April 2011 Florida Pharmacy Journal

APRIL 2011

The Official PublicationOf The Florida Pharmacy Association

Florida Pharmacy Association

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The Florida Pharmacy Association is accredited by the Accreditation Council Pharmacy Education as a provider of Continuing Pharmacy Education. ACPE Universal Program Numbers are provided under each program. Up to 10 contact hours are available upon successful comple-tion of the program (i.e., participation through attendance and submis-

sion of completed attendance forms). Statements of continuing pharmacy education will be mailed four to six weeks after the program.

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A P R I L 2 0 1 1 | 3

VOL. 74 | NO. 4APRIL 2011the OffIcIAL PubLIcAtION Of thefLORIdA PhARmAcy AssOcIAtIONP H A R M A C Y T O D A Y

florida

Departments 4 calendar

4 Advertisers

5 President’s Viewpoint

7 executive Insight

12 Pharmacy time capsule

30 Letter to the editor

32 buyer’s Guide

FeaturesAPRIL is National child Abuse Prevention month

safe and healthy travel for seniors

second Report of the fPA speaker of the house

11

13

14

4 | f L O R I d A P h A R m A c y t O d A y

E-mAIL youR suggEstIons/IdEAs to

[email protected]

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

of the florida Pharmacy today board of directors The mission of the Florida Pharmacy Today Board of Directors is to serve in an advisory capacity to the managing editor and execu-tive editor of the Florida Pharmacy Today Journal in the establishment and interpreta-tion of the Journal’s policies and the manage-ment of the Journal’s fiscal responsibilities. The Board of Directors also serves to motivate the Florida Pharmacy Association members to secure appropriate advertising to assist the Journal in its goal of self-support.

AdvertisersHealtHcare consultants ....................... 3KaHan ◆ sHIr, P.l. ........................................ 17PPsc ..................................................................... 9rx relIef ......................................................... 17

2011

FPA Calendar APRIL

22 Good Friday, FPA Office Closed

mAy

1-3 Pharmacist Mutual Leadership Conference

6 Legislative Session Ends

14 Law and Regulatory Continuing EducationJacksonville

23-25 NCPA Legislative ConferenceWashington, DC

30 Memorial Day, FPA Office Closed

JunE

7-8 Board of Pharmacy Meeting Ft. Lauderdale

22 - 26 FPA Annual Meeting and Convention Aventura, Florida

JuLy

4 Independence Day FPA Office Closed

30 Legislative Committee MeetingOrlando, Florida

August

7-8 28th Annual Southeastern Gatherin

16-17 Florida Board of Pharmacy Meeting Orlando

27-28 FPA Committee and Council Meetings

CE CREdIts (ce cycle)the florida Board of Pharmacy requires 10 hours lIVe continuing education as part of the

required 30 hours general education needed every license renewal period.Pharmacists should have satisfied all continuing education requirements for this biennial

period by september 30, 2011 or prior to licensure renewal.*for Pharmacy technician certification Board application, exam Information and study

materials, please contact ranada simmons in the fPa office.for More Information on ce Programs or events:contact the florida Pharmacy association at (850) 222-2400 or visit our Web site at www.

pharmview.com

ContACtsfPa — Michael Jackson (850) 222-2400fsHP — Michael McQuone (850) 906-9333u/f — Dan robinson (352) 273-6240faMu — leola cleveland (850) 599-3301nsu — carsten evans (954) 262-1300

dIsCLAImER articles in this publication are designed to provide accurate and authoritative information with re-spect to the subject matter covered. this information is provided with the understanding that neither florida Pharmacy today nor the florida Pharmacy association are engaged in rendering legal or other professional services through this publication. If expert assistance or legal advice is required, the services of a competent professional should be sought. the use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers. Information provided by the maker of the product should always be consulted before use.

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

A P R I L 2 0 1 1 | 5

As I write this article, the Flor-ida Legislature is in session. I would like to commend the

efforts of our lobbyist team, Prieguez and Weems, and our very own watch-dog, Michael Jackson. They are always monitoring the actions of the Legis-lature and how their actions may af-fect our pharmacy profession. An ex-ample of this is House Bill 7095. This bill was originally intended to stop the “pill mills.” Now, because of the strike-all amendments that were added, it is affecting our pharmacy profession. Amendments were added that say:

Expressly prohibits community pharmacies from dispensing schedule II and III con-trolled substances unless they are publicly traded or have more than $100 million in taxable business assets.

Our lobbyist team got the word out, and Michael met with a lot of indepen-dent owners, and several of them testi-fied before a House committee on how this would affect their business. Sever-al phone calls were made to many leg-islators, and we received a request to offer suggested language that would be more appealing to our profession. We sent the originator of the bill our suggested language and waited for the last committee meeting to see what lan-guage would come out of that meeting. None of our suggested language was used, but other language was added. Now, there is an exemption for the dis-pensing of C-IIs and C-IIs if the phar-macy has had a permit for at least 10 years. With this exemption, business-es that meet this criterion can continue as before. But, this will affect the value of their pharmacy. If they want to sell

their business, the new owners will not be able to dispense C-II or C-III medi-cations. The last committee that heard this bill was the Appropriations Com-mittee, and it was found unanimous-ly favorable by the committee members with the following language:

■ Restrictions on physicians dispens-ing of C-IIs and C-IIIs

■ Credentialing requirements for pain management physicians

■ Comprehensive recordkeeping re-quirements for pain physicians ex-panded

■ Creates a state buyback program for C-II and C-III controlled substance inventory of pain physicians who

would not be allowed to dispense. (Proposed to budget from general revenue $3 million)

■ Retention of the prescription drug monitoring program

■ Creates an unlawful act for phar-macists to fail to report within 24 hours fraudulent prescriptions to the county sheriff.

■ Defines what has to be reported to the sheriff’s office.

■ Defines authority for the Depart-ment to deny a license to pharma-cists who commits dispensing or DUR related errors.

■ Starting January 1, 2012, pharma-cies may not dispense schedule II or schedule III drugs unless they are:• Wholly owned publicly traded

corporation• Wholly owned corporation hav-

ing $100 million in Florida busi-ness taxable assets

• Owned or operated by a licensed hospice, nursing facility or pro-

Legislative Battles In Progress at State Capitol

As I write this article, the Florida Legislature is in session. I would like to

commend the efforts of our lobbyist team, Prieguez

and Weems, and our very own watchdog, Michael Jackson. They are always monitoring the actions of the Legislature and how

their actions may affect our pharmacy profession.

The President’s ViewpointguEst CoLumnIst suzAnnE KELLEy, BPhARm, CPh

humberto martinez, 2010-2011 FPA President


vides services to hospices, hospi-tal or nursing facilities

• Has been continuously permitted for at least 10 years

• Received or renewed a permit un-der the defined sections in this proposed bill*

■ Community pharmacies must make dispensing records available to DOH or law enforcement upon re-quest.

■ Pharmacies must be prepared to produce policies and procedures on preventing controlled substance dis-pensing based on fraudulent repre-sentations or questionable practitio-ner-patient relationships (permits could be denied).

■ Permits could be denied based upon prior violations of certain Florida and Federal laws

■ Requires a permit holder to notify the Department of a change in pre-scription department manager

■ Defines prescription department manager responsibilities

■ Requires wholesalers to report dis-tributions of controlled substances to the Department of Health

■ Prohibits manufacturers from fund-ing the prescription drug monitor-ing program

■ Restricts wholesalers from shipping 5,000 dosage units each of hydroco-done, morphine, oxycodone, metha-done or any benzodiazepine or de-rivative of benzodiazepine to any retail pharmacy in any given month.

What stood out to me is that a phar-macist can now be denied a license if they commit a dispensing or DUR error. What pharmacist can tell me that they have never made a mistake? We are all extremely careful at our jobs, but we are human and humans make mistakes. And now we can be denied our liveli-hood if we make a mistake that goes be-fore the Board of Pharmacy.

Also, this new language will affect large businesses. With the 5,000 dosage unit limit, this means that only about 84 patients will be able to receive that med-ication a month from your store. Some of the larger stores see more than 84 pa-tients a month for a particular medica-tion. With this limit, we will not be able

to meet the requirements for our legiti-mate patients in the state. And what of the visitors to our state? They will not be able to get any of these medications because they are reserved for the citi-zens of the state of Florida.

As you can see, there are many things wrong with the language of this bill. The next stop for this bill is the floor of the House for a vote. If you dis-agree with any of this language, then call your representative and voice your opinion on how this will affect your business. There is no companion bill from the Senate as of yet, and we are monitoring this daily. Do you see how a simple bill can affect our profession of pharmacy and what may happen if this becomes law?

Every pharmacist should be a mem-ber of the Florida Pharmacy Associa-tion, and we will be stronger with our numbers. With our representation of less than 10 percent of the licensed pharmacists in the state, our voice is not heard loud enough in the Legislature. We need the numbers to truly represent the pharmacist in the state of Florida.

Remember the theme for this year, “A strong foundation for positive out-comes.” We can achieve this with more membership. Every member should be talking to a non-member and tell them the benefits of being a member. Just our advocacy efforts alone, on behalf of our profession, is well worth the member-ship.

Other professionals in the state have more members in their professional as-sociations and do not let legislation get passed that adversely affect them. Their professional association was there with the members to stand up for them and make sure that their voice was heard. Most pharmacists are politically naïve and do not know what to do to keep our profession from being over-regulated.

Just call our office, and we can tell you how you can help. Phone calls to your representatives are very helpful, and we can give you talking points on the issues. Another thing is a person-al appearance at the Capitol during the legislative session. This year, we are try-ing to have a pharmacist at the Capitol every week during the legislative ses-sion. If you can help and be there dur-

ing any given week, then please call our office and let us know. One of these personal meetings could make a differ-ence in how our profession is perceived by the Legislature. Another member-ship benefit is our email network. We can keep you up to date on all the is-sues happening in the Legislature. We can also let you know how you can help our profession.

A little over two months left of my presidency and most of the major meet-ings that I have attended on your behalf are now over. Our next meeting will be the leadership retreat, so let me know your ideas for our officers to consid-er for next year. We listen to our mem-bers, and your ideas are always helpful for us when we consider our budget for next year. Also the annual convention at the Turnberry Isle Resort in Adven-tura is coming up. For those of you who are delegates, please look at the sched-ule and take note that the House of Del-egates will be on Thursday this year. I have been talking to some delegates and they are assuming that it will be as before and are not making plans to be there at the right time. Make your plans accordingly and I will see you there.

Thank you for the opportunity to represent the FPA, and as always I am here to serve. ■

Journal CorrectionIn the article, “The Pros and Cons of Immunization Registries and the Impact on Providers and Patients,” which was published in the March issue of Florida Pharmacy Today, there was an incorrect statistic comparing ben-efits and limitation. The correct information is that there are over 4 000 practitioners registered in the state of Florida and 12 million patients enrolled in the database called Florida SHOTS.

A P R I L 2 0 1 1 | 7

The past few months have been a harbinger of policy-making activ-ity. This year we are seeing the ef-

fects of a Florida Lgislature with very little experience attempting to write Florida laws designed to manage our state’s resources as well as to define what health care in our state will be over the next few years. Your Associ-ation has been active on the ground monitoring and weighing in on various proposals that may benefit or harm our profession and business models. Re-member that there are no pharmacists serving in the Florida House or Sen-ate. This means that much of the policy making that affects pharmacy is being driven by both advocacy organizations and legislative staff.

To some extent, our call for support of the Florida Pharmacy Political Ac-tion Committee of Continuous Exis-tence (FP-PACCE) has been phenom-enal. Consider that in recent weeks, many of you have poured thousands of dollars into our campaign account. De-cisions and laws are made that deter-mine how you will practice your profes-sion of pharmacy, run your pharmacy business, and care for your patients, as well as how health care costs affect state budgets. Your contributions have a direct impact on these elected officials who represent you and make decisions affecting the future of your profession.

FP-PACCE is a means for us all to “pool” our resources and have a greater reach to political candidates who have or will have an understanding of what’s best for the practice of pharmacy and each aspect of patient care.

As the Legislature is currently in session, we are prohibited from mak-ing contributions at this time. When

the session is over this will give us all an opportunity to support those cam-paigns that are friendly to pharmacy issues. So far in calendar year 2011, the PACCE has raised over $9,000. Much of that has come in within the last 30 days in response to some very onerous deci-sions under consideration here in Talla-hassee.

The PACCE Board extends many thanks to those of you who are sup-porting this fundraising campaign. It is not hard to do. Just think of it as mak-ing an investment in your profession. A bottle of water may cost around $1.00. If you buy two each week, that will add up to about $100 per year. Just imag-ine if all 25,000 Florida licensed phar-macists match what they pay for bot-tled water as a PACCE contribution. We would have a war chest of over $2.5 mil-lion which could bring a tremendous amount of pharmacy political muscle to our state’s Capitol.

It would be difficult for those in poli-cy making to ignore the challenges that you face in providing patient care ser-vices. Some of these challenges include abuses by pharmacy benefit manag-er auditors, outdated practice act stan-dards that restrict you from providing the care that you have been trained for and the pressure to increase volume driven by declining pharmacy reim-bursements. Here are the issues that we are monitoring on your behalf.

hB 7095 (Restriction on Pharmacist dispensing)

The Florida House is reviewing House bill 7095. The original bill, which increased in size count from 31 pages to 86 pages, was designed to restrict phar-macist dispensing of controlled drugs

under certain circumstances. There were some minor modifications to the pharmacy provisions that were applied in a House Appropriations Commit-tee. While the bill passed unanimous-ly, several members of the committee expressed concern with the pharma-cy provisions. A number of indepen-dent pharmacy owners testified on the issues found in the original version of the bill.

The approved version of CS/HB7095 include the following:

■ Restrictions on physician dispens-ing of C-IIs and C-IIIs

■ Credentialing requirements for pain management physicians

■ Comprehensive recordkeeping re-quirements for pain physicians ex-panded

■ Creates a state buyback program for C-II and C-III controlled substance inventory of pain physicians who would not be allowed to dispense. (The bill includes a budget from general revenue of about $3 million

FPA Members Weigh in on Public Policy

Executive InsightBy mIChAEL JACKson, RPhBy mIChAEL JACKson, FPA ExECutIvE vICE PREsIdEnt/CEo

michael Jackson, B.Pharm


Executive Vice President/CEOMichael Jackson

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

Tian Merren-Owens, ext. 120Controller

Wanda Hall , ext. 211Membership CoordinatorRanada Simmons , ext. 110

Educational Services Office AssistantStacey Brooks , ext. 210

FLoRIdA PhARmACy todAy BoARdChair..................................Betty Harris, Lighthouse Point Vice Chair ................................. Jennifer Pytlarz, BrandonTreasurer ..............................Stephen Grabowski, TampaSecretary ........................Stuart Ulrich, Boynton BeachMember ................Don Bergemann, [email protected] .................................... Joseph Koptowsky, MiamiExecutive Editor ........Michael Jackson, TallahasseeManaging Editor ........................Dave Fiore, Tallahassee

This is a peer reviewed publication. ©2011, FLORIDA PHARMACY JOURNAL, INC.

ARTICLE ACCEPTANCE: The Florida Phar-macy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy. All articles are subject to review by the Publication Review Committee, editors and other outside referees. Submitted articles are received with the understanding that they are not being considered by another publication. All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today. The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today.

The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion, politics or any other subject the editors/publishers deem unsuitable for the readership of this journal. In addition, The Journal does not accept advertising material from persons who are running for office in the association. The editors reserve the right to edit all materials submitted for publication. Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board.

FLORIDA PHARMACY TODAY, Annual sub-scription - United States and foreign, Indi-vidual $36; Institution $70/year; $5.00 single copies. Florida residents add 7% sales tax.

Florida Pharmacy association

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

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

FPA STAFF to buy back these prescription drugs from physicians)

■ Retention of the prescription drug monitoring program

■ Creates an unlawful act for phar-macists who fail to report within 24 hours fraudulent prescriptions to the county sheriff.

■ Defines what has to be reported to the sheriff’s office.

■ Defines authority for the Depart-ment to deny a license to pharma-cists who commit dispensing or DUR related errors.

■ Starting January 1, 2012 pharma-cies may not dispense schedule II or schedule III drugs unless they are

■ Wholly owned publicly traded cor-poration or

■ Wholly owned corporation having $100 million in Florida business tax-able assets or

■ Owned or operated by a licensed hospice, nursing facility or provides services to hospices, hospital or nursing facilities or

■ Has been continuously permitted for at least 10 years or

■ Received or renewed a permit un-der the defined sections in this pro-posed bill

■ Community pharmacies must make dispensing records available to DOH or law enforcement upon re-quest.

■ Pharmacies must be prepared to produce policies and procedures on preventing controlled substance dis-pensing based on fraudulent repre-sentations or questionable practitio-ner-patient relationships (permits could be denied).

■ Permits could be denied based upon prior violations of certain Florida and Federal laws

■ Requires permittee to notify the De-partment of a change in prescription department managers

■ Defines prescription department manager responsibilities

■ Requires wholesalers to report dis-tributions of controlled substances to the Department of Health

■ Prohibits manufacturers from fund-ing the prescription drug monitor-ing program

■ Restricts wholesalers from shipping

5,000 dosage units each of hydroco-done, morphine, oxycodone, metha-done or any benzodiazepine or de-rivative of benzodiazepine to any retail pharmacy in any given month.

At press time this bill is being de-bated on the floor of the House where a number of FPA supported amend-ments are being introduced to correct some of the problems with the legisla-tion. The FPA has also been working with the Florida Attorney General’s of-fice, which is also interested in this leg-islation. Members with concerns should continue to reach out to members of the Florida House of Representatives. We are hearing that the Senate may not be supportive of the House’s position on this legislation.

hB585, sB1268 (Pharmacist Immunization services)

This legislation would authorize pharmacy interns to administer the vac-cines under certain circumstances. The bill also grants authority for pharma-cists and pharmacy interns to adminis-ter an epinephrine auto injection under certain circumstances. This bill passed one committee in the Senate but was de-feated by one vote in the House Health and Human Services Quality Subcom-mittee meeting on Wednesday, April 6th. Testifying before the committee was Tallahassee immunizing pharma-cist Jonathan Hickman. Jon provided the committee with extensive and com-prehensive testimony on the benefits of these services provided by pharmacists and how his practice has helped pa-tients. You can see the video of his tes-timony through this link. When you enter the link advance the slide bar to 27.00 where you will see the HB585 be-ing introduced and debated.

sB2000 (senate Appropriations)Includes a mail order program for

chronically diseased Medicaid patients. The bill also has language that allows any Medicaid pharmacy provider to fill a 90 day supply of prescription drugs and receive 1.5 times the dispensing fee of a 30 day supply. This language should equal the playing field between mail order and retail pharmacies. The

A P R I L 2 0 1 1 | 9

dispensing fee is being reduced to $3.23 from $3.73. There is also an ingredi-ent cost reduction proposed saving the state (and costing pharmacy providers) close to $30 million.

sB818 (Controlled substances) At a minimum, this bill would re-

quire a pharmacist or any other per-son working under a pharmacist’s su-pervision to report to the local county sheriff information concerning persons attempting to obtain prescriptions by fraudulent means. The bill also allows changes to the prescription drug mon-itoring program database (PDMP) and reduces the time allowed for the report-ing of dispensed controlled substances to 7 days. Physicians will have to per-form a “medical examination” rath-er than a “physical examination” the same day that they prescribe or dis-pense a controlled substance. There is also a provision in the bill that appears to allow the Department to request pharmacist licensure candidates or li-censed pharmacists who are renewing produce evidence of having completed

a 1 hour CE course on the prescription drug monitoring program. Pharmacists may need to ensure that prescriptions for controlled substances that are pre-scribed differently from what the man-ufacturers recommend must have that deviation noted on the prescription and also on the label of the dispensed prod-uct.

sB2102 (state Employee Prescription Plan)

This bill removes language that di-rects the state employee prescription plan to allow any pharmacy to partici-pate in the network. The bill also gives the Department of Management servic-es the ability to contract with select re-tail pharmacies that can dispense a 90 day supply of prescription drugs. The bill will make the dispensing fee now negotiable according to best industry practices.

sB1972, sB1226 (medicaid Reform)

This bill, if signed into law, directs the Agency for Health Care Adminis-

tration to evaluate the utilization of pre-scription drugs in the Medicaid pro-gram and requires managed care plans to cover prescription drugs. The bill also permits blood establishments to wholesale prescription drugs under cer-tain circumstances. There is a provision that disallows payment for psychotro-pic medications prescribed for children under a certain age that is not approved by the FDA. There are over 70 amend-ments floating around this bill at press time. One of the amendments seeks to exempt unlicensed personnel in phy-sician dispensing offices from having to register as pharmacy technicians. If the Center for Medicare and Medicaid Services does not approve the man-aged care waiver for Florida Medicaid, the state will withdraw from the Med-icaid program. There is also a section in the bill with similar language in SB1226 that attempts to try fix previous law that prevented licensees and pharmacy technician registrants from receiving or renewing their licenses due to disqual-ifying offenses such as violation of cer-tain state or federal laws.

I n d e p e n d e n t … B u t N o t A l o n e .P P S C i s Y o u r P a r t n e r f o r S u c c e s s

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hB7107 (medicaid Reform) This bill shifts all Medicaid patients

to managed care and defines the bene-fits. The bill also includes FPA support-ed language that prohibits the health plans from using mail order exclusive-ly as a tool to meet network access stan-dards.

sB1386 (Controlled substances) Requires that pharmacies who re-

ceive a patient advisory report through Florida’s proposed prescription drug monitoring program that this report be reviewed prior to dispensing a con-trolled substance to any patient. The bill also expands the 72 hour dispensing re-striction on physicians to 30 days.

hB39 & sB204 (Regulation of Controlled substances)

This bill seeks to add synthetic can-nabinoids “K2” or “Spice” to the list of controlled substances in schedule 1 in Florida. Possession would be a 3rd de-gree felony.

hB119 (Billing of 340B drugs) In addition to the number of other is-

sues in this proposed legislation there is a section that requires 340B drugs to be billed at actual acquisition costs to the Medicaid program. The claims must also contain the NDC code and also meet the requirements of the Deficit Reduction Act of 2005 in order for the State of Florida to get rebates. The bill also adds language that requires the Agency for Health Care Administration to accept electronic requests from phar-macists and physicians for any drug re-

quiring prior authorization.

sB336 (Revision of Controlled substance Act)

This bill seeks to schedule certain chemicals as controlled substances. The bill also provides that Schedule III list-ed stimulants and depressants include their salts, isomers, and salts of isomers whenever the existence of such salts, isomers is possible within the specif-ic chemical designation. This language, which is not currently included in Schedule III, appears in federal sched-uling laws.

See chart below for a list of chemical.

hB445, sB1522 (Wellness Programs)

This bill allows insurance plans to of-fer voluntary health and wellness pro-grams and encourage or reward par-ticipation in the program by offering incentives.

hB487, sB1156 (Regulating the sale of dextromethorphan)

This proposed legislation prohibits obtaining or delivering to individual in retail sale any nonprescription com-pound, mixture, or preparation contain-ing dextromethorphan or related com-pounds in excess of specified amounts. The bill regulates retail display of prod-ucts containing dextromethorphan or related compounds and requires train-ing of retail employees similar to the requirements for ephedrine products There are also requirements for persons who purchases or otherwise acquires nonprescription compound, mixture,

or preparation containing any detect-able quantity of dextromethorphan or related compounds to meet specified requirements.

sB750, hB527 (Any Willing Provider)

This bill requires health plans to au-thorize licensed pharmacists & permit-ted pharmacies to serve as participating pharmacy services providers for any of plan’s participants.

hB7107 (medicaid managed Care) Designates AHCA as single state

agency to administer Medicaid pro-gram; establishes Medicaid program as statewide, integrated managed care program for all covered services; au-thorizes agency to apply for & imple-ment waivers; provides requirements for eligible plans that provide servic-es in Medicaid managed care program; establishes provider service network re-quirements for eligible plans; establish-es eight regions for separate procure-ment of plans.

summaryThese are just a few of the many

health care bills that the Association is monitoring or providing active input on. At press time it is unknown wheth-er the proposed bills will make it to the governor’s desk. Some may but others will not. A full report will be presented at the FPA’s annual meeting in Aventu-ra, Florida in June. Come and see how our practice and business will change with these public policy revisions.

Schedule I:

Alpha-Methyltryptamine. 1- (1-Phenylcyclohexyl) pyrrolidine. 2, 5-Dimethoxy-4- (n) -Propylthiophenethylamine. 5-Methoxy-N, N-Diisopropyltryptamine. N-Benzylpiperazine.

Schedule II:

Dihydroetorphine. Lisdexamfetamine. Remifentanil.

Schedule III:

Embutramide. Schedule IV: Zopiclone. Zaleplon. Zolpidem. Modafinil. Petrichloral. Sibutramine. Dichloralphenazone.

Schedule V:

Pregabalin. Not more than 0.5 milligrams of Difenoxin and not less than 25 micrograms of Atropine sulfate per dosage unit.

A P R I L 2 0 1 1 | 11

Safe, stable, and nurturing relationships (SSNRs) between children and adults are a buffer against maltreatment and other adverse exposures occurring during childhood that compromise long-term health.

APRIL is National Child Abuse Prevention Monthsource: Centers for disease Control and Prevention

the IssueUnfortunately, not all children are exposed to these positive relationships.

Child maltreatment is a significant public health problem in the United States. In 2009, Child Protective Services confirmed more than 700,000 children were abused or neglected. These confirmed cases, however, represent only a fraction of the true magnitude of the problem. Most cases are not reported and child mal-treatment remains a largely hidden problem. Some studies estimate that one in 8 U.S. children experience some form of child maltreatment.

the BurdenThere is overwhelming scientific evidence that child maltreatment can lead to a

broad range of physical and emotional health problems. Short-term physical inju-ries include cuts, bruises, burns, and broken bones. Abuse can also lead to perma-nent disabilities including visual, motor, and cognitive impairments. Prolonged maltreatment causes extreme or “toxic” stress that can disrupt early brain devel-opment and impair the functioning of the nervous and immune systems, leaving children vulnerable to chronic diseases later in life. For example, maltreatment has been associated with heart, lung, and liver disease in adulthood.

Not all injuries that result from child maltreatment are visible. Abuse and ne-glect can have a lasting emotional impact as well. Victims may suffer from anxi-ety or depression. They may be wary, distrustful of others, and have difficulty es-tablishing relationships. Some even think about or attempt suicide.

safe, stable and nurturing RelationshipsThe Centers for Disease Control and Prevention (CDC) works to stop maltreat-

ment, including abuse and neglect, before it initially occurs. In doing this, CDC promotes the development of safe, stable, and nurturing relationships between children and their parents or caregivers. Children’s experiences are defined through their relationships with parents, teachers, and other caregivers. Healthy relationships act as a buffer against adverse childhood experiences. They are nec-essary to ensure the long-term physical and emotional well-being of children.

In 2009, Child Protective Services confirmed more than 700,000 children were abused or neglected.


1986twenty-five years ago:

■ Reye’s syndrome warning required to be added to all aspirin labels.

■ The American Association of Pharmaceutical Sci-entists (AAPS) was formed with almost 3,000 char-ter members.

■ Human Genome Project launched with the object to understand the human genome and therefore provide the continuing progress of medicine

Pharmacy Time Capsule 2011

By: Dennis B. Worthen Lloyd Scholar, Lloyd Library and Museum, Cincinnati, OH

One of a series contributed by the American Institute of the History of Pharmacy, a unique non-profit society dedicated to

assuring that the contributions of your profession endure as a part of America’s history. Membership offers the satisfaction

of helping continue this work on behalf of pharmacy, and brings five or more historical publications to your door each year. To

learn more, check out: www.aihp.org

1961Fifty years ago

■ President Kennedy signed Public Law 87-319 desig-nating the third week in March as National Poison Prevention Week.

1936seventy-five year ago

■ The use of radiopharmaceuticals began when John Lawrence administered a radioactive isotope of phosphorus-32 to treat chronic leukemia.

1911one hundred years ago

■ The US Supreme Court ruled against Dr. Miles Medical Co., which had sued a distributor for sell-ing its products at cut rate prices.

A P R I L 2 0 1 1 | 13

The retirement years can be an excit-ing time to see the world, and travel is easier and safer than ever before for se-niors. With a little planning and some caution, seniors can safely visit almost any destination.

All travelers, including seniors, should see a doctor for a pre-travel vis-it, ideally 4–6 weeks before they travel, although even a last-minute visit can be helpful. The doctor should be told about illnesses the traveler has and medicines he or she is taking, since this will influ-ence medical decisions. In addition to providing vaccines, medicine, and ad-vice for keeping healthy, a doctor can conduct a physical exam to assess a se-nior’s fitness for travel. Seniors should consider their physical limitations when planning a trip. Seniors with heart dis-ease, for example, might choose an itin-erary that does not involve strenuous activities. Seniors may also have a hard time recovering from jet lag and motion sickness, so they should take these fac-tors into account when planning a trip.

Before travel, seniors should have information about their destination that could affect their health, such as the altitude and climate. They should be aware of whether the destination is prone to natural disasters, such as earthquakes and hurricanes, since se-niors may have more problems in those extreme situations.

vaccinesBefore travel, seniors should be up-

to-date on routine vaccines, such as measles/mumps/rubella and season-al flu. Some of these may be considered “childhood” vaccines, but their protec-tive effect decreases over time, and the diseases they protect against are often more common in other countries than in the United States. More than half of tetanus cases are in people over 65, so seniors should consider getting a teta-nus booster before they travel.

Seniors should also receive other vaccines recommended for the coun-tries they are visiting. These may in-clude vaccines for hepatitis, typhoid, polio, or yellow fever. Recommended vaccines are listed by country on CDC’s destination pages.

Use of some vaccines may be restrict-ed on the basis of age or chronic illness-es. Yellow fever vaccine, for example, should be given cautiously to people older than 60 years, and it should not be given at all to people with certain immune-suppressing conditions. Se-niors should discuss their detailed trav-el plans with their doctors and, if neces-sary, alternatives to vaccination.

medicationA doctor may prescribe medicine for

malaria, altitude illness, or travelers’ di-arrhea; seniors should make sure the doctor knows any other medications they take, to watch out for possible drug interactions. Travelers’ diarrhea is com-mon and may be more serious in se-niors, so seniors should also follow food and water precautions.

In addition to medicine prescribed specifically for travel, seniors are likely to take other medicines regularly, such as medicines for high blood pressure, diabetes, or arthritis. They should plan to pack enough medicine for the dura-tion of the trip, plus a few days’ extra in case of travel delays. Counterfeit drugs may be common overseas, so seniors should take only medicine they bring from the United States.

Prescription medicine should al-ways be carried in its original container, along with a copy of the prescription, and all medicine should be packed in carry-on luggage, in case checked lug-gage gets lost.

Injury PreventionAlthough exotic infections make the

headlines, injury is the most common cause of preventable death among trav-elers. Seniors can minimize their risk of serious injury by following these guide-lines:

■ Always wear a seatbelt. ■ Don’t ride in cars after dark in devel-

oping countries. ■ Avoid small, local planes. ■ Don’t travel at night in questionable

areas.

In addition, seniors should consider purchasing supplemental travel health insurance in case of injury or illness overseas. Many health plans, includ-ing Medicare, will not pay for services received outside the United States. Se-niors who are planning travel to remote areas should consider purchasing evac-uation insurance, which will pay for emergency transportation to a qualified hospital.

For more information on healthy travel, visit www.cdc.gov/travel.

Safe and Healthy Travel for Seniorssource: Centers for disease Control and Prevention


Second Report of the FPA Speaker of the House

Greetings Members of the Florida Pharmacy Association:

The 121st Annual Meeting of the Association is fast approaching with a number of exciting issues that will be debated in Aventura, Florida. This year, the House has a rather unique “out of the box” meeting schedule and agenda plan. Pay very close attention as academic Deans generally have a high expectation of stakeholder understanding and a low threshold for toler-ance of folks who become confused when instructions are painfully and dreadfully clear.

It has been traditional for the House to meet over a two-day period. In the past, those meet-ings have been scheduled for Friday and Saturday afternoons of the convention week. Pay close

attention to the following information as there will be an examination to measure competency here. To pass the test, all you have to do is show up on time for the House session as published on the FPA website, in the January 2011 issue of Florida Pharmacy Today and in the convention brochure mailed to the membership, and be ready to go to work. To fail the examination, simply show up at the meeting at the “traditionally” scheduled time rather than read the convention schedule. Why has the schedule changed? In part, this has been due to feedback from you the members requesting a modification of the convention schedule to allow for more networking and interconnectivity with colleagues. After all, the history of past FPA conventions reveals that the House at one time did conduct its business on one day.

The House will have its first session beginning at 11:00 a.m. (EST) on Thursday, June 23, 2011, at the Turnberry Re-sort. That first session of the House will run for two hours and will include a brief recess to facilitate the FPA’s annual business meeting. Don’t forget the keynote address that afternoon by American Association of Colleges of Pharmacy CEO Lucinda Maine. I am confident that you will find her remarks on patient-centered health homes interesting. The second and final session of the House will begin the same day (Thursday, June 23, 2011) running from 3:00 until 5:00 p.m. At that time, all House business should be concluded and new policy adopted.

FPA policies on various pharmacy practice and business issues are formulated through the House. When members ask what the FPA’s position is on issues that affect our profession and our business, those policies are formed though dialog by practice site and geographic stakeholders. Participation through the Unit Associations is critical as the mes-sage of grassroots pharmacists is delivered in healthy debate during these meetings. Each invited and affiliated phar-macy organization is entitled to send representatives to the FPA convention to review and consider position statements on submitted resolutions from stakeholder groups and the membership at large. Resolutions are designed to direct the FPA to:

■ Support something ■ Not support something ■ Oppose something ■ Not oppose something ■ Take action on something ■ Not action on something and ■ Have the wisdom to know the difference

While new items can be added to the agenda, please be aware that it may take considerable effort to get them added to the House’s preplanned agenda. This will be explained at the meeting. Remember that we facilitated a call for reso-lutions as published in the Journal. That call ended on March 15, 2011.

Are you interested in where the FPA currently is on last year’s resolutions? Read further for the most updated infor-mation. A final report will be available at the annual meeting.

A P R I L 2 0 1 1 | 15

10-01 (Dade County Pharmacy Association) Pharmacist-only responsibilitiesBE IT RESOLVED that the Florida Pharmacy Association review and expand the definition of the Pharmacists’ role in health care, looking toward expansion of pharmacist-only responsibilities. BE IT FURTHER RESOLVED that regular and periodic progress reports be given to the leadership of the Florida Pharmacy Association with the understanding that the purpose would be to retain pharmacists’ privileges and to attempt to gain ground, legislatively, to solidify these privileges under the control of the pharmacist only.STATUS: Professional Affairs Council members Eric Alvarez and Kathy Petsos appeared before the Florida Board of Pharmacy in October of 2010 asking that consideration is given to the revision of rules related to drug therapy management. The Council is also proposing that a set of “Pharmacist Only” duties be linked to the National Provider Identifier number (NPI) of individual pharmacists.

10-02 (Dade County Pharmacy Association) - Minor Infractions’ statute of limitations and expunging of infractions.BE IT RESOLVED that the Florida Pharmacy Association introduce legislation that allows the Board of Pharmacy to establish time limits (i.e. statute of limitations) for minor infractions of the Rules and Regulations pertaining to the practice of pharmacy and that do not cause patient harm, to a set time period such that a pharmacist or technician can request that their licensure record can be expunged of these minor infractions.BE IT FURTHER RESOLVED that the Florida Pharmacy Association supports Board of Pharmacy efforts to categorize pharmacist infractions into Minor and Major Categories, and that infractions in the Minor Category do not cause patient harm.BE IT FURTHER RESOLVED that the Florida Pharmacy Association supports a statute of limitations on Minor infractions such that they can be expunged from the public pharmacists’ or technician’s record upon request. The ability to expunge should be allowed to be requested for any minor infractions cited prior to this process. BE IT FURTHER RESOLVED that the Florida Pharmacy Association support the ability of the pharmacist or pharmacy technician to petition the state board of

pharmacy to apply the statute of limitation on any citation received for a minor infractions and that they can have their record expunged.STATUS: This issue was referred to Legislative Committee who discussed the resolution at their July 2010 meeting in Orlando. There was a recommendation to the Board of Directors as part of the 2011 legislative advocacy program to look for opportunities to expunge disciplinary records for minor violations through relying on the FPA lobbyist to assess the viability of successful advocacy of this program. The FPA legislative consultant has advised that such a campaign would be challenging as Florida is considered an open records state and operates in the sunshine. Consumers will take issue with efforts to seal disciplinary records. This issue was also referred to the Professional Affairs Council, however a report is not available at press time. Currently there have been no legislative bills that an amendment could be applied to for this year’s legislative session. The Association will continue to look for opportunities.

10-03 (Broward County Pharmacist Association) Freedom of Choice and Standardized ReimbursementBE IT RESOLVED that the FPA work to support and endorse H.R. 4199 sponsored by Representative Butterfield tagged in the House of Representatives as the Pharmacy Bill.BE IT FURTHER RESOLVED that FPA shall address in their legislative committee to find a receptive members of the Florida House and Senate to create compatible Florida bills mimicking the Federal proposed bill H.R. 4199STATUS: This resolution was referred to the Legislative Committee who discussed this issue at their July 2010 meeting. The Committee is recommending that the FPA advocate for PBM transparency which is part of the provisions in H.R. 4199. Bills were filed during the 2010 legislative session, however neither had been placed on the agenda for hearing most likely due to strong objections from the managed care industry. H.R. 4199, which is a congressional bill did not become law. A provision related to patient choice has been included in SB1972, which is currently under review during the Florida 2011 session. Final passage of the bill has not been completed as of press time of this journal.10-06 (Pasco-Hernando Pharmacy Association) Revise Resolution FormatBE IT RESOLVED that a Fiscal Impact

Statement be added to the required House of Delegates resolution format as listed below. BE IT FURTHER RESOLVED that the fiscal impact statement should be projected by the House of Delegates Board of Directors when the resolution is reviewed prior to the House of Delegates. The impact statement should address the anticipated costs and benefits that will be derived should the resolution be passed.STATUS: This policy statement has been placed on House of Delegates March meeting agenda where House Board members applied fiscal statements to new resolutions to be considered at the 121st annual meeting and convention this summer. This will be a standard procedure at all March meetings of the House Board of Directors.

10-07 (APhA-ASP Nova Southeastern University) Advocating for Student ImmunizingBE IT RESOLVED that the FPA supports the necessary legislative and regulatory changes to permit student intern pharmacists to provide immunization services supervised by certified immunizing pharmacists.STATUS: This resolution was referred to the Legislative Affairs Committee who discussed this issue at their July 2010 meeting. The committee recommended to the FPA Board of Directors that this issue be placed as the primary advocacy goal for 2011. The FPA Board of Directors met in August and approved the plan as the number one priority for the 2011 legislative session.Bills have been filed in both the 2011 House and Senate. These bills however were slow to move and met with considerable resistance from the legislators friendly to the medical associations. The Senate bill passed one committee, however the House version was defeated in a Health Committee. It is likely that this legislation will not pass this year.

10-10 (Broward County Pharmacy Association) Pharmacist Authority to Prescribe VitaminsBE IT RESOLVED that the FPA see legislative authorization to broaden the pharmacist prescribing act to include vitamins, minerals, homeopathic, antioxidants, amino acids, medicinal foods and whole food supplements.BE IT FURTHER RESOLVED that the FPA support legislation to broaden the role of the pharmacist to provide nutritional


Employer Based Technician Training Program for all Florida Pharmacies

The Florida Pharmacy Association, partnering with PassAssured of Orange, Texas is

pleased to present a web based employer based technician training program for

Florida pharmacies. Florida Statutes 465.014 requires pharmacy technicians to

register with the Florida Department of Health. To be eligible for registration techni-

cians must complete a Board approved training program as defined under rule

64B16-26.351.

All employer based technician training programs must be approved by the Florida

Board of Pharmacy. The FPA is offering assistance to pharmacies in their efforts to

get their training programs approved. Simply follow the steps published on the FPA

web site in the “Shopping” menu item under “Pharmacy Resource Materials” where

the program’s information is published. There is no cost to apply to the Board.

Send us your contact information and we will be glad to help you.

Name _______________________________ Address _________________________________

City _________________________ State _______________ Zip Code ____________________

E-mail address ________________________________________________________________

Phone ______________________________ Fax _____________________________________

Name of Pharmacy _____________________________________________________________

This program is designed to supplement your on-site training

program for pharmacy technicians.

610 North Adams Street Tallahassee, Florida

Phone: (850) 222-2400 Fax: (850) 561-6758

E-mail: [email protected]

The FPA has made it easy

for you to file for approval

for your employer based

training program with the

Board for approval. Once

approved you can enroll

your technicians in the

comprehensive training

modules. The cost per

technician is $290.

Technicians who join the

FPA as members only pay

$250. It should take

about 160 hours for your

technician to complete

the program.

A P R I L 2 0 1 1 | 17

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

counseling.STATUS: This issue was referred to the Legislative Committee who discussed this at their July 2010 meeting. The Committee recommended to the FPA Board of Directors that we should monitor for opportunities to revise the self care consultant act which would allow the prescribing of vitamins, minerals etc. by pharmacists if the federal laws change. The Committee is also recommending that the Association work with the naturopathic associations. The Board of Directors is recommending that we monitor this issue for opportunities. Action on this issue will depend upon how quickly other more pressing issues can be resolved. To date, there have been no related bills filed that would allow for revisions to the pharmacist self care consultant act.

10-11 (FPA Professional Affairs Council) Introductory Pharmacy Practice Experience (IPPE) Standard CompetenciesBE IT RESOLVED by the House of Delegates of FPA that this collaborative effort will be accomplished through an FPA -mediated panel consisting

of FPA facilitators (one from the Professional Affairs Council and one from the Educational Affairs Council), experiential faculty member and dean (or representative) from each college of pharmacy, two preceptors from different practice settings and three student pharmacists.BE IT FURTHER RESOLVED that these competencies should reflect the professional knowledge and skills necessary for entry into advanced pharmacy practice experiences (APPEs).STATUS: This resolution was referred to the Professional Affairs Council. The council recommends that letters be sent by the FPA requesting IPPE goals and objectives from each of the schools of pharmacy in Florida. The Professional Affairs Council is also recommending that the Educational Affairs Council should review and assess whether the goals and objectives reflect the professional knowledge and skills needed for students to enter into the advanced practice experiences.

10-13 (Bob Parrado, Representative of Nigerian Pharmacy Association) Jurisdiction & Regulation of

Pharmacies, Pharmacists & Pharmaceuticals under the Florida Department of HealthBE IT RESOLVED by the House Of Delegates of the FPA that the FPA advocate for and support the regulation and oversight of pharmacists, pharmacies, dispensing practitioners and prescription drugs by the Florida Department of Health.STATUS: This resolution was referred to the Legislative Committee. Considerable dialog has occurred at the Florida Capitol suggesting a massive revamping of the Florida Department of Health. One proposal sought to create a massive Florida Department of Health and Human Services housing a number of Florida public health agencies. A large number of divisions with the Department are being eliminated or merged with other areas. We are continuing to monitor these efforts. Laws passed by a previous Legislature moves oversight of Florida Statutes 499 issues away from the Department of Health and over to the Department of Business and Professional Regulation. That transition will take place in October of this year.


A Solid Foundation for Positive Outcomes

121st Annual Meeting and Convention

June 22 - 26, 2011The Fairmont Turnberry Isle

Resort & ClubAventura, FL

RegistrationInformation

2011 Summer Conferences


An outcome is the result or consequence of an event, a disease, a drug, a treatment, etc. Pharmacists have a vital role in the healthcare delivery system and are in the best position for patients to have positive outcomes throughout the healthcare process. Pharmacists have been trained for decades on key issues surrounding the safe and effective use of medications. It is for this reason that pharmacists are called medication experts. Over the years, patient care has evolved to become what is now called Medication Therapy Management (MTM). In order to continue to deliver optimal patient care, pharmacists must go back to the basic foundation to see the future positive outcomes.

Florida Pharmacy Association’s mission is to “serve, represent and assist pharmacists and pharmacy technicians to advance the profession and practice of pharmacy.” This year’s convention will offer a variety of subjects that will be applicable to your practice setting. We are offering consultant and general continuing education courses. In addition, there will be a pre-convention certificate program entitled, Delivering Medication Therapy Management Services in the Community. Join us in our effort as we continue to build a solid foundation for positive outcomes at FPA’s 121st Annual Meeting and Convention!

A P R I L 2 0 1 1 | 192CODE KEY: GCE = General Continuing Education RC = Recertification Consultant TECH = Technician STC = Student Continuing Education

FPA 121st Annual Meeting and Convention ScheduleJune 22-26, 2011

• Schedule is subject to change.

Consultant Track

Clinical Associate Professor, Department of Phar-macotherapy and Translational Research, UF Col-lege of Pharmacy

Upon completion of this activity, pharmacists will be able to: Explain how to overcome communication barriers and employ active listening when interviewing a patient; Conduct a thorough medication therapy review; Complete a personal medication record (PMR); Develop a medication-related action plan (MAP); Perform the following tasks, given a patient case including one or more medications: Assess patient-specific data and issues, and interpret these findings to identify the patient’s medication-related problems; Account for pharmacokinetic and pharmacodynamic changes when reviewing an elderly person’s medication regimen; Develop a list of the patient’s drug therapy problems; Establish goals of therapy for each medical condition and medication-related problem identified; Make recommendations for resolving situations in which a patient’s medications are potentially inappropriate; Document services in a manner appropriate for evaluating patient progress, sufficient for billing purposes, and that facilitates tracking clinical and financial outcomes; Discuss the elements of an effective recommendation to another health care practitioner; Describe the medication use concerns and adverse drug events that affect senior patients; Explain how to bill for MTM services using the appropriate CPT code(s).

4:00pm-5:00pm HOD Board of Directors Meeting

5:00pm-6:00pm Florida Pharmacy PACCE Meeting

6:00pm-7:00pm Budget & Finance Committee Meeting

6:00pm-8:00pm Florida Pharmacy Foundation Annual Meeting

7:30pm-9:00pm Officer’s Dinner

Thursday, June 23, 2011

6 hrs of GCE/TECH or 3 hrs RCConsultant Track: Alternative Medicine

7:00am Registration Desk Open

Wednesday, June 22, 2011

8 hrs GCE/TECH

7:00am Registration/Check-in

7:45am Welcome and Introductory Remarks

8:00am-5:00pm Education: 8 hrs GCE Delivering Medication Therapy Management Services in the Community is an innova-

tive and interactive certificate training program that explores the pharmacist’s role in providing MTM ser-vices to patients. Pharmacists have a tremendous opportunity to receive reimbursement for monitor-ing and improving medication use in patients with complex medication regimens. This practice-based activity teaches pharmacists the essential skills necessary to become a successful MTM practitio-ner. The certificate training program will enhance pharmacists’ clinical expertise in evaluating compli-cated medication regimens, identifying medication-related problems, and making recommendations to patients, caregivers, and health care professionals. This program is conducted in three parts: Self-study activity and pre-seminar exercise (10 hours); Live interactive training seminar (8 hours); Post-seminar exercise (3 hours).

Live Seminar Description and Learning ObjectivesThe second part of the certificate training pro-

gram is an active learning seminar focusing on pharmacy practice implementation; it is based on the experience of practitioners involved with the de-velopment and delivery of MTM services. The live seminar reinforces and expands on the self-study activity. Participants will practice a variety of com-munication techniques to elicit a patient’s medica-tion experience and identify medication-related problems. Participants also will gain experience in prioritizing medication-related problems, develop-ing interventions, and documenting activities. Strat-egies for implementing an MTM service will be ex-plored.

Presenters: Lisa Clayville, PharmD, Clinical As-sistant Professor, University of Florida College of Pharmacy; Karen Whalen, PharmD, BCPS, CDE,

Requires separate registration

20 | f L O R I d A P h A R m A c y t O d A y 3CODE KEY: GCE = General Continuing Education RC = Recertification Consultant TECH = Technician STC = Student Continuing Education

lems at the cell level; Discuss how to correct the nutrient and vitamin needs; Discuss what and how to eat; Discuss proper exercise techniques. UAN: 0165-0000-11-035-L04-P*

Upon completion technicians will be able to: Define regenerative and functional medicine; List nutrients and vitamins depleted; Recognize the im-portance of healthy eating and proper exercise.

UAN: 0165-0000-11-035-L04-T*

11:00am-1:00pm FPA House of Delegates and Annual Business Meeting

1:00pm-2:00pm Lunch (Attendees on their own)

2:00pm-3:00pm Education: 1 hr GCE/TECH/STC Keynote Address A Solid Foundation: Is There A Pharmacist in this (Health) Home? Lucinda Maine, PhD, RPh, Executive Vice President

and CEO, American Association of Colleges of Pharmacy

Upon completion of this activity, pharmacists will be able to: Describe the care delivery model of patient-centered health homes; Articulate the roles pharmacists play in team-delivered primary care; Communicate the essential value of medication management services in a reformed health delivery system. UAN: 0165-0000-11-014-L04-P*

Upon completion of this activity, technicians will be able to: Recognize the care delivery model of patient-centered health homes; Identify the roles technicians play in team delivered primary care; Recognize the value of medication management services. UAN: 0165-0000-11-014-L04-T* 3:00pm-5:00pm House of Delegates Reconvenes

5:00pm-7:00pm Education: 2 hrs GCE/TECH 12 Step Recovery Program (Open to all attendees and spouses) David Templeman, PharmD, Clinical Pharmacist, Bertfish Sponsor: Recovering Pharmacists Network of Florida

Upon completion of this activity, pharmacists will be able to: Identify the disease state of addic-tion with a brief overview of the topic; Describe the signs and symptoms of chemical dependency, in-tervention, treatment and monitoring; Evaluate an educational example of a 12 step recovery and ex-plain how it works, 12 steps of AA and 12 traditions of AA.

UAN: 0165-0000-11-015-L01-P**

7:45am-9:15am Education: 1.5 hrs GCE/TECH/RC Nutrient Depletions from Prescription Drugs — Incorporating Necessary Supplements Goar Alvarez, PharmD, FASCP, Director of Pharmacy Services and Assistant Professor of Pharmacy, NOVA Southeastern University

Upon completion of this activity, pharmacists will be able to: Identify common pharmaceuticals that may deplete vitamins and micronutrients; Discuss mechanism and/or biochemical processes of how some of these nutrients may be depleted; Discuss which nutrients are likely to be depleted by which drug or drug categories and the potential adverse effects this may have on the body if these are not replaced/replenished. UAN: 0165-0000-11-036-L04-P*

Upon completion technicians will be able to: List common medications that may deplete vitamins; Recognize how the nutrients are depleted from the body; List some of the nutrients that are depleted from prescription drugs. UAN: 0165-0000-11-036-L04-T*

8:00am-10:00am Delegate Registration

9:00am-10:30am CE Provider Workshop for Florida Department of Health Providers Carl “Fritz” Hayes, RPh, Florida Board of Pharmacy Member Marcia Mann, CE Broker Representative

Upon completion participants should be famil-iar with and understand rules and regulatory up-dates regarding: Continuing education for Florida licensed Pharmacists; Continuing education for Florida registered Technicians; Approved provider program administrator responsibilities; Provider au-dit and record keeping requirements

9:20am-10:50am Education: 1.5 hrs GCE/TECH/RC Regenerative and Functional Medicine, An Opportunity for Pharmacists as Clinicians Joseph Rizo, PharmD, MBA, ABAAHP, Clinical Director, Rejuvenesse Integrative Medical Institute

Upon completion of this activity, pharmacists will be able to: Explain to pharmacists how the op-portunity to use clinical knowledge can make a huge difference in patients’ health by using the functional and regenerative approach; Describe the core prob-

Consultant Track

A P R I L 2 0 1 1 | 214

Upon completion of this activity, technicians will be able to: Recognize the disease state as an addic-tion; List the signs and symptoms of dependency; Recognize the 12 steps of the recovery process. UAN: 0165-0000-11-015-L01-T**

7:00pm-8:00pm Adopt-A-Student and Mentor Social

7:00pm-10:00pm Foundation Social: CASINO NIGHT FUNDRAISER Cost: $50 per person Cost Includes: 1,000 Playing Chips, Cash Bar, Hors d’oeuvres, Prizes

Friday, June 24, 2011

6 hrs of GCE/TECH/ RCConsultant Track: Pain Management


7:00am-8:00am Christian Pharmacist Fellowship International Breakfast

7:45am-9:15am Education: 1.5 hrs GCE/TECH/RC Opioids: Review of the New Kids on the Block and Key Concepts Robin Moorman Li, Pharm.D, Clinical Assistant Professor- Jacksonville Campus, University of Florida, College of Pharmacy, Shands Jacksonville Medical Center

Upon completion of this activity, pharmacists will be able to: Identify the chemical classes of commonly used opioids and apply this knowledge when considering allergy issues; Explain key dif-ferences between oxymorphone, tapentadol, and extended release hydromorphone; Perform equi-analgesic calculations between various opioid for-mulations. UAN: 0165-0000-11-016-L01-P**

Upon completion technicians will be able to: Define opiod; Recognize the difference between an opiod and non-opiod; List examples ofopiod products. UAN: 0165-0000-11-016-L01-T**

9:00am-10:30am Education: 1.5 hrs GCE/TECH/STC NASPA/NMA Game Show Tian Merren Owens, PharmD, MS, Director of Continuing Education, Florida Pharmacy Association

Upon completion of this activity, pharmacists will be able to: Identify and explain aspects of the effective and safe practice of pharmacy self care treatments through a process of answering a select-ed group of questions similar to a national board exam; Analyze the usage and effectiveness of over-the-counter medications; Classify different groups of over-the-counter medications based on drug treatment classes. UAN: 0165-0000-11-017-L04-P*

Upon completion of this activity, technicians will be able to: Identify the use of over-the-counter med-ications; List the classes of various OTC products; Identify proper storage and handling techniques of OTC products. UAN: 0165-0000-11-017-L04-T*

9:00am-11:00am Journal Board Meeting

9:20am-10:50am Education: 1.5 hrs GCE/TECH/RC “The Others”: Adjunctive Treatment For Pain Joseph Cammilleri , Pharm.D, Clinical Pharmacist, Pain Management, UF& Shands Jacksonville

Upon completion of this activity, pharmacists will be able to: Describe the role of opioid adjuvant medications in patients with chronic pain; Explain the mechanism of action of adjuvant medications and why they are effective in management of vari-ous chronic pain conditions; Review adjuvant medi-cations dosing and selection considerations when treating patients; Discuss the common side effects associated with the use of adjuvant medications. UAN: 0165-0000-11-018-L01-P**

Upon completion technicians will be able to: Define adjunctive treatment; Identify the difference between acute pain and chronic pain; List some medications used for chronic pain conditions. UAN: 0165-0000-11-018-L01-T** 11:00am-1:00pm Exhibit Hall Grand Opening

11:00am-1:00pm Student Poster Presentations

1:15pm-4:15pm Student Patient Counseling Competition

Consultant Track

22 | f L O R I d A P h A R m A c y t O d A y 5

1:00pm-2:30pm Education: 1.5 hrs GCE/TECH/RC A Review on the Pharmacological Management of Chronic Pain Syndromes: Focus on Maintenance Treatments for Fibromyalgia, Diabetic Neuropathic Pain, and Migraine Headache Jose Rey, MS, PharmD, BCPP, Associate Professor of Pharmaceutical Sciences, Nova Southeastern University – College of Pharmacy

Upon completion of this activity, pharmacists will be able to: Discuss the FDA-approved treatment op-tions for the analgesic management of the specified chronic pain syndromes focusing on maintenance treatment; Recommend alternative treatments that are historically effective for the management of Fi-bromyalgia, Diabetic Neuropathic Pain, and Migraine Headache, even if not FDA-approved for such use; Compare and contrast the benefits and risks of the various medications used for these specific chronic pain syndromes and make recommendations for use given patient-specific information.

UAN: 0165-0000-11-019-L01-P**Upon completion of this activity, technicians

will be able to: Define fibromyalgia; Recognize the pattern of a migraine headache; List medications used to treat chronic pain syndromes.

UAN: 0165-0000-11-019-L01-T**

1:00pm-2:30pm Education: 1.5 hrs STC/TECH Pharmacy Calculation: A Review Carmen Aceves, BPharm, MS, FASCP, FAPhA, Director of Pharmacy, Sister Emmanuel Hospital for Continuing Care

Upon completion of this activity, students will be able to Identify and solve problems related to mEq and mOsm; Discuss the importance of the sodium chloride equivalent value of medications in adjust-ing to isotonicity; Describe the various intravenous routes and content of solutions for IV administration; Describe the content of a typical parenteral nutrition formula and the caloric conversion for each ingre-dient; Solve pH and buffer problems without the aid of a calculator; Readily calculate dosages based on patient specific parameters such as weight and BSA; Solve dilution problems using C1V1=C2V2.

Upon completion of this activity, technicians will be able to: Describe the various intravenous routes; Define isotonicity, mEq and mOsm; List the contents included in a typical parenteral nutrition. UAN: 0165-0000-11-020-L04-T*

1:00pm-3:00pm Local Unit Leaders Meeting

1:15pm-4:15pm Student Patient Counseling Competition

1:30pm-2:00pm Golf Tournament Practice

2:00pm PACCE Golf Tournament

2:35pm-4:05pm Education: 1.5 hrs GCE/TECH/RC Cyber Health: Friend or Foe? Bob Parrado, BPharm, Prescription Department Manager, AmeriDrug Pharmacy, Past Florida Board of Pharmacy Member

Upon completion of this activity, pharmacists will be able to: Describe the differences between a mail order pharmacy and an internet pharmacy; Discuss the current state of prescription drug abuse and the oxycodone dilemma; Identify the legal definition of a valid prescription - What is right? and What is not?; Discuss the Ryan Haight Act & its impact on Internet Dispensing of Controlled Substances; Identify the unintended consequences of the Prescription Drug Monitoring Program. UAN: 0165-0000-11-021-L04-P*

Upon completion technicians will be able to: Recognize the difference between a mail order pharmacy and an internet pharmacy; List the medi-cations abused in the state of Florida; and List the items that should be on a prescription.

UAN: 0165-0000-11-021-L04-T*

2:35pm-4:05pm Education: 1.5 hrs STC/TECH Preparing Yourself for a Pharmacy Career: A Focus on Interviewing Skills and Resume Development Jennifer Pytlarz, PharmD, Publix Inc. Clinical CoordinatorUpon completion of this activity, students and tech-nicians will be able to: Describe different job search strategies; Explain the difference between a resume and CV; Provide tips on how to build a resume and CV; Discuss how to prepare for an interview; Re-view the interview process including questions to ask and questions to be prepared to answer.UAN: 0165-0000-11-022-L04-T

6:00pm-7:30pm PACCE Wine and Cheese Reception

7:30pm-9:00pm University Alumni Receptions

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Saturday, June 25, 2011

6 hrs of GCE/TECH/RCConsultant Track: Diabetes Management


Diabetes Program We have all heard the news about the grow-

ing epidemic of diabetes in this country and the world. Most of us already know how this will affect healthcare costs, productivity and the practice of medicine and pharmacy now and into the future. In addition with the severe shortage of endocrinolo-gists, and the lack of funding for traditional educa-tion programs new methods for managing diabetes will have to be developed. These new methods will be delivered by multiple medical professionals, and pharmacists are in a perfect position to be the lead-ers in diabetes care.

This multisession CE program will focus on giving pharmacists the knowledge of methods, techniques and procedures to successfully com-municate with diabetes patients, manage diabetes therapy, and maximize reimbursement opportuni-ties for the delivery of diabetes care.

7:45am-9:15am Education: 1.5 hrs GCE/TECH/RC Part 1: The Basics of Diabetes - Speaking to Patients at Their Level David Joffe, BSPharm, CDE, FACA, Diabetes in Control

Upon completion of this activity, pharmacists will be able to: Describe how the body’s energy sys-tem works; Explain to a patient how diabetes devel-ops; List the complications of diabetes; Explain the value of glucose monitoring and how to interpret results; Outline food choices and detail how this affects glucose levels; Encourage physical activity and medication adherence; Explain in lay language how medications for diabetes work. UAN: 0165-0000-11-023-L01-P**

Upon completion of this activity, technicians will be able to: Define diabetes; Recognize ideal food choices for diabetes patients; Identify the importance of physical activity.

UAN: 0165-0000-11-023-L01-T**

7:45am-9:15am Education 1.5 hrs GCE/TECH Small Businesses Don’t Die, They Commit Suicide! Tom Shay, CSP, Profit Plus

Upon completion of this activity, pharmacists will be able to: Outline the aspects of pharmacy business management that lead in inefficiency; Identify priorities for business management; Recog-nize aspects of a pharmacy business that require close observation.

UAN: 0165-0000-11-024-L04-P* Upon completion of this activity, technicians will

be able to: List the aspects of a business that lead to inefficiency; Recognize priorities that will lead to a successful business; Identify the areas of a phar-macy business that requires close observation. UAN: 0165-0000-11-024-L04-T*

9:00am-11:00am Education: 2 hrs GCE/TECH/STC Pharmacy Career Forum Jim Powers, BPharm-Facilitator. Presenters: Theresa Tolle, BPharm-Independent Pharmacy; Steven Nelson, BPharm-Adult Living Facilities; Robert McKenzie, BPharm-Radio Isotopes; Gil Weise, Sr., BPharm- Alternative Therapies for Wellness; Bob Fishman, BPharm- Pain Management Practice

Upon completion of this activity, participants will be able to: Recognize various practices of phar-macy and opportunities available to pharmacists; Describe the practice setting that best suit the indi-vidual skills and abilities; Identify personal strengths and weaknesses to consider when contemplating career choices. UAN: 0165-0000-11-025-L04-P*

Upon completion of this activity, technicians will be able to: Recognize various practices of phar-macy; Identify the practice setting that best suit the individual needs and abilities; Identify personal strengths and weaknesses to consider when con-templating career choices. UAN: 0165-0000-11-025-L04-T*

9:20am-10:50am Education: 1.5 hrs GCE/TECH/RC Part 2 – Type 2 Diabetes Making the Most of Medications Karen Whalen, PharmD, BCPS, CDE, Clinical Associate Professor, Department of Pharmacotherapy and Translational Research, UF College of Pharmacy

Upon completion of this activity, pharmacists will be able to: Differentiate the mechanism of action of various oral medications for diabetes; Review the treatment algorithm for the management of Type 2 diabetes; Develop a drug therapy plan for the man-agement of Type 2 diabetes using evidence-based principles; Recommend pharmacotherapy to re-duce the complications of diabetes.UAN: 0165-0000-11-026-L01-P**

Upon completion of this activity, technicians will be able to: List the types of diabetes; Recognize the difference between Type 1 and Type 2 diabetes; List medications used to treat diabetes. UAN: 0165-0000-11-026-L01-T**


9:20am-10:50am Education 1.5 hrs GCE/TECH Can You Get More From the Investment You Have In Your Pharmacy Business? Tom Shay, CSP, Profit Plus

Upon completion of this activity, pharmacists will be able to: Explain the importance of under-standing financial management; Use an online tool for quick evaluation of financial statements; Dem-onstrate how to effectively monitor components of financial statements. UAN: 0165-0000-11-027-L04-P*

Upon completion of this activity, technicians will be able to: Recognize the components of a finan-cial statement; Identify the importance of using fi-nancial statements; List the disadvantages of not properly monitoring financial statements. UAN: 0165-0000-11-027-L04-T*

11:00am-1:00pm Exhibit Hall Open 12:00pm Golf Winners Announced

1:00pm-2:30pm Student Luncheon

1:00pm-2: 30pm Education: 1.5 hrs GCE/TECH/RC Part 3: Insulin Management for Type 1 and Type 2 Patients David Joffe, BSPharm, CDE, FACA, Diabetes in Control

Upon completion of this activity, pharmacists will be able to: Compare and contrast insulin manage-ment for Type 1 and Type 2 patients; Outline dos-ing algorithms for basal, bolus and mixed insulins; Develop basal dosing, sensitivity and carb ratios and targets for intensive management of diabetes; Explain the use of devices for the improved insulin management of patients; Recommend methods to treat hypoglycemia, ketones and DKA in the insulin-using patient. UAN: 0165-0000-11-028-L01-P**

Upon completion of this activity, technicians will be able to: List the different types of insulin; Define hypoglycemia; Define ketones.UAN: 0165-0000-11-028-L01-T**

1:00pm-2:30pm Education 1.5 hrs GCE/TECH Team UP for Success! Tom Shay, CSP, Profits Plus

Upon completion of this activity, pharmacists will be able to: Discuss a technique for in-house education of technicians and support staff; Illustrate to technicians and support staff the importance of working together in efficiency by continued educa-tion; Provide tools for creating operations guide for technicians and support staff. UAN: 0165-0000-11-029-L04-P*

Upon completion of this activity, technicians will be able to: Define the importance of team work; List ways to create a positive work environment;

Recognize the importance of customer service. UAN: 0165-0000-11-029-L04-T*

2:35pm-4:05pm Education: 1.5 hrs GCE/TECH/RC Part 4: Putting It All to Work: Cases, PCMHs, SMAs, and Wellness David Joffe, BSPharm, CDE, FACA, Diabetes in Control and Karen Whalen, PharmD, BCPS, CDE Clinical Associate Professor, Department of Pharmacotherapy and Translational Research, UF College of Pharmacy

Upon completion of this activity, pharmacists will be able to: Apply principles of diabetes man-agement to solve real patient cases; Utilize prov-en communication methods to speak to patients; Describe how to become part of Patient Centered Medical Homes; Realize opportunities for reim-bursement with shared medical appointments and wellness programs. UAN: 0165-0000-11-030-L01-P**

Upon completion of this activity, technicians will be able: Recognize the importance of proper com-munication to patients; Identify Patient Centered Medical Homes in your community; Identify the role of the technician in reimbursement opportunities. UAN: 0165-0000-11-030-L01-T**

2:35pm-4:05pm Education 1.5 hrs GCE/TECH/STC How To Open A Pharmacy Jim Springer, Regional Vice President Rx Ownership, McKesson Corporation

Upon completion of this activity, participants will be able to: Describe the requirements and pro-cess of opening a new pharmacy from the ground up; Discuss financial obligations in opening a phar-macy; Discuss the importance of location; Discuss marketing techniques.

This program will cover a variety of topics rang-ing from how to get started, how to finance the project, what things are necessary, design, market-ing, etc. Am I the right person for this? How much money will I need and how will I finance it? What business relationships do I need? Why is location selection important? Do I need to have a corpora-tion? What are the licensing requirements? How do I design a footprint for the pharmacy? UAN: 0165-0000-11-031-L04-P*UAN: 0165-0000-11-031-L04-T*

5:00pm-6:30pm Past Presidents Reception (Invitation Only)

7:00pm-10:00pm Awards Ceremony Reception THEME: Moon Over Miami Attire: Black and White Semi Formal

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The Florida Pharmacy Association, The University of Florida, the American Pharmacists Association and the American Society of Consultant Pharmacists are accredited by the Accreditation Council for Pharmacy Education as providers of continuing pharmacy educa-tion.

Medication Therapy Management ProgramThe self-study learning portion of the Delivering Medication Therapy Management Ser-vices in the Community certificate training program is approved for 10 hours (1.0 CEU) of continuing pharmacy education credit (UAN 202-999-09-006-H04-P). The live train-ing seminar is approved for 8 hours (0.8 CEU) of continuing pharmacy education credit (UAN 202-999-09-005-L04-P). The post-seminar exercise is approved for 3 hours (0.3 CEU) of continuing pharmacy education credit (UAN 202-999-09-007-H04-P). CPN: 202-0012.

Initial Release Date: March 1, 2009; Expiration Date: March 1, 2012

Activity Type: Practice-based; Target Audience: Pharmacists in all practice settings

Completion Information: A Certificate of Achievement is awarded to participants who successfully complete all activity requirements, which include the self-study activity and pre-seminar exercises, the self-study examination, the live training seminar, and the post-seminar patient interviews. Successful completion is defined as a submission of the pre-work and post-work, a self-study examination score of 70% or better, and attendance at the live seminar.

**Delivering Medication Therapy Management Services in the Community, developed by the American Pharmacists Association and the American Society of Consultant Pharmacists, was originally supported in part by independent educational grants from Boehringer Ingelheim Pharmaceuticals, Eisai Pharmaceuticals, Eli Lilly and Company, JanssenPharmaceuticals, Ortho-McNeil Janssen Pharmaceuticals, sanofi-aventis Phar-maceuticals, and Wyeth Pharmaceuticals.

The Florida Pharmacy is also a Florida Department of Health approved provider of con-tinuing education for pharmacists. Up to 22 contact hours are available upon successful completion of the program on Thursday-Sunday through attendance and submission of completed attendance forms. Statements of continuing pharmacy education will be mailed six weeks after the meeting. This is an ACPE knowledge based (*) activity and an ACPE application based (**) activity.

Sunday, June 26, 2011

4 hrs of GCE/TECH


7:00am-8:30am President’s Breakfast and Installation of Officers

8:45am-9:45am Education: 1 hr GCE/TECH/STC State of The ART in 2011 Sami Shafiq, PharmD, CPh, AAHIVE, Lead HIV/AIDS Clinical Pharmacist, Miami Market, Walgreens Clinical Assistant Professor of Pharmacy Practice for Nova Southeastern University/Palm Beach Atlantic University

Upon completion of this activity, pharmacists will be able to: Review epidemiology of HIV/AIDS; Review Florida Law; Discuss modes of HIV trans-mission; Review HIV diagnosis and monitoring; Dis-cuss clinical management of HIV/AIDS: Indication for starting therapy, Review antiretroviral medica-tions, Review adverse effects and drug interactions, Discuss management of virologic failure, Discuss the importance on adherence and management of opportunistic infections (OIs) UAN: 0165-0000-11-032-L02-P*

Upon completion technicians will be able to: Define HIV/AIDS; Identify Florida laws; List modes of transmission; List some medications used to treat HIV/AIDS.

UAN: 0165-0000-11-032-L02-T*

9:50am-11:50am Education: 2 hrs GCE/TECH Reducing Medication Errors through Implementing a Continuous Quality Improvement Program Michael Jackson, BPharm, CPh, Florida Pharmacy Association Executive Vice President and CEO

Upon completion of this activity, pharmacists should be able to: Define elements of a Continu-ous Quality Improvement (CQI) Program; Restruc-ture a pharmacy practice to address quality related events; Analyze some common causes of quality related events; Implement an action plan to address quality of care in pharmacies with a goal towards error reduction and prevention; Recite quality im-provement regulations for Florida pharmacies. UAN: 0165-0000-11-033-L05-P*Upon completion of this activity, technicians should be able to: Define CQI; List most common medica-tion errors; Employ techniques to reduce medica-tion errors by using CQI. UAN: 0165-0000-11-033-L05-T*

11:50am-12:00pm Break

12:00pm-1:00pm Education: 1 hr GCE/TECH Florida Board of Pharmacy Update Carl “Fritz” Hayes, RPh, Quality Manager, CVS/Caremark, Florida Board of Pharmacy Member

Upon completion of this activity, pharmacists should be able to: Describe the purpose of the Board of Pharmacy; Recognize recent changes to administrative rules affecting the practice of phar-macy; Identify the most common activities incurring disciplinary action; Identify proposed rules changes and other influences that can affect the practice of pharmacy in Florida. UAN: 0165-0000-11-034-L03-P*

Upon completion of this activity, technicians should be able to: Describe the purpose of the Flor-ida Board of Pharmacy; Recognize recent changes in the Board of Pharmacy that affect the profession of pharmacy; Recognize changes in the Board that affect pharmacy technicians. UAN: 0165-0000-11-034-L03-T*


ecluded on 300 tropical acres, this

stunning Mediterranean-style hide-away begins a new era in luxury travel. Retreat to this gorgeous oasis where you’ll find the es-sence of elegance and indulgence with 392 spacious guest rooms and suites, two 18-hole Raymond Floyd-redesigned championship golf courses, a private beach front Ocean Club right on the Atlantic, the exclusive award-winning Willow Stream Spa and fitness center, a tennis facility with four clay HydroCourts, three pools including a new lagoon-style pool featuring a waterslide, lazy river, private cabanas and poolside dining, a supervised chil-dren’s program and an array of recreational activi-ties.

With a diverse selection of restaurants ranging from American contemporary cuisine at nationally-acclaimed Chef Michael Mina’s new BOURBON STEAK restaurant to seaside casual and regional flavors at Cascata Grille, dining at the resort has

The Fairmont Turnberry Isle Resort & Club19999 W. Country Club Dr.

Aventura, FL 33180(305) 932-6200

Room Rate: $129 and up

won rave reviews from guests and food critics alike. We also offer great seasonal and yearlong packages designed perfectly for you to experience every aspect of our resort, all for a great value.

A private membership club featuring three distin-guished categories presents guests with the ideal way to turn their stay into a permanent vacation.

Worldclass shopping in the Aventura Mall is just steps away. Take a stroll or hop on one of our complimentary shuttles to and from the mall and dive into over 250 specialty shops and stores including Bloomingdale’s, Macy’s and Nordstrom’s.

With all this and more, it’s no wonder The Fairmont Turn-berry Isle was named one of the

“World’s Best” in 2009 by Travel + Leisure magazine and received the Mobil Four Star Hotel & Mobil Four Star Spa Award, along with Meetings & Conventions Gold Key Award in 2008.

The Miami resort is conveniently located between the two major international airports and seaports of Miami and Fort Lauderdale and nearby elite shop-ping venues, exciting nightlife and a multitude of cultural and sporting events.

The Fairmont Turnberry Isle, located just minutes from North Miami Beach and South Beach, is a member of ‘Leading Hotels of the World’.

S

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Room Rates Room Rates: $129 for The Fairmont; $169 for The

Deluxe Golf View; $329 for One Bedroom Suite. Room rate based upon single/double occupancy. There will be no charge for children up to and includ-ing the age of 18 years who share with their parents. Each extra person above two adults sharing a room will be charged an additional $50 per night. The room reservaton deadline is Friday, June 10, 2011. There-after, reservations will be taken on a space or rate availability basis. Please be sure to ask for the Florida Pharmacy Association group rate. The check-in time is after 4:00pm and the checkout time is before 12:00 noon. Room reservations can be made by calling (800) 327-7739 or (866) 840-8067. Valet parking is $20 per car per day. Guest self parking is complimen-tary at Aventura Mall.

Keynote Speaker

Lucinda Maine, PhD, RPh, is the Execu-tive Vice President and CEO – American As-sociation of Colleges of Pharmacy. She has served this position since May 2002. Prior to her current position, she has worked in various capacities over a ten year period at the American Pharmaceutical Association (APhA). Dr. Maine received her Doctor of

Philosophy from the University of Minnesota, Kellogg Pharmaceutical Clinical Scientist Program, Depart-ment of Social and Administrative Pharmacy in Janu-ary 1985. She received her Bachelor of Science from Auburn University School of Pharmacy in 1980.

General Education Track Thursday - Sunday The general education track will offer courses de-

signed to educate pharmacists on a wide variety of important topics pertaining to the profession of phar-macy practice. Specific courses being offered are Board approved Reducing Medication Errors, Board approved HIV/AIDS, and the Florida Board of Phar-macy Update.

Consultant Education TrackThursday- Saturday The consultant education track will provide pharma-

cists with the most current information available on various disease states. The specific therapeutic top-ics being offered include Alternative Medicine, Pain Management, and Diabetes Management. There are 15 hours available for consultant pharmacists.

Student and Technician TrackThursday – Sunday Students and Technicians will benefit from interact-

ing with practicing pharmacists and attending student and technician focused continuing education pro-grams. The technician track offers several hours of continuing education on a variety of topics, including the required courses for initial registration renewal: Medication Errors, HIV/AIDS, and Pharmacy Law. The student track consists of several hours of fun and exciting continuing education, such as The Career Fo-rum and the NASPA/NMA Game Show. Students will also have an opportunity to participate in the Patient Counseling Competition and showcase their Poster Presentations.

General InformationPre-Convention EducationWednesday Only Our traditional Wednesday program will be a certificate program in Medication Ther-apy Management (MTM). This outstanding

MTM Program will offer 21 hours of continuing educa-tion credit. Register for this program and walk away with valuable information for your pharmacy practice on how to deliver MTM services in your community. A separate registration fee is required for the pre-con-vention program. The program is co-sponsored with the University of Florida.

Special Events Exhibits: Participate in our grand opening reception

in the exhibit hall! Poster Presentations: Browse submissions from students. Contact Tian Merren Owens in the FPA office for more information if you would like to submit a poster presentation. Awards Ceremony Reception entitled, Moon Over Miami: Honor outstanding practitioners during the awards presentation. The attire is semi formal, black and/or white. President’s Breakfast: Attend the Sunday morning installation of new officers. Receptions: En-joy catching up with your colleagues as the Univer-sities entertain their alumni and friends, and as the FPA Foundation thank their supporters at a reception. Also participate in the Foundation’s casino night fund raiser. House of Delegates: Be a delegate or observ-er and see how important member participation is to the direction of the Association. Student Events: Students will benefit from interacting with practicing pharmacists, attending student focused continuing education programs and learning first hand about the FPA and how involvement can improve their chosen profession. Call the FPA office and offer to mentor or sponsor a student. PharmPACCE Wine and Cheese Reception: Purchase a ticket to this reception to sup-port your Political Action Committee. PACCE Golf Tournament: Join us Friday afternoon for the PACCE Golf Tournament. Please register early to save your space.

Waiver of Liability Each individual attending FPA’s Annual Meeting as-

sumes all risks associated with his/her attendance and participation in all on-and off-site activities that oc-cur during this time. By registering for this meeting, you agree to indemnify and hold harmless, FPA and its governing bodies, officers and employees from all loss, damage or liability arising out of or related to your attendance and participation at FPA’s Annual Meeting.

Cancellation Policy If cancellation is made in writing 30 days prior to the

program a refund will be made less a $10 service charge. If cancellation is made 29-10 days prior to the program, a refund will be made, less a $50 ser-vice charge. Cancellation requested in writing after that date will result in credit for another FPA CE pro-gram or service valid for one year.


A Solid Foundation for Positive Outcomes

2011 Summer Conferences


PRSRT STDUS Postage

P A I DTallahassee, FLPermit #801

Florida Pharmacy Association610 North Adams StreetTallahassee, FL 32301

121st Annual Meeting and Convention

June 22 - 26, 2011The Fairmont Turnberry Isle

Resort & ClubAventura, FL

WHO SHOULD ATTEND

• Community Pharmacists• Hospital Pharmacists• Consultant Pharmacists• Long Term Care Pharmacists• Pharmacy Students• Pharmacy Technicians• Mail Service Pharmacists • Managed Care Pharmacists


Hi Michael!

We are lucky indeed to have you in Tallahassee, Mr. Jack-son!

The dissention within our own ranks and disciplines with-in our profession is disheartening! I got a good first-hand view of the apathy and misunderstanding as to the value that our political action committees service to our pharmacy pro-fession. While we understand that the legislative day activi-ties in March went very well I am disappointed that our local pharmacy organization was unable to send a representative to Tallahassee. My apologies to the FPA sir! I promise I will work harder to have a delegation from our area in support of FPA initiatives on our behalf next year. It will be my top pri-ority as I work behind the scenes and turn the leadership of our local organization over to our very capable vice president and FPA member, Joy Wright, who like FPA Chairman of the Board, Karen Whalen, is extremely dedicated and committed to the advancement of best practices throughout our profes-sion. I promise to be more involved in Tallahassee from this point forward and pledge to the members of the Florida Phar-macy Association my support to help in any way possible! Too many of us stand on the sidelines expecting someone else will step up to help and serve. In my opinion we need more volunteer and stakeholder involvement.

It’s also time to let the next generation in on “our dirty lit-tle secret in the profession of pharmacy”! Maybe they will be the catalyst to change. I’ve been asked to speak at one of our state pharmacy schools, specifically, to the Student Associa-tion of APhA and in the past and have had to decline. But not this year! I will do my small part to at least inform, should I get the chance to amplify the FPA’s message in the com-ments below and challenge these bright young minds to get involved and to get involved often! They are our only hope that things will indeed change! I’m forwarding this to all my interns, pharmacy friends, colleagues and acquaintances who have heard me speak mistakenly in the past against pharma-cists in the community providing immunizations! Was I ever wrong!!! I’m the one with all those trite little expressions I like to throw around like: “Not everything we look at can be changed...but, NOTHING can be changed until we’re willing to look at it!” All I had to hear was just that one little old lady say to me: “I probably wouldn’t have got my Flu shot this year if you hadn’t been offering them here at your pharmacy. It’s just too hard for me to get out and I get tired easily. I didn’t get one last year and I damn near died from the flu I caught and wound up in the hospital with pneumonia. It’s a lot eas-ier to get it (a Flu shot) now that the bus from our Senior Cen-ter drops me off here anyway to shop for my groceries. Now I have run out of excuses not to get my flu shot. Thank you for offering this important service to us old folks who can’t get around!” Wow, what an impact! This is like a freight train

coming straight at me!With regards to the comments you made below when you

state the poignant and brutally honest comment: “The ob-jections from within our own professional ranks to take on any new risk or responsibility”. You can use me as an exam-ple if you’d like, of the dinosaur I vowed I’d NEVER become when I came fresh out of pharmacy school full of optimism and fought with those “old dinosaurs” in another state where I used to live when I was appointed to the leadership commit-tees in that state. It was interesting to witness firsthand the resistance to proposed new Continuing Education require-ments, preferring the “fat dumb and happy” approach to any new idea that....God Forbid.... might enhance their knowl-edge or value to the community or hospital or whatever dis-cipline in which my colleagues practiced! The same Indus-trial Psychologist and Motivational Speaker, Jamie Weinstein, PhD, who gave me the “change” quote I mentioned above also gave me this little ditty at the same seminar in April of 1983 that I’ve used frequently with my interns over the years: “We grew up learning to fear failure more than we learned to risk new ideas!” FPA leadership must sometimes feel like they are fighting a forest fire with a squirt gun when they run up against pharmacists across the State of Florida with my old myopic view! How in the world did we get to this point? What is needed to make a change? Let me know what I can do from my little corner of the world!

I’ll be honest, it took me a little while, but I’ve finally em-braced our new role with regards to immunizations after that encounter with one of our loyal, older pharmacy cus-tomers and see the value. After all, I’ve done only a few im-munizations, pale by comparison to my partner, Chris Fuller who’s in the top 5 or 10 in number of immunizations within the entire corporate organization...and we only do influenza shots in Florida. As you know other states are allowed the full complement of immunization opportunities! I actually now look forward to the day our role is expanded along with medication therapy management (MTM) services which Kar-en Whalen, PharmD., did such a superb job presenting at our January county association meeting. Anyone who doesn’t see Medication Therapy Management as the savior of retail phar-macy needs to have their heads examined. Had to listen to a little of my own advice when I quote that old colloquial-ism from time to time: “What does a mind and a parachute have in common? They both work best when they are fully open!!!!!!”

My partner, Chris Fuller has helped me to “open my mind” in recent months and given me a new view and a deeper sense of purpose, and specifically, the genuine and unique added value we truly have at the retail level serving in this expanded role as immunizers. Don’t get me wrong, I always knew the value we have which is the main reason we, like many of our colleagues, chose to enter this profession

LEttER to thE EdItoR

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right from the start. Furthermore, I’m proud to say that even I, the dinosaur, have had “a few” loyal followers (customers) over the years, whose trust I’ve “earned”. They have followed me from store to store as the chain(s) moved me and others around in my early years as needs changed for various and sundry reasons. I learned early on as a new district manag-er for a pharmacy chain to never move a well established and trusted retail community pharmacist without causing a stir and barrage of hate mail from customers that were forced to change their shopping habits and store to follow a transplant-ed pharmacist they trusted with filling their Rx’s! If you don’t know my partner, Chris Fuller, you need to meet him some-day. Chris has been and currently is the only one in the area for our pharmacy chain doing BMD’s and Diabetic Screen-ings. He’s a leader in the pharmacy community, has been for years! It is hard working opposite him. Our customers only want to talk to Chris! It’s a humbling experience in a good way! He also speaks for a drug manufacturer from time to time as well as filling in at our local hospital and other stores within our chain.

I have to say I’m as equally impressed with Professor Kar-en Whalen, PharmD., and feel so fortunate to have her as an active member of our local society. What a Tiger (or is that Ti-gress?)! Like Joy Wright, she gets things done! We’re blessed to have them both in our community and as well as serving important leadership roles within our profession!

Keep up the great work you do for us and the FPA. We’re indeed blessed to have you in Tallahassee and the leadership of the FPA!

Thanks for your usual insightful comments!

Best Regards,

Jack Armstrong, BPharm FPA Member

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EDITOR’S NOTE: The letter from FPA Member Jack Arm-strong above was received in this office from our email ex-change back and forth on the April 1, 2011 issue of Stat News on the pharmacist role in accountable care organiza-tions. In our discussions I revealed the challenges that our association faces when advocating for changes to the phar-macy practice act to advance the profession into patient care services. Not all within our community agree that this is something their professional organizations should be doing. I found Jack’s comments interesting enough to share with the readers of this magazine.


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PPSCRetail Pharmacy Purchasing Program(888) 778-9909

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

InsuRAnCE

MeadowbrookWorkers Comp Insurance Endorsed by FPA(800) 825-9489

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

PhARmACEutICAL WhoLEsALER

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

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HealthCare Consultants Pharmacy StaffingBob Miller(800) 642-1652

Medical Staffing Network(800) 359-1234

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

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

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

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

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

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

DRug INFORMATION CENTERPalm Beach Atlantic University(561) [email protected]

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

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

NATIONAL COMMuNITY PHARMACISTS ASSOCIATION 100 Daingerfield Road Alexandria, VA 22314703.683.8200703.683.3619 [email protected]

RECOVERINg PHARMACISTS NETWORK OF FLORIDA(407) 257-6606 “Pharmacists Helping Pharmacists”

FREQuEntLy CALLEd numBERs

April 2011 Florida Pharmacy Journal

Documents

journalthe florida pharmacy

sciences of pharmacy

pharmacy time capsule

pp balcony stateroom

florida pharmacy association

pp boardwalk balcony

pp ocean view stateroom

board of directors