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DEC. 2015
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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
DECEMBER 2015
Mission
Statements:
FPA Calendar
2015-16
DECEMBER
24-25 Christmas Holidays
(FPA Office Closed)
JANUARY
1
12
4 - 7
11
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 |
E-MAIL YOUR
SUGGESTIONS/IDEAS TO
dave@fiorecommunications.com
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-
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.
6 |
Executive Insight
BY MICHAEL
JACKSON,
RPH
MICHAEL JACKSON, BPHARM,
EVP & CEO,
FLORIDA
PHARMACY ASSOCIATION
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-
FPA STAFF
Executive Vice President/CEO
Michael Jackson
(850) 222-2400, ext. 200
FSHP OFFICERS
Tom Johns, President
Christine Gegeckas, Immediate
Past President
FIPN OFFICERS
Steven Nelson, President
Lois Adams, Vice President and
PAC Vice-Chair
Scott Paramore, Secretary and
Treasurer
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
DECEMBER 2015
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
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
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
DOH Investigations
Licensure Discipline
Medicare/Medicaid Defense
Administrative Hearings
Contract Litigation
George F. Indest III,
J.D., M.P.A., LL.M.
12
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.
13
14
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
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
15
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
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
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
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
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
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.
DECEMBER 2015
19
Michael Jackson, FPA EVP & CEO testifies at AHCA Hearing on Medicaid
Managed Care
20
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
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.
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
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
24
N O M I N A T I O N S
Candidate must have demonstrated
F P A
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-
NOMINATED BY:
Name:
Name:
Address:
Date Submitted:
Signature:
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
WHEREAS :
THEREFORE BE IT
RESOLVED (THAT THE FPA OR SUBDIVISION OF FPA)
26
florida
BUYERS
GUIDE
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PHARMACY RESOURCES
PPSC
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(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
RECOVERING
PHARMACISTS NETWORK
OF FLORIDA
(407) 257-6606
Pharmacists Helping
Pharmacists
DECEMBER 2015
27