the arkansas pharmacist spring 2010

TheArkansasPharmacist

2010 Spring

Quarterly Edition

APA’s 128th Annual Convention

Fort Smith, AR

Registration Information ........................24

The Arkansas Pharmacist2

Board of Directors

Arkansas State Board of Pharmacy

President ................................................Lenora Newsome, P.D., Smackover

Vice President ....................................................Benji Post, P.D., Pine Bluff

Secretary ..............................................................Marilyn Sitzes, P.D., Hope

Member..........................................................Ronnie Norris, P.D., McGehee

Member ..........................................................Steve Bryant, P.D., Batesville

Member ..................................................Justin Boyd, Pharm.D., Fort Smith

Sr. Citizen Public Member ..................................Ross Holiman, Little Rock

Public Member............................................................Larry Ross, Sherwood

Arkansas Association of Health System Pharmacists

President ....................................................Jason Derden, Pharm.D., Benton

President Elect ..........................................Rayanne Story, Pharm.D., Searcy

Past President ......................................Maggie Miller, Pharm.D., Batesville

Executive Director ............................Susan Newton, Pharm.D., Russellville

Treasurer ..............................................Sharon Vire, Pharm.D., Jacksonville

Secretary ............................................Marsha Crader, Pharm.D., Jonesboro

Member at Large ............................Jody Smotherman, Pharm.D., Batesville

Member at Large ................................Jennifer Priest, Pharm.D., Little Rock

Member at Large ........................Andrea Donaldson, Pharm.D., Little Rock

District 1

Eddie Glover, P.D.

U.S. Compounding

2515 College Ave.

Conway, AR 72034

District 2

Brent Panneck, Pharm.D.

St. Francis Pharmacy

210 Cobean Blvd. #10

Lake City, AR 72437

District 3

Danny Ponder, P.D.

Ponder Economy Drug, Inc.

400 S College St,

Mountain Home, AR 72653

District 4

Laura Beth Martin, Pharm.D.

Family Pharmacy

810 S. Main St.

Hope, AR 71801

District 5

Lynn Crouse, Pharm.D.

Eudora Drug Store

140 S. Main St.

Eudora, AR 71640

District 6

Michael Butler, Pharm.D.

Village Health Mart Drug #1

4440 N. Highway 7

Hot Springs, AR 71909

District 7

John Vinson, Pharm.D.

Area Health Education Center

612 South 12th Street

Fort Smith, Arkansas 72901

District 8

Christy Campbell, P.D.

Lowery Drug Mart #2

123 Central Ave.

Searcy, AR 72143

2008 - 2009 Officers

President ......................................................Jan Hastings, Pharm.D., Benton

President Elect ................................................Mike Smets, P.D., Fort Smith

Vice President ..........................................Gary Bass, Pharm.D., Little Rock

Past President........................................Paul Holifield, Pharm.D., Batesville

Area Representatives

Area 1 (Northwest) ..................................Gary “Buzz” Garner, P.D., Mena

Area 2 (Northeast) ..............................Dennis Moore, Pharm.D., Batesville

Area 3 (Central) .............................Kenny Harrison, Pharm.D., Little Rock

Area 4 (Southwest/Southeast) ......................Mike Stover, Pharm.D., Rison

Ex-Officio MembersAPA Executive Vice President ..............................................................................................................................................Mark Riley, Pharm.D., Little Rock

Board of Health Member ................................................................................................................................................................John Page, P.D., Fayetteville

Board of Pharmacy Representative ............................................................................................................................Charles Campbell, Pharm.D., Little Rock

UAMS College of Pharmacy Representative (Dean) ....................................................................................Stephanie Gardner, Pharm.D., Ed.D., Little Rock

Harding College of Pharmacy Representative (Dean) ......................................................................................Julie Hixson-Wallace, Pharm.D., Ed.D, Searcy

UAMS College of Pharmacy Student Representative ........................................................................................................................Collin Ward, Little RockHarding College of Pharmacy Student Representative........................................................................................................................Celia Proctor, Little Rock

APA’s Academy of Consultant Pharmacists

President..........................................................Jim Griggs, P.D., Fayetteville

President Elect ..................................................................To Be Announced

APA’s Academy of Compounding Pharmacists

President ..........................................Gary Butler, P.D., Hot Springs Village

President Elect ..........................................Mark Shinabery, P.D., Maumelle

The Arkansas Pharmacist 3

Contents

Mark S. Riley, Pharm.D.

Executive Vice President

[email protected]

Barbara McMillan

Director of Administrative

Services & Meetings

[email protected]

Scott Pace, Pharm.D.

Associate Executive Vice President

[email protected]

Debra Wolfe

Director of Public Affairs

[email protected]

Helen Hooks

Communications Specialist

[email protected]

Celeste Reid

Administrative Assistant

[email protected]

APA StaffOffice E-mail Address

[email protected]

PharmacistArkansas Pharmacists Association

417 South Victory

Little Rock, AR 72201

501-372-5250

501-372-0546 Fax

The Arkansas Pharmacist (ISSN 0199-3763) is

published quarterly by the Arkansas Pharmacists As-

socia tion, Inc. It is distributed to members as a reg-

ular service paid for through allocation of

membership dues ($5.00). Non-members subscrip-

tion rate is $30.00 annually. Periodical rate postage

paid at Little Rock, AR 72201.

Current edition issue number 50.

POSTMASTER:

Send address changes to

The Arkansas Pharmacist

417 South Victory

Little Rock, AR 72201.

EDITOR:

Mark Riley, Pharm.D.

Executive Vice President

ART & DESIGN EDITOR:

Helen Hooks

Communications Specialist

Opinions and statements made by contributors, car-

toonists or columnists do not necessarily reflect the

attitude of the Association, nor is it responsible for

them. All advertisements placed in this publication

are subject to the approval of the APA Executive

Committee.

From the President......................................................................................4

The Executive’s Perspective ......................................................................5

Harding Report ..........................................................................................8

Safety Nets................................................................................................10

In Memoriam ............................................................................................11

Rx and the Law ........................................................................................12

AAHP Report ..........................................................................................13

UAMS Report ..........................................................................................17

Calendar of Events ..................................................................................18

Member Classified Advertising................................................................22

APA Board of Directors Minutes..............................................................36

Special Honor ............................................................................................6

Healthcare Reform Update ........................................................................9

2010 UAMS Graduates ............................................................................16

2009 “Bowl of Hygeia” Recipients ..........................................................19

Mike Beebe for Governor ........................................................................20

2010 Convention Information ..................................................................24

Features

Departments

Pharmacists Mutual ..................................................................................7

Logix, Inc.................................................................................................14

Arkansas Pharmacy Support Group ........................................................14

Cardinal Health........................................................................................15

RXMaster ................................................................................................18

Arkansas Pharmacy Foundation Legacy ................................................23

Pace Alliance ..........................................................................................31

Pharmacy Quality Commitment ..............................................................32

Index to Advertisers

The Arkansas


From the PresidentAs I contemplate what to say in this my final written message to the wonderful membersof our Association, I am at a loss for words. And for those of you who know me that is avery unusual occurrence.

I went into the year thinking that since it was only a budget session year for the ArkansasGeneral Assembly that the year would be pretty uneventful as far as legislative issueswere concerned. Boy was I wrong! I want to list just a few of the “minor” issues wehave monitored and dealt with this year at the Association. The list is definitely not inorder of importance!

1. The H1N1 virus started out the year with a potential crisis. In early fall, I participatedin a NASPA teleconference that updated me on issues we were facing like shortages invaccine, issues about how we would be reimbursed, who could get the vaccine and whenit would be available.2. Federal Health Care is still a hugely unknown entitiy. Who knows when or what willbe decided on that issue. I do know that Mark and Scott are working closely with na-tional groups to maintain our presence and be sure our issues are heard. Mark and Scottput together a list of our Principles of Pharmacy Reform. Many of you heard Mark’spresentation of these at our District meetings last fall. A few of the issues within the Fed-

eral Health care debate that are of interest to pharmacy are AMP, DMEPOS, promptpay and MTM. 3. State Budget concerns are still facing us. In September, Mark attended a CMShearing about our proposed reimbursement request. We are still waiting to hear adecision. AWP reimbursement issues also are concerning. We have formed anAdHoc Committee to determine ways in which pharmacists can assist the statewith concerns of shortfalls in Medicaid budget. The innovative ideas which arosefrom this meeting are a win situation for everyone. Thank you to this committeefor their hard work.

The issues I listed are just the tip of the iceberg as far as what the Association isdoing on your behalf. I know that the coming year will bring opportunities and chal-

lenges of its own. But we are in good hands. I know that incoming President MikeSmets will do a great job! We have a huge opportunity this year to make an

impact in the State Legislature by supporting our two pharmacists that arerunning for office- Drs. Karrol Fowlkes, Scott Pace, and Raymond Robert-son. If you have not made your contribution to their campaign, it is NOTtoo late!

Now for the part that is really hard!! I knew this year would be a fantasticexperience but I had no idea how fantastic! I have been humbled by thewords of encouragement sent to me via phone calls, emails and cards thisyear. I have been encouraged by the strength not only of our pharmacist’ssupport for the Association but our student support and enthusiasm. And Ihave been awestruck by the talented team we have representing us at the

office. Every single person at the office pours their heart and soul into making this organ-ization so successful and I thank each of them tremendously for making my year as Presi-dent so enjoyable.

It has been an honor and a privilege to represent you this year as President of theArkansas Pharmacists Association. I am not quite ready to let go, so I am glad I have alittle time left until June. But when you think of this year at the Association, I hope thatyou will remember being encouraged and energized. Positivity has been my theme and Iguarantee you that I am positive it has been one of the best years of my life! Thank youand I pray that God will continue to bless this Association in the years to come!

PS. This has been President doesn’t intend to just disappear into the wind. I will be gladto assist you and our Association however I can - even after June 25th.

Jan Hastings,

Pharm.D.

Associate Professor

UAMS

College of Pharmacy


The Executive’s Perspective

2010: A Year of Political Change

“When it rains, it pours” certainly is a fitting axiom as we look at the number of new

faces that will become elected officials this year. Senator Blanche Lincoln, who has con-

sistently supported our issues, is facing a hotly contested race with two additional De-

mocrats and eight Republicans vying for that seat. One of the Republican challengers,

Third District Congressman John Boozman, will be our AP-PAC speaker at this year’s

convention. His entry into the senate race, means that the Third District will have a new

Congressman in 2011. The race includes one Democrat and eight Republicans.

Congressman Vic Snyder has decided to forego seeking a seventh term for the Second

Congressional District to devote more time to his family, which includes four children

under the age of four (you have to respect that decision). And, finally, our great friend

and colleague, Congressman Marion Berry has decided to retire back to the farm in

Gillette after serving seven terms representing the First Congressional District. Marion

has been a staunch supporter (and frequent lead sponsor) of pharmacy legislation, and I,

personally, can’t express strongly enough what he has meant to me and Arkansas phar-

macy. There are five Democrats and two Republicans who have filed for that seat.

The good news is that Congressman Mike Ross is vying to return to Congress in the

Fourth Congressional District. Mike has also been a huge supporter of pharmacy,

and I encourage you to support him in every way you can.

At the state level, we are expecting approximately 40 new House of Representative

members (out of a total of 100), and 12 or more new Senate members (out of 35).

This means that a new face will occupy approximately 38 percent of the Arkansas

Legislature. Your grassroots involvement in the process is more important now than

ever. We need to build good relationships with as many of these new members as possi-

ble. Please let us know of ANY connection you have with ANY legislator or candidate.

Having an opportunity for the legislator to meet the APA and his local pharmacist,

helps us create a “bond” that will last throughout their tenure. We try to

schedule these types of meetings while we are out on District Meetings in

September, but I am happy to make a special trip to your area to meet with

you and your legislator. Again, please contact us and let us know about

your relationship with your local legislator.

APA is also particularly proud that many candidates with pharmacy connec-

tions are involved in this year’s races. Ben Ponder (son of APA member

Danny Ponder) is running for the First Congressional District. David Bol-

ing, (brother to APA members Dr. Elaine Bultena and brother-in-law to Drs. Loyd Bul-

tena and Dr. Robert Jordin) is running for the Second Congressional District. David

Whitaker (husband of APA member, Dr. Lisa Whitaker) is running for the Third Con-

gressional District. At the state level, APA members Dr. Scott Pace (District 31),

Dr. Karrol Fowlkes (District 82), and Dr. Raymond Robertson (District 4) are running for

the state House of Representatives. In addition, Tommy Wren (son-in-law of Dr. Royce

Wilson and brother-in-law of Dr. Lee Wilson, both APA members) is vying for the house

seat in District 71.

As you can see, we have a great opportunity to educate these new legislators about the

importance of pharmacy. Talk to these candidates and get involved in their campaigns by

donating your time and money to pharmacy-friendly candidates. I know you will; you

always do.

Mark Riley, Pharm.D.

Executive Vice

President


Special Honor

Washington Regional Foundation Announces 2010 Eagle Award Winners

(Fayetteville, AR) Three Eagle Award recipients were formally recognized during the

Washington Regional Foundation’s Gala 2010, “An Evening with Kenny Loggins,” on

Tuesday, April 6 at the Walton Arts Center. Established in 1994, the Eagle Award For

Outstanding Health Leadership is given to individuals or organizations that make out-

standing contributions to the improvement of healthcare in Northwest Arkansas. This

year’s recipients are Dan Bell, M.D., Carl Collier, P.D. and David McClinton.

This is the 17th year that the Gala has been a successful contributor to the Foundation’s efforts to provide neces-

sary funding for a variety of healthcare programs. Over the past 17 years, the Foundation has provided through

Gala proceeds more than $900,000 for specific healthcare projects and programs through the phenomenal gen-

erosity of countless donors and volunteers throughout Northwest Arkansas. The beneficiary of this year’s Gala

proceeds is the new Washington Regional Hospice Home, an inpatient facility that will provide a tranquil,

home-like environment for patients who need more end-of-life care than they can receive at home, and will spe-

cialize in symptom control and comfort.

With a family name that is synonymous with service and trust, Carl Collier has made caring for the health and

well being of Northwest Arkansas his priority for more than 45 years.

Collier’s grandfather opened Red Cross Drug Store on the Fayetteville Square in 1917, establishing the family’s

commitment to quality care and efficient service by offering home delivery and charge accounts. After Carl

graduated from pharmacy school in 1964, he joined his brother Morris and their father in the family business. In

1973, Collier’s Drug Store became just the fourth pharmacy in the nation to implement computerized prescrip-

tion tracking and record-keeping—another example of the family’s commitment to providing quality care and

efficient service.

Widely known for his ready smile and cheerful personality, Collier also epitomizes the serious and scientific na-

ture of a pharmacist. He works diligently to create therapeutic solutions to patient dilemmas, and has been an

especially compassionate friend to many Hospice patients. Collier has supported Washington Regional Hospice

for more than 25 years, both as a generous financial sponsor of the organization’s fundraising efforts as well as

with his time and attention to Hospice patients. He even makes sure a Collier’s pharmacist attends weekly Hos-

pice team meetings in an effort to stay familiar with particular patient needs. “Carl is one of those rare individu-

als that is genuinely concerned and shows support for anyone and everyone that he encounters,” says Paula

Hartz, director of Washington Regional Hospice. “It is not unusual for Carl to get out in the middle of the night

to get medications for a patient that is in acute distress or pain.”

In addition to his vast responsibilities as a pharmacist, Collier has been active in several national pharmacy or-

ganizations, as well as the American Red Cross, Juvenile Diabetes Research Foundation, Rotary, United Way

and Dickson Street Improvement Committee. He and his wife, Janet, married since 1965, have two children:

Meredith Dowse and Mel Collier.


The Creation of Student Chapters of Pharmacy Professional Organizations:

Starting From Scratch

If your college of pharmacy experience was like mine, you went to a school or college of pharmacy where there were nu-

merous pharmacy professional organizations to choose from ranging from a student chapter of the Academy of Managed

Care Pharmacy to a pharmacy fraternity like Phi Delta Chi. There were also opportunities to become part of a pharmacy

honor society like Rho Chi or Phi Lambda Sigma. But how did all those chapters get started? What if you were at a new

school and were its first or second class of students? What considerations need to be made to establish strong student

chapters of pharmacy organizations?

This is the position we have found ourselves in at Harding University College of Pharmacy. With the creation of a new

college of pharmacy not only do the faculty and staff need to be in place to provide all the

academic pieces of the curriculum puzzle, but also a plan must be put into place to establish

student chapters of professional organizations. The first decisions to be made are which or-

ganizations to start with and the order of their implementation. As we surveyed colleges and

schools of pharmacy across the country, we found that the most student-centered profes-

sional organization was the American Pharmacy Association-Academy of Student Pharma-

cists (APhA-ASP). In fact, at many colleges of pharmacy APhA-ASP serves as the umbrella

organization under which all other student chapters fall. In some cases, the APhA-ASP lead-

ership group also serves as the college’s student government.

In the case of Harding, we chose to start with a Council of Students (COS) to serve as the

student government. The COS is composed of officers elected from the entire student body, representatives from each

class, and representatives from each of the student professional organization chapters. During our first accreditation visit

from the Accreditation Council for Pharmacy Education (ACPE), we shared a list of pharmacy professional organizations

we envisioned eventually starting student chapters of at Harding. ACPE strongly urged us to limit the list to one or two

organizations to begin with to prevent a small number of students and faculty getting spread too thinly by trying to start

too many student chapters. At that point, we chose APhA-ASP as our first student organization. This fit nicely with the

way professional organizations are organized within Arkansas as well, since the Arkansas Pharmacists Association (APA)

is a state affiliate of APhA. For the second student chapter of a professional organization we chose to form the Student

Society of Health-System Pharmacists (SSHP) in collaboration with the American Society of

Health-System Pharmacists (ASHP), again mimicking the pattern already established at the state

level with the Arkansas Association of Health-System Pharmacists (AAHP).

When you consider the fact that there are approximately 60 students in each entering pharmacy

class at Harding, having three organizations (COS, APhA-ASP, and SSHP) that each require eight

to ten individuals to serve in leadership positions is an ambitious undertaking. Not to mention the

fact that all of the students working to establish the student chapters are first and second year phar-

macy students with no one ahead of them to have already paved the way or established policies

and procedures to get things done. The administration of the

college made every effort to assist the students as they worked

through this process. The Director of Student Affairs, Mrs.

Susan Grace, along with faculty chapter advisors offered counsel and guidance to the

students as they wrote the constitution and bylaws for each group and began recruiting

members.

So while our APhA-ASP and SSHP chapters are both relatively new, they are already

making great impressions and efforts to become involved at the local, state, and na-

tional levels. The APhA-ASP chapter hosted a diabetes and blood pressure screening

at Get Down Downtown, a Searcy city festival in September. Student representatives

from Harding have attended the annual national meeting of APhA for the last two

years and the summer and midyear national meetings of ASHP in the last year. Stu-

Harding Report

left to right: Pamela Pinkerton (P1), Awung

Asong (P1), Rami Beiram (P2), Dr. Rayanne

Story, Dr. Julie Hixson-Wallace (Dean),

Emily Roberts (P1), and Celia Proctor (P2)

and Region 6 APhA-ASP representative.

left: Mallory Garfield (P2) right:

Janice McKean (P2) represented

HUCOP at the 2009 national ASHP

Clinical Skills Competition

Harding student performs

blood pressure check at Get

Down Downtown festival.


Healthcare Reforem Updatedents have also attended the APA and AAHP meetings and presented posters at the AAHP meeting and served as meeting

volunteers. Harding has had national competitors in the 2009 ASHP Clinical Skills Competition and the 2010 APhA Pa-

tient Counseling Competition and presented a poster at the 2009 ASHP midyear in Las Vegas as well. One of our stu-

dents, Celia Proctor, has been elected Region 6 APhA-ASP representative (covering AR, OK, KS, TX, and LA) and is

serving in this role at the national APhA-ASP student caucus in Washington, DC March 12-15, 2010.

What’s next on the horizon? A student chapter of the National Community Pharmacists Association (NCPA) is in the be-

ginning stages of formation. The faculty advisor for this group will be Dr. Jeff Mercer. Harding is also anxious to estab-

lish a pharmacy honor society chapter of Rho Chi, but their regulations will not permit a student chapter until the college

has graduated its first class (which will occur in May 2012) and attained ACPE full accreditation.

The student pharmacists at Harding have done an excellent job of laying the groundwork for a legacy of student pharmacy

professional organization chapters that are anticipated to do nothing but grow and flourish in coming years as the student

body continues to grow along with them. We appreciate all the assistance we have received from APA, AAHP, UAMS,

and individual pharmacists who have provided guidance and support for our student organizations along the way. Our

sincere desire is to become a productive and active part of the pharmacy community in Arkansas and we cherish the op-

portunities to serve!

Julie A. Hixson-Wallace, Pharm.D., BCPS

After many months of debate, Congress passed health insurance reform legislation. The President signed the

legislation into law on March 23, 2010. At its core, the legislation is designed to extent health insurance cover-

age to most of the 30 million plus Americans that currently have no insurance. The new law marks some of the

most sweeping changes to healthcare in America since the creation of Medicare and Medicaid.

Included in the new law are several provisions that the pharmacy community has been working on for several

years, including:

• Durable Medical Equipment Exemption (DME) – eliminates the requirement for small pharmacies to

be accredited to sell DME supplies; only pharmacies selling greater than five percent of their total

sales volume in DME are required to become accredited.

• Average Manufacturers Price (AMP) fix – cleans up language that was passed as part of the Deficit

Reduction Act of 2005 that would have gutted pharmacy reimbursement on generic drugs in Medicaid.

• Pharmacy Benefit Manager (PBM) Transparency – imposes mandatory transparency requirements on

PBMs operating in the newly created healthcare exchanges.

Because most provisions of the new law do not begin until 2014, it may be several years before we know the

full impact of the bill. As always, APA will monitor and respond to any impact on the pharmacy community.

Congress Passes

Healthcare

Reform


Safety Nets

Safety

Nets

A pharmacy technician received the original prescrip-

tion illustrated in Figure One. After

obtaining the required patient infor-

mation from this new patient, the

technician entered the prescription

information into the computer as

Valium® (diazepam), 10 mg

Tablets, quantity 30, with directions to the patient of

“take one tablet by mouth daily”. The same technician

filled the prescription and placed it in line

for pharmacist verification. The pharmacist

verified the prescription had been correctly

filled and began to counsel the patient

about diazepam. When the pharmacist ex-

plained to the patient that diazepam was

usually prescribed for anxiety, the patient

immediately stated she was being treated

for an overactive bladder. When the phar-

macist re-examined the medication order,

he realized the order could also be interpreted as Vesi-

care® (solifenacin) 10 mg Tablets. A telephone call to

the prescriber confirmed the prescription was written

for Vesicare®, not Valium®. After this, the order was

correctly filled and the patient appropriately coun-

seled.

In this first example, the prescriber’s letter formations

clearly lead a reader astray. The “V” is clearly a “V”.

What was intended as “es” certainly resembles “al”,

with a sort of tail off the “l”. The “i” stands alone and

is clear, with its dot floating some distance away, but

still associated with the base of the letter. The element

meant to be read “care” certainly resembles either

“un” or “um”. The confirmation bias formed from

decades of dispensing Valium®, and the additional

confirmation bias of the 10 mg strength leads the

reader to perceive an order for an old

standby, diazepam 10 mg tablets. The Sig

does not assist the pharmacist. The pre-

scriber wisely avoided the dangerous abbre-

viation “QD” and stated to take the dose

“daily”. This is a good practice, but it is

not carried to completion. A once-daily

dose could have several purposes. Some-

thing more is needed. The best practice is to

include the intended use of the medication

as part of the Sig. Had this been implemented here,

the technician or the pharmacist would surely not have

provided a finished prescription of diazepam for treat-

ment of an overactive bladder.

In the second case (Figure Two), a pharmacist entered

the prescription information into the computer as sim-

vastatin 80 mg tablets, quantity 30, with directions to

This issue of Safety Nets describes the con-tinuing problem of look-alike, sound-likemedications. Thank you for your continuedsupport of this column.

Patient counseling will remain

the best protection forour patients”

Figure One


In Memoriumthe patient of “take one tablet daily”. The prescription

was filled by a technician and placed in line for coun-

seling. During the counseling session, the patient in-

terrupted the pharmacist and

stated he was supposed to re-

ceive a prescription to “help

me concentrate”. After re-ex-

amining the prescription a sec-

ond time, the pharmacist

realized the order could also be

interpreted as Strattera® (ato-

moxetine) 80 mg Capsules. A telephone call to the

prescriber confirmed Strattera®, not simvastatin.

The second example contains real difficulties. It is

nearly impossible to see “Strattera”® in the written

order. The word clearly begins with “S”. Unfortu-

nately, the letter “t” is formed in three different fash-

ions. The first “t” very much resembles “i”, for the

crossbar floats above the stem. The second “t” (stand-

ing after what appears to be “ua” or “ud”, has a con-

necting mark between the base of the upright and the

bar (which again does not cross the upright). The ele-

ments that the prescriber intended to be read “tera”

contain a crushed “t” which looks more like “a” or “o”

preceding what looks to be “ld”. No technician or

pharmacist is quite able to cope at first reading with an

order for what looks like “Siuatald”.

The Sig here again does not indicate the intention of

the prescriber. There is no indication that the patient

is being treated for some defect of concentration. In-

deed, the intended “qd” looks a great deal like “qid”.

Even had the proper drug/strength been selected, a

four-fold overdose remains a real possibility. The

guidance is clear. This prescription is not legible. A

community pharmacist well familiar with the prescrib-

ing habits of a local physician might satisfactorily in-

terpret this prescription, based on long experience with

the physician. However, the order here offered for

study cannot be considered a model of safe writing

practices.

As we make a transition toward more computer-gener-

ated prescriptions, we may indeed hope to see illegible

drug names result in fewer errors reaching patients.

The same will be true for confusion of unofficial

Latin-derived Sigs. However, we will all be chal-

lenged to provide appropriate vigilance against drug

and dose instructions that are inappropriate for our pa-

tients, even though those doses come from a computer

screen or a print-out with no flaws in spelling. Patient

counseling will remain the best protection for our pa-

tients.

In Memorium

Dr. Samuel WatsonArkadelphia, AR

Dr. Ken Culpepper, Sr. Hot Springs Village, AR

Figure Two


Rx and the Law PHARMACY MARKETING GROUP, INC

AND THE LAW By Don McGuire, R.Ph., J.D.

This series, Pharmacy and the Law, is presented by Pharmacists Mutual Insurance Company and your State PharmacyAssociation through Pharmacy Marketing Group, Inc. a company dedicated to providing quality products and services tothe pharmacy community.

NEVADA RULES ON PHARMACIST’S DUTIES

The Nevada Supreme Court has ruled on the case asking

whether seven chain pharmacy owners and one independent

owner were rightfully dismissed from the civil case, Sanchez

v. Wal-Mart Stores, et al1. The case arises from a June 2004

car accident caused by Patricia Copening. She was driving

along a busy Nevada highway while under the influence of

prescription medications. The accident killed one man, Gre-

gory Sanchez, Jr., and injured another, Robert Martinez.

Prior to the accident, in June 2003, the Nevada Prescription

Controlled Substance Abuse Prevention Task Force sent let-

ters to 14 Las Vegas area pharmacies informing them that

Copening may be abusing drugs. The letter informed the

pharmacies that Copening had received approximately 4,500

hydrocodone tablets from 13 different pharmacies during the

previous year. She continued to receive multiple prescrip-

tions for hydrocodone-acetaminophen and carisoprodol be-

tween June 2003 and June 2004 when the accident occurred.

She appeared confused. The police found prescription bottles

and loose tablets in the vehicle. She was found to have hy-

drocodone in her system. She served nine months in jail after

pleading guilty to reckless driving.

A civil case was filed by the Sanchez family, Mr. Martinez

and his family against Copening, the doctors prescribing for

her, and the pharmacies. The district court dismissed the

pharmacies because Nevada law did not impose a duty on the

pharmacies to take action after receiving the Task Force let-

ter.

The Supreme Court of Nevada reviewed the case and an-

swered two questions; First, did the pharmacy have a duty to

act to prevent their patient from injuring members of the gen-

eral public, and Second, did Nevada law allow third parties

to maintain a negligence per se claim. The case was decided

by a 5-2 margin, with a strong dissent.

The majority and the dissent agreed that under Common Law

principles, a person has no duty to control the dangerous con-

duct of another person or to warn others of the dangerous

conduct. There is an exception to this rule however. If there

is a special relationship and the harm is foreseeable, the there

is a duty to act. The majority and dissent diverged on the

analysis of whether a special relationship existed in this case

because they weren’t consistent on which parties form this

special relationship. The majority talked about the relation-

ship between the pharmacy and the victim, while the dissent

talked about the relationship between the pharmacy and the

patient. The majority notes that the pharmacy had no rela-

tionship with the victims and that they were, in fact, uniden-

tifiable prior to the accident. This is an important point in

the analysis because it is clear that there is a special relation-

ship between a pharmacy and its patients.

The majority noted that the pharmacy had no requirement to

act after it received the Task Force letter. However, they

pointed out in a footnote that the regulations had changed

since this incident, but declined to opine as to whether the

decision would be different because of the rule changes. The

ruling in the case was that the pharmacies had no duty to act

because the law didn’t require them to act and there was no

special relationship formed that would require them to act.

The majority also ruled that a negligence per se claim could

not be maintained because the laws in question were not in-

tended to protect against the injuries that the plaintiffs had

sustained.

While the pharmacies were dismissed in this case, the case

should serve as a wakeup call to pharmacists. The dissent

made some strong arguments, and even the majority hinted

that the answer might be different under today’s laws. The

court here said that the pharmacies did not have a duty to act

upon information received from the task force, so they never

provided guidance as to what a pharmacy should do if it were1. Sanchez, et al. v. Wal-Mart Stores, Inc., et al., 2009 WL5030703 (Nev.), December 24, 2009.


AAHP Reportrequired to act. This issue is very likely to come up again

and the next court could find that the pharmacy was required

to act. Prescription drug monitoring programs work by pro-

viding information that a single pharmacy or prescriber is un-

likely to obtain on their own. In the past, a single pharmacy

was usually unaware of all of a patient’s activities in acquir-

ing controlled substances and didn’t have enough informa-

tion to take any action. In the present case, the pharmacies

were notified that the patient was getting prescriptions filled

at 12 other pharmacies around town. It is very possible that

this additional information might provide the basis for a court

or legislature to make a major change in the law of negli-

gence.

© Don McGuire, R.Ph., J.D., is a Professional Liability Claims At-

torney at Pharmacists Mutual Insurance Company.

This article discusses general principles of law and risk manage-ment. It is not intended as legal advice. Pharmacists should con-sult their own attorneys and insurance companies for specificadvice. Pharmacists should be familiar with the policies and pro-cedures of their employers and insurance companies, and act ac-cordingly.

AAHP ReportBy: Jason Derden, President

AAHP 2010 Annual Fall Seminar

The Arkansas Association of Health-System Pharmacists (AAHP) will host its 44th Annual Fall Seminar on Oc-

tober 7th and 8th, 2010 at the Holiday Inn Airport Conference Center in Little Rock, Arkansas. AAHP will

offer over 10 hours of live ACPE accredited continuing education. The program will include an exhibitor ses-

sion, pharmacy technician and student sessions, poster presentations, awards luncheon and more. The American

Society of Health-System Pharmacists (ASHP) will have representatives at the fall seminar including a visit by

the ASHP President. Please mark your calendar for the AAHP 44th Annual Fall Seminar to be held on October

7th and 8th, 2010 at the Holiday Inn Airport Conference Center in Little Rock, Arkansas. Visit our website at

www.aahponline.org for future program details.

AAHP/SSHP Scholarship

AAHP would like to congratulate Trinity Lahti from UAMS College of Pharmacy. Trinity is the 2010

AAHP/SSHP scholarship winner.

APA Annual Convention at the Fort Smith Holiday Inn

Dr. Jennifer Priest is working with APA for the AAHP sponsored educational event at the Annual APA

Convention on June 24-26, 2010. Three live continuing education hours are being planned.

Listserver of AAHP Members

AAHP in conjugation with ASHP is offering a Listserve for AAHP members. Many pharmacists are already tak-

ing advantage of this key resource. The majority of challenges we face within our individual organizations are

the same across the state. The Listserve can be your lifeline to connect with other pharmacist and share your ex-

periences. To join the Listserve, visit our website at www.aahponline.org.


Medicaid Alert

Medicaid AlertNow that Spring has finally sprung, many of us and our patients are suffering from seasonal allergy symptoms.

Arkansas Medicaid would like to take a minute and remind you of some evidence based treatments for the

symptoms associated with the beautiful Spring weather.

Allergic rhinitis is a collection of symptoms, mostly in the nose and eyes, which occur when you breathe in

something you are allergic to, such as dust, dander, or pollen. Symptoms include but are not limited to itchy

and/or runny nose, itchy mouth and skin, itchy and/or tearing eyes, itchy and/or sore throat, nasal congestion,

sneezing, and coughing.

• Nasal corticosteroid sprays are the most effective treatment for allergic rhinitis. They work best when used

nonstop, but they can also be helpful when used for shorter periods of time.

• Studies show that for the treatment of allergic rhinitis, intranasal steroids are more effective than Montelukast

(Singulair®) monotherapy or Montelukast plus an antihistamine.

• Montelukast (Singulair®) is not the most effective therapy for allergic rhinitis.

• Nasal corticosteroid sprays that are available as preferred medications on the Arkansas Medicaid Preferred

Drug List include: Fluticasone Furoiate (Veramyst®), Fluticasone Propionate (Flonase®), Mometasone (Na-

sonex®), and Triamcinnolone (Nasacort AQ®).**http://www.nlm.nih.gov/medlineplus/ency/article/000813.htm; http://emedicine.medscape.com/article/134825-print; https://www.medicaid.state.ar.us/InternetSolu-

tion/Provider/pharm/scripinfo.aspx#Evidence; The Diagnosis and Management of Rhinitis: An Updated Practice Parameter. J Allergy & Clin Immunol. 2008;122:S1-

84; Lambert M. Practice Guidelines: Practice Parameters for Managing Allergic Rhinitis. Am Family Physician. July 2009;80(1): 79-85.


2010 UAMS Graduates


UAMS Report

As one of its missions, the University of Arkansas for Medical Sciences (UAMS) College of Pharmacy keeps a

steady and watchful eye on efforts that can be made to improve the health care of Arkansas’ patients and fami-

lies. By identifying particular patient and pharmacist needs, we then are eager to find solutions by offering spe-

cific programs or working corrective steps into our ever-evolving curriculum.

A perfect example of the effect the College of Pharmacy can have on health care in Arkansas is the recent

reemergence of Disease State Management (DSM) practices among pharmacists and prescribers in our state.

We’ve been called on to revitalize a program that began nearly a decade ago.

The original DSM regulation came into play in Arkansas around 2000, and was specific to credentialing phar-

macists to enter into written protocol agreements with prescribers in just four defined areas, including anticoag-

ulation, diabetes, asthma and hyperlipidemia. This credentialing is important to not only improve patient care,

but to give practicing pharmacists increased efficiency in the management and distribution of medicine. Over

the years, the original governing body of the credentialing slowly dissolved requiring revision of the regulation

in November 2009.

The revised regulation allows the ASBP to make the UAMS College of Pharmacy a credentialing body, and no

longer limits DSM to the previous four specific areas. The new guidelines allow credentialed pharmacists to

enter into written protocol agreements with prescribers for any disease state. These agreements with physicians

allow pharmacists to provide targeted interventions within specific disease states that require complex medica-

tion regimens. However, the regulation also allows for protocols directed at therapeutic interchange of pre-

scribed medications that may not be preferred by insurance plans.

Another reason the College of Pharmacy is well positioned to help manage this innovative program is because

of the strong support system already in place with our Drug Information Center (DIC). This service component

of our College is available to health care professionals and receives and answers drug information questions of

all types. If pharmacists or prescribers have questions about implementation of a written protocol agreement,

our DIC will offer any support necessary. We’re equipped for the DIC to be the “go to” place to support this

new credentialing effort.

The UAMS College of Pharmacy has moved quickly to offer this credentialing service to both current and fu-

ture pharmacists in Arkansas. We’ve created a 3.5-hour credentialing program that has been offered twice so

far, with more planned for the future. The next program will be offered in June at the Arkansas Pharmacists As-

sociation Meeting. Currently, more than 120 pharmacists have completed the training, and we have received

fantastic feedback from those who attended the program. Perhaps the most exciting feature of this new program

is that we plan to have it permanently incorporated into our curriculum by 2011 so that every student is creden-

tialed upon graduation. For pharmacists already in practice, we’ll not only continue offering live credentialing

opportunities, but we’ll also streamline the process for online completion.

By doing this, it’s just another way we’re helping Arkansas meet its future health care needs. We hope all phar-

macists in Arkansas will take advantage of the opportunities that this revised regulation allows!

College of Pharmacy

Dean Stephanie Gardner


Calendar of Events

Calendar of EventsMAY

May 10 - 12, 2010

NCPA Annual

Legislative Conference

Washington, DC

JUNE

June 24 - 26, 2010

APA Annual Convantion

Fort Smith Holiday Inn

Fort Smith, AR

JULY

July 16 - 25, 2010

2010 CE in Paradise

Hawaii Island Hopping

AUGUST

August 12 - 14, 2010

APA Board of Directors Retreat

Rockwall, TX

SEPTEMBER

September 7 - 30, 2010

APA Annual District Meetings

September 22 - 24, 2010

NCPA Annual Convention

Silverado Resort, Napa

OCTOBER

October 7 - 8, 2010

AAHP Annual Fall Seminar

Holiday Inn Airport

Little Rock, AR


Mike Beebe for GovernorThe Arkansas Pharmacists Association on March 25 held a fund

raiser and reception for Governor Mike Beebe. Seventy four

pharmacists from across the state were official hosts of the event

which raised $60,000.00 for Governor Beebe's re-election

campaign. There were over 200 total in attendance. First Lady

Ginger Beebe accompanied the Governor at the event which was

held at La Vada's, a beautiful Victorian home and banquet hall in

North Little Rock. Senate and

House Public Health Committe

Chairmen Senator Percy Malone

and Representative Greg Reep

were also in attendance. APA

sincerely thanks all of the hosts

and attendees of the event.


Member ClassifiedsBest Relief Pharmacist In Arkansas Available

I am available to do relief work Mondays through Thursdays. I

will of course work an occasional Friday and Saturday on special

request and will of course work vacations. Would prefer Little

Rock metropolitan area and as far south as my license is legal. If

your customers and staff don't tell you the next day that I was the

best relief pharmacist that ever worked for you, the day is FREE.

You can reach me at 870-543-0841 or by e-mail at

[email protected] - Frank Williams

Relief Pharmacist

Pharmacist available for relief for vacations or occasional day

off. I have over 40 years retail experience with 25 years as the

owner of an independent compounding pharmacy. Can cover the

River Valley and Ouachita areas. Call John Csiha; cell number:

479-355-0371

Pharmacist Needed

Looking for part time pharmacist for an independently owned

pharmacy in Searcy, Arkansas. Please contact Scott Stanley,

Pharm.D. at the following contact information; 501-281-1374,

Stanley Pharmacy P.O. Box 2039 Searcy, AR 72145, or

[email protected].

Pharmacist Needed

We are looking for a full-time or part-time pharmacist for an

independently owned pharmacy in Paris, AR. Please call

Elizabeth at 479-963-1555.

For Sale

All items located in Rison, AR

Lighted wall fixtures - 70 total feet

5 ft gondolas - 10 total

lexmark T640 printer - 1 total

credit card terminal - 1 total

Contact: Roth E. Rabb, P.D. @ 870-718-9482 or after 6:00 p.m.

870-325-6836

Independent Pharmacies Wanted

Independent pharmacist interested in purchasing independent

pharmacies in Arkansas. Pharmacies will remain independent

after purchase. Purchaser has solid independent pharmacy

background.

If interested in selling your pharmacy, please contact Vance at

870-897-1204 or via e-mail at [email protected].

Volunteer Pharmacists Needed

Shepherd’s Hope Neighborhood Health Clinic is a ministry of

Fellowship Bible Church and Oak Forrest United Methodist

Church serving uninsured and indigent patients in the South

Midtown area of Little Rock. The Clinic is located at 2404 Tyler

Street (behind Oak Forrest). The hours of operation are 6:00pm to

8:30pm every Tuesday and Thursday night. Current needs are

pharmacists willing to volunteer every 4 weeks. If you are

available to volunteer and help with this ministry, please contact

Bren May at 501-993-0729. Thank you!

IVANRX4U, Inc.,

Pharmacist Relief Services, Career Placements.

Relief pharmacists needed - FT or PT. Based in Springfield, MO

and now in Arkansas. Staffing in Missouri, Arkansas, Eastern

Kansas and Oklahoma. We provide relief pharmacists for an

occasional day off, vacations, emergencies -- ALL your staffing

needs. Also seeking pharmacists for full or part-time situations.

Please contact Tracy Byrd, Marketing and Recruiting Director, or

Mike Geeslin, President for information regarding current

openings throughout Arkansas - temporary as well as permanent

placements. Let IvanRx4u help staff your pharmacy, call

417-888-5166. We welcome your email inquiries, please feel free

to contact us at: [email protected] or

[email protected].

Pharmacist in Charge Wanted

Competitive salary with up to 3 weeks paid vacation and major

medical coverage plus 401K plan. Great schedule - Monday thru

Friday, hours 9:00 a.m. to 6:00 p.m. Contact Alan Tweddell at

870-931-2881 or send resume to:

Country Mart Pharmacy,

208 Lincoln Dr., Fredericktown, MO 63645

Positions to be filled in S.E. Missouri.

Relief staffing available through Staff RPh, Inc.

We provide quality pharmacists and technicians that you can trust

for all your staffing needs. Our current service area includes AR,

TX, OK and TN. For more information call Rick Van Zandt at

501-847-5010 or email [email protected] .

Pharmacy for Sale

In beautiful North Arkansas. Established in 1974. Family owned

with exceptional reputation in dynamic community. Excellent

schools, recreational & retirement center, golf courses, lakes,

rivers, 2.5 hours from Little Rock, AR; Memphis, TN; and

Springfield, MO. Pharmacy is ideally located: a) across from

doctor’s complex and new treatment, diagnostic, and emergency

facility, b) next door to ophthalmologist and optometrist. Contact

Mike Sprague at 512-799-5265.


*Dr. J.J. McAlmont, Little Rock ....................................1883-84

*Dr. John B. Bond, Sr., Little Rock ................................1884-87

*W.W. Kerr, Batesville....................................................1887-91

*E.E. Shendall, Hot Springs............................................1891-92

*John W. Morton, Fort Smith..........................................1892-93

*G.N. Hart, Pine Bluff ....................................................1893-94

*J.M. Anderson, Pine Bluff ............................................1894-95

*A.L. Morgan, Camden ..................................................1895-97

*J.F. Dowdy, Little Rock ................................................1897-99

*E.F. Klein, Hot Springs ............................................1899-1901

*W.R. Appleton, El Dorado ............................................1901-03

*R.B. King, Helena ........................................................1903-05

*W.H. Skinner, Pocahontas ............................................1905-07

*Frank Schachleiter, Hot Springs....................................1907-09

*O.O. Lumpkin, Texarkana ............................................1909-10

*Henry Weimer, Hot Springs ..........................................1910-11

*John J. Ward, Hope........................................................1911-13

*R.A. Warren, Fort Smith ..............................................1913-14

*Roy Chamberlin, Little Rock ........................................1914-15

*Booker Latimer, Dewitt ................................................1915-17

*Jesse D. Hodges, Little Rock ........................................1917-18

*W.C. Hogan, Atkins ......................................................1918-19

*Col. W.G. Ownbey, Springdale ....................................1919-21

*W.J. Conery, Pine Bluff ................................................1921-22

*Edward Bradley, Hot Springs........................................1922-25

*P.R. Turner, Marianna ..................................................1925-27

*Herbert W. Parker, Jonesboro........................................1927-28

*Max D. Daggett, Marianna............................................1928-30

*Iri Brite, Fort Smith ......................................................1930-31

*Frank G. Ward, Hope ....................................................1931-32

*L.K. Snodgrass, Little Rock..........................................1932-33

*V.M. Harrington, Marianna ..........................................1933-34

*John P. Cox, Hope ........................................................1934-35

*J.E. Berry, Smackover ..................................................1935-36

*Harold Lawson, Little Rock..........................................1936-37

*Roger M. Martin, Norphlet ..........................................1937-38

*G.M. Eisele, Hot Springs ..............................................1938-39

*G.M. “Buddy” Marks, Little Rock................................1939-40

*Purcell Smith, Little Rock ............................................1940-41

*Jim Ketchum, Newark ..................................................1941-43

*J.B. Harris, Foreman ....................................................1943-44

*Troy D. Churchman, Little Rock ..................................1944-45

*G.B. Stovall, Wilmot ....................................................1945-46

*Gordon C. Hunt, North Little Rock ..............................1946-47

*Wilkes Crume, Hot Springs ..........................................1947-48

*Maynard Lyons, Lonoke ..............................................1948-49

*A.L. Waddle, Harrisburg ..............................................1949-50

*Wade Willis, Magnolia ..................................................1950-51

*Glenn C. Ricketts, Fayetteville ....................................1951-52

*L.J. Clarke, Marked Tree ..............................................1952-53

*Frank Headlee, Searcy ..................................................1953-54

*W.M. Cox, North Little Rock........................................1954-55

*J. Hunter Hollaway, Lake Village ................................1955-56

L.H. Haines, Marianna ....................................................1956-57

*S.A. Walker, Russellville ..............................................1957-58

*Morris G. Collier, Fayetteville ......................................1958-59

Harold Crall, Jonesboro ..................................................1959-60

Hanks Spikes, Crossett....................................................1960-61

*Morris H. Rosen, Pine Bluff..........................................1961-62

*Leon Holsted, North Little Rock ..................................1962-63

*Harrel P. Hesterly, Camden ..........................................1963-64

Fred Ragland, Jr., Stuttgart..............................................1964-65

*Ivan Rose, Rogers ........................................................1965-66

L.D. Horn, North Little Rock..........................................1966-67

Roger G. Williams, Searcy..............................................1967-68

Bill D. Plunkett, Mena ....................................................1968-69

*Guy Newcomb, Osceola................................................1969-70

*Joe Owen, Texarkana ....................................................1970-71

James Latture, Jr., Hot Springs........................................1971-72

Donald W. Stecks, Little Rock ........................................1972-73

*Luther Hodge, Clarksville ............................................1973-74

Charles M. West, Little Rock ..........................................1974-75

*Lowell Mikles, Booneville............................................1975-76

Milton H. Miller, Little Rock ..........................................1976-77

Larry Holcomb, Piggott ..................................................1977-78

Robert Evans, Murfreesboro ..........................................1978-79

John T. Douglas, Jonesboro ............................................1979-80

R. Eugene Graves, Little Rock........................................1980-81

Larry C. Wamble, Osceola ..............................................1981-82

Thomas N. O’Donell, Morrilton ....................................1982-83

Norman Canterbury, Magnolia........................................1983-84

Mark Riley, Little Rock ..................................................1984-85

Tery Baskin, Little Rock ................................................1985-86

Reid Holiman, Springdale ..............................................1986-87

Reed Perryman, Calico Rock ..........................................1987-88

Roger Harmon, Jonesboro ..............................................1988-89

Bill Groves, Pine Bluff....................................................1989-90

Larry Autry, DeQueen ....................................................1990-91

Thomas Wood, Judsonia ................................................1991-92

Bobby Evans, Jonesboro ................................................1992-93

Vicki Fowlkes, Little Rock ............................................1993-94

Larry Bell, Lincoln..........................................................1994-95

Ronnie Norris, McGehee ................................................1995-96

John Page, Fayetteville....................................................1996-97

Richard Hanry, El Dorado ..............................................1997-98

Gary Lee, Fort Smith ......................................................1998-99

Dean Sikes, Pine Bluff ................................................1999-2000

Don Curran, Springdale ..................................................2000-01

David Smith, Conway ....................................................2001-02

Michael Smith, Russellville ............................................2002-03

Gary Fancher, Flippin ....................................................2003-04

Billy Gammel, Crossett ..................................................2004-05

Gary Butler, Hot Springs Village ....................................2005-06

Wayne Padgett, Glenwood ..............................................2006-07

Stephanie Goodart O’Neal, Wynne ................................2007-08

Paul Holifield, Batesville ................................................2008-09

Honor Roll of Past Presidents


PHARMACIST OF THE YEAR AWARDThe Pharmacist of the Year Award was established in 1959 by action of the Association’s Executive Council. Nominationsfor the award are submitted to a three-member committee, made up of a member from the UA School of Pharmacy and twopast presidents of the Association. According to the original guidelines, “Those nominated should possess professional stan-dards beyond reproach, a record of outstanding civic service in the community, and be a member of the APA, who has con-tributed his efforts toward the progress of the profession through the state association.” Winners of the award are as follows:

INNOVATIVE PHARMACY PRACTICE AWARDThis award is newly established by the Arkansas Pharmacists Association in cooperation with the National Council of StatePharmacy Association Executives and DuPont Pharmaceuticals to recognize, annually, a pharmacist who has demonstrateda prominent spirit of innovation and entrepreneurship in the practice of pharmacy.

DISTINGUISHED YOUNG PHARMACIST AWARDThe time has come, once again, to select an outstanding young pharmacist for Marion Merrell Dow’s “Distinguished YoungPharmacist Award.” This award is given annually to an outstanding young pharmacist in each state, selected by his or herpeers. The young pharmacist receiving this award best represents not only their profession, but also their quality of life. Ourprevious recipients of this distinguished award are as follows:

COMMUNITY SERVICE AND BOWL OF HYGEIA AWARDThe Bowl of Hygeia Award was established by the A.H. Robins Company to honor pharmacists who have contributed tothe progress of their community. Past recipients of the award are:

1959 S.A. Walker . . . . . . . . . . . . . . Russellville1960 Thomas E. Mattax . . . . . . . . . Little Rock1961 Joe Harris . . . . . . . . . . . . . . . . Fort Smith1962 Morris H. Rosen. . . . . . . . . . . . Pine Bluff1963 Gordon Hunt . . . . . . . . North Little Rock1964 Ivan Rose . . . . . . . . . . . . . . . . . . . Rogers1965 Fred Ragland . . . . . . . . . . . . . . . Stuttgart1966 Dr. W.A. Strickland . . . . . . . . Little Rock1967 Harrell Hesterly. . . . . . . . . . . . . . Camden1968 L.D. Horn. . . . . . . . . . . North Little Rock1969 Dr. James E. Dusenberry . . . . Little Rock1970 Donald W. Stecks . . . . . . . . . . Little Rock1971 S. Don Phillips . . . . . . . . . . . Arkadelphia1972 Luther Hodge . . . . . . . . . . . . . Clarksville1973 Charles West. . . . . . . . . . . . . . Little Rock1974 Walter J. Morrison . . . . . . . . . Little Rock1975 Ivan W. Rose . . . . . . . . . . . . . . . . . Rogers

1976 Guy Newcomb. . . . . . . . . . . . . . . Osceola1977 William S. Baggett . . . . . . . . . Fort Smith1978 B. Reid Holiman . . . . . . . . . . . Springdale1979 James S. Latture . . . . . . . . . . Hot Springs1980 Larry N. Holcomb. . . . . . . . . . . . . Piggott1981 John T. Douglas. . . . . . . . . . . . Jonesboro1982 Gene Graves . . . . . . . . . . . . . . Little Rock1983 Lester Hosto . . . . . . . . . . . . . . Little Rock1984 Jerry Stephens . . . . . . . . . . . . Little Rock1985 B. Reid Holiman . . . . . . . . . . . Springdale1986 George Wimberly . . . . . . . . . . Little Rock1987 Bill Groves . . . . . . . . . . . . . . . . Pine Buff1988 Mark Riley . . . . . . . . . . . . . . . Little Rock1989 Larry Wamble . . . . . . . . . . . . . . . Osceola1990 Bill Bloodworth . . . . . . . . . . . Little Rock1991 Charles Campbell . . . . . . . . . . Little Rock1992 J. Thomas Tapp. . . . . . . . . . . . Little Rock

1993 Ed. Henley . . . . . . . . . . . . . . . Smackover1994 C.A. Kuykendall . . . . . . . . . . . . . . . Ozark1995 Dana L. Woods . . . . . . . . Mountain View1996 Tery Baskin . . . . . . . . . . . . . . Little Rock1997 Roger Williams . . . . . . . . . . . . . . . Searcy1998 Ronnie E. Norris . . . . . . . . . . . . McGehee1999 Joe E. Larkin . . . . . . . . . . . . . . Charleston2000 Jeff Fenton Dunn. . . . . . . . . . . . . Dermott2001 Gayle Fowlkes . . . . . . . . . . . . . . Conway2002 Percy W. Malone . . . . . . . . . Arkadelphia2003 Larry Autry. . . . . . . . . . . . . . . . . DeQueen2004 Stephanie Gardner . . . . . . . . . Little Rock2005 Charles Smith . . . . . . . . . . . . . . . . Benton2006 V. Alton Chambless . . . . . . . . . . . . Dewitt2007 Steve Bryant . . . . . . . . . . . . . . . Batesville2008 Michael Smith . . . . . . . . . . . . Russellville2009 Tony Bari . . . . . . . . . . . . . . . . . Jonesboro

1987 Robna Wiles Pfeifler, P.D. . . . Fayetteville1988 Mike Smets, P.D. . . . . . . . . . . . . Fort Smith1989 Kelly Callan, P.D. . . . . . . . . . . . Little Rock1990 Nancy Williams, P.D. . . . . . . . . . . . Searcy1991 Rob Evans, Jr., P.D. . . . . . . . Murfreesboro1992 Michael Scribner, P.D. . . . . . . . Springdale1993 Michael Brown, P.D. . . . . . . . . Little Rock1994 Dell McCarley, P.D. . . . . . . . . . Little Rock

1995 Robert A. Cotton, P.D. . . . . . . Little Rock1996 Melissa Liddle, P.D. . . . . . . . . . . . . . Cabot1997 Shelly Tucker, Pharm.D. . . . . . Little Rock1998 Ed Pat Wright, Pharm.D. . . . . . . . . . Helena1999 James W. Bethea, Pharm.D. . . . . Stuttgart 2000 Denise Roark, Pharm.D. . . . . . Springdale2001 Trey Gardner, Pharm.D. . . . . . Little Rock2002 Dosha Cummins, Pharm.D. . . . Jonesboro

2003 Justin Boyd, Pharm.D.. . . . . . . Fort Smith2004 Jeanie Horton, Pharm.D.. . . . . . . Dennard2005 Aaron Brown, Pharm.D. . . . . . Little Rock2006 Lindsey Way, Pharm.D. . . . . . Little Rock2007 Brandon Cooper, Pharm.D. . . . Jonesboro2008 John Kirtley, Pharm.D. . . . . . . Little Rock2009 Sarah Frank, Pharm.D.. . . . . . Fayetteville

1959 Gordon C. Hunt . . . . . . North Little Rock1960 Hank Spikes . . . . . . . . . . . . . . . . . . Crossett1961 Willis Rickettes . . . . . . . . . . . . Fayetteville1962 Burl Foster . . . . . . . . . . . . . . . . . . Ashdown1963 Frank L. Qualls . . . . . . . . . . . . Russellville1964 Nathan M. Barrett . . . . . . . . . . . . . . Warren1965 Harvey B. Shehane . . . . . . . . . . El Dorado1966 Leon Holsted . . . . . . . . . North Little Rock1967 John T. Douglas . . . . . . . . . . . . . Jonesboro1968 Benny Ray Post . . . . . . . . . . . . Smackover1969 Luther E. Hodge . . . . . . . . . . . . Clarksville1970 Bill D. Plunkett . . . . . . . . . . . . . . . . . . Mena1971 Reed Mack Perryman . . . . . . Calico Rock1972 Jack Charles Irvine . . . . . . . . . . . . Dermott1973 Lester E. Hosto . . . . . . . . . . . . . Little Rock1974 Edgar F. Henley, Jr. . . . . . . . . . Smackover1975 Edward P. Buerkle . . . . . . . . . . . . Stuttgart

1976 Samuel H. Alexander . . . . . . . . . . Harrison1977 Roger G. Williams . . . . . . . . . . . . . . Searcy1978 Carl M. Collier . . . . . . . . . . . . . Fayetteville1979 Roger Harmon . . . . . . . . . . . . . . . Jonesboro1980 Larry Wamble . . . . . . . . . . . . . . . . . Osceola1981 Donald Wayne Stecks . . . . . . . Little Rock1982 Charles Bishop . . . . . . . . . . . . . . . . . . Dover1983 George Wimberly . . . . . . . . . . . Little Rock1984 Tommy O’Donell . . . . . . . . . . . . Morrilton1985 James S. Latture, Jr. . . . . . . . . Hot Springs1986 Frank M. Cole . . . . . . . . . . . . . . . Jonesboro1987 Oscar Paul Clayton . . . . . . . . . Tuckerman1988 A.C. Tygart . . . . . . . . . . . . . . . . . . . Sheridan1989 R. Eugene Graves . . . . . . . . . . . Little Rock1990 Jeffery F. Dunn. . . . . . . . . . . . . . . . Dermott1991 Randy Shinabery . . . . . . . . . . Marked Tree1992 Bobby Joe Clark . . . . . . . . . . . . Bald Knob

1993 Samuel R. “Bob” Lyon North Little Rock1994 Jack Coker . . . . . . . . . . . . . . . . . . . Stuttgart1995 Wm. Percy Malone . . . . . . . Arkadelphia1996 Ron Teasley . . . . . . . . . . . . . . . . . . Gravette1997 Mark Meeker . . . . . . . . . . . . . . Hot Springs1998 Donald F. Johnson . . . . North Little Rock1999 John R. Page . . . . . . . . . . . . . . . Fayetteville2000 Alvin Simmons. . . . . . . . . . . . Little Rock2001 Danny Ponder. . . . . . . . . Mountain Home2002 Joe Larkin . . . . . . . . . . . . . . . . Charleston2003 Don Curran . . . . . . . . . . . . . . . Springdale2004 Thomas Wood. . . . . . . . . . . . . . . Judsonia2005 Andy Blansett . . . . . . . . . . . . . . . . . Cabot2006 John A. Vinson . . . . . . . . . . . . Van Buren2007 Dosha Cummins. . . . . . . . . . . . Jonesboro2008 Robert Richardson . . . . . . . . . Little Rock2009 Eddie Dunn . . . . . . . . . . . . . . Little Rock

1993 Gary Lee, P.D. . . . . . . . . . . . . . . . Fort Smith1994 Steve Bryant, P.D. . . . . . . . . . . . . Batesville1995 Julia Reddmann, P.D. . . . . . . . . . Jonesboro1996 Lyn Fruchey, P.D. . . . . . . . . . . . Little Rock1997 Guy Lessenberry, P.D. . . . . . . . . Berryville1998 Wayne Schulte, P.D. . . . . . . . . . . . . . . Mena

1999 Tom Frank, Pharm.D. . . . . . . . . . Jonesboro2000 Debbie Bastian, P.D. . . . . . . . . . . . Rogers2001 Lonnie McClure, P.D. . . . . . Greers Ferry2002 R. Lee Shinabery, Jr., Pharm.D. Jonesboro2003 Kristen Riddle, Pharm.D. . . . . . . Conway2004 Gary Bass, P.D.. . . . . . . . . . . . Little Rock

2005 Laura Beth Martin, Pharm.D. . . . . . Hope2006 Michael Butler, Pharm.D. Hot Springs Village2007 Gene Graves, P.D.. . . . . . . . . . Little Rock2008 Dell McCarley, P.D. . . . . . . . . Little Rock2009 Michael Thames, Pharm.D.. . . Fort Smith


2010 APA Annual Convention

9:00 a.m. - 12:00 noon APA Board of Directors Meeting

Marriott Hotel

1:30 p.m. APA Annual Golf Tournament

Hardscrabble Country Club

Sponsored by: AmerisourceBergen

7:00 a.m. - 11:30 a.m. Registration

7:00 a.m. - 8:00 a.m. Continental Breakfast

CONTINUING EDUCATION SESSION

Arkansas Association of Health System Pharmacists (AAHP)

Jason Derden, Pharm.D., Presiding

8:00 a.m. - 12:00 noon

Hyperglycemic Crisis

0004-9999-10-005-L01-P....(0.10 CEU)

Speakers: Eric Schneider, Pharm.D.

Associate Dean, UAMS College of

Pharmacy - Northwest

Supported by: AAHP

Where’s the Plumber? Overflowing

Resistance with a Dripping Pipeline

0004-9999-10-006-L01-P....(0.10 CEU)

Speaker: Holly Maples, Pharm.D.

Assistant Professor of Pharmacy &

Medicine

Arkansas Children’s Hospital

Supported by: AAHP

Clinical Pearls

0004-9999-10-007-L01-P....(0.10 CEU)

Speakers: Melonie Clayborn, Pharm.D.

Clinical Pharmacists, Northwest VA ;

Jennifer West, Pharm.D.

Pharmacy Practice Resident, CAVHS;

Lorie Crawford, Pharm.D.

Pharmacy Practice Resident, CAVHS

Supported by: AAHP

8:30 a.m. - 5:00 p.m. State Board Meeting

10:00 a.m. - 5:30 p.m. Exhibitors Set-Up

12:00 noon - 2:30 p.m. AAHP Board Meeting

1:30 p.m. - 3:00 p.m. Registration


APA Academy of Compounding Pharmacists

Gary Butler, P.D., Presiding

1:30 p.m. - 3:00 p.m.

Pharmacy Compounding Update

0004-9999-10-008-L04-P ..(0.15 CEUs)

Speaker: Tom Murry, Pharm.D., Esq

Executive Director, Pharmacy Compounding

Accreditation Board


APA Academy of Consultant Pharmacists

James Griggs, P.D., Presiding

3:00 p.m. - 4:30 p.m.

What the Doctor Thinks: The

Cognitive Psychology of Prescribing

0004-9999-10-009-L04-P. (0.15 CEUs)

Speaker: Richard Miles, M.D.

4:00 p.m. - 5:00 p.m. Past Presidents’ Council/Arkansas

Foundation Board Meeting

5:00 p.m. - 5:30 p.m.Past

Presidents’ Reception

5:30 p.m. - 7:30 p.m. Exhibitors’ Opening Reception

7: 30 p.m. - 9:30 p.m. Wholesaler Appreciation Karaoke

Honoring: AmerisourceBergen, McKesson, Morris & Dickson, and Smith DrugFeaturing: Sound Xtreme DJ & Karaoke

7:30 a.m. - 11:00 a.m. Registration


FIRST GENERAL SESSION

President Jan Hastings, Presiding

8:30 a.m. - 12:00 noon Current Issues in Anticoagulation

0004-9999-10-010-L01-P. (0.15 CEUs)

Speaker: Ashley Stinnett, Pharm.D.

Assistant Professor

UAMS College of Pharmacy

Schedule at a GlanceWednesday , June 23, 2010

Thursday , June 24, 2010

Friday, June 25, 2010


Hypertension: Review of Guidelines

and Principles of Antihypertensive

Therapy

0004-9999-10-011-L01-P ..(0.15 CEU)

Speaker: Leslie Mooney, Pharm.D.

Research Fellow


8:30 a.m. - 5:00 p.m. State Board Meeting

9:00 a.m. - 11:00 a.m. Spouse Event (Meet in the lobby at

8:30 a.m.)

11:00 a.m. - 1:30 p.m. Exhibitors’ Luncheon

1:00 p.m. - 3:30 p.m. Registration


President Jan Hastings, Presiding

1:00 p.m. - 4:30 p.m.

FEATURED SPEAKER

The Value of Medicines: Introducing

the Triple Solution for a Healthier

America

0004-9999-10-012-L04-P ..(0.10 CEU)

Speaker: Dan Weston

Director of External Advocacy

GlaxoSmithKline

Supported by: GlaxoSmithKline

Pharmacy Law Update

0004-9999-10-013-L03-P....(0.10 CEU)

Speaker: John Kirtley, Pharm.D.

Assistant Director

Arkansas State Board of Pharmacy

OTCs: Review and Update

0004-9999-10-014-L01-P ..(0.15 CEUs)

Speaker: Erin Beth Hays, Pharm.D.

Pharmacy Resident

White River Medical Center

5:30 p.m. - 6:00 p.m. Presidents’ Reception

(all attendees invited)

6:00 p.m. An Evening with the Presidents

Special Entertainment by:

The Drugstore Cowboys

Dessert Extravaganza

President’s Farewell Reception

7:30 a.m. - 1:30 p.m. Registration


SECOND GENERAL SESSION

President Mike Smets, Presiding

8:00 a.m. - 12:00 noon

Immunization Update

0004-9999-10-015-L01-P. (0.15 CEUs)

Speakers: Eric Crumbaugh, Pharm.D.

Clinical Coordinator

Kroger Pharmacy

9:30 a.m. - 10:30 a.m. Awards Ceremony

OTC Self Care Championship:

Harding vs. UAMS0004-9999-10-016-L01-P (0.15 CEUs)

Speaker: Jan Hastings, Pharm.D.

Associate Professor


Supported by: NASPA and Proctor & Gamble

12:00 noon - 1:30 p.m. AP-PAC Luncheon

Speaker: The Honorable John Boozman

Supported by: AP-PAC(Special ticket purchase required.)AP-PAC Board of Directors Meeting

directly following the luncheon.


President Mike Smets, Presiding

Collaborative Practice Certification Session

1:30 p.m. - 4:30 p.m.

Retooling for the future: Pharmacist

Credentialling for Disease State

Management

0004-0000-09-059-L04-P ..(0.30 CEUs)

Speaker: Jeremy Thomas, Pharm.D.

Assistant Professor


and

Eric Schneider, Pharm.D.

Associate Dean


Supported by: UAMS College of Pharmacy

Saturday, June 26, 2010

Hyperglycemic Crisis

Presented by: Eric Schneider, Pharm.D.

This CE activity will be Application based.

Upon completion of this lecture, the participant should be

able to:

• Compare and contrast the pathophysiology of DKA and

HHS.

• List the complications of DKA and HHS and explain

their prevention.

• Explain the role of insulin, fluids, potassium,

bicarbonate, and phosphorus in the management of

hyperglycemic crisis.

• Outline a treatment plan for an adult patient with

hyperglycemic crisis.

Where’s the Plumber? Overflowing Resistance with a

Dripping Pipeline

Presented by: Holly Maples, Pharm.D.

This CE activity will be Knowledge based.

Upon completion of this lecture, the participant should be able to:

• Recognize emerging resistance in community and health

care-associated infections.

• Appreciate the history of antimicrobial development and the

future pipeline.

• Apply strategies to optimize detection and surveillance

while improving clinical outcomes.

Clinical Pearls

Presented by: Melonie Clayborn, Pharm.D., Jennifer West, Pharm.D., and

Lorie Crawford, Pharm.D.



• Describe how to apply pharmacotherapy to unique circumstances and

clinical presentations.

• List commonly used medications that should be avoided in geriatric patients.

• Discuss the prevention of herpes zoster (shingles) with the zoster vaccine.

• Identify alternative treatments for Clostridium difficile when vancomycin and

metronidazole fail.

What the Doctor Thinks: The Congnitive Psychology of Prescribing

Presented by: Richard Miles, M.D.



• Describe the extreme reactions that may be elicited from sound treatment recommendations.

• Identify methods to assist physicians in changing long-held treatment regimes.

• List the intellectual reaction that occurs as described by James Reason.

• Provide insight into the psychological discomfort experienced by physicians when provided with recommendations for

treatment changes.

Current Issues in Anticoagulation

Presented by: Ashley Stinnett, Pharm.D.


Upon completion of this lecture, the

participant should be able to:

• Review current guideline

recommendations for anticoagulation.

• Describe the pharmacology of current

anticoagulants.

• Compare and contrast anticoagulants

in development to those currently in

use.

Hypertension: Review of Guidelines and Principles of Antihypertensive

Therapy

Presented by: Leslie Mooney, Pharm.D.



• Describe the difference between essential and secondary hypertension and

explain the pathophysiology associated with the development of hypertension.

• Classify a patient’s hypertension.

• Discuss the non-pharmacologic approach to hypertension, when it is indicated,

and the blood pressure reduction expected with each approach.

• Compare the mechanism of action, dosing, side effects, and counseling

information for the different classes of antihypertensive agents.

• Apply current guidelines to individual patients.

Pharmacy Compounding Update

Presented by: Tom Murry, Pharm.D., Esq


Upon completion of this lecture, the

participant should be able to:

• Identify current regulatory issues facing

compounding pharmacy.

• Describe recent court decisions and their

impact on compounding.

• Discuss regional conflicts of law

pertaining to compounding pharmacy.

• Review upcoming compounding issues.

T H U R S D A Y

F R I D A Y

Immunization Update

Presented by: Eric Crumbaugh, Pharm.D.


Upon completion of this lecture, the participant should be able

to:

• Using the adult immunization schedule, determine a

patient’s indication for routine vaccinations.

• Recognize contraindications and precautions associated

with routine and travel immunizations.

• Differentiate between required and recommended

immunizations.

• Counsel patients on pharmacological and

non-pharmacological protective measures when

traveling abroad.

OTC Self Care Championship:

Harding vs. UAMSPresented by: Jan Hastings, Pharm.D.


Upon completion of this lecture, the participant should be

able to:

• Identify and explain aspects of the effective and safe

practice of pharmacy self-care treatments by means

of an interactive learning experience.

• Analyze the usage and effectiveness of over the

counter medications.

• Classify different groups of over the counter

medications based on drug treatment class.

• Apply effective counseling techniques for use with

self-care patients.

Retooling for the future: Pharmacist Credentialing for Disease State Management

Presented by: Jeremy Thomas, Pharm.D. and Eric Schneider, Pharm.D.



• List the essential components of a "written protocol" as described in the ASBP Disease State Management

Regulation 9.

• Describe appropriate documentation procedures for Disease State Management as outlined by the ASBP.

• Develop a written protocol for a specific Disease State Management scenario.

• Create a documentation record of a patient encounter.

• Assess a given set of patient data and choose an appropriate course of action according to a written protocol.

OTCs: Review and Update

Presented by: Erin Beth Hays, Pharm.D.



• Explain the reasons for recent over-the-counter (OTC) changes by FDA.

• Make appropriate OTC recommendations specific to each individual

patient for common indications.

• Teach patients how to properly read an OTC label.

The Value of Medicines: Introducing the Triple Solution for a Healthier

America

Presented by: Dan Weston


Upon Completion of this lecture, the participant should be able to:

• Distinguish how prevention and intervention are critical to controlling

disease and the cost of healthcare, while helping people feel better: the

Asheville project and Pitney Bowes are just two examples of this

investment in wellness.

• Describe how innovation brings new medicines that provide hope and a

future for those living with disease.

• State how the pharmaceutical industry continues to show that it

cares about patient access to medicines by providing free, or nearly

free, medicines to those without insurance.

Pharmacy Law Update

Presented by: John Kirtley, Pharm.D.


Upon completion of this lecture, the participant

should be able to:

• Analyze recent changes in pharmacy

regulations in Arkansas.

• Discuss the reasoning behind changes to

pharmacy regulation.

• Have particiants demonstrate understanding

of recent pharmacy regulatory changes and

challenges.

S A T U R D A Y


Tournament Information

Shotgun Start at 1:30 p.m.

BE ON PREMISES BY 12:45 p.m.

Prizes awarded for 1st, 2nd, 3rd places,

(1) Longest Drive,

(1) Closest To The Pin

(no duplicate winners on special events)

Prizes will be presented at

Hardscrabble Country Club

4 - MAN SCRAMBLE

GOLF TOURNAMENT

Wednesday, June 23, 2010

1:30 p.m.

Hardscrabble Country Club5211 Cliff Dr, Fort Smith, AR

Registration Fee: $65.00 per player

Arkansas

Pharmacists

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Last Name First Name

Please check title: � P.D. �Ph.D. �Pharm.D �Technician �Student �Other____________

Nickname (for badge)

Affiliation (pharmacy, hospital name, etc.)

Address

City State Zip

Phone AR License No.

E-mail

Membership Status: �APA Member�APA Non-Member �Past President

Please check if this is your first APA Convention to attend. �

2010 Registration Form

APA MEMBERS ONLY

INCLUDES: All education sessions, continental breakfasts,receptions, exhibits, prize drawings, breaks, and social eventtickets for Thursday through Saturday.(AP-PAC luncheon tickets must be purchased separately.)

APA Member Full Registration Package

�By June 1, 2010 ................................................$200.00

�After June 1, 2010 ..............................................$230.00

* If you and your spouse are pharmacists, separate registration forms and fees are required.

APA Member and Spouse/Guest Full RegistrationPackage (Best Value)

�By June 1, 2010 ................................................$300.00

�After June 1, 2010 ..............................................$330.00

Spouse/Guest Name _____________________________

DAILY REGISTRATION PACKAGE

INCLUDES: All education sessions, continental breakfasts,receptions, exhibits, prize drawings, breaks, and socialevent for that day. (Special event tickets for that day are in-cluded in this price.)

(Please select the day you will attend.)APA Member Daily Package

�Thursday �Friday �Saturday ................$160.00/daily

APA Member and Spouse/Guest Daily Package

�Thursday �Friday �Saturday ................$200.00/daily

Spouse/Guest Name______________________________

NON MEMBERS

INCLUDES: All education sessions, continental breakfasts,receptions, exhibits, prize drawings, breaks, and socialevent tickets for Thursday through Saturday.

Non-Member Full Registration Package:

�By June 1, 2010 ................................................$295.00

�After June 1, 2010 ..............................................$325.00

Non-Member and Spouse/Guest Full Registration Pack-age

�By June 1, 2010 ................................................$395.00

�After June 1, 2010 ..............................................$415.00

Spouse/Guest Name______________________________

DAILY REGISTRATION PACKAGE

INCLUDES: All education sessions, continental breakfasts,receptions, exhibits, prize drawings, breaks, and socialevent tickets for that day. (Special event tickets for that day

are included in this price.)

(Please select the day you will attend.)Non-Member Daily Package

�Thursday �Friday �Saturday ........................$195.00

Non-Member and Spouse/Guest Daily Package

�Thursday �Friday �Saturday ........................$235.00

FULL REGISTRATION PACKAGE

For Office Use Only

Received______________________________

Amount Paid _____________ Method _____________

TECHNICIAN REGISTRATION PACKAGE

Pharmacy Technician Full Registration Package(All social event tickets are included in this price.)

� ............................................................$140.00 Member

�.......................................................$175.00 Non-Member

Pharmacy Technician Daily Registration Package(Special event tickets for that day are included in thisprice.)(Please select the day you will attend.)

�Thursday �Friday �Saturday ............$85.00/daily-Member

�Thursday �Friday �Saturday..... $105.00/daily-Non-Member

PHARMACY STUDENT SPONSORSHIP

Pharmacy Student Sponsorship............................$50.00This will give any UAMS College of Pharmacy or HardingCollege of Pharmacy student a chance to attend convention._____ Quantity $_______Total

EXTRA SOCIAL EVENT TICKETS

Tickets for the following events are included in the convention registration package. Extra tickets may be purchased for additional guests.

Tickets must be purchased 24 hours prior to the event.

ThursdayWholesaler Appreciation Karaoke ........................$10.00_____ Quantity $ ______Total

FridayAn Evening with the Presidents ............................$50.00Special dinner and entertainment included.

_____ Quantity $_______Total

ADDITIONAL ACTIVITIES

Wednesday

Golf Tournament......................................................$65.00

_____ Quantity $_______Total

Handicap _____________________________________

FridaySpouse Event(s)Name _________________________________________

�The Park at West End (9:00 a.m.) ........................$10.00

(Meet in the hotel lobby at 8:45 a.m.)

PAYMENT METHOD

�Check Payable to APA Check#_______________

(Please enter your credit card number below)

�Discover Card ________________________________

�Visa/MasterCard ______________________________

�American Express _____________________________

Cardholder’s Name ______________________________

Expiration Date _____________

Security Code ______________

Total Amount Enclosed $ _____________________

Registration Form

HOTEL INFORMATION

Holiday Inn700 Rogers Ave. Fort Smith, AR 72901 Phone: 1-888-890-0242Website: www.holidayinn.com

To receive convention group rate,please mention APA.

Cut off date is June 1, 2010

REGISTER ONLINEYou may choose to complete our newonline registration form. It’s as easy

as clicking on this button.

www.arpharmacists.org

CONTINUING EDUCATIONHIGHLIGHTS

Expanding continuing education hours

based on continued demand.

ATTIREConventionBusiness Casual

Thursday Night Business CasualOpening ExhibitsKaraoke

Friday Night Western WearAn Evening with the Presidents

Saturday Business CasualAwards Ceremony

ETC.

For more information contact:Arkansas Pharmacists Association

417 South Victory, Little Rock, AR 72201-2923(501) 372-5250 � Fax (501) 372-0546

www.arpharmacists.org

No refunds can be made for cancellation after June 1st.


Spouse Event

All Aboard!Join APA Event Coordinator Patty Young as

she travels through historic Fort Smith by

Trolley.

Make stops at several historical sights of

interest. Enjoy lunch on an authentic

restored railroad boxcar at The Park at West

End. Take the opportunity to return to your

childhood and ride an old time farris wheel

and carosel. As you return to the hotel, enjoy

the scenic historic district of Fort Smith.

You must be registered for

this event.

Don’t

miss the

fun.

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Sponsor a student as we take pharmacy

back in time to the Wild West in Fort

Smith.

Support students by making time off

available to them, as well as

being a student sponsor.

Sponsorship is $50 per student.

If you are interested, please complete this

form and return it along with your

convention check, to the APA

office as soon as possible.

I will sponsor _____ student(s) to

attend the 128th APA

Annual Convention.

My check in the amount of $__________

is enclosed.

__________________________________

__

Pharmacist Sponsor Signature

SPONSOR A STUDENT

Rock the night away as

Sound Xtreme

presents...

Thursday

June 24, 20107:30 p.m. - 9:30 p.m.

Fort Smith Convention Center

A3

KaraokeNight

Come join the fun as we honor

APA’s Wholesale PartnersCo-Sponsored by: UAMS Alumni Association


Dr. Steve Bryant

Dr. Donald Hedden

Dr. Paul Holifield

Dr. Tommy Johnson

Dr. Joe Larkin

Drs. Rick & Tony Rogers

Super-Sav Drug No. 3

Dr. Phillip Tygart

Dr. Wendall Workman

AP-PAC Metals of Honor

PlatinumDr. Sam Alexander

Buerkle Drug Co.

Dr. Lynn Crouse

Dr. Michelle Crouse

Dr. Mary Davis

Dr. Jeff Fenwick

Dr. Jeff Foote

Dr. Lisa Gardner

Dr. Stephanie Goodart O'Neal

Hamilton West Pharmacy

Dr. Jan Hastings

Dr. Casey Hedden

Dr. Pat Ingalls

Dr. Billy Newton

Dr. Jeff Prince

Dr. Kristy Reed

Dr. Frank Schmidt

Dr. Randy Shinabery

Dr. Robert Wright

Portland Drug

Gold

Silver

AP-PAC LuncheonThe Arkansas Pharmacists

Political Action Committee will

host a luncheon Saturday,

June 26th at 12:00 noon during theAPA 2010 Annual Convention at the

Holiday Inn in Fort Smith. Speaker: The Honorable

John Boozman

DON’T MISS IT!Tickets are $60 each.

Please make check

payable to AP-PAC.

Do not include in convention registration payment.

Mail this form along with your

check to:

AP-PAC417 South Victory

Little Rock, AR 72201

AP-PAC ticket(s) will be included in

your convention registration packet.

Tickets will also be sold at convention.

Please send me _____ ticket(s) @ $60

each for a total of $________.

Name: ________________________

Address: ______________________

City: _________________________

State: ______________

Zip: ________

Phone: _______________________

Email:

_____________________________

Dr. Tommy Black

Dr. Jack Coker

Dr. Van Cooper

Dr. Jeff Dunaway

Dr. Lonnie Jackson

Dr. Eddy Lemon

Dr. Milton McMillan

Dr. Charles Orrell

Dr. Jane Pique

Dr. Gary Russell

Dr. Daniel Spadaro

Dr. Holly Vansandt

Dr. Michael Blair

Dr. William Bell

Dr. Stacy Boeckman

Dr. Ralph Burns

Caldwell Discount Drugs,

Inc.

Dr. Billy Canada

Dr. John Cobb

Dr. Karen Cree

Dr. J. Fong

Dr. Rebecca Hancock

Dr. Ronny Hefner

Dr. Bonnie Johnson

Dr. Dolores Jones

Dr. Patrick Kauffman

Dr. William Matthews

Dr. Lynn Miller, Jr.

Dr. Lenora Newsome

Dr. Jeff Patterman

Dr. Mike Richardson

Dr. Charles Smets

Dr. Mike Smets

Dr. Michael Thames

Dr. Stephen Thomas

Dr. Tony Bari

Bethea Bros. Drug Co.

Dr. Ralph Blansett

Dr. Justin Boyd

Dr. Joseph Burrow

Dr. Gary Butler

Dr. Michael Butler

Dr. Bill Crabtree

Delta Drug, Inc.

Dr. Gary Denton

Dr. Gary Flippo

Dr. Billy Gammel

Dr. Melissa Graves

Dr. John Grifffin

Dr. W.P. Malone

Dr. Connie Medsker

Dr. Maggie Miller

Dr. Eugenia Raper

Rector Drug & Medical Supply

Dr. Danny Smith

Dr. Cheryl Stimson

Dr. Ronald Teasley

Dr. Adam Wheeler

Dr. Carl Collier

Dr. Wayne Padgett

Dr. Betsy Wright

Dr. Ed Pat Wright

Bronze


APA Board of Directors MinutesMinutes

Arkansas Pharmacists Association Board of Directors

December 13, 2009

Holiday Inn Airport

Little Rock, Arkansas

Members Guests and Staff

Dr. Jan Hastings – presiding Dr. Gary Bass Dr. John Kirtley

Dr. Mike Smets Dr. Brent Panneck Dr. Scott Pace

Dr. Paul Holifield Dr. Michael Butler Debra Wolfe

Dr. Kenny Harrison Dr. Eddie Glover Harold Simpson – legal counsel

Dr. John Vinson Dr. Mark Riley Barbara McMillan

Dr. Lynn Crouse Dr. Buzz Garner

Dr. Jason Derden Ms. Collin Ward

Dr. John Page Ms. Celia Proctor

Dr. Dennis Moore

CONSENT ITEMS

President Jan Hastings called the meeting to order at 9:10 a.m.

President Hastings requested Dr. Gary Bass to lead the invocation.

President Hastings reviewed the APA Conflict of Interest and Antitrust policies with the Board. President Hastings asked

the Board to make a clerical change in the Conflict of Interest Policy. There was a second and the motion passed.

President Hastings led the Board in introductions.

President Hastings asked the APA Board to review the minutes from the August 6, 2009 meeting. A motion was made and

seconded to approve the minutes as amended. The motion passed.

DISCUSSION ITEMS

Meeting Updates

Barbara McMillan reported that convention will be held in Fort Smith in June 24-26, 2010. The convention will be held

at the new convention center.

Ms. McMillan also reported that the 2010 APA Board retreat will be held at the Hilton Resort in Rockwell, TX, just out-

side of Dallas. The motion was made and seconded to have the retreat in Dallas. The motion passed.

There will be a women’s spa retreat weekend at the Embassy Suites in Rogers on March 5th. There will be 4 hours of CE

and an opportunity for shopping and spa treatments.

Ms. McMillan also reported on the 2010 CE in Paradise.

UAMS College of Pharmacy Report

Dean Stephanie Gardner reported that the College has created a 3 hour CE program to facilitate credentialing for the col-

laborative practice regulations passed by the Arkansas State Board of Pharmacy. The program will be offered on January

31, 2010 from 1pm – 4pm on the UAMS campus.

In addition, the UAMS NCPA Chapter was named National Chapter of the Year.

Harding College of Pharmacy Report


ACPE will perform the next focus visit on the Harding Campus in March. Harding continues to recruit pharmacy practice

and pharmacology faculty positions.

Arkansas Association of Health-System Pharmacists Report

President Hastings welcomed Dr. Jason Derden to the Board as the new AAHP President. Dr. Derden reported that the

2009 Fall Seminar was a success and was profitable for AAHP. Dr. Derden also reported that Dr. Dennis Moore has

stepped down as Executive Director of AAHP and the Dr. Susan Newton will replace Dr. Moore.

Arkansas State Board of Pharmacy Report

Dr. John Kirtley informed the Board on the changes in CE requirements that will begin in 2010. The new CE require-

ments are as follows: there will be 30 hours required every two years for license renewal and of these 30 hours, 12 must

be live hours and 12 hours must be ACPE accredited.

Dr. Kirtley also noted the collaborative practice regulation changes have gone into effect and the first certification pro-

gram will be held in January at the UAMS College of Pharmacy.

The Board has formed a committee to look at how narcotic loss reporting is currently being handled. The committee will

convene in early 2010 to investigate this issue.

Compounding Academy Report

Dr. Gary Butler reported that the International Academy of Compounding Pharmacists have hired a new Executive Direc-

tor, Rod Shaffer.

Dr. Butler also reported that Dr. Eddie Glover was named the IACP Compounding Pharmacist of the Year for 2009.

Dr. Glover took an opportunity to update the Board on the IACP Compounders on Capitol Hill meeting that took place

this summer. Dr. Glover stated that the FDA is trying to strip control of compounding away from the state boards of phar-

macy and regulate compounding nationally. Dr. Glover stated that it is vitally important to maintain state control of regu-

lating the profession of pharmacy.

Arkansas Board of Health Report

Dr. John Page reported that the Department of Health recently held a two-day retreat. The flu continues be a huge issue in

Arkansas this flu season. So far ages 5-18 are the largest affected age group to date. Asthma was the most common un-

derlying condition for hospital admission with H1N1 flu.

Dr. Page also reported that hospital-acquire infections continue to be a huge issue with 1.7million reported cases every

year.

Health Care Reform

Dr. Scott Pace reported that Health Care Reform continues to move through Congress. The House of Representatives has

passed a health care bill and the Senate is currently debating a bill. The pharmacy provisions in the bill include changes to

AMP and a DME Accreditation Exemption. There are currently significant differences between the House and Senate

bills regarding how AMP will be defined.

Technician Training/Accreditation

Dr. Mark Riley wanted to open a dialogue with the Board about mandatory accreditation for pharmacy technicians. Dr.

Riley suggested the creation of a subcommittee to address this issue. Dr. Riley appointed Dr. Dennis Moore as chair of

this committee. A committee will be selected that represents a diverse section of the profession.

State Employee AWP Changes

The Arkansas Employee Benefits Division has rolled back their AWP minus discount reimbursement to accommodate for

the court-ordered rollback of AWP that took place in September. This rollback will take place effective November 1,

2009.


There was also a $1.5 million savings in the per member per month incentive program that the pharmacists have with the

EBD program. The pharmacists will share in 50% of the savings that were achieved through the program.

New Academy Discussion

Dr. Riley informed the Board about the potential creation of new academies within the association. The Organizational

Affairs discussed this issue and did not see a current need to create an additional academy within the association.

Arkansas Medicaid AWP Adjustment

Dr. Riley reported to the Board that the Arkansas Medicaid is the only major payer in the state that has not corrected their

pharmacy reimbursement as a result of the AWP rollback. This is currently costing the pharmacists upwards of 50% of

their gross margin on Medicaid brand name prescriptions.

Cost of Dispensing Medicaid Fee Increase Discussion

Dr. Riley reported on the CMS dispensing fee appeals hearing that took place in September in Dallas. Dr. Riley had the

opportunity to testify in favor of this fee increase. In addition, the Arkansas Medicaid program also testified in favor of

pharmacist receiving an increase in dispensing fee. The APA is currently waiting on the decision of the Administrative

Law Judge to rule on the appeal.

Worker’s Compensation Program

Dr. Pace reported that the APA continues to work with the Arkansas Insurance Department to assist the state in saving

costs with the state Worker’s Comp program. The APA is working in conjunction with the UAMS College of Pharmacy

to assist in the reasonable modification of the program.

Miscellaneous

There was a request by the Colleges of Pharmacy to provide some student activities funds to each school. Dr. Riley sug-

gested to the Board that the APA provide $500 to UAMS and $250 to Harding for student expenses. There was a motion

and a second. The motion passed.

ACTION ITEMS

Financial Report

Dr. Riley reported on the financials of the APA in the place of Dr. Hanry who was unable to attend. Dr. Riley stated that

the APA was operating well. There has been some slight changes in revenue as a result of some changes with PACE Al-

liance. In addition, Dr. Riley is working with Dr. Gary Butler to address a couple of issues with McKesson. A motion

was made and seconded to accept the financials as presented. The motion was approved.

Adjournment

A motion was made and seconded to adjourn the meeting at 1:45pm. The motion passed.

APA Foundation Board

December 13, 2009

Dr. Jan Hastings convened the Foundation Board at 2:00 p.m. on December 13, 2009.

The Board made a motion to accept the actions of the Foundation Board. The motion was passed.

A motion was made to adjourn the meeting at 2:15 p.m., motion passed.

the arkansas pharmacist spring 2010

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