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Transcript of The Arkansas Pharmacist Spring 2010
TheArkansasPharmacist
2010 Spring
Quarterly Edition
APA’s 128th Annual Convention
Fort Smith, AR
Registration Information ........................24
The Arkansas Pharmacist2
Board of Directors
Arkansas State Board of Pharmacy
President ................................................Lenora Newsome, P.D., Smackover
Vice President ....................................................Benji Post, P.D., Pine Bluff
Secretary ..............................................................Marilyn Sitzes, P.D., Hope
Member..........................................................Ronnie Norris, P.D., McGehee
Member ..........................................................Steve Bryant, P.D., Batesville
Member ..................................................Justin Boyd, Pharm.D., Fort Smith
Sr. Citizen Public Member ..................................Ross Holiman, Little Rock
Public Member............................................................Larry Ross, Sherwood
Arkansas Association of Health System Pharmacists
President ....................................................Jason Derden, Pharm.D., Benton
President Elect ..........................................Rayanne Story, Pharm.D., Searcy
Past President ......................................Maggie Miller, Pharm.D., Batesville
Executive Director ............................Susan Newton, Pharm.D., Russellville
Treasurer ..............................................Sharon Vire, Pharm.D., Jacksonville
Secretary ............................................Marsha Crader, Pharm.D., Jonesboro
Member at Large ............................Jody Smotherman, Pharm.D., Batesville
Member at Large ................................Jennifer Priest, Pharm.D., Little Rock
Member at Large ........................Andrea Donaldson, Pharm.D., Little Rock
District 1
Eddie Glover, P.D.
U.S. Compounding
2515 College Ave.
Conway, AR 72034
District 2
Brent Panneck, Pharm.D.
St. Francis Pharmacy
210 Cobean Blvd. #10
Lake City, AR 72437
District 3
Danny Ponder, P.D.
Ponder Economy Drug, Inc.
400 S College St,
Mountain Home, AR 72653
District 4
Laura Beth Martin, Pharm.D.
Family Pharmacy
810 S. Main St.
Hope, AR 71801
District 5
Lynn Crouse, Pharm.D.
Eudora Drug Store
140 S. Main St.
Eudora, AR 71640
District 6
Michael Butler, Pharm.D.
Village Health Mart Drug #1
4440 N. Highway 7
Hot Springs, AR 71909
District 7
John Vinson, Pharm.D.
Area Health Education Center
612 South 12th Street
Fort Smith, Arkansas 72901
District 8
Christy Campbell, P.D.
Lowery Drug Mart #2
123 Central Ave.
Searcy, AR 72143
2008 - 2009 Officers
President ......................................................Jan Hastings, Pharm.D., Benton
President Elect ................................................Mike Smets, P.D., Fort Smith
Vice President ..........................................Gary Bass, Pharm.D., Little Rock
Past President........................................Paul Holifield, Pharm.D., Batesville
Area Representatives
Area 1 (Northwest) ..................................Gary “Buzz” Garner, P.D., Mena
Area 2 (Northeast) ..............................Dennis Moore, Pharm.D., Batesville
Area 3 (Central) .............................Kenny Harrison, Pharm.D., Little Rock
Area 4 (Southwest/Southeast) ......................Mike Stover, Pharm.D., Rison
Ex-Officio MembersAPA Executive Vice President ..............................................................................................................................................Mark Riley, Pharm.D., Little Rock
Board of Health Member ................................................................................................................................................................John Page, P.D., Fayetteville
Board of Pharmacy Representative ............................................................................................................................Charles Campbell, Pharm.D., Little Rock
UAMS College of Pharmacy Representative (Dean) ....................................................................................Stephanie Gardner, Pharm.D., Ed.D., Little Rock
Harding College of Pharmacy Representative (Dean) ......................................................................................Julie Hixson-Wallace, Pharm.D., Ed.D, Searcy
UAMS College of Pharmacy Student Representative ........................................................................................................................Collin Ward, Little RockHarding College of Pharmacy Student Representative........................................................................................................................Celia Proctor, Little Rock
APA’s Academy of Consultant Pharmacists
President..........................................................Jim Griggs, P.D., Fayetteville
President Elect ..................................................................To Be Announced
APA’s Academy of Compounding Pharmacists
President ..........................................Gary Butler, P.D., Hot Springs Village
President Elect ..........................................Mark Shinabery, P.D., Maumelle
The Arkansas Pharmacist 3
Contents
Mark S. Riley, Pharm.D.
Executive Vice President
Barbara McMillan
Director of Administrative
Services & Meetings
Scott Pace, Pharm.D.
Associate Executive Vice President
Debra Wolfe
Director of Public Affairs
Helen Hooks
Communications Specialist
Celeste Reid
Administrative Assistant
APA StaffOffice E-mail Address
PharmacistArkansas Pharmacists Association
417 South Victory
Little Rock, AR 72201
501-372-5250
501-372-0546 Fax
The Arkansas Pharmacist (ISSN 0199-3763) is
published quarterly by the Arkansas Pharmacists As-
socia tion, Inc. It is distributed to members as a reg-
ular service paid for through allocation of
membership dues ($5.00). Non-members subscrip-
tion rate is $30.00 annually. Periodical rate postage
paid at Little Rock, AR 72201.
Current edition issue number 50.
POSTMASTER:
Send address changes to
The Arkansas Pharmacist
417 South Victory
Little Rock, AR 72201.
EDITOR:
Mark Riley, Pharm.D.
Executive Vice President
ART & DESIGN EDITOR:
Helen Hooks
Communications Specialist
Opinions and statements made by contributors, car-
toonists or columnists do not necessarily reflect the
attitude of the Association, nor is it responsible for
them. All advertisements placed in this publication
are subject to the approval of the APA Executive
Committee.
From the President......................................................................................4
The Executive’s Perspective ......................................................................5
Harding Report ..........................................................................................8
Safety Nets................................................................................................10
In Memoriam ............................................................................................11
Rx and the Law ........................................................................................12
AAHP Report ..........................................................................................13
UAMS Report ..........................................................................................17
Calendar of Events ..................................................................................18
Member Classified Advertising................................................................22
APA Board of Directors Minutes..............................................................36
Special Honor ............................................................................................6
Healthcare Reform Update ........................................................................9
2010 UAMS Graduates ............................................................................16
2009 “Bowl of Hygeia” Recipients ..........................................................19
Mike Beebe for Governor ........................................................................20
2010 Convention Information ..................................................................24
Features
Departments
Pharmacists Mutual ..................................................................................7
Logix, Inc.................................................................................................14
Arkansas Pharmacy Support Group ........................................................14
Cardinal Health........................................................................................15
RXMaster ................................................................................................18
Arkansas Pharmacy Foundation Legacy ................................................23
Pace Alliance ..........................................................................................31
Pharmacy Quality Commitment ..............................................................32
Index to Advertisers
The Arkansas
The Arkansas Pharmacist4
From the PresidentAs I contemplate what to say in this my final written message to the wonderful membersof our Association, I am at a loss for words. And for those of you who know me that is avery unusual occurrence.
I went into the year thinking that since it was only a budget session year for the ArkansasGeneral Assembly that the year would be pretty uneventful as far as legislative issueswere concerned. Boy was I wrong! I want to list just a few of the “minor” issues wehave monitored and dealt with this year at the Association. The list is definitely not inorder of importance!
1. The H1N1 virus started out the year with a potential crisis. In early fall, I participatedin a NASPA teleconference that updated me on issues we were facing like shortages invaccine, issues about how we would be reimbursed, who could get the vaccine and whenit would be available.2. Federal Health Care is still a hugely unknown entitiy. Who knows when or what willbe decided on that issue. I do know that Mark and Scott are working closely with na-tional groups to maintain our presence and be sure our issues are heard. Mark and Scottput together a list of our Principles of Pharmacy Reform. Many of you heard Mark’spresentation of these at our District meetings last fall. A few of the issues within the Fed-
eral Health care debate that are of interest to pharmacy are AMP, DMEPOS, promptpay and MTM. 3. State Budget concerns are still facing us. In September, Mark attended a CMShearing about our proposed reimbursement request. We are still waiting to hear adecision. AWP reimbursement issues also are concerning. We have formed anAdHoc Committee to determine ways in which pharmacists can assist the statewith concerns of shortfalls in Medicaid budget. The innovative ideas which arosefrom this meeting are a win situation for everyone. Thank you to this committeefor their hard work.
The issues I listed are just the tip of the iceberg as far as what the Association isdoing on your behalf. I know that the coming year will bring opportunities and chal-
lenges of its own. But we are in good hands. I know that incoming President MikeSmets will do a great job! We have a huge opportunity this year to make an
impact in the State Legislature by supporting our two pharmacists that arerunning for office- Drs. Karrol Fowlkes, Scott Pace, and Raymond Robert-son. If you have not made your contribution to their campaign, it is NOTtoo late!
Now for the part that is really hard!! I knew this year would be a fantasticexperience but I had no idea how fantastic! I have been humbled by thewords of encouragement sent to me via phone calls, emails and cards thisyear. I have been encouraged by the strength not only of our pharmacist’ssupport for the Association but our student support and enthusiasm. And Ihave been awestruck by the talented team we have representing us at the
office. Every single person at the office pours their heart and soul into making this organ-ization so successful and I thank each of them tremendously for making my year as Presi-dent so enjoyable.
It has been an honor and a privilege to represent you this year as President of theArkansas Pharmacists Association. I am not quite ready to let go, so I am glad I have alittle time left until June. But when you think of this year at the Association, I hope thatyou will remember being encouraged and energized. Positivity has been my theme and Iguarantee you that I am positive it has been one of the best years of my life! Thank youand I pray that God will continue to bless this Association in the years to come!
PS. This has been President doesn’t intend to just disappear into the wind. I will be gladto assist you and our Association however I can - even after June 25th.
Jan Hastings,
Pharm.D.
Associate Professor
UAMS
College of Pharmacy
The Arkansas Pharmacist 5
The Executive’s Perspective
2010: A Year of Political Change
“When it rains, it pours” certainly is a fitting axiom as we look at the number of new
faces that will become elected officials this year. Senator Blanche Lincoln, who has con-
sistently supported our issues, is facing a hotly contested race with two additional De-
mocrats and eight Republicans vying for that seat. One of the Republican challengers,
Third District Congressman John Boozman, will be our AP-PAC speaker at this year’s
convention. His entry into the senate race, means that the Third District will have a new
Congressman in 2011. The race includes one Democrat and eight Republicans.
Congressman Vic Snyder has decided to forego seeking a seventh term for the Second
Congressional District to devote more time to his family, which includes four children
under the age of four (you have to respect that decision). And, finally, our great friend
and colleague, Congressman Marion Berry has decided to retire back to the farm in
Gillette after serving seven terms representing the First Congressional District. Marion
has been a staunch supporter (and frequent lead sponsor) of pharmacy legislation, and I,
personally, can’t express strongly enough what he has meant to me and Arkansas phar-
macy. There are five Democrats and two Republicans who have filed for that seat.
The good news is that Congressman Mike Ross is vying to return to Congress in the
Fourth Congressional District. Mike has also been a huge supporter of pharmacy,
and I encourage you to support him in every way you can.
At the state level, we are expecting approximately 40 new House of Representative
members (out of a total of 100), and 12 or more new Senate members (out of 35).
This means that a new face will occupy approximately 38 percent of the Arkansas
Legislature. Your grassroots involvement in the process is more important now than
ever. We need to build good relationships with as many of these new members as possi-
ble. Please let us know of ANY connection you have with ANY legislator or candidate.
Having an opportunity for the legislator to meet the APA and his local pharmacist,
helps us create a “bond” that will last throughout their tenure. We try to
schedule these types of meetings while we are out on District Meetings in
September, but I am happy to make a special trip to your area to meet with
you and your legislator. Again, please contact us and let us know about
your relationship with your local legislator.
APA is also particularly proud that many candidates with pharmacy connec-
tions are involved in this year’s races. Ben Ponder (son of APA member
Danny Ponder) is running for the First Congressional District. David Bol-
ing, (brother to APA members Dr. Elaine Bultena and brother-in-law to Drs. Loyd Bul-
tena and Dr. Robert Jordin) is running for the Second Congressional District. David
Whitaker (husband of APA member, Dr. Lisa Whitaker) is running for the Third Con-
gressional District. At the state level, APA members Dr. Scott Pace (District 31),
Dr. Karrol Fowlkes (District 82), and Dr. Raymond Robertson (District 4) are running for
the state House of Representatives. In addition, Tommy Wren (son-in-law of Dr. Royce
Wilson and brother-in-law of Dr. Lee Wilson, both APA members) is vying for the house
seat in District 71.
As you can see, we have a great opportunity to educate these new legislators about the
importance of pharmacy. Talk to these candidates and get involved in their campaigns by
donating your time and money to pharmacy-friendly candidates. I know you will; you
always do.
Mark Riley, Pharm.D.
Executive Vice
President
The Arkansas Pharmacist6
Special Honor
Washington Regional Foundation Announces 2010 Eagle Award Winners
(Fayetteville, AR) Three Eagle Award recipients were formally recognized during the
Washington Regional Foundation’s Gala 2010, “An Evening with Kenny Loggins,” on
Tuesday, April 6 at the Walton Arts Center. Established in 1994, the Eagle Award For
Outstanding Health Leadership is given to individuals or organizations that make out-
standing contributions to the improvement of healthcare in Northwest Arkansas. This
year’s recipients are Dan Bell, M.D., Carl Collier, P.D. and David McClinton.
This is the 17th year that the Gala has been a successful contributor to the Foundation’s efforts to provide neces-
sary funding for a variety of healthcare programs. Over the past 17 years, the Foundation has provided through
Gala proceeds more than $900,000 for specific healthcare projects and programs through the phenomenal gen-
erosity of countless donors and volunteers throughout Northwest Arkansas. The beneficiary of this year’s Gala
proceeds is the new Washington Regional Hospice Home, an inpatient facility that will provide a tranquil,
home-like environment for patients who need more end-of-life care than they can receive at home, and will spe-
cialize in symptom control and comfort.
With a family name that is synonymous with service and trust, Carl Collier has made caring for the health and
well being of Northwest Arkansas his priority for more than 45 years.
Collier’s grandfather opened Red Cross Drug Store on the Fayetteville Square in 1917, establishing the family’s
commitment to quality care and efficient service by offering home delivery and charge accounts. After Carl
graduated from pharmacy school in 1964, he joined his brother Morris and their father in the family business. In
1973, Collier’s Drug Store became just the fourth pharmacy in the nation to implement computerized prescrip-
tion tracking and record-keeping—another example of the family’s commitment to providing quality care and
efficient service.
Widely known for his ready smile and cheerful personality, Collier also epitomizes the serious and scientific na-
ture of a pharmacist. He works diligently to create therapeutic solutions to patient dilemmas, and has been an
especially compassionate friend to many Hospice patients. Collier has supported Washington Regional Hospice
for more than 25 years, both as a generous financial sponsor of the organization’s fundraising efforts as well as
with his time and attention to Hospice patients. He even makes sure a Collier’s pharmacist attends weekly Hos-
pice team meetings in an effort to stay familiar with particular patient needs. “Carl is one of those rare individu-
als that is genuinely concerned and shows support for anyone and everyone that he encounters,” says Paula
Hartz, director of Washington Regional Hospice. “It is not unusual for Carl to get out in the middle of the night
to get medications for a patient that is in acute distress or pain.”
In addition to his vast responsibilities as a pharmacist, Collier has been active in several national pharmacy or-
ganizations, as well as the American Red Cross, Juvenile Diabetes Research Foundation, Rotary, United Way
and Dickson Street Improvement Committee. He and his wife, Janet, married since 1965, have two children:
Meredith Dowse and Mel Collier.
The Arkansas Pharmacist8
The Creation of Student Chapters of Pharmacy Professional Organizations:
Starting From Scratch
If your college of pharmacy experience was like mine, you went to a school or college of pharmacy where there were nu-
merous pharmacy professional organizations to choose from ranging from a student chapter of the Academy of Managed
Care Pharmacy to a pharmacy fraternity like Phi Delta Chi. There were also opportunities to become part of a pharmacy
honor society like Rho Chi or Phi Lambda Sigma. But how did all those chapters get started? What if you were at a new
school and were its first or second class of students? What considerations need to be made to establish strong student
chapters of pharmacy organizations?
This is the position we have found ourselves in at Harding University College of Pharmacy. With the creation of a new
college of pharmacy not only do the faculty and staff need to be in place to provide all the
academic pieces of the curriculum puzzle, but also a plan must be put into place to establish
student chapters of professional organizations. The first decisions to be made are which or-
ganizations to start with and the order of their implementation. As we surveyed colleges and
schools of pharmacy across the country, we found that the most student-centered profes-
sional organization was the American Pharmacy Association-Academy of Student Pharma-
cists (APhA-ASP). In fact, at many colleges of pharmacy APhA-ASP serves as the umbrella
organization under which all other student chapters fall. In some cases, the APhA-ASP lead-
ership group also serves as the college’s student government.
In the case of Harding, we chose to start with a Council of Students (COS) to serve as the
student government. The COS is composed of officers elected from the entire student body, representatives from each
class, and representatives from each of the student professional organization chapters. During our first accreditation visit
from the Accreditation Council for Pharmacy Education (ACPE), we shared a list of pharmacy professional organizations
we envisioned eventually starting student chapters of at Harding. ACPE strongly urged us to limit the list to one or two
organizations to begin with to prevent a small number of students and faculty getting spread too thinly by trying to start
too many student chapters. At that point, we chose APhA-ASP as our first student organization. This fit nicely with the
way professional organizations are organized within Arkansas as well, since the Arkansas Pharmacists Association (APA)
is a state affiliate of APhA. For the second student chapter of a professional organization we chose to form the Student
Society of Health-System Pharmacists (SSHP) in collaboration with the American Society of
Health-System Pharmacists (ASHP), again mimicking the pattern already established at the state
level with the Arkansas Association of Health-System Pharmacists (AAHP).
When you consider the fact that there are approximately 60 students in each entering pharmacy
class at Harding, having three organizations (COS, APhA-ASP, and SSHP) that each require eight
to ten individuals to serve in leadership positions is an ambitious undertaking. Not to mention the
fact that all of the students working to establish the student chapters are first and second year phar-
macy students with no one ahead of them to have already paved the way or established policies
and procedures to get things done. The administration of the
college made every effort to assist the students as they worked
through this process. The Director of Student Affairs, Mrs.
Susan Grace, along with faculty chapter advisors offered counsel and guidance to the
students as they wrote the constitution and bylaws for each group and began recruiting
members.
So while our APhA-ASP and SSHP chapters are both relatively new, they are already
making great impressions and efforts to become involved at the local, state, and na-
tional levels. The APhA-ASP chapter hosted a diabetes and blood pressure screening
at Get Down Downtown, a Searcy city festival in September. Student representatives
from Harding have attended the annual national meeting of APhA for the last two
years and the summer and midyear national meetings of ASHP in the last year. Stu-
Harding Report
left to right: Pamela Pinkerton (P1), Awung
Asong (P1), Rami Beiram (P2), Dr. Rayanne
Story, Dr. Julie Hixson-Wallace (Dean),
Emily Roberts (P1), and Celia Proctor (P2)
and Region 6 APhA-ASP representative.
left: Mallory Garfield (P2) right:
Janice McKean (P2) represented
HUCOP at the 2009 national ASHP
Clinical Skills Competition
Harding student performs
blood pressure check at Get
Down Downtown festival.
The Arkansas Pharmacist 9
Healthcare Reforem Updatedents have also attended the APA and AAHP meetings and presented posters at the AAHP meeting and served as meeting
volunteers. Harding has had national competitors in the 2009 ASHP Clinical Skills Competition and the 2010 APhA Pa-
tient Counseling Competition and presented a poster at the 2009 ASHP midyear in Las Vegas as well. One of our stu-
dents, Celia Proctor, has been elected Region 6 APhA-ASP representative (covering AR, OK, KS, TX, and LA) and is
serving in this role at the national APhA-ASP student caucus in Washington, DC March 12-15, 2010.
What’s next on the horizon? A student chapter of the National Community Pharmacists Association (NCPA) is in the be-
ginning stages of formation. The faculty advisor for this group will be Dr. Jeff Mercer. Harding is also anxious to estab-
lish a pharmacy honor society chapter of Rho Chi, but their regulations will not permit a student chapter until the college
has graduated its first class (which will occur in May 2012) and attained ACPE full accreditation.
The student pharmacists at Harding have done an excellent job of laying the groundwork for a legacy of student pharmacy
professional organization chapters that are anticipated to do nothing but grow and flourish in coming years as the student
body continues to grow along with them. We appreciate all the assistance we have received from APA, AAHP, UAMS,
and individual pharmacists who have provided guidance and support for our student organizations along the way. Our
sincere desire is to become a productive and active part of the pharmacy community in Arkansas and we cherish the op-
portunities to serve!
Julie A. Hixson-Wallace, Pharm.D., BCPS
After many months of debate, Congress passed health insurance reform legislation. The President signed the
legislation into law on March 23, 2010. At its core, the legislation is designed to extent health insurance cover-
age to most of the 30 million plus Americans that currently have no insurance. The new law marks some of the
most sweeping changes to healthcare in America since the creation of Medicare and Medicaid.
Included in the new law are several provisions that the pharmacy community has been working on for several
years, including:
• Durable Medical Equipment Exemption (DME) – eliminates the requirement for small pharmacies to
be accredited to sell DME supplies; only pharmacies selling greater than five percent of their total
sales volume in DME are required to become accredited.
• Average Manufacturers Price (AMP) fix – cleans up language that was passed as part of the Deficit
Reduction Act of 2005 that would have gutted pharmacy reimbursement on generic drugs in Medicaid.
• Pharmacy Benefit Manager (PBM) Transparency – imposes mandatory transparency requirements on
PBMs operating in the newly created healthcare exchanges.
Because most provisions of the new law do not begin until 2014, it may be several years before we know the
full impact of the bill. As always, APA will monitor and respond to any impact on the pharmacy community.
Congress Passes
Healthcare
Reform
The Arkansas Pharmacist10
Safety Nets
Safety
Nets
A pharmacy technician received the original prescrip-
tion illustrated in Figure One. After
obtaining the required patient infor-
mation from this new patient, the
technician entered the prescription
information into the computer as
Valium® (diazepam), 10 mg
Tablets, quantity 30, with directions to the patient of
“take one tablet by mouth daily”. The same technician
filled the prescription and placed it in line
for pharmacist verification. The pharmacist
verified the prescription had been correctly
filled and began to counsel the patient
about diazepam. When the pharmacist ex-
plained to the patient that diazepam was
usually prescribed for anxiety, the patient
immediately stated she was being treated
for an overactive bladder. When the phar-
macist re-examined the medication order,
he realized the order could also be interpreted as Vesi-
care® (solifenacin) 10 mg Tablets. A telephone call to
the prescriber confirmed the prescription was written
for Vesicare®, not Valium®. After this, the order was
correctly filled and the patient appropriately coun-
seled.
In this first example, the prescriber’s letter formations
clearly lead a reader astray. The “V” is clearly a “V”.
What was intended as “es” certainly resembles “al”,
with a sort of tail off the “l”. The “i” stands alone and
is clear, with its dot floating some distance away, but
still associated with the base of the letter. The element
meant to be read “care” certainly resembles either
“un” or “um”. The confirmation bias formed from
decades of dispensing Valium®, and the additional
confirmation bias of the 10 mg strength leads the
reader to perceive an order for an old
standby, diazepam 10 mg tablets. The Sig
does not assist the pharmacist. The pre-
scriber wisely avoided the dangerous abbre-
viation “QD” and stated to take the dose
“daily”. This is a good practice, but it is
not carried to completion. A once-daily
dose could have several purposes. Some-
thing more is needed. The best practice is to
include the intended use of the medication
as part of the Sig. Had this been implemented here,
the technician or the pharmacist would surely not have
provided a finished prescription of diazepam for treat-
ment of an overactive bladder.
In the second case (Figure Two), a pharmacist entered
the prescription information into the computer as sim-
vastatin 80 mg tablets, quantity 30, with directions to
This issue of Safety Nets describes the con-tinuing problem of look-alike, sound-likemedications. Thank you for your continuedsupport of this column.
Patient counseling will remain
the best protection forour patients”
Figure One
The Arkansas Pharmacist 11
In Memoriumthe patient of “take one tablet daily”. The prescription
was filled by a technician and placed in line for coun-
seling. During the counseling session, the patient in-
terrupted the pharmacist and
stated he was supposed to re-
ceive a prescription to “help
me concentrate”. After re-ex-
amining the prescription a sec-
ond time, the pharmacist
realized the order could also be
interpreted as Strattera® (ato-
moxetine) 80 mg Capsules. A telephone call to the
prescriber confirmed Strattera®, not simvastatin.
The second example contains real difficulties. It is
nearly impossible to see “Strattera”® in the written
order. The word clearly begins with “S”. Unfortu-
nately, the letter “t” is formed in three different fash-
ions. The first “t” very much resembles “i”, for the
crossbar floats above the stem. The second “t” (stand-
ing after what appears to be “ua” or “ud”, has a con-
necting mark between the base of the upright and the
bar (which again does not cross the upright). The ele-
ments that the prescriber intended to be read “tera”
contain a crushed “t” which looks more like “a” or “o”
preceding what looks to be “ld”. No technician or
pharmacist is quite able to cope at first reading with an
order for what looks like “Siuatald”.
The Sig here again does not indicate the intention of
the prescriber. There is no indication that the patient
is being treated for some defect of concentration. In-
deed, the intended “qd” looks a great deal like “qid”.
Even had the proper drug/strength been selected, a
four-fold overdose remains a real possibility. The
guidance is clear. This prescription is not legible. A
community pharmacist well familiar with the prescrib-
ing habits of a local physician might satisfactorily in-
terpret this prescription, based on long experience with
the physician. However, the order here offered for
study cannot be considered a model of safe writing
practices.
As we make a transition toward more computer-gener-
ated prescriptions, we may indeed hope to see illegible
drug names result in fewer errors reaching patients.
The same will be true for confusion of unofficial
Latin-derived Sigs. However, we will all be chal-
lenged to provide appropriate vigilance against drug
and dose instructions that are inappropriate for our pa-
tients, even though those doses come from a computer
screen or a print-out with no flaws in spelling. Patient
counseling will remain the best protection for our pa-
tients.
In Memorium
Dr. Samuel WatsonArkadelphia, AR
Dr. Ken Culpepper, Sr. Hot Springs Village, AR
Figure Two
The Arkansas Pharmacist12
Rx and the Law PHARMACY MARKETING GROUP, INC
AND THE LAW By Don McGuire, R.Ph., J.D.
This series, Pharmacy and the Law, is presented by Pharmacists Mutual Insurance Company and your State PharmacyAssociation through Pharmacy Marketing Group, Inc. a company dedicated to providing quality products and services tothe pharmacy community.
NEVADA RULES ON PHARMACIST’S DUTIES
The Nevada Supreme Court has ruled on the case asking
whether seven chain pharmacy owners and one independent
owner were rightfully dismissed from the civil case, Sanchez
v. Wal-Mart Stores, et al1. The case arises from a June 2004
car accident caused by Patricia Copening. She was driving
along a busy Nevada highway while under the influence of
prescription medications. The accident killed one man, Gre-
gory Sanchez, Jr., and injured another, Robert Martinez.
Prior to the accident, in June 2003, the Nevada Prescription
Controlled Substance Abuse Prevention Task Force sent let-
ters to 14 Las Vegas area pharmacies informing them that
Copening may be abusing drugs. The letter informed the
pharmacies that Copening had received approximately 4,500
hydrocodone tablets from 13 different pharmacies during the
previous year. She continued to receive multiple prescrip-
tions for hydrocodone-acetaminophen and carisoprodol be-
tween June 2003 and June 2004 when the accident occurred.
She appeared confused. The police found prescription bottles
and loose tablets in the vehicle. She was found to have hy-
drocodone in her system. She served nine months in jail after
pleading guilty to reckless driving.
A civil case was filed by the Sanchez family, Mr. Martinez
and his family against Copening, the doctors prescribing for
her, and the pharmacies. The district court dismissed the
pharmacies because Nevada law did not impose a duty on the
pharmacies to take action after receiving the Task Force let-
ter.
The Supreme Court of Nevada reviewed the case and an-
swered two questions; First, did the pharmacy have a duty to
act to prevent their patient from injuring members of the gen-
eral public, and Second, did Nevada law allow third parties
to maintain a negligence per se claim. The case was decided
by a 5-2 margin, with a strong dissent.
The majority and the dissent agreed that under Common Law
principles, a person has no duty to control the dangerous con-
duct of another person or to warn others of the dangerous
conduct. There is an exception to this rule however. If there
is a special relationship and the harm is foreseeable, the there
is a duty to act. The majority and dissent diverged on the
analysis of whether a special relationship existed in this case
because they weren’t consistent on which parties form this
special relationship. The majority talked about the relation-
ship between the pharmacy and the victim, while the dissent
talked about the relationship between the pharmacy and the
patient. The majority notes that the pharmacy had no rela-
tionship with the victims and that they were, in fact, uniden-
tifiable prior to the accident. This is an important point in
the analysis because it is clear that there is a special relation-
ship between a pharmacy and its patients.
The majority noted that the pharmacy had no requirement to
act after it received the Task Force letter. However, they
pointed out in a footnote that the regulations had changed
since this incident, but declined to opine as to whether the
decision would be different because of the rule changes. The
ruling in the case was that the pharmacies had no duty to act
because the law didn’t require them to act and there was no
special relationship formed that would require them to act.
The majority also ruled that a negligence per se claim could
not be maintained because the laws in question were not in-
tended to protect against the injuries that the plaintiffs had
sustained.
While the pharmacies were dismissed in this case, the case
should serve as a wakeup call to pharmacists. The dissent
made some strong arguments, and even the majority hinted
that the answer might be different under today’s laws. The
court here said that the pharmacies did not have a duty to act
upon information received from the task force, so they never
provided guidance as to what a pharmacy should do if it were1. Sanchez, et al. v. Wal-Mart Stores, Inc., et al., 2009 WL5030703 (Nev.), December 24, 2009.
The Arkansas Pharmacist 13
AAHP Reportrequired to act. This issue is very likely to come up again
and the next court could find that the pharmacy was required
to act. Prescription drug monitoring programs work by pro-
viding information that a single pharmacy or prescriber is un-
likely to obtain on their own. In the past, a single pharmacy
was usually unaware of all of a patient’s activities in acquir-
ing controlled substances and didn’t have enough informa-
tion to take any action. In the present case, the pharmacies
were notified that the patient was getting prescriptions filled
at 12 other pharmacies around town. It is very possible that
this additional information might provide the basis for a court
or legislature to make a major change in the law of negli-
gence.
© Don McGuire, R.Ph., J.D., is a Professional Liability Claims At-
torney at Pharmacists Mutual Insurance Company.
This article discusses general principles of law and risk manage-ment. It is not intended as legal advice. Pharmacists should con-sult their own attorneys and insurance companies for specificadvice. Pharmacists should be familiar with the policies and pro-cedures of their employers and insurance companies, and act ac-cordingly.
AAHP ReportBy: Jason Derden, President
AAHP 2010 Annual Fall Seminar
The Arkansas Association of Health-System Pharmacists (AAHP) will host its 44th Annual Fall Seminar on Oc-
tober 7th and 8th, 2010 at the Holiday Inn Airport Conference Center in Little Rock, Arkansas. AAHP will
offer over 10 hours of live ACPE accredited continuing education. The program will include an exhibitor ses-
sion, pharmacy technician and student sessions, poster presentations, awards luncheon and more. The American
Society of Health-System Pharmacists (ASHP) will have representatives at the fall seminar including a visit by
the ASHP President. Please mark your calendar for the AAHP 44th Annual Fall Seminar to be held on October
7th and 8th, 2010 at the Holiday Inn Airport Conference Center in Little Rock, Arkansas. Visit our website at
www.aahponline.org for future program details.
AAHP/SSHP Scholarship
AAHP would like to congratulate Trinity Lahti from UAMS College of Pharmacy. Trinity is the 2010
AAHP/SSHP scholarship winner.
APA Annual Convention at the Fort Smith Holiday Inn
Dr. Jennifer Priest is working with APA for the AAHP sponsored educational event at the Annual APA
Convention on June 24-26, 2010. Three live continuing education hours are being planned.
Listserver of AAHP Members
AAHP in conjugation with ASHP is offering a Listserve for AAHP members. Many pharmacists are already tak-
ing advantage of this key resource. The majority of challenges we face within our individual organizations are
the same across the state. The Listserve can be your lifeline to connect with other pharmacist and share your ex-
periences. To join the Listserve, visit our website at www.aahponline.org.
The Arkansas Pharmacist14
Medicaid Alert
Medicaid AlertNow that Spring has finally sprung, many of us and our patients are suffering from seasonal allergy symptoms.
Arkansas Medicaid would like to take a minute and remind you of some evidence based treatments for the
symptoms associated with the beautiful Spring weather.
Allergic rhinitis is a collection of symptoms, mostly in the nose and eyes, which occur when you breathe in
something you are allergic to, such as dust, dander, or pollen. Symptoms include but are not limited to itchy
and/or runny nose, itchy mouth and skin, itchy and/or tearing eyes, itchy and/or sore throat, nasal congestion,
sneezing, and coughing.
• Nasal corticosteroid sprays are the most effective treatment for allergic rhinitis. They work best when used
nonstop, but they can also be helpful when used for shorter periods of time.
• Studies show that for the treatment of allergic rhinitis, intranasal steroids are more effective than Montelukast
(Singulair®) monotherapy or Montelukast plus an antihistamine.
• Montelukast (Singulair®) is not the most effective therapy for allergic rhinitis.
• Nasal corticosteroid sprays that are available as preferred medications on the Arkansas Medicaid Preferred
Drug List include: Fluticasone Furoiate (Veramyst®), Fluticasone Propionate (Flonase®), Mometasone (Na-
sonex®), and Triamcinnolone (Nasacort AQ®).**http://www.nlm.nih.gov/medlineplus/ency/article/000813.htm; http://emedicine.medscape.com/article/134825-print; https://www.medicaid.state.ar.us/InternetSolu-
tion/Provider/pharm/scripinfo.aspx#Evidence; The Diagnosis and Management of Rhinitis: An Updated Practice Parameter. J Allergy & Clin Immunol. 2008;122:S1-
84; Lambert M. Practice Guidelines: Practice Parameters for Managing Allergic Rhinitis. Am Family Physician. July 2009;80(1): 79-85.
The Arkansas Pharmacist16
2010 UAMS Graduates
The Arkansas Pharmacist 17
UAMS Report
As one of its missions, the University of Arkansas for Medical Sciences (UAMS) College of Pharmacy keeps a
steady and watchful eye on efforts that can be made to improve the health care of Arkansas’ patients and fami-
lies. By identifying particular patient and pharmacist needs, we then are eager to find solutions by offering spe-
cific programs or working corrective steps into our ever-evolving curriculum.
A perfect example of the effect the College of Pharmacy can have on health care in Arkansas is the recent
reemergence of Disease State Management (DSM) practices among pharmacists and prescribers in our state.
We’ve been called on to revitalize a program that began nearly a decade ago.
The original DSM regulation came into play in Arkansas around 2000, and was specific to credentialing phar-
macists to enter into written protocol agreements with prescribers in just four defined areas, including anticoag-
ulation, diabetes, asthma and hyperlipidemia. This credentialing is important to not only improve patient care,
but to give practicing pharmacists increased efficiency in the management and distribution of medicine. Over
the years, the original governing body of the credentialing slowly dissolved requiring revision of the regulation
in November 2009.
The revised regulation allows the ASBP to make the UAMS College of Pharmacy a credentialing body, and no
longer limits DSM to the previous four specific areas. The new guidelines allow credentialed pharmacists to
enter into written protocol agreements with prescribers for any disease state. These agreements with physicians
allow pharmacists to provide targeted interventions within specific disease states that require complex medica-
tion regimens. However, the regulation also allows for protocols directed at therapeutic interchange of pre-
scribed medications that may not be preferred by insurance plans.
Another reason the College of Pharmacy is well positioned to help manage this innovative program is because
of the strong support system already in place with our Drug Information Center (DIC). This service component
of our College is available to health care professionals and receives and answers drug information questions of
all types. If pharmacists or prescribers have questions about implementation of a written protocol agreement,
our DIC will offer any support necessary. We’re equipped for the DIC to be the “go to” place to support this
new credentialing effort.
The UAMS College of Pharmacy has moved quickly to offer this credentialing service to both current and fu-
ture pharmacists in Arkansas. We’ve created a 3.5-hour credentialing program that has been offered twice so
far, with more planned for the future. The next program will be offered in June at the Arkansas Pharmacists As-
sociation Meeting. Currently, more than 120 pharmacists have completed the training, and we have received
fantastic feedback from those who attended the program. Perhaps the most exciting feature of this new program
is that we plan to have it permanently incorporated into our curriculum by 2011 so that every student is creden-
tialed upon graduation. For pharmacists already in practice, we’ll not only continue offering live credentialing
opportunities, but we’ll also streamline the process for online completion.
By doing this, it’s just another way we’re helping Arkansas meet its future health care needs. We hope all phar-
macists in Arkansas will take advantage of the opportunities that this revised regulation allows!
College of Pharmacy
Dean Stephanie Gardner
The Arkansas Pharmacist18
Calendar of Events
Calendar of EventsMAY
May 10 - 12, 2010
NCPA Annual
Legislative Conference
Washington, DC
JUNE
June 24 - 26, 2010
APA Annual Convantion
Fort Smith Holiday Inn
Fort Smith, AR
JULY
July 16 - 25, 2010
2010 CE in Paradise
Hawaii Island Hopping
AUGUST
August 12 - 14, 2010
APA Board of Directors Retreat
Rockwall, TX
SEPTEMBER
September 7 - 30, 2010
APA Annual District Meetings
September 22 - 24, 2010
NCPA Annual Convention
Silverado Resort, Napa
OCTOBER
October 7 - 8, 2010
AAHP Annual Fall Seminar
Holiday Inn Airport
Little Rock, AR
The Arkansas Pharmacist 19
The Arkansas Pharmacist20
Mike Beebe for GovernorThe Arkansas Pharmacists Association on March 25 held a fund
raiser and reception for Governor Mike Beebe. Seventy four
pharmacists from across the state were official hosts of the event
which raised $60,000.00 for Governor Beebe's re-election
campaign. There were over 200 total in attendance. First Lady
Ginger Beebe accompanied the Governor at the event which was
held at La Vada's, a beautiful Victorian home and banquet hall in
North Little Rock. Senate and
House Public Health Committe
Chairmen Senator Percy Malone
and Representative Greg Reep
were also in attendance. APA
sincerely thanks all of the hosts
and attendees of the event.
The Arkansas Pharmacist 21
The Arkansas Pharmacist22
Member ClassifiedsBest Relief Pharmacist In Arkansas Available
I am available to do relief work Mondays through Thursdays. I
will of course work an occasional Friday and Saturday on special
request and will of course work vacations. Would prefer Little
Rock metropolitan area and as far south as my license is legal. If
your customers and staff don't tell you the next day that I was the
best relief pharmacist that ever worked for you, the day is FREE.
You can reach me at 870-543-0841 or by e-mail at
[email protected] - Frank Williams
Relief Pharmacist
Pharmacist available for relief for vacations or occasional day
off. I have over 40 years retail experience with 25 years as the
owner of an independent compounding pharmacy. Can cover the
River Valley and Ouachita areas. Call John Csiha; cell number:
479-355-0371
Pharmacist Needed
Looking for part time pharmacist for an independently owned
pharmacy in Searcy, Arkansas. Please contact Scott Stanley,
Pharm.D. at the following contact information; 501-281-1374,
Stanley Pharmacy P.O. Box 2039 Searcy, AR 72145, or
Pharmacist Needed
We are looking for a full-time or part-time pharmacist for an
independently owned pharmacy in Paris, AR. Please call
Elizabeth at 479-963-1555.
For Sale
All items located in Rison, AR
Lighted wall fixtures - 70 total feet
5 ft gondolas - 10 total
lexmark T640 printer - 1 total
credit card terminal - 1 total
Contact: Roth E. Rabb, P.D. @ 870-718-9482 or after 6:00 p.m.
870-325-6836
Independent Pharmacies Wanted
Independent pharmacist interested in purchasing independent
pharmacies in Arkansas. Pharmacies will remain independent
after purchase. Purchaser has solid independent pharmacy
background.
If interested in selling your pharmacy, please contact Vance at
870-897-1204 or via e-mail at [email protected].
Volunteer Pharmacists Needed
Shepherd’s Hope Neighborhood Health Clinic is a ministry of
Fellowship Bible Church and Oak Forrest United Methodist
Church serving uninsured and indigent patients in the South
Midtown area of Little Rock. The Clinic is located at 2404 Tyler
Street (behind Oak Forrest). The hours of operation are 6:00pm to
8:30pm every Tuesday and Thursday night. Current needs are
pharmacists willing to volunteer every 4 weeks. If you are
available to volunteer and help with this ministry, please contact
Bren May at 501-993-0729. Thank you!
IVANRX4U, Inc.,
Pharmacist Relief Services, Career Placements.
Relief pharmacists needed - FT or PT. Based in Springfield, MO
and now in Arkansas. Staffing in Missouri, Arkansas, Eastern
Kansas and Oklahoma. We provide relief pharmacists for an
occasional day off, vacations, emergencies -- ALL your staffing
needs. Also seeking pharmacists for full or part-time situations.
Please contact Tracy Byrd, Marketing and Recruiting Director, or
Mike Geeslin, President for information regarding current
openings throughout Arkansas - temporary as well as permanent
placements. Let IvanRx4u help staff your pharmacy, call
417-888-5166. We welcome your email inquiries, please feel free
to contact us at: [email protected] or
Pharmacist in Charge Wanted
Competitive salary with up to 3 weeks paid vacation and major
medical coverage plus 401K plan. Great schedule - Monday thru
Friday, hours 9:00 a.m. to 6:00 p.m. Contact Alan Tweddell at
870-931-2881 or send resume to:
Country Mart Pharmacy,
208 Lincoln Dr., Fredericktown, MO 63645
Positions to be filled in S.E. Missouri.
Relief staffing available through Staff RPh, Inc.
We provide quality pharmacists and technicians that you can trust
for all your staffing needs. Our current service area includes AR,
TX, OK and TN. For more information call Rick Van Zandt at
501-847-5010 or email [email protected] .
Pharmacy for Sale
In beautiful North Arkansas. Established in 1974. Family owned
with exceptional reputation in dynamic community. Excellent
schools, recreational & retirement center, golf courses, lakes,
rivers, 2.5 hours from Little Rock, AR; Memphis, TN; and
Springfield, MO. Pharmacy is ideally located: a) across from
doctor’s complex and new treatment, diagnostic, and emergency
facility, b) next door to ophthalmologist and optometrist. Contact
Mike Sprague at 512-799-5265.
The Arkansas Pharmacist24
*Dr. J.J. McAlmont, Little Rock ....................................1883-84
*Dr. John B. Bond, Sr., Little Rock ................................1884-87
*W.W. Kerr, Batesville....................................................1887-91
*E.E. Shendall, Hot Springs............................................1891-92
*John W. Morton, Fort Smith..........................................1892-93
*G.N. Hart, Pine Bluff ....................................................1893-94
*J.M. Anderson, Pine Bluff ............................................1894-95
*A.L. Morgan, Camden ..................................................1895-97
*J.F. Dowdy, Little Rock ................................................1897-99
*E.F. Klein, Hot Springs ............................................1899-1901
*W.R. Appleton, El Dorado ............................................1901-03
*R.B. King, Helena ........................................................1903-05
*W.H. Skinner, Pocahontas ............................................1905-07
*Frank Schachleiter, Hot Springs....................................1907-09
*O.O. Lumpkin, Texarkana ............................................1909-10
*Henry Weimer, Hot Springs ..........................................1910-11
*John J. Ward, Hope........................................................1911-13
*R.A. Warren, Fort Smith ..............................................1913-14
*Roy Chamberlin, Little Rock ........................................1914-15
*Booker Latimer, Dewitt ................................................1915-17
*Jesse D. Hodges, Little Rock ........................................1917-18
*W.C. Hogan, Atkins ......................................................1918-19
*Col. W.G. Ownbey, Springdale ....................................1919-21
*W.J. Conery, Pine Bluff ................................................1921-22
*Edward Bradley, Hot Springs........................................1922-25
*P.R. Turner, Marianna ..................................................1925-27
*Herbert W. Parker, Jonesboro........................................1927-28
*Max D. Daggett, Marianna............................................1928-30
*Iri Brite, Fort Smith ......................................................1930-31
*Frank G. Ward, Hope ....................................................1931-32
*L.K. Snodgrass, Little Rock..........................................1932-33
*V.M. Harrington, Marianna ..........................................1933-34
*John P. Cox, Hope ........................................................1934-35
*J.E. Berry, Smackover ..................................................1935-36
*Harold Lawson, Little Rock..........................................1936-37
*Roger M. Martin, Norphlet ..........................................1937-38
*G.M. Eisele, Hot Springs ..............................................1938-39
*G.M. “Buddy” Marks, Little Rock................................1939-40
*Purcell Smith, Little Rock ............................................1940-41
*Jim Ketchum, Newark ..................................................1941-43
*J.B. Harris, Foreman ....................................................1943-44
*Troy D. Churchman, Little Rock ..................................1944-45
*G.B. Stovall, Wilmot ....................................................1945-46
*Gordon C. Hunt, North Little Rock ..............................1946-47
*Wilkes Crume, Hot Springs ..........................................1947-48
*Maynard Lyons, Lonoke ..............................................1948-49
*A.L. Waddle, Harrisburg ..............................................1949-50
*Wade Willis, Magnolia ..................................................1950-51
*Glenn C. Ricketts, Fayetteville ....................................1951-52
*L.J. Clarke, Marked Tree ..............................................1952-53
*Frank Headlee, Searcy ..................................................1953-54
*W.M. Cox, North Little Rock........................................1954-55
*J. Hunter Hollaway, Lake Village ................................1955-56
L.H. Haines, Marianna ....................................................1956-57
*S.A. Walker, Russellville ..............................................1957-58
*Morris G. Collier, Fayetteville ......................................1958-59
Harold Crall, Jonesboro ..................................................1959-60
Hanks Spikes, Crossett....................................................1960-61
*Morris H. Rosen, Pine Bluff..........................................1961-62
*Leon Holsted, North Little Rock ..................................1962-63
*Harrel P. Hesterly, Camden ..........................................1963-64
Fred Ragland, Jr., Stuttgart..............................................1964-65
*Ivan Rose, Rogers ........................................................1965-66
L.D. Horn, North Little Rock..........................................1966-67
Roger G. Williams, Searcy..............................................1967-68
Bill D. Plunkett, Mena ....................................................1968-69
*Guy Newcomb, Osceola................................................1969-70
*Joe Owen, Texarkana ....................................................1970-71
James Latture, Jr., Hot Springs........................................1971-72
Donald W. Stecks, Little Rock ........................................1972-73
*Luther Hodge, Clarksville ............................................1973-74
Charles M. West, Little Rock ..........................................1974-75
*Lowell Mikles, Booneville............................................1975-76
Milton H. Miller, Little Rock ..........................................1976-77
Larry Holcomb, Piggott ..................................................1977-78
Robert Evans, Murfreesboro ..........................................1978-79
John T. Douglas, Jonesboro ............................................1979-80
R. Eugene Graves, Little Rock........................................1980-81
Larry C. Wamble, Osceola ..............................................1981-82
Thomas N. O’Donell, Morrilton ....................................1982-83
Norman Canterbury, Magnolia........................................1983-84
Mark Riley, Little Rock ..................................................1984-85
Tery Baskin, Little Rock ................................................1985-86
Reid Holiman, Springdale ..............................................1986-87
Reed Perryman, Calico Rock ..........................................1987-88
Roger Harmon, Jonesboro ..............................................1988-89
Bill Groves, Pine Bluff....................................................1989-90
Larry Autry, DeQueen ....................................................1990-91
Thomas Wood, Judsonia ................................................1991-92
Bobby Evans, Jonesboro ................................................1992-93
Vicki Fowlkes, Little Rock ............................................1993-94
Larry Bell, Lincoln..........................................................1994-95
Ronnie Norris, McGehee ................................................1995-96
John Page, Fayetteville....................................................1996-97
Richard Hanry, El Dorado ..............................................1997-98
Gary Lee, Fort Smith ......................................................1998-99
Dean Sikes, Pine Bluff ................................................1999-2000
Don Curran, Springdale ..................................................2000-01
David Smith, Conway ....................................................2001-02
Michael Smith, Russellville ............................................2002-03
Gary Fancher, Flippin ....................................................2003-04
Billy Gammel, Crossett ..................................................2004-05
Gary Butler, Hot Springs Village ....................................2005-06
Wayne Padgett, Glenwood ..............................................2006-07
Stephanie Goodart O’Neal, Wynne ................................2007-08
Paul Holifield, Batesville ................................................2008-09
Honor Roll of Past Presidents
The Arkansas Pharmacist 25
PHARMACIST OF THE YEAR AWARDThe Pharmacist of the Year Award was established in 1959 by action of the Association’s Executive Council. Nominationsfor the award are submitted to a three-member committee, made up of a member from the UA School of Pharmacy and twopast presidents of the Association. According to the original guidelines, “Those nominated should possess professional stan-dards beyond reproach, a record of outstanding civic service in the community, and be a member of the APA, who has con-tributed his efforts toward the progress of the profession through the state association.” Winners of the award are as follows:
INNOVATIVE PHARMACY PRACTICE AWARDThis award is newly established by the Arkansas Pharmacists Association in cooperation with the National Council of StatePharmacy Association Executives and DuPont Pharmaceuticals to recognize, annually, a pharmacist who has demonstrateda prominent spirit of innovation and entrepreneurship in the practice of pharmacy.
DISTINGUISHED YOUNG PHARMACIST AWARDThe time has come, once again, to select an outstanding young pharmacist for Marion Merrell Dow’s “Distinguished YoungPharmacist Award.” This award is given annually to an outstanding young pharmacist in each state, selected by his or herpeers. The young pharmacist receiving this award best represents not only their profession, but also their quality of life. Ourprevious recipients of this distinguished award are as follows:
COMMUNITY SERVICE AND BOWL OF HYGEIA AWARDThe Bowl of Hygeia Award was established by the A.H. Robins Company to honor pharmacists who have contributed tothe progress of their community. Past recipients of the award are:
1959 S.A. Walker . . . . . . . . . . . . . . Russellville1960 Thomas E. Mattax . . . . . . . . . Little Rock1961 Joe Harris . . . . . . . . . . . . . . . . Fort Smith1962 Morris H. Rosen. . . . . . . . . . . . Pine Bluff1963 Gordon Hunt . . . . . . . . North Little Rock1964 Ivan Rose . . . . . . . . . . . . . . . . . . . Rogers1965 Fred Ragland . . . . . . . . . . . . . . . Stuttgart1966 Dr. W.A. Strickland . . . . . . . . Little Rock1967 Harrell Hesterly. . . . . . . . . . . . . . Camden1968 L.D. Horn. . . . . . . . . . . North Little Rock1969 Dr. James E. Dusenberry . . . . Little Rock1970 Donald W. Stecks . . . . . . . . . . Little Rock1971 S. Don Phillips . . . . . . . . . . . Arkadelphia1972 Luther Hodge . . . . . . . . . . . . . Clarksville1973 Charles West. . . . . . . . . . . . . . Little Rock1974 Walter J. Morrison . . . . . . . . . Little Rock1975 Ivan W. Rose . . . . . . . . . . . . . . . . . Rogers
1976 Guy Newcomb. . . . . . . . . . . . . . . Osceola1977 William S. Baggett . . . . . . . . . Fort Smith1978 B. Reid Holiman . . . . . . . . . . . Springdale1979 James S. Latture . . . . . . . . . . Hot Springs1980 Larry N. Holcomb. . . . . . . . . . . . . Piggott1981 John T. Douglas. . . . . . . . . . . . Jonesboro1982 Gene Graves . . . . . . . . . . . . . . Little Rock1983 Lester Hosto . . . . . . . . . . . . . . Little Rock1984 Jerry Stephens . . . . . . . . . . . . Little Rock1985 B. Reid Holiman . . . . . . . . . . . Springdale1986 George Wimberly . . . . . . . . . . Little Rock1987 Bill Groves . . . . . . . . . . . . . . . . Pine Buff1988 Mark Riley . . . . . . . . . . . . . . . Little Rock1989 Larry Wamble . . . . . . . . . . . . . . . Osceola1990 Bill Bloodworth . . . . . . . . . . . Little Rock1991 Charles Campbell . . . . . . . . . . Little Rock1992 J. Thomas Tapp. . . . . . . . . . . . Little Rock
1993 Ed. Henley . . . . . . . . . . . . . . . Smackover1994 C.A. Kuykendall . . . . . . . . . . . . . . . Ozark1995 Dana L. Woods . . . . . . . . Mountain View1996 Tery Baskin . . . . . . . . . . . . . . Little Rock1997 Roger Williams . . . . . . . . . . . . . . . Searcy1998 Ronnie E. Norris . . . . . . . . . . . . McGehee1999 Joe E. Larkin . . . . . . . . . . . . . . Charleston2000 Jeff Fenton Dunn. . . . . . . . . . . . . Dermott2001 Gayle Fowlkes . . . . . . . . . . . . . . Conway2002 Percy W. Malone . . . . . . . . . Arkadelphia2003 Larry Autry. . . . . . . . . . . . . . . . . DeQueen2004 Stephanie Gardner . . . . . . . . . Little Rock2005 Charles Smith . . . . . . . . . . . . . . . . Benton2006 V. Alton Chambless . . . . . . . . . . . . Dewitt2007 Steve Bryant . . . . . . . . . . . . . . . Batesville2008 Michael Smith . . . . . . . . . . . . Russellville2009 Tony Bari . . . . . . . . . . . . . . . . . Jonesboro
1987 Robna Wiles Pfeifler, P.D. . . . Fayetteville1988 Mike Smets, P.D. . . . . . . . . . . . . Fort Smith1989 Kelly Callan, P.D. . . . . . . . . . . . Little Rock1990 Nancy Williams, P.D. . . . . . . . . . . . Searcy1991 Rob Evans, Jr., P.D. . . . . . . . Murfreesboro1992 Michael Scribner, P.D. . . . . . . . Springdale1993 Michael Brown, P.D. . . . . . . . . Little Rock1994 Dell McCarley, P.D. . . . . . . . . . Little Rock
1995 Robert A. Cotton, P.D. . . . . . . Little Rock1996 Melissa Liddle, P.D. . . . . . . . . . . . . . Cabot1997 Shelly Tucker, Pharm.D. . . . . . Little Rock1998 Ed Pat Wright, Pharm.D. . . . . . . . . . Helena1999 James W. Bethea, Pharm.D. . . . . Stuttgart 2000 Denise Roark, Pharm.D. . . . . . Springdale2001 Trey Gardner, Pharm.D. . . . . . Little Rock2002 Dosha Cummins, Pharm.D. . . . Jonesboro
2003 Justin Boyd, Pharm.D.. . . . . . . Fort Smith2004 Jeanie Horton, Pharm.D.. . . . . . . Dennard2005 Aaron Brown, Pharm.D. . . . . . Little Rock2006 Lindsey Way, Pharm.D. . . . . . Little Rock2007 Brandon Cooper, Pharm.D. . . . Jonesboro2008 John Kirtley, Pharm.D. . . . . . . Little Rock2009 Sarah Frank, Pharm.D.. . . . . . Fayetteville
1959 Gordon C. Hunt . . . . . . North Little Rock1960 Hank Spikes . . . . . . . . . . . . . . . . . . Crossett1961 Willis Rickettes . . . . . . . . . . . . Fayetteville1962 Burl Foster . . . . . . . . . . . . . . . . . . Ashdown1963 Frank L. Qualls . . . . . . . . . . . . Russellville1964 Nathan M. Barrett . . . . . . . . . . . . . . Warren1965 Harvey B. Shehane . . . . . . . . . . El Dorado1966 Leon Holsted . . . . . . . . . North Little Rock1967 John T. Douglas . . . . . . . . . . . . . Jonesboro1968 Benny Ray Post . . . . . . . . . . . . Smackover1969 Luther E. Hodge . . . . . . . . . . . . Clarksville1970 Bill D. Plunkett . . . . . . . . . . . . . . . . . . Mena1971 Reed Mack Perryman . . . . . . Calico Rock1972 Jack Charles Irvine . . . . . . . . . . . . Dermott1973 Lester E. Hosto . . . . . . . . . . . . . Little Rock1974 Edgar F. Henley, Jr. . . . . . . . . . Smackover1975 Edward P. Buerkle . . . . . . . . . . . . Stuttgart
1976 Samuel H. Alexander . . . . . . . . . . Harrison1977 Roger G. Williams . . . . . . . . . . . . . . Searcy1978 Carl M. Collier . . . . . . . . . . . . . Fayetteville1979 Roger Harmon . . . . . . . . . . . . . . . Jonesboro1980 Larry Wamble . . . . . . . . . . . . . . . . . Osceola1981 Donald Wayne Stecks . . . . . . . Little Rock1982 Charles Bishop . . . . . . . . . . . . . . . . . . Dover1983 George Wimberly . . . . . . . . . . . Little Rock1984 Tommy O’Donell . . . . . . . . . . . . Morrilton1985 James S. Latture, Jr. . . . . . . . . Hot Springs1986 Frank M. Cole . . . . . . . . . . . . . . . Jonesboro1987 Oscar Paul Clayton . . . . . . . . . Tuckerman1988 A.C. Tygart . . . . . . . . . . . . . . . . . . . Sheridan1989 R. Eugene Graves . . . . . . . . . . . Little Rock1990 Jeffery F. Dunn. . . . . . . . . . . . . . . . Dermott1991 Randy Shinabery . . . . . . . . . . Marked Tree1992 Bobby Joe Clark . . . . . . . . . . . . Bald Knob
1993 Samuel R. “Bob” Lyon North Little Rock1994 Jack Coker . . . . . . . . . . . . . . . . . . . Stuttgart1995 Wm. Percy Malone . . . . . . . Arkadelphia1996 Ron Teasley . . . . . . . . . . . . . . . . . . Gravette1997 Mark Meeker . . . . . . . . . . . . . . Hot Springs1998 Donald F. Johnson . . . . North Little Rock1999 John R. Page . . . . . . . . . . . . . . . Fayetteville2000 Alvin Simmons. . . . . . . . . . . . Little Rock2001 Danny Ponder. . . . . . . . . Mountain Home2002 Joe Larkin . . . . . . . . . . . . . . . . Charleston2003 Don Curran . . . . . . . . . . . . . . . Springdale2004 Thomas Wood. . . . . . . . . . . . . . . Judsonia2005 Andy Blansett . . . . . . . . . . . . . . . . . Cabot2006 John A. Vinson . . . . . . . . . . . . Van Buren2007 Dosha Cummins. . . . . . . . . . . . Jonesboro2008 Robert Richardson . . . . . . . . . Little Rock2009 Eddie Dunn . . . . . . . . . . . . . . Little Rock
1993 Gary Lee, P.D. . . . . . . . . . . . . . . . Fort Smith1994 Steve Bryant, P.D. . . . . . . . . . . . . Batesville1995 Julia Reddmann, P.D. . . . . . . . . . Jonesboro1996 Lyn Fruchey, P.D. . . . . . . . . . . . Little Rock1997 Guy Lessenberry, P.D. . . . . . . . . Berryville1998 Wayne Schulte, P.D. . . . . . . . . . . . . . . Mena
1999 Tom Frank, Pharm.D. . . . . . . . . . Jonesboro2000 Debbie Bastian, P.D. . . . . . . . . . . . Rogers2001 Lonnie McClure, P.D. . . . . . Greers Ferry2002 R. Lee Shinabery, Jr., Pharm.D. Jonesboro2003 Kristen Riddle, Pharm.D. . . . . . . Conway2004 Gary Bass, P.D.. . . . . . . . . . . . Little Rock
2005 Laura Beth Martin, Pharm.D. . . . . . Hope2006 Michael Butler, Pharm.D. Hot Springs Village2007 Gene Graves, P.D.. . . . . . . . . . Little Rock2008 Dell McCarley, P.D. . . . . . . . . Little Rock2009 Michael Thames, Pharm.D.. . . Fort Smith
The Arkansas Pharmacist26
2010 APA Annual Convention
9:00 a.m. - 12:00 noon APA Board of Directors Meeting
Marriott Hotel
1:30 p.m. APA Annual Golf Tournament
Hardscrabble Country Club
Sponsored by: AmerisourceBergen
7:00 a.m. - 11:30 a.m. Registration
7:00 a.m. - 8:00 a.m. Continental Breakfast
CONTINUING EDUCATION SESSION
Arkansas Association of Health System Pharmacists (AAHP)
Jason Derden, Pharm.D., Presiding
8:00 a.m. - 12:00 noon
Hyperglycemic Crisis
0004-9999-10-005-L01-P....(0.10 CEU)
Speakers: Eric Schneider, Pharm.D.
Associate Dean, UAMS College of
Pharmacy - Northwest
Supported by: AAHP
Where’s the Plumber? Overflowing
Resistance with a Dripping Pipeline
0004-9999-10-006-L01-P....(0.10 CEU)
Speaker: Holly Maples, Pharm.D.
Assistant Professor of Pharmacy &
Medicine
Arkansas Children’s Hospital
Supported by: AAHP
Clinical Pearls
0004-9999-10-007-L01-P....(0.10 CEU)
Speakers: Melonie Clayborn, Pharm.D.
Clinical Pharmacists, Northwest VA ;
Jennifer West, Pharm.D.
Pharmacy Practice Resident, CAVHS;
Lorie Crawford, Pharm.D.
Pharmacy Practice Resident, CAVHS
Supported by: AAHP
8:30 a.m. - 5:00 p.m. State Board Meeting
10:00 a.m. - 5:30 p.m. Exhibitors Set-Up
12:00 noon - 2:30 p.m. AAHP Board Meeting
1:30 p.m. - 3:00 p.m. Registration
CONTINUING EDUCATION SESSION
APA Academy of Compounding Pharmacists
Gary Butler, P.D., Presiding
1:30 p.m. - 3:00 p.m.
Pharmacy Compounding Update
0004-9999-10-008-L04-P ..(0.15 CEUs)
Speaker: Tom Murry, Pharm.D., Esq
Executive Director, Pharmacy Compounding
Accreditation Board
CONTINUING EDUCATION SESSION
APA Academy of Consultant Pharmacists
James Griggs, P.D., Presiding
3:00 p.m. - 4:30 p.m.
What the Doctor Thinks: The
Cognitive Psychology of Prescribing
0004-9999-10-009-L04-P. (0.15 CEUs)
Speaker: Richard Miles, M.D.
4:00 p.m. - 5:00 p.m. Past Presidents’ Council/Arkansas
Foundation Board Meeting
5:00 p.m. - 5:30 p.m.Past
Presidents’ Reception
5:30 p.m. - 7:30 p.m. Exhibitors’ Opening Reception
7: 30 p.m. - 9:30 p.m. Wholesaler Appreciation Karaoke
Honoring: AmerisourceBergen, McKesson, Morris & Dickson, and Smith DrugFeaturing: Sound Xtreme DJ & Karaoke
7:30 a.m. - 11:00 a.m. Registration
7:45 a.m. - 8:30 a.m. Continental Breakfast
FIRST GENERAL SESSION
President Jan Hastings, Presiding
8:30 a.m. - 12:00 noon Current Issues in Anticoagulation
0004-9999-10-010-L01-P. (0.15 CEUs)
Speaker: Ashley Stinnett, Pharm.D.
Assistant Professor
UAMS College of Pharmacy
Schedule at a GlanceWednesday , June 23, 2010
Thursday , June 24, 2010
Friday, June 25, 2010
The Arkansas Pharmacist 27
Hypertension: Review of Guidelines
and Principles of Antihypertensive
Therapy
0004-9999-10-011-L01-P ..(0.15 CEU)
Speaker: Leslie Mooney, Pharm.D.
Research Fellow
UAMS College of Pharmacy
8:30 a.m. - 5:00 p.m. State Board Meeting
9:00 a.m. - 11:00 a.m. Spouse Event (Meet in the lobby at
8:30 a.m.)
11:00 a.m. - 1:30 p.m. Exhibitors’ Luncheon
1:00 p.m. - 3:30 p.m. Registration
CONTINUING EDUCATION SESSION
President Jan Hastings, Presiding
1:00 p.m. - 4:30 p.m.
FEATURED SPEAKER
The Value of Medicines: Introducing
the Triple Solution for a Healthier
America
0004-9999-10-012-L04-P ..(0.10 CEU)
Speaker: Dan Weston
Director of External Advocacy
GlaxoSmithKline
Supported by: GlaxoSmithKline
Pharmacy Law Update
0004-9999-10-013-L03-P....(0.10 CEU)
Speaker: John Kirtley, Pharm.D.
Assistant Director
Arkansas State Board of Pharmacy
OTCs: Review and Update
0004-9999-10-014-L01-P ..(0.15 CEUs)
Speaker: Erin Beth Hays, Pharm.D.
Pharmacy Resident
White River Medical Center
5:30 p.m. - 6:00 p.m. Presidents’ Reception
(all attendees invited)
6:00 p.m. An Evening with the Presidents
Special Entertainment by:
The Drugstore Cowboys
Dessert Extravaganza
President’s Farewell Reception
7:30 a.m. - 1:30 p.m. Registration
7:30 a.m. - 8:00 a.m. Continental Breakfast
SECOND GENERAL SESSION
President Mike Smets, Presiding
8:00 a.m. - 12:00 noon
Immunization Update
0004-9999-10-015-L01-P. (0.15 CEUs)
Speakers: Eric Crumbaugh, Pharm.D.
Clinical Coordinator
Kroger Pharmacy
9:30 a.m. - 10:30 a.m. Awards Ceremony
OTC Self Care Championship:
Harding vs. UAMS0004-9999-10-016-L01-P (0.15 CEUs)
Speaker: Jan Hastings, Pharm.D.
Associate Professor
UAMS College of Pharmacy
Supported by: NASPA and Proctor & Gamble
12:00 noon - 1:30 p.m. AP-PAC Luncheon
Speaker: The Honorable John Boozman
Supported by: AP-PAC(Special ticket purchase required.)AP-PAC Board of Directors Meeting
directly following the luncheon.
CONTINUING EDUCATION SESSION
President Mike Smets, Presiding
Collaborative Practice Certification Session
1:30 p.m. - 4:30 p.m.
Retooling for the future: Pharmacist
Credentialling for Disease State
Management
0004-0000-09-059-L04-P ..(0.30 CEUs)
Speaker: Jeremy Thomas, Pharm.D.
Assistant Professor
UAMS College of Pharmacy
and
Eric Schneider, Pharm.D.
Associate Dean
UAMS College of Pharmacy
Supported by: UAMS College of Pharmacy
Saturday, June 26, 2010
Hyperglycemic Crisis
Presented by: Eric Schneider, Pharm.D.
This CE activity will be Application based.
Upon completion of this lecture, the participant should be
able to:
• Compare and contrast the pathophysiology of DKA and
HHS.
• List the complications of DKA and HHS and explain
their prevention.
• Explain the role of insulin, fluids, potassium,
bicarbonate, and phosphorus in the management of
hyperglycemic crisis.
• Outline a treatment plan for an adult patient with
hyperglycemic crisis.
Where’s the Plumber? Overflowing Resistance with a
Dripping Pipeline
Presented by: Holly Maples, Pharm.D.
This CE activity will be Knowledge based.
Upon completion of this lecture, the participant should be able to:
• Recognize emerging resistance in community and health
care-associated infections.
• Appreciate the history of antimicrobial development and the
future pipeline.
• Apply strategies to optimize detection and surveillance
while improving clinical outcomes.
Clinical Pearls
Presented by: Melonie Clayborn, Pharm.D., Jennifer West, Pharm.D., and
Lorie Crawford, Pharm.D.
This CE activity will be Application based.
Upon completion of this lecture, the participant should be able to:
• Describe how to apply pharmacotherapy to unique circumstances and
clinical presentations.
• List commonly used medications that should be avoided in geriatric patients.
• Discuss the prevention of herpes zoster (shingles) with the zoster vaccine.
• Identify alternative treatments for Clostridium difficile when vancomycin and
metronidazole fail.
What the Doctor Thinks: The Congnitive Psychology of Prescribing
Presented by: Richard Miles, M.D.
This CE activity will be Knowledge based.
Upon completion of this lecture, the participant should be able to:
• Describe the extreme reactions that may be elicited from sound treatment recommendations.
• Identify methods to assist physicians in changing long-held treatment regimes.
• List the intellectual reaction that occurs as described by James Reason.
• Provide insight into the psychological discomfort experienced by physicians when provided with recommendations for
treatment changes.
Current Issues in Anticoagulation
Presented by: Ashley Stinnett, Pharm.D.
This CE activity will be Application based.
Upon completion of this lecture, the
participant should be able to:
• Review current guideline
recommendations for anticoagulation.
• Describe the pharmacology of current
anticoagulants.
• Compare and contrast anticoagulants
in development to those currently in
use.
Hypertension: Review of Guidelines and Principles of Antihypertensive
Therapy
Presented by: Leslie Mooney, Pharm.D.
This CE activity will be Application based.
Upon completion of this lecture, the participant should be able to:
• Describe the difference between essential and secondary hypertension and
explain the pathophysiology associated with the development of hypertension.
• Classify a patient’s hypertension.
• Discuss the non-pharmacologic approach to hypertension, when it is indicated,
and the blood pressure reduction expected with each approach.
• Compare the mechanism of action, dosing, side effects, and counseling
information for the different classes of antihypertensive agents.
• Apply current guidelines to individual patients.
Pharmacy Compounding Update
Presented by: Tom Murry, Pharm.D., Esq
This CE activity will be Knowledge based.
Upon completion of this lecture, the
participant should be able to:
• Identify current regulatory issues facing
compounding pharmacy.
• Describe recent court decisions and their
impact on compounding.
• Discuss regional conflicts of law
pertaining to compounding pharmacy.
• Review upcoming compounding issues.
T H U R S D A Y
F R I D A Y
Immunization Update
Presented by: Eric Crumbaugh, Pharm.D.
This CE activity will be Knowledge based.
Upon completion of this lecture, the participant should be able
to:
• Using the adult immunization schedule, determine a
patient’s indication for routine vaccinations.
• Recognize contraindications and precautions associated
with routine and travel immunizations.
• Differentiate between required and recommended
immunizations.
• Counsel patients on pharmacological and
non-pharmacological protective measures when
traveling abroad.
OTC Self Care Championship:
Harding vs. UAMSPresented by: Jan Hastings, Pharm.D.
This CE activity will be Knowledge based.
Upon completion of this lecture, the participant should be
able to:
• Identify and explain aspects of the effective and safe
practice of pharmacy self-care treatments by means
of an interactive learning experience.
• Analyze the usage and effectiveness of over the
counter medications.
• Classify different groups of over the counter
medications based on drug treatment class.
• Apply effective counseling techniques for use with
self-care patients.
Retooling for the future: Pharmacist Credentialing for Disease State Management
Presented by: Jeremy Thomas, Pharm.D. and Eric Schneider, Pharm.D.
This CE activity will be Knowledge based.
Upon completion of this lecture, the participant should be able to:
• List the essential components of a "written protocol" as described in the ASBP Disease State Management
Regulation 9.
• Describe appropriate documentation procedures for Disease State Management as outlined by the ASBP.
• Develop a written protocol for a specific Disease State Management scenario.
• Create a documentation record of a patient encounter.
• Assess a given set of patient data and choose an appropriate course of action according to a written protocol.
OTCs: Review and Update
Presented by: Erin Beth Hays, Pharm.D.
This CE activity will be Knowledge based.
Upon completion of this lecture, the participant should be able to:
• Explain the reasons for recent over-the-counter (OTC) changes by FDA.
• Make appropriate OTC recommendations specific to each individual
patient for common indications.
• Teach patients how to properly read an OTC label.
The Value of Medicines: Introducing the Triple Solution for a Healthier
America
Presented by: Dan Weston
This CE activity will be Knowledge based.
Upon Completion of this lecture, the participant should be able to:
• Distinguish how prevention and intervention are critical to controlling
disease and the cost of healthcare, while helping people feel better: the
Asheville project and Pitney Bowes are just two examples of this
investment in wellness.
• Describe how innovation brings new medicines that provide hope and a
future for those living with disease.
• State how the pharmaceutical industry continues to show that it
cares about patient access to medicines by providing free, or nearly
free, medicines to those without insurance.
Pharmacy Law Update
Presented by: John Kirtley, Pharm.D.
This CE activity will be Knowledge based.
Upon completion of this lecture, the participant
should be able to:
• Analyze recent changes in pharmacy
regulations in Arkansas.
• Discuss the reasoning behind changes to
pharmacy regulation.
• Have particiants demonstrate understanding
of recent pharmacy regulatory changes and
challenges.
S A T U R D A Y
The Arkansas Pharmacist30
Tournament Information
Shotgun Start at 1:30 p.m.
BE ON PREMISES BY 12:45 p.m.
Prizes awarded for 1st, 2nd, 3rd places,
(1) Longest Drive,
(1) Closest To The Pin
(no duplicate winners on special events)
Prizes will be presented at
Hardscrabble Country Club
4 - MAN SCRAMBLE
GOLF TOURNAMENT
Wednesday, June 23, 2010
1:30 p.m.
Hardscrabble Country Club5211 Cliff Dr, Fort Smith, AR
Registration Fee: $65.00 per player
Arkansas
Pharmacists
Association
REGISTER TO PLAY
Sponsored
by:
GO
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FO
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Ark
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Ph
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Ass
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417 S
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Lit
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Rock
, AR
72201
Last Name First Name
Please check title: � P.D. �Ph.D. �Pharm.D �Technician �Student �Other____________
Nickname (for badge)
Affiliation (pharmacy, hospital name, etc.)
Address
City State Zip
Phone AR License No.
Membership Status: �APA Member�APA Non-Member �Past President
Please check if this is your first APA Convention to attend. �
2010 Registration Form
APA MEMBERS ONLY
INCLUDES: All education sessions, continental breakfasts,receptions, exhibits, prize drawings, breaks, and social eventtickets for Thursday through Saturday.(AP-PAC luncheon tickets must be purchased separately.)
APA Member Full Registration Package
�By June 1, 2010 ................................................$200.00
�After June 1, 2010 ..............................................$230.00
* If you and your spouse are pharmacists, separate registration forms and fees are required.
APA Member and Spouse/Guest Full RegistrationPackage (Best Value)
�By June 1, 2010 ................................................$300.00
�After June 1, 2010 ..............................................$330.00
Spouse/Guest Name _____________________________
DAILY REGISTRATION PACKAGE
INCLUDES: All education sessions, continental breakfasts,receptions, exhibits, prize drawings, breaks, and socialevent for that day. (Special event tickets for that day are in-cluded in this price.)
(Please select the day you will attend.)APA Member Daily Package
�Thursday �Friday �Saturday ................$160.00/daily
APA Member and Spouse/Guest Daily Package
�Thursday �Friday �Saturday ................$200.00/daily
Spouse/Guest Name______________________________
NON MEMBERS
INCLUDES: All education sessions, continental breakfasts,receptions, exhibits, prize drawings, breaks, and socialevent tickets for Thursday through Saturday.
Non-Member Full Registration Package:
�By June 1, 2010 ................................................$295.00
�After June 1, 2010 ..............................................$325.00
Non-Member and Spouse/Guest Full Registration Pack-age
�By June 1, 2010 ................................................$395.00
�After June 1, 2010 ..............................................$415.00
Spouse/Guest Name______________________________
DAILY REGISTRATION PACKAGE
INCLUDES: All education sessions, continental breakfasts,receptions, exhibits, prize drawings, breaks, and socialevent tickets for that day. (Special event tickets for that day
are included in this price.)
(Please select the day you will attend.)Non-Member Daily Package
�Thursday �Friday �Saturday ........................$195.00
Non-Member and Spouse/Guest Daily Package
�Thursday �Friday �Saturday ........................$235.00
FULL REGISTRATION PACKAGE
For Office Use Only
Received______________________________
Amount Paid _____________ Method _____________
TECHNICIAN REGISTRATION PACKAGE
Pharmacy Technician Full Registration Package(All social event tickets are included in this price.)
� ............................................................$140.00 Member
�.......................................................$175.00 Non-Member
Pharmacy Technician Daily Registration Package(Special event tickets for that day are included in thisprice.)(Please select the day you will attend.)
�Thursday �Friday �Saturday ............$85.00/daily-Member
�Thursday �Friday �Saturday..... $105.00/daily-Non-Member
PHARMACY STUDENT SPONSORSHIP
Pharmacy Student Sponsorship............................$50.00This will give any UAMS College of Pharmacy or HardingCollege of Pharmacy student a chance to attend convention._____ Quantity $_______Total
EXTRA SOCIAL EVENT TICKETS
Tickets for the following events are included in the convention registration package. Extra tickets may be purchased for additional guests.
Tickets must be purchased 24 hours prior to the event.
ThursdayWholesaler Appreciation Karaoke ........................$10.00_____ Quantity $ ______Total
FridayAn Evening with the Presidents ............................$50.00Special dinner and entertainment included.
_____ Quantity $_______Total
ADDITIONAL ACTIVITIES
Wednesday
Golf Tournament......................................................$65.00
_____ Quantity $_______Total
Handicap _____________________________________
FridaySpouse Event(s)Name _________________________________________
�The Park at West End (9:00 a.m.) ........................$10.00
(Meet in the hotel lobby at 8:45 a.m.)
PAYMENT METHOD
�Check Payable to APA Check#_______________
(Please enter your credit card number below)
�Discover Card ________________________________
�Visa/MasterCard ______________________________
�American Express _____________________________
Cardholder’s Name ______________________________
Expiration Date _____________
Security Code ______________
Total Amount Enclosed $ _____________________
Registration Form
HOTEL INFORMATION
Holiday Inn700 Rogers Ave. Fort Smith, AR 72901 Phone: 1-888-890-0242Website: www.holidayinn.com
To receive convention group rate,please mention APA.
Cut off date is June 1, 2010
REGISTER ONLINEYou may choose to complete our newonline registration form. It’s as easy
as clicking on this button.
www.arpharmacists.org
CONTINUING EDUCATIONHIGHLIGHTS
Expanding continuing education hours
based on continued demand.
ATTIREConventionBusiness Casual
Thursday Night Business CasualOpening ExhibitsKaraoke
Friday Night Western WearAn Evening with the Presidents
Saturday Business CasualAwards Ceremony
ETC.
For more information contact:Arkansas Pharmacists Association
417 South Victory, Little Rock, AR 72201-2923(501) 372-5250 � Fax (501) 372-0546
www.arpharmacists.org
No refunds can be made for cancellation after June 1st.
The Arkansas Pharmacist 33
Spouse Event
All Aboard!Join APA Event Coordinator Patty Young as
she travels through historic Fort Smith by
Trolley.
Make stops at several historical sights of
interest. Enjoy lunch on an authentic
restored railroad boxcar at The Park at West
End. Take the opportunity to return to your
childhood and ride an old time farris wheel
and carosel. As you return to the hotel, enjoy
the scenic historic district of Fort Smith.
You must be registered for
this event.
Don’t
miss the
fun.
SP
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SE
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EN
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_______________________________________
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City__________________________________________________S
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of people
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_________________ @
$10 e
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All
spouse e
vent re
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MU
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be r
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Convention.
Ple
ase c
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The Arkansas Pharmacist34
Sponsor a student as we take pharmacy
back in time to the Wild West in Fort
Smith.
Support students by making time off
available to them, as well as
being a student sponsor.
Sponsorship is $50 per student.
If you are interested, please complete this
form and return it along with your
convention check, to the APA
office as soon as possible.
I will sponsor _____ student(s) to
attend the 128th APA
Annual Convention.
My check in the amount of $__________
is enclosed.
__________________________________
__
Pharmacist Sponsor Signature
SPONSOR A STUDENT
Rock the night away as
Sound Xtreme
presents...
Thursday
June 24, 20107:30 p.m. - 9:30 p.m.
Fort Smith Convention Center
A3
KaraokeNight
Come join the fun as we honor
APA’s Wholesale PartnersCo-Sponsored by: UAMS Alumni Association
The Arkansas Pharmacist 35
Dr. Steve Bryant
Dr. Donald Hedden
Dr. Paul Holifield
Dr. Tommy Johnson
Dr. Joe Larkin
Drs. Rick & Tony Rogers
Super-Sav Drug No. 3
Dr. Phillip Tygart
Dr. Wendall Workman
AP-PAC Metals of Honor
PlatinumDr. Sam Alexander
Buerkle Drug Co.
Dr. Lynn Crouse
Dr. Michelle Crouse
Dr. Mary Davis
Dr. Jeff Fenwick
Dr. Jeff Foote
Dr. Lisa Gardner
Dr. Stephanie Goodart O'Neal
Hamilton West Pharmacy
Dr. Jan Hastings
Dr. Casey Hedden
Dr. Pat Ingalls
Dr. Billy Newton
Dr. Jeff Prince
Dr. Kristy Reed
Dr. Frank Schmidt
Dr. Randy Shinabery
Dr. Robert Wright
Portland Drug
Gold
Silver
AP-PAC LuncheonThe Arkansas Pharmacists
Political Action Committee will
host a luncheon Saturday,
June 26th at 12:00 noon during theAPA 2010 Annual Convention at the
Holiday Inn in Fort Smith. Speaker: The Honorable
John Boozman
DON’T MISS IT!Tickets are $60 each.
Please make check
payable to AP-PAC.
Do not include in convention registration payment.
Mail this form along with your
check to:
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Little Rock, AR 72201
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Dr. Tommy Black
Dr. Jack Coker
Dr. Van Cooper
Dr. Jeff Dunaway
Dr. Lonnie Jackson
Dr. Eddy Lemon
Dr. Milton McMillan
Dr. Charles Orrell
Dr. Jane Pique
Dr. Gary Russell
Dr. Daniel Spadaro
Dr. Holly Vansandt
Dr. Michael Blair
Dr. William Bell
Dr. Stacy Boeckman
Dr. Ralph Burns
Caldwell Discount Drugs,
Inc.
Dr. Billy Canada
Dr. John Cobb
Dr. Karen Cree
Dr. J. Fong
Dr. Rebecca Hancock
Dr. Ronny Hefner
Dr. Bonnie Johnson
Dr. Dolores Jones
Dr. Patrick Kauffman
Dr. William Matthews
Dr. Lynn Miller, Jr.
Dr. Lenora Newsome
Dr. Jeff Patterman
Dr. Mike Richardson
Dr. Charles Smets
Dr. Mike Smets
Dr. Michael Thames
Dr. Stephen Thomas
Dr. Tony Bari
Bethea Bros. Drug Co.
Dr. Ralph Blansett
Dr. Justin Boyd
Dr. Joseph Burrow
Dr. Gary Butler
Dr. Michael Butler
Dr. Bill Crabtree
Delta Drug, Inc.
Dr. Gary Denton
Dr. Gary Flippo
Dr. Billy Gammel
Dr. Melissa Graves
Dr. John Grifffin
Dr. W.P. Malone
Dr. Connie Medsker
Dr. Maggie Miller
Dr. Eugenia Raper
Rector Drug & Medical Supply
Dr. Danny Smith
Dr. Cheryl Stimson
Dr. Ronald Teasley
Dr. Adam Wheeler
Dr. Carl Collier
Dr. Wayne Padgett
Dr. Betsy Wright
Dr. Ed Pat Wright
Bronze
The Arkansas Pharmacist36
APA Board of Directors MinutesMinutes
Arkansas Pharmacists Association Board of Directors
December 13, 2009
Holiday Inn Airport
Little Rock, Arkansas
Members Guests and Staff
Dr. Jan Hastings – presiding Dr. Gary Bass Dr. John Kirtley
Dr. Mike Smets Dr. Brent Panneck Dr. Scott Pace
Dr. Paul Holifield Dr. Michael Butler Debra Wolfe
Dr. Kenny Harrison Dr. Eddie Glover Harold Simpson – legal counsel
Dr. John Vinson Dr. Mark Riley Barbara McMillan
Dr. Lynn Crouse Dr. Buzz Garner
Dr. Jason Derden Ms. Collin Ward
Dr. John Page Ms. Celia Proctor
Dr. Dennis Moore
CONSENT ITEMS
President Jan Hastings called the meeting to order at 9:10 a.m.
President Hastings requested Dr. Gary Bass to lead the invocation.
President Hastings reviewed the APA Conflict of Interest and Antitrust policies with the Board. President Hastings asked
the Board to make a clerical change in the Conflict of Interest Policy. There was a second and the motion passed.
President Hastings led the Board in introductions.
President Hastings asked the APA Board to review the minutes from the August 6, 2009 meeting. A motion was made and
seconded to approve the minutes as amended. The motion passed.
DISCUSSION ITEMS
Meeting Updates
Barbara McMillan reported that convention will be held in Fort Smith in June 24-26, 2010. The convention will be held
at the new convention center.
Ms. McMillan also reported that the 2010 APA Board retreat will be held at the Hilton Resort in Rockwell, TX, just out-
side of Dallas. The motion was made and seconded to have the retreat in Dallas. The motion passed.
There will be a women’s spa retreat weekend at the Embassy Suites in Rogers on March 5th. There will be 4 hours of CE
and an opportunity for shopping and spa treatments.
Ms. McMillan also reported on the 2010 CE in Paradise.
UAMS College of Pharmacy Report
Dean Stephanie Gardner reported that the College has created a 3 hour CE program to facilitate credentialing for the col-
laborative practice regulations passed by the Arkansas State Board of Pharmacy. The program will be offered on January
31, 2010 from 1pm – 4pm on the UAMS campus.
In addition, the UAMS NCPA Chapter was named National Chapter of the Year.
Harding College of Pharmacy Report
The Arkansas Pharmacist 37
ACPE will perform the next focus visit on the Harding Campus in March. Harding continues to recruit pharmacy practice
and pharmacology faculty positions.
Arkansas Association of Health-System Pharmacists Report
President Hastings welcomed Dr. Jason Derden to the Board as the new AAHP President. Dr. Derden reported that the
2009 Fall Seminar was a success and was profitable for AAHP. Dr. Derden also reported that Dr. Dennis Moore has
stepped down as Executive Director of AAHP and the Dr. Susan Newton will replace Dr. Moore.
Arkansas State Board of Pharmacy Report
Dr. John Kirtley informed the Board on the changes in CE requirements that will begin in 2010. The new CE require-
ments are as follows: there will be 30 hours required every two years for license renewal and of these 30 hours, 12 must
be live hours and 12 hours must be ACPE accredited.
Dr. Kirtley also noted the collaborative practice regulation changes have gone into effect and the first certification pro-
gram will be held in January at the UAMS College of Pharmacy.
The Board has formed a committee to look at how narcotic loss reporting is currently being handled. The committee will
convene in early 2010 to investigate this issue.
Compounding Academy Report
Dr. Gary Butler reported that the International Academy of Compounding Pharmacists have hired a new Executive Direc-
tor, Rod Shaffer.
Dr. Butler also reported that Dr. Eddie Glover was named the IACP Compounding Pharmacist of the Year for 2009.
Dr. Glover took an opportunity to update the Board on the IACP Compounders on Capitol Hill meeting that took place
this summer. Dr. Glover stated that the FDA is trying to strip control of compounding away from the state boards of phar-
macy and regulate compounding nationally. Dr. Glover stated that it is vitally important to maintain state control of regu-
lating the profession of pharmacy.
Arkansas Board of Health Report
Dr. John Page reported that the Department of Health recently held a two-day retreat. The flu continues be a huge issue in
Arkansas this flu season. So far ages 5-18 are the largest affected age group to date. Asthma was the most common un-
derlying condition for hospital admission with H1N1 flu.
Dr. Page also reported that hospital-acquire infections continue to be a huge issue with 1.7million reported cases every
year.
Health Care Reform
Dr. Scott Pace reported that Health Care Reform continues to move through Congress. The House of Representatives has
passed a health care bill and the Senate is currently debating a bill. The pharmacy provisions in the bill include changes to
AMP and a DME Accreditation Exemption. There are currently significant differences between the House and Senate
bills regarding how AMP will be defined.
Technician Training/Accreditation
Dr. Mark Riley wanted to open a dialogue with the Board about mandatory accreditation for pharmacy technicians. Dr.
Riley suggested the creation of a subcommittee to address this issue. Dr. Riley appointed Dr. Dennis Moore as chair of
this committee. A committee will be selected that represents a diverse section of the profession.
State Employee AWP Changes
The Arkansas Employee Benefits Division has rolled back their AWP minus discount reimbursement to accommodate for
the court-ordered rollback of AWP that took place in September. This rollback will take place effective November 1,
2009.
The Arkansas Pharmacist38
There was also a $1.5 million savings in the per member per month incentive program that the pharmacists have with the
EBD program. The pharmacists will share in 50% of the savings that were achieved through the program.
New Academy Discussion
Dr. Riley informed the Board about the potential creation of new academies within the association. The Organizational
Affairs discussed this issue and did not see a current need to create an additional academy within the association.
Arkansas Medicaid AWP Adjustment
Dr. Riley reported to the Board that the Arkansas Medicaid is the only major payer in the state that has not corrected their
pharmacy reimbursement as a result of the AWP rollback. This is currently costing the pharmacists upwards of 50% of
their gross margin on Medicaid brand name prescriptions.
Cost of Dispensing Medicaid Fee Increase Discussion
Dr. Riley reported on the CMS dispensing fee appeals hearing that took place in September in Dallas. Dr. Riley had the
opportunity to testify in favor of this fee increase. In addition, the Arkansas Medicaid program also testified in favor of
pharmacist receiving an increase in dispensing fee. The APA is currently waiting on the decision of the Administrative
Law Judge to rule on the appeal.
Worker’s Compensation Program
Dr. Pace reported that the APA continues to work with the Arkansas Insurance Department to assist the state in saving
costs with the state Worker’s Comp program. The APA is working in conjunction with the UAMS College of Pharmacy
to assist in the reasonable modification of the program.
Miscellaneous
There was a request by the Colleges of Pharmacy to provide some student activities funds to each school. Dr. Riley sug-
gested to the Board that the APA provide $500 to UAMS and $250 to Harding for student expenses. There was a motion
and a second. The motion passed.
ACTION ITEMS
Financial Report
Dr. Riley reported on the financials of the APA in the place of Dr. Hanry who was unable to attend. Dr. Riley stated that
the APA was operating well. There has been some slight changes in revenue as a result of some changes with PACE Al-
liance. In addition, Dr. Riley is working with Dr. Gary Butler to address a couple of issues with McKesson. A motion
was made and seconded to accept the financials as presented. The motion was approved.
Adjournment
A motion was made and seconded to adjourn the meeting at 1:45pm. The motion passed.
APA Foundation Board
December 13, 2009
Dr. Jan Hastings convened the Foundation Board at 2:00 p.m. on December 13, 2009.
The Board made a motion to accept the actions of the Foundation Board. The motion was passed.
A motion was made to adjourn the meeting at 2:15 p.m., motion passed.