newsletter National Association of Boards of ®

October 2009 / Volume 38 Number 9

aid to government the profession Public Agencies Bolster their Capabilities the public through Partnerships with Private Entities 1904 to 2009 Partnerships between public needs, maintaining public and private entities a high level of public con- Upcoming have proven successful in trol, improving the quality Events many applications, from of services, and are more transportation infra- cost effective than tradi- October 6-7, 2009 structure to wastewater tional delivery methods.” Task Force on Pharmacy treatment services, and With shrinking bud- Technician Education and delivery of social services. gets and growing re- Training Programs Despite their own lim- sponsibilities, some state Rosemont, IL ited resources, publicly boards of pharmacy are Hear more on the benefits of October 28-29, 2009 funded organizations have pursuing such tactics to public-private partnerships Task Force on Prescription been able to extend their broaden their capabilities by attending the NABP 2009 Monitoring Program capabilities through such while conserving their Symposium, December 3-4, Standards collaborations. resources. For example, 2009, in Tucson, AZ. See page Northbrook, IL In such an arrangement, NABP is in discussions 194 for details. November 11-13, 2009 a public agency (federal, with the Maryland Board NABP/AACP state, or local) and a pri- of Pharmacy to provide nership would enable the District 4 Meeting vate sector entity enter into inspection-only services Board to hold wholesalers Clayton, MO a contractual agreement on behalf of the Board accountable to its statutes December 3-4, 2009 through which the two for nonresident whole- and regulations and to NABP Symposium groups share their skills sale distributors doing confidently license only J.W. Marriott Starr and assets to deliver a ser- business in Maryland. In those that adhere to its Pass Hotel vice or facility for the ben- this arrangement, NABP standards. Tucson, AZ efit of the general public. surveyors would perform “Maryland’s inspec- January 26-27, 2010 According to the National the physical inspections tion resources are limited Committee on Law Council for Public-Private of the facilities based on to inspecting wholesale Enforcement/Legislation Partnerships, “[t]he use of Maryland’s statutes and distributor facilities lo- Meeting Rosemont, IL partnerships is increasing regulations and would cated in Maryland and in because they provide an report their findings to surrounding states,” says effective tool in meeting the Board. Such a part- (continued on page 182) In This Issue. . . . Legal Briefs: Feature News: Association News: 2009 Symposium: Professional Collection of Costs: Stakeholders NABP President Experts to Engage Affairs Update: Like Pulling Teeth to Address Appoints Members Participants in OpSec Security Pharmaceutical, to Serve on 2009- Interactive CPE Identifies Trends Legal Implications of 2010 Committees, during NABP 2009 of Increased Illicit Medical Marijuana Task Forces Symposium Drug Trade Online

184 188 192 194 199 Association News nabp newsletter

Public-Private Partnerships to to ensure to provide certain services The NABP Newsletter (continued from page 181) that patients receive and on behalf of the boards to (ISSN 8756-4483) is understand the informa- enhance their capabilities,” published 10 times a LaVerne George Naesea, tion they need to use their Schnabel said. “Our aim in year by the National Association of Boards of executive director of the medications safely and ef- this role is to support the Pharmacy (NABP) Maryland Board. “NABP’s fectively. At the same time, boards and help them to to educate, to inform, expertise as a national many boards of pharmacy stand firm as the funda- and to communicate the wholesale distributor are looking to develop and mental and vital regulatory objectives and programs accreditation unit and implement standardized body for the practice of of the Association and experience inspect- continuous quality pharmacy and protection its 66 member boards ing wholesale distribu- of the public health in their of pharmacy to the tor facilities provide “By partnering jurisdictions.” profession and the a perfect solution for As the boards move public. The opinions Marylando t meet its new with the boards of toward developing and and views expressed in mandate to inspect out- pharmacy, NABP is implementing universal this publication do not necessarily reflect the of-state facilities that seek able to provide certain CQI standards, and third- to distribute prescription party payers increasingly official views, opinions, services on behalf of or policies of NABP drugs and/or devices into demand proof of compli- or any board unless Maryland.” the boards to enhance ance with established expressly so stated. The Inspection of whole- their capabilities. Our standards, NABP is pre- subscription rate is sale distributors is among pared to assist the boards $35 per year. many undertakings the aim in this role is to in this transition. NABP boards of pharmacy must support the boards has made substantial National Association of juggle, as regulators and and help them to headway in the develop- other stakeholders call for ment of its community Boards of Pharmacy stand firm as the 1600 Feehanville Drive heightened responsibility pharmacy accreditation Mount Prospect, IL and accountability from fundamental and vital program and is in the 60056 pharmacy practitioners. regulatory body for the process of conducting sev- 847/391-4406 According to the Joint eral pilot tests to ensure www.nabp.net Commission of Pharmacy practice of pharmacy its merits and efficiency. [email protected] Practitioners’ “Future and protection of the With input from the Vision of Pharmacy public health in their boards of pharmacy and Practice 2015,” which other stakeholders, the Carmen A. Catizone jurisdictions.” Executive Director/ has been endorsed by the program is being designed Secretary NABP Executive Com- Gary A. Schnabel, RN, to provide resources, mittee, will RPh, NABP President data, and assurance to the Larissa Doucette increasingly take a more boards that the pharma- Communications active role in patient care improvement (CQI) pro- cies in their jurisdictions Manager and will be accountable grams to reduce errors and are meeting the states’ for medication therapy maximize patient safety in requirements. outcomes. As part of this the pharmacies under their By exploring new tac- ©2009 National accountability, boards that jurisdiction. tics and partnership op- Association of Boards have not already done so While such grand portunities, NABP seeks of Pharmacy. All rights reserved. No part of are working toward not expectations may seem to to breathe new life into this publication may only licensing or register- further exacerbate the bud- underfunded, overworked be reproduced in any ing pharmacy technicians get deficits many boards boards of pharmacy, to manner without the but also requiring certifi- are facing, NABP President further their efforts, written permission of cation, setting educational Gary A. Schnabel, RN, RPh, extend their reach, and the executive director/ standards, and establish- notes that alternative strat- continue moving toward a secretary of the National ing measures of competen- egies may provide the keys future in which pharma- Association of cy for technicians. Mean- to working smarter. “By cist care becomes a more Boards of Pharmacy. while, Food and Drug partnering with the boards fully integrated part of Administration is looking of pharmacy, NABP is able health care.

182 Association News october 2009 Results of Pharmacy Practice Analysis Survey to Executive Assist NABP in 2010 NAPLEX Blueprint Revision Committee After receiving a substan- the current knowledge, Authorities the extensive Rich Palombo Chairperson tial number of responses to skills, and abilities of entry- database used to distrib- One-year term a pharmacy practice analysis level pharmacists seeking ute the survey included a survey administered during licensure. sampling of pharmacists Gary A. Schnabel the second quarter of this From a geographical practicing in Canada. Re- President One-year term year, NABP is in the process standpoint, the dispersion sponses were received from of reviewing and analyz- of responding pharmacists all 10 Canadian provinces, William T. Winsley ing the resulting data. This located in the US closely nine of which are associate President-elect comprehensive collection paralleled the distribution members of NABP. One-year term of responses from United of the workforce NABP also collected Malcolm J. Broussard States- and Canada-based as demonstrated by the The a variety of demographic Treasurer pharmacists in all practice Adequacy of Pharmacist Sup- information to ensure that One-year term areas provides expertise that ply: 2004 to 2030 prepared by an even sampling of pharma- Karen M. Ryle will assist NABP as the Asso- the Department of Health cists were surveyed. Demo- Member, District 1 ciation updates and validates and Human Services Heath graphic categories included Serving third year of a the current North Ameri- Resources and Services the initial year of licensure, three-year term can Pharmacist Licensure Administration Bureau of professional education level, Elizabeth Scott “Scotti” Examination® (NAPLEX®) Health Professions in De- hours per week the phar- Russell blueprint, expected to be cember 2008. NABP received macist is in practice, pri- Member, District 2 implemented in 2010. responses from every state mary practice environment, Serving third year of a three-year term The survey results as well as Guam and Puerto preceptor experience in last directly influence the Rico. five years, primary practice Michael A. Burleson proportion of competency Through professional responsibility, gender, age, Member, District 3 statements in the NAPLEX collaboration with the and ethnicity. Serving second year of a three-year term blueprint. NABP will use American Association A more detailed explana- the data it collects to ensure of Colleges of Pharmacy, tion of the results from the Gregory Braylock, Sr that the competency state- NABP was able to obtain practice analysis survey will Member, District 4 Serving second year of a ments, which describe the valuable feedback from follow in a future issue of the three-year term knowledge base expected of pharmacy academicians NABP Newsletter. For more in- entry-level pharmacists, are and preceptors. In addi- formation on the NAPLEX and Lloyd K. Jessen in line with existing phar- tion, with the assistance of to view the current blueprint, Member, District 5 Serving third year of a macy practice standards and the National Association visit the NABP Web site at www​ three-year term that they accurately reflect of Pharmacy Regulatory .nabp.net. Joseph L. “Joe” Adams Member, District 6 Committee Members Convene to Review FPGEE Items Serving first year of a Foreign Pharmacy Graduate three-year term ® Equivalency Examination Cathryn J. Lew (FPGEE®) Review Committee Member, District 7 members David McCaffrey, Serving first year of a MS, PhD, associate professor, three-year term University of Mississippi School of Pharmacy, and Barbara Adamcik, Hal Wand PhD, professor and associate Member, District 8 vice president, academic affairs, Serving second year of a Idaho State University College of three-year term Pharmacy, review current and NABP Executive Committee new items for the FPGEE during a elections are held each year Review Committee meeting held at at the Association’s Annual NABP Headquarters. Meeting.

183 Legal Briefs nabp newsletter Collection of Costs: Like Pulling Teeth By Dale J. Atkinson, JD

he authority of boards of pharmacy continuing education hours to collect costs and expenses approved by the board. T Further, the board ordered (including reasonable attorneys’ fees) the licensee to pay the costs as part of a sanction for a successful and attorneys’ fees of the administrative prosecution is an board for the administra- tive hearing. Notably, the important element in the public protection board subsequently issued a mission of regulatory boards. Perhaps separate order declining to equally important is the authority to assess costs and attorneys’ fees because the complaint assess fines as part of the administrative had not provided the licens- sanction. The assessment of costs and the ee with notice that he might imposition of fines are distinctly different be subject to such costs and fees. sanctions upon licensees, and thus The licensee appealed carry distinctly different legal analyses. the matter to the district Consider the following: court and sought to con- duct discovery into alleged A licensed dentist did not establish, by the defects in the procedures (licensee) who practiced greater weight of the evi- followed by the board. The oral surgery in North dence, that the licensee had court remanded the matter Dakota for over 20 years acted in an unprofessional to the board to determine was accused of wrongdo- or dishonorable manner. whether the board con- ing in the practice. Spe- The ALJ recommended that sidered matters outside cifically, the licensee was the complaint be dismissed the evidence presented at accused of inappropriately and that no sanctions be the hearing in reaching touching multiple female levied against the licensee. its decision. During this patients in preoperative The board adopted remand period, the par- physical examinations. The many of the ALJ’s recom- ties undertook discovery licensee denied the allega- mended findings of fact, on the issues of extraneous tions claiming that he was but disagreed with the matters outside the record. required by the hospital ALJ on the credibility of After considering the dis- to perform preoperative the witnesses. The board covery response, the board exams on all of his surgical issued its own findings of affirmed its initial findings patients. fact, conclusions of law, and and sanctions holding that A hearing was held order finding the testimony the licensee was afforded before an administrative of the complaining pa- due process. law judge (ALJ) with five tients to be more credible After the matter was af- of the seven members of than the testimony of the firmed by the district court, the North Dakota Board licensee. The board con- the licensee appealed the of Dental Examiners in at- cluded that the licensee had ruling to the North Dakota tendance. After hearing the acted inappropriately in a Supreme Court. On appeal testimony of the witnesses dishonorable and unprofes- to the supreme court, the and considering the evi- sional manner. It ordered licensee argued that his due dence, the ALJ recommend- the suspension of the process rights had been vio- ed to the board findings of dentist’s license for a six- lated because the board had fact, conclusions of law, and month period and required a pecuniary interest in the an order that the evidence the licensee to complete 40 outcome of the matter. He

184 Legal Briefs october 2009

also argued that the board the North Dakota law, the investigators, occupational applied the wrong eviden- board was authorized to therapists, respiratory tiary standard of proof. assess such costs and fees therapists, and counselors. The supreme court incurred in the investiga- The court also distin- first addressed the limited tion and hearing if the ac- guished the cases cited by review undertaken in such cusations contained in the the licensee, specifically appeals by both the dis- complaint were established referencing the difference trict court and supreme by substantial evidence. between fines and costs. court as set forth in the The court first noted It noted that fines must Administrative Procedures the presumption under law be turned over to the state Act (APA). The order of that the board appropriately general fund in order to the administrative agency performed its duties and avoid the appearance of must be affirmed by the afforded the accused due bias. Alternatively, costs district court unless certain process. This presumption are merely a recuperation delineated deficiencies are recognizes that board mem- of the expenses necessar- apparent. Similarly, the bers make determinations ily incurred in investigat- supreme court review of based upon the evidence ing alleged professional the lower court ruling fol- presented at the hearing and misconduct. It emphasized lows the same deferential refuse to allow any possible that “. . . the board’s abil- standard. A board’s deci- previous bias or prejudg- ity to effectively perform sions on questions of law ment to interfere with its de- its duty as a self-policing are fully reviewable, while cision. The court also noted agency would be severely a court exercises restraint that the party alleging bias hampered if it were not able when reviewing an agency’s has the burden to overcome to recover the costs of an findings of fact. Indeed, a such presumption. investigation and hearing.” court does not substitute The licensee attempted After distinguishing the its judgment for that of the to rebut this presumption cases cited, the court noted board or make independent by arguing that the mere that the licensee failed to findings of fact. fact that board has the cite judicial authority to The licensee first con- authority to assess costs support his specific theory tended that the board had and attorneys’ fees for the and concluded that he had a pecuniary interest in the hearing created a financial not met his burden to over- proceedings thereby depriv- incentive for the board to come the presumption of ing him of his due process find against the accused. appropriate actions on the right to an impartial deci- In rejecting this notion, part of the board. sion maker. He argued that the court cited the fact Next, the licensee argued although the individual that inherent bias in the that the board applied the board members did not authority to impose costs wrong evidentiary standard have a financial interest in would render as bias and in determining the unpro- Attorney Dale J. Atkinson is the matter (and he did not invalidate the actions of fessional conduct. The court a partner in the law firm of present any evidence of numerous North Dakota noted the “apparent incon- Atkinson & Atkinson, outside actual bias), the board as boards, including abstract- sistency” in the practice counsel for NABP. an entity stood to benefit ers, accountants, podiatric act, which calls for sanc- because of its right under physicians, chiropractors, tion if the allegations of the North Dakota law to assess funeral service administra- complaint are established by costs, disbursements, and tors, nurses, pharmacists, “substantial evidence,” and attorneys’ fees incurred physicians, engineers and the APA, which calls for a in successful administra- land surveyors, realtors, reviewing court to deter- tive prosecutions. Under veterinarians, private (continued on page 190)

185 Feature News nabp newsletter Pharmacy Security and Safety Proven to be Necessary Component in Pharmacists’ Training

Pharmacy robbery – no and I was asking myself speak during the course. if robbed, though this was one ever thinks it will hap- those very questions while His rapid incorporation of a significant increase from pen to them, but Dustin the robbery was happening. the materials in the spring the less than 5% who indi- Bryan, a P2 doctor of phar- It was a very intense and became what may have been cated so a few years prior. macy candidate at Camp- scary moment . . . but I am Though schools and col- bell University College of thankful for the [pharmacy “I crouched down leges of pharmacy are an ideal Pharmacy and Health Sci- safety] class I had and that hoping they hadn’t seen venue to incorporate pharma- ences, knows it can happen nobody was hurt during the cy safety training methods, to anyone. On Wednesday, whole ordeal.” me so I could get to a they are by no means the only July 8, 2009, two gun- In December 2008, a safe place . . . to call option for this educational men entered the North safety DVD, Pharmacy the police. They saw me necessity. Several boards of Carolina pharmacy where Security – Robbery, ac- pharmacy have included Bryan was working. The companied shipments of as I was crawling and pharmacy safety resources employees were preparing the NABP 2009 Survey of made me come to the in their state newsletters and to close the store, when the Pharmacy Law that were front of the pharmacy.” on their Web sites to keep armed robbers approached sent to the schools and col- current licensees aware of Dustin Bryan, PharmD the pharmacy counter leges of pharmacy for use Candidate, Campbell safety measures. In addition, demanding OxyContin®. by the faculty. The DVD University security procedures can be They left with bags filled was an educational offer- directly taught and reiterated with OxyContin and ing from Purdue Pharma a lifesaver for Bryan during in the pharmacy. Percocet®, having a retail L.P. provided to the schools his unfortunate encounter Pharmacy robberies may value of nearly $10,000. as part of an initiative to in July. not be avoidable; however, Luckily, all employees in- promote pharmacy safety “One of the biggest with the proper knowledge, volved remained unharmed education. Endorsed by Na- values of the DVD was individuals faced with and despite the situation, tional Association of Drug pointing out things to these frightening situations Bryan was able to remain Diversion Investigators, focus on during a rob- may be better prepared to calm, focusing on lessons Federal Bureau of Investi- bery such as the robbers avoid harm and to assist he recently learned during gation Law Enforcement appearance – clothes, law enforcement officials in his pharmacy management Executive Development height, weight – and not catching criminals before ad- course at Campbell. Association, and National just focusing on the gun,” ditional robberies occur. Bryan shared his experi- Community Pharmacists states Cisneros. He was glad The aforementioned ence in the university’s Col- Association, the 15-minute to have received the DVD, safety DVD may be viewed lege of Pharmacy alumni video contains informa- explaining that, “it was just on the RxPatrol® Web site e-Newsletter. In the article tion that may be critical to the right length, added a lot at www.rxpatrol.org. RxPa- Bryan states, “I crouched preparing pharmacists in to the class, and led to great trol is a collaborative effort down hoping they hadn’t the event that they are faced discussions.” Cisneros also between industry and law seen me so I could get to with a robbery. suggests that having an enforcement designed to a safe place in an office Upon receiving the additional class or speaker collect, collate, analyze and behind the pharmacy to DVD, Robert Cisneros, discuss the different securi- disseminate pharmacy theft call the police. They saw me PhD, assistant professor at ty devices available and the information. The safety as I was crawling and made the University, immediately importance of each system DVD, along with a vari- me come to the front of the implemented the material may be a valuable addition ety of other non-branded pharmacy. My mind was into his pharmacy manage- to school curricula. Cisne- educational materials, is running through a class ment course – the very same ros went on to share that also available through the Dr Cisneros taught dealing course Bryan participated he was surprised to learn Purdue Pharma Medical with a robbery,” he ex- in just before the robbery. only 50% of the students Education Resource Catalog, plains. “I knew what type of Cisneros went a step further in his class this past spring accessible at www ​.partners questions the police would by arranging for the head had some form of training againstpain ​.com under Pain be asking from our lecture, of campus security to in their jobs on what to do Education Center.

186 Feature News october 2009 Search Engines’ Program Enables Rogue Drug Outlets to Endanger Public Health

Prescription drug abuse organized crime and vast ibility to consumers because Web site that do and do not is the second-largest drug illicit drug networks, many the advertisements are meet state and federal laws, abuse problem in the United of them based in Russia sponsored by a trusted and as well as NABP patient States, and counterfeit or and Eastern Europe, that well-known Internet search safety and pharmacy prac- adulterated drugs continue deceive, defraud, and poison engine, the authors state. tice standards. to threaten public safety. Internet users,” says Garth Since 2006, after a US As of September 18, 2009, Rogue Internet drug outlets Bruen, president of KnujOn. Senate inquiry and investiga- NABP has reviewed and contribute significantly to Another report released tion, search engines began to verified its findings on 4,502 both problems by selling by LegitScript and KnujOn self-regulate these advertise- Internet drug outlets selling addictive prescription drugs “Analysis of Yahoo! Pre- ments using a third-party prescription medications. without a prescription and scription Drug Sponsored verification service to screen Of these 4,502 sites, 4,286 sending substances – which Search Results,” released on and approve the Web sites appear to be operating out may be real or fake – from August 18, 2009, examined being advertised before the of compliance with state and unapproved locations outside Web sites selling prescrip- ads can be posted on their federal laws and/or NABP the . Making tion medications that search engine results. The patient safety and pharmacy it easier to attract consum- advertise through Yahoo!’s stated intent of this self- practice standards and are ers and boost illegal sales online advertising program. regulation was to ensure listed on the NABP Web site of these dangerous phar- The report stated that, of the that Internet users could as Not Recommended. maceutical products, rogue and In- trust that prescription drug Of these: Internet drug outlets are ternet drug outlet advertise- advertisements sponsored by 3,350 sites do not require freely exploiting the paid ad- ments the authors reviewed, the search engines were for • a valid prescription. vertising programs of many 82% led to drug outlets that Internet pharmacies that are 1,797 offer foreign or non- well-known Internet search do not require a prescription legitimate, legal, and safe. • Food and Drug Adminis- engines, such as Yahoo! for prescription medications As the research done by tration-approved drugs. and bing.com, a new search or that violate other United LegitScript and KnujOn has 1,162 sites are located engine owned and operated States medication safety and shown, most of these spono- • outside the US and selling by Microsoft. pharmacy laws. The report sored Web sites are neither drugs illegally to patients According to a recent re- also points out that many legitimate, legal, nor safe. in the US. port released by LegitScript, so-called Canadian phar- LegitScript and KnujOn In addition to list- an online pharmacy verifica- macies do not actually ship indicated that, in releasing ing Not Recommended tion service that adheres to drugs from Canada, or even these reports, they hope sites on the NABP Web NABP standards for accred- drugs approved for use by to encourage the search site, NABP continues to iting Internet pharmacies Canadians. engines to fix this troubling list Recommended sites, as safe and legitimate, and LegitScript and KnujOn’s problem. those accredited through KnujOn, an Internet spam research indicates that many “By continuing to al- the Verified Internet and criminality watchdog, rogue Internet drug outlets low these advertisements, Pharmacy Practice Sites™ 89.7% of the reviewed Inter- are using business strategies Microsoft is facilitating (VIPPS®) and Vet-VIPPS™ net drug outlets advertising with Internet search engines prescription drug abuse and programs. Currently, 17 on Microsoft’s bing.com to appear on the first few the proliferation of counter- sites have achieved VIPPS are operating unlawfully pages of the search results, feit drugs, both of which put accreditation and one site or fraudulently. The report which ensures visibility and our most vulnerable citizens has received Vet-VIPPS ac- notes that the majority of thus, improves sales. These at risk,” says John Horton, creditation. these drug outlets do not sponsored advertisements president of LegitScript. Celebrating its 10th require a valid, or any, pre- generally appear as high- To educate patients about anniversary this year, scription, and some of the lighted search results on the potential dangers of pur- the VIPPS program drugs obtained from them the top or right of the page chasing medication online, enables patients to con- proved to be counterfeit. and are listed as “sponsored NABP continues to review, fidently purchase drugs “These types of sites sites.” This presentation identify, and list Internet from legitimate Internet are usually the product of creates a false sense of cred- drug outlets on the NABP (continued on page 190)

187 Feature News nabp newsletter Stakeholders to Address Pharmaceutical, Legal Implications of Medical Marijuana

arijuana has been called by many in Schedule I of the federal names – pot, grass, weed, ganja – Controlled Substances Act M (CSA). Drug Enforcement and in 13 states, it is also called medicine. Administration (DEA) and For more than a decade, consumer groups Food and Drug Administra- and lobbyists have pushed states to tion (FDA) continue to sup- port that placement because legalize the use of marijuana for medical they say marijuana meets purposes, propounding its usefulness the three criteria for place- in relieving symptoms associated with ment in Schedule I under the CSA: a high potential various ailments. While 13 states have for abuse, a lack of cur- decriminalized its use for certain medical rently accepted medical use conditions, and 13 more are exploring in treatment in the United States, and a lack of accepted the possibility, marijuana remains illegal safety for use under medical under federal law. This complex legal supervision. framework poses a precarious situation While research has established the potential for patients and the practice of pharmacy medicinal value of the active alike. ingredients, or cannabi- noids, found in marijuana, Members of the boards tion to treat symptoms asso- FDA and DEA maintain that of pharmacy and other ciated with “serious, chronic, the evidence is not sufficient stakeholders will address the or debilitating medical to support the approval of pharmaceutical and legal conditions,” according to an marijuana in its crude form issues surrounding the use article published in the May (dried leaves and flowers, of marijuana for medical 2007 issue of the American generally smoked) as a med- purposes during the NABP Journal of Health-System icine. FDA issued an “Inter- 2009 Symposium, to be held Pharmacy. As described in Agency Advisory Regard- December 3-4 in Tucson, the article, “Medical Mari- ing Claims That Smoked AZ. (More information on juana and the Developing Marijuana Is a Medicine” in these sessions is provided on Role of the Pharmacist,” such April 2006, concluding that page 194.) conditions include the fol- no sound scientific studies The following states lowing indications: have supported medical use have already legalized • severe nausea and vomit- of smoked marijuana for medical marijuana: Alaska ing associated with cancer treatment in the US, and no (1998), California (1996), chemotherapy or other animal or human data sup- Colorado (2000), Hawaii causes, port the safety or efficacy (2000), Maine (1999), weight loss associated with of smoked marijuana for Michigan (2008), Montana • debilitating illness, includ- general medical use. (2004), (2000), New ing HIV and cancer, The physiological and Mexico (2007), Oregon spasticity stemming from psychoactive effects of mari- (1998), Rhode Island (2006), • neurologic conditions juana, or Cannabis sativa, Vermont (2004), and Wash- such as multiple sclerosis, are attributed to its main ington (1998). Laws in these severe pain, and active ingredient, delta- states generally allow the use • glaucoma. 9-tetrahydrocannabinol of medical marijuana upon a • At the federal level, (THC), the concentration practitioner’s recommenda- however, marijuana is listed of which determines the

188 Feature News october 2009

potency and effect of the position,” the IOM report substance on the patient. states. “Use of defined can- The concentration of THC nabinoids permits a more in marijuana varies greatly precise evaluation of their from plant to plant, and its effects, whether in combina- common route of admin- tion or alone. Medications istration – smoking – also that can maximize the de- allows for considerable sired effects of cannabinoids variability in the dose levels and minimize the undesired administered. Marijuana effects can very likely be smoke also contains 50% to identified.” 70% more carcinogens than Such compounds have, cigarette smoke, introducing in fact, been developed and other health risks. approved for pharmaco- For this reason, many of logical use. The prescription the scientists and researchers drug Marinol® contains the tions undergo the rigorous who proclaim the medicinal active ingredient dronabi- scientific scrutiny of the value of marijuana do not nol, a synthetic form of FDA approval process and support the use of smoked THC. Like medical mari- are proven safe and effective marijuana as “medicine.” In juana, this FDA-approved under the standards of the its 1999 report “Marijuana medication is used to treat FD&C [Federal Food, Drug, and Medicine: Assessing the nausea and vomiting caused and Cosmetic] Act.” Science Base,” Institute of by cancer chemotherapy, as Consequently, patients Medicine (IOM) states, well as to treat loss of appe- must purchase marijuana “[s]cientific data indicate the tite and weight loss in HIV from local cannabis dispen- potential therapeutic value of patients. saries – not pharmacies – or cannabinoid drugs, primar- As marijuana, in its grow their own, which raises ily THC, for pain relief, con- crude form, is not an ap- further doubts about the safe- trol of nausea and vomiting, proved drug, it is not subject ty and potency of the product. and appetite stimulation; to the inspections, safe- Most patients using medical smoked marijuana, however, guards, and quality stan- marijuana have no contact is a crude THC delivery dards of the US pharma- with a pharmacist – or, if they system that also delivers ceutical supply chain. Data do, it is because they are tak- harmful substances.” regarding appropriate dose ing other prescription medi- The synthesis of the levels are not available to cations, and the pharmacist is active ingredient into a patients, nor are guidelines generally not aware they are form that can be tested for and warnings for use, and using marijuana in com- strength and purity, manu- the concentration of THC bination with these drugs. factured for dosing con- from batch to batch is not Thus, these patients rarely sistency, and administered consistent. This variability have the full (if any) benefit via a more reliable route, and uncertainty contribute of pharmacist counseling. on the other hand, has to the reluctance toward Concerns for the lack of received greater acceptance legalizing marijuana as a pharmacist guidance stem in the medical community. medication. from marijuana-related “Defined substances, such as According to FDA’s 2006 adverse effects, interactions purified cannabinoid com- advisory, states’ measures to with a number of other pounds, are preferable to legalize medical marijuana medications, and exacerba- plant products, which are of are “inconsistent with ef- tion of certain disease states. variable and uncertain com- forts to ensure that medica- (continued on page 190)

189 Feature News nabp newsletter

Medical Marijuana earlier, marijuana appears nervous system. Evidence mending marijuana, or (continued from page 189) to interact with a variety of also suggests that marijuana assisting patients in obtain- medications, including opi- can decrease the effectiveness ing it, falls outside the scope Especially for their patients oids, barbiturates, protease of protease inhibitors and of pharmacy practice and with certain concomitant inhibitors, sildenafil, the- theophylline by increasing could lead to disciplinary medical conditions, phar- ophylline, antidepressants, their clearance. action. As in other areas macists are encouraged to anticholinergics, lithium, The article further notes of medication therapy ask patients if they are using neuroleptic antipsychotics, that “marijuana may ad- management, however, the not only other prescription anesthetic agents, and others. versely affect patients with pharmacist may play a key or over-the-counter medica- Opioids used in combination certain diseases, including role in advising patients in tions, but also medical mari- with marijuana, for instance, immunosuppression, psychi- the management of their juana. In so doing, the phar- “can lead to cross-tolerance atric disturbances, cardiac health and the safe use of macist has the opportunity to and mutual potentiation of disease, respiratory disease, their medications. The up- educate patients on potential effects,” the article notes. The vertigo, cancer, pregnancy, coming NABP Symposium risks and contraindications of combination of marijuana and obesity.” Additionally, will provide an opportunity marijuana use. with alcohol, benzodiaz- marijuana may exacerbate for the boards of pharmacy As noted in the American epines, or muscle relax- certain psychiatric disorders. and other stakeholders to Journal of Health-System ants can result in excessive In the current legal en- further address the role of Pharmacy article referenced depression of the central vironment, actually recom- pharmacy in this issue.

Legal Briefs board findings were spe- board findings of wrong- to impose costs, disburse- (continued from page 185) cifically noted to be under doing, taking into consid- ments and attorneys’ fees a preponderance standard eration the credibility of may be critical to the abil- mine whether the findings (in some cases, in addition the witnesses, supported ity of boards to effectively of fact determined by the to the substantial evidence a finding of guilt and and efficiently operate, board are supported by a standard). The court held justification of the sanc- especially in these dif- preponderance of the evi- that this application of the tions. Accordingly, the ficult financial times. As dence. The licensee argued more stringent preponder- court affirmed the lower illustrated by this case, that the preponderance ance standard satisfied the court and upheld the find- the lack of notice of the standard is the minimum due process requirements ings and sanction imposed potential to impose such standard that can be ap- and that it need not rule upon the licensee. costs or expenses to the plied under the due process on the issue of whether Boards of pharmacy licensee dissuaded the requirements of an admin- a substantial evidence are cautioned to know board from pursuing such istrative proceeding. standard satisfied such and understand the appli- fees. The court held that it requirements. Under that cable burden of proof and Frokjer v North Dakota did not need to reconcile premise, the court ad- ensure reference to such Board of Dental Examin- the potential differing dressed and found that the burden in their findings. ers, 764 N.W.2d 657 (ND standards in that the evidence, based upon the In addition, the authority 2009).

Search Engines’ Internet pharmacies when criteria and related patient to choose safely when Online Advertising purchasing medication information, is available purchasing medica- (continued from page 187) online. in the Internet Pharmacies tions online and educate A full listing of Recom- section of the NABP Web otherwise law-abiding pharmacies. For this mended and Not Recom- site at www ​.nabp.net. service providers on ac- reason, NABP recom- mended sites, along with These efforts, as well tivities that enable these mends patients use the Internet Drug Outlet as those of LegitScript and illegal and dangerous only VIPPS-accredited Identification program KnujOn, empower patients operations.

190 Association News october 2009 NABP Now Accepting Nominations for 2010 Awards to be Presented at 106th Annual Meeting in Anaheim, CA Individuals who know Fred T. Mahaffey with exemplary service in tary Carmen A. Catizone an exemplary colleague or Award protecting the public health at NABP Headquarters, a board of pharmacy that and have shown significant 1600 Feehanville Dr, Mount represents the mission of This award was named involvement with the Asso- Prospect, IL 60056. The NABP – protecting the pub- after the late NABP Execu- ciation related to pharmacy NABP Executive Commit- lic health – may nominate tive Director Emeritus Fred law and compliance. tee will review the nomina- the eligible person or board T. Mahaffey, who held the tions and select the honor- for a 2010 NABP award to executive director position Lester E. Hosto DSA ary president and award be presented at the 106th from 1962 to 1987. His lead- This award is the highest recipients. Annual Meeting, held May ership and contributions to honor bestowed by the As- 22-25, 2010, at the Hyatt NABP, state boards of phar- sociation. It was first simply Henry Cade Memorial Regency Orange County in macy, and the protection known as the Distinguished Award Anaheim, CA. of the public health were Service Award, but was In addition to the Nominations are current- significant and established renamed by NABP to serve aforementioned awards, ly being accepted for the fol- NABP as one of the leading as a memorial to the 1990- the Henry Cade Memorial lowing awards: 2010 NABP pharmacy organizations. 1991 NABP President Lester Award will also be pre- Honorary President, 2010 The award recognizes a E. Hosto, whose motivating sented during the Annual Fred T. Mahaffey Award, member board of pharmacy presence in the practice of Meeting. The NABP Execu- 2010 John F. Atkinson Ser- that has made substantial pharmacy was recognized tive Committee selects a vice Award, and 2010 Lester contributions to the regula- by practitioners of his state, recipient(s) for the Henry E. Hosto Distinguished tion of the practice of phar- pharmacy leaders across the Cade Memorial Award who Service Award (DSA). macy over the past year. nation, and former United has supported the goals and Boards considered for States President Bill Clinton. objectives of the Associa- Honorary President this award must have con- The Lester E. Hosto DSA tion and the state boards Nominees who will be tributed to protecting the recognizes those individu- of pharmacy to protect the considered for the position public health and welfare als whose efforts to protect public health and advanced of honorary president must through the enforcement the public health greatly the need to maintain the meet the following criteria: of state and federal laws furthered the goals and safety and integrity of the service on one or more and regulations, and to the objectives of NABP. Any distribution and dispensing • NABP committees or task advancement of NABP goals individual who meets these of medications. Nomina- forces; and objectives as specified in criteria may be nominated tions are not accepted for this participation in NABP/ the Association’s Constitu- for the DSA, regardless of award. • American Association tion and Bylaws. his or her member affilia- The Henry Cade Me- of Colleges of Pharmacy tion with NABP. morial Award is named in District Meetings and John F. Atkinson Nominations for these honor of the late Henry NABP Annual Meetings; Service Award awards must be received Cade, who served as NABP exemplary services for, or Named in honor of for- at NABP Headquarters no president from 1987 to • on behalf of, NABP; mer NABP general counsel later than December 31, 1988. Tireless in his efforts strong commitment to John F. Atkinson, who 2009. To submit a nomina- on behalf of NABP and the • NABP, the mission of the recently retired after serv- tion, individuals may send Division of Profes- Association to protect ing as NABP legal counsel a letter explaining why the sional Regulation – State the public health, and for more than 40 years, the nominee should be con- Board of Pharmacy, Cade the practice of pharmacy; John F. Atkinson Service sidered for the award, as was also a long time phar- and Award replaced the Lester well as a brief biography. A macy practitioner. affiliation (either current E. Hosto Inspector DSA and current resume or curricu- For more information, • or past) as a board mem- was first awarded at the 105th lum vitae of the nominee is please contact Sarah Fowle, ber or as an administra- Annual Meeting. Recipients also required. Please submit executive office coordina- tive officer of an active or of this award are individuals your nomination to NABP tor, via e-mail at sfowle@ associate member board. who have provided NABP Executive Director/Secre- nabp.net.

191 Association News nabp newsletter NABP President Appoints Members to Serve on 2009-2010 Committees, Task Forces ABP provides guidance on current • Donald M. Casar, RPh, topics of interest to the state boards Ohio N Jeannine G. Dickerhofe, of pharmacy through the commissioning • RPh, Colorado of single-issue task forces. When an • David C. Kozera, RPh, issue arises that requires special Virginia Lydia Main, RPh, West expertise or a commitment of time • Virginia and funds, a task force is appointed to • Alice G. Mendoza, RPh, address an explicit charge and to report Texas Suzanne Neuber, RPh, its findings to the Executive Committee. • Ohio Copies of the task force reports are • Elvy T. Paiva, RPh, New posted on the NABP Web site. Jersey Joann Predina, MBA, RPh, • Ohio This year, NABP has As the adoption of e- Frank A. Whitchurch, RPh, commissioned three single- prescribing rapidly expands, • Kansas issue task forces pertaining stakeholders have recognized The Executive Committee to the following topics: a need to set standards and liaison was Karen M. Ryle, 1. electronic prescribing regulations to ensure system MS, RPh. standards and compatibility, security, and The Task n Force o Phar- data storage; information sharing. macy Technician Education 2. pharmacy technician The task force is charged and Training Programs is education and training with the following objectives: scheduled to meet October programs; and 1. evaluating the current 6-7, 2009, in Rosemont, IL. 3. prescription monitoring regulatory and operation- The task force came about program standards. al status of the electronic in response to Resolution NABP President Gary transmission of prescrip- No. 105-5-09, passed at the A. Schnabel, RN, RPh, has tions and prescription NABP 105th Annual Meeting, finalized his appointments data; calling for its development. for the committees and task 2. developing standards for The resolution acknowl- forces for the 2009-2010 software and systems used edges that “new pharmacy year. Some of the commit- in the electronic transmis- technician educational and tees and task forces may sion of prescriptions and training programs are being include guests or ex officio prescription data; and established in community members, in which case 3. reviewing the current colleges and trade schools the guests and ex officio requirements for the stor- across the country,” and that members will be noted in age of hard copy prescrip- “no standards are currently the final report. tions and electronically in place to guide the quality The Task n Force o Elec- transmitted prescription and appropriateness of the tronic Prescribing Software data to determine whether course curriculum for such Standards and Data Stor- alternative storage meth- programs.” age met September 15-16, ods can be utilized. Noting the responsibil- 2009, in Northbrook, IL. Chairperson of this task ity of the state boards of (See “Task Force to Exam- force was Larry Allen Hadley, pharmacy “to oversee the ine Electronic Prescribing RPh, of Kentucky. The fol- training and practice of Standards” in the September lowing is a listing of individu- pharmacy technicians in the 2009 NABP Newsletter.) als who served as members: interest of the patient health

192 Association News october 2009

and safety,” the resolution states the intent of NABP Task Force and Committee Schedule to “assist and encourage Task Force on Electronic Prescribing Software state boards of pharmacy to • Standards and Data Storage evaluate and approve train- September 15-16, 2009 ing programs for pharmacy Northbrook, IL technicians licensed or registered in their states.” • Task Force on Pharmacy Technician Education and (See also “Stakeholders De- Training Programs bate Educational Program October 6-7, 2009 Requirements for Pharmacy Rosemont, IL Technician Certification” in Task Force on Prescription Monitoring Program the September 2009 NABP • Standards Newsletter.) October 28-29, 2009 The task force is charged Northbrook, IL with the following objectives: Committee on Law Enforcement/Legislation 1. reviewing existing state • January 26-27, 2010 requirements for tech- Rosemont, IL nician education and training, requirements • Committee on Constitution and Bylaws for national technician April 13, 2010 training program accredit- ing organizations, such as the American Society of Health-System Pharma- James O. Spoon, DPh, statutes and regulations and cists and the Accreditation • Oklahoma operational systems and Council for Pharmacy Jeanne D. Waggener, RPh, standards related to PMPs.” Education core competen- • Texas (See also “NASPER Fund- cies; and Ann Zweber, RPh, Oregon ing Assists States’ Prescrip- 2. recommending national • Serving as an alternate tion Monitoring Programs” standards for technician member is Kevin Mitchell, in the August 2009 NABP education and training RPh, of Ohio, and the Ex- Newsletter.) programs and encourag- ecutive Committee liaison is The task force is charged ing boards of pharmacy Michael A. Burleson, RPh. with the following objectives: to recognize them. The Task n Force o 1. reviewing and identify- Chairperson of this task Prescription Monitoring ing variations in existing force is Susan Ksiazek, RPh, Program Standards will prescription monitoring of New York. Individuals meet October 28-29, 2009, programs as compared serving as members include: in Northbrook, IL. This task to the Model Prescription Kevin C. Borcher, RP, force came about in response Monitoring Act found in • Nebraska to Resolution No. 105-6-09, the Model State Pharmacy Lee Ann Bundrick, RPh, passed at the NABP 105th Act and Model Rules of • South Carolina Annual Meeting, calling the National Association Edith G. Goodmaster, for its development. The of Boards of Pharmacy • Connecticut resolution identifies a need (Model Act); and Earl McKinstry, MS, RPh, to standardize prescrip- 2. recommending revisions, • South Dakota tion monitoring programs if necessary, to the NABP Michael A. Podgurski, RPh, (PMPs), noting that “many Model Act addressing • Pennsylvania of the state boards of phar- this issue. • Lorie Rice, MPh, California macy have enacted varying (continued on page 201)

193 2009 Symposium nabp newsletter Experts to Engage Participants in Interactive CPE during NABP 2009 Symposium Sessions on the Legalization of Medical Marijuana and the Benefit of Public-Private Partnerships to Provide up to 11.25 Hours CPE Credit

Attendees will hear from Mackie will provide partici- as well as other major health notable and experienced pants with facts about the care associations. Barry D. experts during the NABP medical use of marijuana, Dickinson, PhD, director, 2009 Symposium, while earn- emphasizing evidence-based Science and Biotechnology ing up to 11.25 contact hours medicine, including the sci- and secretary, Council on (1.125 CEUs) of Accredita- entific evidence bearing on Science and Public Health tion Council for Pharmacy potential medical use. This at the American Medical Education-approved con- introduction will open the Association; Alice Mead, tinuing pharmacy education door for further discussion JD, director of US profes- (CPE) credit. With presenta- regarding science, medicine, sional relations for GW tions from several notable policy, and the law. Pharmaceuticals; and Caren speakers, the meeting will Following the introduc- Woodson, MPP, director of focus on topics including tion, representatives from government affairs at ASA, the legalization of medical Drug Enforcement Adminis- will address whether they marijuana and the benefits of tration (DEA) and Food and support medical marijuana public-private partnerships. Drug Administration (FDA) and if they recommend ad- The Symposium will be held will provide participants ditional trials and reschedul- December 3-4, 2009, at the with the current federal laws ing. J.W. Marriott Starr Pass Hotel regarding marijuana during Next, highly esteemed in Tucson, AZ. The Federal Status of Mari- physicians will provide partici- juana in the United States, pants with real-life examples Is Marijuana a Viable from 8:30 to 9:15 am. The of successful medical mari- Medical Option? speakers will provide the juana treatment and share why Kicking off the Symposium history of how marijuana be- legal prescription medications and offering participants the came a Schedule I controlled are not always the answer in chance to earn 3.75 contact substance as well as why providing the best patient care hours (0.375 CEUs) of CPE it still is scheduled as such during the presentation Are credit, the first CPE session, today. They will also discuss These Medical Miracles?, from “Legalization of Drugs: Is the why the use of marijuana 10:15 to 11 am. Speakers in- Time Right for Medical Mari- fails to gain traction as an clude Donald I. Abrams, MD, juana?” will take place from accepted medical treatment professor of clinical medicine 8 am to noon on Thursday, in the US. at University of California, San December 3, and will consist From 9:15 to 10 am, the Francisco; Sunil K. Aggar- of four presentations and one presentation Should Mari- wal, PhD, MS-IV, graduate, point-counterpoint session. juana be a Medical Option? Medicine Concurrent Degree (See page 188 for additional will provide participants Program at the Univer- information on this topic.) with a closer look at the sity of Washington School From 8 to 8:30 am Ken- marijuana policies of Ameri- of Medicine; and Gregory T. neth Mackie, MD, Linda cans for Safe Access (ASA), Carter, MD, MS, professor and Jack Gill chair of neu- the largest national mem- of rehabilitation medicine at roscience and professor in ber-based organization of the University of Washington the Department of Psycho- patients, medical profession- School of Medicine. logical and Brain Sciences at als, scientists, and concerned The morning session will Indiana University Bloom- citizens promoting safe and close with Medical Marijuana: ington, will provide the Issue legal access to cannabis for Point-Counterpoint, from 11 Introduction and Overview. therapeutic use and research, am to noon. Using a question

194 2009 Symposium october 2009

and answer format, experts fornia Department of Public LLC, and former deputy direc- from government, various Health, Medical Marijuana tor for demand reduction in practice settings, academia, Program; Lloyd K. Jessen, the Office of National Drug and other stakeholders will RPh, JD, executive director Control Policy, will provide outline their positions on and drug control program participants with her insights whether medical marijuana administrator for the Iowa including whether legalizing will ever be legalized at the Board of Pharmacy; and Scott medical marijuana could help federal level. They will answer Galenbeck, Esq, assistant the ailing economy by becom- the following questions: attorney general of Iowa, will ing a source of tax revenue and What type of further address questions on how decreasing money spent on • research needs to be these laws and regulations criminal prosecutions. conducted? were developed, implement- Thursday’s sessions will Should the legal status ed, and enforced, and if they close with the Roundtable Dis- • remain “status quo?” are working. cussion: Medical Marijuana Point-counterpoint A Regulatory Approach to – A Two Case Scenario, from speakers include Donald I. Medical Marijuana – What 3:45 to 5 pm. Participants Abrams, Sunil K. Aggarwal, has Canada Done? from will brainstorm during this Gregory T. Carter, Barry 2:30 to 2:45 pm, will provide facilitated session to discuss D. Dickinson, Alice Mead, participants with information two opposite visions of the Caren Woodson, and other on the development of the medical marijuana issue. representatives from DEA Marihuana Medical Access If it is legalized – what laws and FDA. Regulations in Canada and • and regulations will be their implementation. In required? Legalization of Medical addition, operational aspects, If it remains illegal – how Marijuana including marijuana supply; • will the problem be solved? Thursday afternoon’s policies; and legal issues will CPE session “Areeo W G - be addressed. Carole Boucha- Benefits of Public- ingo t Legalize Medical rd, BPharm, MAP, executive Private Partnerships Marijuana?” to be held director of the National Asso- On Friday, December 4, from 1:30 to 5 pm, will offer ciation of Pharmacy Regula- attendees will be able to earn participants the opportunity tory Authorities will speak 4.25 contact hours (0.425 to earn 3.25 contact hours during this presentation. CEUs) of CPE credit by par- (0.325 CEUs) of CPE credit During the presentation ticipating in the CPE session and consists of three presen- Legalizing Marijuana – Creat- “Public-Private Partnerships: tations and one roundtable ing a Slippery Slope? from 2:45 Stimulus Packages for Dwin- discussion. to 3:30 pm, participants will dling State Resources,” which From 1:30 to 2:30 pm, learn of the potential impact consists of three presentations representatives from state legalizing medical marijuana and one panel discussion. (See agencies will share how medi- could bring. Will it lead us page 181 for additional infor- cal marijuana programs have down a path to legalize other mation on this topic.) been incorporated into their “immoral” behaviors? Will it From 8:30 to 9 am, during state’s laws and regulations increase recreational mari- the Public-Private Partnerships during A Regulatory Approach juana and other illicit drug Overview, participants will be to Medical Marijuana – What use? Andrea Barthwell, MD, provided with an overview of are the States Doing? Paula FASAM, founder and chief the concept of public-private Sahleen-Buckingham, Cali- executive officer for EMGlobal (continued on page 203)

195 2009 Symposium nabp newsletter

Program December 3-4, 2009 J.W. Marriott Starr Pass Hotel Tucson, AZ Wednesday, December 2, 2009 2:30 - 2:45 pm A Regulatory Approach to Medical Marijuana – What has 3 - 6:30 pm Canada Done? Registration/Information Desk Open 2:45 - 3:30 pm Thursday, December 3, 2009 Legalizing Marijuana – Creating a Slippery Slope?

7 am - 6 pm 3:45 - 5 pm Registration/Information Desk Open Roundtable Discussion: Medical Marijuana – A Two Case Scenario 7:15 - 8 am Continental Breakfast 6 - 6:30 pm Meet and Greet . . . a networking opportunity 8 am - noon (Cash bar will be available.) CPE Session Legalization of Drugs: Is the Time Right for Medical 6:30 - 8 pm Marijuana? Dinner Under the Desert Sky ACPE Program #205-000-09-008-L03-P Sponsored by Medco Health Solutions, Inc (0.375 CEUs – 3.75 contact hours) (Buffet dinner will be served and a cash bar will be available.) Early-Morning Presentations Friday, December 4, 2009

8 - 8:30 am 7 am - noon Issue Introduction and Overview Registration/Information Desk Open 8:30 - 9:15 am 7:15 am - 8:30 am The Federal Status of Marijuana in the United States Continental Breakfast 9:15 - 10 am 8:30 am - 1 pm Should Marijuana be a Medical Option? CPE Session Late-Morning Presentations Public-Private Partnerships: Stimulus Packages for Dwindling State Resources 10:15 - 11 am ACPE Program #205-000-09-010-L03-P Are These Medical Miracles? (0.425 CEUs – 4.25 contact hours) 11 am - noon Medical Marijuana: Point-Counterpoint Early-Morning Presentations Sponsored by Walgreen Co Noon - 1:15 pm Luncheon 8:30 - 9 am Sponsored by Pfizer Inc Public-Private Partnerships Overview 1:30 - 5 pm 9 - 10 am CPE Session Current Federal Public-Private Partnership Projects Are We Going to Legalize Medical Marijuana? Late-Morning Presentations ACPE Program #205-000-09-009-L03-P 10:15 - 11:15 am (0.325 CEUs – 3.25 contact hours) Current State Public-Private Partnership Projects Afternoon Presentations 11:15 am - 1 pm 1:30 - 2:30 pm Panel Discussion A Regulatory Approach to Medical Marijuana – What are the States Doing? Note: The NABP 2009 Symposium schedule is subject to change. Additional information on the continuing pharmacy education (CPE) sessions is avail- able in the Meetings section of the NABP Web site, www.nabp.net, under CPE Descriptions.

NABP and the NABP Foundation is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. ACPE Provider Number: 205. Participants may earn up to 11.25 contact hours (1.125 CEUs) of ACPE-approved continuing pharmacy 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.

Continuing Legal Education (CLE) Policy: NABP staff will be available to assist attendees on an individual basis to apply for CLE credit for attending CPE sessions. To apply for CLE credit, attendees must initiate the program approval process in their own states by completing and submitting the appropriate application materials and forms. NABP will provide documentation as necessary. 196 State Board News october 2009

Nevada Board Passes The Board recognizes the Substance Prescription Request Form and a Privacy Regulation to Require important role that phar- Monitoring Program Statement Form. Pharmaceutical maceutical technicians (CSPMP) Director Dean To obtain the forms, go play in providing quality Wright reports that the pro- to the Arizona Board’s Web Technician Law CE pharmaceutical care to gram began collecting data site at www.azpharmacy Pursuant to a request by Nevadans and the need from resident and nonresi- .gov, then navigate to the the Pharmaceutical Techni- for all health care profes- dent pharmacies in October PMP Rx Monitoring tab cian Advisory Committee, sionals to keep abreast of 2008. An analysis of the (on the far right of the the Nevada State Board ever-changing statutes and data collected through the horizontal navigation tabs) of Pharmacy has passed regulations. The law CE end of May 2009 shows that and choose the CSPMP a regulation requiring will also provide a forum the database contains more Information link. On the pharmaceutical technicians for the discussion of the than 9.8 million controlled CSPMP Information page, to obtain a minimum of ever-increasing technician substance prescription choose the Access to the one hour (1 CEU) of law diversion issues the Board records. The analysis also Controlled Substances continuing education (CE) faces. Auditing of the law shows that there were 977 Database link, then choose prior to licensure renewal. CE will be accomplished authorized users, including the Pharmacist link, and The regulation became during a pharmacy’s annual 190 pharmacists. follow the instructions for effective in April 2009, inspection so the certifi- The CSPMP database completing the Prescriber/ meaning that the require- cate should be logged in is an electronic tool devel- Dispenser Database Access ment will need to be met the technician’s in-service oped to provide pharma- Request Form and the prior to the pharmaceutical training hours file. The cists and prescribers with Privacy Statement Form. technician renewal date Board asks pharmacists to information about the use Assistance with the forms of October 31, 2010. The advise technicians to not of controlled substances by is available from Wright at Board urges pharmacists to send law CE documentation patients. Pharmacists are [email protected]. help communicate this new to the Board office. encouraged to utilize the requirement to technicians. database whenever provid- Montana Board of The law CE can be Arizona Board ing pharmaceutical care. Pharmacy to Increase obtained by attending a Reports Controlled Pharmacist access to the Members Nevada Board meeting Substance PMP Data database is conferred after or by attending a Nevada a pharmacist completes and On April 16, 2009, Board law CE presentation The Arizona State Board submits both a Prescriber/ Montana Governor Brian along with pharmacists. of Pharmacy’s Controlled Dispenser Database Access (continued on page 198)

NABP Provides Convenient Online Registration for 2009 Symposium Convenient online registration is Returning to a serene desert available for the NABP 2009 Sympo- land ­scape, the Symposium will once 2009 Symposium sium. The meeting will offer valuable again be held at the J.W. Marriott December 3-4, 2009 and inter­active continuing pharmacy Starr Pass Hotel in Tucson, AZ. J.W. Marriott Starr Pass Hotel education (CPE) sessions on medi- Those who register on or before Tucson, AZ cal marijuana and the development Wednesday, October 14, will re- of partnerships between public and ceive the special early registration private organiza­tions. In addition, rate. attendees will have the opportunity Online registration is available on Card, or Visa, or (3) paying in Tucson. A to earn up to 11.25 hours (1.125 the NABP Web site at www.nabp.net. printable registration form, as well as a CEUs) of Accreditation Council for NABP offers three pay­ment options: direct link to the special group reserva- Pharmacy Education-approved CPE (1) mailing in the payment, (2) using a tions Web page to book hotel rooms, is credit. credit card – American Express, Master- also available on the NABP Web site.

197 State Board News nabp newsletter

State Board News in a permitted pharmacy. June 2009 newsletter. Data death rate of 31.7 per (continued from page 197) For example, one inquiry from the New Mexico Of- 100,000, followed by was from an employer fice of the Medical Inves- white males (20.5 per Schweitzer signed legisla- who wanted to set up a tigator (OMI) shows that 100,000), white females tive senate bill 275, which station at the work site to drug overdose death rates (12.3 per 100,000), increases the number of which a pharmacy would are increasing, largely due Hispanic females (9.3 Montana Board of Phar- deliver all prescriptions to overdose from prescrip- per 100,000), American macy members from six for employees who would tion drugs. Indian males (5.8 per to seven. The legislation then pick up the prescrip- The age-adjusted un- 100,000), and American amends section 2-15-1733 tions there either from intentional drug overdose Indian females (1.5 per (2) MCA to read as fol- a pharmacy technician death rate in New Mexico 100,000). lows: or an unlicensed person. increased slightly from 17.2 To address this trou- The board consists of North Carolina Board per 100,000 in 2006 to 18.1 bling trend of increas- seven members ap- staff also has received in- per 100,000 in 2007, the ing death caused by pointed by the gover- quiries from community Board reports. There was a prescription drugs, the nor with the consent pharmacies that wish to 20% increase in the over- New Mexico Depart- of the senate. Four set up “satellite” drop- dose death rate from any ment of Health, the New members must be off/pick-up locations to prescription drug (from Mexico Board of Phar- licensed pharmacists, be overseen by a phar- 9.5 per 100,000 in 2006 to macy, OMI, and Centers one member must macy technician. 11.3 per 100,000 in 2007), for Disease Control and be a registered phar- Such drop-off/pick- while the death rate from Prevention are collabo- macy technician, and up sites do not comply any illicit drug increased rating on a study to link two members must with the North Carolina 4% from 10 per 100,000 in drug overdose decedents be from the general Pharmacy Practice Act. 2006 to 10.4 per 100,000 with prescription data public. Under that statute, a in 2007. Multiple drug from the Prescription The legislation went pharmacy is “any place overdose deaths (where Monitoring Program into effect October 1, where prescription drugs more than one substance (PMP). The New Mexico 2009. are dispensed or com- was found to have caused Board aims to do the Pharmacists interested pounded,” and any such death) increased 14% from following: in an appointment to and place must be permitted 12.2 per 100,000 in 2006 to identify factors that service on the Montana by the North Carolina 14 per 100,000 in 2007. • increase the risk of Board of Pharmacy, may Board. From 2003 to 2007, the overdose death among fill out an application Final dispensing to pa- median age of drug over- New Mexicans who use form available on the tients at a non-permitted dose decedents (n=1588) controlled substances; Board’s Web site at www. site as contemplated in was 43.8 years. Persons characterize the mt.gov/dli/bsd/license/ these inquiries would not who died from a combina- • extent to which drug bsd_boards/pha_board/ comply with North Caro- tion overdose of illicit and overdose victims die board_page lina law. prescription drugs were from prescription .asp. the youngest (median age drugs that were New Mexico Board of 41.7 years), while those obtained illegally; North Carolina Board Reports Upward who died from prescrip- • promote the Clarifies Prescription Trend in Drug tion drugs alone were the development of Drug ‘Drop-Off/Pick- oldest (median age of 45). prevention programs Overdose Deaths Persons who died from and policy aimed at Up’ Site Laws New Mexico had the illicit drugs only had a me- reducing individual North Carolina Board second highest drug- dian age of 42.2 years. and community risk; of Pharmacy staff has induced death rate in the Overdose death and received several recent US in 2005, with 20.9 was also examined by encourage more inquiries regarding deaths per 100,000 persons the three largest racial • physicians to access whether employers or compared to the national groups/sex strata during the PMP for the other groups may set up rate of 11.2 per 100,000, this five-year period. His- purpose of patient “drop-off/pick-up” loca- the New Mexico Board of panic males had the high- safety and improved tions that are not located Pharmacy reports in its est age-adjusted overdose care coordination.

198 Professional Affairs Update october 2009 OpSec Security June 10, an unspecified por- Board of Pharmacy took Around the Identifies Trends of tion (hopefully all) of the emergency disciplinary ac- Increased Illicit Drug Copaxone that had been sto- tion against the pharmacy Association len was recovered in New- and two pharmacists. This Board Member Trade Online ark, NJ. The product, which case led to a six-year criminal A study by OpSec Securi- must be stored below 74° F, investigation, which revealed Appointments ty, Inc, reveals an increase in was ultimately located in an that the pharmacy had Gregory Lippe, CPA, has illicit sales of bulk pharma- abandoned “sea container” unlawfully dispensed more • been appointed a public ceuticals and active phar- that had no environmental than 1.1 million prescription member of the California maceutical ingredients by controls. It is believed by pain, diet, and psychiatric State Board of Pharmacy. trade board sellers over the many that the reason the pills over a six-month period Lippe’s appointment will Internet. The two-year study, stolen goods never left the for two Internet companies, expire on June 1, 2012. released June 22, 2009, also northeast is because of the Pharmacom International Troy Gahm, RPh, has shows an increase in illicit rapid and extensive spread Corporation and Medical • been appointed a mem- activity by Internet drug out- of information about the Web Services. The complete ber of the Ohio State lets that sell drugs directly to theft. This informational news release can be found Board of Pharmacy. consumers. OpSec Security, network may have made the at www.usdoj.gov/dea/pubs/ Gahm’s appointment will an anti-counterfeiting and product difficult to market states/newsrel/2009/stlouis expire on June 30, 2013. brand protection company, illicitly and ultimately may 061609.html. announced these findings have caused the thieves to Kenneth Wells, RPh, • has been appointed a in the June 22 news release, abandon it. NABP would EMEA Advises member of the Oregon stating that these trends pose like to thank the boards for Withdrawal of State Board of Pharmacy. increased risks to patients their assistance in this suc- Painkiller; FDA Wells’ appointment will who buy prescription medi- cessful effort. expire on June 30, 2013. cations and to companies Takes Action that source pharmaceutical Investigation of The European Medi- • J. Addison Livingston II, products online. Additional Two Internet Drug cines Agency (EMEA) has PharmD, has been ap- pointed a member of the information can be found Outlets Leads to recommended that drug at www ​.opsecsecurity.com/ products containing dex- South Carolina Depart- en/news-and-events/press- 26 Convictions, $7 tropropoxyphene (known ment of Labor, Licensing, releases/alarming-trends-in- Million Forfeiture as propoxyphene in the and Regulation – Board illicit-bulk-pharmaceuticals- A nationwide federal United States) be with- of Pharmacy. Livingston’s and-drugs-online. investigation of two Internet drawn across the European appointment will expire drug outlets has resulted Union. After reviewing the on June 30, 2015. Informational in the conviction of 26 safety and efficacy of these Board Member Network Leads to people – “the most defen- products, EMEA stated in a Reappointments Recovery of Stolen dants ever convicted in an June 25, 2009 press release, Internet pharmacy case in that their risks, “particu- • Paul Limberis, RPh, Pharmaceuticals the United States” – and the larly the risk of potentially has been reappointed In the April 30, 2009 forfeiture of more than $7 fatal overdose,” are greater a member of the Colo- NABP e-News, NABP re- million in assets, accord- than their benefits. The full rado State Board of quested assistance from the ing to a Drug Enforcement press release can be found at Pharmacy. Limberis’s boards of pharmacy in trac- Administration news release. www ​.emea.europa.eu/pdfs/ appointment will expire ing a pharmaceutical cargo The investigation began in human/press/pr/40106209en​ on July 1, 2013. theft. Approximately 14 pal- March 2003, when Union .pdf. Propoxyphene is still • Mark Brown, MBA, lets/994 cartons/5,962 packs Family Pharmacy (now marketed by a variety of RPh, has been reap- of Copaxone® (glatiramer under different ownership) generic-drug makers in pointed a member of acetate) 20 mg were stolen in Dubuque, IA, dispensed the US; however, Food the Hawaii State Board in mid-April. The tractor- 90 diet pills to a Califor- and Drug Administration of Pharmacy. Brown’s trailer was found empty at a nia woman based upon an (FDA) was considering appointment will expire rest stop on the New Jersey Internet prescription from whether to withdraw it, the on June 30, 2013. Turnpike on April 20. NABP a doctor in Mississippi. In Wall Street Journal reported (continued on page 200) recently learned that, on September 2003, the Iowa (continued on page 200)

199 Professional Affairs Update nabp newsletter

Professional Affairs Update the drugs as directed. In NewsEvents/Newsroom/ tifies and authenticates (continued from page 199) addition, FDA is requiring PressAnnouncements / a drug product or dos- a new safety study assess- ucm170769 ​.htm. age form. Adding a trace on June 26. Critics of the ing unanswered questions amount of an inactive drug have claimed for de- about the effects of pro- FDA Releases Draft ingredient with a unique cades that its risks outweigh poxyphene on the heart at Guidance to Help physical-chemical char- its benefits and have called higher than recommended Manufacturers Thwart acteristic to an existing for its withdrawal from the doses. Findings from this section of the dosage form US market. study, as well as other Counterfeiting makes it possible to detect FDA later announced in data, could lead to addi- FDA has released a and authenticate legitimate a July 7 news release that it tional regulatory action. draft guidance document dosage forms and identify will require manufacturers In its July 7 denial of a to assist pharmaceutical counterfeits. “Guidance for of propoxyphene-contain- citizen petition request- manufacturers who want Industry Incorporation of ing products to strengthen ing a phased withdrawal to use physical-chemical Physical-Chemical Identi- the label, including the of propoxyphene, FDA identifiers in solid oral fiers into Solid Oral Dos- boxed warning, empha- said that, despite “serious dosage forms to thwart age Form Drug Products sizing the potential for concerns . . . , the benefits drug product counterfeit- for Anticounterfeiting” is overdose when using these of using the medication for ing. A physical-chemical available on the FDA Web products. FDA will also pain relief at recommended identifier is a substance or site at www.fda.gov/ require these manufactur- doses outweighs the safety combination of substances downloads/Drugs/Guidance ers to provide a medication risks at this time.” Ad- possessing a unique physi- ComplianceRegulatory guide for patients stressing ditional information can cal or chemical property Information/Guidances/ the importance of using be found at www.fda.gov/ that unequivocally iden- UCM171575.pdf.

Around the Chason’s appointment will ombo’s appointment will The Oklahoma State Association expire on April 30, 2013. expire on May 31, 2013. Board of Pharmacy has elected the following offi- (continued from page 199) Michael Souranis, RPh, Bonnie Thom, RPh, has • has been reappointed a • been reappointed a mem- cers to the Board: • William J. Cover, RPh, member of the Mary- ber of the North Dakota • Dorothy Gourley, has been reappointed a land Board of Pharmacy. State Board of Pharmacy. DPh, President member of the Indiana Souranis’s appointment Thom’s appointment will James Spoon, DPh, Board of Pharmacy. will expire on April 30, expire on May 8, 2014. • Vice President Cover’s appointment will 2013. • Gordon Richards, DPh, expire on June 30, 2013. • Rodney Taylor, RPh, has been reappointed The Ohio State Board of • Winifred Landis, RPh, has been reappointed a a member of the Okla- Pharmacy has elected the has been reappointed a member of the Maryland homa State Board of following officers to the member of the Indiana Board of Pharmacy. Tay- Pharmacy. Richards’ ap- Board: Board of Pharmacy. Lan- lor’s appointment will pointment will expire on • Elizabeth I. Gregg, dis’s appointment will expire on April 30, 2013. June 30, 2013. RPh, President expire on June 30, 2012. • Margherita LaFragola, Board Officer Changes • Heather Pasquale, • Nancy Kirk has been RPh, has been reap- RPh, Vice President reappointed a public pointed a member of The Idaho State Board of The Oregon State Board of member of the Kansas the New Jersey Board of Pharmacy has elected the Pharmacy has elected the State Board of Pharmacy. Pharmacy. LaFragola’s following officers to the following officers to the Kirk’s appointment will appointment will expire Board: Board: expire on April 30, 2013. on May 31, 2012. • Nicole Chopski, PharmD, Chairperson David Chason, RPh, • Linda Howrey, RPh, • • Rich Palombo, RPh, President has been reappointed a has been reappointed a • Holly Henggeler, member of the Maryland member of the New Jersey PharmD, Vice • Dianna Pimlott, RPh, Board of Pharmacy. Board of Pharmacy. Pal- Chairperson Vice President

200 Association News october 2009

Task Force 2009-2010 Standing tive Committee, or from NABP Chairperson Rich Appointments Committees resolutions adopted by the Palombo, RPh. members of the Associa- The Committee on Con- (continued from page 193) As authorized by the tion, or from reports of stitutiond an Bylaws will meet Chairperson for this NABP Constitution and the other committees of April 13, 2010. Chairperson task force is Gay Dodson, Bylaws, the Association’s the Association; and for the committee is Michael RPh, of Texas. standing committees annu- 3. recommending to the Ex- J. Romano, RPh, of Pennsyl- The following individu- ally perform specific respon- ecutive Committee areas vania. Committee members als will serve as members of sibilities that are essential where model regulations include: the task force: to the success of NABP’s are needed in pharmacy Buford T. Abeldt, Sr, RPh, John Dorvee, PharmD, programs and procedures. for improving the protec- • Texas • Maine Once a committee has tion of the public health. Deborah A. Lange, RPh, Danna Droz, JD, RPh, explored its assigned issues, Chairperson of the com- • Ohio • Ohio the members submit recom- mittee is Dennis K. McAllis- Leo H. Ross, MBA, RPh, Allan Dulwick, RPh, Oregon mendations or resolutions to ter, RPh, FASHP, of Ari- • Virginia • William Fitzpatrick, the NABP Executive Com- zona. Committee members Dennis F. Wiesner, RPh, • RPh, 2005-2006 NABP mittee for consideration. include: • Texas Honorary President The Committee on Law • Susan DelMonico, JD, Serving as an alternate Elizabeth I. Gregg, RPh, Enforcement/Legislation RPh, Rhode Island member is Ned Milen- • Ohio will meet January 26-27, David W. Dryden, JD, RPh, kovich, PharmD, JD, of Frederick Karsten, RPh, 2010, in Rosemont, IL. The • Delaware Illinois. The Executive • Georgia committee is charged with Jennifer H. Edwards, Committee liaison to the Richard Markuson, RPh, the following tasks: • PharmD, Virginia committee is Cathryn J. • NABP Past President 1. reviewing and comment- W. Benjamin Fry, RPh, Lew, RPh. Edward G. McGinley, ing on existing legislation • FIACP, FACA, Texas The charge of this com- • RPh, New Jersey and rules for the prac- Amy Mattila, RPh, mittee, as defined by the Lawrence H. “Larry” tice of pharmacy, legal • Wisconsin NABP Constitution and By- • Mokhiber, MS, RPh, distribution of drugs, and Heather Pasquale, RPh, laws, is to review proposed New York related areas within phar- • Ohio amendments to the Consti- William “Bill” Prather, macy, including impaired Anne Policastri, MBA, tution and Bylaws, suggests • RPh, Georgia pharmacists; • PharmD, FKSHP, changes where appropriate, Executive Committee 2. developing model regula- Kentucky and issue a recommenda- liaison for the task force is tions for pharmacy as Executive Committee tion for each proposed Gregory Braylock, Sr, RPh. assigned by the Execu- liaison to the committee is amendment.

Newly Accredited VAWD Facilities

The following facilities were accredited through the NABP Verified-Accredited Whole- sale Distributors® (VAWD®) program:

Benco Dental Supply Company Exel, Inc Nelson Laboratories LLC Rebel Distributors dba Benco Dental Company Ontario, CA dba Nelson Laboratories Corporation Wilkes Barre, PA Accredited July 6, 2009 Sioux Falls, SD Thousand Oaks, CA Accredited July 17, 2009 Accredited July 6, 2009 Accredited July 17, 2009 Genetco, Inc Cardinal Health 112, LLC Ronkonkoma, NY J Knipper and Company, Inc Walgreen Company Groveport, OH Accredited July 17, 2009 Lakewood, NJ Windsor, WI Accredited July 17, 2009 Accredited July 17, 2009 Accredited July 17, 2009 Hygen Pharmaceuticals, Inc Bellevue, WA Accredited July 6, 2009

A full listing of more than 360 accredited VAWD facilities is available on the NABP Web site at www.nabp.net .

201 Association News nabp newsletter NABP Seeking Volunteers to Serve on Examinations Committee

Individuals interested in mends appropriate action or territory of the United current resume or curricu- volunteering to serve on the to the NABP Executive States. lum vitae to NABP Execu- NABP Advisory Commit- Committee. Each ACE appointment tive Director/Secretary tee on Examinations (ACE) ACE is composed is for a three-year term Carmen A. Catizone at are encouraged to apply. of representatives from beginning June 1, 2010. NABP Headquarters, 1600 If chosen, ACE volunteers boards of pharmacy as Current boards of phar- Feehanville Drive, Mount will oversee the develop- well as faculty and/or staff macy members, past board Prospect, IL 60056 or exec- ment and administration of schools and colleges of of pharmacy members, [email protected] no later of all NABP examination pharmacy, and practicing and actively practicing than December 31, 2009. and certification programs. pharmacists who exempli- pharmacists who meet the Please contact the ACE meets about two to fy the diversity in phar- criteria above are encour- NABP competency as- three times per year, and macy practice. Pharmacists aged to apply. sessment department at considers policy matters, chosen to serve on ACE Interested individu- [email protected] with evaluates long-range plan- must hold an active, unre- als must submit a written any questions regarding ning strategies, and recom- stricted license in any state statement of interest and a ACE.

ACE Members Volunteer Their Time to Oversee NABP Examinations Members of the Advisory Committee on Examinations convened on August 12, 2009, to discuss policy matters and evaluate long-range planning strategies for NABP examinations. Back row left to right: Kendall M. Lynch, DPh, vice president, Maxor Correctional Pharmacy Services; Kevin Rynn, PharmD, FCCP, DABAT, clinical associate professor, Rutgers University; Tom Houchens, RPh, FASCP, director of pharmacy services, Laurel Housing, Inc; Betty Dong, PharmD, professor of clinical pharmacy, University of California, San Francisco; and David Todd Bess, PharmD, member, Tennessee Board of Pharmacy. Front row left to right: Michael Duteau, RPh, member, New York State Board of Pharmacy; Sara St. Angelo, PharmD, member, Indiana Board of Pharmacy; and Richard “Dick” Morrison, RPh, pharmacy investigator, Washington State Board of Pharmacy. Not pictured: Judy Gardner, PharmD, member, Georgia State Board of Pharmacy; Arthur I. Jacknowitz, MS, PharmD, professor and distinguished chair, West Virginia University School of Pharmacy; and Hal Wand, MBA, RPh, Executive Committee liaison.

202 2009 Symposium october 2009

Interactive CPE about these programs will inspections. Speakers will Symposium attendees. Par- (continued from page 195) be provided in addition to include Joshua M. Bolin, BA, ticipants will gain additional whether they are working field services senior manager information and ideas from partnerships. Richard Nor- and plans for the future. for NABP; Janita Gordon, the panel experts regarding ment, executive director of After hearing the federal executive director of Arizona public-private partnerships the National Council for perspective, participants will Early Education Funds; and and how boards of pharmacy Public-Private Partnerships learn about successful state Kim E. Light, PhD, professor may develop and utilize them will address what they are, public-private partnerships at the University of Arkansas as a means to cost effectively how long they have been from around the country for Medical Sciences College protect the public. The panel- around, how they work, how during Current State Public- of Pharmacy, and secretary ists include Joshua M. Bolin, they can be used, and what is Private Partnership Projects, for the Arkansas Pharmacy Janita Gordon, Kim E. Light, needed for success. from 10:15 to 11:15 am. Pro- Support Group. and Richard Norment. Speakers will describe grams currently in place in- The Symposium will Online registration as current and proposed public- clude the provision of health end with a panel discussion, well as additional informa- private partnerships from care benefits to education and from 11:15 am to 1 pm. This tion about the NABP 2009 highways to health care dur- the new partnership between facilitated panel discussion Symposium is available ing Current Federal Public- NABP and the Maryland will be formatted as a question in the Meetings section of Private Partnership Projects, Board of Pharmacy for the and answer session that will the NABP Web site at www​ from 9 to 10 am. Information subcontracting of pharmacy encourage participation from .nabp.net.

Newly Accredited DMEPOS Facilities The following facilities were accredited through the durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) program:

Aetna Specialty Pharmacy City Drugs Pharmacy Infusion, LLC Real Pharmacy Orlando, FL Brooklyn, NY Wichita, KS Nesconset, NY Accredited July 14, 2009 Accredited July 19, 2009 Accredited July 14, 2009 Accredited July 19, 2009 AHOLD College Park Pharmacy Kayes Aid Regency Drugs Quincy, MA Morristown, TN Baltimore, MD Brooklyn, NY Accredited July 2, 2009 Accredited July 7, 2009 Accredited July 7, 2009 Accredited July 18, 2009 Amethyst Pharmacy Cort Pharmacy Keefer Pharmacy San Gabriel Medical Jersey City, NJ Forest Hills, NY Mount Prospect, IL Pharmacy Accredited July 8, 2009 Accredited July 2, 2009 Accredited July 18, 2009 West Covina, CA Accredited July 2, 2009 Bartell Drug Company Edmonson Drug Co Kew Gardens Pharmacy, Inc Seattle, WA Brownsville, KY Kew Garden, NY Teche Drugs and Gifts Accredited July 19, 2009 Accredited July 2, 2009 Accredited July 2, 2009 Lafayette, LA Accredited July 14, 2009 Better Care Neighborhood Farrell’s Pharmacy Mills Pharmacy Pharmacy McCook, NE Fairfield, OH Tinsley Bible Drugs Hamtramck, MI Accredited July 18, 2009 Accredited July 2, 2009 Dandridge, TN Accredited July 8, 2009 Accredited July 8, 2009 Gage Pharmacy Murawski Pharmacy, Inc Boyt Drugs Long Beach, CA Brooklyn, NY White Memorial Medical Metuchen, NJ Accredited July 8, 2009 Accredited July 8, 2009 Plaza Pharmacy Accredited July 8, 2009 Los Angeles, CA Giant Eagle No.1 Rx Liberty Pharmacy Accredited July 18, 2009 CF Solutions, Inc Pittsburgh, PA Discount Corp Tulsa, OK Accredited July 14, 2009 Hialeah, FL Wood River Pharmacy Accredited July 8, 2009 Accredited July 2, 2009 Grantsburg, WI Howard Beach Apothecary Howard Beach, NY Accredited July 2, 2009 Accredited July 19, 2009 A full listing of more than 200 accredited DMEPOS facilities is available on the NABP Web site at www.nabp.net.

203 nabp newsletter

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

NABP 2009 Symposium December 3-4, 2009 See pages 194-197 for details. Quick and easy registration is available in the Meetings section of the NABP Web site, www.nabp.net, under 2009 Symposium.