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August 2013 VOLUME 35, Issue 8 Prescription Drug Monitoring Rick Allen of Georgia Drugs and Narcotics Agency Gives Update on Program

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The August Issue of the GPhA Journal

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Page 1: August gpha journal web

August 2013VOLUME 35, Issue 8

Prescription Drug Monitoring

Rick Allen of Georgia Drugs and Narcotics Agency Gives Update on Program

Page 2: August gpha journal web

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Page 3: August gpha journal web

Editor: Jim [email protected]

Managing Editor: Kim [email protected]

The Georgia Pharmacy Journal® (GPJ) is the official publication of the Georgia Pharmacy Association, Inc. (GPhA). Copyright © 2012, Georgia Pharmacy Association, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical including by photocopy, recording or information storage retrieval systems, without prior written permission from the publisher and managing editor.

All views expressed in bylined articles are the opinions of the author and do not necessarily express the views or policies of the editors, officers or members of the Georgia Pharmacy Association.

ArtIcLEs And ArtwOrkThose interested in writing for this publication are encouraged to request the official “GPJ Guidelines for Writers.” Artists or photographers wishing to submit artwork for use on the cover should call, write or email [email protected].

sUbscrIptIOns And chAngE Of AddrEssThe Georgia Pharmacy Journal® (GPJ) (ISSN 1075-6965) is distributed as a regular membership service, paid for through allocation of membership dues. Subscription rate for non-members is $50.00 per year domestic and $10.00 per single copy; international rates $65.00 per year and $20.00 single copy. Subscriptions are not available for non-GPhA member pharmacists licensed and practicing in Georgia.

The Georgia Pharmacy Journal® (GPJ) (ISSN 1075-6965) is published monthly by the GPhA, 50 Lenox Pointe, NE, Atlanta, GA 30324. Periodicals postage paid at Atlanta, GA and additional offices.

POSTMASTER: Send address changes to The Georgia Pharmacy Journal®, 50 Lenox Pointe, NE, Atlanta, GA 30324.

AdVErtIsIngAdvertising copy deadline and rates are available upon request. All advertising and production orders should be sent to the GPhA headquarters at [email protected].

gphA hEAdqUArtErs50 Lenox Pointe, NEAtlanta, Georgia 30324t 404-231-5074 f 404-237-8435

gpha.org

Message From Pamala Marquess.........................................2

1

August 2013

let our expertsdo the math

800.247.5930www.phmic.com

Now more than ever, pharmacists are learning just how important it is to have not only proper insurance coverage, but the right amount of insurance. We understand the risks involved in operating a pharmacy practice and have coverage designed to ensure that you and your business are protected. We even provide policies specifically designed for practices that offer specialty services such as compounding or home medical equipment.

Trust the experts - our representatives can help you determine the right coverage for you. We offer products to meet all your needs; everything from business and personal insurance to life and investments. We’re proud to be your single source for insurance protection.

• Pharmacists Mutual Insurance Company• Pharmacists Life Insurance Company

• Pro Advantage Services®, Inc. d/b/a Pharmacists Insurance Agency (in California)

CA License No. 0G22035

Not licensed to sell all products in all states.Find us on Social Media:

Hutton Madden800.247.5930 ext. 7149

404.375.7209

CONTENTSMessage From Jim Bracewell.................................................4Welcome New GPhA Members..............................................5

Continuing Education ............................21-27

Georgia PDMP ................... ...........................6-7Pharmacist Named to New Post............................................8Pharm PAC............................. .................17-19

Page 4: August gpha journal web

2 The Georgia Pharmacy Journal

Pamala MarquessGPhA President

We live in a time when health care is changing rapidly. Patient care is becoming more coordinated with easier access to information. Home-focused care is increasing, which is definitely providing an opportunity for pharmacists to be involved in team-based care. The million dollar question is how to connect the pharmacist to the electronic health record?Pharmacists are uniquely positioned with high levels of accessibility to patients and with information systems vital to their practice.

Connecting with physicians, laboratories, medication reconciliation discharge reports, and other stakeholders that include patients and their nonprofessional caregivers is essential to sustaining the profession’s relevancy for the future. Several National Pharmacy organizations has formed the Pharmacy e-HIT Collaborative under the leadership of Shelly Spiro to promote adoption of the Pharmacy Practitioner electronic health record and ensure that pharmacy information systems will exchange patient information seamlessly with the rest of the health care team.

Imagine a mobile app on your smart phone, I-pad, or tablet. This would give easy access to real-time communication between members of an interdisciplinary care team. This type of application could also give access to the electronic health record to help in the documentation of patient care and following progress toward goals while communicating with the team in real time.

We have previously discussed ACO’s, Patient Centered Medical Homes, and other models where pharmacists are integral to the team. Can you envision ,you, the pharmacist, focusing on high risk patients, like the diabetes patient with a hemoglobin A1C>9, or ensuring that all diabetic patients with hypertension are on an ACEI or ARB medication, per the American Diabetes Association guidelines, through mobile communications with your team?

The pharmacist documents the interventions and is paid as a provider. I have had the pleasure to discuss these opportunities with at least a dozen GPhA pharmacists who are developing these programs with ACO’s in their communities.

How can GPhA help you develop your program in your community?

How Can GPhA Help You?

Page 5: August gpha journal web

The Georgia Pharmacy Journal 3

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Flynn Warren Takes Over Leadership In Region 10

Flynn Warren, RPh, has taken over the role as Region 10 President with the election of Lance Boles to the role of 2nd Vice President at the annual convention in Amelia Island.

Flynn brings experience to this position as a former region president and having gone through the offices at GPhA and served at the president of GPhA in 2003-2004. Flynn is also still active on the board of the GPhA Foundation.

When asked why he agreed to step into this role, Flynn said, “I just believe that organizations are needed to give individuals a voice. It’s hard to be heard when you are talking by yourself. When you join together you get a bigger voice and a better voice.”

Flynn Warren - New Region 10 President

How Can GPhA Help You?

Page 6: August gpha journal web

The Georgia Pharmacy Journal4

Jim Bracewell Executive Vice President

I read this article by Kate Gainer, the new Executive Vice President and CEO of the Iowa Pharmacy Association and I thought I wish I had said that, so the next best thing was to ask Kate if I could reprint her article on our journal. I hope you enjoy the common sense comments of a bright young Midwestern pharmacist. Let me know what you think. Jim Bracewell Executive Vice President GA Pharmacy Association

Do Your Words Matter?Pharmacists have:a). Patientsb). Customersc). Depends on practice settingd). Depends who you talk to

My guess is that all of you reading the Journal of the IPA answered A. It’s no secret IPA members believe pharmacists are health care professionals that provide important services to patients. However, do you think the distribution of responses would vary if we polled the general public? What if we polled other healthcare providers?

One of IPA’s top legislative priorities this year is to expand immunization opportunities for pharmacists. (pg 30) IPA introduced language in the Iowa House and Senate with a proposal that allows pharmacist-administered immunizations via protocol, including all adult vaccines and limited childhood and adolescent vaccines, excluding well-child immunizations.

Upon the first round of subcommittee meetings, there was little support for IPA’s proposal, likely due to opposition from medical and physician groups. In an effort to keep the bills alive, IPA entered into a process of compromise with the groups opposed to our immunization bill.

During the first round of compromise, it was suggested by the opponent’s lobbyist that language be changed from ‘patient’ to ‘customer,’ stating that pharmacists “don’t have patients; rather they have customers, or clients.”What was your reaction as you read that?

When I first read the email with that suggested language, I was shocked and insulted, but also reflective. The lesson I took away from this experience is that our words matter. WHY do our words matter? The word “patient” reflects our most basic professional commitment to each person we serve. The word customer does not.

Fortunately, IPA disputed that proposed amendment, and it was quickly struck. However, the underlying message behind that single word change continues to stick with me. As a profession, are we sending the right message to the general public? What is the image we deliver to our family, friends, neighbors, other healthcare providers, and patients, if we discuss our careers and recall stories and scenarios with words like ‘customer,’ ‘store’ and ‘retail? I’d like to challenge all members of our profession to listen to the words we use,

and the words of those around us. Do you hear words that suggest anything other than a health care professional providing valuable services to patients?

Just as the term druggist has become virtually eliminated, I believe that as a profession we need to work to eliminate other words and phrases that minimize the valuable cognitive and health care services provided by pharmacists to their patients.

IPA members and pharmacists across the country continue to strive towards being recognized as providers under Medicare Part B and other health plans

While the data shows countless examples of pharmacists improving health outcomes and improving medication use for patients, we need to continue to tell pharmacy’s story – and it is one of PATIENTS receiving care from their PHARMACIST. Please help spread the word. do your words matter ?

Kate Gainer, PharmDExecutive Vice President& CEOIowa Pharmacy Association

Page 7: August gpha journal web

5The Georgia Pharmacy Journal

WELCOMENew GPhA Members

About GPhA The Georgia Pharmacy Association is the collective voice of the pharmacy profession, aggressively advocating for the profession in the shaping of public policy, encouraging ethical health care practices, advancing educational leadership while ensuring the profession’s future is economically prosperous.

The members of GPhA would like to welcome all our new members and encourage them to take advantage of all the benefits membership offers.

THANK YOU FOR YOUR MEMBERSHIP!

Active Pharmacists

Spencer Cowart – McDonough

Greg Cranston – Rome

Leigh Howell – Athens

Timothy Norman – Lawrenceville

Associate Members

Don Kemp – Atlanta

Leigh Knotts – Lugoff, SC

Stuart Oberman – Loganville

Page 8: August gpha journal web

6 The Georgia Pharmacy Journal

Georgia Prescription Drug Marketing Program Launched Online in July The switch to turn on access to the Georgia Prescription Drug Marketing Program (PDMP) was flipped on in mid July.

This means that all Georgia licensed pharmacists can now register to access the PDMP to review patterns in how many controlled substance prescriptions their patients have had filled since September 1, 2012.

Community pharmacies have only been reporting prescription data to the PDMP since mid May, but we have

required the prescription data from September 2012 to be reported. Close to 3 million prescriptions alone were filled in June.

We have had quite a number of pharmacist register and begin accessing the PDMP. One pharmacist checked the database for several of his patients that he thought were only using his pharmacy. To his surprise, all of the patients he checked had been going to multiple other pharmacies, getting the same type prescriptions filled and going to multiple physicians.

He decided to stop filling prescriptions for those customers. Another pharmacist checked the database for patients she suspected were doctor shopping. But to her relief, none of those patients were getting prescriptions filled at any other pharmacy.

If you haven’t already registered to access the PDMP, don’t wait any longer – go ahead and register when you finish reading this article. To register, just follow these directions:

Access the GA PDMP website at: www.hidinc.com/gapdmp

All Georgia licensed pharmacists can now register to access the PDMP to review patterns in how many controlled substance prescriptions their patients have had filled since September 1, 2012. Pharmacists now need to check the database regularly to see if patients could possibly be using multiple pharmacies for prescriptions.

Page 9: August gpha journal web

7The Georgia Pharmacy Journal

On the main PDMP website page, click on the Practitioner/Pharmacist link located on the Left side Menu.

On the next page, click on “Registration Site” and a log-in menu will appear.

On the log-in menu, type “newacct” in the User Name field, then type “welcome” in the Password field, and click on “OK”.

The GA PDMP Account Registration Form page will appear. Complete this form. Make sure you type in your name exactly as it appears on the board of pharmacy website, otherwise your application will be flagged for further review. When you type in your pharmacist license number, be sure to include the ‘RPH0’ in front of your license number. For those of you with two zeros in front of your license number, include both zeros.

After you finish your registration, you are asked to print out the form for your records.

As soon as your application is approved, you will receive an email with further instructions on completing your registration – and ask you to decide on a User Name and a Password. Then you can begin accessing the GA PDMP database for your patients.

Despite the restrictions the law has placed on the use of PDMP database information, the GA PDMP is an excellent tool for pharmacists who use it to weed out drug abuse, misuse and patients being under prescribed.

C. Richard (Rick) Allen, R.Ph.DirectorGeorgia Drugs and Narcotics Agency

“Despite the restrictions the law has placed on the use of PDMP database information, the GA PDMP is an excellent tool for pharmacists who use it to weed out drug abuse, misuse and patients being under prescribed.”

Access the GA PDMP website at www.hidinc.com/gapdmp

Page 10: August gpha journal web

8 The Georgia Pharmacy Journal

RADM Scott Giberson stands with GPhA EVP Jim Bracewell at the annu-al Voice In Pharmacy Day February 14, 2013. Giberson was the keynote speaker at the event.

Giberson Named Deputy US Surgeon GeneralRear Admiral (RADM) Scott F. Giberson was named the Acting United States Deputy Surgeon General July 17, 2013 after Regina Benjamin, MD, MBA stepped down July 16. In addition, RADM Boris D. Lushniak, MD, MPH, has been named the Acting U.S. Surgeon General. Giberson supports the Acting Surgeon General in communicating the best available scientific information to the public regarding ways to improve personal health and the health of the Nation.

Senior Public Health Advisor, Senior Medical Program Officer, Division Director, and Principal Consultant. In 2001, RADM Giberson responded to the Anthrax attacks in New York City and was later chosen by his peers as the National Coordinator for over 40 Nurse and Pharmacist Response Teams as he worked under the newly-formed Department of Homeland Security.

In 2003, RADM Giberson was then detailed to the Department of Defense (DOD) for three years. He served on many international health missions for the U.S. Pacific Command involving more than 23 countries. His bilateral work with specific countries also included Thailand, India, Vietnam, Papua New Guinea, and Australia. He traveled extensively working with foreign militaries on HIV/AIDS and other initiatives. Following his work in the Pacific, he transitioned to the Indian Health Service (IHS) as the Director of the National HIV/AIDS Program.

RADM Giberson maintains dual licensure as a pharmacist and clinician

and has worked as a member of an IHS Family Practice Medical staff for most of his career. RADM Giberson has authored nationally published articles, spoken at venues domestically and internationally, and served as adjunct faculty at multiple universities.

RADM Giberson has received numerous awards across his career including a DOD Meritorious Service Medal. He was recently selected by the American Pharmacists Association as the 2013 Distinguished Federal Pharmacist of the Year and was also a recipient of the 2013 American Society of Health System Pharmacists Award of Excellence. RADM Giberson holds a Bachelors Degree in Pharmacy from Temple University, a Masters Degree in Public Health from the University of Massachusetts, a graduate certificate in Health Emergencies in Large Populations, and received an Honorary Doctor of Science from Lake Erie College of Osteopathic Medicine for his body of work on improvement of patient and health system outcomes through inter-professional collaboration.

RADM Scott Giberson was selected by 18th Surgeon General Regina Benjamin as the first Director, Division of Commissioned Corps Personnel and Readiness (DCCPR) in August, 2011. He had operational leadership for a new Corps infrastructure that provides the management of all personnel and readiness systems for over 6,700 Commissioned Corps officers. This included responsibility and accountability for comprehensive force management for the USPHS Commissioned Corps.

Since March 16, 2010, RADM Giberson has served as Assistant Surgeon General and Chief Professional Officer (CPO), Pharmacy, for the United States Public Health Service (USPHS). As CPO, Pharmacy, he advises the Office of the Surgeon General on career development and management of more than 1150 PHS pharmacists.

RADM Giberson began his Corps career in 1994, and has served in roles as a Clinical Pharmacist, Chief Pharmacist,

Since March 16, 2010, RADM Giberson has served as Assistant Surgeon General and Chief Professional Officer (CPO), Pharmacy, for the United States Public Health Service (USPHS).

Page 11: August gpha journal web

The Georgia Pharmacy Journal 9

1988—Twenty-five years ago:

American College of Physicians called for enhanced education in rational therapeutics including “increased communication with pharmacists, as health care professionals with particular knowledge in this area.”

RU-486 (mifepristone) first marketed in France as a safe and effective method of early abortion.

1963—Fifty Years Ago:

Oncovin (vincristine), an alkaloid derived from rosy periwinkle, was used as a folk medicine for diabetes. Eli Lilly & Co discovered it to be an effective treatment for several forms of leukemia.

1938—Seventy-five Years Ago:

APhA undertook a national campaign to work with dental associations and dentists to increase appropriate prescribing.

1913—One hundred Years Ago:

University of Puerto Rico formed

By: Dennis B. Worthen, PhD, Cincinnati, OH

Pharmacy Time Capsule Takes Glimpse Into History Of Profession

Membership Milestones

GPhA EVP Jim Bracewell and a group of 7 state association colleagues hiked Cathedral Rock in Nevada. The 7,713 foot view was worth the hike.

Ashley Mobley Rickard and Brian Rickard were married March 9 in Vidalia, GA.

Page 12: August gpha journal web

10 The Georgia Pharmacy Journal

The GPhA Executive Committee for 2013-2014 met the weekend of July 12 to work on projects for the upcoming year. From left to right, First Vice President Tommy Whitworth, Second Vice President Lance Boles, President Elect Bobby Moody, President Pam Marquess and Chairman of the Board Robert Hatton.

The 2013-14 GPhA Executive Committee invested two days of their volunteer time to GPhA and sat in a conference room at the University of Georgia to review and develop plans for our Association for 2013-14.

These plans will be presented to the GPhA Board of Directors at their meeting on the third weekend of August. Following the Board’s review those plans will be published in the GPhA Journal and on the GPhA website and association calendar.

Governing a large state association like the Georgia Pharmacy Association require many hours of volunteer leadership time and the opportunity to lead and serve is open to all members. Take time to look over the Desire to Serve form in this journal and consider where you could best contribute to the future of your profession.

Consider the origin of GPhA and ponder where would you have been in 1875?

Would you have taken time from work and at your own expense travel to

Macon, GA because you believed in pharmacy?

In the summer of 1875, a concerned group of Georgia pharmacists sent a notice to all the pharmacists of the state, requesting them to assemble in Macon on October 20, 1875:

“to consider the organization of a pharmaceutical association, binding each other with closer ties of friendship and to promote interest in the junior members of the fraternity and exciting the spirit of emulation and ambition; the interchange and dissemination of scientific researches; the framing of laws to be enacted that will result not only in the protection of the profession but the public in general.”

Georgia’s newspapers published the notice at no charge and the railroads agreed to provide reduced rates from any point in the state to Macon for anyone who wished to attend the meeting.

At least twenty pharmacists were present in Macon at Freeman’s Hall at

eight o’clock on the evening of October 20, 1875. The meeting included brief presentations by a member of the State Board of Health and three physicians from the Macon Medical Society, all of whom assured cooperation and support from their organizations.

Following these presentations, the delegation of pharmacists adopted a constitution with an objective to bring together all the “reputable druggists” of the state in an association in the interests of the profession at large, specifying that every druggist and apothecary of good moral and professional standing whether in business, or in retirement from business, or employed by another, and the teachers of pharmacy, chemistry, materia medica, and botany, who may be professors in any college of pharmacy, should constitute the membership of the association.

Thus, the Georgia Pharmaceutical Association was established.

Today the Georgia Pharmacy Association is a nationally respected voice for the pharmacy profession

Executive Committee Meets To Plan Year

Retreat in Athens

Page 13: August gpha journal web

The Georgia Pharmacy Journal 11

Pain Competition Winner From GPhA Convention Receives Check For Her Efforts

Marissa Hatcher, a fourth year student at Mercer University, competed alongside other attendees at the GPhA Convention in June during the Know Pain Know Gain competition. After a lighting round of questions, Marissa won the competition after she tested her consulting skills with a mock patient. Ann Rule, Medical Science Liaison with Purdue applauds as Jim Bracewell, Executive Vice President of GPhA presents Marissa her GPhA Check.

Marissa Hatcher, fourth year student at Mercer University, was the big winner at the first “Know Pain, Know Gain” competition at the 138th Annual GPhA Convention at Amelia Island last month. GPhA received a grant from National Alliance of State Pharmacy Associations that allowed GPhA to award Hatcher with a $500 check.

The competition began with twelve student contestants who competed in a lightning round of questions from the competitor proctors Sharon Sherrer, RPh and David Miller, EVP of the International Academy of Compounding Pharmacists. Once the contestants were eliminated to three participants, these students were given a biography on a potential patient

and were judged based on their ability to counsel the patient on their current medication and symptoms. A panel of judges awarded Hatcher the top title

after she beat out two other competitors in her consultation.

Hatcher normally spends her summers at home in Tennessee, but opted to attend this year’s GPhA convention at the suggestion of Jonathan Hamrick, whom she is working with during her rotations. She said that she enjoyed the competition and was glad to use the consulting skills she has learned while working with Jonathan. “I get many opportunities to counsel patients, so I was glad to be able to use some of what I have learned in this completion,” she said.Marissa had a one word answer when asked how she will spend the money she won in the contest. She said, “Shopping.”

“I get many opportunities to counsel patients, so I was glad to be able to use some of what I have learned in this completion,”

- Marissa Hatcher

Page 14: August gpha journal web

12 The Georgia Pharmacy Journal

How Can YOU Be Active in GPhA?GPhA needs members like you to volunteer to serve on one of the standing committees or become active in your region.

What’s in it for you?

Learn Leadership Skills

Network With Your Peers

Advance The Profession

What Do GPhA Volunteers say?

“With the many changes taking place in the healthcare arena right now, it is both our duty and responsibility to stay actively involved with the many aspects of our profession. Volunteering with GPhA is such a simple way to complete this task. The work of GPhA and it’s volunteers is critical to the survival of our profession.” - Josh Kinsey

GPhA is important to me because it is the voice for pharmacists to the legislature, governmental agencies,

and the public. The Association communicates the important roles pharmacists play in health care.

- Ed Dozier

Page 15: August gpha journal web

Desire To Serve FormName_____________________________________________________________________________________

Home Address______________________________________________________________________________

City_________________________________State_________________________Zip______________________

Email Address___________________________________________Phone ______________________________

Practice Setting ______________________________Title____________________________________________

Address____________________________________________________________________________________

City_________________________________State_________________________Zip______________________

I am a _________Pharmacist__________New Practitioner_________ Pharmacy Technician_________Student

I am interested in working with the following committee:

___ Continuing Professional Committee

___ Government Affairs Committee

___ Public Affairs Committee

___ Student and Academic Relations

___Third Party Policy Committee

___ Membership Committee

Please list some of your skills that you think would benefit the committee in their work

__________________________________________________________________________________________

__________________________________________________________________________________________

__________________________________________________________________________________________

I am interested in serving with the following Academy

___Academy of Independent Pharmacists

___Academy of Employee Pharmacists

___Academy of Students and Academicians

___Academy of Consultant Pharmacists

___Academy of Pharmacy Technicians

___Academy of Health System Pharmacists

Please mail your form to Tei Muhammad - 50 Lenox Pointe NE, Atlanta, Georgia 30324

13The Georgia Pharmacy Journal

Page 16: August gpha journal web

The Georgia Pharmacy Journal14

Real Financial Planning. No Generics. It means having real strategies for all your financial

issues, not just insurance and investments. It means working with a real planner who is

experienced with the needs of pharmacists, their families, and their practices.

It means working with an independent firm you can trust.

For more information view our video at www.fnaplanners.com.

Michael T. Tarrant, CFP®

Speaker & Author PharmPAC Supporter Creating Real Financial Planning for over 20 Years

1117 Perimeter Center West, Suite N-307 Atlanta, GA 30338 • 770-350-2455

[email protected] www.fnaplanners.com

Securities, certain advisory services and insurance products are offered through INVEST Financial Corporation (INVEST),

member FINRA/SIPC, a federally registered Investment Adviser, and affiliated insurance agencies. INVEST is not affiliated with Financial Network Associates, Inc. Other advisory services may

be offered through Financial Network Associates, Inc., a registered investment adviser.

Security Paper for Hard Copy Schedule II Controlled Substance PrescriptionsHouse bill 209 was passed by the General Assembly and signed into law by Governor Deal on April 24th. The changes included in this law took effect as of July 1st, 2013.

Among these changes were to remove any requirement for hard copy prescription pads to have an identifying lot number and a sequential serial number on each separate prescription in a pad. These requirements were replaced by allowing the Board to approve and adopt the use of prescription pads or paper that meet the requirements of the Centers for Medicare and Medicaid Services (CMS).

Further, hard copy prescription security paper vendors no longer have to be approved by the board. Any such vendor that produces CMS approved security paper can market that paper for sale in Georgia.

Lastly, the board’s seal of approval does not have to be affixed to any hard copy prescription security paper if that paper meets the CMS security paper requirements.

In effect, because of these changes in the law, it is unnecessary for the Board to have a policy for use of security paper for hard copy prescription drugs orders, and it no longer exists.

- C. Richard ‘Rick’ Allen, R.Ph.DirectorGeorgia Drugs and Narcotics Agency

Board of Pharmacy Notice

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The Georgia Pharmacy Journal 15

By Alaric DeArment

SEATTLE — A new study by researchers at the University of Washington provides further evidence that most of the health problems affecting the country are linked to lifestyle choices.

The study, by the university’s Institute for Health Metrics and Evaluation, listed the top 10 risk factors for health loss in 2010 and the number of deaths attributed to each and appeared in the Journal of the American Medical Association.

“If the U.S. can make progress with dietary risk factors, physical activity and obesity, it will see massive reductions in death and disability,” institute researcher and former director of the Centers for Disease Control and Prevention’s Behavior Risk Factors and Surveillance Survey Ali Mokdad said. “Unhealthy diets and a lack of physical activity in the U.S. cause more health loss than alcohol or drug use.”

Dietary Risks Rank as Leading Cause of Death, Study Finds

Dietary risks topped the list, with more than 678,000 deaths attributed to them, followed by smoking, which caused more than 465,000, and high blood pressure, with more than 442,000. While causing relatively few deaths, alcohol and drug abuse nevertheless managed to make the list, with more than 88,000 and 25,000 deaths attributed to them, respectively.

High body mass index, physical inactivity, high blood sugar, high cholesterol and ambient air pollution were the other leading causes of death.

“If the U.S. can make progress with dietary risk factors, physical activity and obesity, it will see massive reductions in death and disability,”

“The U.S., particularly in certain communities, has shown what it can do about addressing risk factors such as smoking, and if we can see that same type of energy put into dietary risk factors, physical inactivity and other key areas of concern, we will see real progress in health outcomes,” said institute director

Christopher Murray, who presented the study at an event for mayors and other local officials Wednesday, hosted by first lady Michelle Obama.

In the study, high body mass index, physical inactivity, high blood sugar, high cholesterol and ambient air pollution were the other leading causes of death.

Page 18: August gpha journal web

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Page 19: August gpha journal web

17The Georgia Pharmacy Journal

Do YOU Back PharmPAC?Advocacy is one of the premier benefits of membership in the Georgia Pharmacy Association. GPhA cannot help pass the legislation that is important to pharmacists without your help. PharmPAC makes this possible. Your donation to PharmPAC is important to the profession of pharmacy in Georgia!

Donate online atgpha.org/pharmpac

Please choose from one

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Page 20: August gpha journal web

John W. McKinnon, Jr., R.Ph.Sheila Miller, Pharm DRobert B. Moody, R.Ph.Sherri S. Moody, Pharm.D.William A. Moye, R.Ph.Anthony Boyd Ray, R.Ph.Jeffrey Grady Richardson, R.Ph.Andy Rogers, R.Ph.Daniel C. Royal, Jr., R.Ph.John Thomas Sherrer, R.Ph.Sharon Mills Sherrer, Pharm.D.Michael T. TarrantJames Thomas R.Ph.Mark H. White, R.Ph.William Wolfe R.Ph.

Silver Level$300 minimum pledgeRenee D. Adamson, Pharm.D.Larry L Batten, R. Ph.Laura Coker, Pharm DPatrick M. Cook, Pharm.D.Rabun Deckle R. Ph.Ed Stevens Dozier, R.Ph.Greg Drake, R. Ph.Terry Dunn, R.Ph.Charles Alan Earnest, R.Ph.Stewart Flanagin Jr R.PhKevin Florence R. Ph.Marshall L. Frost, Pharm.D.Amanda Gaddy, R. Ph.Kerry Griffin, R. PhLarry Harkelroad, R. Ph.Johnathan Hamrick, Pharm.D.James A. Harris, Jr., R.Ph.Michael O. Iteogu, Pharm.D.Joshua D. Kinsey, Pharm.D.Willie O. Latch, R.Ph.Hilary MbadughaKalen Manasco, Pharm.D.

Alan M. Jones, R.Ph.Ira Katz, R.Ph.Hal M. Kemp, Pharm.D.Eddie M. Madden, R.Ph.Jonathan Marquess, Pharm.D., Pam Marquess, Pharm.D.Kenneth A. McCarthy, R.Ph.Ivey Brogdon McCurdy Pharm. DDrew Miller, R.Ph., CDMLaird Miller, R.Ph.Jay Mosley, R.Ph.Sujal Patel Pharm DMark Parris, Pharm.D.Allen Partridge, R.Ph.Robert Ledbetter, R. Ph.Jeff L. Lurey, R.Ph.Houston Lee Rogers, Pharm.D., Tim Short, R.Ph.Benjamin Stanley, Pharm.D.Danny Toth, R.Ph.Christopher Thurmond, Pharm.D.Alex Tucker Pharm D

Gold Level$600 minimum pledgeJames Bartling, Pharm.D.,William F. Brewster, R.Ph.Liza G. Chapman, Pharm.D.Craig W. Cocke, R.Ph.Mahlon Davidson, R.Ph., CDM Benjamin Keith Dupree, Sr., R.PhStewart Flanagin R.Ph.Kevin M. Florence, Pharm.D.Kerry A. Griffin, R.Ph.Michael Iteogu R.Ph.James Jordan, Pharm.D. Ed Kalvelage R.Ph.John D. Kalvelage R.Ph.Steve D. Kalvelage R.Ph.Willie Latch, R. Ph.

18 The Georgia Pharmacy Journal

Thanks To All Our SupportersDiamond Level$4,800 minimum pledgeCynthia K. MoonScott Meeks, R.Ph.Fred F. Sharpe, R.Ph.

Titanium Level$2,400 minimum pledgeRalph W. Balchin, R.Ph. T.M. Bridges, R.Ph.Ben Cravey, R.Ph.Michael E. Farmer, R.Ph.David B. Graves, R.Ph.Raymond G Hickman, R.Ph.Ted M. Hunt, R.Ph.Robert A. Ledbetter, R.Ph.Brandall S. Lovvorn, Pharm.D. Marvin O. McCord, R.Ph.Loren B. Pierce, R.Ph.Jeff Sikes, R.Ph.Dean Stone, R.Ph., CDMTommy Whitworth, R.Ph.,CDM

Platinum Level$1,200 minimum pledgeJim R. BracewellLarry L. Braden, R. Ph.Bruce L. Broadrick, Sr., R.Ph.William G. Cagle, R.Ph.Hugh M. Chancy, R.Ph.Keith E. Chapman, R.Ph.Dale M. Coker, R.Ph., FIACPBilly Conley R.Ph.Al Dixon Jr R.Ph.Ashley Dukes, R.Ph.Jack Dunn, Jr. R.Ph.Neal Florence, R.Ph.Andy FreemanRobert M. Hatton, Pharm.D.Ted Hunt, R.Ph.

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Ashley Love, R. Ph.Carroll Lowery, R. Ph.Ralph K. Marett, R.Ph.,M.S.Kenneth McCarthyWilliam Prather, R. Ph.Michael Reagan, R. PhOla Reffell R.Ph.Leonard Reynolds, R. Ph.Terry Donald Shaw, Pharm.D.Harry Shurley, R.PhAmanda StankiewiczBenjamin Stanley, R.PhKrista Stone, R. PhWilliam ThompsonCarey Austin Vaughan, Pharm.D.Lindsay Walker, R. Ph.Flynn Warren, R. Ph.

Max A. Mason, R.Ph.Susan W. McLeer, R.Ph.Sheri Mills, R.Ph.Judson Mullican R.Ph.Natalie Nielsen R.Ph.Mark Niday R. Ph. Brian Robinson, R. Ph.Amanda Rose Paisley, Pharm.D.Rose Pinkstaff, R.Ph.Alex Pinkston IV R.PhDon K. Richie, R.Ph.Corey Rieck Laurence Neil Ryan, Pharm.D.Olivia Santoso, StudentBenjamin Lake Stanley, Pharm.D.Dana E. Strickland, R.Ph.Shad Jason SutherlandArchie Thompson, Jr., R.Ph.G.H. Thurmond, R.Ph.William TurnerAustin Tull, StudentCharles Wilson R.Ph.Christy Zwygart, Pharm.D.

MembersNo minimum pledge

Monica Ali- Warren, R.Ph.Robert C. Ault, R.Ph.James Bartling, R. Ph,Claude Bates, R.PhWinston Brock, R.Ph.David Carver R.Ph.Marshall CurtisJohn Drew, R. Ph.James England, R. Ph. Martin Grizzard, R.Ph.Winton Harris, R. Ph.Ted Hunt R.Ph.Marsha Kapiloff, R.Ph.Charles Kovarik, R. Ph.J. Thomas Lindsay, R. Ph.Lance LoRusso

William J. McLeer, R.Ph.Sheri D. Mills, C.Ph.T.Albert NicholsRichard Noell, R.Ph.Bill Prather, R.Ph.Kristy Pucylowski, Pharm.D.Anthony Ray, R. Ph.Edward Reynolds, R.Ph.Jeffrey Richardson R.Ph.Ashley Rickard, Pharm D.Brian Rickard, Pharm D Andy Rogers, R. Ph.Sukhmani Sarao, Pharm.D.James Thomas, R. Ph.Alex S. Tucker, Pharm.D.Walter Alan White, R.Ph.Charles W. Wilson, Jr., R.Ph.Steve Wilson, Pharm.D.William T. Wolfe, R.Ph.Sharon Zerillo, R.Ph.

Bronze Level$150 minimum pledgeSylvia Ann Davis Adams,R.Ph.Shane Bentley, Student Julie Wickman Bierster, Pharm.D.Nicholas O. Bland, Pharm.D.Lance P. Boles, R.Ph.William Crowley, R.Ph.Rabun E. Dekle, Pharm.D.Ashley Faulk, Pharm.D.James W. Fetterman, Jr., Pharm.D.Charles C. Gass, R.Ph.Kimberly Grubbs R.Ph.Larry Harkleroad R.Ph.Winton C. Harris, Jr., R.Ph.Amy Grimsley, Pharm. DThomas Jeter R.Ph., CGPBrenton Lake, R.Ph.Tracie D. Lunde, Pharm.D.Michael Lewis, Pharm.D.Ashley Sherwood London

19The Georgia Pharmacy Journal

Thanks To All Our Supporters

Highlight denotes new and increased contributors.

If you have not done so al-ready, please take some time

to update your credit card information in our new sys-tem. For assistance, please

call Andy Freeman at 404-419-8118.

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20 The Georgia Pharmacy Journal

Plan Now to Attend the 139th GPhA Convention

June 26-29, 2014 Wyndham Bay Point Resort

Panama City Beach, FL

Visit gpha.org for

Updates on Convention 2014

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Name PositionRobert M. Hatton Chair of the BoardPamala S. Marquess PresidentRobert B. Moody President-ElectThomas H. Whitworth First Vice PresidentLance P Boles Second Vice PresidentHugh M. Chancy State At LargeLiza G. Chapman State At LargeTerry Forshee State At LargeDavid Graves State At LargeKeith N. Herist State At LargeJoshua D. Kinsey State At LargeEddie M. Madden State At LargeKrista Stone 1st Region PresidentEd S. Dozier 2nd Region PresidentRenee D. Adamson 3rd Region PresidentNicholas O. Bland 4th Region PresidentShelby Biagi 5th Region PresidentSherri S. Moody 6th Region PresidentTyler Mayotte 7th Region PresidentMichael Lewis 8th Region PresidentAmanda Paisley 9th Region President Flynn Warren 10th Region PresidentKalen Manasco 11th Region President Ken Von Eiland 12th Region PresidentThomas R. Jeter ACP ChairSharon B. Zerillo AEP ChairArchie R. Thompson AHP ChairDrew Miller AIP ChairMichelle Hunt APT ChairLeah Stowers ASA ChairJohn T. Sherrer Foundation ChairMichael E. Farmer Insurance Trust ChairAl McConnell Board of Pharmacy ChairMegan Freeman GSHP RepresentativeAmy C. Grimsley Mercer Faculty RepresentativeRusty Fetterman South Faculty RepresentativeLindsey Welch UGA Faculty RepresentativeTyler Bryant ASP, Mercer University Tiffany Galloway ASP, South University Leah Stowers ASP, UGA Jim Bracewell Executive Vice President

2013-2014 BOARD OF DIRECTORS

Georgia Pharmacy Association

The Georgia Pharmacy Journal

Melvin M. Goldstein, P.C.AT T O R N E Y AT L AW___

248 Roswell StreetMarietta, Georgia 30060

Telephone 770/427-7004Fax 770/426-9584

www.melvinmgoldstein.com

n Private practitioner with an emphasis on representing healthcare professionals in administrative cases as well as other legal matters

n Former Assistant Attorney General for the State of Georgia and Counsel for professional licensing boards including the Georgia Board of Pharmacy and the Georgia Drugs and Narcotics Agency

n Former Administrative Law Judge for the Office of State Administrative Hearings

Page 31: August gpha journal web

29The Georgia Pharmacy Journal

Is it time to sell your pharmacy? Do you want to own your own pharmacy or buy another pharmacy?

Call Jeff Lurey, R.Ph. AIP Director

404-419-8103 [email protected]

Dear Jeff,

Jennie and I want to thank you for your

recent intervention to help us retire and to

keep our pharmacy independent. When

we made our decision to sell Warwick

Drugs, you were our first contact. You

acted quickly and professionally to find a

buyer in 5 days!

We joined AIP at its inception. We

have participated in its programs,

utilized the extensive information network

and treasured our relationships with

exceptional people, like you. We wish

the best for all of you and the role you all

play in our healthcare future. If we can

ever be of assistance, please call on us.

Thanks again; our best regards to all.

Sincerely yours,

Cliff Hilliard, RPH, PHD

Keeping Independents Independent

Page 32: August gpha journal web

Georgia Pharmacy Association

50 Lenox Point NE Atlanta, GA 30324

It’s more than just investing.

Please contact us today to start exploring your options.

Harris Gignilliat, CRPS®

Vice President–Wealth Management3455 Peachtree Road NE, Suite 1700 Atlanta, GA [email protected]

Visit us online:ubs.com/team/wile

Member benefits include

– Complimentary financial planning (a $5k–$10k value)

– Brand new 401(k) retirement savings plan designed exclusively for GPhA members at a group discount rate

– Advisory and investment program offered at group discount rate

– Retirement planning guidance, including a retirement income replacement system

– Lending capabilities with competitive interest rates

– Free access to UBS global investment research

Chartered Retirement Plans SpecialistSM and CRPS® are registered service marks of the College for Financial Planning®. Neither UBS Financial Services Inc. nor any of its employees provides legal or tax advice. You should consult with your personal legal or tax advisor regarding your personal circumstances. As a firm providing wealth management services to clients, we offer both investment advisory and brokerage services. These services are separate and distinct, differ in material ways and are governed by different laws and separate contracts. For more information on the distinctions between our brokerage and investment advisory services, please speak with your Financial Advisor, the Wile Consulting Group, or visit our website at ubs.com/workingwithus. Financial Planning services are provided in our capacity as a registered investment adviser. As a firm providing wealth management services to clients in the U.S., we offer both investment advisory and brokerage services. These services are separate and distinct, differ in material ways and are governed by different laws and separate contracts. ©UBS 2013. All rights reserved. UBS Financial Services Inc. is a subsidiary of UBS AG. Member SIPC. 7.00_8.5x8_AX0313_WilE 0313150 exp3/22/15

We’re pleased to partner with GPhA to bring our comprehensive services to members as the endorsed wealth management provider for the association. Through the UBS/Georgia Pharmacy relationship, GPhA members have exclusive access to financial services resources through the Wile Consulting Group. This group relationship enables members to leverage the vast scale of products and services at UBS. We distinguish ourselves with a robust service model, comprehensive benefits, diligent research, quality performance and competitive pricing.

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03/13/13

Last revision

March 26, 2013 4:04 PM

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Ed Wile named to Barron’s Top 1,000 Financial Advisors for 2013 and the Wile Consulting Group named one of the top 100 Retirement Plan Advisors for 2013 by Planadvisor.