNS)a platform to
buildsocial networksorsocial relationsamong people who share similar
interests, activities, backgrounds or real-life connections.1
The birth of SM has infused the current generation to increase its utilization for numerous reasons. The most
popular SNS is Facebook and as such, it
is a great medium for enhancing communication, generating revenue and
even increasing awareness.
A review article published in 20141
evaluated the use of social media
among students, faculty, administrators and pharmacists. This review included studies using content sharing
(e.g. Twitter, YouTube) and relationshipbuilding applications (e.g. Facebook).
Of the 24 studies included on social
media, Facebook was the most common SNS used in nine studies. Results
showed that 76 to100 percent of pharmacy students have a Facebook profile,
with as many as 75 percent logging in
daily.1
Additionally, between 45 to 65 percent of pharmacy faculty members
have a Facebook profile, and a small

proportion are using it for teaching


purposes.1 Almost half of the faculty
members on social media used it for
professional networking, and one quarter employed it to increase their professional knowledge and skills or to stay
abreast of news and information pertaining to their professional interests.1
Most importantly, 50 percent of pharmacy faculty with Facebook profiles
expressed a willingness to use Facebook for teaching purposes in the future.1
While social media has not been explicitly mentioned in the Accreditation Council for Pharmacy Education
(ACPE) guidelines, there is language
that could encompass the use of SM.
The accrediting standards for pharmacy schools discuss student engagement
in the 2016 ACPE guidelines. Standard 10 (Curriculum Design, Delivery and Oversight) includes a section
about actively engaging learners, integrating and reinforcing content across
the curriculum and addressing/accommodating diverse learning styles.2 This
standard could provide rationale for
schools to consider exploring greater
use of Facebook in the classroom.
An increasing number of professional programs are developing guidelines on e-professionalism, which will
be important with integration of social
media and as a result of increased student use. For current pharmacy practitioners, Facebook is already being used
to promote pharmacy organizations,

The purpose of this article is to discuss potential opportunities


for Facebook utilization in pharmacy schools, review how
pharmacy students may already be using it, discuss barriers
for its use and discuss how building this skill set could translate
to being a connected pharmacist not only within the pharmacy
profession, but other professions as well.
DECEMBER 2015

15

pharmacy events, as well as providing


a quick glimpse of up-to-date drug information. There are other popular SM
sites that are widely used, but Facebook
has gained the most nationwide recognition.
The purpose of this article is to discuss potential opportunities for Facebook utilization in pharmacy schools,

sities already have course management


systems (CMS) such as eCollege, Blackboard, Schoology, etc., which is a multifunction program intended to serve
as a teaching and learning resource between students and faculty.5 Current
CMS software functions give access to
students for course content, announcements, assignments, e-mail, assess-

Facebook has the potential to serve as an academic tool


for both students and faculty.
review how pharmacy students may already be using it, discuss barriers for its
use and discuss how building this skill
set could translate to being a connected
pharmacist not only within the pharmacy profession, but other professions
as well.
Facebook in the Classroom
On Aug. 24, 2015, Facebook reached
1 billion daily users for the first time,
which correlates to one in seven people on Earth using Facebook that day.3
With numbers like these, it is hard to ignore the popularity of this SM outlet.
The authors conducted a survey at
the Gregory School of Pharmacy at
Palm Beach Atlantic University. Results
showed that 87.4 percent of pharmacy
students used Facebook to access updates on classes, study guides and other activities related to the classroom.4
These results are consistent with a previous study1 and suggest that the use of
social media among pharmacy students
is increasing. Taking these studies into
account, there is a possible synergistic
relationship between Facebook integration and pharmacy education.
Facebook has the potential to serve
as an academic tool for both students
and faculty. Table 1 lists examples of
how Facebook can be used in the classroom as well as the concept, benefit
and implementation behind those uses.
While not all students will adopt Facebook for academic reasons, those who
do may find it to be convenient, timely and a method to increase faculty and
student interaction.
Currently, many colleges and univer16

FLORIDA PHARMACY TODAY

ments, calendar, learning modules, discussion, web links, whos online, roster,
chat, media library and goals of the
course.5
Chickering and Gamson developed
the seven principles for good practices in undergraduate education. These
principles are based on 50 years of research, and the goal of these principles
is to create an environment of enduring and powerful education.6 Although
the Pharm.D. degree is a professional degree, these principles can be useful when applied to this program. The
seven principles include encouraging
contact between faculty and students,
reciprocity and cooperation among students, active learning, giving prompt
feedback, communicating high expectations, emphasizing time on task and
respecting diverse talents and ways of
learning.6
A 2011 study5 sought to determine
if current CMS software correctly captures these seven principles. The research was conducted at a residential Association to Advance Collegiate
Schools of Business (AACSB)-accredited business school in California. Courses selected for participation included
consumer behavior, services marketing, e-marketing and strategic marketing management. Surveys were collected from 195 business students. Most
of the students were marketing majors
(81 percent) and all were upper division students (92.5 percent seniors and
7.5 percent juniors).5 The average respondent was 22 years old. The results
showed that many students assumed
technology would be integrated into

their college experience by faculty.5


Additionally, the study revealed that
students dislike using CMS software
for discussion, web links and media library; they rarely use it for calendar, chat, and goals.5 Lastly, this study
showed students perceptions of CMS
in regards to enhancing the seven
principles. Students felt that CMS did
not communicate high expectations, encourage cooperation among students, or
emphasize time on task.5
While these CMS systems contain
more tools than Facebook, students are
likely to use Facebook for many of the
programs more simple features described in Table 1. Not all course management programs have mobile applications, which make logging in and
receiving updates more cumbersome.
Taking into account students negative
perceptions about CMS and Facebooks
ease of use, it is evident that Facebook
as an academic tool has great potential.
Barriers of Implementing
Facebook
Although Facebook may have many
benefits to students, there may be barriers prohibiting pharmacy faculty to
readily adopt features of this social
media tool. These barriers include not
wanting to incorporate new technology
into the pharmacy curriculum, lack of
Facebook knowledge and fear of technology failure. Faculty may have reservations about how to integrate its use
in the classroom for many reasons. For
one, not all faculty may want or have a
Facebook account. For those who do, a
systematic planning method should be
in place. The faculty will need to set up
verbiage or a course policy for its use.
Some questions faculty might ask before integrating may be: will groups be
used; what about students who do not
want to create a Facebook account; will
information posted on Facebook also be
duplicative to what is posted on CMS;
is this a greater workload for faculty;
should Facebook hours be set for when
faculty are expected to post/respond;
does the course syllabi have policies to
handle misuse or lack of participation.
Considering the logistics of set-up, faculty may need to evaluate the benefits
relevant to each class and anticipate set-

Table 1: Examples of How to Use Facebook (FB) in the Classroom

FB Use
v
Real-time Q&A
v
Muddy Points
v
Threaded Discussion
v
Substitution of
Email

v
Document Sharing
v
Video Sharing
v
Providing Links to
Videos

Description of Concept, Benefits, How to Implement


Concept
o Assess concepts learned during class in real-time and clarify confusing or muddy points by using FB to ask students questions
o Start a threaded discussion with students to further clarify points or to assess students understanding of the material
o Students can post a question on the group wall instead of emailing the professor
Benefits
o Faculty can ask/post questions before/during lecture and have students respond on FB
o Students can ask questions during the lecture by posting on FB without interrupting the professor. If the class has an intermission, faculty can use this time to review questions or comments
posted and reply verbally or with a post on FB
o Faculty and students have unlimited access to view questions and answers posted on FB
o Decreases repetitive emails from students and allows faculty to answer questions for all to see
How to Implement
o Log into FB
o Create a professor group for class of 20xx (no quantity limit on members) and invite students to
join the group
o Prompt students to ask questions and post them on the wall of the group
o Answer questions by writing in the comment field of the post

v
Create Groups for
Projects

Concept
o Course management systems (CMS) such as eCollege, Blackboard, or Schoology are not habitually checked by students. These CMS programs are typically the area where professors post
important and helpful information/documents for students
o Unfortunately, there is no system in place to alert students of any new documents that have
been uploaded or shared by the professor
o By using FB to upload documents, the student will receive a notification that a new document
posted
o Professors and students can share videos or links to videos that may enhance the material being
covered in class
Benefits
o Students will stay up-to-date on materials uploaded by professors due to instant notifications
of any uploaded documents
o Professors and students can share videos or links to videos, which may facilitate learning for all
students
How to Implement
o Log into FB and click on group that the professor created for the class
o Click on add file to upload a document then click on add photo/video to upload a video
o Post link of video on wall of group
Concept
o Professors often assign group work to students, which can create many challenges for the students and professors involved
o To facilitate group work, professors can create groups for projects and encourage students to
communicate via FB
Benefits
o Professors can monitor the group to see which students are actively participating in the group
work
o Professors can have students upload drafts of assignments and view them at any time to monitor progress of the group
o Students can work remotely on the group work and do not need to meet as frequently face-toface
How to Implement
o Log into FB
o Click on the group that the professor made for the class and click on create group on the
right-hand side of the screen
o Add a group name in the group name box, then add members by typing students names in
the members box
o Click on secret so that only members of the group can find the group and see posts
o Click create
DECEMBER 2015

17

backs with Facebook integration.


LACK OF FACEBOOK KNOWLEDGE

A lack in utilization can be secondary to a lack of knowledge or awareness. Not all faculty are acquainted
with Facebook and its uses. This lack
of knowledge can lead to resistance in
implementing its use. Fortunately, there

While there are many benefits to the


implementation of technology in the
classroom, the possibility of its failure
cannot be ignored. Integration of Facebook into the curriculum would increase reliance on technology, which
may deter faculty from using it because
setbacks in technology or internet capabilities would represent a loss of infor-

Technology can aid in standardized exam taking, help


reduce academic dishonesty and allow information for
accreditation to be compiled using statistics.
are many helpful step-by-step guidance documents regarding Facebook
available on the internet. Additionally,
there are many how to videos on YouTube detailing how to register for Facebook, explore the toolbar and tabs, find
and add friends, use chat, add photos,
set privacy settings, etc. With much information available on how to use Facebook, it should be feasible for faculty to
learn and implement its use.
FEAR OF TECHNOLOGY FAILURE

Facebook is a SM tool that is free and


accessible to anyone who has access to
the internet. The pharmacy curriculum is constantly advancing, especially with regards to technology. As more
pharmacy programs move from paper
to computer exams, reliance on technology is becoming the standard. Technology can aid in standardized exam taking, help reduce academic dishonesty
and allow information for accreditation
to be compiled using statistics.

mation and productivity. It may be prudent for faculty to have a contingency


plan and instructions for students in
the event of Facebook failure. Per Facebooks website, the last time Facebook
was unavailable for longer than 2 hours
was in September 2010.7
Professionalism
Current SM policies are varied but
overall discourage any representation
of unprofessionalism. Instances of unprofessionalism include but are not
limited to: dissemination of electronic
insults to, or verbal attacks on, university administration, faculty, staff or students; use of social media in a manner
that interferes with academic responsibilities; or posting of potentially inflammatory or unflattering material on another individuals website.8
Guidelines for professional and ethical behavior generally follow the concept that any accessible postings on
social media are subject to the same

professional standards as any other personal interaction. The written nature,


persistence and potential accessibility of these postings make them subject
to particular scrutiny. Unprofessional
public postings by others on a students
social media can reflect poorly on the
student. Students should monitor their
sites and ensure that the content will
not be viewed as unprofessional.
The expansion of social media into
the realm of education allows for ease
of use that other course management
systems do not provide, but it also
has the potential to meld the lines between personal use and professional use. Although a perceived barrier, a
study conducted in 2013 on social media and unprofessional pharmacist conduct revealed that less than 50 percent
of the boards of pharmacy that participated had to deal with incidents of unprofessional online behavior.8 The most
common online professional behaviors
that caused complaints consisted of inappropriate use of internet for clinical
practice and inappropriate communication or contact with patients.8
Because best practices of online professionalism have yet to catch up with
actual online activities, professional
interactions should continue to be expanded in an effort to obtain a broader consensus. While each school may already have varied guidances for misuse
of social media, future best practices developed by national pharmacy organizations could greatly pave the foundation for this topic.

Table 2: Examples of Methods to Utilize Facebook as Pharmacists in the Pharmacy Profession

Facebook Use
v Connecting and networking with other pharmacy/non-pharmacy professionals
v Keeping abreast of the newest issues affecting pharmacists (e.g. joining and sharing links from medical websites (Medscape,
pharmacists letter, etc.)
v Sharing links on updated drug shortages
v Updating patients on immunizations being offered at local facilities
v Encouraging patients to participate in events at local facilities and in the community
v Notices from pharmacy organizations about what they are involved in for the pharmacy profession
v Receiving important information on news feed from the FDA and CDC (new drug approvals, immunizations schedule, national disease outbreak updates, etc.)
18

FLORIDA PHARMACY TODAY

Facebook in the Profession of


Pharmacy
As many changes in health care systems are expected, so is the pharmacists use of the internet and pharmacists services. This change presents
pharmacists with both challenges and
opportunities in regards to Facebook
integration. Developing this skill set as
a pharmacy student can translate into
being a connected pharmacist not only
within the pharmacy profession, but
other professions as well.
In pharmacy, ASHP, APhA, ACCP,
ASCP and NCPA are just a few of the
organizations that lead the way in uniting pharmacy as well as advancing the
profession. All of these national organizations have a Facebook page. Each
Facebook page is unique, but generally includes videos, upcoming events,
announcements and links to articles
pertinent to pharmacy practice. Some
organizations also provide information on policy issues affecting pharmacy and advice on how to get involved.
Additionally, once you like the page
of an organization, it tends to show up
regularly in your news feed. This allows students and pharmacists alike to
stay up-to-date on information, which
is essential because pharmacy practice
changes constantly.
Even government agencies, including The Food and Drug Administration (FDA), Centers for Disease Control
and Prevention (CDC) and Medicare,
have Facebook pages with resources for
pharmacy professionals. These resources include new drug approvals, public
health issues, links to vaccine schedules, information on current outbreaks
and information on different Medicare
plans. This information can be accessed
quickly and efficiently, leading to greater patient education and satisfaction.
The fact that all of these important
agencies and organizations have Facebook pages gives insight into the importance of Facebook on a professional level. It also signifies the need to develop
etiquette for professional Facebook use,
which can be developed while in pharmacy school. The ability to stay abreast
of current events that pharmacists are
impacted by on a daily basis is now limitless and within reach as a result of so-

cial media like Facebook. Capitalizing


on this opportunity can very well start
in the pharmacy classroom. Table 2 lists
possible ways to use Facebook in the
pharmacy profession, which includes
connecting and networking with nonpharmacy professionals.
Conclusion
While barriers and limitations exist
with Facebook integration in the classroom, evidence has shown that many
pharmacy students use Facebook regularly. This suggests that Facebook could
be a potential medium to facilitate
learning in the pharmacy classroom.
Integrating Facebook into the pharmacy curriculum could be a recipe for creating well-rounded future pharmacists.
Pharmacists with this skill set are likely
to stay ahead of the curve as the pharmacy curriculum and our profession
continues to evolve with the increased
use of technology and social media.
Further research studying how pharmacy schools are using Facebook and
students perception of its use and feasibility may help new adopters incorporate this tool to propel our future pharmacists, advancing the profession.
References

1 Benetoli A, Chen TF, Aslani P. The use


of social media in pharmacy practice
and education. Res Social Adm Pharm.
2014; 15. pii: S1551-7411(14)00038-2.
doi: 10.1016/j.sapharm.2014.04.002.
[Epub ahead of print].
2 Accreditation Council for Pharmacy
Education. Accreditation Standards
and Key Elements for the Professional
Program in Pharmacy Leading to
the Doctor of Pharmacy Degree
(Standards 2016). Chicago, IL: ACPE.
Released February 2, 2015. https://
www.acpe-accredit.org/pdf/
Standards2016FINAL.pdf.
3 Fuller J. 1 billion people, probably
including you, used Facebook
on Monday. NY magazine.
August 27, 2015. September 14,
2015. http://nymag.com/daily/
intelligencer/2015/08/1-billionpeople-used-facebook-in-one-day.html.
4 Walker J, Ottman A, Fairclough J,
Thornby K. Facebook utilization
and academic performance among
pharmacy students. ASHP Midyear
Clinical Meeting. Anaheim, CA.

December 2014.
5 McCabe DB, Meuter ML. A student
View of Technology in the Classroom:
Does it enhance the Seven Principles
of Good Practice in Undergraduate
Education. Journal of Marketing
Education. 2011; 22(2):149-159.
6 Chickering AW, Gamson ZF. Seven
principles for good practice in
undergraduate education. AAHE
Bulletin. 1987; 39(7): 3-7.
7 Facebook. Facebook Engineering.
https://www.facebook.com/notes/
facebook-engineering/more-detailson-todays-outage/431441338919.
Published September 23, 2010.
Accessed September 14, 2015.
8 Skelley J, Hughes P, Elmore L. Social
Media and Unprofessional Pharmacist
Conduct: A Cross-Sectional Survey
of Boards of Pharmacy. Innovations.
2013;4(3)125.

2016 F PA CAN DIDATES

Online Voting is Open


for the Election of
FPA Officers and
Regional Directors
Members voting in the FPA
election are encouraged to go
to www.pharmview.com and
sign in with your username
and password. Once signed
in you will see the menu
item for the 2016 FPA election of officers. Voting is now
done online and only takes a
few minutes.

DECEMBER 2015

19

FPA News & Notes


Action Alert for Pharmacy Medicaid Providers
The Florida Pharmacy Association has learned that
some Medicaid plans are removing pharmacies from
their managed care network, limiting access to only a few
pharmacy providers. Florida has undergone significant
changes within its Medicaid program over the past five
years. What started out as a pilot project has now expanded into a statewide managed care program for Medicaid
recipients, essentially privatizing health care services for
the poor and indigent. The purpose of such a program
was created by the Legislature under Part IV of Chapter
409 of the Florida Statutes, and its purpose was likely to
somehow get more predictability and sustainability of
the costs associated with Florida Medicaid.

Michael Jackson, FPA EVP & CEO testifies at AHCA Hearing on Medicaid
Managed Care

Our members need to be aware that this program of


limiting of access to pharmacy providers is problematic
and that the Legislature will need to intervene on this issue. Members of the Florida House and Senate will be in
their districts over the holidays. Each of us will need to
take action to reverse this onerous policy.
Take Action Here
Contact Your State Legislator
(The tool at the above link will connect you to your
state senator and state representative.)
The FPA is working with key members of the House
and Senate on proposed legislation to reign in this behavior, and your state senator and state representative need
to be educated and asked to support this effort. Here are
some talking points that you (or your patients) should use
when reaching out to your state legislator.

20

FLORIDA PHARMACY TODAY

In 2011, Florida Statute 409.975 was created to grant


authority for managed care plans to limit the providers in their Medicaid networks based upon based on
credentials, quality indicators and price.
Many of our Florida-based businesses are finding out
through notices that they are being excluded from
Medicaid networks.
These pharmacies have cared for these patients for
many years and have managed the health of not only
those patients, but their family members as well.
These Florida-based businesses are locally owned and
operated and pay taxes and fees for the privilege of
serving their communities.
Taxes and fees paid by Florida-based pharmacy businesses and Florida-licensed pharmacy personnel are
used to fund these health care entitlement programs
to treat the indigent. It is disturbing that the language
in Statute 409.975 gives managed care plans the authority to discriminate against these very same pharmacies and that they are not allowed to care for citizens in their own communities.
Many of these Florida-based businesses are supporting their communities through sponsorship of local
charities and events and are contributing to the local economy and the creation of jobs. The have a corporate footprint on Florida soil, but they are being
banned from helping those who cannot help themselves.
Pharmacies that can provide the credentials, show the
quality of care and are willing to accept the terms and
conditions of a managed care contract should not simply be brushed off as an undesired provider of pharmacy services.
Current network access standards for Florida Medicaid only require plans to have a pharmacy within
a 30-minute travel time for patients in an urban area
and a 60-minute travel time for patients in rural areas. This means that in Floridas population centers,
a round trip to the pharmacy that takes an hour (two
hours for rural areas) is an acceptable standard. This
is very troubling when Medicaid patients are already
transportation challenged.
The ask is simple on this issue. Florida Statute
409.975 needs to be changed to correct the discrimination of qualified pharmacy providers in the Medicaid
program. Pharmacies that have not had any adverse incidents, are qualified, can show positive outcomes and value-added services and are willing to accept the terms and
conditions of a managed care agreement should be al

lowed to care for Medicaid patients in their communities.


There are other statutes in Florida laws that need
to be reviewed as well, and the FPA and our coalition
are working together to expose this issue. YOU need to
make sure that your state legislator is thoroughly briefed
on this problem so that that this is clearly on their radar
when they return to Tallahassee on Jan. 12 for the legislative session. PLEASE MAKE THE CALL TODAY AND
SET UP AN APPOINTMENT TO TALK WITH YOUR
STATE LEGISLATOR.
Chronic Diseases and Mail Order
Prescriptions
Senate Bill 780 and House Bill 583 have been filed to
create Florida Statute 627.6442. The bill also revises Florida Statute 641.31 related to health maintenance contracts.
The proposed legislation does not allow a patients health
insurance policy, plan or other contract for health care
services to restrict pharmacy services to mail order for
certain chronic diseases. This bill allows patients who
are suffering from HIV infection, epilepsy, hypertension
or diabetes to get their prescriptions filled at any pharmacy willing to accept the terms and conditions of the
patients health plan. The Florida Pharmacy Association
supports this legislation.

FPA on the Move


Pharmacy advocates
visit with Florida
Chief Financial
Officer Jeff Atwater
to discuss pharmacy
MAC pricing issues.
(L to R - Bill Mincy
and Lois Adams of
FIPN, Florida CFO
Jeff Atwater and FPAs
Michael Jackson)

FPA visits with


Representatives Mayfield
and Lee on pharmacy
access and network
closure issues. (L to R EVP Michael Jackson,
Rep. Debbie Mayfield,
Rep-Vero Beach &
Rep. Larry Lee, DemFort Pierce)

DECEMBER 2015

21

Pharmacist in
Command of the
Florida National
Guard
EVP Michael Jackson was honored to
meet one of our dist i n g u i s h e d me mbers in service to our
state. Maj. Gen. Mic hael Ca l hou n of
theFlorida National Guard assumed
his duties as adjutant
general of Florida on
March 29, 2015. General Calhoun is a recipient of the Legion
of Merit, Bronze Star
Medal, the Humanitarian Service Medal, the Florida Cross, the Florida Distinguished Service Medal, the Alabama Commendation
Medal and the Mississippi State Emergency Medal. He
was the Army National Guard recipient of the Department of Defense African American History Month Recognition Award for 2008 for his contributions to the global war on terrorism, and a recipient of the Ancient Order
of Saint Barbara. In addition to a Bachelor of Science degree in pharmacy from Florida A&M University, General
Calhoun holds a masters degree in strategic studies from
the U.S. Army War College.
Florida Continues AdvocacySupport of
Provider Status
FPA Past President
Bob Parrado visits
with U.S. Rep. Kathy
Castor to discuss H.R.
592. Currently, there
are 245 cosponsors
who have signed onto
this legislation in the
U.S. House.Seventeen
members of the Florida delegation have
signed on in support
of this initiative. There
are 37 members of the U.S. Senate who are signed on as
cosponsors; however, we are still waiting on a decision
from Senators Rubio and Nelson. Your messaging continues to have a positive effect on this issue. The 10 House
members from Florida who have not signed on as cosponsors are as follows: Rep. Ted Yoho, Rep. Ander Crenshaw, Rep. John Mica, Rep. Bill Posey, Rep. Kathy Castor,

22

FLORIDA PHARMACY TODAY

President Elect Scott Tomerlin visits with pharmacy students at LECOM

Rep. Vern Buchannan, Rep. Lois Frankel, Rep. Federica Wilson, Rep. Mario Diaz-Balart and Rep. Ileana RosLehtinen. If these members of Congress are home in their
districts over the holidays, please consider visiting with
them for a discussion on H.R. 592. Talking points and information are available on theFPA web site.
Proposed Legislation on Access to
Pharmacist Services filed
SB692 and HB547, which would create an act related to
access to pharmacist services, has been filed and is sponsored by Senator Denise Grimsley and Representative
Edwin Narain. This legislation, if signed into law, would
provide more opportunities for patients to have access to
pharmacist-provided patient care services. Data consistently illustrates that investment in pharmacist-provided patient care services yields a return in overall health care cost
savings and improved patient care outcomes far greater
than the amount invested in providing these services.The
Florida Pharmacy Association is supporting SB692 and
HB547 and will be working with the bill sponsors.
ARNP and PA Prescribing Proposals Pending
Each year, legislation is filed that seeks to give additional prescribing authority (including controlled substances) to advanced registered nurse practitioners and
physician assistants. There are several bills that the FPA
is monitoring that are seeking to implement these changes. These include SB152, SB210, HB375, HB423 and SB676.
Revisions to Prescription Drug
MonitoringProgram Requirements
HB313 was filed to exempt certain post-surgical administration and dispensing of controlled substances in
certain facilities from having to report to the PDMP.Under the provisions of this bill, in rehabilitative hospitals,
assisted living facilities or nursing homes, if a certain dosage of a controlled substance that is needed is dispensed,
it does not have to be reported to the PDMP if ordered by
the treating physician. This bill has already passed the
House Health Quality Subcommittee and is now in the
House Health and Human Services Committee.

Cannabis and Medical Marijuana Legislative


Proposals
Similar to last year, the Florida Legislature will be entertaining a number of bills on the use of cannabis and
medical marijuana. Included in the 2016 legislative session inventory of proposals on this issue are HB63, HB65,
HB271, HB307, HB460, SB554, SB616, SB852 and HB4021.
The provisions in the bills range from minor changes to
the existing law on the use of THC to removing cannabis
from the list of controlled substances. The FPA will continue to monitor these proposals.
AMA Calls for Ban on DTCA
The American Medical Association released a policy
statement this week raising concerns over how direct-toconsumer advertising is affecting the increasing cost of
prescription drugs.

A Pharmacist
And A Lawyer
Board of Pharmacy Licensure Disciplinary Proceedings
Compounding Violations, DEA Investigations
Mergers and Acquisitions
Pharmacy Risk Assessment/Management Evaluations
KAHAN HEIMBERG, PLC

Pharmacist Attorney
Brian A. Kahan, R.Ph., J.D.
Licensed Florida Pharmacist and Attorney

STATEWIDE REPRESENTATION
561-392-9000
bkahan@kahanlaw.com
2300 N.W. Corporate Blvd., Suite 123
Boca Raton, FL 33431

SAVE THE DATE


126TH ANNUAL MEETING
AND CONVENTION OF
THE FLORIDA PHARMACY
ASSOCIATION
Marriott Harbor Beach
3030 Holiday Drive
Fort Lauderdale, Florida 33316
June 30 - July 3, 2016

The hiring of a lawyer is an important decision that should not be based solely upon advertisements. Before
you decide, ask us to send you free written information about our qualifications and experience.

DECEMBER 2015

23

C A L L

F O R

APhA Foundation and NASPA


Bowl of Hygeia
Awarded to a pharmacist for outstanding community service above and
beyond professional duties. The use of
the following selection criteria is required:
The recipient must be a Florida licensed pharmacist and a member of
FPA.


T recipient has not previously received the award.


two on its
award committee or an officer of the
association in other than an ex officio capacity.
has compiled an outstanding record of community service, which, apart from his/her specific identification as a pharmacist,
reflects well on the profession.
James H. Beal Award
Awarded to the "Pharmacist of the
Year." The criteria established for this
award is that the recipient be a Florida registered pharmacist and a member of FPA, who has rendered outstanding service to pharmacy within the past
five years.
Criteria:
must be a Florida registered pharmacist and a member of
the FPA.
has rendered outstanding service to pharmacy within the
past five years.
Technician of the Year Award
Awarded annually to a Florida pharmacy technician who is recognized for
his/her outstanding performance and
achievement during his/her career.
Criteria:
Candidate must be a member of the
Florida Pharmacy Association for at
least two years.
Candidate must have demonstrated
contributions and dedication to the
advancement of pharmacy technician practice.

24

FLORIDA PHARMACY TODAY

N O M I N A T I O N S
Candidate must have demonstrated

contributions to the Florida Pharmacy Association and/or other pharmacy organizations.


Candidate must have demonstrated
commitment to community service.
Candidate is not a past recipient of
this award.
R.Q. Richards Award
This award is based on outstanding
achievement in the field of pharmaceutical public relations in Florida.
Criteria:
recipient must be a Florida registered pharmacist and a member of
the FPA.
has displayed outstanding achievement in the field of
pharmaceutical public relations in
Florida.
Frank Toback/AZO Consultant
Pharmacist Award
Criteria:
Candidate must be an FPA member,
registered with the Florida Board of
Pharmacy as a consultant pharmacist in good standing.
Candidate should be selected based
on their outstanding achievements
in the field of consultant pharmacy.
DCPA Sidney Simkowitz
Pharmacy Involvement Award
Presented annually to a Florida
pharmacist who has been active at the
local and state pharmacy association
level in advancement of the profession
of pharmacy in Florida.
Criteria:
A minimum of five years of active
involvement in and contributions to
the local association and FPA.
Candidate must have held office at
local level pharmacy association.
Member in good standing for a period of at least five years in the FPA
and must have served as a member
or chairman of a committee of the
association.
Candidate must have been actively involved in a project that has or
could potentially be of benefit to
members of the profession.

F P A

Pharmacists Mutual Companies


Distinguished Young Pharmacist
Award
Awarded to a young pharmacist for
their involvement and dedication to the
practice of pharmacy.
Criteria:
Licensed to practice for nine years
or fewer.
Licensed to practice in the state in
which selected.
Participation in national pharmacy
association, professional programs,
and/or community service.
IPA Roman Maximo Corrons
Inspiration & Motivation Award
Interamerican Pharmacists Association created this award to honor the
memory of Roman M. Corrons who inspired and motivated countless pharmacists to participate actively and aspire to take on leadership roles in their
profession. Roman was always there
with guidance and support that motivated pharmacists and encouraged visionary leadership, approachable active
membership and succession planning.
This award recognizes the motivators
among us who inspire others to continue to advance the profession.
Criteria:
The recipient must be a Florida Licensed Pharmacist and a member of
the FPA.
Candidate should motivate others
to excel within the profession by encouraging them to be leaders.
Candidate is not necessarily an association officer, but guides, supports
and/or inspires others.
A brief description on the candidates
motivational/inspirational skills must
accompany the nomination.
The Jean Lamberti
Mentorship Award
The Jean Lamberti Mentorship
Award was established in 1998 to honor
those pharmacists who have taken time
to share their knowledge and experience
with pharmacist candidates. The award
is named in honor of long time FPA
member Jean Lamberti for her effort in
working with pharmacy students.

A W A R D S

2 0 1 5 - 2 0 1 6

Criteria:
The recipient must be an FPA member.
The recipient must serve as a role
model for the profession of pharmacy.
Upsher Smith Excellence in
Innovation Award
Awarded to honor practicing pharmacists who have demonstrated innovation in pharmacy practice that has resulted in improved patient care.
Criteria:
The recipient has demonstrated innovative pharmacy practice resulting in
improved patient care.
The recipient should be a practicing pharmacist within the geographic area represented by the presenting
Association.

Qualified Nominee: A pharmacist practicing within the geographic area represented by the presenting Association.
Cardinal Generation Rx Award
The Cardinal Health Generation Rx
Champions Award recognizes a pharmacist who has demonstrated excellence
in community-based prescription drug
abuse prevention. The award is intended to recognize outstanding efforts within the pharmacy community to raise
awareness of this serious public health
problem. It is also intended to encourage educational prevention efforts aimed
at patients, youth and other members of
the community.
The nominee must be a pharmacist
who is a member of the state association.
Self-nominations are allowed. Applica-

tions will be evaluated based upon the


following criteria:
Commitment to community-based
educational prevention efforts aimed
at prescription drug abuse
Involvement of other community
groups in the planning and implementation of prevention programs
Innovation and creativity in the creation and implementation of prevention activities
Scope/magnitude of prescription
drug abuse efforts
Demonstrated impact of prescription
drug abuse prevention efforts

DEADLINE FOR NOMINATIONS: FEBRUARY 28, 2016


FPA AWARDS NOMINATION FORM
I AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION:

NOMINATED BY:

Name:

Name:

Address:

Date Submitted:
Signature:

FOR THE FOLLOWING AWARD:


(Nomination Deadline February 28, 2016)
APhA Foundation and NASPA Bowl of Hygeia
James H. Beal Award

Please describe briefly below the nominee's accomplishments,


indicating why you feel he or she should receive this award.
(Attach additional sheets if necessary.)

R.Q. Richards Award


Frank Toback/AZO Consultant Pharmacist Award
DCPA Sydney Simkowitz Award
Pharmacists Mutual Co. Distinguished
Young Pharmacist Award
IPA Roman Maximo Corrons Inspiration & Motivation Award
The Jean Lamberti Mentorship Award
Upsher Smith Excellence in Innovation Award
Cardinal Generation Rx Award

MAIL NOMINATONS TO: Annual Awards, Florida Pharmacy Association, 610 N. Adams St., Tallahassee, FL 32301
(850) 222-2400 FAX (850) 561-6758 DEADLINE FOR NOMINATIONS IS FEBRUARY 28, 2016

DECEMBER 2015

25

CALL FOR RESOLUTIONS


TO THE 2016 HOUSE OF DELEGATES
The House of Delegates Board of Directors will meet in May 2016 to review and approve
resolutions for the Annual Meeting. The deadline for submitting resolutions is May 6, 2016!
PLEASE NOTE THIS DEADLINE.
The following information will be needed when submitting resolutions:
1. Name of organization: The name of the organization submitting the resolutions(s);
2. Name and telephone number of individuals: A contact in the event clarification or further
information is needed;
3. Problem: A statement of the problem addressed by the resolution;
4. Intent: A statement of what passage of the resolution will accomplish;
5. Resolution Format: Please type and use double spacing.
TITLE OF RESOLUTION
NAME OF ORGANIZATION
WHEREAS , AND

WHEREAS :

THEREFORE BE IT
RESOLVED (THAT THE FPA OR SUBDIVISION OF FPA)

CONTACT NAME AND PHONE #:


PROBLEM:
INTENT:

Return this form to: Membership Coordinator, Florida Pharmacy Association,


610 North Adams Street, Tallahassee, Florida 32301 or fax (850) 561-6758

26

FLORIDA PHARMACY TODAY

florida
BUYERS
GUIDE
PHARMACY TODAY

ADVERTISERS: This is a special section designed to give


your company more exposure and to act as an easy
reference for the pharmacist.

PHARMACY RESOURCES
PPSC
Retail Pharmacy Purchasing Program
(888) 778-9909

LEGAL ASSISTANCE
Kahan Heimberg, PLC
Brian A. Kahan, R.Ph.,
Attorney at Law
(561) 392-9000
The Health Law Firm
George F. Indest III, J.D., M.P.A., LL.M.
(407) 331-6620

PHARMACEUTICAL WHOLESALER
McKesson Drug Company
Jim Springer
(800) 804-4590
FAX: (863) 616-2953

FREQUENTLY CALLED
NUMBERS
AHCA MEDICAID
PHARMACY SERVICES
2727 Mahan Drive
Tallahassee, FL 32308
(850) 412-4166
www.fdhc.state.fl.us/medicaid/
pharmacy
AMERICAN PHARMACISTS
ASSOCIATION (APhA)
Washington, D.C.
(800) 237-2742
www.pharmacist.com
AMERICAN SOCIETY OF
HEALTH SYSTEM
PHARMACISTS
Bethesda, MD
(301) 657-3000
www.ashp.com/main.htm
DRUG INFORMATION
CENTER
Palm Beach Atlantic University
(561) 803-2728
druginfocenter@pba.edu
FLORIDA BOARD OF
PHARMACY
4052 Bald Cypress Way
Bin #C04
Tallahassee, FL 32399-3254
(850) 245-4292
www.doh.state.fl.us/mqa
FLORIDA POISON
INFORMATION CENTER
NETWORK
(800) 222-1222
www.fpicn.org
NATIONAL COMMUNITY
PHARMACISTS
ASSOCIATION
100 Daingerfield Road
Alexandria, VA 22314
(703) 683-8200
(703) 683-3619 fax
info@ncpanet.org

Advertising in Florida Pharmacy Today


Display Advertising: please call (850) 264-5111 for a media kit and rate
sheet. Buyers Guide: A signed insertion of at least 3X per year, 1/3 page
or larger display ad, earns a placement in the Buyers Guide. A screened
ad is furnished at additional cost to the advertiser. Professional Referral Ads: FPA Members: $50 per 50 words; Nonmembers: $100 per 50
words; No discounts for advertising agencies. All Professional Referral
ads must be paid in advance, at the time of ad receipt.

RECOVERING
PHARMACISTS NETWORK
OF FLORIDA
(407) 257-6606
Pharmacists Helping
Pharmacists

DECEMBER 2015

27

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