Summer 2008 - Wyoming Pharmacy Association

Pharmacy Post
Summer 2008
LOOKING FORWARD FOR PHARMACY
O F
OY
. B o2x0202 87
MP .A
Byron, WY 82412
307-272-3361
INSIDE THIS
ISSUE:
CFC Propelled
Inhalers
2
State Pharmacist
3
Pharmacist of the
Year
4
Technician of the
Year
4
Young Pharmacist
of the Year
5
Bowl of Hygeia
5
Nobody Ever
6
Reads those Things
Injectable Drugs
8
Innovative
Pharmacist
9
Health System
Pharmacist
9
50 Year
Pharmacists
10
Vendor Thank You 13
Schedule of Events 13
2008-2008 WPhA
Board Members
14
T H E
O F F I C I A L P U B L I C A T I O N
W Y O M I N G P H A R M A C Y A S S O C I A T I O N
2008 WPhA/WSHP Convention a Success!
The 91st Annual WPhA/WSHP Convention was held in Casper from June
26-28, 2008. There were over 120 participants that attended this year’s
convention. This is more than double the participants at last years event.
There were over 12 hours of education provided by nine presenters.
This years vendor hall also saw increased foot traffic. There were 16
vendors and 6 different poster presenters on hand to meet with
participants. A big “thank you” goes out to AmerisourceBergen, McKesson
and RxPlus for their continued support as Brown and Gold Sponsors.
This year’s Benefit Auction was also a record breaker with over $4,200.00
raised for the Wyoming Pharmacy Association Endowment Pledge to the
University of Wyoming.
Craig Frederick, RPh from Register Cliff
Pharmacy in Guernsey was a great auctioneer. His enthusiasm helped
loosen some purse strings and wallets!
On Saturday the convention was visited by Fallon Smith from KCWY13.
Fallon came to do a piece on the convention for the 5 and 10 o’clock news.
The newscast showed presenter Gary Pulvamacher discussing changes in
Medicare, participants visiting with vendors and also contained a short
interview with Executive Director Kara Beech and Director John Arross.
The piece showed the Wyoming
Pharmacy Association and pharmacy
professionals in our state in a very
positive light.
The Awards Night was the perfect finale
to a great event. Pharmacy professionals
were recognized from all over the state
for their dedication to the profession and
achievements in their practice. There
were smiles and tears, but mostly great
moments shared with friends.
Jim
Carder, previous Executive Director of
the Wyoming State Board of Pharmacy
was honored with the Wyeth Bowl of
Hygeia. It was his dedication to the
pharmacists in the State of Wyoming
that made him the stand out candidate
for the award. His sister and brother-inlaw from Texas came for the special Jennifer Nevins presenting the
event. Other award winners are found Bowl of Hygeia to Jim Carder
throughout the Pharmacy Post.
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Are you ready for the transition from CFC propelled inhalers to HFA
propelled inhalers?
Written by Amber Grogan, PharmD candidate, University of Wyoming
December 31, 2008 is getting closer and closer and closer. So why is this date significant you may ask? This
is the last day that albuterol inhalers using chlorofluorocarbons (CFCs) will be sold in the United States. After
that time, albuterol inhalers will be propelled by hydrofluoroalkanes (HFAs). This news is not particularly
new, and most of us have been stockpiling CFC albuterol inhalers in our pharmacies in anticipation of the
manufacturers stopping their production. So, then, what is new?
We have been given a new opportunity to counsel patients on the use of their inhalers. Many patients refuse
counseling for their inhalers using excuses like ”inhalers are easy to use”, or “I have been using one for years”.
Using the excuse that this inhaler is “slightly different” gives the pharmacist an opening for counseling.
Counseling patients on the proper use of their inhalers is important for many reasons. The inhaler is the most
common medication form in the world, second only to pills. Patients requiring the use of inhalers are often
prescribed more than one type. Using multiple types of inhalers can present problems in remembering the
techniques used for each specific one. Counseling multiple times on the proper technique of each individual
device can reduce confusion. Managing chronic airway disease is 90% education and 10% medication. An
estimated 28-68% of patients do not use their inhaler well enough to benefit from the medication. Thirty-nine
(Continued on page 10)
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Do You Know Your State Pharmacist?
P AG E
3
What? Wyoming has a State Pharmacist?
Wait, what is a State Pharmacist and who is it….?
Written by Wyatt Christensen, PharmD Candidate, University of Wyoming
Wyoming’s State Pharmacist is Roxanne Homar. She has been happily married to her husband, Scott, for 13
years. They have twin 4 year old boys who she says are their pride and joy and who keep them on the move!
When Roxanne is not spending time her family and friends, she enjoys reading and running and has recently
taken on the challenge of training for marathon in November.
Roxanne began working for the State Department of Health in 1997 as the Medicaid Pharmacy Program
Manager. Two years later, she was asked to fill a temporary position as the Office of Primary Care Manager
where she directed the state pharmacy program and Medicaid medical services programs. While serving in this
position, it was determined that a position was needed to focus on the “broader view” of prescription drugs in
Wyoming. Roxanne explained- “During this time, the regulations for advertising medications were removed
(1999) and the explosion of direct-to-consumer ads for medications started hitting television and print. At the
same time, the expenditures for medications exploded, with both the number of prescriptions written and the
cost of those prescriptions increasing, and the Medicaid pharmacy program budget was really being adversely
affected. I was spending quite a bit of time preparing reports and explaining what was happening with
prescription drugs to both senior management and the legislature.” Roxanne was named as the very first
Wyoming State Pharmacist in 2000 and has held the position every since.
What exactly does Wyoming’s State Pharmacist do? “I work in a broader sense than just Medicaid on
prescription drug issues across the board. In addition, I provide advice and input to our Medicaid Pharmacy
Program Manager, our Consultant Pharmacist, and our Fraud and Abuse Pharmacist,” reports Roxanne. “A
few of the things I am working on now include a State Rx Task Force to look at a combined Pharmacy &
Therapeutics process for state partners, the possibility to improve our Medication Donation program even
more in the next legislative session, work with the Mental Health & Substance Abuse Division on the issues
around the increasing abuse of prescription medications; working with our Psychiatrist Advisory Board for
clinical input on managing mental health medications; and work on how to improve our current state funded
Prescription Drug Assistance Program (PDAP) in the next legislative session.” Roxanne will work with
Wyoming’s Medicaid Pharmacy Program Manager, Antoinette Brown, on the Medication Therapy
Management (MTM) project she is trying to implement for Medicaid RX.
When asked what the State Pharmacist would want members of the Wyoming Pharmacy Association to know
about her position she said, “I am an advocate for Pharmacy and access to Pharmacist Services. I have great
concern over access to pharmacy in Wyoming, especially amongst the smaller and more rural towns
throughout our state. As reimbursement continues to decrease and pharmacies close, we have fewer services
for a growing population that continues to age. It is imperative we do some proactive planning now to avoid a
crisis in the future. Wyoming is expected to have the oldest average population by 2020. Those clients will
not only need access to pharmacy products, but access to pharmacists knowledge to minimize adverse effects,
duplicative prescribing, cost management, etc. Pharmacists need to work on reimbursement for services and
not rely solely on product reimbursement. It is very important to be involved with the state association and
contact your legislative representatives, both at the state and federal level.” Her advice for all pharmacists in
the state of Wyoming is, “Be my eyes and ears throughout the state and let me know what is happening. Let
me know how I can help you. We all need to work together to create change.”
Roxanne Homar is a great advocate for all pharmacists in the state of Wyoming. She encourages pharmacists
to contact her directly with any questions, concerns, or ideas at the following e-mail address:
[email protected]. Information about the State of Wyoming Pharmacy Services can also be
found on Wyoming Department of Health website at http://wdh.state.wy.us/healthcarefin/pharmacy/index.html
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WPhA Wyoming Pharmacist of the Year:
Tim Seeley, RPh of Powell was honored as the WPhA Pharmacist of the Year. Seeley
graduated from the University of Wyoming, School of Pharmacy in 1984. He has worked
in a variety of practice settings including retail, long term care, and is now the Director
of Pharmacy at Powell Valley Healthcare as well as North Big Horn Hospital. He is also
often used as a resource to assist other pharmacy directors and pharmacists throughout
the Brim facilities, which is the management company for Powell Valley Healthcare.
In addition, Seeley volunteers a great deal of his
time helping to further the profession of pharmacy.
He is the President-Elect of the Wyoming Society
of Health System Pharmacists and was and has
served as a delegate to American Society of Health
System Pharmacists. He was also the president of
the Wyoming Pharmacy Association from 20062007. He worked extensively on the Wyoming
Clinical Recommendations for Diabetes Mellitus
Prevention and Control Program revision
committee put out by the Wyoming Department of
Health. Currently he is the chairman of the USP
797 Taskforce for Wyoming .
Seeley is the Wyoming Pharmacy Association
Pharmacist of the Year for his continued
commitment to the profession of pharmacy. The
Association was honored to recognize him for
these achievements.
Karen Burk presenting the award to
Tim Seeley, RPh.
WPhA Technician of the Year Award: Christina Andrade, AS, CPhT was
named the WPhA Technician of the Year. Andrade has worked in pharmacy for 9 years.
She has an Associates of Science Degree in Pharmacy Technology and is currently
working on a Bachelor Degree in Health Administration. It was this love of knowledge
that led her to become an instructor for the
Pharmacy Technician Program at Casper College.
She is a member of the Wyoming Pharmacy
Association and the National Pharmacy
Technician Association. She also serves as one of
the Technician Board Members for the Wyoming
Pharmacy Association. She has been a presenter
for the Association at the last 2 Technician
Conferences. She also presented education at this
year’s convention on “Effective utilization of
Pharmacy Technicians”. She has attended State
Board of Pharmacy meetings to provide
information on technician education and
continues to be an advocate for the profession of
pharmacy.
Karen Burk presenting the award to
Christina Andrade
Andrade is the Wyoming Pharmacy Association
Technician of the Year for her continued
commitment to the profession of pharmacy and
technician education.
The Association was
honored to recognize her for these achievements.
Pharmacist Mutual Distinguished Young Pharmacist Award: Whitney Buckley, Pharm D,
Director of Community Health Center of Central Wyoming Pharmacy Residency Program and faculty for
University of Wyoming School of Pharmacy in Casper, Wyoming. Dr. Buckley graduated from the University
of Wyoming, School of Pharmacy in 2004 where she received the Pfizer US Pharmaceuticals Outstanding
Student Leader Award in 2004.
Dr. Buckley has been a member of the Wyoming Pharmacy
Association since 2005 and served as President of the Association
during 2007-2008. It is this leadership that earned her the National
Community Pharmacists Association Pharmacy Leadership Award
and the McKesson Empowering Healthcare Leadership Award in
2007. Dr. Buckley has been a presenter at various healthcare
meetings throughout the state. She has also represented WPhA in
various legislative issues important to the profession of pharmacy.
In 2007 Dr. Buckley served on the AIDS Education and Training
Centers National Workgroup to Address Resource Needs of
Community Pharmacists and as a committee member of the Medicaid
Preferred Drug List Advisory. She also continues to serve on the
Wyoming Department of Health HIV/Hepatitis C Care and
Prevention Planning Committee, Red Ribbon Advisory Committee
and the Wyoming Children’s Society Board of Directors in the
capacity of Secretary. Dr. Buckley is the Wyoming Distinguished
Young Pharmacist of the Year for her continued commitment to the
profession of pharmacy. The Association was honored to recognize
her for these achievements.
Dr. Buckley receiving award from
Dr. Jaime Hornecker
Wyeth
Bowl
of
Hygeia
Community
Award:
James T. Carder, RPh was recognized by Wyeth Pharmaceuticals as an individual who has devoted their time,
talent, and resources to better their community and the profession of pharmacy. Carder was the Executive
Director of the Wyoming Board of Pharmacy from 1998 – 2008. During his ten years of service to the
profession of pharmacy in Wyoming, he was instrumental in promoting technician education and licensure,
implementing legislation that now allows pharmacists to administer vaccines, and pharmacists to enter into
collaborative practice with physicians. He also implemented and through the Board of Pharmacy, maintains
the controlled substance drug monitoring program for the state of Wyoming. Mr. Carder and his staff
traveled over the entire state one summer educating both pharmacists and physicians on the drug monitoring
program. He has completely computerized all of the office records and implemented on line renewals for the
State Board of Pharmacy. Mr. Carder has also taught classes yearly for the University Of Wyoming School Of
Pharmacy on the law, the Board, and the functions and benefits of each. His teaching lead to starting
rotations with 4th year pharmacy students at the Boards Office.
Mr. Carder organized and spearheaded a "stakeholders"
meeting for all entities involved in pharmacy and where
practitioners in the state saw the practice going. Mr. Carder
then used the information gathered at the meeting to
provide guidelines for where the Wyoming Board of
Pharmacy needed to direct its energies. He also opened up
the lines of communication with the Board of Medicine as
well as the Board of Nursing which is evidenced by
attendance at each other’s meetings.
Mr. Carder’s entire focus while serving the State of
Wyoming was aimed at moving the practice of pharmacy
toward total Pharmaceutical Care and WPhA believes that Carolyn and Jim Carder with his sister and brotherhe has done a wonderful job. The Association was honored in-law who came from Texas as a surprise to help
to recognize him for these achievements.
the Association honor Jim.
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NOBODY EVER READS THOSE THINGS
By Don McGuire, R.Ph., J.D.
Steve was busy at work in his pharmacy. He was filling a prescription for one of his patient’s HRT orders.
Steve was very annoyed at the stack of leaflets provided with the stock bottle. He decided to simplify his life
and threw the leaflets away.
Joan was at work across town in her pharmacy. Joan had ordered a motorized wheelchair for one of her
patients. The chair had arrived with a multi-page instruction booklet prominently marked – “Give This
Instruction Booklet to the Ultimate User”. Joan decided that she could tell Mr. Jones everything that he
would need to know to operate the chair and threw the booklet away.
Later that year, Steve was served with a lawsuit by Ms. Smith alleging that he didn’t warn her about the
dangers of HRT. Joan was also served with a lawsuit. Mr. Jones was injured when he tumbled out of the
chair while maneuvering on an incline. He alleged that he was not properly instructed on the use of the chair.
When interviewed by their defense attorneys, both Steve and Joan had the same response, “Nobody ever
reads those things, so I don’t bother providing them.” While this may be true for some patients, it is a poor
risk management decision. It is a poor decision for two reasons.
First, the provision of these information leaflets may be required by law (as in the case of estrogens and other
products) or by the manufacturer (as in the case of the motorized wheelchair). It can be difficult to present a
credible defense to these allegations when it is clear that the information wasn’t provided. Failure to follow
these requirements and provide this information can be seen as a breach of duty and lead to a finding of
negligence or negligence per se.
In legal terms, negligence is defined as the failure to use the degree of care that would have been used by a
reasonable, prudent person in the same or similar circumstances. For Steve and Joan, this means measuring
their actions against what a reasonable pharmacist would have done in their situations. The plaintiff-patient
will prevail if they can prove that the pharmacist failed to meet the standard of care and that they were injured
as a result of the pharmacist’s actions.
However, in the case of negligence per se, the failure to follow the requirements of a statute or regulation is
taken as proof of negligence. In the majority of states, the plaintiff-patient has only to prove that their injury
resulted from this violation. This makes the likelihood of a plaintiff’s verdict much higher.
The second reason that this kind of behavior is not good risk management is that it deprives some patients of
needed information. Even if most patients won’t read the booklets, the remaining patients don’t even get the
opportunity to read them. Think about the owner’s manual for a new automobile. They can be hundreds of
pages long and most people haven’t read theirs from cover to cover. But, if they have a question, the manual
is there for them to consult. The same thing applies to our patients. Maybe they won’t go home and read it
right away, but it is there to consult.
In a practical sense, it is much easier to defend a case where the patient was fully informed, but chose to
ignore the information, rather than a case where the patient never received the information. We will never
know which of those patients would be able to say, “I would have read it if they had given it to me.” Steve or
Joan’s response to their defense attorneys doesn’t sound very persuasive when contrasted with this statement.
It is better for you and your patients to let them decide whether they will read this type of information.
P HA RMA CY
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Handbook on Injectable Drugs Expands
Presence on MedicinesComplete
The American Society of Health-System Pharmacists’ (ASHP’s) Handbook on
Injectable Drugs™, the leading authority on the compatibility and stability of
injectable drugs, is now available on MedicinesComplete, the online service
offering access to the world’s leading drug and healthcare references.
Examining parenteral drug stability and compatibility in extensive detail, the
Handbook is a trusted resource for helping pharmacists and other health
professionals improve patient safety. The user-friendly drug reference, edited by
Lawrence A. Trissel, combines comprehensive information on 379 parenteral
drugs commercially available in the U.S. and other countries. The Handbook
also allows users to make quick and accurate assessments of the compatibility of
various solutions and additives with a particular drug.
The Handbook was added to MedicinesComplete through an agreement with the
Royal Pharmaceutical Society of Great Britain (RPS).
Another ASHP
publication, AHFS Drug Information™ (AHFS DI), is also available on
MedicinesComplete.
“Precise and reliable injectable drug information is necessary for patient safety.
Now more pharmacists and health professionals throughout the world will have
access to the trusted Handbook on Injectable Drugs,” said ASHP President
Janet A. Silvester, M.B.A., FASHP. “ASHP is pleased to partner with RPS to
expand the reach of this essential drug reference on MedicinesComplete.”
“RPS’ partnership with ASHP will benefit health professionals because they now
have access to the important resources in the Handbook,” said Charles Fry,
Managing Director of RPS Publishing. “RPS Publishing is pleased to extend our
partnership with the American Society of Health-System Pharmacists through
the addition of Handbook on Injectable Drugs to MedicinesComplete. The
Handbook will provide users of MedicinesComplete with essential information
which will benefit healthcare professionals throughout the world. This is an
excellent resource to sit alongside AHFS DI, Martindale, the British National
Formulary (BNF) and Stockley's Drug Interactions."
The information on MedicinesComplete is available via subscription to
individual health professionals and institutions such as hospitals, libraries and
universities. Worldwide, original research, scientific papers, guidelines, metaanalyses, systematic reviews, reports and case studies are included in the
service.
For more information about MedicinesComplete or the Handbook on Injectable
Drugs, go to www.ashp.org.
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NASPA Innovative Pharmacist of the Year Award:
Tonja M. Woods, Pharm. D. was honored as the National Alliance of
State Pharmacy Associations Innovative Pharmacist of the Year for her
innovative pharmacy practice resulting in improved patient care.
Since her employment with the School of Pharmacy began in August
2003, Dr. Tonja M. Woods has been instrumental in establishing
innovative practice sites. As with all innovations, the early prototypes
make the final product successful. As of summer 2007, Tonja has taken
the chronic disease management and the peri-surgical anticoagulation
models into the area of private enterprise. She has a thriving practice at
Laramie Valley Medical, an internal medicine clinic in Laramie
Wyoming. This private practice model is extremely rare and the perisurgical piece is unique. In addition, she has co-produced diabetes
workshops at Senior Centers throughout the state and, this summer, will
be doing the same with computer training on Medicare Part D.
Dr. Woods is the Innovative Pharmacy Practice Recipient of the Year for
her continued commitment to the profession of pharmacy through
innovative practice models. The Association was honored to recognize
her for these achievements.
Tonja Woods receives award from
Linda Martin
50 Year Wyoming Pharmacist Award: Robert Nelson and
Don Deyo are recognized for their 50 years of service to the profession
of pharmacy. Wyoming Board of Pharmacy Directors Jennifer Nevins
and Terry Carr presented the awards in their matching UW scrubs and
“BIG” jewelry. This was done on a dare from the Board meeting earlier
in the week. The Board didn’t think Terry would wear the same crazy
jewelry as Jennifer. Terry just proved he never backs down from a
challenge.
Wyoming Health System Pharmacist of the Year:
Leith Culver, RPh began practicing pharmacy over thirty years ago after
graduating from the University of Wyoming with a Bachelor’s degree in
pharmacy in 1976. He began practice as a retail pharmacist in Cody,
Wyoming and made the switch to hospital pharmacy in 1979 when he
moved to Rock Springs. In 1991 Leith embarked on a new area of
pharmacy when he took a position with a home infusion pharmacy in
Las Vegas. After eight years in Las Vegas the Culvers returned to
Wyoming to enjoy the great outdoors. Leith was able to transfer to
Casper with Coram healthcare and has since been working with what is
now CareTrust IV for nearly ten years.
Leith has demonstrated exemplary service to the profession of
pharmacy. He has an active interest in learning about new treatments
and strives to provide the best care possible for all of his patients. Leith
also promotes the profession of pharmacy by speaking to first year
pharmacy students at UW about home infusion, and he is always willing
to give an interested student a tour of the pharmacy. Through his work
in learning and implementing USP 797 Regulations he has served as a
resource and an example to others throughout the state. Leith has also
served his community by being a leader in the youth program at First Leith Culver receiving award from his
daughter Erin Culver
Presbyterian church.
(Continued from page 2)
-67% of nurses, doctors, and respiratory therapists are unable to adequately describe or perform proper
technique of inhaler use which correlates with the previous statistic 1.
The economic impact of the misuse of inhalers is astounding. An estimated 500 million medical inhalers are
purchased every year. If 28-68% of patients do not effectively use their inhaler, then 140-340 million inhalers
are wasted every year. If the average cost of an inhaler is $50, this correlates to $7-17 billion being wasted1.
The fact that the HFA inhalers cost twice as much as the CFC inhalers needs to be considered. The new
opportunity to counsel can save patients large amounts of money as well as provide the patient increased
health benefits.
The impact of increased health benefits of using an inhaler properly is as important as the economic impact.
Patients may be able to avoid having their dose increased if it is determined that they are not using their inhaler
correctly1. Many patients suffer through the symptoms of their airway disease, not realizing that all they have
to do is adjust the way they are taking their medication.
The top 4 errors of inhaler use include hand-breath discoordination, breath-hold too short, inspiratory flow too
rapid, and inadequate shaking of the inhaler1. Pharmacists can help eliminate these errors by verbally
communicating and physically demonstrating proper technique2. Asking the patient to show how they use an
inhaler can help pharmacists identify problems.
Patients should be counseled on the subtle differences between the CFC inhalers and the HFA inhalers. The
medication and dose of medication will be the same for the inhalers regardless of what the propellant is.
However, the patient may note a difference in how the HFA inhaler feels when they first use one. The patient
may notice that the force of HFA propellant is not as strong as CFC propellant and think that they are not
getting a full dose or that the inhaler is not the right one. Pharmacists need to let the patient know that they are
receiving the correct medication at the proper dose, and the medicine is equally as effective as it always has
been.3 Remind the patient that it is not the force of the spray from the inhaler but the deep breath taken with
each spray that gets the medicine into their lungs4. Making the patient aware that the medicine may taste
different may help avoid confusion and help answer questions on the part of the patient 3,4. The patient will
notice that there are a few advantages to the HFA propelled inhalers. For example, the manufacturers of the
new HFA inhalers recommend that their inhalers be primed if the inhaler has not been used for two weeks 5,6,7.
The manufacturer for a CFC inhaler recommends priming if the inhaler has not been used for three days 8.
Another advantage is the HFA inhaler manufacturers recommend cleaning their inhalers weekly 5,6,7, and the
CFC inhaler manufacturer recommends cleaning their inhaler daily8.
In summary, pharmacists have been given a new opportunity to counsel on an old but very important method
of medication delivery. Given the economic and health ramifications for poor technique of inhaler use, seizing
this moment is critical for patient healthcare.
References
1.
2.
3.
4.
5.
6.
7.
8.
Fink JB, Rubin BK. Problems with inhaler use: A call for improved clinician and patient education. Respir Care 2005;50:1360-74.
Basheti IA, Ressel HK, Armour CL, Bosnic-Anticevich SZ. Counseling about turbohaler technique: needs assessment and effective strategies for community pharmacists. Respir Care 2005; 50:616-23.
Proventil HFA [monograph in the Internet]. Kenilworth, (NJ) Schering-Plough; 2008 [cited 2008 June 9]. Available from: http://www.proventilhfa.com/phfa/application?namespace=main&
event=content_display&event_input=proventil_qanda
U.S Food and Drug Administration [monograph on the internet]. Silver Spring (MD): Center for Drug Evaluation and Research; [created 2008 May 30; cited 2008 Jun 9]. Available from: http://
www.fda.gov/cder/mdi/albuterol_faq_eng.htm
Proventil HFA [monograph in the Internet]. Kenilworth, (NJ) Schering-Plough; 2008 [cited 2008 Jun 9]. Available from: http://www.proventilhfa.com/phfa/application?namespace=main&
event=content_display&event_input=using_your_inhaler
Ventolin HFA [monograph on the Internet]. Brentford, Middlesex (UK) GlaxoSmithKline; 1997-2008 [cited 2008 Jun 9]. Available from: http://www.ventolin.com/howtouse.html
ProAir HFA [monograph on the Internet]. North Wales, (PA)Teva Specialty Pharmaceuticals LLC; 2007 [cited 2008 Jun 9]. Available from: http://www.proairhfa.com/
Albuterol, USP Inhalation Aerosol [product information]. Reno (NV): Warrick Pharmaceuticals, May 2004.
MISSION STATEMENT:
The mission of the Wyoming Pharmacy Association is to advance the practice and profession
of pharmacy through education, understanding, and promotion.
VISION STATEMENT:
Wyoming pharmacists and technicians are recognized for their significant contributions to the
health care field. They are caring and competent individuals who improve the use of
medications, assure the safety of drug therapy, and enhance health-related quality of life.
The Wyoming Pharmacy Association
would like to thank
all of the vendors who helped make the
91st Annual Convention a success!
Brown & Gold Sponsors
Good Neighbor Pharmacy/AmerisourceBergen
McKesson
RxPlus Pharmacies
Vendors
Academy of Student Pharmacists
Cardinal Health ,
Cubist Pharmaceuticals, Inc.,
Daiichi Sankyo, Inc.
GlaxoSmithKline
MDG Medical, Inc.
NuAire, Inc.
Pharmacist Mutual Companies
ScriptPro
Wyoming AIDS Education & Training Center
Wyoming Professional Assistance Program
Schedule of Events

September 13, 2008—WPhA Annual Technician Conference in Casper at
the Ramada Plaza Riverside

September 26 & 27, 2008 —University of Wyoming Pharmacy Weekend

October 2008—National Pharmacy Month

October 11-15, 2008—NCPA Annual Convention in Tampa, FL

December 7-11, 2008—ASHP Midyear Clinical Meeting in Orlando, FL

January 2009—WPhA Winter CE in Lander
2008-2009 Wyoming Pharmacy Association Board
President:
Karen Burk, RPh
Cody, WY
President-Elect:
Craig Frederick, RPh
Guernsey, WY
Vice-President:
Jaime Hornecker, Pharm D
Casper, WY
Past President:
Whitney Buckley, PharmD
Cheyenne, WY
Secretary:
Melissa Hunter, Pharm D
Laramie, WY
Treasurer:
Bill Rathburn, RPh
Sheridan, WY
Directors
2006-2009
Tony Valdez, RPh
Casper, WY
Jeffrey Bernard, RPh
Laramie, WY
George Zaharas, RPh
Cheyenne, WY
2007-2010
Nikki Yost, PharmD
Cheyenne, WY
John Arross, RPh
Casper, WY
[email protected]
2008-2011
James Carder
Buffalo, WY
Wyoming Pharmacy Association
PO Box 228
Byron, WY 82412
307-272-3361
www.wpha.net
Technician Board Members:
Lorraine Bundy, CPhT
Byron, WY
Christina Andrade, AS, CPhT
Glenrock, WY
Ex-Officio Members:
WSHP President
Justin Blatter, Pharm D
Casper, WY
Dean, UW School of Pharmacy
John Vandel, RPh
Laramie, WY
University of Wyoming Student
Representative
Kellie Nevins
Laramie, WY
Executive Director:
Kara Beech, BS, CHC
Byron, WY
[email protected]