MAR. 2012

The Official PublicationOf The Florida Pharmacy Association

2012 Legislative Session Had Little Impact on Practice of Pharmacy

Walgreens Pharmacist

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M A R C H 2 0 1 2 | 3

VOL. 75 | NO. 3MARCH 2012 tHe OffiCiAL pubLiCAtiON Of tHefLORidA pHARMACy AssOCiAtiONP H A R M A C Y T O D A Y

florida

Departments 4 Calendar

4 Advertisers

5 president’s Viewpoint

7 executive insight

21 buyer’s Guide

Features

CdC Launches tobacco education Campaign

status Quo2012 Legislative Session Had Little Impact on Practice of Pharmacy

122nd Annual Meeting and Convention program

10

12

15

4 | f L O R i d A p H A R M A C y t O d A y

E-MAil youR suggEstions/idEAs to

dave@fiorecommunications.com

Mission Statements:of the florida pharmacy today JournalThe Florida Pharmacy Today Journal is a peer reviewed journal which serves as a medium through which the Florida Phar-macy 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 execu-tive editor of the Florida Pharmacy Today Journal in the establishment and interpreta-tion of the Journal’s policies and the manage-ment of the Journal’s 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.

AdvertisersABBOTT ............................................................. 24EPC ....................................................................... 9HEAlTHCArE COnsulTAnTs ....................... 3KAHAn ◆ sHIr, P.l. .......................................... 9PPsC ..................................................................... 9rx OWnErsHIP ................................................ 23rx rElIEf ........................................................... 6WAlgrEEns ...................................................... 2

2012

FPA Calendar MARch

9-12 APhA MeetingNew Orleans, Louisiana

15 Deadline to submit Resolutions

24-25 FPA Council, Committee and Board meetings

ApRil

6 Good Friday, FPA Office Closed

10-11 Florida Board of Pharmacy Meeting Tampa

14 FPA Leadership Retreat

21-22 FPA Clinical Consultant ConferenceTampa

29-30, May 1 - NASPA Leadership Retreat

MAy

19 FPA Law and Regulatory Meeting

21-23 ASCP Spring MeetingAnaheim, California

28 Memorial Day - FPA office closed

JunE

5 - 6 Florida Board of Pharmacy Meeting Boca Raton

July

4 - 8 122nd Annual Meeting and Convention

28 Governmental Affairs Committee Meeting Orlando

August

5-8 29th Annual Southeastern Gatherin

11-14 NABP District III and SE Officers Conference

14 - 15 Board of Pharmacy Meeting Orlando

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.Pharmacists should have satisfied all continuing education requirements for this

biennial period by September 30, 2011 or prior to licensure renewal.*For Pharmacy Technician Certification Board Application, Exam Information and

Study materials, please contact the FPA office.For More Information on CE Programs or Events:Contact the Florida Pharmacy Association at (850) 222-2400 or visit our Web site at

www.pharmview.com

contActsFPA — Michael Jackson (850) 222-2400FSHP — Michael McQuone (850) 906-9333U/F — Dan Robinson (352) 273-6240FAMU — Leola Cleveland (850) 599-3301NSU — 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 under-standing that neither Florida Pharmacy Today nor the Florida Pharmacy Association are 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.

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

M A R C H 2 0 1 2 | 5

On January 24 and 25 of this year, the Capitol

Rotunda was awash with hundreds of pharmacists and student pharmacists in white coats. The fever was being spread to the legislators who regulate

the profession and business of pharmacy.

E-MAil youR suggEstions/idEAs to

dave@fiorecommunications.com

The fever began in Aventura, Fla., in July 2011. It then spread to Tal-lahassee and has slowly worked

its way to New Orleans, La. Let me ex-plain what happened.

The advocacy fever began as a snif-fle at the Turnberry Resort during the FPA Annual Convention. The fever was a challenge to get everyone present to advocate for pharmacy by explaining to our colleagues the value of mem-bership in our professional association and to sign up a minimum of one new member this year. Our goal was to go to Tallahassee with one voice for the profession of pharmacy.

By January 2012, the fever was be-ginning to spread amongst pharma-cists, but quickly became an epidem-ic in the hallowed halls of academia. The students, led by their academ-ic advisors, saw the value of this fever and decided to connect with their fel-low students from the other colleges of pharmacy to advocate for more fever in Tallahassee. On January 24 and 25 of this year, the Capitol Rotunda was awash with hundreds of pharmacists and student pharmacists in white coats. The fever was being spread to the legis-lators who regulate the profession and business of pharmacy.

One message of the fever was the positive health care outcomes phar-macists would be able to deliver if giv-en the opportunity to immunize the public against pneumonia. The impor-tance of this message is that this is just the beginning of what we need to do to transform the practice of pharmacy for the needs of the future.

A few short weeks later, I found myself at the APhA Annual Conven-tion in New Orleans. The advocacy

fever seemed to have spread across state lines by the time the Florida con-tingent had arrived. The theme of the APhA convention was “Driving Con-nections, Transforming Patient Care.” Once again, we heard the message that the future of pharmacy is going to be much different than what it is today. We have to transform how we practice

to meet the needs of society in only a few short years. It was shown that by 2020 to 2025 there will be a shortage of primary care physicians in the range of 85,000 to 200,000 practitioners. Pharma-cists have the education, training and experience to step up and help meet the primary care needs of millions of new patients who will be placed on to Medi-care and Medicaid rolls. Our two key-note speakers, U. S. Assistant Surgeon General and Chief Pharmacy Officer for the U.S. Public Health Service Rear

Admiral Scott Giberson, BSPharm., MPH, and U.S. Deputy Surgeon Gener-al Rear Admiral Boris Lushniak, M.D., spoke about “Improving Patient and Health System Outcomes through Ad-vanced Pharmacy Practice.” (The fever seems to have reached Washington).

The advocacy fever they spoke about contends that for pharmacists to continue to improve patient and health systems outcomes as well as sustain an important role in the delivery of health care, we must be recognized as health care providers by statute and compen-sated in a fashion that is commensurate with the level of services we provide. Of all the health-related professions, we are the least utilized yet are the most accessible. We provide health care re-gardless of what our legislators and our colleagues in medicine think pharma-cists do. They spoke to the need for all pharmacists to advocate for their pro-fession and transform what we do and

Advocacy Fever Spreads Across the South (And Beyond)

The President’s ViewpointBoB pARRAdo, FpA pREsidEnt

Bob parrado, 2011-2012 FpA president

6 | f L O R i d A p H A R M A C y t O d A y

Executive Vice President/CEOMichael Jackson

(850) 222-2400, ext. 200Director of Continuing Education

Tian Merren-Owens, ext. 120Controller

Wanda Hall , ext. 211 Educational Services Office Assistant

Stacey Brooks , ext. 210Coordinator of Membership

Christopher Heil ext. 110

FloRidA phARMAcy todAy BoARdChair............................................. Jennifer Pytlarz, BrandonVice Chair ..................Don Bergemann, Tarpon SpringsTreasurer ..............................Stephen Grabowski, TampaSecretary ........................Stuart Ulrich, Boynton BeachMember .................................... Joseph Koptowsky, MiamiMember .............................Rebecca Poston, TallahasseeMember .......................Carol Motycka, Saint AugustineMember ................................Christina Medina, HollywoodMember ................................Norman Tomaka, MelbourneMember .............................Verender Gail Brown, OrlandoExecutive Editor ........Michael Jackson, TallahasseeManaging Editor ........................Dave Fiore, Tallahassee

This is a peer reviewed publication. ©2012, FLORIDA PHARMACY JOURNAL, INC.ARTICLE ACCEPTANCE: The Florida Phar-macy 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 sub-scription - United States and foreign, Indi-vidual $36; Institution $70/year; $5.00 single copies. Florida residents add 7% sales tax.

Florida Pharmacy association

610 N. Adams St. • Tallahassee, FL 32301850/222-2400 • FAX 850/561-6758

Web Address: http://www.pharmview.com

FPA STAFF how we do it. This advocacy fever is reaching pandemic proportion amongst our pharmacy

students. They are energized and spreading the word as fast as they can to oth-ers in the academic arena. Pharmacists of all ages need to become as energized as the students to continue to spread the advocacy fever to the legislators who govern us and the stakeholders who need to collaborate with us. We need to transform pharmacy into the health care providers we will need to be in order to serve the needs of our patients.

This fever should be the energy that drives us to connect with our legislators now while they are in their home districts. The United States Public Health Ser-vice has shown that recognizing pharmacists as health care providers and uti-lizing their education and training has improved health outcomes and lowered costs. We need to drive this message home as we connect with our colleagues and our legislators in our home districts now.

We should be preparing to bring this advocacy fever to a new and much high-er level as we prepare for the Florida Pharmacists Association Annual Conven-tion in Marco Island beginning on July 4. Ed Hamilton, past president of both the FPA and APhA, challenged everyone attending the Political Leadership Break-fast at the APhA meeting to raise the level of donations from the previous year’s convention. I am proud to say that this challenge raised $22,000. The proudest part of this challenge was that Florida pharmacists accounted for $11,500! More than half of the money raised at this great event came from Floridians who have shown they are catching the “Advocacy Fever.” My challenge to you is to come to Marco Island energized and ready to advocate for the future of pharmacy. n

See you there,Bob

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M A R C H 2 0 1 2 | 7

Most of our journal readers and subscribers are somewhat familiar with the develop-

ment of health information exchanges, health information networks and elec-tronic health records. After all, no oth-er health care provider that I am aware of has the experience that we have with electronic records. We have recorded health information on computers since the early 1980s. I fondly remember the first computer I ever owned. It was an IBM PS/2 Model 50z with dual 1.44 megabyte 3.5-inch floppy disk drives. Back then, that computer was consid-ered state-of-the art technology and lightening fast with its 486 micropro-cessor and 50 megabyte hard disk drive. Today, I have 100 times more comput-ing power in my Blackberry cell phone. If I downloaded one photograph from my digital camera in that old IBM, it would crash and burn, never to be re-vived.

So let’s get to our question of wheth-er or not our profession should be part of health information networks. The answer is quite simple. ABSOLUTELY! Your association has a seat at the table where the health information super-highway is under construction. What is being built is a huge infrastructure designed to allow the seamless inter-change of patient health information. There are significant federal dollars and state efforts to build huge networks de-signed to allow physician providers to “exchange” patient health information. The FPA’s concern is that this highway is being built with no off ramps or on ramps designed for pharmacists to par-ticipate.

The Health Information Exchange Coordinating Committee (HIECC) was

organized by the Florida Agency for Health Care Administration (AHCA) during the fall of 2007 to advise and support the Agency in developing and implementing a strategy to establish a privacy-protected, secure and integrat-ed statewide network for the exchange of electronic health records among au-thorized physicians. In July 2009, Gov-ernor Charlie Crist designated the

HIECC to lead the stimulus-funded health information technology initia-tives. The Florida Pharmacy Associa-tion has a seat at that table and has ac-tively advocated for pharmacists to be connected in these exchanges. After all, having access to patient health records is a key ingredient to a successful medi-cation therapy management practice.

Through our work, the HIECC has begun seriously looking at adopting an expansion of access to a newly cre-ated program called Direct Secure Mes-saging (DSM). This system is a secure

email service that allows participants to push encrypted health information to other participants. A second tool that is being created is something called pa-tient look-up. Patient look-up and de-livery services allow clinicians to que-ry for and retrieve individual patient records from participating sources as needed for patient care. Should phar-macists have access to this system? That answer is also very simple. ABSO-LUTELY! After all, imagine what you could do with comprehensive patient health information when attempting to answer patients’ questions about their medications or trying to solve medica-tion-related problems. Patient records can be a valuable tool. It will also give you a secure way of sharing prescrip-tion information with a treating provid-er.

It is my hope and dream that our ef-forts to advocate for access this devel-oping patient information superhigh-way are highly utilized by our member

Executive InsightBy MichAEl JAckson, Rph

Should Our Profession be Part of Health Information Networks?

By MichAEl JAckson, FpA ExEcutivE vicE pREsidEnt/cEo

Michael Jackson, B.pharm

It is my hope and dream that our efforts to advocate for access

this developing patient information

superhighway are highly utilized by our member

stakeholders.

8 | f L O R i d A p H A R M A C y t O d A y

stakeholders. Too often I hear from our members who feel that that their pro-fessional skills are underutilized and underappreciated. This may be a way to change all that. This is not an effort that is unique to Florida; it is part of a nationwide initiative to find ways to help pharmacists practice at the high-est level of their training. We are also working with the National Alliance of State Pharmacy Associations as part of the Pharmacy e-Health Information Collaborative. It is through this col-laborative work of the national associ-ations that we can then define the pro-fession’s HIT needs and functionality to provide, document and bill for phar-macist-provided, patient-care services in all care settings.

Should our profession be part of health information networks? You bet-ter believe that we should, and the FPA is working hard to make sure of that.

JOIN TODAY!

Florida Pharmacy Association

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

Humberto Martinez ............................................................ Chairman of the BoardRobert Parrado .........................................................................................FPA PresidentGoar Alvarez .............................................................................................. President ElectBetty Harris ............................................................................................................TreasurerSuzanne Wise ...........................................Speaker of the House of DelegatesEric Alvarez ....................................Vice Speaker of the House of DelegatesPreston McDonald, Director ...........................................................................Region 1Marcus Dodd-o, Director .................................................................................Region 2Eva Sunell, Director .............................................................................................Region 3 Raul N. Correa, Director ...................................................................................Region 4 Jeffrey Parrado, Director ..............................................................................Region 5 Chris Lent, Director ..............................................................................................Region 6Paul Rohrbaugh, Director ................................................................................. Region 7Raul Gallo, Director ................................................................................................Region 8Paul Elias, Director ................................................................................................Region 9Venessa Price ......................................................................................... President FSHPMichael Jackson .......................................Executive Vice President and CEO

Florida pharmacy today Journal Board

Chair......................................................Jennifer Pytlarz, jlc_rxdoc@hotmail.comVice Chair ........................................................ Don Bergemann, don@bceinfo.comTreasurer ...................Stephen Grabowski, sgrabowski@seniormmc.comSecretary ..................................................................Stuart Ulrich, Stuarx@aol.comMember ................................................Joseph Koptowsky, docjik1215@aol.comMember .......................Rebecca Poston, rebecca_poston@doh.state.fl.usMember ...................................................... Carol Motycka, motycka@cop.ufl.eduMember ....................................................Christina Medina, cmmedina@cvs.com Member ...............................................................Norman Tomaka, FLRX9@aol.comMember ..................Verender Gail Brown, brownvgrx4304@hotmail.comExecutive Editor ...............Michael Jackson, mjackson@pharmview.comManaging Editor ..................Dave Fiore, dave@fiorecommunications.com

2012 FpA Board of directors

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10 | f L O R i d A p H A R M A C y t O d A y

CDC Launches Tobacco Education Campaignsource: centers for disease control and prevention

personal stories provide unique perspective on damage from smoking

The “Tips From Former Smokers” campaign provides a unique and com-pelling perspective on the significant damage smoking causes to individu-als—a perspective not often captured in statistics about the hundreds of thousands of deaths and the illnesses caused by tobacco. None of the individ-uals featured in the ads are actors. They are real people who used to smoke and became sick as a result. Most of them were diagnosed with smoking-relat-ed illnesses when they were relatively young—many in their 30s and 40s; one was only 18. They speak from experi-ence, and all have volunteered to share their stories to send a single, powerful message: Quit smoking now. Or better yet—don’t start.

The ads provide firsthand accounts of the health consequences of smok-ing. For example, Shane, from Wiscon-sin, was only in his 30s when he devel-oped cancer of the esophagus and had to have his larynx removed. Brandon, a young man from North Dakota, had both his legs amputated in his early 20s as a result of Buerger’s disease, a con-dition that cuts off blood flow primar-ily to the hands and feet and is strong-ly linked to cigarette smoking. Suzy, one of the women featured in the ads, is partially paralyzed after suffering a stroke caused by smoking and is de-pendent on caregivers, one of whom is her 23-year-old son. These and other

stories in the “Tips From Former Smok-ers” campaign provide stark evidence of how damage from smoking can im-pact quality of life—for the rest of one’s life. The people featured in this cam-paign showed incredible courage and commitment when telling their story, and all shared a common goal of in-spiring and motivating others to take steps to quit smoking.

An investment in healthFor the past 30 years, there has been

no federally funded, comprehensive, mass-media campaign effort (i.e., that includes TV, radio, billboard, maga-zine, newspaper, theater, and online placements) to educate the public about the harmful effects of smoking and to encourage quitting. This has been det-rimental to tobacco control and pre-vention efforts, particularly given the slowed decline in cigarette smoking rates over the past decade. To com-pound matters, states and communi-ties currently are experiencing dimin-ishing resources to conduct tobacco education campaigns. The “Tips From Former Smokers” campaign is an im-portant and valuable step in counter-ing the efforts of the tobacco industry, whose expenditures for marketing and promoting cigarettes exceed $1 mil-lion an hour—more than $27 million a day—in the United States.

Evidence-Based strategy to Reduce smoking

Scientific evidence indicates that

hard-hitting, graphic, and emotionally impactful campaigns work. The most effective smoking-cessation advertise-ments depict the health risks and emo-tional impact of long-term tobacco use, encourage smokers to quit, and pro-vide information on how to quit. For example, one of the ads gives voice to three former smokers who provide tips on how they successfully quit. Each tip, such as throwing away their ciga-rettes and ashtrays, exercising, identi-fying a strong reason to quit, and “just keep trying,” has been shown to help. All of the ads contain a very clear and encouraging message to smokers that they CAN quit and that free resourc-es are available by calling 1-800-QUIT-NOW or accessing www.smokefree.gov.

smoking persists as a serious public health problem

It has been nearly 50 years since the release of the first Surgeon General’s report on the health risks of smoking. Smoking continues to be the leading cause of preventable death and illness in the United States and costs our na-tion billions of dollars every year.

Despite the known dangers of to-bacco use, nearly one in five adults in the United States still smokes, and each day, about 1,000 people younger than 18 years of age begin smoking on a dai-ly basis. The health and financial conse-quences are staggering:

n Each day, more than 1,200 people in this country die due to smoking.

The Centers for Disease Control and Prevention (CDC) has just launched a national mass media campaign to educate the public about the harmful effects of smoking and to encourage quitting. The campaign is called “Tips From Former Smokers” and features real people who have experi-enced a variety of illnesses stemming from tobacco use, including cancer, heart attack, stroke, asth-ma and Buerger’s disease. The ads not only show the toll that these smoking-related illnesses have taken on these individuals’ lives—e.g., losing one’s natural voice, experiencing paralysis, having a lung removed or limbs amputated—but they also provide encouragement to quit and information on how to access free help.

M A R C H 2 0 1 2 | 11

n Each year, an estimated 443,000 people die prematurely from smok-ing, and an estimated 49,000 of these smoking-related deaths are a result of secondhand smoke expo-sure.

n For every person who dies from a smoking-related disease, 20 more people suffer with at least one seri-ous illness from smoking.

n Each year, cigarette smoking costs the United States more than $193 billion (i.e., $97 billion in lost pro-ductivity plus $96 billion in health care expenditures).

Most smokers—nearly 70%—say they plan to quit, and half make a se-rious attempt for a day or longer each year. The “Tips From Former Smok-ers” campaign was designed to create a sense of immediacy about the damage smoking causes to encourage people to stop smoking now or not to start.

campaign Rollout The campaign ads will run nation-

ally for 12 weeks beginning Monday, March 19, and include television, radio, billboard, magazine, newspaper, the-ater, and online placements. Facebook, Twitter, YouTube, and other channels will help spread the campaign’s mes-sages more broadly, particularly among younger audiences.

For more information about the “Tips From Former Smokers” cam-paign, including profiles of the for-mer smokers, other campaign resourc-es, and links to the ads, visit www.cdc.gov/quitting/tips.

support to QuitFor f re e qu it suppor t , ca l l

1- 8 0 0 - QU I T- NOW (1- 8 0 0 -78 4 -8669; TTY 1-800-332-8615). This service provides free support and advice from experienced counselors, a personalized quit plan, self-help materials, the latest information about cessation medica-tions, and more.

A new cdc national tobacco education campaign called “tips From Former smokers” features real people who are suffering from smoking-related diseases.

The ads provide firsthand accounts of the health consequences of smoking. For example, Shane, from Wisconsin, was only in his 30s when he developed cancer of the esophagus and had to have his larynx removed.

12 | f L O R i d A p H A R M A C y t O d A y

By Michael Jackson, FpA Executive vice president/cEo

As a member of the Florida Pharmacy Association and a stakeholder in public policymaking, weighing in on health care at the Florida Capitol is more critical now than ever be-fore. The viability of our profession and business is decided by the 160 members of the Florida House and Senate, none of whom are licensed pharmacists. This means that the work of the Florida Pharmacy Association, its leadership and mem-bers must engage fully on the issues to make sure that legis-lation makes good sense and does not harm our community of providers.

This year’s session will be remembered not for what was accomplished, but rather what little got done. The vast ma-jority of bills filed either were never heard in committee or failed to navigate successfully through both legislative cham-bers. This year, the focus was on the state’s budget as well as efforts to modify the voting districts, which must take place every 10 years, after the census of our state’s population. The district maps will change every 10 years from increases (or decreases) in population in various communities.

While all that debate went on, some pharmacy issues actu-ally did surface. You can be sure that FPA was there watch-ing, providing input and testifying. Below is a summary of health issues in which our members may be interested. We were successful in defeating a number of bills harmful to our profession, practice and business, however those are not pub-lished in this report. The FPA did, however, work hard on several audit relief bills, but this year’s Legislature did not have an interest in those issues. We are still doing an analysis on the 2012 session, and a full report will be filed at the annu-al meeting of the FPA in Marco Island.

Blood Establishments cs for sB 364 (Approved by legislature)

n Adds mobile units to the definition of blood establish-ments (can collect blood or blood components for purpos-es of transfusions)

n Defines a “volunteer donor” n Prohibits local governments from restricting access to

the use of public facilities for collection of blood or blood components from volunteer donors

n Fees for blood or blood components provided by volun-teers to blood establishments cannot be based on pur-chasing entity’s for-profit status

n Blood establishments collecting from volunteers must make certain disclosures on a website (hospitals collect-ing blood or components for in-house use are exempt)

n Failure to make disclosures will result in a civil penalty n Exempts certain blood establishments from having to be

permitted as a prescription drug manufacturer n Grants a restricted prescription drug distributor permit to

blood establishments that collect blood or blood compo-nents from volunteers

n May allow for blood establishments to wholesale certain non-blood products to closed pharmacies including• Prescription drugs for bleeding or clotting disorders or

anemia• Blood collection containers• Drugs that are blood derivatives or a synthetic form of

derivative• Prescription drugs identified by the Department of

Business and Professional Regulation (DBPR) rules that are essential to blood establishment services

pharmacy vaccines – hB 509 (Approved by legislature)

n Included pneumococcal and varicella zoster vaccines in addition to the current influenza vaccines that pharma-cists could administer under specified conditions

n The original language as filed allowed registered phar-macy interns under the supervision of a certified immu-nizing pharmacist to immunize patients, however this was rejected by the Legislature

n Authorizes administration of an epinephrine auto-injec-tion under certain circumstances

n Heavily opposed by organized medicine as an unneces-sary and dangerous expansion of the scope of practice.

STATuS QuO2012 Legislative Session had Little Impact on Practice of Pharmacy

While all that debate went on, some pharmacy issues actually did surface. You can be sure that FPA was there watching, providing input and testifying.

M A R C H 2 0 1 2 | 13

n The legislation was designed to address “gap” in number of eligible patients who are not immunized.

n Local opposition countered by national trends in which immunizations by pharmacists are well accepted.

n Included in this bill are the following:• Pharmacists can immunize “adult” patients for influ-

enza and pneumonia• Immunizations are by protocol• Pharmacists can immunize shingles vaccine under the

following conditions◊ Pursuant to a written prescription AND physician

protocol◊ According to CDC guidelines

n Protocols limited to only those physicians licensed under 458 and 459

n Allows pharmacists to administer epinephrine using an autoinjector for unforeseen allergic reactions within the framework of a practitioner protocol

n Initial training requirement for Florida licensed pharma-cists in existing laws continue

n There is a new three-hour CE course required to retain immunization certification

n This three-hour CE program must be completed once each biennial renewal period and must be offered by a Florida statewide professional association of physicians

n The statewide association must be accredited to provide AMA PRA Category I CME

n The program must cover the safe and effective adminis-tration of vaccines and epinephrine autoinjection

n A distance learning format is allowed for the three-hour CE program

n The three hours required to meet immunization “recerti-fication” can be included within the 30-hour CE biennial requirement for pharmacists

n Failure to get the recertification CE will result in the phar-macist’s immunization registry being revoked

Background screening – hB 943 pharmacy permit Applicants (Approved by the legislature)

n Requires the submission of electronic fingerprints to the Florida Department of Law Enforcement (FDLE)

n Fingerprints will be bounced off of a national database n Board renewals direct the Department of Health (DOH)

to have FDLE resubmit retained fingerprints through na-tional database

n DOH will be required to notify FDLE when a person no longer licensed

n The bill requires licensee to bear the costs related to back-ground screenings

state Employee health Benefit – hB 5009 (Approved by legislature)

n Grants authority for the University of Florida to self-in-sure its employees

n Permits the Department of Management Services (DMS) to implement a 90-day supply limit for certain mainte-nance drugs

n The 90-day supply can come from participating retail pharmacies (FPA supported language)

n DMS is granted the authority to determine if this pro-gram is in the best financial interest of the state

immunity from prosecution – sB 278 (Approved by the legislature)

n Entitled the 911 Good Samaritan Act n Related to crimes in which individuals could be charged

with possession of controlled substances n Persons who seek medical attention for someone with a

drug-related overdose may be immune from prosecution n Persons experiencing a drug-related overdose and are

seeking medical assistance may be immune from prose-cution

n The “Immunity from Prosecution” clause in this bill can-not be used to suppress other criminal prosecutions

n Must be making a good faith effort to obtain or provide medical assistance

usF pharmacy school location – sB 1994 (Approved by the legislature)

n Clarifies that the USF College of Pharmacy be located on the University of South Florida Campus instead of the Florida Polytechnic University campus in Lakeland

Regulation of physician Assistants – cs/cs/cs/hB 363 (Approved by the legislature)

n Changes physician assistant “prescribing license” to “pre-scribing authority”

n Removes requirement for three classroom hours of CME on prescriptive practice

n The prescribing authority for physician assistants can be granted by the presentation of a copy of a PA training program transcript that includes course content on phar-macotherapy

Florida discount drug card program – hB 5003 (implementing bill approved by the legislature)

n Creates the competitive bidding of a discount program through a network of retail pharmacies

n The bill language can also include “a” mail order pharma-cy to participate in the program

n Discounts must be offered to Florida residents regardless of income

n Patient enrollment must be available online or by text messaging without charge

n Any revenue from the discount card program contract must be deposited into the Agency for Health Care Ad-ministration’s (AHCA) Grants and Donations Trust Fund

n The revenue is to be used to offset the costs of Medicaid pharmacy purchases

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M A R C H 2 0 1 2 | 15

For complete and updated information on the convention schedule, accommodations and other

details, visit the FPA website at www.pharmview.com.

We look forward to seeing you in Marco Island in July!

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M A R C H 2 0 1 2 | 17

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M A R C H 2 0 1 2 | 19

cAll FoR FpA oFFicER And diREctoR noMinAtions for 2013 Elections

The FPA By-Laws specify that any subdivision or any member in good standing may nominate one per-son for the office of President-Elect and one person for the office of Treasurer. A President-Elect shall be elected every year and shall assume the duties of the President on the last day of the annual meeting of the year following election as President-Elect. The trea-surer shall serve a two year term and may succeed to one consecutive term of office in that capacity. Nomi-nees must be Florida registered pharmacists in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy. Nominees for presi-dent-elect should have a good understanding of how the Association functions and should be current on the issues impacting pharmacy. Nominees for trea-surer should have good analytical skills and experi-ence and ability in financial management and budget preparation.

There are nine regional Board Directors who shall serve two year terms. Nominees must be a Flori-da registered pharmacist in good standing with the Florida Pharmacy Association and the Florida Board of Pharmacy. Additionally, Board Directors must be a member of at least one the FPA Unit Associations within their region. Board Directors terms are stag-gered such that even numbered regions shall be elect-ed in even numbered years and odd numbered re-gions shall be elected in odd numbered years. All newly elected Board of Directors Regional Directors shall take office on the last day of the annual meeting, and shall continue in office until the last day of annu-al meeting of the second ensuing year.

FPA CANDIDATE NOMINATION FORMI AM PLEASED TO SUBMIT THE FOLLOWING NOMINATION:

NAME:

ADDRESS:

FOR THE FOLLOWING OFFICE:(Nomination Deadline September 1, 2012)

q President-Electq Treasurerq Board Director Region 1 Region 3 Region 5 Region 7 Region 9

NOMINATED BY:

NAME:

DATE SUBMITTED:

SIGNATURE:

MAIL NOMINATIONS TO: Election Nominations, Florida Pharmacy Association, 610 N. Adams St., Tallahassee, FL 32301

(850) 222-2400 FAX (850) 561-6758

DEADLINE FOR NOMINATIONS IS SEPTEMBER 1, 2012

FPA Officer and Director NominationsAlthough we have just finished the election for a president-elect and directors for the even num-bered regions to be installed at the 2012 annual meeting, it is time to start thinking about nominees for the 2013 election since the nomination deadline is September 1 of this year (9/1/12). As the form below indicates, this year we will need candidates for president-elect, treasurer, and directors for the odd numbered regions. Please note that you may nominate yourself.

The Mystics band, sponsored by McKesson, will be playing tunes to start the

evening off, a Grill Chef will be cooking to order: hamburgers and Hebrew National

hot dogs, Kaiser rolls and assorted buns will be served, there will be 3 assorted

salads, baked beans, gourmet chips and pickles, and assorted fruits to choose

from. Ice tea, coffee and hot tea service. For dessert the Trustees will be serving

3 flavors of ice cream, with lots of different toppings sponsored by Walgreens.

FireCracker the Mechanical Bull, will be on hand for the cowboys and

cowgirls that want to try their skills at bull riding. Games and prizes too.

PLEASE PRINT:Please charge my: q Master Card q Visa Or pay online via PayPal at www.FlPharmFound.org

CARD # EXP. DATE

AUTHORIZED SIGNATURE

NAME(PRINT)

ADDRESS

CITY STATE ZIP

PHONE (W) (H)

SPONSORS

RED, WHITE & BLUE

FAMILY FUN NIGHTCOST:

12 YRS & UP $60,

5 YRS TO 11 $25,

4 YRS & UNDER FREETIME:

7:00 P.M.-

10:00 P.M.WHEn:

THURSDAY,

JULY 5, 2012

WHERE:

MARRIOTT MARCO ISLAND

RESORT, MARCO ISLAND

FLORIDA

DON’T WAIT MAKE YOUR RESERVATIONS NOW

YES, I want to order tickets!

12 YEARS & UP

# of Tickets: x $60 $

5 YEARS TO 11 YEARS

# of Tickets: x $25 $

4 YEARS & UNDER

# of Tickets: Free

TOTAL $A COPY OF THE OFFICIAL REGISRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352 WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.

M A R C H 2 0 1 2 | 21

phARMAcy REsouRcEs

AbbottDiabetes CareMichael J. Forker(239) 839-3313

Cerner EtrebyPharmacy Management Systems(800) 292-5590

PPSCRetail Pharmacy Purchasing Program(888) 778-9909

phARMAcy consultAnts

HCC Pharmacy Business SolutionsDean Pedalino(800) 642-1652Mobile: (727) 460-1855

Empire Pharmacy ConsultantsMichael Chen PharmD., CPhPresident/CEO(786) 556-7825 Mobile (305) 374-1029 Office

lEgAl AssistAncE

Kahan ◆ Shir, P.L.Brian A. Kahan, R.Ph., and Attorney at Law(561) 999-5999

phARMAcEuticAl WholEsAlER

McKesson Drug CompanyJim Springer(800) 804-4590 FAX: (863) 616-2953

tEMpoRARy phARMAcists –

stAFFing

HealthCare Consultants Pharmacy StaffingBob Miller(800) 642-1652

Empire Pharmacy ConsultantsMichael Chen PharmD., CPhPresident/CEO(305) 374-1029 Office

Rx Relief(800) RXRELIEF

buyeR’s GuideADVERTISERS: This is a special section designed to give your company more exposure and to act as an easy reference for the pharmacist.

P H A R M A C Y T O D A Yflorida

Advertising in Florida pharmacy todaydisplay 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; Non-members: $100 per 50 words; No discounts for advertising agencies. All Professional Referral ads must be paid in advance, at the time of ad receipt.

AHCA MEDICAID PHARMACY SERVICES2727 Mahan DriveTallahassee, FL 32308(850) 487-4441www.fdhc.state.fl.us/medicaid/pharmacy

AMERICAN PHARMACISTSASSOCIATION (APhA)Washington, D.C. (800) 237-2742www.pharmacist.com

AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTSBethesda, MD (301) 657-3000www.ashp.com/main.htm

DRug INFORMATION CENTERPalm Beach Atlantic University(561) 803-2728druginfocenter@pba.edu

FLORIDA BOARD OF PHARMACY4052 Bald Cypress WayBin #C04Tallahassee, FL 32399-3254(850) 245-4292www.doh.state.fl.us/mqa

FLORIDA POISON INFORMATION CENTER NETWORK(800) 222-1222www.fpicn.org

NATIONAL COMMuNITY PHARMACISTS ASSOCIATION 100 Daingerfield Road Alexandria, VA 22314703.683.8200703.683.3619 faxinfo@ncpanet.org

PHARMACY TECHNICIAN CERTIFICATION BOARD2215 Constitution Avenue NWWashington, DC 20037(800) 363-8012www.ptcb.orgcontact@ptcb.org

RECOVERING PHARMACISTS NETwORK OF FLORIDA(407) 257-6606 “Pharmacists Helping Pharmacists”

FREQuEntly cAllEd nuMBERs

22 | f L O R i d A p H A R M A C y t O d A y

HELP SUPPORT THE ADOPT-A-STUDENT PROGRAM Florida Pharmacy Association

122nd Annual Meeting & Convention July 4-8, 2012

The Marco Island Marriott Resort, Golf Club & Spa – Marco Island, Florida

Again this year, students from Florida Colleges of Pharmacy will be “Adopted” for the FPA Annual Meeting and Convention. Pharmacy students will benefit from the interaction with practicing pharmacists, learn first hand how FPA actually operates and how they can become involved in their chosen profession. As you remember, college students are on a tight budget and most of them cannot afford to attend convention. Here is how you can help! The cost to register/sponsor one student is $110.00. They also have travel, room and food expenses. Adopted students will receive complimentary registration, hotel accommodations and be able to attend special programs designed for them. If enough money is raised, FPA will also be able to include additional support for meals. Make a contribution yourself! Ask your local unit association or get together with friends to Adopt-A-Student. Remember…..these are the future leaders of pharmacy! Mentor Program. Each of the adopted students will be assigned a pharmacist who will invite them to attend meetings, CE programs, and share their knowledge and pharmacy experience with them. If you plan to attend the convention and would like to be a mentor, please contact the FPA office. Please fill out the form below and fax or mail with your check to:

Florida Pharmacy Association 610 North Adams Street Tallahassee, FL 32301

Fax: (850)561-6758 Please make your check payable to the Florida Pharmacy Foundation

Sponsor Name:_________________________________________________________________________ Address: ______________________________________________________________________________ City: _______________________________________ State: __________ Zip:_______________________ Phone: ________________________________ Amount of Contribution:___________________________ Charge to the following (please circle): VISA MASTERCARD DISCOVER AMEX Account #:_____________________________________Security Code:________ Exp. Date: ____________ Signature: ________________________________________________________________________________ Yes, I would like to serve as a Mentor. Contact me with more information on Mentoring. Contributions to the Florida Pharmacy Association Foundation are tax deductible as a charitable contribution for federal income tax purposes. Consult your CPA for complete details.

M A R C H 2 0 1 2 | 23

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24 | f L O R i d A p H A R M A C y t O d A y

Health Plan FreeStyle Lite® Precision Xtra™

Blood Glucose & Ketone Monitoring System

$600Save up to

per year*

The FreeStyle Promise® Program is a FREE benefit that provides patients with the knowledge and support they need to better manage their diabetes

Source: Formulary Compass Database™ as of Copyright ©2011 MediMedia USA, Inc. All rights reserved.

Sole Preferred – Preferred brand covered at the lowest co-pay.Preferred – Where products are physically listed on a formulary, searchable site or PDL at an approved, tier 2 or on PDL designation, including where competitors may be listed at the same level (T2/A/PDL) or higher.Covered – Status is less favorable than a competitor, unless competitors require additional restrictions such as PA, SE, etc.Prior Authorization – Covered after plan authorization; actual co-pay may vary by plan benefit.Open – Test strips are at the same reimbursement level as all other test strips offered by the plan.Customer is ultimately responsible for determining the appropriate codes and payment policies for individual patients. Abbott Diabetes Care Inc. does not guarantee third-party coverage or payment for Abbott Diabetes Care products or reimburse customers for claims that are denied by third-party payers.

FreeStyle Lite® Blood Glucose Test Strips are intended to be used with FreeStyle Lite® and FreeStyle Freedom Lite® meters only. * You are responsible for the first $15 of each co-pay under your insurance coverage. Persons on high co-pay plans may have additional responsibility, but 8 out of 10 eligible patients pay just $15 co-pay per month for test strips through the FreeStyle Promise® program. Void where prohibited. Co-pay assistance is not valid for prescriptions covered under Federal (e.g., Medicare) or similar State programs, and is not available for residents of the State of Massachusetts. Abbott can modify or rescind this offer without notice.

©2011 Abbott. ART21532 Rev. A 01/11

For In Vitro Diagnostic Use.

FreeStyle Lite® & Precision Xtra Formulary Coverage

8 out of 10 FreeStyle Promise® program

members with private insurance pay only $15 per month for program-eligible

test strips, even if their plan changes*

Aetna Preferred Preferred

TRICARE Preferred Preferred

Health First Health Plans Preferred Preferred

Preferred Care Partners, Inc. -MedicareAdvantage Plan Sole Preferred Sole Preferred

WellCare - Medicare Advantage Plan Preferred Preferred

Staywell Health Plan Preferred Preferred

Healthease Health Plan Preferred Preferred

Childrens Medical Services Preferred Preferred

Florida Medicaid Open Open

Medicare Part B Open Open

Florida

April 2011.