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SEPTEMBER 2013 america’s TM Published by the National Community Pharmacists Association PHARMACISTTHE VOICE OF THE COMMUNITY PHARMACIST Making theSale INTRODUCING RXWIKI • TOC OPPORTUNITIES • HIT SOLUTIONS • Find us on Facebook, Twitter, and Google+ www.americaspharmacist.net You have the power to protect your community from meth abuse. NOW YOU HAVE THE PRODUCT. NEXAFED IS A NEXT-GENERATION PSE that provides the nasal congestion relief your patients expect and the meth-deterring technology you want to help keep your community safe. Recommend Nexafed with confi dence. It’s the only meth-deterring PSE With demonstrated bioequivalence to Sudafed® immediate release PSE tablets* That meets the U.S. Pharmacopeial Convention (USP) standard for dissolution1 With Impede® technology that disrupts extraction and conversion of PSE to meth JOIN THE FIGHT. NCPA Annual Convention. Join us at booth #536. STOCK AND RECOMMEND NEXAFED. VISIT E-DETAIL AT NEXAFED.COM Sudafed is a registered trademark of Johnson & Johnson *Using U.S. Food and Drug Administration (FDA) bioequivalence criteria. 1. Data on fi le, Acura Pharmaceuticals, Inc., Palatine, IL. 13NEX024.2 13NEX024_2-Journal_Ad_AmPharm_M.indd 1 7/19/13 12:09 PM Rx PHARMACY Hang up tHe wHite coat. Take on the Role of a Multi-Store Owner. If you are considering becoming a multi-store owner, Live Oak Bank can customize a loan to meet your financing needs. We understand your entrepreneurial drive and support your desire to expand your existing business. Let us help you grow. Contact our Senior Loan Officers for additional information. Ed Webman, RPh Whitney Bouknight Sarita Vora 407.539.0396 910.798.1205 404.995.2004 www.liveoakbank.com/ncpa • 866.730.0938 ©2013 Live Oak Banking Company. All rights reserved. Member FDIC america’s PHARMACISTTHE VOICE OF THE COMMUNITY PHARMACIST CONTENTS Features From the Cover 18 Making the Sale by Chis Linville It's not just what you stock, it's how you show it. 26 Community Pharmacy Goes Digital by Chis Linville NCPA partners with RxWiki to deliver social media and mobile solutions to community pharmacies and patients. 32 Teed Up for a TOC Spike by David D. Pope, PharmD, CDE; and Jason M. VanLandingham, PharmD, BCPS Community pharmacists can get in the game with an expanded role on the transitions of care team. 36 The Solution Is a HIT by Ken Whittemore, Jr., RPh, MBA E-prescribing continues to lead the digital health care transformation. Departments 4 Up Front 26 by B. Douglas Hoey, Pharmacist, MBA For your own good, take charge of Rx benefits in your community. 6 Newswire Health insurance shoppers are coming. Are you ready to help? America’s Pharmacist Volume 135, No. 9 (ISSN 1093-5401, USPS 535- 12 Adherence—It Only Takes a Minute 410) is published monthly by the National Community Pharmacists As- All aboard the synchronization train. sociation; 100 Daingerfield Road, Alexandria, VA 22314. © 2013 NCPA®. All rights reserved. 14 Foundation Report Postmaster—Send address changes to: America’s Pharmacist, Circula- by Sharlea Leatherwood, PD tion Dept., 100 Daingerfield Road, Alexandria, VA 22314; 703-683-8200; Full slate of convention activities on tap for [email protected]. Periodical postage paid at Alexandria, VA, and other NCPA Foundation. mailing offices. Printed in the USA. For membership information, email [email protected]. For other information go to www.ncpanet.org. 2 america’s PHARMACIST | September 2013 www.americaspharmacist.net Cover: Merchandising for the front end of an independent pharmacy is more complex than simply putting items on a shelf. Products need to do one or all of three things: draw customers in, enhance the store’s image, and/or make the business money. 41 Continuing Education by Stacey Schneider, PharmD; and Thomas Towers, PharmD Preventing osteoporosis within the community setting. 59 Reader Resources NCPA activities and our advertisers. 60 Notes From Capitol Hill by Michael F. Conlan 2012–2013 NCPA state legislative update. Letters to the Editor—If you would like to comment on an article, email NCPA at [email protected]. Put AP in the subject line and include your phone number. Your letter 32 may be posted on the NCPA website and edited for length and clarity. CEO B. Douglas Hoey, Alexandria, Va. Associate Director, Design Robert E. Lewis Senior Designer Sarah S. Diab Board of Directors Junior Designer Marianela Guinand President Donnie Calhoun, Anniston, Ala. Senior Director, Business Development Nina Dadgar, [email protected] President-Elect Mark Riley, Little Rock, Ark. Director, Membership Colleen Agan, [email protected] Chairman Bradley Arthur, Buffalo, N.Y. John Sherrer, Marietta, Ga. Keith Hodges, Gloucester, Va. The National Community Pharmacists Association (NCPA®) DeAnn Mullins, Lynn Haven, Fla. represents America’s community pharmacists, including David Smith, Indiana, Pa. the owners of more than 23,000 independent community Bill Osborn, Miami, Okla. pharmacies, pharmacy franchises, and chains. Together they represent an $88.5 Immediate Past President Lonny Wilson, Oklahoma City, Okla. billion health care marketplace, employ more than 300,000 people, including 62,400 pharmacists; and dispense over 40 percent of all retail prescriptions. Visit Officers the NCPA website at www.ncpanet.org. First Vice President Brian Caswell, Baxter Springs, Kan. Second Vice President Michele Belcher, Grants Pass, Ore. America’s Pharmacist annual subscription rates: $50 domestic; $70 foreign; and $15 Third Vice President Hugh Chancy, Hahira, Ga. NCPA members, deducted from annual dues. Fourth Vice President Jeff Carson, San Antonio, Tex. Fifth Vice President Lea Wolsoncroft, Birmingham, Ala. Ask Your Family Pharmacist® Magazine Staff Editor and VP, Publications Michael F. Conlan, [email protected] Managing Editor Chris Linville America’s Pharmacist is printed on paper that meets Contributing Writers Jeffrey S. Baird, Bill G. Felkey, Mark Jacobs, the SFI standards for sustainable forest management. SFI-00665 Bruce Kneeland www.americaspharmacist.net September 2013 | america’s PHARMACIST 3 UP FRONT For Your Own Good, Take Charge of Rx Benefits In Your Community Each fall I usually get a call from bump always just ahead. You have to be able to an NCPA member asking for help offer a path to a better solution without a speed because his or her biggest local bump jolt. employer’s new health plan has in- With that in mind, NCPA is collaborating stituted mandatory mail order or a re- with industry partners to provide the employer stricted pharmacy network. To make with access to a free and unbiased analysis of matters worse, in many cases the their current prescription data and information pharmacy owner is well acquainted on independent, transparent PBMs that align with the person who had made the fateful decision. the interests of patients, employers, and com- When asked how they could shut out their local munity pharmacy. pharmacy, in many cases the decision maker pleads Once a pharmacist has met with an em- ignorance. It had never crossed their mind. They had no ployer and chooses to provide the requested intention to harm local businesses and their friend! information, NCPA will work with those industry Now, you can help your employer friends with NCPA’s partners to follow up with the employer. new (and free) resource kit, Take Charge of Rx Benefits in Concrete business solutions are one of Your Community. It will help you identify key local employ- the best ways to move the needle in achiev- ers and start a conversation about why using local com- ing more desirable results. That’s why we are munity pharmacy services is in the best interest of their helping to empower independent community business, their employees, and the community. pharmacy owners to be more proactive and The Take Charge of Rx Benefits in Your Community re- effective in helping local health plan sponsors source kit can be accessed through the NCPA Bookstore. avoid PBM plan designs that are not transpar- Think of it as a tool to help prevent a train wreck. Once ent, lack flexibility, and neither maximizes cost the train goes off the rails, it’s nearly impossible to get it savings nor health outcomes. back on track. Take Charge of Rx Benefits in Your Com- Many times the decision to accept a PBM or consul- munity is a resource that gives you the means tant-designed mandatory mail order plan is taken by em- to make a difference locally—for your business ployers innocently or with a lack of information. To make and your community. this work, you have to get out from behind the counter and personally connect with the health insurance plan Best, decision makers in your community. Schedule a breakfast meeting, for example, before your pharmacy opens. But you can’t just talk to employers about the need to improve their plan. They are businessmen and women B. Douglas Hoey, Pharmacist, MBA just like you with the bottom line looming like a speed NCPA Chief Executive Officer 4 america’s PHARMACIST | September 2013 www.americaspharmacist.net HEALTHIER VITAMINS FOR ACTIVE CHILDREN Supplement Facts Serving Size: 1 stickpack (6.1g) Children’s vitamins are usually loaded with things your Servings Per Container: 15 Amount % Daily Value % Daily Value shoppers don’t want for their kids – sugar and arti cial Per Serving < 4 years old > 4 years old Calories < 5 sweeteners, avors, and colors. Total Carbohydrates < 1 gm * * Sugars 0 gm * * VItamin A (as beta carotene & retinyl palmitate)2500 IU 100% 50% VItamin C (as ascorbic acid) 150 mg 375% 250% ® Vitamin D (as cholecalciferol) 400 IU 100% 100% Volo Vitamins partnered with pediatricians to develop VItamin E (as d-alpha-tocopheryl acetate) 15 IU 150% 50% Thiamin (as thiamin HCI) 1.5 mg 214% 100% a healthier alternative. Each on-the-go VoloPak has a Ribofl avin 1.7 mg 213% 100% Niacin (as niacinamide) 2.5 mg 28% 13% Vitamin B6 (as pyridoxine HCI) 2 mg 286% 100% well-rounded mix of vitamins and nutrients, is naturally Folate (as folic acid) 200 mcg 100% 50% Vitamin B12 (as methylcobalamin) 6 mcg 200% 100% Biotin 70 mcg 47% 23% avored with 17 different fruits, and is sweetened with Pantothenic acid (as D-Calcium 5 mg 100% 50% pantothenate) the stevia herb.