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JUNE 2008 2008 Legislative Recap Aggressive Advocacy Efforts Help Advance Pharmacy Profession

June 2008 Florida Pharmacy Journal

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Page 1: June 2008 Florida Pharmacy Journal

JUNE 2008

2008 Legislative RecapAggressive Advocacy Efforts Help

Advance Pharmacy Profession

Page 2: June 2008 Florida Pharmacy Journal

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

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For more on how PPSC can maximize the potential of your independent pharmacy, visit www.ppsconline.com or call toll-free 888-778-9909.

Page 3: June 2008 Florida Pharmacy Journal

VOL. 71 | NO. JUNE 2008 tHE OfficiAL PUbLicAtiON Of tHEfLOridA PHArmAcy AssOciAtiONP H A R M A C Y T O D A Y

florida

Departments 4 calendar

4 Advertisers

5 President’s Viewpoint

7 Executive insight

23 buyer’s Guide

Features2008 Legislative recapAggressive Advocacy Efforts Help Advance Pharmacy Profession

118th fPA Annual meeting and convention schedule & registration information

9

15

J U N E 2 0 0 8 | 3

Page 4: June 2008 Florida Pharmacy Journal

2008

FPA Calendar JUNE

21 Room ReseRvation deadline foR annual Convention

27 Convention RegistRation deadline

JUly

4 independenCe day, fpa offiCe Closed

9-13 118th annual fpa meeting and ConfeRenCe

Orlando, Florida

11 gatheRin hotel RegistRation ends

18 last day to RegisteR foR the 25th annual se gatheRin

20-23 aaCp annual meeting

Chicago, Illinois

31 - 8/3 fshp annual meeting

AUgUst

1-3 southeasteRn offiCeR's ConfeRenCe

Biloxi, MS

3-6 southeasteRn gatheRin

Sandestin, Florida

8 fpa legislative Committee meeting

Orlando, Florida

12 - 13 floRida BoaRd of phaRmaCy meeting Orlando, Florida

17 - 19 naBp Regional meeting

Sandestin, Florida

23 - 24 fpa Committee and CounCil meetingshilton oRlando noRth

sEPtEMBER

1 laBoR day - fpa offiCe Closed

20 - 21 fpa CliniCal Consultant ConfeRenCe

Hyatt BonaventureWeston, Florida

CE CREDIts (CE cycle)The Florida Board of Pharmacy requires 10 hours LIVE Continuing Education as part

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

biennial period by September 30, 2009 or prior to licensure renewal.*For Pharmacy Technician Certification Board Application, Exam Information and

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

www.pharmview.com

CONtACtsFPA — Michael Jackson (850) 222-2400FSHP — Michael McQuone (850) 906-9333U/F — Dan Robinson (352) 273-6240FAMU — Otis Kirksey (850) 599-3301NSU — Carsten Evans (954) 262-1300

DIsClAIMER Articles in this publication are designed to provide accurate and authoritative information with respect to the subject matter covered. This information is provided with the under-standing that neither Florida Pharmacy Today nor the Florida Pharmacy Association are engaged in rendering legal or other professional services through this publication. If expert assistance or legal advice is required, the services of a competent professional should be sought. The use of all medications or other pharmaceutical products should be used according to the recommendations of the manufacturers. Information provided by the maker of the product should always be consulted before use.

E-MAIl yOUR sUggEstIONs/IDEAs tO

[email protected]

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

Mission Statements:of the florida Pharmacy today JournalThe Florida Pharmacy Today Journal is

a peer reviewed journal which serves as a

medium through which the Florida Phar-

macy Association can communicate with

the profession on advances in the sciences of

pharmacy, socio-economic issues bearing on

pharmacy and newsworthy items of interest

to the profession. As a self-supported journal,

it solicits and accepts advertising congruent

with its expressed mission.

of the florida Pharmacy today boardof directors The mission of the Florida Pharmacy Today

Board of Directors is to serve in an advisory

capacity to the managing editor and execu-

tive editor of the Florida Pharmacy Today Journal in the establishment and interpreta-

tion of the Journal’s policies and the manage-

ment of the Journal’s fiscal responsibilities.

The Board of Directors also serves to motivate

the Florida Pharmacy Association members

to secure appropriate advertising to assist the

Journal in its goal of self-support.

AdvertisersDR. PATRICK OJO ............................................. 2FLORIDA DEPARTMENT OF HEALTH ...... 14HAYSLIP & ZOST ............................................ 14HEALTHCARE CONSULTANTS .................. 12KAHAN ◆ SHIR, P.L. ....................................... 12MEDICAL STAFFINg ..................................... 18PHARMACY PROVIDER

SERVICES (PPSC).......................................... 2PHARMACY MAx .......................................... 11Rx RELIEF ......................................................... 14

4 | f L O r i d A P H A r m A c y t O d A y

Page 5: June 2008 Florida Pharmacy Journal

My name is Mayra gonzalez-Abreu, and I have been a practicing pharmacist for 15

years. I also have served as the Chair of the Public Affairs Council. Dur-ing my career, I have not only experi-enced firsthand some of the issues that as pharmacists we face every day, but also have become extremely involved in finding solutions. I do that in my dai-ly interactions with my pharmacy team and in my participation with pharmacy organizations, where I have held sever-al offices in the past.

The Florida Pharmacy Association is our strongest voice to help bring unity within our profession, to pro-mote change and to implement solu-tions. I believe in the strength of em-powerment. This is the reason why I have been involved in getting addition-al certifications that expand my abili-ty as a pharmacist. We also need to be empowered as pharmacists, through education, advocacy and in showing our communities the value that we can bring through our expertise.

Every stage in life has its beginning and end, or a new beginning or trans-formation. As we approach the end of the era of President Don Bergemann, we will start a President Norman To-maka period. Both are very commit-ted individuals who have shown tre-mendous dedication and service to our profession. They both should be recog-nized for their outstanding service and dedication to the association, pharma-cists, and public in general.

I just want to share with you all my personal story of “getting out of the box.” When I decided to become a pharmacist, it was my junior year in high school; I wanted to be a pharma-cist to become a “bridge” between doc-tors and patients. To be able, in some

way, to help them improve their quali-ty of life. Little did I know at that time the seriousness of the commitment I was making. As pharmacists we have a responsibility for the health, welfare and safety of the patient. We must al-ways remember that the health of our patients depends on our personal com-mitment, our continuous professional development and our involvement in local as well as state associations.

It was 1994 when I moved to Miami with just a year of experience. And in just a few months, I was already partic-ipating in the local association, Inter-American Pharmacy Association (IPA). It was Art Diaz who one day at work started talking to me about being in-volved and encouraged me to start go-ing to the continuing-education pro-grams. It was there that I met my most influential mentors; Humberto “Bert” Martinez, Carl “Fritz” Hayes, and my “godfather,” Dr. Eric Alvarez. I would need to agree with Past President The-resa Tolle, when approximately four years ago she was thanking her men-tors for being such an influence in her life, and somehow being responsible for awakening the passion we have in-side, and sometimes don’t let out.

Well, now I would like to take this opportunity to thank my wise and faithful guides who besides being close friends have been wise counselors in my life. They have always support-ed me and believed in me, even at my darkest hours when I did not believe in myself. They were the ones who were waiting for me when I lost my way like the “prodigal son.” They were the ones who helped me to see the importance of being involved, of sacrificing some of our own private time to make a dif-ference in our profession and our com-munity. It was especially Eric, who

was the one to first show me the impor-tance of being involved in the FPA. I started going voluntarily to the coun-cil meetings to see what it was all about and why he was so passionate about it. At that point I would think, is this guy crazy? Why would I want to spend a weekend in a boring meeting, trying to save the world, when I could be in Key West having fun?

Eric has been awarded numerous leadership and recognition of excel-lence awards from local, state and na-tional pharmacy associations. He has held different positions at the local and state levels. Well, he was right. He has been working most of his professional life for the betterment of the profession and the welfare of the patients. Eric showed me through his example, that we really can make a difference. It has been almost 10 years since I attended my first Executive Committee meeting with him as an observer. I now remem-ber being in an Executive Committee meeting of the FPA, now as a member, when Michael Jackson said if we real-

getting Out of the Box…

The President’s Viewpoint

Mayra gonzalez-Abreu

By MAyRA gONZAlEZ-ABREUgUEst COlUMNIst

J U N E 2 0 0 8 | 5

Page 6: June 2008 Florida Pharmacy Journal

ly wanted to help with the Immuniza-tion Bill, we needed to be in Tallahassee the following Tuesday. When I got home that Sunday night, I booked a flight, and I was there – no hesitations whatsoever. I feel very proud of being there the day that the Immunization Bill passed!

We need to serve as mentors to phar-macy students and our fellow colleagues and help them understand that we need to be proactive. Pharmacists need to be involved and make a difference in how we practice pharmacy. Positive changes will not happen by themselves. We need to make them happen! Pharmacists are one of the most trusted and respected health professionals. We need to show our patients they are our primary focus. We need to educate them and help them understand how much we care about their health, and improve their medica-tion management.

The other day, one of my best friends, more like a sister, Dr. Francienid Mo-rales, shared a story with me of a cellular salesman, Paul Potts, from England, who participated in and won the talent show, “Britain got Talent.” He was just a sim-ple man, with a dream to sing opera as a tenor. He sang Nessun dorma and when you listen to him it is like listening to Bo-celli or Pavarotti. It is a tribute to persis-tence and following your dream and the strength of the human spirit. The lesson of this story being that when there is a will there is a way. We need to fight for what we believe. We need to show our patients we care and that we can make a difference in their lives. We have that op-portunity every day in our practice, our social lives and in our day-to-day inter-actions. Our value, our public image, our future is in your hands; you decide each day whether change will be positive or not.

Let’s get out of the box and fight for our profession, and for the welfare of our patients!

“All’alba vincerò! Vincerò! Vincerò!” n

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

Chair................................................................................................................. Leo "Lee" FallonPresident ....................................................................................................Don BergemannPresident Elect ......................................................................................Norman TomakaTreasurer ...................................................................................................Michael A. Mone’APP Chair ......................................................................................................Suzanne KelleyHOD Speaker ................................................................................................... Goar AlvarezHOD Vice Speaker ..................................................................................Suzanne KelleyRegion 1 Rep ......................................................................................................Darrell MillerRegion 2 Rep ......................................................................................Allison UnderwoodRegion 3 Rep ........................................................................................... Anita ThompsonRegion 4 Rep ....................................................................................................... Tim RogersRegion 5 Rep ...............................................................................................Alice McNeeseRegion 6 Rep .......................................................................................................Kim MurrayRegion 7 Rep ..............................................................................Sharon Smith-WollnerRegion 8 Rep .......................................................................................................Tom CuomoRegion 9 Rep ............................................................................................Robert J. RennaRegion 10 Rep ....................................................................................................Ayala FishelRegion 11 Rep ............................................................................................................Bob HoyeRegion 12 Rep .....................................................................................John "Dolph" ConeRegion 13 Rep ..........................................................................................Alan OberlenderRegion 14 Rep .......................................................................................................Karen BillsFSHP President .............................................................................Christine GegeckasDean FAMU .................................................................................Henry Lewis, Pharm DDean LECOM .................................................................................. Gary Levin, Pharm DDean NOVA SE ....................................................................Andres Malave, Pharm DDean PBAC ..................................................................................... Dan Brown, Pharm DDean UF ............................................................................................... William Riffee, Ph.D.ASP President FAMU ..................................................................................Erin GaffneyASP President NOVA SE..................................................................Kimberly LamasASP President PBAC ......................................................................................Paul YoungASP President UF .........................................................................................Jennifer KimEducational Affairs Chair ..................................Carmen Aceves-Blumenthal Organizational Affairs Chair .................................................................Alex PytlarzProfessional Affairs Chair................................................................Don ThibodeauPublic Affairs Chair ............................................................Mayra Gonazlez-AbreuJournal Board Chair ....................................................................Peggyann ZaengerFoundation Executive Vice President .................................... Patsey PowersExecutive Vice President and CEO .......................................Michael Jackson

Chairman ...............................................Peggyann Zaenger, [email protected] Chair ...............................................................Gary Dalin, [email protected]/Treasurer ......................................Patsy Powers, Editor Emeritus

[email protected] ...........................................Greta Pelegrin, [email protected] ..............................................................Dick Witas, [email protected] ................................................Joseph Koptowsky, [email protected] .......................................................................Stuart Ulrich, [email protected] .......................Stephen Grabowski, [email protected] Editor ...............Michael Jackson, [email protected] Editor ..................Dave Fiore, [email protected]

2007/2008 FPA Executive Committee

Florida Pharmacy today Journal Board

6 | f L O r i d A P H A r m A c y t O d A y

Page 7: June 2008 Florida Pharmacy Journal

Executive InsightBy MIChAEl JACksON, RPh

Everyone has a passion in life whether we choose to accept it or not. Sometimes that passion

changes as life prepares us for differ-ent adventures. For example, we all remember what our motivating fac-tor was while we were in pharmacy school. The one mission in life was to find a way to successfully progress through a very challenging and com-prehensive academic curriculum. Ev-ery book that we read had something to do with pharmacy or health care written on the cover. We thought of nothing else until the day that we were handed our degrees. Our next passion was to spend countless hours review-ing material in preparation for the li-censure examination. Our focus did not change until we received that thin envelope from the Board of Pharmacy in the mail letting us know that we had successfully passed the licensure exam and we could now claim the status of Florida licensed pharmacist. Of course, if the package was a thick envelope we knew that the focus was not changing because the message from the board in-cluded instructions on how to reapply for the next test due to a low score.

The Florida Pharmacy Association has one such member whose passion we would like to share with you. ger-ald Murphy of Ormond Beach, Flori-da has made it a personal mission and crusade to educate the health care com-munity and public policymakers on is-sues surrounding expiration dating of prescription drugs. I can recall many years ago that it was quite uncommon for prescription drugs to have an expi-

ration date on the label. Some manufac-turers voluntarily placed these “beyond use” dates on their labeling during the 1960s. The FDA began requiring man-ufacturers to place expiration dates on prescription drug labeling in 1979 for purposes of facilitating uniform testing and reporting guidelines. In theory, the purpose of establishing an expira-

tion date is to draw a line on a perpetu-al calendar that defines whether or not a drug product is likely to be clinically effective at a given point in time.

Mr. Murphy (and to some degree this editor) has strong beliefs that a number of prescription drug products have viable clinical use significantly be-yond the published date of expiration on the label. For example, if a prescrip-tion drug product expires at midnight on June 30, 2008, does it mean that at 12:01 a.m. on July 1, 2008, that the prod-uct no longer is any good and should

be discarded? This is particularly in-teresting when consumers and health plans pay high prices for prescription drugs that are not always used. What is even more troublesome is that there is such significant waste that munici-palities are seeing trace amounts of pre-scription drugs in the drinking water. Some of this may be coming from med-ications flushed down toilets, washed down sink drains or even unmetabo-lized drug excreted into city and coun-ty water treatment systems and escap-ing through their filtration process.

Florida statutes 465.0255 require community pharmacists and dispens-ing practitioners to place the manu-facturer’s, repackager or distributor’s product expiration date on the dispens-ing label for medications that are dis-pensed to patients. The pharmacist may by option select an earlier beyond-use date provided that it is not more

By MIChAEl JACksON, RPh

FPA Member’s Crusade for the Truth: Are We getting Correct Information on

Expiration Dating?

By MIChAEl JACksON, FPA ExECUtIvE vICE PREsIDENt/CEO AND

Michael Jackson

In theory, the purpose of establishing an expiration date is to draw a line on a perpetual calendar that defines whether or not a drug product is likely to be clinically effective at a

given point in time.

J U N E 2 0 0 8 | 7

Page 8: June 2008 Florida Pharmacy Journal

Executive Vice President/CEOMichael Jackson

(850) 222-2400, ext. 200Director of Pharmacy Services

Tian Merren, ext. 120Director of Membership

Gillian Nolden. ext. 110Controller

Wanda Hall , ext. 211Pharmacy Services Admin. Asst.

Ranada Simmons , ext. 121Pharmacy Services Office Asst.

Stacey Brooks , ext. 122Communication Services Admin. Asst.

Leroy Smith , ext. 220Receptionist/Meeting Planner

Catherine Walker , ext. 230

FlORIDA PhARMACy tODAy BOARDChairman ...................Peggyann Zaenger, JacksonvilleVice Chair ....................................Gary Dalin, Delray BeachSecretary/Treasurer ..................................Patsy Powers, Editor Emeritus, TallahasseeMember ................................................Greta Pelegrin, MiamiMember ..................................................... Dick Witas, OdessaMember .................................... Joseph Koptowsky, MiamiExecutive Editor ........Michael Jackson, TallahasseeManaging Editor ........................Dave Fiore, TallahasseeMember .............................Stuart Ulrich, Boynton BeachMember ..................................Stephen Grabowski, Tampa

This is a peer reviewed publication. ©2008, FLORIDA PHARMACY JOURNAL, INC.ARTICLE ACCEPTANCE: The Florida Phar-macy Today is a publication that welcomes articles that have a direct pertinence to the current practice of pharmacy. All articles are subject to review by the Publication Review Committee, editors and other outside referees. Submitted articles are received with the understanding that they are not being considered by another publication. All articles become the property of the Florida Pharmacy Today and may not be published without written permission from both the author and the Florida Pharmacy Today. The Florida Pharmacy Association assumes no responsibility for the statements and opinions made by the authors to the Florida Pharmacy Today.

The Journal of the Florida Pharmacy Association does not accept for publication articles or letters concerning religion, politics or any other subject the editors/publishers deem unsuitable for the readership of this journal. In addition, The Journal does not accept advertising material from persons who are running for office in the association. The editors reserve the right to edit all materials submitted for publication. Letters and materials submitted for consideration for publication may be subject to review by the Editorial Review Board. FLORIDA PHARMACY TODAY, Annual sub-scription - United States and foreign, Indi-vidual $36; Institution $70/year; $5.00 single copies. Florida residents add 7% sales tax.

Florida Pharmacy association

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

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

FPA STAFF than one year. The pharmacist must be prepared to answer questions from the patient regarding the expiration date. There also are a significant number of Board of Pharmacy rules that require expiration dates on unit dose packag-ing.

The questions raised by gerald Mur-phy repeatedly have been how can pharmacists and dispensing practitio-ners be comfortable with publishing

an expiration date on a prescription la-bel when it is possible that these drugs are quite effective beyond the manufac-turer’s date of expiration? Indeed, it is highly possible that testing and compli-ance with good manufacturing practic-es only establishes a requirement for vi-able effectiveness of a prescription drug product for up to two years. It is pos-sible that some drugs may be good be-yond that time period though we do not know which ones. There are also issues surrounding the capacity for consumers to understand optimal storage require-ments of certain drugs. Still, Mr. Mur-phy raises an interesting question. Just think about Aunt Sarah who had her drug therapy changed shortly after re-ceiving a 90-day supply from her mail-order pharmacy. (Aunt Sarah has a master’s degree in drug therapy design and three PhD’s in medicinal chemis-try and should understand drug stabil-ity). Three years later, Aunt Sarah sees her physician and was placed back on the original medication with the same dosing instructions that are printed on the prescription label on the bottle still in her medicine cabinet. Unfortunate-ly, the medication is labeled as expired and in theory would not be effective. Or

is it?gerald Murphy’s passion is well

known among FPA leadership, the Board of Pharmacy as well as state and federal government. He has writ-ten numerous letters questioning the validity of the current expiration dat-ing system and has challenged policy-makers to look into this issue. You can even find information on his Web site www.expirationdates.info. While not

all may be in agreement with gerald, I for one will rise and applaud him for his devotion to his passion and his te-nacity to advocate for an issue. We can all learn from gerald’s commitment and apply his resolve to many issues facing our profession. There are more than 24,000 Florida licensed pharma-cists. I get chill bumps thinking about the many things the FPA could accom-plish if all of these pharmacists rallied behind an issue like gerald has on his crusade. n

The questions raised by Gerald Murphy repeatedly have been how can pharmacists and dispensing practitioners be comfortable with publishing an expiration date on a prescription label when it is

possible that these drugs are quite effective beyond the manufacturer’s date of expiration?

8 | f L O r i d A P H A r m A c y t O d A y

Page 9: June 2008 Florida Pharmacy Journal

Regulating Pharmacy technicians sB1360Requires the Board of Pharmacy to adopt rules on regis- n

tration. Requires registered technicians to be 17 years old. n

Requires 20 hours of CE (4 hours live, 2 hours med errors). n

Registration must be available to the public as well as n

board inspectors. Pharmacy interns exempt from registration. n

Technician students exempt from registration. n

Pharmacist with discipline not eligible to register as tech- n

nician. By January 1, 2011, Registered Technicians must have n

Completed a Board approved training program or ●

Have completed a certification program approved by ●

NCCA orHave worked a minimum of 1,500 under a licensed ●

RPhSB1360 also removes the 12-year requirement for pharma- n

cists to have to take NAPLEx requirement if transferring their licenses to Florida.Currently waiting on the governor's signature n

Revisions to Pedigree laws hB7049Revises and clarifies Florida wholesaling laws. n

Increases allowable intercompany transfers from one to n

two. Wholesaler not required to open a sealed medical conve- n

nience kit to authenticate a pedigree. Exempts out of state manufacturers from having to get a n

permit if shipping to a licensed instate manufacturer for research and development purposes. Creates the following two new permits: n

Logistics Warehousing Permit ●

Physician group practice purchasing permit ●

Signed into law by governor Crist n

Orthotics, Prosthetics and Pedorthics hB607Revises Orthotics, Prosthetics and Pedorthics practice act n

created in 1997. Pharmacists have been exempted from having to register n

under this act. Draft bill could have removed the grandfather clause and n

affected those pharmacies providing this service. The FPA was successful in advocating for the retention of n

the exemption for pharmacies that provide certain O & P services.Signed into law by governor Crist n

2008 Legislative RecapAggressive Advocacy Efforts Help Advance Pharmacy Profession

A significant portion of FPA resources are allocated toward a very com-prehensive and robust advocacy program. This includes the contracting and management of legislative consultants, publication of advocacy efforts, grassroots involvement and communication, and maintaining the viability of our political action committee. Of the dues paid by member pharma-cists, the majority is used to offset the costs to manage this program. The Association is pleased to report that our efforts have again been success-ful with the passage of several bills favorable to the profession of phar-macy and the successful defense of harmful legislation. The Association worked with a number of organizations including the Florida Society of

Health System Pharmacists on a number of bills and initiatives affect-ing the profession and business of pharmacy. Please note the fol-

lowing legislative issues:

LEgISLATIon THAT PASSED

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Impaired Practitioner treatment Programs sB2598

Authorizes Department of Health to contract with the n

physicians’ recovery network (PRN) consultants to pro-vide treatment programs for medical students. The original bill was designed to allow impaired medical n

and nursing school students to be referred to PRN, how-ever the legislation did not include pharmacy. FPA advocates worked with bill sponsors to include phar- n

macy school students.Signed into law by governor Crist n

Mandatory Insurance Coverage for Autism sB2654

Requires insurance companies to cover up to $36,000 an- n

nually in treatment benefits for behavioral analysis and speech therapy. Includes a lifetime benefit of $200,000. n

Coverage becomes mandatory in 2 years. n

Signed into law by governor Crist n

health Insurance Claims Payments sB1012Revises laws related to health insurance benefits pay- n

ments. Requires insurance plans to pay licensed hospitals, physi- n

cians, dentists and licensed ambulance providers regard-less of whether or not they are part of a network. The Florida Pharmacy Association was interested in this n

bill and how pharmacy could be a part of the plan to help with restricting plans from recouping overpayments from several years back. Claims of overpayment by insurers for certain provider n

groups have been limited to 12 months. While we were not successful in getting pharmacy writ- n

ten into this bill, we did secure a commitment from the House sponsor to assist us with PBM issues for 2009.Currently waiting on governor's signature n

Medicaid Appropriations hB5001Lowers pharmacy reimbursement by 1%. n

Increases discount off AWP from AWP-15.4% to n

AWP-16.4%. Decreases WAC + percentage from WAC+5.75% to n

WAC+4.75%. A number of health care programs have been cut due to n

declining state revenues. Pharmacy cuts have not been as severe as reductions to n

other health care provider groups.Signed into law by governor Crist n

health and human services Conference Report Issues

Department of Health was directed to study pharmacy n

practice act requirements for drug substitution. Study panel consists of the following: n

Board of Medicine appointee ●

Florida Academy of Family Physicians appointee ●

Florida Kidney Foundation appointee ●

Florida Epilepsy Foundation appointee ●

Florida Board of Pharmacy appointee ●

Study should include a review of the current pharmacist n

substitution laws related to patient safety and physician notification. The Association has concluded that the makeup of the n

study panel is unbalanced resulting in a biased conclu-sion. Approved by governor Crist n

Other items included in the 2008 budgetFunding for a satellite pharmacy school program in Crest- n

view, Florida. Funding for Florida residents enrolled at Nova Southeast- n

ern and Lake Erie Colleges of Pharmacy. Funding to renovate and update existing pharmacy build- n

ings on FAMU’s campus.Approved by governor Crist n

Physician Assistants Prescribing hB989Expands prescribing authority of physician assistants. n

Removes parenteral preparations and antipsychotics from n

the list of drugs PAs are prohibited from prescribing. grants authority of the physician assistant council to n

change the PA formulary. Does not mandate that the council change the formulary. n

Signed into law by governor Crist n

LEgISLATIon THAT DID noT PASSPharmacist licensure by Endorsement sB334

Originally filed to change laws on licensure transfer and n

technician regulation. Technician regulation language removed early in the ses- n

sion. Passed by the full Senate. n

This issue was not taken up by the Florida House. n

Reproductive services and Family Planning (sB780, hB385)

Would have required pharmacists to provide emergency n

contraceptives. Would have required pharmacies to ensure that employ- n

ees did not mistreat customers requesting EC services. FPA was successful in amending the bill to include a con- n

science belief statement. FPA also advocated that the provision of such services be n

done pursuant to the presentation of a valid prescription.

10 | f L O r i d A P H A r m A c y t O d A y

Page 11: June 2008 Florida Pharmacy Journal

Organ Donation – Immunosuppressant Drugs (sB2242, hB673)

Originally filed to require written or oral authorization n

of prescriber prior to interchanging medications used for transplant patients. FPA worked with a coalition to oppose legislation. n

Similar legislation passed 2007 legislature but was vetoed n

by governor Crist.Restriction on substitution of Epilepsy Drugs (hB811, sB2414)

Would have prohibited pharmacists from interchang- n

ing medications without prior written authorization from both prescriber and patient. Similar legislation was heard during the 2007 legislature. n

Bill was never heard in committee. n

Controlled substance Monitoring Database hB1011, sB1550

Would have required the Department of Health to design n

and implement an electronic system that monitors the pre-scribing and dispensing of controlled substances. Initially planned as a pilot project in Broward and Palm n

Beach counties. Exempted certain facilities from having to comply. n

Compounding for Office Use hB1129, sB2588Would have allowed pharmacists to compound medica- n

tions for use in physician offices. Would have allowed special parenteral or enteral extend- n

ed scope pharmacies to distribute compounded and pre-packaged products to institutional pharmacies or dispens-ing practitioners. Bills did not get a hearing due to manufacturer opposi- n

tion.

Regulation of the sale of Ephedrine and Related Compounds (s1388)

Would have required a retailer to maintain a written or n

electronic log of the sale of ephedrine products. Would have directed the Department of Health (subject n

to funding) to provide no cost access to the electronic log-book. Access to electronic records would be allowed by law en- n

forcement. There was no House companion bill. n

Florida saves On Rx Program sB 1542Would have directed the Agency for Health Care Admin- n

istration (AHCA) Secretary to contract for a system to pur-chase prescription medications from authorized pharma-cies. Pharmacies could be either within or outside the United n

States. There was no House companion bill. n

Expansion of Cancer Drug Donation Program (hB7063)

Designed to expand the use of donated prescription drugs n

from just cancer drugs to all prescription drugs. Controlled drugs would not have been included. n

The bill appears to expand the participating pharmacy to n

all permits as well as dispensing practitioners. The bill passed the House with no objections but was not n

taken up by the Senate.There was no Senate companion bill. n

Since July of 2007, the Florida Pharmacy Association has delivered 38,405 messages to FPA network members. Mem-bers have used these messages and the tools provided by the FPA to reach out to legislators and ask for their support or op-position to the various issues that affect our profession. Ad-vocacy programs help policy makers from enacting laws and regulations that create barriers to good patient care. On be-half of the members of the Legislative Committee and the leadership of the Florida Pharmacy Association, we thank you for your support.

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Page 12: June 2008 Florida Pharmacy Journal

Are you “in the Loop?”

statnews is a member service of the Florida Pharmacy Association. For membership information, contact [email protected] or call 850-222-2400 and ask for Gillian.

Don’t miss the next issue of the all-new StatNews, the FPA’s official e-mail newsletter.

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

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Page 13: June 2008 Florida Pharmacy Journal

Please Print

Name

address

City

state ZiP

EndowmEnt FundraisErHyatt Regency grand-Cypress, Orlando, FLJuly 11, 2008

Enclosed is my check in the amount of $_____________Make Your Check Payable to: Florida Pharmacy Foundation Endowment Fund610 North Adams St , Tallahassee, FL, 32301

Please Charge My Credit Card:q MasterCardq VISAq Discover

Card No.

exP. date

sigNature

Y o u r d o n a t i o n i s t a x d E d u c t i b l E

*Assuming the receipt of 600 entries. In the event 600 entries are not received, prizes will be reduced proportionally. A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE 1-800-435-7352

WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATION BY THE STATE.

$100 Donation to the Endowment Fund Gets You a Ticket for the Annual Drawing at Hyatt Regency Grand-Cypress, Orlando, FL – July 11, 2008

one winner at $10,000*one winner at $3,000*two winners at $1,000*ten winners at $500*Fourteen chances to win. You do not need to be present to win

Support Your Scholarship

Program

our Goal is a $300,000 EndowmEnt Fund

Florida PHarmacY Foundation

Scholarship Endowment FundraiserwE nEEd Your HElP…and contributions

You can make multiple ticket sale forms by duplicating this form. Multiple forms can be mailed in one envelope.ticKEt salE

onlY

600ticKEts

Page 14: June 2008 Florida Pharmacy Journal

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MRC volunteers include health care professionals such as physicians, nurses, pharmacists, dentists, veterinarians, and epidemiologists. Other community members such as interpreters, chaplains, office workers, and legal advisors can fill other vital support positions.

H

MRC Can Enhance Public Health By: MRC Emergency Preparedness Volunteers: Supplementing public health preparedness & responseImproving health literacyEliminating health disparitiesEnhancing public health preparednessHelping at community health events

Log on to - www.serv�.com - orcontact the Florida Medical Reserve Corps

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Page 15: June 2008 Florida Pharmacy Journal

Florida Pharmacy Association’s Florida Pharmacy Association’s 118TH Annual Convention

and Meeting Hyatt Regency Grand Cypress

One Grand Cypress Blvd. Orlando, Florida 32836

July 9-13, 2008

CONSULTANT PHARMACISTS ~ HOSPITAL PHARMACISTS ~ PHARMACY TECHNICIANS COMMUNITY PHARMACISTS ~ PRESCRIPTION DRUG WHOLESALER DISTRIBUTORS

LONG TERM CARE PHARMACISTS ~ PHARMACY STUDENTS

PRST STD U.S. POSTAGE

PAID TALLAHASSEE, FL

PERMIT # 801

Florida Pharmacy Association 610 North Adams St Tallahassee, Florida 32301

“Florida's Premiere Continuing Pharmacy Education Provider”

Florida Pharmacy Association’s Florida Pharmacy Association’s 118TH Annual Convention

and Meeting Hyatt Regency Grand Cypress

One Grand Cypress Blvd. Orlando, Florida 32836

July 9-13, 2008

CONSULTANT PHARMACISTS ~ HOSPITAL PHARMACISTS ~ PHARMACY TECHNICIANS COMMUNITY PHARMACISTS ~ PRESCRIPTION DRUG WHOLESALER DISTRIBUTORS

LONG TERM CARE PHARMACISTS ~ PHARMACY STUDENTS

PRST STD U.S. POSTAGE

PAID TALLAHASSEE, FL

PERMIT # 801

Florida Pharmacy Association 610 North Adams St Tallahassee, Florida 32301

“Florida's Premiere Continuing Pharmacy Education Provider”

Florida Pharmacy association’s

118TH Annual Convention and Meeting

Hyatt Regency Grand CypressOne Grand Cypress Blvd.Orlando, Florida 32836

July 9-13, 2008

Page 16: June 2008 Florida Pharmacy Journal

8:15AM – 8:30AM Program Objectives and Self-Study Review 8:30AM – 9:40AM Immunization Certificate Program Conference 9:40AM – 10:15AM Immunization Certificate Program Conference 10:15AM – 10:30AM BREAK 10:30AM – 12:00PM Immunization Certificate Program Conference 12:15PM – 1:15PM LUNCH 1:15PM – 3:30PM Immunization Certificate Program Conference 3:30PM – 3:45PM BREAK 3:45PM – 4:45PM Immunization Certificate Program Conference 4:45PM – 5:00PM Immunization Certificate Program Conference Wrap 5:00PM – 6:00PM Immunization Certificate Program Examination

ACPE # 202-165-06-118-H01 (Home Study) ACPE # 202-165-06-111-L01 (Live Presentation)

THE FLORIDA PHARMACY ASSOCIATION AND THE AMERICAN PHARMACISTS ASSO-CIATION ARE ACCREDITED BY THE AC-CREDITATION COUNCIL FOR PHARMACY EDUCATION AS A PROVIDER OF CONTINU-ING PHARMACY EDUCATION.

(SEATING FOR THIS PROGRAM IS LIMITED)

WEDNESDAY, JULY 9, 2008 PRE - CONVENTION EDUATIONAL PROGRAMS

IMMUNIZATION CERTIFICATION PROGRAM 8 HRS GCE

Facilitator: Suzanne Kelley, RPh, CPh, Covenant Hospice

4:00PM – 5:00PM HOUSE OF DELEGATES (HOD) BOARD OF DIRECTORS MEETING 5:00PM – 6:00PM FPA PACCE MEETING 6:00PM – 7:00PM BUDGET AND FINANCE COMMITTEE MEETING 6:00PM – 8:00PM FLORIDA PHARMACY FOUNDATION ANNUAL MEETING 7:30PM – 9:30PM OFFICER’S DINNER

7:00AM REGISTRATION DESK OPEN 8:00AM – 8:15AM WELCOME and INTRODUCTORY REMARKS

8:00AM – 8:50AM Wholesale Industry Perspective on Pedigree Requirements 1 hr. GCE/TECH Speaker: Elizabeth A. Gallenagh, Esq., Director, State Government Affairs, HDMA ACPE# 165-000-08-10-L04-P

8:50AM – 10:20AM Compliance with Florida Wholesaler Regulations and Laws 1.5 hrs GCE/TECH Speaker: Greg Jones, RPh., Compliance Manager, Florida Department of Health ACPE# 165-000-08-11-L04-P

10:20AM-10:30AM BREAK

10:30AM – 11:20AM NABP Perspective on Wholesale Drug Distribution 1 hr. GCE/TECHSpeaker: Joshua M. Bolin, Board Liaison, National Association of Boards of Pharmacy ACPE# 165-000-08-12-L04-P

11:20AM – 12:20 PM LUNCH SYMPOSIUM / Certified Designated Representative 1 hr. GCE/TECHSpeaker: Valeria Williams, Regulatory Supervisor, Florida Department of Health ACPE# 165-000-08-13-L04-P12:20PM – 1:10PM Examining the Impact of Amphetamine and Methamphetamine Precursor Division and Why It Affects The Pharmaceutical Industry 1 hr. GCE/TECHSpeaker:: John Mudri, Mudri Associates Incorporated, ADEA Consultancy ACPE# 165-000-08-14-L04-P 1:10PM – 1:50PM Inspector’s Perspective and Evaluation Criteria for Florida 1 hr. GCE/TECHSpeaker: Richard Sands, Statewide Inspection Manager, Florida Department of Health ACPE# 165-000-08-15-L03-P 1:50PM-2:00PM BREAK

2:00PM – 3:30PMPanel Discussion: Federal and State Pedigree Requirements 1.5 hrs. GCE/TECHFacilitator: Becky Poston Panel Members: Gregg Jones, Elizabeth A. Gallenagh, Joshua M. Bolin, Valeria Williams, John Mudri and Richard Sands ACPE# 165-000-08-16-L03-P

FPA REGULATORY AND LAW WHOLESALER CONFERENCE

8 HRS GCE

AFTERNOON

MORNING

EVENING

Acronym Key GCE = General Continuing Education TECH = Technician

The Florida Pharmacy Association (FPA) is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy educa-tion. See individual program descriptions for the Universal Program Numbers and number of CEUs. A statement of Continuing Pharmacy Education Credit will be provided within six weeks of the conclusion of the event to all paid registrants who attend the entire program. Please complete the program evaluation sheets and submit them with your attendance sheets prior to exiting the meeting location. The FPA is also a Florida Department of Health ap-proved provider of continuing education and will be reporting the course completion of all Florida licensed medical professionals to CE Broker.

The Pharmacy Technician Certification Board accepts many ACPE accredited programs for Pharmacy Technician Certification renewal.Technician Objectives for this program appear in red and are designated by (*) for each individual course. Courses that do not have red objectives contain course material applicable to Pharmacists and Technicians.

Contact the Florida Pharmacy Association if you need reasonable accommodations as defined by the Americans with Disabilities Act

Page 17: June 2008 Florida Pharmacy Journal

2:30PM-6:30PMJOURNAL BOARD MEETING

2:30PM-6:30PMEXHIBIT HALL GRAND OPENING

4:00PM-6:00PM FPA PACCE MEETING ADOPT-A-STUDENT and MENTOR SOCIAL

6:30PM-7:30PM FLORIDA PHARMACY FOUNDATION

RECEPTION SOCIAL 7:30PM—9:30PM 2 hrs. GCE/TECH12—STEP RECOVERY MEETING (Open to all attendees and spouses)

Facilitators: David Templeman, PharmD, Clinical Pharmacist Bertfish Medical Center and Nelson Naiman, RPh, Staff Pharmacist, Rxperts ACPE #. 165-000-07-019-L04-P ACPE #. 165-000-07-019-L04-T Upon completion of this program participants should be able to: Understand the disease state of addiction with a brief overview of the topic; Describe the signs and symptoms of chemical dependency, intervention, treatment and monitoring; Evaluate and educational example of a 12 step recovery and explain how it works

8:00AM – 8:50AM History of Medicare Modernization Act (MMA) 1 hr. GCE/TECHSpeaker: Goar Alvarez, PharmD, FASCP Assistant Dean for Pharmacy Services, Director of Pharmacy Operations, Nova Southeastern University ACPE# 165-000-08-021-L04-P ACPE# 165-000-08-021-L04-T Upon completion of this program participants should be able to: Describe the history leading up to the MMA; Examine the laws outlined in the MMA; Discuss the relationship between MMA and Medicare Part D; Examine who pays for MMA; Examine who receives payment for MMA * Describe the history leading up to the MMA; Define the laws detailed in the MMA; Discuss how the MMA affects health care

8:50AM – 9:40AM 1 hr. GCE/TECH The MTMS Business Plan and Dealing With Legal and Billing Issues Speaker: Dan Buffington, President and Chief Executive Officer, Clinical Pharmacology Services, Inc ACPE# 165-000-08-022-L04-P ACPE# 165-000-08-022-L04-TUpon completion of this program participants should be able to: Identify effective sources for business plan models; Differentiate between a service and product based business plan; Assess MTMS malpractice insurance and how it differs from traditional pharmacist liability insurance; Identify malpractice software *Identify a business plan to initiate MTMS; Recognize the legal issues involved in billing for MTMS; Illustrate methods to handle MTMS legal and billing issues

9:40AM – 9:50AM BREAK

9:50AM – 10:40AM 1 hr. GCE/TECH MTMS Documentation Speaker: Don Thibodeau, Clinical Pharmacists and CEO, The PillHelp Co., ACPE# 165-000-08-023-L04-P ACPE# 165-000-08-023-L04-TUpon completion of this program participants should be able to: Evaluate evolving MTMS documentation models and programs; Incorporate MTMS Core Standards into practice; Understand the value of effective documentation; Evaluate documentation tools and select tools that fits your professional needs as a Pharmacists *List necessary elements needed for MTMS documentation; Identify where to locate and retrieve the appropriate paperwork; Prepare a record keeping system of MTMS documentation

10:40AM – 11:.30AM 1 hr. GCE/TECH Delivering MTMS To The Senior Population Speaker: Jeff Delafuente, Associate Dean for Professional Education, Professor and Director of Geriatric Programs, Virginia Commonwealth University ACPE# 165-000-08-027-L04-P ACPE# 165-000-08-027-L04-T Upon completion of this program participants should be able to: Upon completion of this program participants should be able to: Identify unusual presentations of adverse drug events in older patients; Describe unique aspects of delivering MTM to a senior population; Discuss risk factors that predispose elderly people to experience adverse drug events and how MTM can decrease the risk; Identify sources of MTM referrals for the senior population * Explain the MTM process to the senior population; Describe techniques to provide MTMS to the senior population; Define unique aspects of delivering MTMS to seniors.

11:30AM – 11:40AM BREAK

11:40PM-12:30PM 1 hr. GCE/TECH Overcoming the Barriers to MTMS Implementation Speaker: Richard Marasco, BS Pharm., FASCP, CGP, HRM ACPE# 165-000-08-024-L04-P ACPE# 165-000-08-024-L04-TUpon completion of this program participants should be able to: List personal and professional barriers to the implementation of MTMS; Perform an analysis of the resources, both currently available and those missing needed to implement MTMS in your practice; Describe program and strategies that may be employed o overcome identified barriers in the implementation of MTMS * List barriers to implementing MTMS; Identify how barriers affect MTMS in detail

7:00AM REGISTRATION DESK OPEN

MORNING

AFTERNOON

EVENING

“MEDICATION THERAPY MANAGEMENT TOOLKIT FOR PHARMACISTS”

THURSDAY, JULY 10, 2008

12:30PM – 1:30PM ANNUAL BUSINESS MEETING AND LEGISLATIVE UPDATE

LUNCH AVAILABLE FOR PURCHASE

12:30PM-1:30PM LUNCH

“Laughter: A Healthy Influence” Besides being a well-known Southern artist, Larry Wamble is also one of the most sought-after pro-fessional speakers and humorists in America today.

Larry was a practicing retail pharmacist, success-ful businessman and dedicated civic leader for over twenty years, serving along the way as a city councilman, justice of the peace, bank director, professional association president, national advi-sory board member, political fund-raiser and an advisory board member to a major university. His diversified background and the qualities that allow him to entertain his audiences are very

evident in his art. He simply makes people feel good. Larry's artwork, along with his original slogans, are definitely "feel goods," allowing the viewer to recall good times with cherished friends, to relish a light-hearted, yet thought-provoking experience.

Upon completion of this program participants should be able to: Describe the importance of developing and maintaining rewarding individual rela-tionships in professional and private settings; Explore the positive effects of humor in dealing with everyday situations in the workplace and as a tool in building patient confidence; Learn the value of personal attitude in dealing with stress in the professional setting and improving an individ-ual’s positive and creative outlook of the future; Explore the basics of human nature and how they affect occupational events and personal ac-tions; Reveal the healthy influence of laughter as it relates to a positive mental attitude as well as to physical well-being.

ACPE# 165-000-08-046-L04-P ACPE# 165-000-08-046-L04-T

Larry Wamble

1:30PM-2:30PM KEYNOTE ADDRESS

AFTERNOON

12:30PM-2:30PM CE PROVIDER WORKSHOP

Acronym Key: GCE = General Continuing Education RC = Consultant Recertification TECH/ * = Pharmacy Technician

INVT = Invitation OnlySTC = Student Education

Page 18: June 2008 Florida Pharmacy Journal

FRIDAY, JULY 11, 2008

8:00AM – 8:50AM Opportunities in Employer Based Health Care 1 hr . GCE/TECHSpeaker: Katherine Heller, Assistant Professor of Pharmacy Practice, Palm Beach Atlantic University ACPE# 165-000-08-028-L04-P ACPE# 165-000-08-028-L04-T Upon completion of this program participants should be able to: Define employer-based health care (EBHC); Briefly overview the economics driving employer-based health benefits decisions ; Discuss recent trends in EBHC; Identify MTMS opportunities for pharmacists in EBHC; Introduce working models of RPH-directed EBHC initiatives * Define Employer based health care system; De-fine possible challenges with MTMS in the health care system

8:50AM – 9:40AM Clinical and Patient Documentation / 1 hr. GCE/TECH Examining the Patient Chart Speaker: Richard Finkel, PharmD, Assistant Professor, Pharmaceutical Studies, Nova Southeastern University ACPE# 165-000-08-029-L04-P ACPE# 165-000-08-029-L04-T Upon completion of this program participants should be able to: Manage the patient’s overall medication-related health issues utilizing the five core elements of Community Pharmacy MTMS; Examine patients history, labs and total medication list along with personal interview to solve or prevent medication and health problems; Create a plan of action based on the patient’s personal medication record to optimize medical outcomes and improve quality of life; Practice Documentation of Services for evaluating progress and billingIssues * Express the importance of documentation; Collect information for clinical and patient documentation; Interpret information from a patient chart

9:40AM – 9:50AM MTMS TRACK BREAK

9:50AM-10:40AM The Expanding World of Electronic Prescribing 1 hr. GEN/TECH Speaker: Ken Whittemore, Jr., R.Ph., MBA, Senior VP, Clinical Practice Integration, SureScripts ACPE# 165-000-08-031-L04-P ACPE# 165-000-08-031-L04-T Upon completion of this program participants should be able to: Define what is meant by true electronic prescribing connectivity and briefly describe its bidirectional nature; List three potential benefits of e-prescribing connectivity to patients , pharmacists, prescribes, and other important stakeholders * Define e-prescribe and explain when e-prescribing is appropriate

7:00AM REGISTRATION DESK OPEN

MORNING

7:30AM GOLF TOURNAMENT

Acronym Key: GCE = General Continuing Education RC = Consultant Re-certification TECH/ * = Pharmacy Technician INVT = Invitation Only

8:00AM TENNIS TOURNAMENT

8:00AM -9:45AM LOCAL UNITS LEADERSHIP MEETINGS

1:00PM-3:00PM MTMS Panel Discussion 2 hrs. GCE/TECH Facilitator: Don Thibodeau Panel Members: Dan Buffington, Goar Alvarez and Richard Finkel ACPE# 165-000-08-049-L04-P ACPE# 165-000-08-049-L04-T Upon completion of this program participants should be able to: Give a brief overview of the economic conditions driving EBHC; Discuss creation and implementation of a plan of action to based on participants medication records; Identify types of malpractice and advantages and disadvantages to use

1:00PM – 2:40PM Over-The-Counter (OTC) Medications 2 hrs. GEN/TECH/STC Speaker: Reginald Harris, PharmD, MBA, RPh, President and Founder, InfoSource Communications, LLC ACPE# 165-000-08-047-L04-P ACPE# 165-000-08-047-L04-T Upon completion of this program participants should be able to: List reasons why some products may be sold OTC; Understand the dangers of OTC medications; List general safety tips and common interactions; Interpret a drug label; Discuss alternative medicines; Identify reasons vitamins may not always be safe medications

MORNING

11:00AM – 11:50AM North American Board of Pharmacy 1 hr. STC License Examination (NAPLEX) Review Speaker: Dell Robertson, PharmD, MBA, Assistant Professor, Pharmacy Practice, Florida A&M University Upon completion of this program participants should be able to: Review the fundamental areas of competence: managing drug therapy, safety and accu-racy, preparing and dispensing medications and providing drug information and promoting public health

10:00AM-12:00PM DELEGATE REGISTRATION

11:30AM-1:00PM LUNCH

3:00PM-5:00PM HOUSE OF DELEGATES 3:00PM-3:50PM Issues Presentation: PTCB Certification 1 hr.GCE/TECH/STC Speaker: Melissa Murer Corrigan, Executive Director and CEO, PTCB ACPE# 165-000-08-10-L04-P ACPE# 165-000-08-10-L04-TUpon completion of this program participants should be able to: Examine advances made for the workforce and the Certified Pharmacy Technician; Review snapshot of technicians in FL; Discuss PCTB and NCCA standards

4:30PM-6:00PM Poster Presentations

AFTERNOON

STC = Student Education

“MEDICATION THERAPY MANAGEMENT TOOLKIT FOR PHARMACISTS”

EVENING

4:30PM—7:00PM EXHIBIT HALL RE-OPENS 5:30PM Golf Winners Announced 6:00PM-7:30PM Past Presidents, Unit Assoc. and Student Leadership Reception (INVT Only) 7:00PM-9:00PM University Receptions 8:00PM-9:00PM #1 Club Reception (INVT Only)

8:50AM – 10:30AM Reducing Medication Errors Through 2 hrs. GCE/TECH Implementing a Continuous Quality Improvement Program Speaker: Michael Jackson, Florida Pharmacy Association Executive Vice President and Chief Executive Officer ACPE# 165-000-08-030-L03-P ACPE# 165-000-08-030-L03-T Upon completion of this program participants should be able to: Define elements of a Continuous Quality Improvement (CQI) Program; Restructure a pharmacy practice to address quality related events; Analyze some common causes of quality related events; Implement an action plan to address quality of care in pharmacies with a goal towards error reduction and prevention; Recite quality improvement regulations for Florida pharmacies * Define CQI; List most common medication errors; Employ techniques to reduce medication errors by using CQI

9:00AM-10:50AM 2 hr. GEN/TECH/STC National Alliance of State Pharmacy Association (NASPA) and Non Prescription Medicines Academy (NMA) Facilitator: Tian Merren, PharmD., Director of Pharmacy Services, FPA ACPE# 165-000-08-10-L04-P ACPE# 165-000-08-10-L04-TUpon completion of this program participants should be able to: Identify and explain aspects of the effective and safe practice of pharmacy self-care treatments through the process of answering a selected group of questions similar to what one would experience on a national board exam; Analyze the usage and effectiveness of over the counter medications; Classify different groups of over the counter medications based on drug treatment classes.

10:40AM-11:30AM Resources Available for MTMS 1 hr. GEN/STC/TECH Speaker: Jennifer Pytlarz, PharmD., Clinical Coordinator, Publix Supermarkets, Inc ACPE# 165-000-08-033-L04-P ACPE# 165-000-08-033-L04-T Upon completion of this program participants should be able to: Discuss common MTMS platforms to help facilitate initiating an MTM service; Identify various MTMS resources for documenting, billing and marketing MTM services; Describe various strategies to stay current with information on therapeutics, evidence-based medicine and clinical practice guidelines;* Review the resource tools available to enhance MTM

10:00AM – 12:50PM Ordering and Evaluation Laboratory Data 3 hrs. GCE/TECH To Improve Patient Outcomes Initial Lab Certification// Recertification Facilitator: A.J. Jackson, Manager, RPh, Strategic Projects-Inland Empire ACPE# 165-000-08-032-L04-P ACPE# 165-000-08-032-L04-T Upon completion of this program participants should be able to: Select appropriate laboratory tests for patient care; Identify and avoid common problems associated with the use, ordering and interpretation of lab tests; Interpret laboratory values to monitor and improve pharmacotherapy; Discuss the legal aspects, restrictions and requirements for order and evaluation of lab studies; Document pharmaceutical care inventions

6:30-7:30AM CHRISTIAN RPH BREAKFAST

Page 19: June 2008 Florida Pharmacy Journal

SATURDAY, JULY 12, 2008 “ALZHEIMER’S AND THE PHARMACIST”

7:00AM REGISTRATION DESK OPEN

MORNING

8:00AM – 8:50AM Diagnosis and Treatment of 1 hr. GCE/TECH/RC Alzheimer’s Disease Speaker: Angela Massey Hill, PharmD., BCPP, RPh, Professor, Director of Pharmacy Practice, Florida A&M University ACPE# 165-000-08-035-L04-P ACPE# 165-000-08-035-L04-T Upon completion of this program participants should be able to: Describe the symptoms of Alzheimer’s disease; Discuss the diagnostic measures used to evaluate Alzheimer’s disease; Describe the role of the Pharmacist in diagnosing Alzheimer’s disease; Compare and contrast treatment options used to treat Alzheimer’s disease; Describe the role of various imaging techniques used to augment the diagnosis and treatment of Alzheimer’s * Recognize the signs and symptoms of Alzheimer’s; Describe the progression of Alzheimer’s; List various treatment options to manage Alzheimer’s

8:50AM – 9:40AM New Directions in Alzheimer’s Research 1 hr. GCE/TECH/RC Speaker: Amanda G. Smith, MD, University of South Florida Suncoast Alzheimer’s & Gerontology Center ACPE# 165-000-08-036-L04-P ACPE# 165-000-08-036-L04-T Upon completion of this program participants should be able to: Identify facts about Alzheimer’s including risk factors, basic pathology, symptoms and course; Discuss current treatments available for Alzheimer’s and state their limitations; List and explain the commonly used medications for treating behavioral prob-lems associated with Alzheimer’s and other dementias; Review treatment op-tions * Compare standard treatment options for cognitive and behavioral symp-toms; List alternative therapies for Alzheimer’s; Identify clinical studies in the Alzheimer’s field

9:40AM – 10:10AM BREAK

10:10AM –11:00AM Non Alzheimer’s Dementias 1 hr. GCE/TECH/RC Speaker: Kristin Fargher, MD, University of South Florida, Suncoast Alzheimer’s and Gerontology Center ACPE# 165-000-08-037-L04-P ACPE# 165-000-08-037-L04-TUpon completion of this program participants should be able to: Discuss the epidemiology of the various types of dementias; Discuss clinical characteristics of non-Alzheimer’s dementias syndromes; Analyze pharmacological options and challenges in treating non-Alzheimer’s dementia syndromes * Definenon-Alzheimer’s dementia; Recognize signs and symptoms of dementia; Discuss disease states that lead to dementias other than Alzheimer’s

11:00AM – 11:50AM Understanding Cognitive Loss and How it 1 hr. GCE/TECH/RC Affects Patients with Alzheimer’s Speaker: Eileen Poiley, Director of Education, University of South Florida, Suncoast Alzheimer’s and Gerontology Center ACPE# 165-000-08-038-L04-P ACPE# 165-000-08-038-L04-TUpon completion of this program participants should be able to: Specify the mental processes lost due to cognitive decline; State the effect of cognitive losses on behav-iors and communication; Describe the changes in memory and language of the demen-tia patient; Discuss the implications for the caregivers as the cognitive functionsdecline * Define cognitive loss; Explain the progression of cognitive injury to patients and their families; Recognize signs of cognitive loss in Alzheimer’s patients

1:00PM – 1:50PM New Drug Update 1 hr. GCE/TECH/STCSpeaker: Dan Hussar, PhD, Remington Professor of Pharmacy ACPE# 165-000-08-039-L04-P ACPE# 165-000-08-039-L04-TUpon completion of this program participants should be able to: Discuss the aspects of some of the new drugs: Approved and off-label indications; contradictions; clinical pharmacology and pharmacokinetics; instructions for uses; additional counsel-ing information; Potential drug interactions

1:00PM – 1:50PM Understanding the Role of the Caregiver 1 hr. GCE/TECH/RC and Strategies to Cope with Caregiver Stress Speaker: Angela Massey Hill, PharmD., BCPP, RPh, Professor, Director of Pharmacy Practice, Florida A&M University ACPE# 165-000-08-040-L04-P ACPE# 165-000-08-040-L04-TUpon completion of this program participants should be able to: Identify responsibilities of caregivers in dealing with patients with Alzheimer’s disease; Review challenges in dealing with patients with Alzheimer’s disease; Describe strategies for caregivers to handle the stress associated with Alzheimer’s disease *Discuss the role of the care giver; Understand the physical and mental strain on the care giver; Recognize coping strategies for care giver stress

1:50PM-2:40PM Communication and Behavior 1 hr. GCE/TECH/RC Management Strategies Speaker: Eileen Poiley, Director of Education, University of South Florida Suncoast Alzheimer’s and Gerontology Center ACPE# 165-000-08-041-L04-P ACPE# 165-000-08-041-L04-TUpon completion of this program participants should be able to: Describe strategies for effectively communicating with the Alzheimer’s patient to prevent behavior prob-lems and maximize quality of life; Examine non-pharmacological approaches to man-aging difficult behaviors; Differentiate between primary symptoms and behaviors in the Alzheimer’s individual; Identify common misperceptions, ineffective approaches and behavioral concerns of care givers * Understand the effects communication and behavior change in the course of Alzheimer’s disease; Identify ways to manage com-munication difficulties; List strategies to cope with memory and behavioral loss

10:10AM-11:50AM 2 hr. GEN/TECH/STC The Pharmacy Career Forum Facilitator: James B. Powers, RPh., Past President; FPA Speakers: Bob Fishman, Hollywood-Bio-Equivalent Hormone Replacement Therapy; Carsten Evans, Ph.D, Assistant Dean for Continuing Education and Professional Affairs, Nova Southeastern University; Lois Adams, Wellness Practice; DeAnn Mullins, RPh, CDE and Stuart Shipe, RPh, D.O.M., Dipl. Ac& CH ACPE# 165-000-07-022-L04-P ACPE# 165-000-07-022-L04-TUpon completion of this program participants should be able to: Describe the difference between residency and fellowship; Examine different career options available to pharmacists; List personal strengths and weaknesses to consider when contemplating career choices; Describe practice setting that best suits the individuals skills and abilities

AFTERNOON

1:00PM-2:30PM DELEGATE REGISTRATION

2:40PM-4:30PM HOUSE OF DELEGATES RECONVENES

The New 118th ANNUAL AWARDS PRESENTATION AND JAZZ CAFÉ 6:00PM-10:00PM

We are thrilled to bring singer, songwriter and saxaphonist Stacey Knights to the stage as the star of the Jazz Café and Award’s reception. She is a native of Massachusettes but currently resides in southwest Florida. Audiences have come to love and admire her blend of Adult Contemporary and pop-jazz influenced sound.

The attire for the Jazz Café and Awards Presentation is Business Casual in “Shades of Black and Grey”. Come help the Florida Phamacy Assocation recognize the best in the profession of pharmacy in beautiful Orlando, Florida.

EVENING

12:00PM-1:00PM LUNCH

Acronym Key: GCE = General Continuing Education RC = Consultant Recertification

TECH/ * = Pharmacy Technician INVT = Invitation OnlySTC = Student Education

WANT TO JOIN THE FLORIDA PHARMACY ASSOCIATION?WANT TO JOIN THE FLORIDA PHARMACY ASSOCIATION?

CONTACT THE FPA MAIN OFFICE AT 850CONTACT THE FPA MAIN OFFICE AT 850--222222--2400 or 2400 or VIEW OUR MEMBERSHIP INFO ON THE NET AND VIEW OUR MEMBERSHIP INFO ON THE NET AND

REGISTER ONLINE AT www.pharmview.comREGISTER ONLINE AT www.pharmview.com

“SEE ANY MEMBER OF THE FPA STAFF FOR ASSISTANCE”“SEE ANY MEMBER OF THE FPA STAFF FOR ASSISTANCE”

Page 20: June 2008 Florida Pharmacy Journal

9:00AM-9:50AM Pharmacist’s Screening in 1 hr. GCE/TECH/RC the Community Speaker: Suzanne Kelley, RPh, CPh, Covenant Hospice ACPE# 165-000-08-042-L04-P ACPE# 165-000-08-042-L04-TUpon completion for this program participants should be able to: Identify the 10 warnings signs of Alzheimer’s disease; Understand the difference between Alz-heimer’s diseases and other types of dementia; Describe the stages of the diseases and the “treatment”; List the causes and risk factors; Suggest “tips” to caregiver; Know when and where to refer * Recognize the 10 warning signs of Alzheimer’s diseases; Differentiate other types of dementia and Alzheimer’s disease; Under-stand that the different stages of the disease; Know the various risk factors and possible causes; Recommend “caregiver tips”: List groups, agencies and websites and other “support” to the caregiver

9:50AM-10:40AMHospice and Palliative Care 1 hr. GCE/TECH/RC Speaker: Suzanne Kelley, RPh, CPh, Covenant Hospice ACPE# 165-000-08-043-L04-P ACPE# 165-000-08-043-L04-TUpon completion of this program participants should be able to: Compare the definition of hospice care and palliative care; Know the history of hospice and its “modern” movement; Identity the members of the interdisciplinary team (IDT) and their importance in the patient’s care; Describe the six constituents of EOL care; Understand the vital of the pharmacists in the care of the “terminal patient”; Real-ize th4e IMPORTANCE of symptoms management in the hospice patient * Define hospice care and palliative care; Understand the hospice history and how it came to the United States; Identify the hospice interdisciplinary team (IDT) members and their role in caring for the patient

10:40AM-11:30AM The Pharmacists and Cognitive Impairment 1 hr. GCE/TECH/RC and the Treatment of Contributing Factors Speaker: Michael Franz Raab, M.D. ACPE# 165-000-08-000-L04-P ACPE# 165-000-08-000-L04-TUpon completion of this program participants should be able to: Understand the role of homocysteine as a risk factor for Alzheimer’s disease; Discuss the meta-bolic pathways relating to homocysteine; Examine the impact of Vitamins B12, B6 and Folate on homocysteine * Define homocysteine; Examine the relationship between homocysteine and Alzheimer's disease

The Florida Pharmacy Association is the largest and oldest organization represent-ing the profession of pharmacy in Florida. The Association represents members on issues of economics, political action, and public relations in the interest of phar-macy. The FPA promotes, supports and provides education and research for the enhancement of professional, management and leadership develop-ment. It establishes and promotes standards of practice and ethics for the delivery of pharmaceutical care. The FPA also identifies, evaluates and responds to trends and events that impact pharmacy and health care delivery. The Association takes pride in providing effective communications between pharmacists, healthcare organiza-tions and the public.

SUNDAY, JULY 13, 2008

MORNING

“ALZHEIMER’S AND THE PHARMACIST” CONT.

7:00AM REGISTRATION DESK OPEN

7:30AM-9:00AM PRESIDENT’S BREAKFAST AND

INSTALLATION OF 2008-2009 OFFICERS

AFTERNOON

12:30PM-1:20PMPlanning for Care and Community Resources 1 hr . GCE/TECH/RC Speaker: Sandra Mutolo, MSW, LSCW, University of South Florida, Suncoast Alzheimer’s and Gerontology Clinic ACPE# 165-000-08-045-L04-P ACPE# 165-000-08-045-L04-T

Upon completion of this program participants should be able to: List and dis-cuss the six keys to success caregiving; Recognize “Caregiver Burnout” and list five warning signs that a caregiver needs assistance; State three legal issues every caregiver should address ASAP; Describe community resources available to family caregivers * Compare various facilities for patient care settings; Ac-cess the financial aspect of different residential care options; Identify community resources for patients, their family and caregivers

1:20PM – 2:10PMTrionoamine Modulators: A New Doorway to the Treatment of Depression 1 hr. GCE/TECH/RCFacilitator: Leonard Lado, MD ACPE# 165-000-08-034-L04-P ACPE# 165-000-08-034-L04-T

Upon completion of this program participants should be able to: Discuss the current treatment options for mood disorders; Describe the current standard treatment of achieving full remission; Explain the role of Gaba Modulator in the treatment of mood disorders; Define the treatment approach using Timonoamine Modulators; * Discuss the current treatment options for mood disorders; Describe the current standard of achieving full remission

2:10PM – 3:00PMThe Patient and the Caregiver: Sharing Life’s Experiences 1 hr . GCE/TECH/RC Facilitator: TBD ACPE# 165-000-08-036-L04-P ACPE# 165-000-08-036-L04-T

Upon completion of this program participants should be able to: Recognize issues that caregivers face when managing the health and welfare of patients with Alzheimer’s disease; Use empathy and patience as a tool to encourage a healthy caregiver-patient relationship; Propose pharmacist initiated caregiver support groups.

We are your premiercontinuing pharmacy education provider

and we have already begun the planning of the 119th FPA Annual Meeting and Convention at the

Renaissance Resort at World Golf Village! 500 South Legacy Trail

St. Augustine, Florida 32092 July 8-12, 2009

See an FPA staff member for details.

11:30AM –12:30PM LUNCH

9:50AM-10:40AM HIV/AIDS Update 1 hr. GCE/TECH Speaker: Michael Thompson, PharmD., BCNSP, FAMU Professor of Pharmacy PracticeACPE# 165-000-08-044-L04-P ACPE# 165-000-08-044-L04-TUpon completion of this program participants should be able to: Review current modes of transmission and prevention of HIV; Identify risk behaviors; Discuss the role of the pharmacist is providing care for the HIV infected patient; Describe the rationale behind combination therapies; Discuss Florida laws related to the care of patients with HIV/AIDS * List methods of transmission of HIV/AIDS; Identify high risk behaviors

Page 21: June 2008 Florida Pharmacy Journal

GENERAL INFORMATION

Meeting Site Location: Hyatt Regency Grand Cypress One Grand Cypress Boulevard Orlando, Florida 32386 (407) 239-1234 or (888) 421-1442 Room Rate: $129 + Taxes and Resort Service Fee of $7.00 Deadline: June 16, 2008

The Florida Pharmacy Association celebrates our 118th Annual Meeting and Convention at the Hyatt Regency Grand Cypress. The hotel is located just 20 minutes from the Orlando International Airport and a short drive from all the Central Florida attractions. The Hyatt Regency Grand Cypress offers transportation to the Walt Disney World, Universal Studios and Sea World theme parks. The 1,500 acre resort includes a 45 –hole Jack Nicklaus golf course, a 12 acre Lake Windsong which is perfect for sailing, rowboats, paddleboats and canoes. The Hyatt Regency is the perfect Rx for FPA members and pharmacists throughout the state of Florida!

Room Rates: (FPA Room Rate cut off date is Monday, June 16, 2008): The Florida Pharmacy Association room rate is $129.00 per night plus tax and resort service fee for either single or double occupancy rooms. Please be sure to ask for the FPA group rate. The Check-In time is 4:00PM and Checkout time is 12:00PM. For room reservations please call (407) 239-1234 0r 888-421-1442.

General Education Track: We have assembled an All-Star Cast of professionals that will give you most current news in the area of Medication Therapy Management Systems. The general education track will also offer courses designed to educate pharmacists is a wide variety of important topics pertaining to their pharmacy practice. Specific courses being offered are HIV/AIDS Update, New Drug Update and Reducing Medication Errors.

Consultant Education Track: The Pharmacist and Alzheimer’s Disease: Alzheimer’s remains one of the hottest topics in all Medical professions. We have the information you need to be ready to administer care for the Alzheimer’s patient. We are also taking a look at the effects of caring for patients with Alzheimer’s on the Pharmacist.

FPA Annual Business Meeting: Participate in the Annual Business Meeting. Meet your current FPA leadership and participate in the development of Association policy.

APhA/FPA Co-Sponsored Immunization Program: Pharmacy Based Immunization De-livery is an innovative and interactive training program that provides pharmacists with skills necessary to become a Primary source of vaccine advocacy, education, and administration. The program teaches immunology and focuses on practice implementation and legal/regulatory issues. The goals of the program are to: Provide comprehensive immunization education and training; Provide pharmacists with the skills, resources, and materials neces-sary to establish and promote a successful immunization service; Train pharmacists to iden-tify at-risk populations needing immunizations; Train pharmacists to maintain necessary immunization records. Pharmacy Based Immunization Delivery is conducted in 2 parts. The first part is a self-study learning component designed to ensure that all participants have a solid understanding of the role of pharmacists as vaccine advocates. Successful completion of the self-study learning component results in 12 hours of continuing pharmacy education credit. The second part of the program is a live training seminar which involves an active learning experience. An additional 8 hours of continuing pharmacy education credit is granted for attending and completing the live training seminar. A Certificate of Achievement is awarded to participants who complete all program requirements. The Certificate of Achievement is invalid, however, without written proof current CPR or BCLS certification.

Student and Pharmacy Education: Friday-Sunday: Student and Pharmacy Technicianswill benefit from the interacting with practicing pharmacists, attending student and technician focused Continuing Education programs. The student track will offer 12 hours of challeng-ing and exciting interactive education.

House of Delegates: Be a delegate or an observer and see the importance of your Florida Pharmacy Association is the state capital and on the national stage. Get a first hand look at the direction of the FPA and the profession of Pharmacy as a whole.

FPA PACCE Reception: Purchase a ticket and support the future of pharmacy by mentor-ing a pharmacy candidate. Get involved with your Political Actions Committee.

Special Thanks: The Florida Pharmacy Association would like to thank Carmen Aceves Blumenthal, Chair, Educational Affairs and the members of her committee for their dedica-tion and service in the development and implementation of continuing education program-ming in the areas of general, consultant and nuclear pharmacy.

Dee Dugan Jim Powers Kimberly Lamas (Nova Student) Darrell Miller David Laven Kattie Donahue (UF Student) Kira Munger Aubrey Wilkerson Matt Sech (PBA Student) Jennifer Pytlarz Lisa Devonick (Tech)

Policy of industry support: The FPA adheres to all United States Food and Drug Administration (FDA) polices and procedures for educational activities. The FDA requires that we conduct educational programs funded by corporate grants independently of and without control of the granter of the program’s plan-ning, content or execution. Furthermore, all programs must be free of commercial bias for or against any product.

Cancellation Policy: Cancellation request made in writing within 30 days prior to a continuing education program will be made minus a charge of a $10 dollar service fee. Cancellation requests made in writing 10-29 days prior to a CE pro-gram a refund will be made minus a $50 service fee. Cancellation requested made after that date will result in a credit towards a future CE program. The transfer of credit is redeemable for up to 12 moths from the date of cancellation.

2008 Continuing Education Calendar (Schedule Subject to Change)

25th Annual Southeastern Gatherin August 3-6, 2008 at The Village at Baytowne Wharf Destin, Florida Title: The Pharmacist Role in the Management of Obesity and Infectious Diseases 12 hrs. GCE or 12hrs. RC

Fall Consultant CE Conference September 20-21, 2008 at the Hyatt Regency Bonaventure Fort Lauderdale, Florida Title: TBD 12 hrs. GCE or 12hrs. RC

2008 Mid-Year Clinical Conference October 18-19, 2008 at the Sheraton Orlando North Title: “The Pharmacists Use of Technology In the Management of the Elderly patient” Orlando, Florida 12 hrs. NCE or 12 hrs. RC or 15hrs. GCE

The December Regulatory and Law Conference December 6-7, 2008 at the Hyatt Sarasota Bay Title: The 2008-2009 Regulatory and Law Conference Sarasota, Florida Featuring the Florida Wholesaler’s Regulatory and Law Conference 2008

Please see a member of the FPA staff, log on to our website at www.pharmview.com or call the office at 850-222-2400 for more details. See you at one of our beautiful locations!

Page 22: June 2008 Florida Pharmacy Journal

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Page 23: June 2008 Florida Pharmacy Journal

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

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

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

Support Our Advertisers! Use the “Buyer’s Guide”

AHCA MEDICAID PHARMACY SERVICES2727 Mahan Drive

Tallahassee, FL 32308(850) 487-4441www.fdhc.state.fl.us/medicaid/pharmacy

AMERICAN PHARMACISTSASSOCIATION (APhA)Washington, D.C. (800) 237-2742www.aphanet.org

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

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

DRug INFORMATION CENTERFlorida A&M University College of Pharmacy(800) 451-3181UF College of Pharmacy

Gainesville, FL(352) 395-0408www.cop.ufl.edu/vdis

FLORIDA BOARD OF PHARMACY4052 Bald Cypress WayBin #C04

Tallahassee, FL 32399-3254(850) 245-4292www.doh.state.fl.us/mqa

FLORIDA POISON INFORMATION CENTER NETWORK1-800-282-3171http://ora.umc.ufl.edu/pcc/fpicjax.htm

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

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

FREQUENtly CAllED NUMBERs

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