Fall 2013 Newslette - Alaska Pharmacists Association

Transcription

Alaska Pharmacy Newsletter
Fall Quarter 2013
Fireweed
Photo by Eric Reimer
Alaska Pharmacists Association
203 W. 15th Ave #100 Anchorage, Alaska 99501
Phone (907) 563-8880 Fax (907) 563-7880
www.alaskapharmacy.org
The Alaska Pharmacy Newsletter
Alaska Pharmacy Newsletter
The Mission of the Alaska Pharmacists Association is to preserve,
promote and lead the profession of pharmacy in Alaska.
Board Members
Robin Cooke
President
Anchorage
273-9835
[email protected]
Karen Miller
Fairbanks
[email protected]
Roger Penrod
Anchorage
[email protected]
President elect
306-0546
Freddy Kaniki
Kotzebue
919-260-5661
[email protected]
Lara Nichols
Past President
Chugiak
729-2173
[email protected]
Katelyn Baker
Sitka
518-222-3968
[email protected]
Tara Ruffner
Soldotna
252-2700
[email protected]
Anne Marie Bott
Eagle River
[email protected]
Katheryn Crowther Treasurer
Anchorage
729-2130
[email protected]
Kristopher Swinney
Anchorage
729-2130
[email protected]
Julie McDonald
Craig
826-5750
[email protected]
Susan Easley
252-0829
Kenai
[email protected]
Kevin Denny
Anchorage
729-8874
[email protected]
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Secretary
458-5257
830-3796
Calendar of Events
AKPhA Committee Chairs
Legislative: Barry Christensen
[email protected]
Ph 225-6186
2014
January
11 - 18 CE @ Sea
Hawaii
February
6-8
IACP Conference Ft. Lauderdale
March
28 - 31 APhA Annual
Orlando
April
4 - 6 Alaska Convention
Hilton Anchorage
4
Diabetes Care Certificate Hilton Anchorage
4
CPR/BLS
Hilton Anchorage
Membership: Lynette Wasson
[email protected] Ph 443-9729
Continuing Education:
Sara Doran-Atchison Ph 729-2106
[email protected]
Convention Chair: Della Cutchins
Providence Alaska Medical Center
Oncology Lecture Series
Cancer Therapy Conference Room 2nd floor
Providence Infusion Center
3851 Piper St., Anchorage
(12:00 – 1:00pm)
November 12 Cancer Related Disorders
November 26 Hormonal Agents
2014
January 14
Breast Cancer
January 28
Microtubule Inhibitors
February 11 Lung Cancer
February 25 Platinum Analogues
March 11
Reproductive Malignancies
April 8
Antimetabolites
April 22
Acute Leukemias
May 13
Anthracyclines &
Anthracenediones
May 27
Lymphomas
June 10
Targeted Therapies
June 24
Colorectal Cancer
Pharmacy Education: Deb Cieplak
Community Affairs: Karen Miller
Scholarship: Robin Cooke
Awards: Melanie Gibson
Technician Advocacy: Maria Terch
Newsletter: Eric Reimer
[email protected] Ph 562-2138 X4
Board Nominations: Margaret Soden
Cosponsored by AKPhA and PALI
AKPhA is accredited by the Accreditation
Council for Pharmacy Education as a
provider of continuing pharmacy education.
External Affairs: Julie McDonald
[email protected]
Ph 826-5750
Treasurer’s Report, Katheryn Crowther
Balances as of 10/22/13:
Checking
Jumbo Money Market
TOTAL
3
$37,622.81
$95,913.18
$133,535.99
PRESIDENT’S MESSAGE
Robin Cooke, BS, PharmD, CGP
October is National Pharmacists
Month! Many thanks go out to all the
fantastic pharmacists and pharmacy
technicians who work diligently to
provide excellent patient care. Let it be
known that your expertise and hard work
is appreciated. This month is a time to
recognize the significant contributions to
health care and the commitment to
patient care by pharmacists in all
practice settings from around the
country. Please share with AKPhA what
you and your pharmacies have done to
celebrate.
The committees for the AKPhA are now
hard at work. The Nominations
Committee has opened up Board of
Director nominations for any individuals
interested in serving on the Board.
Please consider devoting time to support
our profession and to work towards
moving it in the right direction. Feel
free to nominate yourself as well as your
colleagues. If you have any questions
about the position please contact Nancy
Davis at the AKPhA office (907-5638880) or any member, past or present,
who has served on the Board. Your
nominations may be submitted to either
Nancy at [email protected] or
Margaret Soden at
[email protected].
Save the date for the National “Take
Back” Medication day on October 26,
2013. Refer to the AKPhA website for
participating pharmacies and details.
Education and Training events have
been planned which include the Cancer
Conference- Ketchikan on October 2526, the Chemotherapy and Biotherapy
Course in Fairbanks December 2-3,
Hawaii Cruise & CE, Jan. 11-18, 2014,
and the 2014 Convention which has been
moved to April 4-6, 2014.
The Legislative Committee is at work
gearing up for the start of the next
legislative session beginning in January,
2014. The committee has set up a
regular meeting time on the first
Thursday of every month to look at bills
being pre-filed as well as to prepare a
strategic plan for working to
successfully get the Audit Bill passed
this session. All members are
encouraged to contact their legislators to
discuss the importance of this bill to our
profession. The website to gather
information about proposed bills,
hearings, and all activities during session
is www.legis.state.ak.us.
The Association is accepting
applications for scholarships to be
awarded to a pharmacy technician, prepharmacy student, and pharmacy
student. The deadline for submission is
November 1, 2013. Please remember
that donations can be made directly to
the scholarship fund and we will once
again have a silent auction at the
convention in April to raise money for
the fund.
In closing I would like to say thank you
to all the pharmacists and technicians in
Alaska. Your efforts to provide
excellent patient care do not go
unnoticed by the medical community or
your patients. Remember that we are a
respected profession and that we are
appreciated.
Robin Cooke, BS, PharmD, CGP
AKPhA President 2013-2014
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AKP
PhA
September 9, 2013
Chad Hope
Department of Health and Social Services
Division of Health Care Services
4501 Business Park Blvd, Suite 24
Anchorage, AK 99524-0249
Dear Mr. Hope,
As leaders of the Alaska Pharmacists Association, we would like to express our concerns with
the proposed changes for Alaska Medicaid reimbursement for pharmacy services which have the
potential to negatively affect the pharmacies within our state.
x
7AAC 120.110 – There is confusion over what OTC medications are now covered. Why
are you deleting omeprazole which is more cost effective to use than a prescription PPI?
Line 7 – Brand –name medically necessary cannot be designated in e-prescribed
medications except in the case of controlled substances where the printed copy of the
prescription must be given to the patient.
x
7AAC 145.400 (N) – Why are you eliminating the dispensing fee for patients receiving
home infusion drug therapy who do not reside in a long-term care facility? Being able to
provide these medications to patients in their home versus in the hospital is saving the
state a considerable amount of money. By cutting the dispensing fee, many of the
infusion pharmacies will not be able to continue to provide this service. Pharmacies that
provide home infusion services have to comply with strict federal and state guidelines to
assure the sterility and stability of the compounded medication. The equipment, supplies,
and training required are very expensive. By eliminating adequate dispensing fees,
pharmacies in Alaska will have a difficult time continuing to provide this service.
x
7AAC145.410 – Why are out-of state pharmacies being reimbursed at all by Alaska State
Medicaid?
x
7AAC 145-410 (4) – Is the dispensing fee paid on a mediset only going to be paid to
“mediset pharmacies” as defined in the regulations. Many small independent pharmacies
in outlying areas are filling medisets for patient safety reasons and do not qualify as
mediset pharmacies by the 75% definition. These pharmacies should be reimbursed for
E-mail: [email protected]
203 W. 15th Ave., Suite 100 x Anchorage, Alaska 99501 x (907) 563-8880 x (907) 563-7880
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providing this service locally and thus being able to cut the cost of freight being billed to
Medicaid if these are being supplied by a “mediset pharmacy.”
(H) – Are tobacco cessation medications going to be covered or just tobacco cessation
medication therapy management?
Pertaining to reimbursement changes 7 AAC145.400, 7AAC 145.410 and 7AAC 145.20: The
AKPhA is very concerned about the drastic decrease in reimbursement rates for prescription
medications. Obtaining prescription medications and supplies is more expensive in Alaska than
in other states. The change in medication reimbursement from WAC + 8% to WAC + 1% will
put an undue cost burden on pharmacies that provide Medicaid services. Alaska Medicaid’s
expectation for a pharmacy to accept payment significantly under the purchase price due to
SMAC without any means to appeal is completely unreasonable. Many small rural independent
pharmacies may be unable to provide Medicaid pharmacy services if they cannot recoup their
costs. The lack of local pharmacy services for Medicaid patients in these locations could greatly
impair the medical care of this population.
In the near future more Alaskans will be on Alaska Medicaid due to the Affordable Care Act.
With that in mind, the proposed changes to Alaska Medicaid pharmacy reimbursement may drive
some rural, independents pharmacies out of business leaving an entire community without access
to pharmacy services. The AKPhA hopes that Alaska State Medicaid will reconsider the drastic
cuts to reimbursement to pharmacies to assure quality care and service is provided to its
recipients.
Thank you for allowing us to comment.
Sincerely,
Robin Cooke, PharmD, CGP
President
E-mail: [email protected]
203 W. 15th Ave., Suite 100 x Anchorage, Alaska 99501 x (907) 563-8880 x (907) 563-7880
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Community Affairs Update
External Relations Committee
Submitted by Karen Miller, RPh
Hello, I would like to introduce myself, I
am the Interior Representative on the Alaska
Pharmacists Association and my name is
Karen Miller. I am also the Chairperson for
the Community Affairs Committee. The
Community Affairs committee is new to me
and I would welcome any help with ideas of
celebrating and promoting the pharmacy
profession.
I know I have missed opportunities to
promote Pharmacy Month and the National
Drug Take Back Day but I hope with your
help to actively promote other coming
community events, such as Falls Prevention
or Prescription Abuse Prevention. If you
are interested in joining the committee
and helping the association then please
contact me at [email protected] or
(907)458-5257. It would be great to have
the committee made up of at least 6 people
from across Alaska. There are endless
possibilities of promoting and educating
people about pharmacy issues if we come
together.
Karen Miller, Chair
Community Affairs Committee
Submitted by Julie McDonald, Chair
Since August, the External Relations
Committee has focused on submitting public
comments for the proposed changes to
regulations 7 AAC 105, 120, 145, 160 and
continues to follow up on Alaska Medicaid’s
next steps. The committee worked closely
and effectively with pharmacists from
Alaska Medicaid and Magellan to work
through challenges related to the new system
such as prescriber file, TPL, eligibility files,
and internal linking of recipient’s files. On
the TPL issue, once corrected pharmacies
should not have issues “coordinating
excluded drugs to Medicaid without the
COB segment populated like before". Many
pharmacists have been unable to log into the
new Medicaid website. If you have a
password issue, call the Tech Queue line at
Xerox (907) 644-5903 to reset your
password. Furthermore, the committee is
working on the FUL and how it relates to
Alaska Medicaid reimbursements.
In addition, the committee has submitted
comments to CMS and continues to seek
ways to advocate for diversity in the Part D
plans. As PBMs continue to grow larger the
diversity is shrinking. For example 3 of the
10 Alaska LIS plans are owned by
Catamaran, but at a glance the plan names
would not reflect they are Catamaran owned
(HealthSpring, Cigna, and Wellcare).
DEA to Hold its Seventh National
Prescription Drug Take-Back Day:
October 26, 2013 10am - 2pm.
The event coordinated by the DEA is to help
consumers safely dispose of unused,
unneeded, and expired prescription
medications, including controlled
substances. For more information, including
where to find a collections site in your area,
visit the DEA website at www.dea.gov
Finally, the committee regularly reaches out
to other state healthcare professional
organizations such as ASMA, AkAPA,
ANPA, ADS, and AaNA.
For any comments or to be a part of the
committee, please email Julie McDonald at
[email protected] and/or Karen Miller
at [email protected]
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4.Tell them it is critical to pharmacies
livelihood that standards be put in statute
and you hope they will continue to support
the association’s efforts.
5.Talk about your positive steps serving the
community—how well your pharmacy does
its work.
6. Be sure and send the legislators a short
note thanking them for taking time to tour
your pharmacy facility.
7. Enclose an attached one-pager describing
pharmacy audits. We will have that
available through the Association’s office.
If, for any reason, you can’t set up a time to
meet personally with your legislator, write
them a letter and let them know you need
their support. Ask them to please sign on as
a co-sponsor of the audit bill. Senate Bill 8
for your Senator’s letters – House Bill 6 for
your Representatives. Give them your
number to call if they have any questions.
If you are a Pharmacist in the State –
Legislative Update
Submitted by Barry Christensen, Co-chair
Summer is over, kids are in school and it’s
time to get prepared for the up-coming
legislative session, which reconvenes on
January 21, 2014. We have about two
months to do our work before legislators get
involved in the holiday season, vacations,
and packing for the trip back to Juneau.
While we will be monitoring all legislation
affecting pharmacy, our focus must be
educating lawmakers about pharmacy audits
so each representative and senator will come
to Juneau knowing they need to pass our
bill. We have legislation in both the House
and Senate re: Pharmacy Audits – Senate
Bill 8 and House Bill 6. We assume the
work will start in the Senate again this year
so most likely Senate Bill 8 will be the bill
to follow.
Senator Egan’s office has indicated the
Senator is ready to help get it through but
we need to do our homework. We also
understand that Representative Olson is
ready to move the bill once the Senate sends
it over to him.
The AKPhA legislative committee has
mapped out a strategy for the interim from
now until January. We plan to have
teleconference meetings the first Thursday
of each month to keep us on track.
Audit Bill Action Item:
Please take time to write a brief letter to
your legislators letting them know how
important SB 8 and HB 6 are to pharmacies
in the state. If you are not sure who they are,
contact us and we will track that information
down (or go to:
http://www.elections.alaska.gov/vi_eo_state.
php). Share any experience you’ve had with
audits and why you think it is important to
pass this legislation.
WHAT WE NEED FROM YOU
Independent pharmacy owner or
manager of a chain pharmacy:
Audit Bill Action Items:
Extend an invitation to your Representative
and Senator to tour your pharmacy. If you
are not sure who they are, contact us and we
will track that information down (or go to:
http://www.elections.alaska.gov/vi_eo_state.
php).
Talking Points – Support for Senate
Bill 8 & HB 6 PharmacyAudit Bill
x
x
x
1. During the tour, show them the mechanics
of your pharmacy’s operation and talk about
safeguards you have in place to prevent
misuse or fraud.
2. Explain why the first of the month is a
difficult time to be audited.
3. Give an example of when your pharmacy
would send out a mail order.
x
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Brings fairness to the unregulated
and expanding practice of pharmacy
audits;
Allows pharmacists to spend less
time on paperwork and more time
focusing on their patient’s health and
welfare;
Does not allow audits the first five
calendar days of each month because
of the high patient volume. Audits
should not occur during this week
unless the pharmacy and auditor
agree otherwise;
Is designed to prevent the targeting
of minor clerical or administrative
errors where no true fraud, patient
harm, or financial loss has occurred;
x Establishes submission of
data/medical record standards to
allow for clarification where
discrepancies are identified;
x Establishes a reasonable time frame
for the announcement of an audit to
allow proper retrieval of records
under review;
x Establishes an audit appeals process
for pharmacies;
x Establishes guidelines for PBMs
(Pharmacy Benefit Managers) to
follow regarding confidentiality of
patient;
x Extrapolation cannot be used in
assessing fees/penalties;
x Alaska pharmacists should not be
penalized for providing mail-order
service to their customers—local
mail-order service keeps Alaskan
dollars in Alaska;
x SB 8 & HB 6 do not prevent the
recoupment of funds where fraud,
waste and abuse exist;
x 29 other states have already enacted
fair audit legislation
x Bottom-line - Don’t audit local
pharmacists out of a job—keep these
jobs in Alaska.
Thanks for helping us be prepared for a
successful 2014 legislative year.
Barry Christensen
AKPhA Legislative Co-Chair
2014 AKPhA Scholarships
Scholarship applications were sent out in
mid August this year. Since AKPhA
members have been so supportive of the
scholarships through personal donations and
the silent auction held at the convention, we
will again be able to offer three separate
scholarships:
1) The Francis C. Bowden Memorial
Scholarship. Students who are
Alaska residents and enrolled in a
Professional Pharmacy program at an
ACPE accredited school of
pharmacy will be eligible to apply
for this $1,500 award.
2) The Pre-Pharmacy Scholarship.
Students who are enrolled in a prepharmacy curriculum or equivalent
who have a history in Alaska will be
eligible to apply for this $1,000
award.
3) The Pharmacy Technician
Scholarship. This scholarship will
be given to an Alaska resident who is
a high school graduate or holds a
GED certificate and is currently
enrolled in the pharmacy technology
curriculum at the University of
Alaska, or to a current Alaska
Pharmacy Technician license holder
who intends the enroll in the
pharmacy technology curriculum at
the University of Alaska. This
award will be in the amount of $500.
If you are aware of a student who would be
eligible for any one of these scholarships,
please nominate him or her at the AKPhA
website:
http://www.alaskapharmacy.org/html/resour
ces/scholarships.php
An application will be sent to those who are
nominated. Scholarship applications must
be received by November 1, 2013.
Robin Cooke, Scholarship Committee Chair
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PHARMACY MARKETING GROUP, INC
AND THE LAW
By Don. R. McGuire Jr., R.Ph., J.D.
This series, Pharmacy and the Law, is presented by Pharmacists Mutual Insurance Company and your State
Pharmacy Association through Pharmacy Marketing Group, Inc., a company dedicated to providing quality products
and services to the pharmacy community.
NO REFILLS ON SATURDAY
patient could result in harm to the health of
the patient.
(4) The amount of the drug that is dispensed or sold
under this section does not exceed a seventy-two
hour supply as provided in the prescription.
Pat was working a long shift on Saturday at the
Anytown Pharmacy. He was hoping for an
uneventful day. Sometime after lunch, Mrs.
Jones came in for a refill of her Keppra. When
Pat looked at Mrs. Jones’ profile, he saw that
there weren’t any refills remaining. To make
matters worse, Mrs. Jones’ physician, Dr.
Brown, had just recently retired and closed his
practice. With no refills left and no one to call,
Pat’s afternoon just got longer.
If Pat was practicing in Ohio and believed that
the Keppra was needed to continue therapy for
Mrs. Jones’ chronic condition, then Pat could
dispense a 72 hour supply. If Pat was practicing
in Iowa, then a similar law2 would apply. The
relevant parts are;
The solution to Pat’s dilemma depends on his
state’s pharmacy laws. Many states have
regulations that deal with situations where no
additional refills are authorized. In the old days,
many pharmacists would give the patient enough
medication to get them through until Monday
when the physician’s office opened. However,
there was no legal authority for doing this. That
is not always true today.
2. A pharmacist may exercise professional
judgment by refilling a prescription without
prescriber authorization if all of the following are
true:
a. The pharmacist is unable to contact the
prescriber after reasonable effort.
b. Failure to refill the prescription might
result in an interruption of therapeutic regimen or
create patient suffering.
c. The pharmacist informs the patient or
the patient’s representative at the time of
dispensing, and the practitioner at the earliest
convenience that prescriber reauthorization
is required.
Consider this excerpt from a statute from Ohio1
that allows a pharmacist to dispense medication
when a prescription is out of refills;
(3) In the exercise of the pharmacist's professional
judgment:
(a) The drug is essential to sustain the life of
the patient or continue therapy for a chronic
condition of the patient.
(b) Failure to dispense or sell the drug to the
The major difference is that the quantity is not
limited to a 72 hour supply. The limitation is for
a period of time reasonably necessary to secure
an authorization. In contrast, Alaska doesn’t
1 ORC 4729.281
2 Iowa Code 155A.29
10
Jones. Is the medication essential to Mrs. Jones’
health? Is she likely to suffer harm if she goes
without her Keppra? Essentially, this is
performing the triage required in Ohio and Iowa.
have a similar provision. In fact, their
regulation3 says;
If there are no refill instructions on the
prescription drug order, or if all refills authorized
on the original prescription drug order have been
dispensed, a pharmacist shall obtain
authorization from the prescribing practitioner
before dispensing a refill.
What is the correct answer? That will depend on
the circumstances presented. A pharmacist can’t
be forced to break the law, that is, to dispense a
prescription drug without a valid prescription5.
But there could be circumstances where the
pharmacist might want to put the patient’s
welfare ahead of their own. That is the exercise
of one’s professional judgment. That exercise
will be easier and less stressful to perform if the
pharmacist is prepared with a knowledge of their
own state’s laws and regulations.
But remember, Pat’s dilemma is a little more
complicated than these laws address. Pat has no
one to call on Monday morning; Dr. Brown has
retired. Again, depending on state law, Pat may
have his answer. Iowa has a regulation4 that
provides;
Prescription drug orders and medication orders
shall be valid as long as a prescriber/patient
relationship exists. Once the prescriber/patient
relationship is broken and the prescriber is no
longer available to treat the patient or oversee the
patient’s use of a prescription drug, the order
loses its validity and the pharmacist, on
becoming aware of the situation, shall cancel the
order and any remaining refills. The pharmacist
shall, however, exercise prudent judgment based
upon individual circumstances to ensure that the
patient is able to obtain a sufficient amount of
the prescribed drug to continue treatment until
the patient can reasonably obtain the service of
another prescriber and a new order can be issued.
© Don R. McGuire Jr., R.Ph., J.D., is General
Counsel, Senior Vice President, Risk Management &
Compliance at Pharmacists Mutual Insurance
Company.
This article discusses general principles of law and
risk management. It is not intended as legal advice.
Pharmacists should consult their own attorneys and
insurance companies for specific advice.
Pharmacists should be familiar with policies and
procedures of their employers and insurance
companies, and act accordingly.
In this situation, Pat has little anxiety taking care
of Mrs. Jones until she can make an appointment
with her new physician. The first lesson we can
learn from Pat’s dilemma is to make sure that we
are familiar with our own state’s laws and
regulations and to know where to look for these
answers.
What if we aren’t lucky enough to practice in a
state where laws have been passed to address
these situations? We, as well as Pat, are then
faced with a legal and ethical dilemma. We are
forced to use our professional judgment. Any
further dispensing, which is a violation, must be
weighed against the potential harm to Mrs.
3 12 AAC 52.470
4 IAC 657-8.20 (155A)
5 Chiney v. American Drug Stores Inc., 21 S.W.3d 14
(Mo.App. W.D., May 2, 2000)
11
AMA Foundation
Healthy Living Grant Program
Submitted by Renee Robinson, PharmD, Project Manager
Kids' Corps Incorporated (KCI), a non-profit, Alaska-based, Head Start agency in Anchorage
provides education, health, nutrition, and social services to underprivileged children and
families. As early child care providers take a more active role in health promotion, development,
and education the need for high-quality programs that support health and safety of children in a
variety of environments are necessary.
According to a study done in 2007, based on National Electronic Injury Surveillance System data
from 2004 to 2005 an estimated 69% of all emergency department visits resulted from
unintentional medication administration. In 2011, more than 70,000 US children were brought to
the emergency department for unintentional medication exposures.
Pharmacists in the US Public Health Service (USPHS) are dedicated to health promotion,
healthcare services, disease prevention, and education efforts that support underserved and
disadvantaged populations such as those served by KCI. In 2012, clinical pharmacists
Southcentral Foundation in conjunction with the Alaska Pharmacists Association sought grant
support from Healthy Child Care America (HCCA), a program coordinated by the American
Academy of Pediatrics and partially funded by the US Department of Health and Human
Services, to develop an educational program for early childhood educators, caregivers, and
children at KCI to provide appropriate,culturallysensitive, necessary, sustainable, medication
administration and healthcare information to early
childhood educators, caregivers and children
attending KCI.
In 2013, we received necessary funds to develop
the curriculum and initiate the training program.
To ensure that we address the true needs of the
community we conducted a focus group with early
childhood educators and caregivers to identify
unmet needs, and expectations were solicited. The
Safe Medication Administration Curriculum (SMAC) program, an established program for child
care providers, was used during focus groups to determine the education components most
valued by participants and to drive curriculum content. The research team, composed of
volunteer pharmacists, technicians, and students, worked together to adapt curriculum materials
for the early childhood educators and caregiver group at KCI based on focus group participant
feedback, currently available medication safety information
and medication administration policies at KCI. Interactive
activities focused on health behaviors, medication
administration, and storage were developed by the team.
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LCDR Weston
Debra
Grant * and Volunteer
To increase participation of
Thompson, PharmD
Tobuk
early childhood educators and Team
LCDR
Renee
Robinson,
LCDR
Kevin
Denny,
Mallory
caregivers in the program,
PharmD
Davis
dinner, participant incentives, PharmD*
LT
Lynnette
Wasson,
LCDR
Joshua
Wireman,
Sharon
and childcare was provided
PharmD
Kim
for attendees. To optimize the PharmD*
LT Theresa Castellanos,
LT Honeylit Cuero,
Dirk
educational opportunity with
PharmD*
PharmD
Shumaker
the children, a child
LCDR Adrienne Tveit,
Coleman Cutchins IV,
medication/safety program
PharmD
PharmD
was developed and presented
LT Della Cutchins,
Valerie Card King
by the team. Games focused
PharmD
on development of good
health behaviors such as handwashing and dental hygeine, poison prevention, and medication
administration were developed and completed by a subset of the team. Information from the
program was well received by all participants, quizes given both before and after the training
demonstrated an improvement in medication safety knowledge. Materials developed within this
program will be replicated for expansion in all KCI Head Starts across Alaska through this
program.
Congratulations to the following CPhTs for passing the PTCE:
7/1/2013 - 9/30/2013
Richard Bahr- Anchorage
Harmanjot Guglani- Anchorage
Philip Kozak- Ft. Wainwright
Jenny Registe- Wasilla
Nadine Statham- Eielson AFB
Sharisse Watkins- North Pole
Caitlin Cordery- Anchorage
Andrew Copping- Anchorage
Rebecca Kimmel- Sitka
Charmaine Marasigan- Anchorage
Tanya Schnell- Talkeetna
Andrea Stern- Anchorage
Jared Wood- Fairbanks
State of Alaska Tobacco Prevention and Control Program
Alaska Brief Intervention Project
The AK Brief Intervention Project is a training module developed to educate healthcare
providers statewide on how to effectively intervene with their tobacco-using patients and offer
tools and resources to help them quit. The training videos will be available online to providers so
that they can see what a tobacco intervention might look and sound like.
Thanks go to Mike Beiergrohslein and Cathy Arnatt of Southcentral
Foundation in facilitating the use of their facility and contributing to the
video.
13
Task Force to Examine Regulation of Pharmacy Benefit Managers
Originally published in the October 2013 NABP Newsletter.
Reprinted courtesy of the National Association of Boards of Pharmacy ®
Pharmacy benefit managers, or PBMs, have become very influential in the delivery of
prescription drugs. Patients who receive drug benefits as a part of their health care coverage
likely have those benefits administered through a PBM, and the activities of these companies
have expanded. PBM clients include health plans, self-insured employers, union-sponsored
plans, and state and federal governments (for programs such as Medicare Part D, Medicaid, and
the Federal Employees Health Benefits Program). All told, according to the national association
that represents PBMs, the Pharmaceutical Care Management Association, PBMs administer
prescription drug plans for more than 210 million patients in the United States. In 2011, an
estimated 3.8 billion retail prescriptions were filled in the US – about 12 per person. With
Americans estimated to spend more than $271 billion annually on their prescription medications,
and with analysts predicting that this number will rise as the 2010 Patient Protection and
Affordable Care Act allows millions of currently uninsured individuals to enroll in private health
care coverage or qualify for expanded state Medicaid programs, the regulation of PBMs has
become an area of concern for state boards of pharmacy and consumer protection groups.
Recognizing these concerns, and noting that PBM regulation extends beyond individual
jurisdictions and therefore requires communication and cooperation among the states, NABP
member boards at the Association’s 109th Annual Meeting in May 2013 approved a resolution
charging the Association with convening a task force to assess the current state of PBM-oriented
regulations and related collaboration among states. The task force will also review the Model
State Pharmacy Act and Model Rules of the National Association of Boards of Pharmacy (Model
Act), with an eye to ensuring that it contains language that can act as a comprehensive and
current guideline for states to use in developing appropriate PBM regulations.
PBMs see their mission as increasing patients’ access to safe, effective, and affordable
prescription drugs, and are often credited with having helped to mitigate climbing prescription
drug costs. Since their beginnings in the 1970s and 1980s, PBMs have developed an increasingly
large list of strategies designed to reduce medication costs for their clients. Depending on the
company, these strategies include:
x
negotiating discounts and rebates from manufacturers,
x
negotiating discounts with pharmacies,
x
creating formularies,
x
encouraging substitution of generics for brand-name drugs,
x
utilizing mail-service pharmacies,
x
promoting electronic prescribing,
x
creating/managing pharmacy networks,
x
requiring clinical prior authorization and step therapy,
x
performing drug utilization review,
x
promoting consumer and physician education,
x
offering medication therapy management and disease state management
programs, and
x
administering patient medication adherence programs.
14
As PBMs have expanded in scope, pharmacy regulators have noted that the companies
increasingly engage in acts that may fall under the “practice of pharmacy” and that directly affect
patient health and safety. Yet most states’ pharmacy regulations do not address PBMs. Because
of PBMs’ health insurance role, states have thus far generally regulated them through state
insurance commissions.
A Complex Field
The PBM field is a complicated one: While some PBMs are privately owned and operated,
others are subsidiaries of managed care plans, major chain drug stores, and other retail outlets.
They engage in complex and varied negotiations with manufacturers as well as pharmacies,
using complex and changing pricing calculations. As noted above, they are involved in many
activities beyond claim processing, including becoming increasingly involved in areas such as
disease state management and specialty pharmacies.
Regulation involving PBMs is likewise complex. Inconsistent and varying regulations – many
states do not even specifically address PBMs – can lead to uncertainty. “Many aspects of our
businesses are regulated by federal and state laws and regulations,” Express Scripts Holding
Company noted in its 2012 Form 10-K filing with the US Securities and Exchange Commission.
Express Scripts also notes, “We believe we are operating our business in substantial compliance
with all existing legal requirements material to the operation of our businesses. There are,
however, significant uncertainties involving the application of many of these legal requirements
to our business.”
Controversies and Legislation
As of mid-2013, about 29 states were regulating PBMs, 19 state legislatures were considering
PBM-related legislation, and three PBM-related bills were pending in the US Congress.
As lobbyists in the health care and pharmaceutical industries, PBMs have become a source of
controversy, and much of the introduced and enacted legislation addressing the companies
reflects that fact. Critics charge PBMs with, among other actions, engaging in abusive and
inconsistent audit practices that punish pharmacies for minor technical errors and operating in a
non-transparent manner, such that plan managers may not know if negotiated discounts and
rebates are reaching their plan members. Some critics claim that PBMs force patients to obtain
their medications through mail-order pharmacies, even without additional savings to the
consumer, and potentially generating large amounts of unused, wasted medications. For
example, when a patient receives a 90-day supply of a medication before being stabilized on that
drug, unused medication may result.
Earlier this year, Oregon’s governor signed into law legislation addressing several of these
complaints. The new law establishes audit standards, provides increased transparency into
generic drug reimbursement, and requires PBMs to register with the state insurance division.
Kentucky’s Legislature also passed a bill requiring greater transparency. Those board of
pharmacy-monitored laws and regulations already on the books that address PBMs often seek to
promote fair audit practices, including those in Alabama, Florida (as related to Medicaid),
Minnesota, North Dakota, Oklahoma, Vermont, and Mississippi. Although NABP’s Model Act
lists PBMs among those entities that should be licensed by the state board of pharmacy (along
with pharmacists, pharmacies, wholesalers, manufacturers, and distributors), most state boards of
pharmacy do not have extensive oversight over PBMs. Georgia stands out in that it requires
“every pharmacy benefit manager providing services or benefits in this state which constitutes
15
the practice
of pharmacy” to “be licensed to practice as a pharmacy in this state . . . ”
Mississippi, too, is unusual in that its legislature transferred significant PBM regulation to the
state board of pharmacy.
On the other side of the debate, critics of many proposed (and enacted) regulations argue that,
while much of the legislation may be well-intentioned, unintended side effects of restricting
PBM activities such as forming limited pharmacy networks, pushing the use of mail-order
pharmacies, establishing restrictive drug formularies, negotiating lower dispensing fees, and
rigorously combatting fraud (in part through audits and delayed payments) only increase overall
health care costs while not improving patient outcomes. Moreover, they claim that some of the
legislation is intended primarily to protect entities that might be in contention with PBMs, such
as community pharmacists, and give them a competitive advantage. They criticize a few states’
move to place PBM regulatory authority with the state board of pharmacy, arguing that, because
pharmacy boards are largely made up of pharmacists – who may have a contentious relationship
with PBMs – conflicts of interest may occur.
Pharmacy regulators, as reflected in the resolution passed at NABP’s 109th Annual
Meeting, view the situation objectively, and are seeking to regulate PBMs in the interest of
protecting the public health.
NABP’s Model Act includes in its definition of the “Practice of Pharmacy”:
the interpretation, evaluation, and implementation of Medical Orders; the Dispensing of
Prescription Drug Orders; participation in Drug and Device selection; Drug
Administration; Drug Utilization Review (DUR); the Practice of Telepharmacy within
and across state lines; Drug or Drug-related research; the provision of Patient
Counseling; the provision of those acts or services necessary to provide Pharmacist
Care in all areas of patient care, including Primary Care, Medication Therapy
Management, Collaborative Pharmacy Practice . . .
Generally, entities that engage in these activities would need to be licensed by the relevant state
board of pharmacy.
The Task Force on the Regulation of Pharmacy Benefit Managers is scheduled to meet October
22-23, 2013, to review the existing state laws and regulations dealing with PBMs, identify PBM
activities that might fall under the definition of the practice of pharmacy, and, if necessary,
recommend relevant changes to the language of the Model Act. After it has been approved by the
NABP Executive Committee, the task force’s report will be available in the Members section of
the NABP Web site.
©2013 National Association of Boards of Pharmacy
16
ACA 2014: The Health Insurance Marketplace
Lucas Smith, Pharm. D Candidate 2014 University of Colorado Skaggs School of Pharmacy
Intern at Whale Tail Pharmacy in Craig, AK
Whether or not you agree with the Affordable Care Act (ACA) “Obamacare” it is a reality and is slowly
being integrated as the new health care system in the United States. One of the biggest aspects of the
ACA is about to begin in 2014. The change I am talking about is the mandate that every person purchase
health insurance or be monetarily penalized. This means that millions of people will be shopping for a
health plan this fall. In order to help patients compare and purchase plans a Health Insurance Marketplace
or “exchange” is being created and will open on October 1st, 2013. With 48 millions uninsured
Americans, the implementation of the personal mandate and formation of a Health Insurance Marketplace
is an effort to reduce the number of uninsured people in America.
With millions of people comparing and purchasing insurance for the first time there will no doubt be
many questions to be answered. Pharmacies, being one of the most accessible health care entitles, are in
the perfect position to help many of their current and new patients determine the best plan for them. In a
study by CVS Caremark awareness of the ACA has risen, however, 36% of people who will likely be
using the exchange say they need more information and 68% of all those surveyed expect community
pharmacies to offer health insurance information in their stores. Many patients might be confused because
the regulations can vary from state to state depending if the state has elected to establish their own
exchange or allow the federal government to maintain their exchange. The state of Alaska has elected to
not establish a state based exchange meaning that all patients shopping for health plans will be utilizing
the federally based system at HealthCare.gov.
Another aspect of the new health insurance exchange that was modified by a ruling of the Supreme Court
is the option for each state to receive some federal funding for the expansion of Medicaid coverage. States
that decide to expand Medicaid will now provide coverage to people with incomes up to 138% of the
Federal Poverty Limit (FPL). Due to extensive research on the cost to the state for this expansion the state
of Alaska has decided not to expand its Medicaid services. The current requirement for Medicaid in
Alaska is 78% of the FPL leaving people 78% - 138% unable to qualify for Medicaid support. However
the federal government under the ACA will provide subsidies for individuals and families who fall
between 100% - 400% of the FPL ($29,440 - $117,760 for a family of four in 2013) in an effort to have
most people in the country covered by health insurance. Unfortunately this means that in the state Alaska
residents who fall in the range of 78% - 100% will not be covered under a Medicaid expansion and will
not receive any federal subsidies. These people however will be exempt from the penalty for not having
health insurance.
The implementation of ACA is a complicated process and can be confusing for patients who have never
purchased health insurance before. The following FAQ table will help provide answers to your patient’s
questions:
Question
How will I know if everything I need is
covered?
Answer
All insurances that are available in the marketplace have
to meet a minimum coverage. This includes coverage of
the following:
x ambulatory patient services
x emergency services
x hospitalization
x maternity and newborn care
x mental health and substance use disorder
services
17
How can qualified plans vary?
What is a catastrophic plan?
How do I use the Health Insurance Exchange?
What information do I need to have when I
use the Health Insurance Exchange?
What if I have a health insurance I like or
have insurance coverage through my
workplace?
x prescription drugs
x rehabilitative and habilitative services
x laboratory services
x preventive and wellness services
x chronic disease management
x pediatric services
The state of Alaska has selected the Premera Blue Cross
Blue Shield of Alaska Heritage Select Envoy plan as the
Essential Health Benefits plan for Alaska. All plans in
the exchange must meet minimum standards set by this
health plan.
Plans can vary by covering additional benefits; require
seeing certain providers or using certain hospitals;
having different premiums, co-pays, and coinsurance;
varying quality of care; structuring some plans
differently (ie. high-deductible plans).
Plans are categorized in the marketplace based on how
you and the plan can expect to share costs for health
care. These categories are broken into Bronze, Silver,
Gold, and Platinum plans. The plans in the Gold and
Platinum category will usually have higher premiums
but lower costs when medical services are needed and
vice versa for the Bronze and Silver plans.
Plans available to young adults under 30 years of age
who cannot afford other coverage and receive a waiver
from the Marketplace. These plans have highdeductibles and low premiums. They cover 3 primary
care visits and preventative services with no out-ofpocket expense. These plans help protect the insured
from high out-of-pocket costs.
From October 1st 2013 – March 31st 2014 go to
HealthCare.gov to apply, see and compare health
insurance plans you are eligible for, and select the health
plan that best fits your needs. Enrollment can occur at
anytime in the above time frame and coverage can begin
as early as January 1, 2014
To apply and determine if you are eligible to save
money it is important to have the following information:
x Social Security numbers
x Birth dates
x Pay stubs, W-2s, or “Wage and Tax Statements”
x Policy numbers for current health insurance
x Information about plans you or your family could
get from your jobs
You can keep your health insurance you had previously
if it meets the minimum requirements or has been
grandfathered in. The Marketplace will allow you to see
if a better plan is available for you or if your plan is not
acceptable.
18
If I have Medicare do I need to use the
Marketplace?
If I do not buy insurance what is the penalty I
could face?
Who is exempt from the individual mandate
and penalty?
If I am an Alaska Native why should I care
about the ACA if I am covered by the Indian
Health Services (IHS)?
Where can I seek more help with picking a
plan?
No. If you are already enrolled in Medicare you do not
need to apply on the Marketplace. Other provisions of
the ACA have already been implemented to reduce the
“donut hole” if you reach it.
The penalty is variable over the next several years. The
penalty will be added to your federal tax return and is
calculated as the greater of either a percentage of your
“applicable income” OR a flat dollar amount assessed on
each taxpayer and any dependents.
The fee will be variable the next three years with 1.0%
of income or $95 in 2014, 2.0% of income or $325 in
2015, then 2.5% of income or $695 from 2016 and
beyond. The fee cannot exceed the national average
premium for bronze level qualified health plans in the
exchange.
There are several groups of individuals that can be
exempt from the mandate and financial penalty. These
include the following:
x Household incomes less than the filing threshold for
federal income taxes
x Those whose contribution for self-only coverage
exceeds 8% of household income
x Qualifying religious exemptions
x Those in a health care sharing ministry
x Those without coverage for less than 3 months
x Members of Indian tribes
x Incarcerated people
x Natives will be able to utilize the federal subsidies if
they meet the criteria
x Natives with income less than 300% FPL do not
have to pay co-pays or other cost-sharing
Federal grants have been provided to the Alaska Native
Tribal Health Consortium and United Way of
Anchorage to train “Navigators” who will be able to
help consumers select insurances. These grants were
recently awarded and these two organization will begin
training and utilizing these Navigators in the near future.
The following table lists resources to help with navigating the upcoming changes associated with the
Affordable Care Act.
HHS Health Resources and
Services Administration
(http://www.hrsa.gov/affordablecar
eact/toolkit.html)
Links to:
x Fact sheets about the Health Insurance Marketplace that can
be shared with your patients
x State-specific Marketplace and consumer assistance
information
x PowerPoint Presentations to help educate colleagues and
other employees
x Share resources through social media (Facebook, Twitter,
19
Centers for Medicaid and
Medicare Services (CMS)
Internal Revenue Service (IRS)
The White House
www.whitehous.gov/healthreform
Kaiser Family Foundation
www.kff.org
and/or Google+)
x Click on links to Healthcare.gov (Spanish:
Cuidadodesalud.gov) and Marketplace.cms.gov for additional
resources for consumers and providers, respectively
x Fact Sheet: The ACA and American Indian and Alaska
Native People
(http://www.hhs.gov/healthcare/facts/factsheets/2011/03/ameri
canindianhealth03212011a.html)
Health Insurance Marketplace (www.healthcare.gov) or 800318-2596
x Applications launch on October 1st, 2013
x Allows users to see all health plans available in their
geographic location and compare plans
x Provides info about how to get lower premiums, qualify for
free or low-cost coverage, etc.
Affordable Care Act Tax Provisions for Individuals and
Families
(www.irg/gov/uac/Affordable-Care-Act-Tax-Provisions-forIndividuals-and-Families)
x Info and link to fact sheet about tax credits for ACA (available
and calculated on a sliding scale for those between 100%400% of FPL)
General Health Reform Information
x Health reform myths and facts
x Summary of coverage
x Health reform timeline
x Health reform news
Information about:
x Health reform
x Health costs
x Medicaid expansion
x Medicare
x Uninsured
x Private insurance
20
2014 ANNUAL AKPhA CONVENTION
Hilton Anchorage, April 4-6
500 West 3rd Ave
First Name __________________ Last Name_________________________________
Address _________________________
_____City _________________State ____Zip _______
Place of Employment ____________________________________________________________
Work Address _______________________ City _________________ State ____ Zip _______
H phone ________________W phone ______________NABP e-profile ID _________________
AK Driver’s License # __________________ Email ______________________ DOB: ________
Membership Renewal January 1 – December 31
Individual Member:
Technician/Pharmacy Student
Pharmacist Member
$ 225.00
REGISTRATION
st
Pharmacist,
1
year
graduate
$ 125.00
Registration includes Friday reception.
Associate Member
$ 150.00
Friday
$40.00 ______
Pharmacy Technician
$ 50.00
Saturday
$85.00 ______
Pharmacy Student
$ 25.00
Sunday
$85.00 ______
Check/circle : One Time Only (or)
Non member Add
$50.00 _______
For Annual Automatic Renewal
LATE REGISTRATION AFTER March 1
Effective, __________ I authorize AKPhA to
renew my annual membership and to bill the
Late Registration fee $50.00 _______
credit card indicated below each year until I
TOTAL Registration Fees
________
notify AKPhA otherwise.
Pharmacist/ Associate
Signature:__________________________
REGISTRATION
Pharmacy/Corporate Membership:
CPR/BLS
$ 85.00 ______
Corporate Member (non voting) $1,500.00
Business Member (non voting) $ 300.00
Friday
$ 60.00 ______
Saturday
Sunday
Non Member Add
$135.00 ______
$135.00 ______
$195.00 ______
FEES
Registration Fees
$ ________
Saturday reception/awards $25
$ ________
(included w/ 2 or 3 day registration)
Membership Dues
$ ________
Donation (Legis/Scholarship)
$ ________
OVERALL TOTAL
$ ________
Charge to: Visa /MC
CVV#____
# __________________________ Exp____
Signature:__________________________
LATE REGISTRATION AFTER March 1
Late Registration fee $ 50.00 ______
TOTAL Registration Fees _______
No refunds will be issued after March 1, 2014
A 50% refund may be requested prior to March1.
*Hilton reservations 800-445-8667
*Mention AKPhA convention for reduced room rate of $130.
Group Code PHARM
Checks payable to: AKPhA
* Dues and contributions are not deductible for
income tax purposes, but may be deductible as
ordinary business expenses, subject to IRS
restrictions. AKPhA estimates that 45% of your
dues dollar is non deductible because of
AKPhA’s lobbying activities on behalf of its
members.
203 W. 15th Ave. #100
Anchorage, AK 99501
Ph# (907) 563-8880 FAX (907) 563-7880
AKPhA is accredited by the Accreditation Council
for Pharmacy Education as a provider of
continuing pharmacy education.
To receive membership discount
2014 dues must be paid
Register On-Line At
www.alaskapharmacy.org
This activity is eligible for up to 15.0 hours ACPE
credit; see complete CPE activity announcement
online at: www.alaskapharmacy.org.
Target Audience:
Pharmacists & Technicians
21
Friday April 4 RPh/Tech CPE
Saturday April 5 RPh/Tech CPE
See Complete CPE activity announcement online at www.alaskapharmacy.org
Registration & Breakfast w/Exhibitors
7:30 - 8:30am
7:30 - 8:30am
AKPhA New Board Orientation
Angie LeBoeuf
Prayer Gathering & Breakfast
Registration/Breakfast - Denali
Sunday April 6 RPh/Tech CPE
7:00 - 8:00am
Aspen/Spruce
w/ Continental Breakfast
Diabetes Care Certificate Program
7:30-8:30am
Shelly Thompson, PharmD
Medication Treatment Options
Prince William
Aspen
8:00 - 9:00am
for Insomnia
7:30 - 5:30pm
Della Cutchins, PharmD
Amanda Bowler & Rose LaMesjerant
Pharmacy Safety and Security
(or)
Alaska
Marc Gonzalez, Purdue Pharma
CRP/BLS Certification
8:00-9:00am
New Drug Update
Aimee Young, PharmD
Aleutian
8:30 - 10:00am
Alaska (or)
8:30 - 10:00am
8:00-12:00pm
Registration- Promenade
CAM: Herbals & Supplements
Christopher Owens, ISU
Spruce
11:30 - 12:30pm
Residency and Student Preceptors
9:00-10:30am
Alaska (or)
Oral Chemotherapy: Managing
Daniel Hussar, RPh
Dementia & Its Treatment
12:30-2:00pm
9:00-10:30am
Marilyn McKay
Chad Hope, PharmD
Aleutian
Cardiology Topic TBA
Break/Process Evaluations
Alaska
HIV
12:30 - 1:30pm
10:00-10:15am
Chris Destache, Creighton
Side Effects
Aleutian
10:15-11:15am
Aleutian
Teresa Slagle & Matt St Amand
Joseph Park, DO
Aleutian
10:30 - 10:45am
Calculations Review- Tech CE
10:15-11:15am
Lara Nichols, PharmD
1:30 - 1:45pm
Treatment of Depression
Rex Lott, ISU
1:45 - 2:45pm
10:45-12:15pm
Aleutian (or)
11:15-11:30am
Aspen/Spruce
Asthma and the Elite Athlete
Jeff Demain, MD
(or)
Preceptor Development
10:45 - 11:45am
Sponsor:
Oncology 101
Aleutian
Lunch/ AKPhA Business Meeting
Denali
1:45 - 2:45pm
11:30-12:30pm
Hands-on Repackaging in the
Doug Meyer, Pacific University
10:45-11:45am
Alaska
11:45-1:45pm
Kathy Crowther, CPhT
Lunch/Scholarship Auction Bristol Bay
12:30-1:30pm
MTM: Key Points to Review
Anne Marie Bott, PharmD
Judy Thompson, PharmD &
12:30- 1:30pm
Aleutian (or)
Alaska
Hospital Pharmacy
2:45 - 3:00pm
Alaska
Hepatitis C
Aspen/Spruce
Chris Destache, Creighton
3:00-4:00pm
Poster presentations- Bristol Bay
1:45-3:15pm
To Dispense or Not: Meds
Aspen
Robin Cooke, PharmD
Technician Meeting-
12:30 - 1:00pm
1:30-1:45pm
Pharmacy Technician Careers
Medicines and the Geriatric Population
John McGilvray
(or)
1:45-3:15pm
Alaska
Drug Induced Liver Injury
John McGilvray, PharmD
Kathy Crowther, CPhT
12:45 - 1:45pm
Clinical and Practical Applications
Aspen/Spruce
Bugs and Drugs: A Positive Focus
of ADHD Meds- Michale Ratzlaff, MD
Megan Wiegand
1:45-3:15pm
Ice Cream Bar & Closing of Auction
3:00-4:00pm
Bristol Bay
Aleutian
Sponsor:
Navigating Medication Shortages
in Pregnancy & Lactation
Tech CE
Promenade
Aleutian
Exhibit Set Up
3:15-4:00pm
1:45-3:15pm
Alaska
(or)
3:00-5:00pm
4:00-4:15pm
4:00 - 5:00pm
Alaska (or)
Aleutian
Reception w/ AKPhA Awards
Prince William
Amanda Hays, PharmD
Ashley Schaber & Michelle Locke
Aleutian
Reception Sponsor:
4:00-5:00pm
5:00-7:30pm
2014 Immunization Update
Chart Room
Misty Hall, RN, BSN
Sponsor:
Wine and Cheese Tasting w/Exhibitors
4:15 - 5:15pm
2:45-3:30pm
AKPhA Board
5:00- 7:00pm
Alaska
Rational Pharmacology in Chronic
Pain Therapy- Josh Crowe, PharmD
3:30 -4:30pm
Bristol Bay
22
CALL FOR YEAR 2014 AWARD NOMINATIONS
Nominate an outstanding pharmacist and/or technician you know or work with at:
http://www.alaskapharmacy.org/html/membership/awards.php
Distinguished Young Pharmacist Award
Bowl of Hygeia
Sponsored by Pharmacists Mutual
Sponsored by the APhA Foundation and the National
Alliance of State Pharmacy Associations (NASPA) with
support from Boehringer-Ingelheim
Presented to an Alaskan pharmacist with current
AKPhA membership who received an entry
degree in pharmacy less than 10 years ago (2003
graduation date or later) practicing in a retail,
institutional, managed care or consulting
pharmacy and who has actively participated in
national pharmacy associations, professional
programs, state association activities and/or
community service.
Presented to a pharmacist who has compiled an
outstanding record of community service and
civic leadership, which, apart from his/her
specific identification as a pharmacist, reflects
well of the profession. The recipient must be a
pharmacist practicing in Alaska, must be living,
must not have been a previous recipient and is
currently not serving, nor has served within the
immediate past two years as an officer of
AKPhA in other than an ex-officio capacity or its
Awards Committee.
Pharmacy Technician Award
Sponsored by AKPhA
This award was created in 2001 and presented
by the Alaska Pharmacists Association (AKPhA)
to a pharmacy technician currently employed in a
pharmacy in Alaska and who has demonstrated
outstanding service. Preference is given to
members of AKPhA.
Distinguished Alaskan Pharmacist Award
Sponsored by AKPhA
This award was created in 1989 by the Alaska
Pharmacists Association to recognize an Alaskan
pharmacist who has worked in Alaska for over
10 years and devoted much of their career
working diligently to promote and support the
profession of pharmacy and community in which
they live. Furthermore they have served as a role
model for younger pharmacists to emulate
through their sustained contributions to the
profession over time.
NASPA Excellence in Innovation Award
Sponsored by Upsher-Smith Laboratories, Inc.
The Innovative Pharmacy Practice Award was
first introduced in 1993 by Elan Pharmaceuticals
to recognize pharmacists who meet the challenge
of providing quality, cost effective care in a
rapidly changing health care environment with
creative new solutions. A nominee should be a
practicing pharmacist in Alaska and should have
demonstrated innovative pharmacy practice
resulting in improved patient care.
Please send your completed nominations prior to
November 30th:
AKPhA- Awards Chair
203 W. 15th Ave. #100
Anchorage, AK 99501
Cardinal Generation Rx Champion
Sponsored by the Cardinal Health
The Generation Rx Champion Award is to
recognize a pharmacist in Alaska for his or her
work in the prevention of prescription drug
abuse and their efforts to raise awareness of this
serious public health problem.
Revised 10/17/2013
YEAR 2O14 AWARD NOMINATION FORM
Clip and send
Bowl of Hygeia
Distinguished Alaskan Pharmacist
Pharmacy Technician
Distinguished Young Pharmacist
Excellence in Innovation
Cardinal Generation Rx Champion
Nominee ______________________________________________________________________________
Home Address: ________________________________________________________________________
Business Address: ______________________________________________________________________
Home Ph# _________________ Business Ph# _________________ Fax _____________________
Nominations can now be directly submitted by accessing the AKPhA website www.alaskapharmacy.org
Nomination Submitted by: ___________________________________________________________
Email Address:____________________________
Phone# _______________________
NOTE: You will be contacted to complete an award nomination form for each specific award nomination.
23
NOTICE
NOMINATIONS ARE OPEN
NOMINATIONS FOR PRESIDENT-ELECT AND THE FOLLOWING BOARD SEATS ARE OPEN FOR
ALASKA PHARMACISTS ASSOCIATION BOARD OF DIRECTORS.
THE FOLLOWING POSITIONS ARE AVAILABLE:
CONSIDER NOMINATING YOURSELF OR A COLLEAGUE!
PRESIDENT-ELECT:
_________________________________
Qualifications: Must be a member in good standing with at least one year past or present
AKPhA Board experience.
BOARD OF DIRECTORS:
Qualifications: Must be a member in good standing.
The Following Seats are open:
1 Seat- SOUTHCENTRAL: ________________________________ (3 YEAR TERM)
1 Seat- SOUTHCENTRAL: ________________________________ (3 YEAR TERM)
1 Seat- SOUTHEAST: ________________________________________ (3 YEAR TERM)
1 Seat- SOUTHEAST: ___________________________________________ (1 YEAR TERM)
The following are 1 year At Large Seats:
President-Elect automatically assumes one seat as President.
The other seat may be held in reserve for the new President-Elect.
NOMINATIONS CAN BE SENT TO THE AKPhA OFFICE
PRIOR TO DECEMBER 1
th
203 W. 15 Ave. #100, ANCHORAGE, 99501
NOMINATIONS MAY ALSO BE CALLED IN TO THE AKPhA OFFICE (907) 563-8880
BALLOTS WILL BE MAILED DECEMBER 15
REMINDER
MARK YOUR CALENDARS
AKPhA ANNUAL CONVENTION
April 4-6, 2014
Hilton Anchorage
24
The Alaska Pharmacists Association and
the Cardinal Health Foundation
congratulate Captain Adam Willettt as
the recipient of the 2013 Cardinal Health
ealth
GenerationRx Champions Award!
This award recognizes a pharmacist who has demonstrated excellence
in community-based prescription drug abuse prevention. We celebrate
Adam’s outstanding efforts and commitment to raising awareness of
the dangers of prescription drug abuse among the general public and
among the pharmacy community.
For more information about the award,
visit cardinalhealth.com/GenerationRx
© 2013 Cardinal Health. All rights reserved. CARDINAL HEALTH, the Cardinal Health LOGO, and ESSENTIAL TO CARE are trademarks or
registered trademarks of Cardinal Health. All other marks are the property of their respective owners. Lit. No. 5CR11959_AK (06/2013)
25
cardinalhealth.com/GenerationRx
3KDUPDFLVWV0XWXDO,QVXUDQFH&RPSDQ\
3KDUPDFLVWV/LIH,QVXUDQFH&RPSDQ\
3UR$GYDQWDJH6HUYLFHV®,QF
let our experts
GED3KDUPDFLVWV,QVXUDQFH$JHQF\LQ&DOLIRUQLD
&$/LFHQVH1R*
do the math
Now more than ever, pharmacists are learning just how important it is to have
not only proper insurance coverage, but the right amount of insurance. We
understand the risks involved in operating a pharmacy practice and have
coverage designed to ensure that you and your business are protected. We
HYHQSURYLGHSROLFLHVVSHFLÀFDOO\GHVLJQHGIRUSUDFWLFHVWKDWRIIHUVSHFLDOW\
services such as compounding or home medical equipment.
Trust the experts - our representatives can help you determine the right
coverage for you. We offer products to meet all your needs; everything from
business and personal insurance to life and investments. We’re proud to be your
single source for insurance protection.
Anne Kelley, AAI
800.247.5930 ext. 7147
425.501.1428
800.247.5930
www.phmic.com
)LQGXVRQ6RFLDO0HGLD
26
Not licensed to sell all products in all states.
Delivering Pharmaceutical Products
and Solutions that Reduce Costs, Increase
Efficiency and Improve Patient Care
AmerisourceBergen Drug Corporation offers distribution, technology and other services to various pharmacy markets.
As a retail pharmacy, leverage best practice solutions to maximize your profitability and grow your customer base.
Independent pharmacies can receive benefits like business coaching, merchandising,
marketing assistance and more by becoming one of more than 3,400 Good Neighbor
Pharmacy stores.
Take advantage of the support for long-term care, mail order specialty, home infusion, clinic and other providers to
control costs and improve profit margins while enhancing patient care as an alternate care pharmacy site.
Or help your hospital pharmacy transition from a cost center to a revenue generator by optimizing the medication
management process all while improving your brand in the community.
Keeping you current and prepared to improve
the health of your patients and your bottom line.
27
ALASKA PHARMACY NEWSLETTER
203 W. 15th Ave. #100
Anchorage, AK 99501
FALL 2013
PRSRT STD
US POSTAGE
PAID
Anchorage, AK
Permit No. 69
Sponsored by: AmerisourceBergen
“Good luck is another name for tenacity of purpose."
Ralph Waldo Emerson

Fall 2013 Newslette - Alaska Pharmacists Association

Transcription

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