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Nebraska January/February 2020 | Volume 83, Number 1 MORTAR & PESTLE Official Publication of theNebraska Pharmacists Association Pam Miller 2020 NPA President Member Spotlight - Sabrina Beck | Pg 6 For NPA Members Vitiligo & Treatment Options | Pg 8 Rx and The Law | Pg 17 Baqsimi - New Delivery for Glucagon | Pg 18 Financial Forum | Pg 26 Trelegy - New Triple Therapy | Pg 28 Nebraska MORTAR & PESTLE CPE Programs npharm.org/npacpeprograms Fraud, Waste, and Abuse USP Chapter <800> Handling Hazardous Drugs in 1.0 hour Knowledge-based CPE Activity Healthcare Setting: Considerations for STERILE Products $10 NPA Member | $20 NonMember and Compounding 1.0 hour Knowledge-based CPE Activity How to Engage Your Senators: You Can Make $25 NPA Member | $50 NonMember a Difference 1.0 hour Knowledge-based CPE Activity USP Chapter <800> Handling Hazardous Drugs in $0 NPA Member | $25 NonMember Healthcare Setting: Considerations for Non-Sterile Products and Compounding Nicotine Cessation Counseling: A Guide for Pharmacists 1.0 hour Knowledge-based CPE Activity 2.0 hours Knowledge-based CPE Activity $25 NPA Member | $50 NonMember $25 NPA Member | $50 NonMember Risky Business: Assessment of Risk on Hazardous Drugs 1.0 hour Knowledge-based CPE Activity $25 NPA Member | $50 NonMember NPA Staff Joni Cover, JD Marcia Mueting, PharmD Diane Webb Sarah Hunter Chief Executive Officer VP, Professional Affairs Finance & Marketing Project Coordinator Pharmacy Technician Second class postage paid at Lincoln, Board of Directors Publisher Nebraska, and at additional mailing offices. Tyler Garrelts The Nebraska Mortar & Pestle (M&P) (ISSN President, Pam Miller Postmaster: send address changes to 0028-1891) is owned and published by Immediate Past President, Nebraska Mortar & Pestle, 6221 S 58th St, the Nebraska Pharmacists Association to Suite A, Lincoln, NE 68516-3687 or email Ally Dering-Anderson Students provide continuing pharmacy education, [email protected]. President-Elect, Brent Gollner Alexander Brown, CU drug information, news, and trends in Treasurer, Jeffrey Steffensmeier Cory Durbin, UNMC the profession of pharmacy. Opinions Chief Executive Officer, expressed by the contributors, whether Joni Cover Network Chairs signed or otherwise, do not necessarily Nebraska Pharmacists Association reflect the attitudes of the publisher nor are Academia/Specialty Practice, 6221 S 58th St, Suite A they responsible for them. Lincoln, NE 68516 District Members Alli Gabriel p: 402.420.1500 | f: 402.420.1406 District 1, Ken Kester Chain, Kendra Kapels The M&P is published six times a year District 1, Jeffrey Steffensmeier Hospital/Health-System, - February, April, June, August, October e: [email protected] | w: npharm.org and December. The subscription rate District 2, Jeanie Shipman Jerome Wohleb for non-members is $30 per year. The District 2, Eric Sundsboe Independent, Trevor Bertsch managing editor is Joni Cover. The office District 3, Beth Boals-Shively Industry, Ryan Flugge of publication is 6221 S 58th St, Suite A, District 3, Tim Redline Long-Term Care, Lincoln, NE 68516-3687. Mackenzie Farr New Practitioner, Jacelyn Watt 2 January/February 2020 Nebraska MORTAR & PESTLE In Case You Missed It Your NPA member benefits include a daily email with important drug and health information, as well as answers to member questions. Below is a partial list of some of the most recent Daily News Dose items and other important pharmacy news that you may have missed. Annual Convention Change Foundation & NebPharmPAC Donors The NPA will not be hosting a full Many thanks to the generous pharmacists Membership Drawing convention this year. Instead, more who have donated to the Nebraska Pharmacy targeted CPE programs will be offered. Foundation and the NebPharmPAC. It's easy to Winners Congratulations to the following Please let us know what CPE topics donate! Call the NPA office at 402-420-1500 or NPA members who won a $50 and formats work best for you by email [email protected] and donate today. Amazon e-Gift for renewing contacting Marcia Mueting, PharmD, their 2020 membership before Vice President of Professional Foundation December 15, 2019. Affairs, at 402-420-1500 Sam Augustine Joseph Lathrop • Sheila Brumbaugh, RP, Red Cloud or [email protected]. Jeff Baldwin Robert Leopold • Rachel Forrest, RP, Omaha Dan Billerbeck Fred Massoomi • Jerry Jensen, RP, Kearney Kendra Bunkers Melvin Menke Nebraska Legislative Session • Jeanette Kadow, CPhT, Hastings New Legislative Bills have been Anne Bruckner William Michael Jeffrey Brommer Pam Miller And thanks to all of you for renewing introduced this year. The NPA's your membership for 2020! Long-Term Care Issues Work Group Joni Cover Charlie Moore Ally Dering-Anderson Marcia Mueting developed consensus language and Edward DeSimone Tracy Neujahr is exemplified in LB 847. The NPA also USP Chapter <800> Mackenzie Farr Gary Northouse According to the recently posted developed prescription adaptation Wendall Gaston Russ Rathjen USP <800> Frequently Asked language as drafted in LB 887. Tiffany Goeller Roger & Paula Riesberg Questions document, USP Chapter Thank you to Senator John Arch for Brent & Patty Gollner Gary Rihanek <800> (Hazardous Drugs— sponsoring these two bills. LB 922 was Donald Graham Niki Salomon Handling in Healthcare Settings) introduced by Senator Mark Kolterman John Guzallis Nancy Sloan Chapter <800> only applies when to mandate eprescribing of controlled Matt Guzallis Paula Stobbs a practitioner is compounding. It substances beginning 01/01/2021. Linda Guzman-Gonzales Arlin Stutheit Reg Hain Jenny Tilleman states that since administration and Watch your emails for NPA Hall County Bill Tooley dispensing final dosage forms are Legislative updates that are sent to Pharmaceutical Floyd VanEngen not compounding, Chapter <800> NPA members on Fridays during the Association Phil Vuchetich does not apply to those functions. Legislative Session. A link to the NPA's Roger Ladd Further, "Final dosage forms of Legislative Summary will also be HDs that do not require any further included in these emails. If you have NebPharmPAC manipulation may be dispensed any questions during the Session, without any further requirements for contact Joni Cover at [email protected] Clark Anderson Charlie Moore Roy Anderson Linda Myers-Bock containment unless required by the or at 402-420-1500. Sam Augustine Scott Persson manufacturer or if visual indicators Jeff Baldwin Charlie Pierce of HD exposure hazards are present NPA Pharmacy Law Manual Jeffrey Brommer Russ Rathjen (e.g., HD dust or leakage). These do The NPA Pharmacy Law Manual - Rick Clabaugh Roger & Paul Riesberg not require any additional storage updated with 2019 legislative changes Edward DeSimone Niki Salomon Tiffany Goeller Paula Stobbs or handling requirements according - is now available. Find Nebraska to USP <800> unless otherwise pharmacy statutes and regulations Brent & Patty Gollner Arlin Stutheit Matt Guzallis Bill Tooley required by the manufacturer." in one place. What a great pharmacy Linda Guzman-Gonzales Floyd VanEngen reference! No need to search the Reg Hain Phil Vuchetich internet or paper copies. Visit the NPA William Michael online store to order your copy www.npharm.org/store_home.asp. www.npharm.org 3 Nebraska MORTAR & PESTLE President's Message Mindful of Your Trust Pam Miller, PharmD, RP As we launch a new decade and I begin my new role as President, I am proud to count myself among you, my peers, as a pharmacist in Nebraska. Of all professions, the pharmacist is considered one of the most trusted of all. I am very mindful of the trust that sustains and elevates our profession. The Nebraska Pharmacists Association (NPA) is like a vault of information, best practices, and collective leadership established with a firm sense of responsibility bridging generations . past, present, and future. We are facing a time when pharmacists and the NPA will need to be a resource to our legislative leadership in elected offices across the State. As their resource, we need to establish a relationship of trust throughout every county and voting district. And, our most important tier of trust, pharmacy students of the future need to bank on what we do today as solid, ethical, and compassionate. They need to trust in our leadership and outcomes. I would like welcome new Board members: President-Elect, Brent Gollner; District 3, Tim Redline; Academia/Specialty Network Chair, Alli Gabriel; Chain Network Chair, Kendra Kapels; and Pharmacy Technician Representative, Ty Garrlets. Thanks to outgoing Board members: Jenny Tilleman; Kelly Hamilton; Christina Gerard; and Nicole White for their service on the NPA Board. I am sincerely looking forward to a great year! Honored to have your trust, Pam Miller, PharmD, RP NPA President 4 January/February 2020 Nebraska MORTAR & PESTLE UNMC College of Pharmacy faculty awarded Distinguished Scientist Awards Kim Scarsi, Pharm.D. and Aaron Mohs, Ph.D. have been awarded the 2019 Distinguished Scientist Awards. The award recognizes them as research leaders at UNMC with a history of significant national funding and recognition based on their scholarly activity. The Distinguished Scientist Awards will be presented on March 3, 2020. Dr. Scarsi’s research program works to optimize the pharmacologic treatment of persons living with HIV. Her ongoing projects include both domestic and in- ternational sites, with an emphasis on women living with HIV and persons co- infected with HIV and tuberculosis. Dr. Scarsi also serves as an investigator Kim Scarsi, Pharm.D. with the AIDS Clinical Trials Group. Dr. Mohs’ research is focused on the development of new fluorescent imaging contrast agents to guide surgical removal of tumors. He has developed instruments that could one day be used in the operating room to see these contrast agents real time. As opposed to a paint by number, this is a Aaron Mohs, Ph.D. cut by color technology. His group has research projects focused on developing new drug delivery systems that target tumor metabolism and pathogen biosensing. Don Ronning, Ph.D. joins the College of Pharmacy Don Ronning, Ph.D., joined the College of Pharmacy in January as Professor in the Depart- ment of Pharmaceutical Sciences Dr.