newsletter National Association of Boards of Pharmacy®

August 2005 / Volume 34 Number 7 aid to government States Pass Legislation, Create Rules for the profession the public Pseudoephedrine 1904 to 2005 , states), and more states are require the licensure of all or “meth” – one of the in the process of writing and establishments that sell PSE This Month on most easily produced and voting upon such legislation. including convenience stores highly addictive street Early signs illustrate and gas stations. An example www.nabp.net: drugs – has become more that these state laws are of a deviation from the Special Items problematic for drug dealers experiencing positive norm is Montana – due to Save the Date for NABP’s Fall to manufacture due to Educational Conference: results; according to John the state’s rural population, December 2-4, 2005 recent state laws limiting the Horton, associate deputy if the closest pharmacy sales of pseudoephedrine Frequently Asked Questions director for State and Local to a convenience store is about Professional Affairs (PSE), a commonly used Affairs for the White House located 50 miles away, the ingredient in the illegal Headlines Office of National Drug convenience store can then Oklahoma Passes Legislation production of meth that is Control Policy, there has sell mixed PSE preparations. Recognizing NABP’s VAWD readily available and found been a 50% drop in the In such situations the Program in such over-the-counter number of meth labs in stores have been given an Upcoming (OTC) as Oklahoma and Oregon, two exemption by the Montana Sudafed®, Tylenol® Cold, of the first states to enact Department of Justice and Meetings Benadryl® & Cold laws restricting the purchase can stock PSE-containing Sunday-Tuesday, tablets, Robitussin® Cold of PSE-containing products. products. In numerous cases, August 7-9, 2005 Sinus & Congestion, as well NABP/AACP District III Many of the states’ the state boards of pharmacy Meeting as many generic brands. legislation are similar – have worked closely with Marriott Hotel, Knoxville, TN Currently, 25 states limiting the sales, quantities, state legislators to establish Thursday-Saturday, have meth precursor and time periods in which and write PSE rules. August 11-13, 2005 laws restricting the sales NABP/AACP District V Meeting these PSE-containing Oklahoma of PSE, ephedrine, and products may be purchased Marriott Hotel, Oklahoma was the first Bloomington, MN phenylpropanolamine by consumers. In addition, state in the country to pave Thursday-Saturday, products (see chart on page many of these states September 22-24, 2005 138 for a listing of these (continued on page 130) NABP/AACP District I Meeting Nathan Hale Inn, UConn Campus, Storrs, CT Wednesday-Saturday, In This Issue. . . . October 5-8, 2005 Association Legal Briefs: Feature News: Fall Educational NABP/AACP District VI, VII, and VIII Meetings News: Caught in State, Federal Conference: Teton Mountain Lodge, VAWD Provides a Web Legislation Seeks After Attending Jackson, WY Benefits, to Protect Patients FEC Educational Thursday-Saturday, Cost Savings from Sessions, Visit October 20-22, 2005 NABP/AACP District II Meeting to Boards of Drugs; NABP Sunny Isles JW Marriott, Washington, DC Pharmacy; Aids Officials in Beach Local Wednesday-Friday, Oklahoma Fight Attractions November 2-4, 2005 Signs On NABP/AACP District IV Meeting Courtyard Marriott Magnificent Mile Hotel, Chicago, IL 131 132 134 140 Feature News nabp newsletter

solid dosage forms of The NABP Newsletter pharmacy technician may (ISSN 8756-4483) is published PSE Legislation medications, including be allowed to remove the ten times a year by the National (continued from page 129) powders that contain any products from the locked Association of Boards of Pharmacy (NABP) to educate, to inform, and the way for other states quantity of PSE are classified storage space. to communicate the objectives and as Schedule V controlled  Consumers are not programs of the Association and its to decrease meth labs. As 66 member boards of pharmacy to reported in the March 2005 dangerous substances. allowed to purchase more the profession and the public. The than 9 grams of PSE opinions and views expressed in NABP Newsletter article “New Oregon this publication do not necessarily Oklahoma Pseudoephedrine within a 30-day period. reflect the official views, opinions, On May 13, 2005, or policies of NABP or any board Law Causes Decrease in the Oregon State Board Kentucky unless expressly so stated. The Illegal ‘Meth’ Labs,” there has of Pharmacy adopted Kentucky followed suit subscription rate is $35 per year. been a significant decrease in National Association of a permanent rule that when its legislation restricting Boards of Pharmacy the number of illegal meth restricted the sale of PSE sales went into effect 1600 Feehanville Drive labs in Oklahoma due to this Mount Prospect, IL 60056 PSE, which required that June 20, 2005. Senate Bill (SB) 847/391-4406 law. Some of Oklahoma’s products that have PSE 63 requires that products www.nabp.net pharmacy requirements for [email protected] as the sole ingredient with PSE, ephedrine, or Carmen A. Catizone Schedule V PSE include: only be sold from behind phenylpropanolamine in Executive Director/Secretary 1. It must be kept in a Larissa Doucette the pharmacy counter. tablet, caplet, and powder Editorial Manager locked environment According to this rule: form be kept in a secure (shelving unit, safe,  PSE combination location such as behind a © 2005 National Association of Boards cabinet, etc) that is of Pharmacy. All rights reserved. No part products may only be pharmacy counter or in within view of the of this publication may be reproduced sold behind the counter a locked case. SB 63 also in any manner without the written pharmacy, or behind permission of the executive director/ as well; liquid and gel limits sales to three boxes the pharmacy counter. secretary of the National Association of cap PSE products are of the affected products Boards of Pharmacy. 2. Any distributor or exempt from the rule per purchase or 9 grams retailer of Schedule V and may only be sold within a 30-day period. Executive PSE products must by a pharmacy or non- Customers must present keep readily retrievable Committee prescription drug outlet. a photo ID and provide records and invoices Donna M. Horn  The purchaser of their name and address in pertaining to the Chairperson, District I the PSE products a logbook (which must be receipt and sale of the Dennis K. McAllister must produce a valid retained for two years) to substance. All records President, District VIII photo identification purchase the . In must be kept for a Lawrence H. Mokhiber (ID), requiring the addition, consumers need President-elect, District II minimum of two years. pharmacy to keep a log, to be at least 18 years old to Charles R. Young 3. When purchasing OTC either electronically purchase PSE, ephedrine, Treasurer, District I medications containing or in a hard copy or phenylpropanolamine in Charles Curtis “Curt” Barr PSE, the greatest form, containing the tablet, caplet, or powder form. Member, District V allotted amount to purchaser’s name, SB 63 not only addresses Reginald B. “Reggie” Dilliard be purchased is 9 driver’s license or other the abuse of PSE and Member, District III grams per month. ID number, date of other medications used to John R. Dorvee, Jr This limit does not produce meth, but it also Member, District I apply to Schedule V birth, and the amount confronts other major meth- Patricia F. Harris PSE products that are purchased. Member, District VIII  related problems as well as dispensed pursuant to a PSE products must be Richard A. Palombo prescription drug abuse in valid prescription. locked in a storage space Member, District II Kentucky. Kentucky’s new law: All products that are within the outlet that Oren M. Peacock, Jr either soft gelatin liquid- it is close to and within  Makes it a felony to Member, District VI full view of a licensed expose children to meth Gary A. Schnabel filled capsules or liquid preparations are exempt pharmacy. labs, with increasing Member, District VII  from the Schedule V Only a licensed penalties based on the William T. Winsley pharmacist or registered child’s injuries; Member, District IV restrictions. But all (continued on page 136)

130 Association News august 2005 VAWD Provides Benefits, Cost Savings to Boards of Pharmacy; Oklahoma Signs On Prior to and since its the Board with certain licensure requirements and information from NABP’s launch, NABP’s Verified- information regarding considers NABP’s findings National Clearinghouse of Accredited Wholesale the issuance and renewal through the program an Licensure, Certification, Distributors™ (VAWD™) of licenses and permits important part of assisting and Accreditation; and the program has garnered much including: the boards in protecting the comprehensive criteria for support from state boards 1. type of ownership, public health. By allowing accreditation. of pharmacy and Food and whether individual, NABP to perform these NABP has contracted Drug Administration. All partnership, or licensure verifications, with a third party to of these entities recognize corporation; the Board will create a perform financial and the additional safety VAWD 2. names of principal safer environment for its criminal background accreditation can provide owners or officers and patients yet not place more checks on designated to the United States’ drug their Social Security of a strain on staff due to persons within those supply and, subsequently, Numbers (SSNs); increased investigation and companies that apply for the patient safety benefits. 3. names of designated inspection duties. VAWD accreditation. The Moreover, now that boards managers and their SSNs; Bryan Potter, executive background checks focus of pharmacy have had the 4. applicant’s and director of the Oklahoma on those people who are opportunity to evaluate designated managers’ State Board of Pharmacy, involved in the day-to-day the full program, they are fingerprints; expects that many wholesale operations and decisions at discerning the benefits of 5. criminal background distributors will seek the wholesale distribution the program in a time of check information VAWD accreditation as it facility. At a minimum, waning resources. for the applicant and will be the simplest way background checks will be Currently, two states designated managers as for registrants to obtain a performed on the facility’s have incorporated VAWD required by rule; wholesale distributor license warehouse manager and his into their wholesale 6. a copy of the license from the state board of or her supervisor. distributor legislation. As from the applicant’s or pharmacy. NABP’s Clearinghouse reported in the June-July designated managers’ NABP estimates that will be utilized to access 2005 NABP Newsletter, home state; and boards of pharmacy disciplinary information Indiana now requires all 7. bond requirements. that mandate VAWD that likely will not be wholesale distributors to Each of the items cited in accreditation are likely to accessible through obtain VAWD accreditation Oklahoma’s law that may be realize a savings of $2.5 background checks. in order to operate within made exempt on condition million on a biannual Searches will be performed the state. Additionally, of VAWD accreditation are basis. Such savings may for both the wholesale Oklahoma’s governor signed required components of be met because boards distribution facility and the into law House Bill 1347 the VAWD program. In an need not fund extensive designated persons. While and Senate Bill 640, both environment of strained investigations and state boards investigating of which recognize VAWD resources and overworked inspections of wholesale a distributor would have as an authorized outside compliance staffs, NABP is distributor facilities and to contact each state agency for accrediting pleased that Oklahoma has personnel. individually to uncover wholesale distributors and addressed the importance Aside from the cost disciplinary actions, repackagers. If wholesale of strict licensing savings, there are many NABP’s national database distributors seeking guidelines for wholesale other benefits that VAWD allows staff to quickly licensure in Oklahoma earn distributors. Furthermore, offers the state boards of and efficiently obtain VAWD accreditation, the NABP is delighted that pharmacy such as criminal disciplinary records from Oklahoma State Board of Oklahoma has recognized and financial background boards throughout the Pharmacy may exempt the VAWD accreditation as checking; wholesale country. an acceptable part of its company from providing distributor disciplinary (continued on page 147)

131 Legal Briefs nabp newsletter Caught in a Web By Dale J. Atkinson, JD

he public health and legal issues relevant to prescribing surrounding the proliferation of certain prescription drugs. T The company uses a Internet accessibility to prescription questionnaire or information medications and the origin of such drugs form to gather such has placed immense pressure on the information. The physician regulatory boards. Pharmacy boards, reviewed the medical histories of the patients and medical boards, as well as many other prescribed the medications, regulatory agencies, face legal and political but was not an employee of issues addressing access to medications the company. Apparently, additional doctors also while not compromising the health, safety, reviewed submitted and welfare of the citizens of the respective questionnaires. states. Additionally, the interplay between Prospective patients federal and state laws further exacerbates visit the Web site seeking these already complex issues. However, one of six Food and Drug Administration (FDA)- the state practice acts do exist and must approved, non-narcotic be enforced by the respective regulatory medications (Celebrex®, boards in order to carry out the public Cipro®, Propecia®, Vaniqa®, Viagra®, or Xenical®) protection intent of the legislatures. and are asked to fill out a Related boards must also coordinate their questionnaire. Appropriately efforts to best carry out their vital mission. completed questionnaires are electronically forwarded A physician in North medical-legal consulting. The to the physician for review Dakota had credentials remaining 5% of his efforts as to whether or not and that included licensure in involved the practice of how much to prescribe to numerous states and board Internet medicine. the patient. No face-to-face certification in clinical and Related to the Internet consultations take place anatomic pathology and practice, the physician and rarely are follow-up forensic pathology. The served as medical director telephone conversations physician also owned and of Net Doctor International, undertaken. operated related consulting which operated two Web An undercover agent for businesses that provided sites, www.net-dr.com the North Dakota Bureau services throughout the and www.maleclinic.com. of Criminal Investigations United States, served as a The physician had a loose completed a questionnaire director of two laboratories arrangement with the using a fictitious name. He in Illinois and Georgia, organization that paid him placed an Internet order for and was an emergency based upon the cash flow of Cipro from Bismarck, ND. physician. Approximately the company. Net Doctor is a The drug was dispensed 75% of his time was spent private company that uses a by Community Drug of performing autopsies, 15% physician-designed Web site Pittsburgh, PA, and was was devoted to his director to collect patient information prescribed by the physician. responsibilities, and 5% to and medical history Based upon these actions and

132 Legal Briefs august 2005

additional prescriptions of by the board, the physician prescriptions in 2002, which, the physician obtained from requested that he be allowed if calculated using the 5% the Pennsylvania company to personally appear before allocation of time by the and elsewhere, the medical the full board. The physician physician spent on Internet board charged the physician was informed that the board medicine, amounted to with dishonorable, unethical, was meeting telephonically reviewing 72 questionnaires or unprofessional conduct. to discuss the case and he per hour. The court agreed Specifically, the board alleged declined to participate. with the ALJ that processing that the physician repeatedly The board adopted the ALJ 72 questionnaires per hour wrote prescriptions for recommended findings would not provide the time patients over the Internet of fact and conclusions necessary to legitimize any without examination and/or of law, but rejected the professional assessment. without obtaining sufficient recommended sanction. Finally, the physician information. Instead, the board affirmed argued that the board did not After a hearing at which the original revocation sufficiently justify its reasons the physician was not present sanction initially made by the for rejecting and increasing nor represented by counsel, ALJ and ordered the license the ALJ-recommended the Administrative Law revoked. The district court sanction. The court held that Judge (ALJ) recommended affirmed the board order and North Dakota law requires licensure revocation. This sanction and the physician the reversal of a board order recommendation was appealed the matter to the that does sufficiently explain accepted by the board and North Dakota Supreme the rationale for not adopting the physician appealed the Court. the recommended findings or matter to the district court. The Supreme Court order. Because the board did The district court granted rejected the physician’s not provide its explanation, the physician’s request for argument that the refusal the court reversed and leave to present evidence and to allow him to personally remanded the matter to the the matter was remanded to appear before the full board board to explain its reasons the board for an additional when it considered the ALJ for rejecting the ALJ- hearing. recommendation violated recommended sanction. At the additional his due process rights. The Pharmacy boards must hearing before the same court reviewed the applicable understand the procedural ALJ, the physician was North Dakota law and aspects of administrative represented by an attorney noted that the board “may” actions and, where necessary, and expert testimony on allow oral arguments on meticulously follow such behalf of the physician recommendations from an procedures. While this matter and cross-examination ALJ. It held that the physician was remanded to the board of the board’s witnesses was afforded the necessary providing an opportunity took place. Thereafter, the procedural due process. to justify its reasoning, the ALJ recommended that The court also rejected the expenditure of time can Attorney Dale J. Atkinson is the physician be fined and physician’s arguments that still be taxing on board a partner in the law firm of censured and informed that the verdict was not supported operations. Atkinson & Atkinson, counsel if such activities occur again by a preponderance of the Jones v North Dakota for NABP. his license would be revoked. evidence. In fact, the court State Board of Medical Before the ALJ noted that the physician Examiners, 691 N.W. 2d 251 recommendation was heard admitted to approving 15,000 (ND 2005)

133 Feature News nabp newsletter State, Federal Legislation Seeks to Protect Patients from Counterfeit Drugs; NABP Aids Officials in Fight ince the NABP Newsletter last stolen, or diverted drugs. S ran an article on the efforts to (The US ranked fifth when protect the United States’ medication only counterfeit drugs were considered, with a total distribution system in October 2004, of 32 reported incidents.) concern with the issue of counterfeit Since under-reporting is drugs has surged again due in part to assumed and US reporting efforts have intensified, the the publicity surrounding the May 2005 worldwide total is likely release of a book on the topic by medical/ much higher. health journalist Katherine Eban, The World Health Dangerous Doses: How Counterfeiters Are Organization (WHO) Contaminating America’s Drug Supply. reported that, in a 2001 study undertaken in the For the most part, both the book and the Mekong region of Southeast mainstream press attention it has spurred Asia, more than one-third deal with the counterfeiting situation as of anti-malarial artesunate products contained no it stood when NABP last summarized it, active ingredients. A focusing on diversion and counterfeiting 2004 follow-up study that had occurred among Florida’s many indicated a deterioration secondary wholesale distributors, which of the situation, as 99 out of 188 samples were led directly to Florida’s new, vastly stricter found to be counterfeit. wholesaler regulations. Since that time, In May of this year, WHO regulators, lawmakers, and others have announced a new Web- continued to be far from idle in the fight based system called the Rapid Alert System, which against counterfeit drugs, in such areas will transmit reports on the as new and proposed legislation on the distribution of counterfeit state and federal levels, law enforcement medications to a country’s relevant authorities so operations, data collection projects, and countermeasures may be action on the part of wholesalers. taken. While a critical issue Institute, a private firm A Continuing Problem for industry concerns is reportedly funded by the Not surprisingly, the intellectual property theft drug industry, there was a problem of diverted and when patented medications 16% increase during 2004 counterfeit medications are copied without in the worldwide incidence has continued to garner permission, NABP and the of counterfeit, stolen, or attention from the US regulatory community diverted drugs from the public, regulators, and are primarily focused on previous year. The US led all the wholesale distributor the public health hazards of countries with 76 reported industry. According to the counterfeit or adulterated Pharmaceutical Security incidents of counterfeit,

134 Feature News august 2005

drugs entering the US Web sites. No prescriptions Law Enforcement distribution system. These were required by the Actions medications often reach US sites. FDA performed an The Internet, of course, consumers when a patient analysis of the submitted not only provides an orders the drug from a Web medications; two, in ideal avenue by which US site, sometimes one alleging particular, were highly consumers can obtain to be a Canadian site or suspicious. Some of the medications outside the allegedly connected with sampled drugs far exceeded legal distribution channels, Canada, in order to increase the level of allowed in increasing the chances consumer confidence. the US medication. The of receiving counterfeit NABP, in conjunction amount of active ingredient or adulterated drugs, with the pharmaceutical present varied widely, and but also increases their company Eli Lilly, and Food in at least one case, Fenilox opportunities to purchase and Drug Administration (the “generic Evista”), controlled substances (FDA) ordered and no active ingredient was (counterfeit or not) that arranged to analyze a present. In addition, they might not otherwise be sample of medications, Lilly, the manufacturer of able to obtain. these drugs, performed a deemed similares, that are In one highly publicized regulatory analysis on the threatening to enter or may case, Drug Enforcement products obtained by NABP already have entered the US Administration (DEA), and found that several were drug distribution system in conjunction with other in fact similares and did through the Internet and federal and state agencies, not meet the company’s US other sources. Similares are announced in April 2005 standards. available in countries all the successful culmination over the world, particularly In May 2005, FDA issued of Operation “Cyber Chase,” in Latin America, and a consumer advisory after a year-long investigation purportedly contain the conducting comparable that targeted Internet same active ingredients as tests on counterfeit versions pharmaceutical traffickers brand-name medications of Lipitor® and Viagra® operating in the US, Europe, in the US. Similares are purchased in border the Caribbean, and India considered in many towns of Mexico. (The and other parts of Asia, countries outside the US advisory also referred resulting in 20 arrests in as legal and inexpensive to the Evista tested in eight US cities and four alternatives to patented conjunction with NABP.) other countries. drugs. They are not generic Like the Evista similare in According to a news medications nor do they the NABP project, neither release issued by DEA, meet US standards of safety the counterfeit Lipitor the investigation began and efficacy for brand-name nor the counterfeit Viagra after the identification or generic medications. contained any active of a Philadelphia-based ingredient. (For more In late 2004, NABP international Internet drug information on counterfeit ordered several different trafficking organization Evista see the Professional medications including that allegedly obtained Affairs article on page 143.) Cialis®, Evista®, and controlled substances Zyprexa® from a total of 13 (continued on page 137)

135 Feature News nabp newsletter PSE Legislation accreditation for online States are not alone in the intoxicate the entire adult (continued from page 130) pharmacies battle to fight meth abuse. population of Portland.”  Calls for Internet Recently, meth production Senator Wyden said that  Allows law enforcement pharmacies to use the has drawn much attention although the bust is good officials to charge drug-tracking system and become a concern news, the bad news is that individuals with commonly known as on a national legislative the lab had been in business manufacturing meth KASPER (Kentucky All level. On June 12, 2005, for at least five months, if they show intent to Schedule Prescription Senator Ron Wyden (D- producing and distributing make the drug and Electronic Reporting); OR) announced that, in his thousands of doses of possess two or more  Requires a prescription opinion, federal legislation deadly meth. The subject chemicals or items of to fill an Internet is needed to combat of meth is being discussed equipment necessary for pharmacy order; “the methamphetamine more and more in the halls its production;  Allows prosecutors epidemic sweeping my state of Congress as is federal  Forces Internet to seek civil remedies and much of the country.” meth legislation to more pharmacies to register against persons He began his brief address effectively deal with this with the state’s board of trafficking in precursors by highlighting the breakup national drug problem. pharmacy to do business of or making meth; and of an Oregon-based meth Senator Wyden also in the state;  Penalizes those who use lab “capable of producing produced another  Requires Verified firearms in furtherance 400,000 doses of pure interesting and bothersome Internet Pharmacy of drug-related crimes. meth at a time – enough to fact: Drug Enforcement Practice Sites™ (continued on page 138)

History of Meth

A derivative of form. Methamphetamine readily available and used production accounts for amphetamine, meth (meth), a more potent and nonmedically by college nearly all of the meth is a potent stimulant easier-to-manufacture students, truck drivers, and trafficked and abused in that affects the central drug, was discovered in athletes – with the increased the US. nervous system; it was Japan in 1919 and is still use of these drugs came the According to the US first synthesized in legally produced in the US, escalated abuse of the drugs. Department of Health 1887 in Germany as sold under the trade name Increased availability and Human Services’ amphetamine. In the Desoxyn® and used to treat of injectable meth in the report Results From the 1930s, amphetamine was such symptoms as Attention 1960s further spurred the 2002 National Survey on marketed as Benzedrine, Deficit Hyperactivity utilization of the drug for Drug Use and Health: an over-the-counter Disorder and exogenous non-medical purposes, National Findings, more inhaler to treat nasal obesity. Amphetamines but the 1970 Controlled than 12 million people congestion. During this were widely used during Substances Act strictly age 12 and older, 5.3%, time, and probably in World War II by soldiers for limited the legal production reported that they had direct correlation to the endurance and used mainly of injectable meth, causing used meth at least once in United States’ Depression by American soldiers during its use to decrease greatly. their lifetime. In addition, and Prohibition eras, Vietnam. However, due to its easy- from October 1, 2000, to this drug was abused The 1950s saw legally to-access ingredients, meth September 30, 2001, there by many looking for a manufactured tablets of began gaining popularity were 3,932 federal drug way to get “high.” By both dextroamphetamine again in the 1990s. arrests for amphetamine/ 1937 amphetamine (Dexedrine) and During the past decade methamphetamine use, was available by methamphetamine the trafficking and abuse of representing 12% of all prescription in tablet (Methedrine) becoming meth has risen; clandestine federal drug arrests.

136 Feature News august 2005 Counterfeit market – as the other major in May that it would shut of a young patient who potential entry point for down a unit that trades had received counterfeit Update counterfeit drugs into the in the secondary drug Epogen® following his liver (continued from page 135) US medication distribution marketplace. Through a transplant in 2002, the bill smuggled into the system. As Eban’s Dangerous spokesperson, the company contains several provisions, US, repackaged them, Doses book demonstrates, denied that this decision many affecting FDA. The and distributed them much domestic attention came as a result of Spitzer’s bill’s provisions include: throughout the US and has focused on this investigation, but rather was  an increase in criminal around the world. The area, and both industry based on the unit’s poor penalties; substances included and government efforts financial performance over  a two-day period in hydrocodone, anabolic have targeted secondary the last year. which manufacturers steroids, and amphetamines. wholesalers in recent Secondary wholesalers must alert FDA about a months. DEA is approaching took another blow at the counterfeited drug; the issue of counterfeit Activist New York end of May when CVS/  authority for FDA to and diverted drugs in Attorney General Eliot Pharmacy announced require companies to other ways. The agency Spitzer grabbed headlines in that it would no longer use anti-counterfeiting established an international April when the “big three” do business with technology as it becomes toll-free hotline last US wholesalers – Cardinal pharmaceutical wholesalers available and feasible; January that allows the Health, Inc; McKesson Corp; that obtain medications in  a requirement that FDA public to anonymously and AmerisourceBergen the secondary drug market. implement the paper report the illegal sale or Corp, which distribute “CVS will only purchase pedigree originally abuse of prescription up to 90% of the nation’s pharmaceuticals directly mandated in 1988 and drugs; as of April, DEA medications – made it from the manufacturer, postponed since that reported that it had known in regulatory filings or from wholesalers who time; received “hundreds” of tips. that Spitzer had subpoenaed certify that they are not  money for spot-checking documents pertaining trading in the secondary for and In addition, DEA is to the pharmaceutical drug market,” said Chris for the education of keeping up-to-date on secondary wholesale Bodine, CVS’s executive vice public and health NABP’s anti-counterfeiting market. While there was president of merchandising care professionals efforts targeting wholesalers, some initial speculation and marketing, in a on counterfeit drug including the Association’s that the information might company press release. “If identification; and recently launched Verified- be used as part of Spitzer’s we are unable to receive  recall authority for Accredited Wholesale concerns with drug pricing, those assurances, those FDA in relation to Distributors™ (VAWD™) later reports pegged the wholesalers’ contracts will prescription drugs. program. NABP Professional subpoenas as Spitzer not be renewed.” At press As of press time, the bill Affairs Department staff gave gathering information for time, the impact of this remained in the Committee a presentation discussing an ongoing investigation policy change on the “big on Energy and Commerce’s the VAWD program at into the secondary drug three” wholesalers was Subcommittee on Health. DEA’s Fourteenth National marketplace. unclear. Conference on Drug and Meanwhile, the states Chemical Diversion, held this Both McKesson and Legislation continue to see legislative AmerisourceBergen activity in this area as well. past May in Savannah, GA. In May, US emphasized through One notable legislative Representative Steve Secondary spokespersons their accomplishment occurred Israel (D-NY) introduced comparatively small in Indiana in May, when Wholesalers legislation in the House purchases – about half Governor Mitch Daniels The VAWD program is of Representatives of 1% of the companies’ signed into law a bill that gaining a higher profile as intended to counteract the total – from the secondary expands requirements for critics continue to finger proliferation of counterfeit wholesale market. Cardinal, wholesale pharmaceutical wholesalers – particularly medications. Dubbed “Tim meanwhile, announced the secondary wholesale Fagan’s Law” in honor (continued on page 147)

137 Feature News nabp newsletter State Methamphetamine Precursor Laws*

State Effective Date Sales Limits  Sales limited to no more than two packages/6 grams per transaction Alabama July 1, 2005  Individual purchase of more than 6 grams by an individual within a 30-day period with intent to manufacture is unlawful Prohibits retailer from selling more than three packages, not to exceed nine grams of Arizona October 31, 2005 ephedrine, PSE, norpseudoephedrine, or PPA products in a single transaction unless the person has a valid prescription No more than three packages containing one or more products; or a single package containing more than 96 pills, tablets, gel caps, capsules or individual units; or a single package containing Arkansas March 20, 2005 more than 3 grams of ephedrine (EPH)/PSE/phenylpropanolamine (PPA); may not purchase more than 5 grams EPH, or 9 grams PSE/PPA, in any 30-day period Colorado July 1, 2005 No more than three packages in a single retail sale May not sell the lesser of more than 9 grams or three packages of single entity PSE, EPH, and Florida July 1, 2005 PPA products Three package/9 grams limit for all products, except for those that have been exempted Georgia July 1, 2005* *Except for ordinances in effect before December 31, 2004, and for those, preemption beginning January 1, 2006  Sales of nonexempt EPH and PSE products are limited to two packages per transaction  Retail distributors utilizing self-service checkout stations may do so only if stations are Illinois January 1, 2005 programmed to prevent sales of nonexempt products in an amount that exceeds the limit. When purchasers attempt to buy three or more products, neither the self-service checkout station nor the store employee may allow purchases

PSE agents is well known both of reformulated drugs, Time and resources in Mexico and abroad. allowing alternate products are being utilized on a Legislation The US Congress is to reach store shelves more state and national level, (continued from page 136) currently considering quickly than the usual all with the right focus three to five years. One in mind – that eventually Administration officials legislation intended to drug company is already the illegal production state that superlabs make processes to obtain working to reformulate and harmful abuse of operated in Mexico the ingredients needed to up to half of its line of meth will be halted. by drug trafficking manufacture meth more pseudoephedrine-based organizations now intricate and complicated. Please refer to line of cold products with produce about 65% of Committee hearings are future issues of the phenylephrine by January all meth sold in the US, discussing a bill that will NABP Newsletter to 2006. Reportedly, other thus making the job of sharply restrict the sale of learn about NABP’s drug manufacturers are American agents more cold and allergy products involvement with the considering similar changes difficult because of the containing PSE; SB 103 latest developments to their medications; necessity of American- will be modeled after an concerning however, the Associated Mexican cooperation. Oklahoma law that took pseudoephedrine and Press notes that companies The extent of corruption effect in April 2005. the Association’s stance are moving cautiously to among Mexico’s anti- The bill would also on the regulation of PSE make sure that substitutes drug police and other expedite Food and Drug products. Administration-approval are effective.

138 Feature News august 2005

State Effective Date Sales Limits June 1, 2005 – Sales limited to no more than four packages or containers to a specific customer within a Kansas Schedule V seven-day period provisions* *all others upon publication of the Kansas Register  May not sell more than 9 grams of EPH, PSE, or PPA in solid dose products to an Kentucky June 20, 2005 individual within a 30-day period  May not sell more than three packages of solid dose EPH, PSE, or PPA products per transaction  Packages may not contain more than 3 grams of EPH/PSE, or for nonliquids, sales in July 1, 2005 for blister packs where each blister contains no more than two dosage units, or if use of Minnesota non-veterinary blister packs is technically infeasible, sales must be in unit dose packaging transactions  Single transactions limited to no more than two packages or 6 grams per transaction, and purchaser may not acquire more than 6 grams per 30 days Sales limited to two packages or no more than 6 grams of EPH or PSE in a single retail Mississippi July 1, 2005 transaction  9 grams per person per 30-day period for all products except liquid or liquid-filled gel capsule, and for drug products that DHSS determines are not used to manufacture meth Missouri June 15, 2005  9 grams per transaction for liquid or liquid-filled gel capsule, and for drug products that DHSS determines are not used to manufacture meth Montana July 1, 2005 Sales limited to no more than 9 grams of nonexempt PSE or EPH products per 30 days No more than 1,400 mg of PSE/PPA to be sold to or purchased by a customer per 24 hours, Nebraska September 1, 2005 unless pursuant to a prescription or medical order  Limits sales to packages of no more than 2 grams of one or more meth precursor drugs calculated in terms of ephedrine HCI and PSE HCI North June 1, 2005  Limits sales in blister packs to no more than two dosage units Dakota  Limits sales to no more than two packages containing one or more meth precursor products  Limits sales to person under 18 years old Oklahoma November 1, 2005 Limits sales to 9 grams of PSE per 30-day period  Restricts the sale of PSE; products that have PSE as the sole ingredient may only be sold from behind the pharmacy counter Oregon May 14, 2005  Purchaser must produce a valid photo identification  Consumers are not allowed to purchase more than 9 grams of PSE within a 30-day period South No person may purchase, and no retailer may sell, in a single transaction, more than two July 1, 2005 Dakota packages of PSE or EPH products

March 31, 2005 – Sales limited to three packages of nonexempt products or no more than 9 grams of any EPH, Tennessee pharmacy only PSE, or PPA product per 30 days, unless dispensed pursuant to a valid prescription *April 29, 2005, for implementing sales limits, restrictions, identification, record keeping, and sales* placement restrictions Texas August 1, 2005 Sales limited to no more than two packages or 6 grams per transaction  Effective January 1, 2006, the law will prohibit sales of more than two packages or a single package of more than 3 grams in a single transaction or in a 24-hour period Washington Varies  Prohibits sale of more than 3 grams of EPH, PSE, or PPA in a single transaction or in a 24-hour period October 1, 2005 – May not sell more than 4 ounces per 48 hours of a product containing PSE in combination Wisconsin Schedule V with another Schedule-V substance designation* * June 22, 2005, for all other provisions Retail sale of nonexempt EPH, PSE, and PPA products are restricted to packages containing no more than 3 grams of one or more precursors calculated in terms of active base and Wyoming July 1, 2005 in blister packs containing no more than two dosage units in each blister of blister packs technically infeasible, sales in unit dose packets or pouches *Source: National Association of Chain Drug Stores

139 Fall Educational Conference nabp newsletter After Attending FEC Educational Sessions, Visit Sunny Isles Beach Local Attractions

NABP’s 2005 Fall by the American Automobile Educational Conference Association, the Trump (FEC), December 2-4, 2005, Sonesta Hotel is an adventure at the Trump Sonesta Hotel, in itself with a grotto-style Sunny Isles Beach, FL, offers pool and sun deck with attendees the chance to earn fountains, rock formations, continuing education credit and waterfalls as well as as well as experience the air-conditioned cabanas at warmth and sophistication the pool and beachfront. Or of South Florida. Sunny enjoy the hotel’s world-class Isles Beach’s central location spa, which offers traditional and easy access make it the as well as cutting-edge best regional shopping area; treatments and service. the city is within 30 minutes Once you have enjoyed Bureau Visitors and Convention Miami © Greater of virtually all of South the amenities of the Trump The South Beach Art Deco District houses local artisans in historic Florida’s attractions. Sonesta Hotel, explore buildings. Enjoy coffee at a sidewalk cafe or browse the many After FEC participants the beauty of the Art boutiques and art galleries. attend timely and informative Deco District in South educational sessions there is Beach. Begin your tour of and 10th Street, art galleries Beach its home. Built in the something for everyone to Mediterranean Revival and and shops abound and local Province of Segovia, Spain, do, from relaxing by the pool Art Deco architecture at the artists sell their wares. during the period 1133- at the Trump Sonesta Hotel Miami Design Preservation If it is ancient 1141, the Cloisters and the to shopping at the exclusive League Welcome Center; architecture you crave, Monastery’s outbuildings shops of Bal Harbour to 90-minute guided walking stop by the 10th Century were purchased by taking a walking tour of the tours and self-guided audio Spanish Monastery that publishing magnate William Art Deco District. Awarded tours are available. In this now calls North Miami Randolph Hearst in 1925. Four-Diamond recognition area, along Ocean Drive (continued on page 142)

Area Attractions Charles Deering Estate 10th Century Spanish Monastery Phone: 305/235-1668 Phone: 305/945-1461 Web site: www.flheritage.com/magazine/summer00/ deering.html Web site: www.spanishmonastery.com/ Address: 16701 SW 72nd Ave, Miami, FL 33157 Address: 16711 W Dixie Hwy, North Miami Beach, FL 33160 Gulfstream Park Aventura Mall Phone: 954/454-7000 Phone: 305/935-1110; Fax: 305/935-9360 Web site: www.gulfstreampark.com Web site: www.shopaventuramall.com Address: 901 S Federal Hwy, Hallandale, FL 33009 19501 Biscayne Blvd, Aventura, FL 33180 MDPL & The Art Deco Welcome Center Bal Harbour Shops Phone: 305/672-2014; Fax: 305/672-4319 Phone: 305/866-0311 Web site: www.mdpl.org/ Web site: www.balharbourshops.com Address: 1001 Ocean Dr, Miami Beach, FL 33139 Address: 9700 Collins Ave, Bal Harbour, FL 33154 (continued on page 142)

140 Fall Educational Conference august 2005 Fall Educational Conference Program* *Program subject to change. December 2-4, 2005 Trump Sonesta Hotel Sunny Isles Beach, FL

Thursday, December 1 Saturday, December 3 2 - 6 PM 7 AM - 12:45 PM Registration/Information Desk Open Registration/Information Desk Open

7:30 - 8:30 AM Friday, December 2 Continental Breakfast 6:30 AM - 1 PM Registration/Information Desk Open 8:30 - 10:30 AM Educational Session 7 - 7:45 AM (0.20 CEUs – 2.0 contact hours) Continental Breakfast 10:30 - 10:45 AM 7:45 - 8 AM Refreshment Break Welcome Remarks 10:45 AM - 12:15 PM 8 - 11 AM Educational Session Educational Session (0.15 CEUs – 1.5 contact hours) (0.30 CEUs – 3.0 contact hours) 12:30 - 2 PM 11 - 11:15 AM Lunch Break (On your own.) Refreshment Break

11:15 AM - 12:45 PM Sunday, December 4 Educational Session 6:30 AM - noon (0.15 CEUs – 1.5 contact hours) Registration/Information Desk Open

12:45 - 2 PM 7 - 8 AM Lunch Break (On your own.) Continental Breakfast

2 - 3:30 PM 8 - 9:30 AM ACPE Open Hearing on Improving the Quality of CE Educational Session (0.15 CEUs – 1.5 contact hours) 6:30 - 8:30 PM Welcome Reception 9:30 - 9:45 AM (Buffet dinner will be served.) Refreshment Break

9:45 - 11:15 AM Educational Session (0.15 CEUs – 1.5 contact hours)

11:15 - 11:30 AM Closing Remarks

NABP and the NABP Foundation are approved by the Accreditation Council for Pharmacy Education (ACPE) as providers of continuing pharmacy education. ACPE Provider Number: 205. Participants may earn up to 11 hours of ACPE-approved continuing education credit from NABP. Participants in continuing pharmacy education programs will receive credit by completing a “Statement of Continuing Pharmacy Education Participation” and submitting it to NABP. A validated Statement of Continuing Pharmacy Education Credit will be sent as proof of participation within approximately six weeks. Full attendance and completion of a program evaluation form for each session are required to receive continuing pharmacy education credit and a Statement of Continuing Pharmacy Education Credit.

141 Association News nabp newsletter NABP Offers an Advanced Pharmacy Clerkship

NABP has offered to the students to learn how NABP state boards of pharmacy, the Professional Affairs academic community the assists the state boards of contributing articles for Department, he or she will opportunity to participate pharmacy in achieving their inclusion in various NABP still gain exposure to other in an advanced pharmacy goal of protecting the public publications, and researching departments within the clerkship with an emphasis health through its various and compiling reference Association. in association management programs, services, and materials necessary for NABP For more information during the 2005-2006 activities. task forces and committees on NABP’s pharmacy academic year. The clerkship The student(s) will to complete their assigned clerkship, please contact is designed for senior work closely with staff responsibilities. the Customer Service professional pharmacy by identifying current Although students will Department at 847/391-4406 students and will allow issues of concern to the be primarily assigned to or [email protected].

monastery was rebuilt as a internationally renowned the FEC to get your fill of FEC tourist attraction. shops are surrounded by a activities. (continued from page 140) Only a 10-minute tropical garden setting. The  Beaches abound, but Unfortunately, Hearst was complementary shuttle ride chic open-air mall features be sure to stop at never able to reassemble the from the hotel, history was 100 first-class boutiques and South Beach, voted one structure due to the onset made in the form of the flagship stores including of the 10 best beaches of his financial difficulties first exclusive high-fashion Bulgari, Cartier, and Gucci. in the world by the shortly after the shipment shopping center. Built in Another popular nearby Travel Channel in 1999 arrived. It was not until 1965, Bal Harbour was shopping destination and 2001. 1952, one year after Hearst’s scoffed at by retail experts is Aventura Mall. This  Golf lovers can get in death, that the stones who expected the concept 2.3 million square-foot a few rounds at one were purchased and the to fail. Bal Harbour’s complex features 250 of several of South stores, a 24-screen movie Florida’s country theater, and a large indoor clubs with which the playground complete with a Area Attractions (continued from page 140) Trump Sonesta Hotel life-size ship. Upon arriving has affiliations. These Metro Zoo at the mall, be sure to pick include The Presidential Phone: 305/251-0400; Fax: 305/378-6381 up the “Ultimate Shopping and the Miami Beach Web site: www.miamimetrozoo.com Folio,” which includes a Golf Club, which are Address: 12400 SW 152 St, Miami, FL 33177 welcome letter, directory of only a 15- to 20-minute Miami Art Museum service, and a 20% discount ride from the hotel. card plus a booklet of Phone: 305/375-3000; Fax: 305/375-1725  Run to Gulfstream Park coupons. for thoroughbred racing Web site: www.miamiartmuseum.org For an evening out, visit and weekend concerts Address: 101 West Flagler St, Miami, FL 33130 South Beach and experience featuring top-name Miami Seaquarium its lively and exciting night musical artists and Phone: 305/361-5705 life. The area is famous for sports celebrities. Website: www.miamiseaquarium.com/ its variety of entertainment For more information Address: 4400 Rickenbacker Causeway, Miami, FL 33149 including the theater, about NABP’s 2005 Fall symphony, night clubs, and Educational Conference, Museum of Science & Planetarium restaurants. contact the Customer Phone: 305/646-4200 There is so much to do in Service Department at Web site: www.miamisci.org the Sunny Isles Beach area, 847/391-4406 or e-mail Address: 3280 South Miami Ave, Miami, FL 33129 you might want to stay after [email protected].

142 Professional Affairs august 2005

FDA Releases Update the United States’ drug The regulations will allow, is VIPPS accredited by on Combating supply. but not require, registrants visiting the NABP Web site; Counterfeit Drugs In 2004, FDA’s Office to order Schedule I and II VIPPS accredited online substances electronically pharmacies also display the On May 18, 2005, Food of Criminal Investigations and maintain the records of VIPPS Seal on their Web and Drug Administration initiated 58 counterfeit drug these orders electronically. sites. (FDA) released “Combating cases, a significant increase The regulations will reduce Counterfeit Drugs: A over the 30 cases in 2003; For more information paperwork and transaction Report of the Food and however, the agency notes on these PSAs, visit www. times for DEA registrants Drug Administration that this is likely due to fda.gov/cder/consumerinfo/ who handle, sell, or Annual Update” (Update). increased vigilance. FDA Buy_meds_online_all_ purchase Schedule I or II This Update follows up on also states that most of resources.htm. controlled substances. The the agency’s initial February the suspect counterfeits effective date of the final FDA Warns 18, 2004 report addressing discovered in 2004 were rules was May 31, 2005. Consumers About counterfeit drugs. Since found in smaller quantities the 2004 report, which than those found in 2003. The final rules were issued Counterfeit Drugs identified measures that The Update reviews steps via the Federal Register on Purchased in Mexico can be taken to better taken and future actions April 1, 2005, and may be FDA is warning protect Americans from required for track-and-trace downloaded from consumers about the sale counterfeit drugs, FDA has technology, www.access.gpo.gov/su_docs/ of counterfeit versions worked with manufacturers, technology, regulatory fedreg/a050401c.html. of Lipitor®, Viagra®, and wholesale distributors, oversight and enforcement FDA Develops an unapproved product (electronic pedigree), state promoted as “generic pharmacies, consumer PSAs to Educate groups, technology efforts, secure business Evista” to US consumers specialists, standard-setting practices, heightened Consumers at pharmacies in Mexican bodies, state and federal vigilance and awareness, About Purchasing border towns. The agencies, international counterfeit alert network, Medications Online counterfeit Lipitor product governmental entities, and education. The full FDA recently released purchased in Mexico was and others to advance the Update can be accessed at two public service associated with several measures outlined in the www.fda.gov/oc/initiatives/ announcement (PSA) reports of high cholesterol 2004 report. Activities counterfeit/update2005.html. brochures, which in consumers who had used include the development educate consumers the product. Women who DEA Issues Final take the substandard generic and implementation of Rules for Electronic about the advantages electronic product codes and disadvantages of Evista product that contains and radio frequency Orders for Controlled purchasing medications no active ingredient may identification. In its 2005 Substances online. The brochures be at risk for developing Update, FDA notes that On April 1, 2005, also advise consumers osteoporosis or for having significant progress is being Drug Enforcement to ensure a Web site is a their osteoporosis worsen. made in securing drug Administration (DEA) US-licensed pharmacy by FDA, in coordination products and packaging, issued final rules regarding contacting their state board with NABP, analyzed the securing the movement electronic orders for of pharmacy. Consumers generic Evista and found of product, enhancing controlled substances. may want to refer to the list of it to contain no active regulatory oversight, DEA revised its regulations Verified Internet Pharmacy ingredient. The counterfeit increasing penalties for to provide an electronic Practice Sites™ (VIPPS®) on Lipitor and counterfeit counterfeiters, heightened equivalent to the DEA www.nabp.net to ensure that a Viagra were analyzed by Eli vigilance and awareness of official order form (Form Web site has met all applicable Lilly and were also found to counterfeits, and increasing 222), which is legally state and federal laws and contain no active ingredient. international collaboration. required for all distributions regulations. Consumers will The generic Evista product However, more work needs involving Schedule I and also be able to determine was purchased from Agua to be done to further secure II controlled substances. if an online pharmacy Prieta, Sonora, Mexico, and (continued on page 144)

143 Association News nabp newsletter

Around the NABP Accepting Item Writer Applications Association for All Examinations Florida Names New Executive Director Calling all pharmacy or fax a letter of interest by NABP. Attendees will Rebecca R. Poston, practitioners, educators, indicating current practice receive detailed instructions RPh, CPh, has been and regulators! NABP is setting, specialties, and and training materials named executive director seeking item writers for the years of experience, along describing the item-writing of the Florida Board of North American Pharmacist with a current resume or process and content-related Pharmacy. Poston has Licensure Examination™ curriculum vitae to NABP’s requirements for their 23 years of experience in (NAPLEX®), Multistate Executive Director/Secretary, designated examination. pharmaceutical services Pharmacy Jurisprudence Carmen A. Catizone, at 1600 Item writers will then be including 13 years as Examination® (MPJE®), and Feehanville Drive, Mount asked to develop new test president and owner of Foreign Pharmacy Graduate Prospect, IL 60056; fax items that will be considered Pharmaceutical Health Equivalency Examination® 847/391-4502. Applications for inclusion in NABP’s Care Consultants and (FPGEE®) programs. are accepted on a continual competency assessment six years as the director Pharmacists chosen to serve basis. programs. for the Orange County as item writers must hold Item writers will be State board of pharmacy Medical Clinic. She an active license in good selected based on the specific members and community is a former chair of standing. All applicants needs of the examination pharmacists are particularly the Florida Board of will have their licenses programs. Those who are encouraged to participate pharmacy. verified through NABP’s chosen will be asked to in the item-writing process. A graduate of the National Clearinghouse of attend a weekend workshop For more information about University of Georgia Licensure, Certification, and at NABP Headquarters or item writing, contact the with a bachelor of science Accreditation. Interested an area hotel, with travel Competency Assessment in pharmacy degree, pharmacists should send and lodging expenses paid Department at 847/391-4406. Poston has been an active member of numerous professional organizations Nogales, and Tijuana. The health officials in Mexico’s including the American Professional counterfeit Lipitor and Federal Commission for the Pharmacists Association. Affairs counterfeit Viagra products Protection from Sanitary New Board (continued from page 143) were labeled only in English, Risks have undertaken Members is labeled as “Raloxifeno, whereas legitimate Mexican several specific operations Two new board fenilox, 50 tabletas, 60 mg,” pharmaceuticals are usually to target illegal drugs members were appointed made or distributed by Litio labeled in Spanish. In including counterfeit to the Alaska Board of and labeled as manufactured addition, the counterfeit drugs in Mexican drug Pharmacy: in Monterrey, Nuevo Leon, Lipitor was provided in stores. These operations, round white plastic bottles;  Mary Drue Mundell, Mexico. The label has red throughout Mexico however, authentic Lipitor RPh; term expires triangles across the top and including the areas that in Mexico is sold only in March 1, 2009. bottom; photographs of border on the US, have boxes of blister packs. FDA  Leona Oberts, term the products can be viewed resulted in the suspension and Mexican federal health expires March 1, 2009. online at www.fda.gov/ of 19 pharmacies and the officials are continuing to Dorothy Neal bbs/topics/news/photos/ confiscation and recall of work together to address Gourley, RPh, has been border.html. over 105 tons of medicines. the issue of counterfeit named a member of the Counterfeit Lipitor and Reports of suspected human drug products, Oklahoma State Board Viagra were purchased in counterfeit drugs can be especially along our of Pharmacy. Her term the Mexican border towns submitted to FDA at common border. Recently, expires June 30, 2010. of Juarez, Los Algodones, www.fda.gov/medwatch.

144 State Board Roster august 2005

ALABAMA ILLINOIS Louise Foster Jones, Executive Secretary Kim Scott, Pharmacy Board Liaison 10 Inverness Center, Suite 110, Birmingham, AL 35242 320 W Washington, 3rd Floor, Springfield, IL 62786 205/981-2280 fax 205/981-2330 [email protected] 217/782-8556 fax 217/782-7645 [email protected], www.idfpr.com www.albop.com INDIANA ALASKA Joshua Bolin, Director Sher Zinn, Licensing Examiner 402 W Washington St, Room W072, Indianapolis, IN 46204-2739 PO Box 110806, Juneau, AK 99811-0806 317/234-2067 fax 317/233-4236 [email protected], [email protected] 907/465-2589 fax 907/465-2974 [email protected] www.in.gov/pla/bandc/isbp www.dced.state.ak.us/occ/ppha.htm IOWA ARIZONA Lloyd K. Jessen, Executive Director/Secretary Harlan “Hal” Wand, Executive Director 400 SW 8th St, Suite E, Des Moines, IA 50309-4688 4425 W Olive Ave, Suite 140, Glendale, AZ 85302-3844 515/281-5944 fax 515/281-4609 [email protected] 623/463-2727 fax 623/934-0583 [email protected] www.state.ia.us/ipbe www.pharmacy.state.az.us KANSAS ARKANSAS Debra L. Billingsley, Executive Secretary/Director Charles S. Campbell, Executive Director Landon State Office Bldg, 900 Jackson 101 E Capitol, Suite 218, Little Rock, AR 72201 Room 560, Topeka, KS 66612-1231 501/682-0190 fax 501/682-0195 [email protected] 785/296-4056 fax 785/296-8420 [email protected] www.arkansas.gov/asbp www.accesskansas.org/pharmacy CALIFORNIA KENTUCKY Patricia F. Harris, Executive Officer Michael A. Burleson, Executive Director 400 R St, Suite 4070, Sacramento, CA 95814 23 Millcreek Park, Frankfort, KY 40601-9230 916/445-5014 fax 916/327-6308 [email protected] 502/573-1580 fax 502/573-1582 [email protected] www.pharmacy.ca.gov http://pharmacy.ky.gov COLORADO LOUISIANA Susan L. Warren, Program Director Malcolm J. Broussard, Executive Director 1560 Broadway, Suite 1310, Denver, CO 80202-5143 5615 Corporate Blvd, Suite 8E, Baton Rouge, LA 70808-2537 303/894-7800 fax 303/894-7764 [email protected] 225/925-6496 fax 225/925-6499 [email protected], www.labp.com www.dora.state.co.us/pharmacy MAINE CONNECTICUT Geraldine L. “Jeri” Betts, Board Administrator Michelle B. Sylvestre, Drug Control Agent and Board Administrator Dept of Prof/Financial Reg, 35 State House Station, Augusta, ME 04333 165 Capitol Ave, State Office Bldg, Room 147, Hartford, CT 06106 207/624-8620 fax 207/624-8637 [email protected] 860/713-6070 fax 860/713-7242 [email protected] www.maineprofessionalreg.org www.ct.gov/dcp/site/default.asp MARYLAND DELAWARE La Verne George Naesea, Executive Director David W. Dryden, Executive Secretary 4201 Patterson Ave, Baltimore, MD 21215-2299 PO Box 637, Dover, DE 19903 410/764-4755 fax 410/358-6207 [email protected] 302/744-4547 fax 302/739-3071 [email protected] http://dhmh.state.md.us/pharmacyboard/ www.professionallicensing.state.de.us MASSACHUSETTS DISTRICT OF COLUMBIA Charles R. Young, Executive Director Bonnie Rampersaud, Executive Director 239 Causeway St, Room 216, Boston, MA 02114 717 14th St NW, Suite 600, Washington, DC 20005 617/973-0800 fax 617/973-0983 [email protected] 202/724-4900 fax 202/724-8471 [email protected] www.mass.gov/dpl/boards/ph/index.htm www.dchealth.dc.gov MICHIGAN FLORIDA Rae Ramsdell, Director, Licensing Division Rebecca Poston, Executive Director 611 W Ottawa, 1st Floor, PO Box 30670, Lansing, MI 48909-8170 4052 Bald Cypress Way, Bin# C04, Tallahassee, FL 32399-3254 517/335-0918 fax 517/373-2179 [email protected] 850/245-4292 fax 850/413-6982 [email protected].fl.us www.cis.state.mi.us www.doh.state.fl.us/mqa/pharmacy/ph_home.html MINNESOTA GEORGIA David E. Holmstrom, Executive Director Sylvia L. “Sandy” Bond, Executive Director 2829 University Ave SE, Suite 530, Minneapolis, MN 55414-3251 Professional Licensing Boards 612/617-2201 fax 612/617-2212 [email protected] 237 Coliseum Dr, Macon, GA 31217-3858 www.phcybrd.state.mn.us 478/207-1640 fax 478/207-1660 [email protected] MISSISSIPPI www.sos.state.ga.us/plb/pharmacy Leland “Mac” McDivitt, Executive Director GUAM 204 Key Dr, Suite D, Madison, MS 39110 Jane M. Diego, Secretary for the Board 601/605-5388 fax 601/605-9546 [email protected] PO Box 2816, Hagatna, GU 96932 www.mbp.state.ms.us 671/735-7406 ext 11 fax 671/735-7413 [email protected] MISSOURI HAWAII Kevin E. Kinkade, Executive Director Lee Ann Teshima, Executive Officer PO Box 625, Jefferson City, MO 65102 PO Box 3469, Honolulu, HI 96801 573/751-0091 fax 573/526-3464 [email protected] 808/586-2694 fax 808/586-2874 [email protected] www.pr.mo.gov/pharmacists.asp IDAHO MONTANA Richard K. “Mick” Markuson, Executive Director Marilyn Kelly-Clark, Program Manager 3380 Americana Terr, Suite 320, Boise, ID 83706 PO Box 200513, 301 S Park Ave, 4th Floor, Helena, MT 59620-0513 208/334-2356 fax 208/334-3536 [email protected] 406/841-2356 fax 406/841-2305 [email protected] www.accessidaho.org/bop/ http://mt.gov/dli/bsd/license/license.asp 145 State Board Roster nabp newsletter

NEBRASKA RHODE ISLAND Becky Wisell, Executive Secretary Catherine A. Cordy, Executive Director PO Box 94986, Lincoln, NE 68509-4986 3 Capitol Hill, Room 205, Providence, RI 02908-5097 402/471-2118 fax 402/471-3577 [email protected] 401/222-2837 fax 401/222-2158 [email protected] www.hhs.state.ne.us www.health.ri.gov/hsr/professions/pharmacy.php NEVADA SOUTH CAROLINA Keith W. Macdonald, Executive Secretary Lee Ann Bundrick, Administrator 555 Double Eagle Ct, Suite 1100, Reno, NV 89521 Kingstree Bldg, 110 Centerview Dr, Suite 306, Columbia, SC 29210 775/850-1440 fax 775/850-1444 [email protected] 803/896-4700 fax 803/896-4596 [email protected] www.state.nv.us/pharmacy www.llronline.com/POL/pharmacy NEW HAMPSHIRE SOUTH DAKOTA Paul G. Boisseau, Executive Secretary Dennis M. Jones, Executive Secretary 57 Regional Dr, Concord, NH 03301-8518 4305 S Louise Ave, Suite 104, Sioux Falls, SD 57106 603/271-2350 fax 603/271-2856 [email protected] 605/362-2737 fax 605/362-2738 [email protected] www.state.nh.us/pharmacy www.state.sd.us/doh/pharmacy NEW JERSEY TENNESSEE Joanne Boyer, Executive Director Kendall M. Lynch, Director 124 Halsey St, Newark, NJ 07102 500 James Robertson Pkwy, 2nd Floor 973/504-6450 fax 973/648-3355 [email protected] Davy Crockett Tower, Nashville, TN 37243-1149 www.state.nj.us/lps/ca/boards.htm 615/741-2718 fax 615/741-2722 [email protected] NEW MEXICO www.state.tn.us/commerce/boards/pharmacy William Harvey, Executive Director/Chief Drug Inspector TEXAS 5200 Oakland NE, Suite A, Albuquerque, NM 87113 Gay Dodson, Executive Director 505/222-9830 fax 505/222-9845 [email protected] 333 Guadalupe, Tower 3, Suite 600, Box 21, Austin, TX 78701-3942 www.state.nm.us/pharmacy 512/305-8000 fax 512/305-8082 [email protected] NEW YORK www.tsbp.state.tx.us Lawrence H. Mokhiber, Executive Secretary UTAH 89 Washington Ave, 2nd Floor W, Albany, NY 12234-1000 Diana L. Baker, Bureau Manager 518/474-3817 ext 130 fax 518/473-6995 [email protected] PO Box 146741, Salt Lake City, UT 84114-6741 www.op.nysed.gov 801/530-6179 fax 801/530-6511 [email protected] NORTH CAROLINA www.dopl.utah.gov David R. Work, Executive Director VERMONT PO Box 4560, Chapel Hill, NC 27515-4560 Peggy Atkins, Board Administrator 919/942-4454 fax 919/967-5757 [email protected] Office of Professional Regulation www.ncbop.org 26 Terrace St, Drawer 09, Montpelier, VT 05609-1106 NORTH DAKOTA 802/828-2373 fax 802/828-2465 [email protected] Howard C. Anderson, Jr, Executive Director www.vtprofessionals.org PO Box 1354, Bismarck, ND 58502-1354 VIRGIN ISLANDS 701/328-9535 fax 701/328-9536 [email protected] Lydia T. Scott, Executive Assistant www.nodakpharmacy.com Dept of Health, Roy L. Schneider Hospital OHIO 48 Sugar Estate, St Thomas, VI 00802 William T. Winsley, Executive Director 340/774-0117 fax 340/777-4001 [email protected] 77 S High St, Room 1702, Columbus, OH 43215-6126 VIRGINIA 614/466-4143 fax 614/752-4836 [email protected] Elizabeth Scott Russell, Executive Director www.pharmacy.ohio.gov 6603 W Broad St, 5th Floor, Richmond, VA 23230-1712 OKLAHOMA 804/662-9911 fax 804/662-9313 [email protected] Bryan H. Potter, Executive Director www.dhp.state.va.us 4545 Lincoln Blvd, Suite 112, Oklahoma City, OK 73105-3488 WASHINGTON 405/521-3815 fax 405/521-3758 [email protected] Steven M. Saxe, Executive Director www.pharmacy.state.ok.us PO Box 47863, Olympia, WA 98504-7863 OREGON 360/236-4825 fax 360/586-4359 [email protected] Gary A. Schnabel, Executive Director https://fortress.wa.gov/doh/hpqa1/HPS4/Pharmacy/default.htm 800 NE Oregon St, Suite 425, Portland, OR 97232 WEST VIRGINIA 971/673-0001 fax 971/673-0002 [email protected] William T. Douglass, Jr, Executive Director and General Counsel www.pharmacy.state.or.us 232 Capitol St, Charleston, WV 25301 PENNSYLVANIA 304/558-0558 fax 304/558-0572 [email protected] Melanie A. Zimmerman, Executive Secretary www.wvbop.com PO Box 2649, Harrisburg, PA 17105-2649 WISCONSIN 717/783-7156 fax 717/787-7769 [email protected] Tom Ryan, Bureau Director www.dos.state.pa.us/bpoa/phabd/mainpage.htm 1400 E Washington, PO Box 8935 PUERTO RICO Madison, WI 53708-8935 Magda Bouet, Executive Director 608/266-2811 fax 608/267-0644 [email protected] Department of Health, Board of Pharmacy www.drl.state.wi.us Call Box 10200, Santurce, PR 00908 WYOMING 787/724-7282 fax 787/725-7903 [email protected] James T. Carder, Executive Director 632 S David St, Casper, WY 82601 307/234-0294 fax 307/234-7226 [email protected] http://pharmacyboard.state.wy.us 146 Association News august 2005 Canada to Ban Bulk Drug Exports to United States

On June 27, 2005, Two facets of prescription the legislation needs to be The city of Montgomery, AL, Canada’s Health Minister, drug exportation that will strengthened in order to has operated its importation Ujjal Dosanjh, announced not be affected are Internet meet the health minister’s program for two years, and that the country would pharmacy practice and sales objective to no longer be the mayor’s office has been change its regulations on to Americans who travel by a cheap “drug store to the preparing for the change exporting prescription car or bus across the border United States.” in policy, reported the drugs and would no longer to fill prescriptions. While A poll commissioned by Montgomery Advertiser. The export prescription drugs Dosanjh has no plans to OPA in May 2005 found city has already experienced in bulk to the United States. eliminate the Canadian-US that 83% of Canadians want limited supplies of some The change is an attempt Internet pharmacy business, the federal government to popular drugs due to to protect the country’s he did note that he would act to prevent drug exports restricted sales to Canada by drugs supply should the US consider regulations that before US laws are changed pharmaceutical companies Congress legalize Internet would curb the practice of to legalize this trade. in an attempt to prevent and bulk importation of Canadian doctors signing In recent years, several resales to Americans. prescription drugs from off on prescriptions without US cities, states, and To combat this, and in Canada. any real relationship with municipalities have anticipation of Canada Dosanjh stated in a news American patients. implemented Canadian preventing drugs sales to conference in Toronto that After this announcement, drug programs, but US citizens, the city of the proposed legislation will the Ontario Pharmacists’ Canada’s proposed Montgomery incorporated allow for a temporary ban Association (OPA) praised regulations will not an international drug on bulk prescription drug Dosanjh, but qualified its discourage these program six to eight months trade to the US if supplies support. In a news release, governments from utilizing ago to replace the Canadian are running low in Canada. the association stated that importation programs. program.

Counterfeit Indiana Board of Pharmacy VAWD determine if the VAWD to establish an electronic (continued from page 131) applicant has taken the Update pedigree program. proper steps to protect The criteria that (continued from page 137) Clearly, the issue of against counterfeit counterfeit, diverted, and wholesale distributors distributor licensing, based drugs and prevent theft adulterated drugs making must meet to achieve on NABP’s Model Rules for and diversion as well as their way into the US VAWD accreditation the Licensure of Wholesale fraud. In addition, the medicine distribution are comprehensive. Distributors, which is part inspectors will verify system will not dissipate Of particular note are of the Model State Pharmacy that key employees have anytime soon. But with the criteria addressing Act and Model Rules of the ability to discern efforts continuing like security, drug product the National Association counterfeit medications those described here, handling and storage, drug of Boards of Pharmacy. and identify fake regulators, lawmakers, product authentication pedigrees. Notably, the new law and due diligence, as enforcement officials, and For more information also requires wholesalers well as record keeping, other stakeholders will about the VAWD program, to obtain and maintain which includes pedigree continue to have an impact visit NABP’s Web site at accreditation from NABP’s requirements. Through on the problem, and will www.nabp.net/vawd/ VAWD program, and lays on-site inspections, VAWD continue to help ensure the intro.asp. the groundwork for the inspectors will be able to safety of US medications.

147 Association Highlights nabp newsletter august 2005

Executive Committee Treasurer, Members Attend New Executive Committee Member Orientation

Reminder Save the Date: NABP’s program review and training sessions for board of pharmacy staff will be held August 29, 2005, and September 9, 2005, at NABP Headquarters in Pictured with Charles R. Young (left), NABP’s new treasurer, are new Executive Mount Prospect, IL. Committee Members Reginald B. “Reggie” Dilliard, Patricia F. Harris, John R. Dorvee, Jr, and William T. Winsley, at NABP’s Headquarters in Mount Prospect, IL, on July 6, 2005.

nabp newsletter National Association of Boards of Pharmacy 1600 Feehanville Drive Mount Prospect, IL 60056

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