Florida Pharmacy Today October 2019

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The Official Publication Of The Florida Pharmacy Association OCT. 2019

USF ANNOUNCES $10 MILLION GIFT

to Name the USF Health Taneja College of Pharmacy


“I’M ALWAYS WATCHING OUT FOR MY PATIENTS, BUT WHO’S WATCHING OUT FOR ME?”

WE ARE. We are the Alliance for Patient Medication Safety (APMS), a federally listed Patient Safety Organization. Our Pharmacy Quality Commitment (PQC) program: • • • •

Helps you implement and maintain a continuous quality improvement program Offers federal protection for your patient safety data and your quality improvement work Assists with quality assurance requirements found in network contracts, Medicare Part D, and state regulations Provides tools, training and support to keep your pharmacy running efficiently and your patients safe

Call toll free (866) 365-7472 or visit www.pqc.net PQC IS BROUGHT TO YOU BY YOUR STATE PHARMACY ASSOCIATION


florida PHARMACY TODAY Departments 4 Calendar 4 Advertisers 5 President’s Viewpoint

7 Executive Insight

VOL. 82 | NO. 10 OCTOBER 2019 THE OFFICIAL PUBLICATION OF THE FLORIDA PHARMACY ASSOCIATION

Features

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USF Announces $10 Million Gift to Name the USF Health Taneja College of Pharmacy Government Affairs Committee (GAC) Update FPA Regional Directors

Florida Pharmacy Foundation

FPA News & Notes

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FPA Calendar 2019

Florida Pharmacy Today Journal

NOVEMBER 11

Veterans Day - FPA Office Closed

16-17 - FPA Committee, Council and Board meetings (tentative) 28-29 Thanksgiving - FPA Office Closed

JANUARY 1

New Year's Day - FPA Office Closed

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Legislative Session Begins

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Martin Luther King Jr. Day FPA Office Closed

21-22 Pharmacy Days at the Capitol DECEMBER 3-4

Florida Board of Pharmacy Meeting Altamonte Springs

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FPA Law & Regulatory Conference Sarasota

25-26 Christmas Holiday FPA Office Closed

25-26 Clinical Meeting Destin 31

Last Day for Election Ballots FEBRUARY

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Award Nominations Due MARCH

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Legislative Session Ends

FOR A COMPLETE CALENDAR OF EVENTS GO TO WWW.FLORIDAPHARMACY.ORG

Events calendar subject to change

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. There is a new 2 hour CE requirement for pharmacists on the dispensing of controlled substances effective this biennial renewal period. Pharmacists and pharmacy technicians must also complete a 1 hour Florida Board approved continuing education on human trafficking by January 1, 2021. Pharmacists should have satisfied all continuing education requirements for this biennial period by September 30, 2021 or prior to licensure renewal. Consultant pharmacists and technicians will need to renew their licenses and registrations by December 31, 2020. For Pharmacy Technician Certification Board Application, Exam Information and Study materials, please contact the FPA office. For more information on CE programs or events, please contact the Florida Pharmacy Association at (850) 222-2400 or visit our website at www.floridapharmacy.org CONTACTS FPA — Michael Jackson (850) 222-2400

FSHP — Tamekia Bennett (850) 906-9333 UF — Emely McKitrick (352) 273-5169

FAMU — Leola Cleveland (850) 599-3301 NSU — Carsten Evans (954) 262-1300

Note: The views of the authors do not necessarily represent the views or opinions of the Florida Pharmacy Association, Florida Pharmacy Today or any related entities.

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 understanding that neither Florida Pharmacy Today nor the Florida Pharmacy Association is 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.

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Mission Statements: The Florida Pharmacy Today Journal is a peer-reviewed journal which serves as a medium through which the Florida Pharmacy 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.

Florida Pharmacy Today Board of Directors The mission of the Florida Pharmacy Today Board of Directors is to serve in an advisory capacity to the managing editor and executive editor of the Florida Pharmacy Today Journal in the establishment and interpretation of the Journal’s policies and the management 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.

Advertisers BAILEY................................................................ 13 CE CORRESPONDENCE................................. 15 EPIC..................................................................... 12 KAHAN & ASSOCIATES................................. 12 PQC........................................................................ 2 PARTNERSHIP FOR SAFE MEDICINES......... 9 PHARMACISTS MUTUAL.............................. 18

E-MAIL YOUR SUGGESTIONS/IDEAS TO dave@fiorecommunications.com


The President’s Viewpoint DAVID "CHACHI" MACKERAY, RPH

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At the End of the Day...

ow many times have we heard that phrase before? It’s probably safe to say that most of us have used it many times, some people use it more often than others. It is especially used by those in leadership positions, as they ‘re making their closing remarks and want to end with some fantastic final thought, hoping to drive home their point to the audience in believing and supporting their message. Well, as current FPA President, I believe that qualifies me the privilege of writing this very important and heartfelt article, hoping that you understand its meaning and help others to respond accordingly and of course, finish by using the tireless phrase. This is my seventh consecutive year as a member of the FPA Board of Directors, thus allowing me the ability to see and hear so many different things over that time, of which the majority has been positive and productive. Unfortunately, lately changes have been occurring, leaving me concerned. As FPA President, I believe it’s my responsibility and duty to make members of this great association aware of this current situation, with hopes and prayers of raising ourselves up from these difficult times to a higher level that we know can be achieved in order to be successful. First, I want to make one thing very clear, this article is not directed at any one specific person, group or party, as an association consists of multiple people, and most of us have been actively involved in one capacity or another. Secondly, remember that many members and their elected off icers, leader, a nd com m it tee members are volunteers, except the

FPA staff who are paid employees. Here are some thoughts that I would like to share with you regarding some actions I feel are possible contributing factors. Factually speaking, we are all adults, working in a professional environment, who happen to be highly educated individuals. However,

If you are an elected officer of an association, then your responsibility and duty, which you took an oath to uphold, is to always do what is right regarding the best interests of that group, even if you personally may not completely agree with the majority of the members. many of us have forgotten some very simple rules of life that we were taught in elementary school. The one so important to me that my 89-yearold Italian mother still reminds me frequently is to “RESPECT OTHERS AND ONESELF.” It sounds simple and should be second nature to all of us. But trust me, lately many members have completely forgotten, or even worse, intentionally disregarded the common human trait of respect. We all know that there’s more

David Mackeray, RPh

than one way to solve a problem or get from point A to point B, so why not respectfully look at and listen to others’ opinions and decide after a positive and educational discussion. I know I’m making it sound easy, and that’s not always the case. I understand that. However, I also k now that sometimes people on each side need to compromise and find a happy medium to achieve a resolution that will lead to productivity and progress. At the end of the day (sorry, I know it’s not the end yet), aren’t we ALL working to achieve the same goals? If not, what was your main objective in joining the organization to begin with, especially if you volunteered? If you are an elected officer of an association, then your responsibility and duty, which you took an oath to uphold, is to always do what is right regarding the best interests of that group, even if you personally may not completely agree with the majority of the members. See President’s Viewpoint, continued on page 6 OCTOBER 2019

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2018-19 FPA Board of Directors The Florida Pharmacy Association gratefully acknowledges the hard work and dedication of the following members of the FPA leadership who work diligently all year long on behalf of our members.

Angela Garcia.....................................................................................................Board Chair David Mackarey..........................................................................................FPA President Kimberly Jones.......................................................................................... FPA Treasurer Joseph Scuro............................................................................................ President Elect Gary Koesten..............................................................................Speaker of the House Eric Larson.......................................................................Vice Speaker of the House Bill Kernan................................................................................................... FSHP President Preston McDonald............................................................................. Region 1 Director Neil Barnett............................................................................................Region 2 Director Larry Alaimo..........................................................................................Region 3 Director Cheryl Rouse.........................................................................................Region 4 Director James Alcorn.......................................................................................Region 5 Director Barbara Beadle...................................................................................Region 6 Director Paul Delisser.......................................................................................... Region 7 Director Ramy Gabriel.........................................................................................Region 8 Director Mitchell Levinson...............................................................................Region 9 Director Julie Burger.......................................................................................Technician Director

Florida Pharmacy Today Journal Board Chair.............................................................. Carol Motycka, motycka@cop.ufl.edu Vice Chair....................................................Cristina Medina, cmmedina@cvs.com Treasurer.........................................................Eric Jakab, ericjakab@hotmail.com Secretary............................................. Julie Burger, julieburger133@gmail.com Member.................................................. Michael Finnick, michaelfinnick@ufl.edu Member.....................................................David Mackarey, dmackarey@aol.com Member.......................................................Matt Schneller, schnem18@gmail.com Member..........................................Teresa Tomerlin, teresapharmd@cfl.rr.com Member............................................Greta Pelegrin, gretapelegrin@yahoo.com Technician Member........................Julie Burger, julieburger133@gmail.com Executive Editor................Michael Jackson, mjackson@pharmview.com Managing Editor...................Dave Fiore, dave@fiorecommunications.com Journal Reviewer....................... Dr. Melissa Ruble, mruble@health.usf.edu Journal Reviewer....................................Dr. Angela Hill, ahill2@health.usf.edu

President’s Viewpoint, from Page 5

Another famous quote we’ve heard many times before, “learn by example,” is also appropriate regarding this subject matter. Look at our members of Congress in Washington, D.C. When we tune into the news and social media, we are constantly reminded of how divided our political parties have become by news sources and social media, is it any reason that nothing seems to get accomplished in recent years? I know it’s a much larger scale with unlimited financial funds from special interest groups that help control the power in Washington, D.C. However, it’s disgraceful when one party has an effective and successful plan to resolve a major conflict that would benefit a majority of Americans, but the opposing party refuses to vote in agreement because it would then glorify the other party, while hurting or lessening their own parties' reputation. On a positive note, it should be easier for us as members of a professional organization because we have the same common interest of pharmacy, thus at the end of the day, we’re all working to achieve the same goals. Many of our Board of Directors, FPA House of Delegates, and committee and council meetings include serious discussions on important issues that are near and dear to peoples’ heart. As humans, everyone doesn’t always agree on everything, which is totally fine, important and very healthy so we don’t become robotic and think exactly alike. However, when members speak disrespectfully, use unprofessional language, have a negative tone, don’t allow others an opportunity to speak or finish talking when they have the floor, their behavior is against everything that associations stand for, including FPA. Anot her problem occurs when members’ viewpoints or opinions are completely misunderstood and they are accused of saying something that wasn’t originally said. It’s important that we respectfully allow them the opportunity to clarify what they meant. Remember, so much time and energy are unnecessarily wasted with these avoidable conflicts. At the end of the See President’s Viewpoint, continued on page 8

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Executive Insight BY MICHAEL JACKSON, RPH MICHAEL JACKSON, BPHARM, EVP & CEO, FLORIDA PHARMACY ASSOCIATION

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Let's Check Your Well-Being

othing is more agonizing to a health care provider than being overwhelmed, over utilized and underappreciated. The expectations are high and the rewards seem to be few and far between. We see this phenomenon affecting every corner of our profession.

warp drive with our batteries draining fast. Add all these scenarios from work place challenges to things that may be going on at home, such as having to be the primary care provider for a family member, or the stresses of everyday life beyond the routine and normal. Then,

The Well-Being Index, offered by APhA and invented by Mayo Clinic, is a free online self-assessment tool that measures wellness in just nine questions.

Staff pharmacists are struggling w it h i nc r ea s ed r e sp on sibi l it ie s and tasks related to time centered metrics. Pharmacy owners are being crushed under the ever-declining reimbursements, DIR fees, clawbacks and struggling to make payroll. Pharmacy technicians are doing the very best that they can to provide support in pharmacies while attending to growing demand and expectations of the consuming public. Managers and administrators are being given less resources to fulfill impossible expectations. Our entire industry is in

there are the unexpected events that may occur that challenge our ability to cope and maintain composure. It is amazing that with all the demands on ph a r m ac i st s a nd ph a r m ac y personnel that we don’t see systemwide professional burnout. Perhaps it may be due to the nurturing culture within our profession and how we have consistently put the patient first, ahead of ourselves. It is important though that we take a few minutes to do a self-assessment of our own personal wellbeing. How can we take care of others when we neglect

Michael Jackson, B.Pharm

the needs that we may have within? The Well-Being Index, offered by APhA and invented by Mayo Clinic, is a free online self-assessment tool that measures wellness in just nine questions. It allows you to compare your well-being to peers, track results over time and access resources to support your well-being all 100 percent anonymously. Take a few minutes to assess your well-being today before Dec. 31! The FPA is concerned for our members, and this tool may be helpful. n

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FPA STAFF Executive Vice President/CEO Michael Jackson (850) 222-2400, ext. 200

Director of Continuing Education Tian Merren-Owens, ext. 120

Continuing Education Coordinator Stacey Brooks, ext. 210 Coordinator of Membership Christopher Heil, ext. 110 Accounting Coordinator Ashley Gandy ext. 211

FLORIDA PHARMACY TODAY BOARD Chair............................... Carol Motycka, St. Augustine Vice Chair.........................Cristina Medina, Hollywood Treasurer.................................... Eric Jakab, Gainesville Secretary............................. Julie Burger, Pensacola Member.........................Michael Finnick, Jacksonville Member.............David Mackarey, Boynton Beach Member....................................... Matt Schneller, Tampa Member............................Teresa Tomerlin, Rockledge Member...................................... Greta Pelegrin, Hialeah Technician Member..........Julie Burger, Pensacola Executive Editor.......Michael Jackson, Tallahassee Managing Editor...................Dave Fiore, Tallahassee Journal Reviewer........................... Dr. Melissa Ruble Journal Reviewer....................................Dr. Angela Hill This is a peer-reviewed publication. ©2019 FLORIDA PHARMACY JOURNAL, INC. ARTICLE ACCEPTANCE: The Florida Pharmacy 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 subscription - United States and foreign, Individual $36; Institution $70/year; $5.00 single copies. Florida residents add 7% sales tax. FLORIDA PHARMACY ASSOCIATION

610 N. Adams St. • Tallahassee, FL 32301 850/222-2400 • FAX 850/561-6758 Web address: www.floridapharmacy.org

President’s Viewpoint, from Page 6

day, everyone’s top priority should be focusing on successfully resolving the issues impacting the pharmacy profession. As the current FPA President, I’m sincerely asking you, and others reading this article, to respectfully work together to achieve and reach the goals that many of us volunteers have dedicated so much time and energy trying to accomplish. Like so many others before me, and those currently participating, we owe this minimal human courtesy to one another, as it was certainly earned from their time dedicated, experience given, and most importantly, their willingness to freely serve for the betterment of the pharmacy profession. We all have good intentions and I know that together we are better and stronger, and we can accomplish so much more. I’m not, nor will be, claiming to be perfect (far from it), nor do I have all the right answers, or pretend to know everything pertaining to pharmacy. But, I do know that I will continue to give my best effort (already proven the past seven years on the board), will continue to offer my best attempt to work well with others for the improvement of FPA, and most importantly to me, always respect my fellow friends, colleagues and individuals who want to advance the pharmacy profession. Because… at the end of the day… we all are “Passionate People Proudly Protecting Pharmacy Profession!” n

JOIN TODAY!



USF Announces $10 Million Gift to Name the USF Health Taneja College of Pharmacy The Un iversit y of South Florida announced Aug. 16 that it received a $10 million gift f r o m Ta n e j a Family Foundation to na me t he USF Health Taneja College of Pharmacy. The donation is the largest philanthropic gift to a pharmacy school in the state of Florida. As result of the gift, the Taneja College of Pharmacy will move into the new USF Health Morsani College of Medicine and Heart Institute facility under construction in downtown Tampa. The building is scheduled to open in late 2019, with pharmacy students tentatively expected to start classes there in fall of 2021. On Aug. 16, inside the Amalie Arena in downtown Tampa, community and university leaders, students, friends and supporters heard news of the gift

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and its impact on the young pharmacy college. “This is a thrilling moment and it is an honor to be here to celebrate another important milestone for USF, one of the fastest-rising universities in the country,” said USF President Steve Currall. “Jugal and Manju Taneja share a passion for education, for giving back to their community, and for transforming the health care system for future generations. This gift will do so much for the trajectory of USF’s success — advancing innovation at our College of Pharmacy and elevating the academic stature of the entire university. Therefore, I am pleased to announce that in recognition of this transformational gift, the USF Health College of Pharmacy will now be known as the Taneja College of Pharmacy.” The USF Health College of Pharmacy was established by the Florida Board of Governors in 2009 and welcomed its charter class in August 2011. From

the start, the pharmacy program set out to build an innovative program that would be a pacesetter in both pharmacy curriculum and clinical experience. Since opening to the charter class of 53 students, the college has steadily progressed with key accreditation and academic milestones. Today, the Taneja College of Pharmacy welcomes 100 new students each year for its PharmD program, and has expanded its offerings to include master’s degrees suited for students interested in pursuing a professional degree program, an advanced degree, a degree focused on research or a degree for those interested in working in the pharmaceutical industry. “The College of Pharmac y — now the Taneja College of Pharmacy — is a valuable component of the interprofessional team of colleges that comprise USF Health,” said Dr. Charles J. Lockwood, MHCM, senior vice president of USF Health and dean of the USF Health Morsani College of Medicine. “Its success is crit ical to our continued organizational growth and expansion. For this reason, I am proud to make a second announcement, made possible by the generosity of the Taneja family. Right out this door, is a deck that overlooks our beautiful new USF Health building—the anchor of the Water Street Tampa project, a $3 billion 21st century state-of-theart urban development by Strategic Property Partners, which will represent the world’s first wellness district. The Taneja’s gift now provides a way for the College of Pharmacy to move from its current space on the main USF campus to our new, state-of-the-art building across the street.” Dr. Lockwood continued, “Thanks to your generosity, our Taneja College of Pharmacy will now be able to create in brick and mortar the facilities


needed for a transformative pharmacy program—one that will revolutionize health care by empowering pharmacy practitioners to be catalysts for health change. Thank you to the Taneja family for making this possible.” Already a leader for attracting Florida’s best pharmacy students, the appeal of USF’s pharmacy school will grow greater with this philanthropic endorsement, said Kevin B. Sneed, PharmD, dean of the Taneja College of Pharmacy and senior associate vice president for USF Health. “This year we celebrate 10 years since the Florida Board of Governors approved the opening of our college,” Dr. Sneed said. “From t he ver y beginning, we set out to build a college built for the future of healthcare, and

not simply exist in the past. With the generosity of Mr. Taneja, we will now have the opportunity to build a new home that allows us to truly build the pharmacist clinician of the future.” “Alongside our Morsani College of Medicine, and the Colleges of Nursing, Public Health, our School of Physical Therapy and Rehabilitation Sciences, and our Physician Assistant program, the Taneja College of Pharmacy is one of the best positioned pharmacy schools in the country to achieve true interprofessional education, creating the best possible trained workforce for the future,” Dr. Sneed said. “For future students, if unique is what you seek, seek USF Health as your destination. To the business community, I pronounce that the

“ALONGSIDE OUR MORSANI COLLEGE OF MEDICINE, AND THE COLLEGES OF NURSING, PUBLIC HEALTH, OUR SCHOOL OF PHYSICAL THERAPY AND REHABILITATION SCIENCES, AND OUR PHYSICIAN ASSISTANT PROGRAM, THE TANEJA COLLEGE OF PHARMACY IS ONE OF THE BEST POSITIONED PHARMACY SCHOOLS IN THE COUNTRY TO ACHIEVE TRUE INTERPROFESSIONAL EDUCATION, CREATING THE BEST POSSIBLE TRAINED WORKFORCE FOR THE FUTURE.”

Taneja College of Pharmacy is open to your engagement, as we continue our trek to the future of health care through academic entrepreneurship, and transformational, disruptive vision. As I have stated on many occasions, when I became the dean, there were only two options for this program: outstanding or excellent. Today, we are in a position to achieve both because of the generosity of the Taneja Family in creating the Taneja College of Pharmacy. We are forever thankful to you Mr. and Mrs. Taneja.” The gift marks a huge milestone for the young school and validates the innovative education experience offered to USF pharmacy students, he added. This drive to revolutionize how pharmacists are trained is what attracted the Tanejas to USF. “The way t hat tec h nolog y i s changing, the old way of compounding, the old way of discovering medicines, are going to go away,” Jugal Taneja said. “Now, medicines are going to be targeted for a particular disease. And pharmacists are going to play a big, big role in this. And for that, you have to educate 21st-century pharmacists and clinicians. That’s what we come here today to do.” “Making money makes you happy but when you give money to a cause, to an institution, or to places where money is needed, you gain a special kind of satisfaction. The other day when we signed the gift agreement, with Dr. Lockwood and Dr. Sneed, Manju and I were both going out and we looked at each other. We were much happier and we were $10 million less! But we didn’t feel that – we felt $10 million richer. I often believe in people. Machines don’t make money – people make money. If I ever lost money, it was because it was to a bad man. Not today. We are putting money in very safe hands.”

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A Pharmacist And A Lawyer Licensure Disciplinary Proceedings Insurance Company/PBM Audits and Appeals Purchase & Sales of Pharmacies Regulatory Compliance Consultants Business Operations Consultants KAHAN & ASSOCIATES, PLLC

Pharmacist Attorney Brian A. Kahan, R.Ph., J.D. Licensed Florida Pharmacist and Attorney

STATEWIDE REPRESENTATION 561-392-9000 bkahan@kahanlaw.com 2300 N.W. Corporate Blvd., Suite 123 Boca Raton, FL 33431 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.

We Deliver Solutions for a Healthier Bottom Line • Group volume purchasing power • Aggressive wholesaler pricing programs • Profits distributed to members at year-end • EPIC Pharmacy Network, Inc. (EPN) membership fee included at no cost – access to third-party contracts • Clinical services tools, including expert assistance from our in-house pharmacist and access to custom PrescribeWellness offerings and EQuIPPTM • – free third-party claims reconciliation program and automated reimbursements below cost system • – Web-based solution for pharmacy regulatory and compliance management

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Government Affairs Committee (GAC) Update By Sarah Steinhardt, PharmD, JD, MS & Daniel Buffington, PharmD, MBA

In preparation for our advocacy efforts in Tallahassee at Legislative Days on Jan. 21-22, 2020, the Government Affairs Committee has created and gained Board of Directors approval for the 2020 Advocacy Plan. Issues identified as primary priority for the association include collaborative practice agreements, pharmacy metrics, test and treat, PBM issues with transaction fees and anti-steering, and pharmacy automation bills. Several other important issues identified as second tier are being followed for potential opportunities to advocate including DEA opioid overreach, immunization CE providers, personnel identification from central fill pharmacies, pharmacist dispensing of oral contraceptives, QRA audits of pharmacies by wholesalers, prescriptive authority for drug deliver aids, devices, or accessories and medical marijuana dispensary issues. Third-tier issues for monitoring are the prescription drug importation issue, consultant pharmacist reviews, remote dispensing and telepharmacy, and PBM network restrictions. The GAC is currently meeting to track interim committee meeting progress and will provide updates in the future as events unfold. Participation and support by the membership is as critical as it has ever been. In the upcoming session, our advocates will have key committee and individual meetings with legislators. We are requesting that members plan ahead and create availability in the spring so we will have strong membership representation accompanying our advocates at these pivotal meetings to support and speak on behalf of the organization. If you are interested in setting aside time in anticipation of potential involvement in these discussions in Tallahassee, please contact me or Dan Buffington.

FPA Law Regulatory Conference DEC EM BER 7- 8 , 2 019 S A R A S O TA , F L

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FPA Regional Directors Do you know your Regional Director? Take a look at the map below and follow this link to reach out. https://www.floridapharmacy.org/general/custom.asp?page=FPAlRegionalDiectors

What issues do you see at your practice site? Reach out to work with others facing similar issues in your community.

Regional directors have the most up to date information related to pharmacy issues and legislation affecting your areas.

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The Foundation supports the profession of pharmacy with student scholarships and awards, recognizing our colleagues who are doing great work.

After Black Friday and Cyber Monday is‌.

Our website is currently undergoing maintenance, but please register with your email at the link below to receive notifications when the site returns live. Your Privacy is Guaranteed.

https://www.flpharmfound.org/ OCTOBER 2019

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FPA NEWS & NOTES The practitioner has been issued a temporary waiver by the Department of Heath ■■ The patient is receiving hospice care or is in a nursing home ■■ The practitioner or patient determines that it is in the best interest to price search with a written prescription or ■■ The practitioner believes that it would be impractical for a patient to obtain their prescription medications in a timely manner if electronically prescribed A concern raised by the FPA is whether pharmacists would be obligated to validate paper prescriptions that are written by Florida licensed prescribers and issued to patients for filling. Such a requirement would be burdensome. For example, a pharmacist would never know if the prescriber has a waiver. The FPA has learned through comments made at the October 15th Board of Pharmacy meeting that pharmacists are not expected to police prescriber compliance with F.S. 456.42 electronic prescribing standards. ■■

FPA Receives Visit from Consulate General of Canada Susan Harper, the Consulate General of Canada, whose office is based in Miami visited the FPA office recently to discuss Canadian prescription drug importation. Legislation was passed during the 2019 session that created a prescription drug importation program from Canada and also an international importation program of medications. The program is designed to help lower costs for state agencies and consumers. CEO Michael Jackson raised concerns with the safety of the program and whether its true intent to lower costs will be realized. We suggested that some of the pricing issues we are facing in this state is best resolved by looking inward at the PBM market place. Concerns raised by Ms. Harper is whether the Canadian supply system should be the tool to help lower prescription drug costs in Florida. Clarification on Mandatory Electronic Prescribing Requirements Florida laws changed this year that required Florida licensed prescribers to issue prescriptions electronically if they maintain electronic health records or work in a facility that maintains electronic health records. This law can be found under the general health professions regulations (F.S. 456.42). There are a number of exceptions such as but not limited to: ■■ Practitioner and dispenser being the same entity ■■ The prescription could not be transmitted electronically under the most current NCPDP SCRIPT standards

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Medicaid Complaint Status Tool (from AHCA) The Agency for Health Care Administration has developed a new web-based resource where providers can check the status of complaint(s). When you file a complaint, you receive a tracking number. This tracking number is what will be used in the search feature for the status of your complaint. It is important to retain this number.

Providers can check the status of all complaints by visiting the Medicaid Complaints webpage, and clicking on the ‘Find your Complaint Status’ link at: http://ahca. myflorida.com/Medicaid/complaints. The website is refreshed daily to update the statuses of complaints. All information is as of close of business, the prior day. The new resource was developed to improve transparency by offering easy access to complaint status changes.


Consultant CE Program Content to Change The Board of Pharmacy is proposing a rule change t hat describes t he subject matter included in consultant pharmacist CE program. A suggestion was offered by the Compounding Committee that the program subject matter could include sterile and nonsterile compounding. FPA’s Michael Jackson suggested to the Board a modification of the proposed rule language that would allow CE providers to offer either sterile compound or nonsterile compounding or both. The Board elected to move forward with rule 64B16-26.302 with the FPA’s recommended language. Department of Health Receives FDA Memorandum of Understanding The Food and Drug Administration has provided a memorandum of understanding (MOU) for the

Board of Pharmacy to consider signing. This proposed agreement between the FDA and Florida is in regards to the distribution of perceived inordinate amounts of compounded prescription drugs for human within the state, investigative efforts by the state and complaints of compounded drugs distributed outside of Florida. The proposed MOU would have created some procedural obligations on Florida that may be in conflict with our state laws. The Board took no action on the proposed MOU. Legislation Filed Limiting Cost Share of Insulin (HB109, SB116) House bill 109 and Senate bill 116 has been filed that requires individual and group health insurance policies to cap a patient’s cost share for insulin at $100. The Senate version has been referred to Banking and Insurance; Appropriations Subcommittee on Agriculture, Environment, and General Government and the Senate Appropriations Committee. The House version has been referred to the Health Market Reform Committee, Appropriations Committee and House Health and Human Services Committee.

Florida Pharmacy Association Offers Online Correspondence Courses Too busy with life’s hectic schedule to fit in one of Florida Pharmacy Association’s (FPA) live continuing education conferences? We have a solution for you! FPA offers online correspondence continuing education courses. You can learn from wherever you are. Earn your pharmacy continuing education hours at your convenience. Online education just got a whole lot better with the FPA. The courses below are being offered for general and consultant recertification continuing education credits. Management of Asthma Management of Diabetes Management of Geriatric Disorders Management of Hepatitis Management of Hyperlipidemia Management of Hypertension Management of IBS and IBD Management of Sexually Transmitted Diseases

3 Contact Hours 3 Contact Hours 6 Contact Hours 3 Contact Hours 3 Contact Hours 3 Contact Hours 3 Contact Hours 3 Contact Hours

In addition, we offer the following Florida Board approved courses: 2 hour Medication Errors, 2 hour Validation of Controlled Substances, 1 hour HIV/AIDS, 1 hour Human Trafficking for Pharmacy, 8 hour Pharmacy Errors, and 12 hour Pharmacy Laws and Rules. Please contact the FPA office (850) 222-2400 or visit our website www.floridapharmacy.org for details and pricing. The Florida Pharmacy Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing education.

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2020 Community Pharmacy Scholarship Apply at phmic.com/scholarship • Apply October 1 - December 2, 2019 • Recipients selected will be awarded $2,500 each • Up to $50,000 awarded annually

Pharmacists Mutual Insurance Company 808 Highway 18 W | PO Box 370 | Algona, Iowa 50511 P. 800.247.5930 | F. 515.295.9306 | info@phmic.com

phmic.com


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