Winter 2016
Inside this Issue 2016 Minnesota Pharmacy Legislative Day Page 8 APhA MTM Seminar in St. Paul Page 10 2016 MPhA Resource Guide Page 28 Endorsed* by:
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Upfront Views and News President’s Desk ...... 5. What’s Happening at MPhA...... 6. Minnesota News U of M College of Pharmacy Leadership Transition ...... 7 News and Notes ...... 14 Grand Rapids Area Pharmacists (GRAPh)...... 20 50 Plus Years as a Pharmacist: Musings and Reflections ...... 25 On the Cover MPhA EVENTS 2016 Minnesota Pharmacy Legislative Day ...... 8 Make a difference for APhA MTM Seminar...... 10 yourself and for Pharmacy! Join us at Minnesota Clinical Issues Pharmacy Legislative Day in Issues with Adherence in the Use of Inhalers...... 13 April. Package Insert Labeling Revisions Based upon New Efficacy Information. 22 Pronunciation of Trade Name and Active Ingredients of Recently Approved Drug Products...... 23 MPhA News Minnesota Pharmacist Association Partners with InfiniTrak ...... 15 Find us on Facebook... MPhA Congratulates Award Winners ...... 17 Member Benefits...... 34 Minnesota Pharmacists Association MPhA Resource Guide You’ll find quick updates about what is MPhA Pharmacy Future Fund...... 18 happening at MPhA and more photos PharmPAC: Pharmacy Professionals for Political Action...... 27 from our events! United States House and Senate Guide...... 28 Legislative Directory: Minnesota Senate...... 29 ...or Follow us on Twitter Legislative Directory: Minnesota House of Representatives...... 30
BUsiness Matters You can find us at Financial Forum: Gauging Your Financial Wellbeing...... 26 www.twitter.com/minnpharmassoc Pharmacy and the Law Wrongful Conduct Rule...... 32 Network on LinkedIn
You can find us at www.linkedin.com/groups/ MPhA-Minnesota-Pharmacists- Association-4268388
Minnesota Pharmacist • Winter 2016 • 3 MPhA Board of Directors Executive/Finance Committee: Upcoming Events President: Jeff Lindoo Past President: Randall Seifert Southeast Minnesota Pharmacist APhA’S Delivering Medication President-Elect: Molly Ekstrand Night: Therapy Management Services: Secretary-Treasurer: Doug Lobdell Town Hall Event Thursday, April 21 Speaker: Kati Dvorak Tuesday, March 29 Ewald Conference Center, St . Paul Rural Board Members: Kahler Apache Hotel, See pages 10-12 for more information and to register! Eric Slindee Rochester, MN Michelle Johnson Visit the MPhA website for more information Metro Board Members: St. Cloud Area Town Hall Event: Allyson Schlichte Wednesday, April 27 Brittany Symonds Minnesota Pharmacy Legislative Sartell, MN At-Large Board Members: Day: Visit the MPhA website for more information Michelle Aytay Tuesday, April 5, 2016 Ben Aronson Securian Club at CHS Field, MPhA Virtual Coffee Break: Heather Bibeau St . Paul, MN Wednesday, May 18 Zach Merk See pages 8-9 for more information and to register! Online Webinar Jessica Lind Watch for more information soon! Student Representation: MPhA Virtual Coffee Break: Duluth MPSA Liaison: Courtney Murphy MPhA Virtual Coffee Break: Wednesday, April 20 Minneapolis MPSA Liaison: Wednesday, June 15 Online Webinar, “Pharmacy Lucas Jorgenson Online Webinar Performance Metrics: Impacting Ex-Officio: Watch for more information soon! Bruce Benson, College of Pharmacy CMS Stars and Much More” Representative Visit the MPhA website for more information MPhA Leadership Summit and Dan Tomaszewski, Ex-Officio Member House of Delegates Meeting: Barb Stodola, Pharmacy Technician Thursday, June 16 Representative Minnetonka, MN Tony Olson, Vice Speaker Watch for more information soon! Joe Litsey, ASCP Representative
MINNESOTA PHARMACIST Official publication of the Minnesota Pharmacists Association . MPhA is an affiliate of the American The Minnesota Pharmacists Foundation Pharmacists Association, the American Society of Consultant Pharmacists, the Academy of Managed Care collaborates with and invests in Pharmacy, and the National Community Pharmacists the profession of pharmacy for the Association . enrichment of public health . Editor: Laurie Pumper, CAE VISIT mnpharmacists .ORG FOR Managing Editor, Design & Production: MORE INFORMATION . Mallory Schweim
The Minnesota Pharmacist journal is published quarterly by the Minnesota Pharmacists Association, 1000 Westgate Drive, Suite 252, St . Paul, MN 55114-1469 . Phone: 651-697-1771 or 1-800-451-8349, 651-290-2266 MPhA Mission: fax, info@mpha .org .
Send address changes to Minnesota Pharmacist, 1000 Serving Minnesota pharmacists to advance Westgate Drive, Suite 252, St . Paul, MN 55114-1469 .
Article Submission/advertising: patient care. For writer’s guidelines, article submission, or advertising opportunities, contact Laurie Pumper at the above The Minnesota Pharmacists Association is a state professional association, address or email lauriep@mpha .org . whose membership is made up of pharmacists, pharmacist students, Copyright 2015-2016 . Bylined articles express the pharmacy technicians, and those with a business interest in pharmacy . MPhA opinion of the contributors and do not necessarily reflect will be the place where pharmacists go first for education, information and the position of the Minnesota Pharmacists Association . Articles printed in this publication may not be reproduced resources to become empowered to provide optimal patient care . MPhA in any manner, either in whole or in part, without specific written permission of the publisher . Acceptance of will be the recognized and respected voice of pharmacy with legislators, advertisement does not indicate endorsement . regulators, payors, media and the public .
4 • Minnesota Pharmacist • Winter 2016 Upfront Views and News
President’s Desk A Message from the MPhA President
By: Jeff Lindoo
Serving as President of MPhA is a remarkable opportunity membership rates and renewals, how we keep track of to learn how much happens in this association on a day- our members and member services . Other committees are to-day, week-to-week basis and how much of that is meeting to assure that we stay current and engaged in driven by your colleagues on the Board and committees legislative and regulatory affairs; that we remain connected of MPhA . In September we held our signature event, and relevant to the future of MPhA, students and residents; the Annual Learning Networking event . Site selection to work on this journal and the other means by which we was completed over a year before the event, planning communicate with members; to assure that we remain for programs and recruiting speakers by committee abreast of and engaged in developments within pharmacy members started last winter and continued through the and related health care fields; to recruit future leaders year . Staff did an incredible amount of work recruiting the for MPhA and, of course, to assure that MPhA remains sponsors and exhibitors whose contributions make that financially strong, now and for the future . event possible, organizing all of the rooms, meals and I just finished reviewing the monthly reports from Marsha snacks, coordinating the agenda, creating scripts for every Millonig, our new Interim Executive Vice President and speaker introduction and lunch/dinner presentation, taking from the Ewald staff, reporting dozens of contacts from photos and being there to serve you . Members staffed the the College of Pharmacy, industry representatives, MPhA booth at the event, introduced speakers, served as reporters, legislators, members and other pharmacy- speakers and mentors for new attendees, led roundtables related associations . Each of these contacts will lead and our evening Dine-Arounds . And shortly after the event, to a conversation, a meeting, or referral to a board, staff and committee members review every aspect of the committee or member or other follow-up by MPhA, all event and make notes so that next year it will be even with the ultimate goal of serving members, the pharmacy better . profession and the patients we serve . Our staff and committees went back to work immediately So why do I tell you all of this? As I have explained, all of to plan for our April 5 Legislative Day and June 14 this happens because of members who volunteer to make Leadership Summit and House of Delegates event . By the it happen . I want to thank them . And, I want to encourage time you read this, volunteer committee members will have you: If any of this sounds like a way you could contribute finalized the details of logistics and programming for those to the greater good of pharmacy, please join them . events . Our Membership Engagement Subcommittee You don’t have to drive to the Twin Cities to do it . Most has been very active for several months, reviewing every committee participation can be done remotely . The phone aspect of MPhA membership, including a detailed review line and email in-box are open . Contact MPhA and learn of our recent member/non-member surveys, our website how you can make a difference . Email Marsha Millonig and other means by which we connect with members, at marsham@mpha .org or Jacquie Durant at jacquied@ mpha .org or call the office at 651-697-1771 .
Have You Visited the New MPhA Website? Our website has been redesigned to make it easier to find what you need. It has a fresh new look, too! www.mpha.org
Minnesota Pharmacist • Winter 2016 • 5 Upfront Views and News A Message from the MPhA Executive Director
By Marsha Millonig
As I reflect on the preceding months, what is so valuable to better accommodate all who wish to participate . If you to me is the opportunity to work with MPhA members, can’t join us live, remember our Virtual Coffee Break committee and board leadership, and the MPhA staff Webinar series on the third Wednesday of each month, team to provide insight and assistance in keeping MPhA 11:30 a .m .-12:30 p .m . on track with its strategic plan while the leadership Our 2015-2016 advocacy agenda has been developed determined the best course for staffing our organization under the leadership of MPhA’s Jill Strykowski and for the coming years . I can tell you as an MPhA member, MSHP’s Melissa Carlson through the Pharmacy Practice I’m so impressed and proud of all the volunteers who give Act Joint Task Force (PPAJTF); their kick-off meeting their time, talent and energy to all that is part of MPhA in early September was incredibly productive . Jill is from advocacy to learning to networking and connecting . also co-chairing our Public Affairs Committee with long- MPhA is truly a volunteer-driven organization and one that time MPhA leader Michelle Aytay of Walgreens . If you I am so fortunate to work with . I’m especially honored and have an interest in serving on these or any other MPhA humbled to be asked to continue to work with MPhA for committees, let me know! We are here for you . the next 12-18 months as its interim executive director . Given the excellent team efforts we have made with our I would be remiss in not reflecting on my predecessors . volunteer leaders and staff the past few years, I know we I was given an opportunity after my ASHP Executive will continue to move MPhA forward in meeting its mission Residency in association management to join MPhA with to serve Minnesota pharmacists to advance patient care . our CEO Don Dee in 1983 . But I had caught Potomac Fever and decided to work in Washington, D .C . Flash In particular, I’m looking forward to reaching out to forward 30+ years, here I am — just where I should be, members further and continuing to learn what’s important in state association management . My predecessors have to you and to bring that to our MPhA staff team and provided an incredible base from which to build . I thank appropriate committees for consideration and action . Our Don Dee, Bill Bond, Julie Johnson and Liz Cinqueonce for 2015 member/non-member and student/resident surveys their amazing legacy, accessibility and continued support were very insightful . That input has been the groundwork as MPhA cheerleaders . They provide super support with upon which our policy and advisory committee charges current and former MPhA leadership to ensure we can have been made for 2015-2016 . That said, I want you keep Minnesota pharmacists and pharmacy focused to feel free to call me at any time or email me with any on helping patients be healthy through managing their input you may have for your association . My number medicines! is 651-366-6094 and my email is marsham@mpha .org . My personal goal is to ensure your needs are met in a I look forward to being on the Minnesota pharmacy team responsive and positive manner and we can direct you to this year and to your calls and input! the right resources in an easy-to-access way . Our Member Engagement Subcommittee has been actively working Best regards, on that during the past few months and team members Marsha provided updates on their work at the Annual Learning Networking Event last September .
2015 saw record-setting participation across our three big events—Minnesota Pharmacy Legislative Day, the MPhA Leadership Summit and House of Delegates meeting and the Annual Learning Networking Event . The reason is because our volunteers have worked hard to make programming relevant to members and execute great events with our staff team . I guarantee 2016 will be even better, and we will be at different venues for some events
6 • Minnesota Pharmacist • Winter 2016 Minnesota News U of M College of Pharmacy Leadership Transition
By Marilyn K. Speedie, Dean, University of Minnesota College of Pharmacy
I wanted to share with you that I will of having cutting-edge practices of implemented a new curriculum that is retire as dean of the University of pharmacy throughout the state . serving as a model for others around Minnesota College of Pharmacy in the country . We are graduating early 2017 or when a replacement is We have helped Minnesota create leaders for the profession who will in place . practice environments where continue to build our reputation . We pharmacists are using their clinical are proud to say that we are ranked While the decision to step down knowledge to provide compensated third among 134 colleges of pharmacy wasn’t easy, I believe the timing medication management to patients; by U.S. News & World Report . is right for a leadership transition . leading the way for passage Recently we have successfully earned of legislation in Minnesota that Many of these accomplishments could a full eight years of accreditation allows pharmacists to administer not have been possible without your by ACPE, and within the next few immunizations and recognizes gifts of time, talent and treasure . I months we will have launched the pharmacists as health care providers . want to thank you for your support last year of our new curriculum . The over the years . college overall is in a strong position Within the college, we have grown for a change in leadership . in faculty from 35 to 105 . Our I want to assure you that our college faculty members are doing high is in a strong position to attract an I feel truly honored to have served impact work in areas from drug outstanding new leader that will as dean of this outstanding college discovery to precision medicine to continue our legacy of leadership for more than 20 years . Together, we pharmacoeconomics . Our research in pharmacy education, research have accomplished a great number of productivity has grown almost 10-fold and practice . The national search things for which we can all be proud . I in funding, and we have grown our for the new dean will be led by the am especially proud of our expansion endowment significantly and now University’s Provost Office . I will to the Duluth campus, which helped support eight endowed chairs . Finally, keep you updated as the search solve the serious pharmacist shortage we built modern classrooms and progresses . in the state and enabled us to serve rural as well as urban Minnesotans . Save the Date! Early on in my tenure as dean, we implemented the Doctor of Pharmacy MPhA Annual Learning Networking Event as the only professional degree for pharmacists, which added a year to September 9-10, 2016 the curriculum and required that we offer an online PharmD for practicing St. Paul RiverCentre, St. Paul BS pharmacists . That, combined with years of working with the professional Whatever your area of practice, this program pertains to YOU! organizations in the state to advance pharmacists’ capability of serving Registration will open in June — watch for more information in the the citizens of the state, has placed Spring issue of Minnesota Pharmacist! Minnesota in the enviable position
Minnesota Pharmacist • Winter 2016 • 7 EVENTS Are You Ready to Make a Difference? Join Us in St. Paul for Minnesota Pharmacy Legislative Day on April 5
Program Schedule at a Glance Are you ready to make a difference and affordability and highlight key — to advocate for your own talking points that may be used with 8:00-8:30 a .m . Registration & Breakfast professional interests and those of policymakers given the growing pharmacy to advance patient care? concern about prescription pricing . 8:30-11:00 a .m . Morning Programming Come to Minnesota Pharmacy • Washington, D .C .’s Heidi Ann Legislative Day and learn how! Ecker, Director of Government Affairs 11:00 a .m .-Noon Roundtables Whether you have ever talked with, and Grassroots Programs for NACDS called or written your legislator and orchestrator of the RxIMPACT 12:30 p .m . Lunch or not, this event will give you grassroots programming, will lead the tools you need to do so . This “Effective Grassroots Involvement in 12:30-5:00 p .m . Capitol Visits year’s event will be held April 5, the Policymaking Process,” a program 2016, at the Securian Suite at CHS to build your advocacy skills . 5:00-6:00 p .m . Networking Social St . Paul Saints Baseball Stadium • After learning about key issues in Lowertown St . Paul (only four and having lunch, you will take that 6:00-8:00 p .m . Evening Programming Green Line light rail stops to knowledge to meetings with your Minnesota’s Capitol!) . Minnesota representatives and senators at Find the full schedule at the MPhA website: Pharmacy Legislative Day is the the Capitol in the afternoon . You http://www .mpha .org/Legislative_Day one annual event that represents will have the opportunity to go on the voice of pharmacy in Minnesota! visits with colleagues or student It is your opportunity to learn about pharmacists by making this request the issues, gain the tools you need during the registration process . So Want to get a jumpstart on to advocate, and network with even if you have never met with a preparing for Pharmacy colleagues and the policymakers legislator before, you’ll get the tools Legislative Day? who will support pharmacy’s issues . you need to talk with them and Visit our 2016 Legislative Resources The day is broken into a morning other policymakers who will impact page at http://www .mpha .org/Legislative_ session, afternoon at the Capitol pharmacy’s legislative agenda in the Resources and an evening reception — coming years . providing meals throughout the day and more than 5 hours of continuing Round out the day networking with education . your peers at the evening reception followed by a facilitated discussion Here are just a few of the great with key public policymakers who will things that have been planned for impact pharmacy’s key 2016-2017 attendees: issues and health care in Minnesota . The program will provide more than • PRIME Institute Director Steve 5 hours of CE for Pharmacists and Schondelmeyer will lead the Pharmacy Technicians . morning program with a primer on Advancing Action on Access & This is the day to advocate for Affordability of Pharmaceuticals & pharmacy practice to advance patient Pharmacists’ Services . Steve will care . We look forward to seeing you provide insights into the factors on April 5! associated with prescription access
8 • Minnesota Pharmacist • Winter 2016 MN Pharmacy Legislative Day Attendee Registration April 5, 2016 | 8:00 a.m. to 8:00 p.m. | Securian Club Name: ______
Organization: ______
Please provide your home address so we can correctly identify your legislative district
Home Address: ______City: ______State: ______Zip: ______Phone:______Cell Phone:______Email: ______Fax:______
For any accessibility and/or special dietary requirements contact [email protected] FULL DAY Continental breakfast, lunch and hors d’oeuvres buffet r Pharmacist/Resident...... $90 ($100 after March 29) Schedule a Visit r Student/Technician...... $30 ($40 after March 29) MPhA will schedule meetings with legislators during the afternoon portion of the day. If you would like to participate and have MPhA schedule a meeting for you, please make that notation when you MORNING ONLY register for the event. Continental breakfast and lunch r Yes, please have MPhA schedule a meeting with a legislator for me! r Pharmacist/Resident...... $60 ($70 after March 29) r I do not plan to take part in a meeting with a legislator. r Student/Technician...... $20 ($30 after March 29) Have you met with a legislator at any time prior to this event? r Yes r No EVENING ONLY Representative accompaniment Hors d’oeuvres buffet and cash bar r Pharmacist/Resident...... $50 ($60 after March 29) r I would like an MPhA representative to accompany me on a visit r I am willing to accompany an attendee on a visit with their r Student/Technician...... $20 ($30 after March 29) representative
Late Registration: All registrations received after March 29, 2016 will be charged a $10 late fee.
*Pharmacists are encouraged to invite their legislators to the evening reception. However, under Minnesota Ethics laws, it is illegal for associations to pay for legislators’ meals. Therefore, legislators must pay for their food cost. The cost for the evening reception is $50. PAYMENT: q Check q Visa q Mastercard q Discover If paying by credit card, all fields below are required.Note: Full payment must accompany order to reserve your space. Card Number: ______Exp. Date:______Security Code:______Cardholder Name (Print): ______Billing Address (if different than above): ______City/State/Zip: ______Cardholder Signature: ______Due to PCI Compliance, please do NOT provide any credit card information via email. Mail, call or fax it in only. (For office use only) Mail registration and payment to: initials fin. Minnesota Pharmacists Association date 1000 Westgate Drive, Suite 252 CK/CC St. Paul, MN 55114 amt. paid bal. due ph. 651-697-1771 • fax 651.290.2266 The Minnesota Pharmacists Association is accredited by the Minnesota Board of Cancellations/No Shows: Cancellations received prior to March 29, 2016 will be Pharmacy as a provider of continuing pharmacy education. Following attendance, charged a $25 administration fee. No refunds will be given after March 29, 2016. completion and submission of evaluation forms, certificates will be available on the No refunds will be given to those registered who do not attend the meeting. Those Minnesota Pharmacists Association website. registered who have not prepaid will be invoiced for the full registration amount. Satisfactory Completion for Credits: All attendees must have signed in as required, Any person who attends an MPhA event grants permission to MPhA to record his or her completed and turned in a course evaluation form prior to leaving the conference. Each session claimed for credit must be attended in its entirety. visual/audio images, including but not limited to photographs, digital images, voices, sound or video recordings, audio clips, or accompanying written descriptions, and for Late Registration: All registrations received after March 29, 2016 will be charged a $10 late fee. While every attempt will be made, we cannot guarantee an appointment with MPhA to use his or her name and such recorded material without notification for any your legislator for participants registering March 29 or later. purpose, including advertisements for future programs and MPhA.
Minnesota Pharmacist • Winter 2016 • 9 EVENTS Register Now! APhA’s Delivering Medication Therapy Management Services
Thursday, April 21, 2016 patients, thanks to previous experience obtained his certification in Geriatric 8 am - 5 pm in community pharmacy, with additional Pharmacy in November 2014 . From Ewald Conference Center, 1000 training in diabetes and immunizations . August 2013 through September Westgate Drive, St . Paul Mental health issues can impede 2014, Jordan represented both Thrifty patients’ ability to care for themselves . White and MPhA on the Minnesota Target Audience: Pharmacists Dr . Gambaiani strives to ensure her Department of Health’s Immunization in all practice settings patient’s don’t fall through the cracks . Pharmacy Advisory Group . He currently Her unique practice was recognized in sits on the Minnesota Department Registration is now open for APhA’s Pharmacy Today, a national pharmacy of Health’s Pandemic Preparedness Delivering Medication Therapy magazine, in 2009 . Also in 2009, she Workgroup, serves as vice president of Management Services seminar . The was named Minnesota’s Distinguished the Minnesota Chapter of the American registration deadline is March 25 Young Pharmacist . She was one of the Society of Consultant Pharmacists, and — and self-study must be completed original 512 pharmacists in the United is an active member of the American before the live seminar . States to earn the Board Certified Pharmacists Association, Minnesota Ambulatory Care Pharmacist (BC-ACP) Pharmacists Association, North THIS PROGRAM APPROVED BY: designation in 2011 . In 2014, she Dakota Pharmacists Association, and MINNESOTA MEDICAID received the Individual Immunization the American Society of Consultant This program qualifies you to register Champion Award from the American Pharmacists . Through his current role as a provider with MN Medicaid and Pharmacist Association (APhA) for her as a consultant pharmacist, Jordan has conduct and receive payment for work in helping increase vaccination extensive experience in medication Medication Therapy Management rates in the mental health population . management in a variety of settings, services . She was also awarded the Excellence including: community, skilled nursing in Innovation Award from Minnesota facilities, assisted living facilities, group Seats are limited for this course . Pharmacists Association in September homes, and correctional facilities . Submitting registration materials by 2014 for her work with mental health March 25 does not guarantee a seat in patients through MTM . In order to To Receive Full Credit for this the program . If space is still available, advocate for her patients, she is an Course: you will receive confirmation of your active member of both the Minnesota • Participants must complete the self- admission . If the program is closed, Pharmacists Association (MPhA) and study component; your credit card will not be charged, and the American Pharmacist Association • Participants must attend the live you will be notified . Participants must (APhA) . training seminar; complete the self-study component, • Participants must complete 12 attend the live training seminar, and Jordan Wolf is a Long Term Care follow-up case studies . complete the follow-up case studies to Consultant Pharmacist for Thrifty White receive full credit and certification for Pharmacy, where he has worked for the APhA’s Delivering Medication Therapy this course . past three years . He graduated from the Management Services Certificate North Dakota State University College training program (3rd Edition) presents Presenters of Pharmacy, Nursing, and Allied a systematic approach for developing, Julie Gambaiani is a doctor of Sciences in 2012, with a Bachelor’s implementing, delivering, and sustaining pharmacy and board certified in of Pharmaceutical Sciences degree, MTM services . It includes an overview Ambulatory Care . A 1999 graduate, Doctor of Pharmacy degree and minors of the marketplace for delivering MTM she has been practicing in mental in chemistry and Spanish . He completed services, guidance for implementing health since 2008 . Dr . Gambaiani the APhA MTM Certification training MTM services in pharmacy practice, a has a holistic view when treating her in May 2015, and he successfully review of the essential skills and
10 • Minnesota Pharmacist • Winter 2016 EVENTS knowledge needed for performing tracking clinical and financial Continuing Education MTM successfully, and an organized outcomes . Information process for identifying medication- • Create a plan for patient follow-up . Successful completion of the self-study related problems . The purpose of • Assess patient-specific data and component involves passing the self- this certificate training program is issues, and interpret these findings study assessment with a grade of 70% to prepare pharmacists to improve to identify medication-related or higher and will result in 10 contact medication use through the delivery of problems . hours of CPE credit (1 .0 CEUs) . ACPE MTM services in a variety of practice • Develop a patient problem list and Universal Activity Number: 0202-9999- settings . A Certificate of Achievement a list of the patient’s medication- 14-158-H04-P . will be awarded to participants who related problems . successfully complete all program • Establish goals of therapy for each Successful completion of the live components, including an evaluation . medical condition and medication- seminar component involves attending related problem identified . the full live seminar and completing Registration Fees • Make recommendations for the online evaluation . Successful MPhA Member: $499 resolving situations in which a completion of this component will result Nonmember: $625 patient’s medications are potentially in 8 contact hours of CPE credit (0 .8 inappropriate . CEU) . ACPE Universal Activity Number: Seminar Goals: • Discuss the elements of an 0202-9999-14-159-L04-P . • Advance public health and patient effective medication therapy care through improved medication recommendation to another health Successful completion of the post use; care practitioner . seminar case exercise component • Provide training to enhance • Describe the medication use involves completing 12 post cases pharmacists’ ability to effectively concerns and adverse drug events and submitting an online attestation provide MTM services; that are more common in elderly statement of completion . Successful • Motivate increased numbers of patients . completion of this component will result pharmacists to establish MTM • Account for pharmacokinetic and in 12 contact hours of CPE credit (1 .2 services; pharmacodynamic changes when CEU) . ACPE Universal Activity Number: • Communicate benchmark practices reviewing an elderly person’s 0202-0000-14-174-H04-P . for providing MTM services . medication regimen . • List important considerations when Once credit is claimed, Statements of Key Learning Objectives of determining the operations of an Credit will be available online within the Live Training Seminar MTM service . 24 hours on participant’s CPE Monitor At the completion of this activity, the • Identify potential payers for MTM profile at www .nabp net. . The Certificate participant will be able to: services . of Achievement will be available online • Conduct a thorough medication • Explain how to bill for MTM services upon successful completion of the therapy review (MTR) . using CPT codes . necessary activity requirements on • When interviewing a patient, employ • Describe strategies for marketing the participant’s “My Training” page on effective communication skills to MTM services . www .pharmacist .com . overcome communication barriers . • Describe emerging opportunities for • Complete a personal medication delivering MTM services . The American Pharmacists Association record (PMR) . is accredited by the Accreditation • Develop a medication-related action For a complete list of learning objectives Council for Pharmacy Education as plan (MAP) . and for all APhA accreditation information a provider of continuing pharmacy • Document medication therapy and policies, please visit APhA’s website, education . management (MTM) services in a http://www.pharmacist.com/delivering- manner that allows for evaluating medication-therapy-management-services Registration Form on page 12 patient progress, billing, and
Minnesota Pharmacist • Winter 2016 • 11 APhA’s Delivering Medication Therapy Management Services - Twin Cities | Registration
Name: ______
Organization: ______
Address: ______
City: ______State: ______Zip: ______
Phone:______Cell Phone:______
Email: ______Fax:______
Board License Number______
Please Select One q I am a Pharmacist q I am a Technician q I am a Student q Other
NABP ePID number______Date of Birth (in MMDD format, no year)______
REGISTRATION FEES: MPhA Member: $499 Nonmember: $625
PAYMENT: q Check (Payable to MPhA) q Visa q Mastercard q Discover If paying by credit card, all fields below are required.Note: Full payment must accompany order to reserve your space. Card Number: ______Exp. Date:______Security Code:______Cardholder Name (Print): ______Billing Address (if different than above): ______City/State/Zip: ______Cardholder Signature: ______Due to PCI Compliance, please do NOT provide any credit card information via email. Mail, call or fax it in only.
(For office use only) initials fin. date CK/CC amt. paid bal. due
12 • Minnesota Pharmacist • Winter 2016 National News Issues with Adherence in the Use of Inhalers By Brian Cox, Student, University of Minnesota College of Pharmacy, Duluth
Many conditions mitigating the issue, adherence to no hand-breath coordination during require chronic medication treatment with respect to administration .4,5,6 disease asthma tends to be poor — rates are management typically between 30 and 70 percent .2 Spacers used with pressurized — a continual Additionally, up to 75 percent of the inhalers help ensure that a sufficient endeavor total costs correlating with asthma are amount of medication reaches the requiring effort perhaps due to insufficient asthma lungs, and also prevent thrush and from both health control,2 which is almost always linked throat irritation after administration . care providers and patients . While to poor adherence to treatment . Unfortunately, many patients go just another day at the office for a Factors include difficulties with using without using their spacers because healthcare professional, managing a an inhaler, complexity of regimen, of their complexity, leading to lesser chronic condition can be a daunting cost, distant pharmacy location, side control of asthma and adverse task for a patient . Whether it is effects, and dislike of medication .2 asthma related events . Nebulizers hypertension, diabetes, asthma, or turn the solution of short-acting multiple sclerosis, management of There are advantages and bronchodilators into a mist that can chronic disease is a multifaceted disadvantages to each type of inhaler . be inhaled through a face mask or endeavor . For many, there is more Standard metered dose inhalers mouthpiece . Because they are usually than enough complexity in receiving (MDIs) involve an inactive propellant for those unable to use inhalers, along recommendation for specific non- gas to deliver the medication to with patients who need large doses pharmacological treatments to the lungs — requiring pushing of of medication, they are not used as supplement prescription medication(s) the canister to administer a dose . commonly as in the past . The main that will be used for the remainder of They are fairly easy to utilize when advantage is that administration is as one’s life, but imagine having to use one is properly educated on their easy as breathing in and out normally . a device to administer a medication use, and they are easily stored . As Many patients do not want to have to through the only route pertinent to convenient as this device may be, rely on a nebulizer for management properly manage a chronic condition . patients may inhale too sharply during of symptoms, however, because it is administration, not hold their breath sometimes associated with weakness The use of inhalers has long been long enough after delivery, or simply and/or aging . the standard in management of forget to shake before use3 — all conditions such as asthma, COPD, of which unfortunately contribute to Taking steps toward solving the and sometimes bronchitis . Of the uncontrolled asthma . Breath activated adherence problem will again require three, asthma has the most diagnoses MDIs only require inhalation at the the pharmacist’s diligence toward with about 22 .9 million Americans mouthpiece to administer — where no educating patients on not only proper currently having the condition .1 Along pushing of the canister is required .3 use and administration technique of with this, an estimated 9 .6 million This function proves more convenient their inhalers, but compassionately children under 18 years of age, and for patients with poor hand-breath spelling out what happens when 24 .4 million adults at least 18 years coordination, which is one of the most therapy goals are not met . of age have been diagnosed at some frequent means of lower adherence . Management of chronic conditions point during their lifetime .1 Every The disadvantage is that it requires a such as asthma requires pharmacy year, 30 .5 million prescriptions are hard inhalation to get the powder into professionals to be fully invested in written for the treatment of asthma, the lungs, which some patients may the proper indication, safety, efficacy, bringing the spending amount for have trouble performing . One inhaler and convenience of all treatment the treatment of but one disease in particular, Pro Air® RespiClick, is options, as well as being flexible to about $30 billion . Despite the the only multi-dose, breath-actuated, toward patients’ personal learning seemingly positive numbers toward dry powder rescue inhaler requiring styles and preferences . As a student
Inhalers Continued on page 14
Minnesota Pharmacist • Winter 2016 • 13 Clinical Issues
Inhalers Continued from page 13 at the University of Minnesota College 2 . Bailey, William, and Andrea J . Apter . Sept . 2015 .
NEWS AND NOTES MPhA News & Notes
MPPS Meetings for Pharmacists College of Pharmacy Alumna In Memoriam: Gwenivere (Gwen) Honored by the University of May Banker The Metropolitan Professional Minnesota for Leadership and Pharmacists Society (MPPS) meets Service Gwen Banker passed away peacefully the third Tuesday of each month year on October 30, 2015, in Carmel, around, at the KC Hall in Bloomington . Alumna Linnea Forsell (BS 1978) Indiana, after a lengthy illness . Gwen Arrive around 11:30 a .m . for a Noon was honored by the University of was the wife of Dr . Gilbert S . Banker, lunch, a short meeting, then hear a Minnesota Alumni Association for who served as Dean and Professor guest speaker on a topic pertinent her outstanding volunteer service of Pharmaceutics at the University of to pharmacy . One hour CE credit is and leadership to the University Minnesota from 1985 to 1992 . Gwen awarded . of Minnesota and the College of first worked at a pharmacy during Pharmacy . high school in Indiana, then studied We are a non-profit group of retired/ pharmacy at Purdue University — semi-retired pharmacists who enjoy Forsell received the Alumni Service where she met her husband . the camaraderie of the group . We Award, which recognizes her welcome new members . Come give service as a volunteer who has had Gwen received her B .S . of Pharmacy us a try . Upcoming meetings are a major impact on the University . in 1956 . Gwen supported her scheduled for April 19 and May 17 . Her nominator stated, “Linnea has husband’s employment opportunities provided exceptional volunteer service by being actively involved in alumni Questions? Contact Richard T. and leadership to the College of and college organizations, both on Schugel, President, at 612-866-2248 Pharmacy throughout the years . campus and at national meetings or [email protected]. and conventions . Her knowledge Her dedication to the college and its of pharmacy and her friendly, students, as well as the profession outgoing personality made her of pharmacy, is outstanding and loved by students, faculty, alumni inspiring to others .” and friends at each of the three Big Ten universities where her husband worked .
14 • Minnesota Pharmacist • Winter 2016 MPhA News Minnesota Pharmacists Association Partners with InfiniTrak
MPhA has partnered with InfiniTrak, and effective solution to maintain chain trading partners, purchasing a technology solution provider compliance with these new rules, data and product quality . One of the that helps pharmacies comply while at the same time helping them law’s goals is to create a nationwide with the requirements of the Drug to do the important work they do in electronic, interoperable system to Supply Chain and Security Act servicing their communities throughout identify and trace certain prescription (DSCSA), to give our members Minnesota .” drugs . licensing access to InfiniTrak — an innovative, cost-effective tool that InfiniTrak offers the solution, InfiniTrak is a cloud-based software- streamlines pharmacy compliance at competitive pricing, to help as-a-service comprehensive third and enables our members to produce pharmacies easing transition towards party compliance solution for required reports and respond to compliance with DSCSA . The aggregation and verification of track FDA audits with accuracy and ease . Minnesota Pharmacists Association and trace data regarding the current This breakthrough track and trace is excited to introduce members to a and past locations of a pharmaceutical product allows pharmacies to take product that offers a comprehensive products purchased and/or sold control of their business through solution to the challenges that a through pharmaceutical trading easy automation, compliance and small business faces in complying partners . Your MPhA membership connection to consumers . with DSCSA requirements, allowing entitles you to an exclusive member pharmacists to spend less time on discount code for 25% off list price, “While the enforcement of DSCSA administrative tasks and more time with an additional 10% off if you sign regulations was delayed, the law still on patient-centered care . MPhA up for a year-long subscription . If mandates the beginning of a new era members using services provided your pharmacy has an interest in for pharmacies,” said Marsha Millonig, by InfiniTrak will have the peace of learning more about Infinitrak, visit MPhA interim executive director . mind of knowing that their DSCSA- http://www .infinitrak .us . “As part of compliance with this law, required data is immediately available If you are interested in signing up for pharmacists are accountable to whenever and however they need it . the service, email Marsha Millonig receive and maintain drug purchasing at marsham@mpha .org or Jacquie data under new regulations designed The Drug Supply Chain Security Act, Durant at jacquied@mpha .org or call to safeguard the nation’s drug supply passed by Congress in 2013 and the office at 651-697-1771 . chain . We are very pleased to be effective in January of 2015, is being partnering with InfiniTrak to offer implemented by the FDA . It outlines our members an affordable, efficient critical steps to verify drug supply
Register Now! APhA’s Pharmacy-Based Immunization Delivery Certificate Training Program
May 1, 2016 | Deadline to register is April 18 The purpose of this certificate training program Ewald Conference Center, St. Paul is to prepare pharmacists with comprehensive knowledge, skills, and resources necessary to Get full information and register: provide immunization services to patients across the http://www .mpha .org/Immunization_Training life span .
Hosted by Fairview Pharmacy Services and Minnesota Pharmacists Association
Minnesota Pharmacist • Winter 2016 • 15 NEWS AND NOTES MPhA Members Receive Awards
University of Minnesota College of Pharmacy’s Century Mortar Club (CMC) and Pharmacy Alumni Society (PAS) presented their annual awards in December at Northrup Auditorium on the Twin Cities Campus . MPhA Public Affairs Committee Co-Chair Michelle Aytay received the PAS Distinguished Pharmacist Award from Julie Johnson, associate dean of Professional & External Relations, and PAS President Eric Bergquist and Awards Chair Carl Sherman . Pictured left to right: Julie Johnson, Michelle Aytay, Eric Bergquist, Carl Sherman.
Former MPhA Board Member and current Minnesota Pharmacists Foundation Board Member Linnea Forsell received a University-wide honor — the Alumni Service Award — which was recognized by Dean Marilyn Speedie . Pictured left to right: Marilyn Speedie, Linnea Forsell.
Minnesota Pharmacy Student Alliance (MPSA) President Anjoli Punjabi and MPSA member Meena Murugappan received CMC Student Awards in recognition of their long- standing leadership from MPhA member and Professional & Organizational Committee Co-Chair Jason Varin and CMC Award Chair Marilyn Eelkema, and CMC President John Pastor . Pictured left to right: Jason Varin, Anjoli Punjabi, Marilyn Eelkema, John Pastor.
Long-time MPhA member Robert Setzer received the CMC Friend of the College Award for his ongoing service to the College as both past president of the CMC and PAS . He is shown with Dean Marilyn Speedie, Marilyn Eelkema and John Pastor . Pictured left to right: Robert Setzer, Marilyn Speedie, Marilyn Eelkema, John Pastor.
16 • Minnesota Pharmacist • Winter 2016 MPhA NEWS Nominations Now Open for MPhA Awards! Visit www.mpha.org/awards_nom_form to nominate someone for our 2016 awards. Congratulations to all of the members who received awards at our 2015 Learning Networking Event! Award winners include:
Distinguished Young Cardinal Health Generation Rx Champions Pharmacy Technician Award: Pharmacist, sponsored Award: Landon Weaver, University of Minnesota Calley Caron, Grand Itasca by Pharmacists Mutual – Duluth Clinic and Hospital Companies: Allyson Schlichte, PharmD, MBA, Fairview Pharmacy Services
Bowl of Hygeia Award, sponsored Harold R. Popp Award: Jeff Lindoo, BSPharm, Excellence in Innnovation by American Pharmacists Thrifty White Pharmacies. Presented by Randall Award, sponsored by Upsher- Association Foundation, National Seifert, PharmD, MPhA Past President and Smith Laboratories: Kristin Alliance of State Pharmacy College of Pharmacy Senior Associate Dean K. Janke, PhD, University Associations, and Boehringer- of Minnesota College of Ingelheim: Jenny A. Houglum, Pharmacy PharmD, FirstLight Health System
Minnesota Pharmacist • Winter 2016 • 17 MPHa Resource Guide MPhA Pharmacy Advocacy Fund The MPhA Pharmacy Advocacy Fund Our lobbying efforts have been able Unfortunately, we can’t rest on past supports legislative and regulatory activities to achieve results in the past and we successes . We are currently working on a related to community pharmacy . continue to fight for issues that affect your legislative agenda that includes expansion viability . Through the Pharmacy Advocacy of immunization authority and technician The funds provided through the Pharmacy Fund, MPhA has advanced immunization ratios and legislation that would allow Advocacy Fund support activities that go and collaborative practice authority for pharmacies to participate in mail order and beyond what individual MPhA membership pharmacists, expanded technician ratios, specialty pharmacy contracts . Other PBM- dollars can support, and allow MPhA included pharmacists as mental health related legislation may emerge this year to provide lobbying services on these professionals and passed legislation on and we anticipate a possible defensive role important business and professional issues PBM audits and MAC pricing transparency, in the area of biosimilars and mandatory and serve in a leadership role for the while successfully opposing numerous use of the PMP . Your dollars are needed to Minnesota Community Pharmacy Business pieces of legislation that would have had advance and defend community pharmacy Coalition (CPBC) . negative impacts on your business . and the patients we serve .
Please support MPhA to address the needs of community pharmacy! r $1,000 per pharmacy (suggested donation) $1,000 × ______stores = $______r $500 per pharmacy $500 × ______stores = $______r Other amount to help fund MPhA’s efforts to maintain a favorable climate for community pharmacy $______
TOTAL DONATION $______Please indicate which of the following you would like to be included on: r Distribution list for CPBC Meeting Notices r Distribution list for CPBC Updates
For each pharmacy, provide the following information (attach a separate sheet for multiple pharmacies): Pharmacy Name:______Owner / Key Contact for CPBC:______Address:______City:______County:______State:______Zip:______Phone:______Fax:______Email:______r Check (payable to MPhA) r Mastercard r Visa r Discover If paying by credit card, all of the following fields are required. Card #:______Expiration:______Sec . Code: ______Signature: ______Credit Card Billing Address: r Same as above Address:______City:______State:______Zip:______
(For office use only) initials fin. Mail or fax form(s) to: date MPhA CK/CC 1000 Westgate Drive amt. paid Suite 252 bal. due St . Paul, MN 55114 Fax 651-290-2266 Questions? 800-451-8349 OR 651-697-1771
18 • Minnesota Pharmacist • Winter 2016 KELLY HECTOR Type 1 Diabetes
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Minnesota Pharmacist • Winter 2016 • 19 Minnesota News Grand Rapids Area Pharmacists (GRAPh) By Heather L. Bibeau, PharmD (Director of Retail Pharmacy, Bigfork Valley Pharmacy and MPhA At-large Board Member) and William Vouk III, PharmD (Grand Itasca Clinic and Hospital)
Pharmacists in rural Minnesota often association and decided to call it give feedback about problems that have little opportunity to participate Grand Rapids Area Pharmacists, or may affect all of us . Our first GRAPh in local pharmacy groups and rely GRAPh . meeting was very defining . All of our upon state and national pharmacy area pharmacists had struggled with organizations to network and attend Valerie Halverson, RPh, pharmacy medication issues and questions educational opportunities . Until manager at Cub Pharmacy #743, was when patients were being discharged . recently, pharmacists in the city of eager to join GRAPh and had this to We had no structured way to confirm Grand Rapids and the surrounding share: what medications a patient should rural communities of Bigfork (53 be on and what medications were miles north) and Deer River (14 miles “Pharmacists everywhere encounter changed or discontinued . We were west) were among those without problems and we rely on our peers to able to give our input on a draft for a a local organization and practiced give insight or guidance . This is even discharge form that would be sent to independently without collaboration . more valuable when it is a local group the patient’s pharmacy indicating that can more readily understand and GRAPh Continued on page 25 Last fall William Vouk, PharmD, and his colleagues at Grand Itasca Clinic and Hospital (GICH) in Grand Rapids approached pharmacists in these communities . Vouk had recently been hired by GICH to assist his colleagues to draft and implement a new medication reconciliation policy . Part of his work involved finding out how other pharmacists were running their programs . He already knew how important it was to be able to obtain information from community pharmacies about medications that patients were taking prior to admission, and was learning that other hospitals were sending updated medication lists to patients’ community pharmacies . Vouk and colleagues decided to invite all the community and hospital pharmacists in the area to a breakfast meeting at GICH where group members discussed how to help one another care for their patients . Pharmacists from nearly every local pharmacy took part . At the end of the meeting, the group discussed the possibility of forming a Grand Rapids area pharmacists’
20 • Minnesota Pharmacist • Winter 2016 Minnesota Pharmacist • Winter 2016 • 21 Clinical Issues Package Insert Labeling Revisions Based Upon New Efficacy Information
By Kent T. Johnson, MSPharm
Recent revisions to drug product clinical data to support” . These would Consult the FDA website to obtain or insert labeling that might be of interest typically be the type to provide new or review FDA’s approval letter and/or and importance to pharmacists are revised Indications and Usage and/or revised insert labeling: noted in the accompanying Table . The Dosage and Administration changes entries were selected from the many in the professional labeling . Readers http://www .accessdata .fda .gov/ supplements approved each month by should consult the new package insert scripts/cder/drugsatfda/index . FDA to marketed drugs and biologics . labeling (Drugs@FDA) when the cfm?fuseaction=Reports .Supplements Specifically, entries to this Table are changes cited are important to their largely based upon supplements specific need . If you have questions about this categorized: “Efficacy supplement with information, please contact the author at kenttjohnson@usfamily .net
Drug Name NEW INDICATIONS OR DOSAGE INFORMATION CHANGES IN APPROVAL LABELING OF APPROVED PRODUCTS DATE
Keveyis New indication for the treatment of primary hyperkalemic periodic paralysis, primary hypoka- Aug 7, 2015 (dichlorphenamide) lemic periodic paralysis, and related variants . Subsolv (buprenorphine Use of Subsolv as initial (“induction”) treatment of opioid dependence . Aug 10 and naloxone) Oxycontin (oxycodone) Includes language for use in the pediatric population . Aug 13 Procysbi (cysteamine) Expands the indication to pediatric patients 2 years age and older with nephropathic cystinosis . Aug 14 Edurant (rilpivirine) Expands the patient population for use in combination with other antiretroviral agents for the Aug 26 treatment of HIV-1 infection to include treatment of naïve pediatric patients from 12 to less than 18 years of age with HIV-1 RNA less than or equal to 100,000 copies/mL . Aptiom (eslicarbazepine Addition of the indication for monotherapy treatment of partial-onset seizures in adults . Aug 27 acetate) Emend (aprepitant) Expands the prevention of chemotherapy-induced nausea and vomiting indication to include Aug 28 patients ages 12 years to 17 years and patients less than 12 years who weigh at least 20 kg . Teflaro (ceftaroline Changes recommended duration of IV infusion from one hour to 5 to 60 minutes . Aug 31 fosamil) Humira (adalimumab) Proposes an indication for the treatment of hidradenitis suppurativa . Sept 9 Delzicol (mesalamine) Provides for the treatment of mildly to moderately active ulcerative colitis in patients age 5 years Sept 9 and older . Epzicom (abacavir and Provides for once-daily dosing, in combination with other antiretroviral agents, for the treatment Sept 17 lamivudine) of HIV-1 infection in pediatric patients weighing at least 25 kg . Suboxone To include the buccal route of administration . Sept 22 (buprenorphine and naloxone)
22 • Minnesota Pharmacist • Winter 2016 Clinical Issues
Drug Name NEW INDICATIONS OR DOSAGE INFORMATION CHANGES IN APPROVAL LABELING OF APPROVED PRODUCTS DATE
Epinephrine Inj USP For induction and maintenance of mydriasis during intraocular surgery . Sept 23 (epinephrine hcl) Reyataz (atazanavir) Expands use of Reyataz oral powder, in combination with other antiviral agents, for treatment of Sept 24 HIV-1 infection in pediatric patients who are at least 3 months of age and who weight 5 to <10 kg . Keytruda New indication for the treatment of patients with metastatic, PD-L1 positive, non-small cell lung Oct 2 (pembrolizumab) cancer, as determined by an FDA-approved test, with disease progression on or after platinum- containing chemotherapy . Olysio (simeprevir) Provides dosing recommendations for treatment of chronic hepatitis C in patients co-infected Oct 5 with HIV-1 . Expands indications to include treatment of chronic hepatitis C genotype 4 Opdivo (nivolumab) New indication for treatment of patients with metastatic non-squamous non-small cell lung Oct 9 cancer with progression on or after platinum-based chemotherapy .
Pronunciation of Trade Name and Active Ingredients of Recently Approved Drug Products By Kent T. Johnson, MSPharm
This column provides a guide to (BLA) . The list is not exhaustive for International Drug Names . Also noted pronunciation of the nonproprietary every recent approval . For example, is the pronunciation, if available, of name of first-time approved active some newly approved drug products the innovator proprietary name . These ingredients (or active moiety) in drug have active ingredients found in latter presentations may note different products recently approved by FDA previously approved products . The conventions for citing pronunciation, under a new drug application (NDA) pronunciation guide comes from: and are from the product labeling or or a biologics license application 2015 USP Dictionary of USAN and the marketer .
Proprietary Name Pronunciation NonProprietary Name Pronunciation Date Approved Addyi add-ee flibanserin flib an’ ser in Aug 18, 2015
Varubi vuh ROO bee rolapitant hcl roe la’ pi tant Sept 1
Xuriden ZUR-uh-den uridine triacetate ure’ i deen Sept 4
Vraylar VRAY-LAAR cariprazine kar ip’ ra zeen Sept 17
Lonsurf LON-serf trifluridine/tipiracil hcl tye pir’ a sil Sept 22
Tresiba tre-SI-bah insulin degludec de gloo’ dek Sept 25
Aristada air-is-TAH-dah aripiprazole lauroxil ar” i pip’ ra zole Oct 5
Praxbind PRAX BIND idarucizumab eye dar” ue siz’ ue mab Oct 16
Veltassa vel-TAS-sa patiromer pa tir’ oh mer Oct 21
Strensiq stren’ sik asfotase alfa as’ foe tase Oct 23
Yondelis yon-DEL-ess trabectedin tra bek’ te din Oct 23
Minnesota Pharmacist • Winter 2016 • 23 24 • Minnesota Pharmacist • Winter 2016 Minnesota News 50 Plus Years as a Pharmacist: Musings and Reflections Newly Licensed By Paul A. Andersen
I will never forget my first day as a waiting for this day, as he was the “He’s out to lunch,” I said . fully licensed pharmacist! I had been only full-time pharmacist working working at the same “corner” drug store there . When he became too fatigued “Well then, who is in charge?” he for several years . The summer hours (the store was open Monday through asked . were full time and counted toward my Friday, 9 a .m . - 10 p .m ., Saturday apprenticeship (now called residency) 9 a .m . - 6 pm, and Sunday 10 “I am,” I proudly replied . hours . During school time, of course, it a .m . - 6 p .m .), he would hire a relief was only part time . pharmacist to fill in . Now he had a He immediately became very permanent full-time pharmacist! He concerned and explained to me that if Now schooling was completed, had been looking forward to this day . he had to write up a report on me for apprenticeship completed, and His reaction was to grab his hat and posing as a pharmacist, I might never state boards had been taken . I was coat and inform me that he was going get my license . Again he asked, “Who anxiously awaiting notification from to lunch, and I was in charge until he is in charge here?” the state board . Had I passed? Had arrived back . Also, he said, it might be I failed? The tension grew day by a long and leisurely lunch . Again I replied, “I am .” Then he said, day . Finally a letter arrived from the “I’m very sorry, but I have to write you state board . Just a letter? That did He had not been gone 20 minutes up for a violation .” He truly was sorry not appear to be good news . With when Earl, the state board inspector, because we had become friends, but shaking hand, I opened the letter . walked in! We knew him well . Not he had a job to do . Good news! It stated that I had that he came officially that often, fulfilled all the requirements and was but we had a soda fountain and It was then I told him, “Earl, before now a duly licensed pharmacist! An lunch counter where he liked to eat you write that up, why don’t you read official license would soon follow in when in the area . Needless to say, this?” And I handed him my letter . another mailing . In the meantime I because of these frequent visits, we “Why didn’t you tell me this before?” could use this letter as authorization . were diligent in following all the rules . he asked . “You never asked if I was Also, my boss was a stickler about licensed . Only who is in charge .” I I proudly tucked this precious “going by the book .” Earl came in and answered . document into my pocket and headed sat down at the lunch counter, and for work (I started at noon that day) . ordered some lunch . I soon noticed “You made me miserable thinking I Upon arriving at work, with a big smile him looking around with a curious look would have to report you,” he said . on my face, I eagerly presented the on his face . Finally, as he finished his After a good laugh, he congratulated letter to my boss, the owner of the lunch, he came over to me and asked me and we parted, still good friends . store . He had also been patiently to see my boss .
GRAPh Continued from page 20 new medications and any changes medications and any other pertinent phone calls for clarifications . These to their medications . A few months notes including updates to allergies . It are the things that are important later, we started to receive a neat, has made a significant change in our to how a pharmacy operates and concise form that spelled out new procedures . We are now confident in now, collectively, we can ask, medications, changes to existing the medications a patient should be discuss, give feedback, and modify medications and discontinued on and it has eliminated numerous GRAPh Continued on page 33
Minnesota Pharmacist • Winter 2016 • 25 Business Matters Gauging Your Financial Wellbeing Six signs that you are in good shape
By Don. R. McGuire Jr., R Ph, JD
Editor’s Note: This series, Financial emergency fund at all .1 In its annual survey, the budget legal Forum, is presented by PRISM A strong emergency fund contains service website RocketLawyer found Wealth Advisors, LLC and your enough money to cover six months that only 51% of Americans aged State Pharmacy Association through of expenses for the individual who 55-64 have drawn up a will . Just 38% Pharmacy Marketing Group, Inc., a maintains it . (Just 23% of respondents of Americans aged 45-54 have drafted company dedicated to providing quality in the Bankrate survey reported having one .3 products and services to the pharmacy a fund that sizable .) If you head up a Why don’t more of us have wills? A community. family, the fund should ideally be larger lack of will, apparently . RocketLawyer – large enough to address a year of asked respondents without wills to How well off do you think you are expenses . At first thought, building check off why they hadn’t created financially? If your career or life takes a cash reserve that big may seem one, and the top reason (57%) was an unexpected turn, would your daunting, or even impossible – but “just haven’t gotten around to making finances hold up? What do you think households have done it, especially one .” A living will, a healthcare power will become of the money you’ve made households that have jettisoned of attorney and a double-check on and saved when you are gone? or whittled down debt . If you have the beneficiary designations on your These are major questions, and most done it, give yourself a hand with the investment accounts is also wise .3 people can’t answer them as quickly as knowledge that you have prepared well Not everyone needs an estate plan, they would like . It might help to think for uncertainty .1 but if you’re reading this article, about six factors in your financial life . chances are you might . If you have Here is a six-point test you can take to Are you insured? significant wealth, a complex financial gauge your financial wellbeing . As U.S. News & World Report life, or some long-range financial mentioned this summer, about 30% directives you would like your heirs to Are you saving about 15% of your of U .S . households don’t have life carry out or abide by, it is a good idea . salary for retirement? insurance . Why? They can’t afford it . Congratulate yourself if you have a That’s a nice target . If you’re earning That’s the perception .2 will, as many people don’t; if you have good money, that will probably amount taken further estate planning steps, to $10-20,000 per year . You are In reality, life insurance is much less bravo . probably already saving that much expensive now than it was decades Is your credit score 700 or better? annually without any strain to your ago . As the CEO of insurance Today, 685 is considered an average lifestyle . Annual IRA contributions and industry group LIMRA commented FICO score . If you go below 650, incremental salary deferrals into a to USN&WR, most people think it is life can get more expensive for workplace retirement plan will likely put about three times as expensive as it you . Hopefully you pay your bills you in that ballpark . As those dollars really is . How much do you need? A consistently and unfailingly and your are being invested as well as saved, quick rule of thumb is ten times your score is in the 700s . You can request they have the potential to grow with income . Hopefully, you have decent or your FICO score while signing up for tax deferral – and if your employer is better insurance coverage in place .2 a trial period with a service such as making matching contributions to your TransUnion or GoFreeCredit .4 retirement account along the way, you Do you have a will or an estate have another reason to smile . plan? Are you worth much more than you Do you have an emergency fund? Dying intestate (without a will) owe? Sadly, most Americans don’t . In June, can leave your heirs with financial This is the #1 objective . You want Bankrate polled U .S . households headaches at an already depressing your major debts gone, and you and found that 26% of them were time . Having a will is basic, yet living paycheck to paycheck, with no many Americans don’t create one . Financial Well Being Continued on page 33
26 • Minnesota Pharmacist • Winter 2016 • Pharmacy Professionals for Political Action •
WHAT IS PHARMPAC? any other state candidate that promotes and supports pharmacy PharmPAC is a political action committee that has proven to increase can receive PAC funds. pharmacy’s visibility with the Minnesota Legislature. The primary Contributions are determined with recommendations by the purpose of the PAC is to provide financial assistance to those Chair, Treasurer, Deputy Treasurer, the Volunteer Committee, candidates who generally support and recognize the value of our contributors, and others. Contributions are given to candidates or profession in the health care system. PharmPAC is not affiliated elected officials who are determined to be pharmacy friendly in a with any political party, pharmacy association or other political non-partisan manner. action committee. Factors used to determine which candidates are “pharmacy PharmPAC provides pharmacists and technicians in all settings with friendly” include but are not limited to: an opportunity to pool financial resources, which can make more • Elected officials who have sponsored or authored legislation substantial contributions than could otherwise be achieved by for pharmacists or pharmacy. individuals alone. • Chairpersons of committees which deliberate on issues rel- HOW DOES PHARMPAC evant to pharmacy. INFLUENCE THE POLITICAL PROCESS? • Elected officials who made difficult votes in favor of phar- PACs are an important part of the American political process. They macy initiatives. have been around since 1944, when the Congress of Industrial • Elected officials who attend or speak at pharmacy events. Organizations (CIO) formed the first PAC to raise money for the re- • Elected officials or challengers who pledge support and election of President Franklin D. Roosevelt. PharmPAC is another demonstrate willingness to sponsor pharmacy initiatives. way the profession of pharmacy maintains its’ presence in a crowded arena of special interests in the state’s political process. • Caucus contributions are determined based on how many candidates or officials from the caucus attend the event, Contributions are solicited by PharmPAC from individual pharma- timing and effectiveness of contribution amount. cists and technicians in Minnesota, and combines them to make larger contributions to candidates and party units. PharmPAC WHAT’S IN IT FOR ME? funds are also used to attend fundraiser events for candidates and PharmPAC is an exciting way to be directly involved in the political party units. process. Being involved with PharmPAC enables you to affect your WHICH FUNDS ARE ACCEPTED BY PHARMPAC? professional livelihood in a powerful, positive way. By contribut- ing to PharmPAC you will receive information about candidates Only individual contributions are accepted, corporate contribu- and events in your area. You will know who supports your profes- tions are prohibited. For each contribution over $20.00 a record sional interests in the Minnesota legislature. You will influence the of the donor will be kept. Anonymous contributions can not be political process. accepted by PharmPAC. Other political committees, political funds or political party units registered in MN may also contribute Through PharmPAC, pharmacists and technicians in Minnesota to PharmPAC. help elect and re-elect legislators who are willing to listen and understand the concerns of pharmacy. It is imperative your PharmPAC is regulated by the Minnesota Campaign Finance legislators understand the roles of the pharmacist in today’s Board. All information from PharmPAC, other PACs and party units changing health care system so pharmacy may provide the best are recorded and filed with the Board. This information is available pharmaceutical service to society without economic disincentives to the public at www.cfboard.state.mn.us or legislative impositions. It is critical for our future that legislators HOW DOES PHARMPAC are well-informed about pharmacy and our impact on health care. DETERMINE WHO TO CONTRIBUTE TO? We need your continued support and your help recruiting other Candidates and incumbents who run for state office in Minnesota pharmacists and technicians to give to PharmPAC. Please take may receive PharmPAC funds. House of Representative members, the time right now to pick up your pen and write out a check. Senators, the Governor, Secretary of State, Attorney General and
3YES, I want to contribute to PharmPAC! I would like to serve as a PharmPAC Volunteer
NAME EMPLOYER
HOME ADDRESS CITY STATE ZIP
PHONE FAX EMAIL Monetary Contribution: $100 $200 $500 $1000 Other $______
Make checks (No Corporate Checks) payable and mail to: PharmPAC • 1000 Westgate Drive, Ste 252 • St. Paul, MN 55114 Minnesota Pharmacist • Winter 2016 • 27 MPHa Resource Guide United States House & Senate/Minnesota Please note that mail delivery to Washington, DC, can be delayed by up to 10 days due to security screening . If your message is urgent, fax your letter to Washington, contact your representative’s district office, or send an email through his/her website .
Congressman Tim Walz Minneapolis Chisholm First Congressional District 2100 Plymouth Ave . N . Chisholm City Hall walz house. .gov Minneapolis, MN 55411 316 W Lake St ,. Room 7 Washington, DC Ph . 612-522-1212 | F . 612-522-9915 Chisholm, MN 55719 1034 Longworth House Office Building Twitter: @KeithEllison Ph . 218-491-3114 Washington, DC 20515 Duluth Ph . 202-225-2472 Congressman Tom Emmer 11 E Superior St ., Suite 125 Rochester Sixth Congressional District Duluth, MN 55802 1202-1/2 Seventh St NW, Suite 211 emmer .house .gov Ph . 218-464-5095 | F . 218-464-5098 Rochester, MN 55901 Washington, DC Twitter @USRepRickNolan Ph . 507-388-2149 503 Cannon House Office Building Mankato Washington, DC 20515 Senator Amy Klobuchar 527-1/2 South Front Street Ph . 202-225-2331 | F . 202-225-6475 klobuchar .senate .gov Mankato, MN 56001 Otsego Washington, DC Ph . 507-388-2149 9201 Quaday Ave ., Ste 206 302 Hart Senate Office Building Twitter @RepTimWalz Otsego, MN 55330 Washington, DC 20510 763-241-6848 • fax 763-241-7955 Ph . 202-224-3244 | F . 202-228-2186 Congressman John Kline Twitter @RepTomEmmer Toll-free 1-888-224-9043 Second Congressional District Twin Cities Metro kline house. .gov Congressman Collin Peterson 1200 Washington Ave . S ., Room 250 Washington, DC Seventh Congressional District Minneapolis, MN 55415 2439 Rayburn House Office Building collinpeterson .house .gov Ph . 612-727-5220 | F . 612-727-5223 Washington, DC 20515 Washington, DC Southern Office Ph . 202-225-2271 | F . 202-225-2595 2204 Rayburn House Office Building 1130-1/2 Seventh St NW, Room 208 Burnsville Washington, DC 20515 Rochester, MN 55901 350 W . Burnsville Pkwy, Suite 135 Ph . 202-225-2165 | F . 202-225-1593 507-288-5321 | F . 507-288-2922 Burnsville, MN 55337 Detroit Lakes Northwestern/Central Office Ph . 952-808-1213 | F . 952-808-1261 714 Lake Ave, Suite 107 121 Fourth St S Twitter @RepJohnKline Detroit Lakes, MN 56501 Moorhead, MN 56560 Ph . 218-847-5056 | F . 218-847-5109 Ph . 218-287-2219 | F . 218-287-2930 Congressman Erik Paulsen Marshall Northeastern Office Third Congressional District 1420 East College Drive, SW/WC Olcott Plaza, Room 105, 820 9th St . N paulsen .house .gov Marshall, MN 56258 Virginia, MN 55792 Washington, DC Ph . 507-537-2299 | F . 507-537-2298 Ph . 218-741-9690 | F . 218-741-3692 127 Cannon House Office Building Montevideo Twitter @AmyKlobuchar Washington, DC 20515 100 N . First St . Ph . 202-225-2871 | F . 202-225-6351 Montevideo, MN 56265 Senator Al Franken Eden Prairie Ph . 320-235-1061 (Willmar office) www .franken .senate .gov 250 Prairie Center Drive, Suite 230 Red Lake Falls Washington, DC Eden Prairie, MN 55344 2603 Wheat Drive 309 Hart Senate Office Building Ph . 952-405-8510 | F . 952-405-8514 Red Lake Falls, MN 56750 Washington, DC 20510 Twitter @RepErikPaulsen Ph . 218-253-4356 | F . 218-253-4373 Ph . 202-224-5641 Redwood Falls Twin Cities Metro Congresswoman Betty McCollum 230 E Third St . 60 East Plato Blvd, Suite 220 Fourth Congressional District Redwood Falls, MN 56283 St . Paul, MN 55107 mccollum .house .gov Ph . 507-637-2270 Ph . 651-221-1016 Washington, DC Willmar Duluth 2256 Rayburn House Office Building 324 Third St . SW, Suite 4 515 W First St ., Suite 104 Washington, DC 20515 Willmar, MN 56201 Duluth, MN 55802 Ph . 202-225-6631 | F . 202-225-1968 Ph . 320-235-1061 | F . 320-235-2651 218-722-2390 St . Paul Twitter @collinpeterson Moorhead 165 Western Ave . N ., Suite 17 819 Center Ave, Suite 2A St . Paul, MN 55102 Congressman Rick Nolan Moorhead, MN 56560 Ph . 651-224-9191 | F . 651-224-3056 Eighth Congressional District 218-284-8721 Twitter @BettyMcCollum04 nolan house. .gov West Central Mobile Office Washington, DC Al Juhnke, Field Representative Congressman Keith Ellison 2336 Rayburn House Office Building 651-788-5100 Fifth Congressional District Washington, DC 20515 Rochester Office ellison house. .gov Ph . 202-225-6211 1202-1/2 7th St NW, Suite 213 Washington, DC Brainerd Rochester, MN 55901 2263 Rayburn House Office Building Brainerd City Hall, 501 Laurel St . 507-288-2003 Washington, DC 20515 Brainerd, MN 56401 Twitter @alfranken Ph . 202-225-4755 | F . 202-225-4886 Ph . 218-454-4078
28 • Minnesota Pharmacist • Winter 2016 MPHa Resource Guide Legislative Directory Minnesota Senate
Name District Party Room Office Phone Email Jim Abeler 35 R 127 State Office Bldg 651-296-3733 sen .jim .abeler@senate .mn Bruce D . Anderson 29 R 133 State Office Bldg 651-296-5981 sen .bruce anderson@senate. .mn Thomas M . Bakk 3 D 3113 Minnesota Senate Bldg 651-296-8881 Use mail form Michelle R . Benson 31 R 115 State Office Bldg 651-296-3219 sen .michelle .benson@senate .mn Terri E . Bonoff 44 D 3105 Minnesota Senate Bldg 651-296-4314 sen .terri .bonoff@senate .mn David M . Brown 15 R 109 State Office Bldg 651-296-8075 sen .david .brown@senate .mn Jim Carlson 51 D 3215 Minnesota Senate Bldg 651-297-8073 Use mail form Roger C . Chamberlain 38 R 129 State Office Bldg 651-296-1253 sen .roger .chamberlain@senate .mn Bobby Joe Champion 59 D 3207 Minnesota Senate Bldg 651-296-9246 Use mail form Greg D . Clausen 57 D 3103 Minnesota Senate Bldg 651-296-4120 Use mail form Richard Cohen 64 D 3235 Minnesota Senate Bldg 651-296-5931 Use mail form Kevin L . Dahle 20 D 3217 Minnesota Senate Bldg 651-296-1279 Use mail form Gary H . Dahms 16 R 121 State Office Bldg 651-296-8138 sen .gary .dahms@senate .mn D . Scott Dibble 61 D 2107 Minnesota Senate Bldg 651-296-4191 Use mail form Kari Dziedzic 60 D 3213 Minnesota Senate Bldg 651-296-7809 Use mail form Chris A Eaton 40 D 3413 Minnesota Senate Bldg 651-296-8869 Use mail form Kent Eken 4 D 3107 Minnesota Senate Bldg 651-296-3205 sen .kent .eken@senate mn. Michelle L . Fischbach 13 R 15 State Office Bldg 651-296-2084 sen .michelle .fischbach@senate mn. Melisa Franzen 49 D 3403 Minnesota Senate Bldg 651-296-6238 Use mail form Paul E . Gazelka 9 R 145 State Office Bldg 651-296-4875 sen .paul .gazelka@senate mn. Barb Goodwin 41 D 2101 Minnesota Senate Bldg 651-296-4334 Use mail form Dan D . Hall 56 R 103 State Office Bldg 651-296-5975 Use mail form David W . Hann 48 R 147 State Office Bldg 651-296-1749 Use mail form Foung Hawj 67 D 2403 Minnesota Senate Bldg 651-296-5285 Use mail form Jeff Hayden 62 D 3109 Minnesota Senate Bldg 651-296-4261 Use mail form John A Hoffman 36 D 3227 Minnesota Senate Bldg 651-296-4154 Use mail form Karin Housley 39 R 21 State Office Bldg 651-296-4351 sen .karin .housley@senate .mn Bill Ingebrigtsen 8 R 143 State Office Bldg 651-297-8063 sen .bill .inggebrigtsen@senate .mn Vicki Jensen 24 D 3229 Minnesota Senate Bldg 651-296-9457 Use mail form Alice M . Johnson 37 D 3111 Minnesota Senate Bldg 651-296-2556 Use mail form Susan Kent 53 D 3409 Minnesota Senate Bldg 651-296-4166 Use mail form Mary Kiffmeyer 30 R 123 State Office Bldg 651-296-5655 sen .mary .kiffmeyer@senate .mn Lyle Koenen 17 D 3201 Minnesota Senate Bldg 651-296-5094 sen .lyle koenen@senate. .mn Ron Latz 46 D 2109 Minnesota Senate Bldg 651-297-8065 Use mail form Warren Limmer 34 R 153 State Office Bldg 651-296-2159 sen .warren limmer@senate. mn. Tony Lourey 11 D 2105 Minnesota Senate Bldg 651-296-0293 sen .tony .lourey@senate mn. John Marty 66 D 3233 Minnesota Senate Bldg 651-296-5645 Use mail form James P . Metzen 52 D 2113 Minnesota Senate Bldg 651-296-4370 sen .jim .metzen@senate .mn Jeremy R . Miller 28 R 135 State Office Bldg 651-296-5649 sen .jeremy .miller@senate .mn Carla J . Nelson 26 R 117 State Office Bldg 651-296-4848 sen .carla .nelson@senate .mn Scott J . Newman 18 R 141 State Office Bldg 651-296-4131 sen .scott newman@senate. mn. Sean R . Nienow 32 R 105 State Office Bldg 651-296-5419 sen .sean nienow@senate. mn. Julianne E . Ortman 47 R 119 State Office Bldg 651-296-4837 sen .julianne .ortman@senate mn. David J . Osmek 33 R 19 State Office Bldg 651-296-1282 sen .david .osmek@senate .mn Sandra L . Pappas 65 D 3205 Minnesota Senate Bldg 651-296-1802 Use mail form John C . Pederson 14 R 27 State Office Bldg 651-296-6455 Use mail form Eric R . Pratt 55 R 23 State Office Bldg 651-296-4123 sen .eric pratt@senate. mn. Roger J . Reinert 7 D 3101 Minnesota Senate Bldg 651-296-4188 sen .roger .reinert@senate mn. Ann H . Rest 45 D 3209 Minnesota Senate Bldg 651-296-2889 Use mail form Julie A . Rosen 23 R 139 State Office Bldg 651-296-5713 sen .julie .rosen@senate mn. Carrie Ruud 10 R 25 State Office Bldg 651-296-4913 sen .carrie ruud@senate. mn. Tom Saxhaug 5 D 2111 Minnesota Senate Bldg 651-296-4136 sen .tom .saxhaug@senate .mn Bev Scalze 42 D 3231 Minnesota Senate Bldg 651-296-5537 sen .bev .scalze@senate mn. Matt Schmit 21 D 3411 Minnesota Senate Bldg 651-296-4264 sen .matt schmit@senate. mn. David H . Senjem 25 R 113 State Office Bldg 651-296-3903 sen .david .senjem@senate .mn Kathy Sheran 19 D 2103 Minnesota Senate Bldg 651-296-6153 sen .kathy .sheran@senate .mn Katie Sieben 54 D 3203 Minnesota Senate Bldg 651-297-8060 Use mail form Rod Skoe 2 D 3211 Minnesota Senate Bldg 651-296-4196 sen .rod skoe@senate. mn. Dan Sparks 27 D 2401 Minnesota Senate Bldg 651-296-9248 sen .dan sparks@senate. .mn LeRoy A . Stumpf 1 D 3221 Minnesota Senate Bldg 651-296-8660 Use mail form Dave Thompson 58 R 131 State Office Bldg 651-296-5252 sen .dave thompson@senate. mn. David J . Tomassoni 6 D 3401 Minnesota Senate Bldg 651-296-8017 Use mail form Patricia Torres Ray 63 D 3225 Minnesota Senate Bldg 651-296-4274 Use mail form Bill Weber 22 R 125 State Office Bldg 651-296-5650 sen .bill .weber@senate mn. Torrey N . Westrom 12 R 107 State Office Bldg 651-296-3826 sen .torrey .westrom@senate mn. Charles W . Wiger 43 D 3219 Minnesota Senate Bldg 651-296-6820 rep john. .lesch@house .mn Melissa H . Wiklund 50 D 2409 Minnesota Senate Bldg 651-297-8061 sen .melissa .wiklund@senate .mn
MinnesotaMinnesota Pharm Pharmacistacist • Winter • Winter 2014 2016 •29 29 MPHa Resource Guide Legislative Directory MN House
Name District Party Room Office Phone Email Tony Albright 55B R 407 651-296-5185 rep tony. .albright@house .mn Susan Allen 62B D 229 651-296-7152 rep susan. allen@house. .mn Chad Anderson 50B R 387 651-296-4218 rep chad. anderson@house. .mn Mark Anderson 09A R 579 651-296-4293 rep mark. anderson@house. mn. Paul Anderson 12B R 597 651-296-4317 rep paul. .anderson@house mn. Sarah Anderson 44A R 583 651-296-5511 rep sarah. .anderson@house .mn Tom Anzelc 05B D 317 651-296-4936 rep tom. anzelc@house. mn. Jon Applebaum 44B D 223 651-296-9934 rep jon. .applebaum@house mn. Joe Atkins 52B D 349 651-296-4192 rep joe. .atkins@house mn. Jeff Backer 12A R 593 651-296-4929 rep jeff. .backer@house .mn Dave Baker 17B R 539 651-296-6206 rep dave. baker@house. .mn Bob Barrett 32B R 567 651-296-5377 rep bob. barrett@house. .mn Peggy Bennett 27A R 507 651-296-8216 rep peggy. .bennett@house .mn Connie Bernardy 41A D 253 651-296-5510 rep connie. .bernardy@house .mn David Bly 20B D 301 651-296-0171 rep david. .bly@house .mn Lyndon Carlson Sr . 45A D 283 651-296-4255 rep lyndon. .carlson@house mn. Drew Christensen 56A R 529 651-296-4212 rep drew. .christensen@house mn. Karen Clark 62A D 273 651-296-0294 rep karen. .clark@house .mn John (Jack) Considine Jr . 19B D 323 651-296-3248 rep jack. .considine@house .mn Tony Cornish 23B R 369 651-296-4240 rep tony. .cornish@house .mn Brian Daniels 24B R 551 651-296-8237 rep brian. daniels@house. mn. Kurt Daudt 31A R 463 651-296-5364 rep kurt. daudt@house. .mn Greg Davids 28B R 585 651-296-9278 rep greg. .davids@house mn. Jim Davnie 63A D 393 651-296-0173 rep jim. .davnie@house .mn Matt Dean 38B R 401 651-296-3018 rep matt. .dean@house .mn Raymond Dehn 59B D 279 651-296-8659 rep raymond. .dehn@house mn. Bob Dettmer 39A R 565 651-296-4124 rep bob. dettmer@house. .mn Steve Drazkowski 21B R 591 651-296-2273 rep steve. .drazkowski@house mn. Rob Ecklund 03A D 311 651-296-2190 rep rob. .ecklund@house mn. Ron Erhardt 49A D 245 651-296-4363 rep ron. .erhardt@house .mn Sondra Erickson 15A R 479 651-296-6746 rep sondra. .erickson@house .mn Dan Fabian 01A R 429 651-296-9635 rep dan. fabian@house. .mn Kelly Fenton 53B R 525 651-296-1147 rep kelly. .fenton@house .mn Peter Fischer 43A D 201 651-296-5363 rep peter. .fischer@house .mn Peggy Flanagan 46A D 309 651-296-7026 rep peggy. .flanagan@house .mn Mary Franson 08B R 517 651-296-3201 rep mary. .franson@house .mn Mike Freiberg 45B D 239 651-296-4176 rep mike. freiberg@house. .mn Pat Garofalo 58B R 485 651-296-1069 rep pat. .garofalo@house .mn Steve Green 02B R 413 651-296-9918 rep steve. .green@house mn. Glenn Gruenhagen 18B R 487 651-296-4229 rep glenn. .gruenhagen@house .mn Bob Gunther 23A R 563 651-296-3240 rep bob. gunther@house. mn. Tom Hackbarth 31B R 409 651-296-2439 rep tom. hackbarth@house. .mn Laurie Halverson 51B D 233 651-296-4128 rep laurie. .halverson@house .mn Rod Hamilton 22B R 443 651-296-5373 rep rod. .hamilton@house mn. Dave Hancock 02A R 575 651-296-4265 rep dave. hancock@house. mn. Rick Hansen 52A D 247 651-296-6828 rep rick. hansen@house. .mn Alice Hausman 66A D 255 651-296-3824 rep alice. .hausman@house .mn Josh Heintzeman 10A R 533 651-296-4333 rep josh. .heintzeman@house .mn Jerry Hertaus 33A R 403 651-296-9188 rep jerry. .hertaus@house .mn Debra Hilstrom 40B D 377 651-296-3709 rep debra. .hilstrom@house .mn Joe Hoppe 47B R 543 651-296-5066 rep joe. .hoppe@house .mn Frank Hornstein 61A D 243 651-296-9281 rep frank. hornstein@house. .mn Melissa Hortman 36B D 237 651-296-4280 rep melissa. .hortman@house .mn Jeff Howe 13A R 527 651-296-4373 rep jeff. .howe@house mn. Jason Isaacson 42B D 389 651-296-7153 rep jason. .isaacson@house .mn Brian Johnson 32A R 421 651-296-4346 rep brian. johnson@house. .mn Clark Johnson 19A D 289 651-296-8634 rep clark. johnson@house. .mn Sheldon Johnson 67B D 259 651-296-4201 rep sheldon. .johnson@house mn. Phyllis Kahn 60B D 353 651-296-4257 rep phyllis. .kahn@house mn. Tim Kelly 21A R 559 651-296-8635 rep tim. .kelly@house mn. Debra Kiel 01B R 537 651-296-5091 rep deb. kiel@house. .mn Jim Knoblach 14B R 453 651-296-6612 rep jim. .knoblach@house .mn Jon Koznick 58A R 367 651-296-6926 rep jon. .koznick@house .mn Ron Kresha 09B R 531 651-296-4247 rep ron. .kresha@house mn. Carolyn Laine 41B D 287 651-296-4331 rep carolyn. laine@house. mn. John Lesch 66B D 217 651-296-4224 rep john. .lesch@house .mn Tina Liebling 26A D 357 651-296-0573 rep tina. liebling@house. mn. Ben Lien 04A D 241 651-296-5515 rep ben. lien@house. .mn
30 • Minnesota Pharmacist • Winter 2016 Minnesota Pharmacist • Winter 2014 30 MPHa Resource Guide Legislative Directory MN House
Name District Party Room Office Phone Email Leon Lillie 43B D 277 651-296-1188 rep leon. .lillie@house .mn Diane Loeffler 60A D 337 651-296-4219 rep diane. .loeffler@house mn. Kathy Lohmer 39B R 501 651-296-4244 rep kathy. .lohmer@house mn. Jenifer Loon 48B R 449 651-296-7449 rep jenifer. .loon@house .mn Bob Loonan 55A R 523 651-296-8872 rep bob. loonan@house. .mn Eric Lucero 30B R 515 651-296-1534 rep eric. lucero@house. mn. Dale Lueck 10B R 423 651-296-2365 rep dale. .lueck@house .mn Tara Mack 57A R 545 651-296-5506 rep tara. mack@house. .mn Tim Mahoney 67A D 345 651-296-4277 rep tim. .mahoney@house mn. Carlos Mariani 65B D 203 651-296-9714 rep carlos. mariani@house. .mn Paul Marquart 04B D 261 651-296-6829 rep paul. .marquart@house mn. Sandra Masin 51A D 335 651-296-3533 rep sandra. .masin@house .mn Joe McDonald 29A R 503 651-296-4336 rep joe. .mcdonald@house .mn Denny McNamara 54B R 365 651-296-3135 rep denny. .mcnamara@house mn. Carly Melin 06A D 315 651-296-0172 rep carly. .melin@house .mn Jason Metsa 06B D 313 651-296-0170 rep jason. .metsa@house .mn Tim Miller 17A R 415 651-296-4228 rep tim. .miller@house .mn Rena Moran 65A D 329 651-296-5158 rep rena. .moran@house mn. Joe Mullery 59A D 303 651-296-4262 rep joe. .mullery@house .mn Erin Murphy 64A D 331 651-296-8799 rep erin. murphy@house. mn. Mary Murphy 03B D 343 651-296-2676 rep mary. .murphy@house .mn Jim Nash 47A R 557 651-296-4282 rep jim. .nash@house mn. Michael V . Nelson 40A D 351 651-296-3751 rep michael. .nelson@house mn. Jim Newberger 15B R 371 651-296-2451 rep jim. .newberger@house mn. Jerry Newton 37A D 387 651-296-5369 rep jerry. .newton@house .mn Bud Nornes 08A R 471 651-296-4946 rep bud. nornes@house. .mn Kim Norton 25B D 281 651-296-9249 rep kim. norton@house. mn. Tim O'Driscoll 13B R 451 651-296-7808 rep tim. .odriscoll@house .mn Marion O'Neill 29B R 549 651-296-5063 rep marion. .oneill@house .mn Gene Pelowski Jr . 28A D 295 651-296-8637 rep gene. pelowski@house. .mn Joyce Peppin 34A R 459 651-296-7806 rep joyce. .peppin@house .mn John Persell 05A D 359 651-296-5516 rep john. .persell@house .mn John Petersburg 24A R 577 651-296-5368 rep john. .petersburg@house .mn Roz Peterson 56B R 521 651-296-5387 rep roz. .peterson@house .mn Nels Pierson 26B R 379 651-296-4378 rep nels. .pierson@house .mn Dave Pinto 64B D 321 651-296-4199 rep dave. pinto@house. mn. Jeanne Poppe 27B D 291 651-296-4193 rep jeanne. .poppe@house .mn Cindy Pugh 33B R 411 651-296-4315 rep cindy. .pugh@house mn. Duane Quam 25A R 571 651-296-9236 rep duane. quam@house. .mn Jason Rarick 11B R 431 651-296-0518 rep jason. .rarick@house mn. Paul Rosenthal 49B D 213 651-296-7803 rep paul. .rosenthal@house .mn Linda Runbeck 38A R 417 651-296-2907 rep linda. .runbeck@house .mn Tim Sanders 37B R 553 651-296-4226 rep tim. .sanders@house mn. Dan Schoen 54A D 327 651-296-4342 rep dan. schoen@house. mn. Joe Schomacker 22A R 509 651-296-5505 rep joe. .schomacker@house mn. Jennifer Schultz 07A D 215 651-296-2228 rep jennifer. .schultz@house mn. Peggy Scott 35B R 437 651-296-4231 rep peggy. .scott@house mn. Yvonne Selcer 48A D 227 651-296-3964 rep yvonne. selcer@house. .mn Erik Simonson 07B D 221 651-296-4246 rep erik. simonson@house. mn. Linda Slocum 50A D 207 651-296-7158 rep linda. .slocum@house .mn Dennis Smith 34B R 375 651-296-5502 rep dennis. .smith@house .mn Mike Sundin 11A D 211 651-296-4308 rep mike. sundin@house. .mn Chris Swedzinski 16A R 491 651-296-5374 rep chris. swedzinski@house. mn. Tama Theis 14A R 445 651-296-6316 rep tama. theis@house. mn. Paul Thissen 61B D 267 651-296-5375 rep paul. .thissen@house .mn Paul Torkelson 16B R 381 651-296-9303 rep paul. .torkelson@house mn. Mark Uglem 36A R 569 651-296-5513 rep mark. uglem@house. mn. Dean Urdahl 18A R 473 651-296-4344 rep dean. urdahl@house. mn. Bob Vogel 20A R 581 651-296-7065 rep bob. vogel@house. .mn Jean Wagenius 63B D 251 651-296-4200 rep jean. .wagenius@house .mn JoAnn Ward 53A D 231 651-296-7807 rep joann. .ward@house .mn Abigail Whelan 35A R 439 651-296-1729 rep abigail. .whelan@house mn. Anna Wills 57B R 477 651-296-4306 rep anna. wills@house. .mn Barb Yarusso 42A D 307 651-296-0141 rep barb. .yarusso@house .mn Cheryl Youakim 46B D 225 651-296-9889 rep cheryl. youakim@house. mn. Nick Zerwas 30A R 433 651-296-4237 rep nick. .zerwas@house mn.
Minnesota Pharmacist • Winter 2016 • 31 Pharmacy and the Law Wrongful Conduct Rule By Don. R. McGuire Jr., R Ph, JD
Editor’s note: This series, Pharmacy and Wrongful Conduct rule or the in pari Court will encourage other criminals to the Law, is presented by Pharmacists Mutual delicto (in equal fault) doctrine . These file suits to attempt to profit from their Insurance Company and your State Pharmacy two concepts have similar origins, but criminal activity . In these particular Association through Pharmacy Marketing in pari delicto is used more commonly cases, they contend that the Court is Group, Inc., a company dedicated to providing in contractual or transactional disputes . allowing these plaintiffs to clog up the quality products and services to the pharmacy The premise of the Wrongful Conduct court docket and waste the court’s community. rule is that someone who is injured time . while performing an immoral or criminal A recent decision in West Virginia1 act should not be able to recover What does this mean for pharmacists? is garnering a lot of attention in the damages for that injury . The Court It’s important to recognize that there pharmacy profession and beyond . The quoted another case to explain the has been no trial and no judgment on eight cases involve suits by 29 patients rationale for the rule; “ . . public policy the facts of these cases . The decision alleging that actions by physicians and that courts should not lend their aid to does not mean that the pharmacists pharmacists caused them to become a plaintiff who founded his cause of or physicians are liable . This opinion addicted to and abuse controlled action on his own illegal conduct .”2 The is a procedural one that places the substances . They also alleged that trial court agreed to dismiss the cases, eventual resolution of the case in the the pharmacies acted in concert with but then sent certified questions to the jury’s hands instead of the judge’s the prescribers by such actions as Supreme Court of Appeals . hands . Many readers have probably refilling prescriptions early and filling already formed an opinion about contraindicated prescriptions . After The Supreme Court of Appeals the correctness of the decision . For some years of prescribing by the four declined to invoke the Wrongful pharmacists, the real issue is to try physicians involved, and dispensing by Conduct rule in West Virginia because not to get involved in such a case the three pharmacies involved, an FBI the majority believed the rule was in the first place . While this is not raid resulted in arrests of some of the too ambiguous and difficult to apply . always possible, it should be a goal . health professionals . Some physician They ruled that the jury would take The monitoring and dispensing of licenses were revoked and some were the criminal activity into account controlled substances is difficult at convicted and served prison time . when apportioning fault under West best . Pharmacists are no longer “order However, only one pharmacy and one Virginia’s comparative fault laws . In takers” subservient entirely to the pharmacist were disciplined (the court West Virginia, if the plaintiff is 50% or doctor’s orders . Pharmacists should decision does not indicate that there more at fault, then they cannot recover be active and diligent in monitoring all were any criminal charges) . any damages . The Court said that of their patients, but especially those comparative fault will essentially take with unusual controlled substance As the cases progressed, the plaintiffs the wrongful conduct of the plaintiff into needs . Pharmacists need to educate all admitted to various crimes during account, so the Wrongful Conduct rule themselves about their patients’ needs . the time that they were receiving and is unnecessary . There are plenty of reference articles filling prescriptions for the various about effective pain management controlled substances . These included There were two dissenting opinions to consult . Pharmacists also need criminal distribution, buying drugs that disagreed with the majority that to educate themselves about their off the street in addition to those the rule would be difficult to apply . responsibilities as health care prescribed, acquiring prescriptions The dissenting opinions said that it is professionals . The tightrope between through misrepresentation, fraud or straightforward; a person should not be patient needs and good stewardship forgery, and doctor shopping . Because able to recover for injuries sustained of controlled substances is not easy to of these criminal activities, some of while committing a crime . Thirteen navigate, but ignoring the issue is not a the defendants filed a motion to have other states have already adopted solution . the case dismissed on the basis of the the rule . By not invoking the rule, the
32 • Minnesota Pharmacist • Winter 2016 Financial Well Being Continued from page 26 want enough money for a lifetime . 4 nerdwallet .com/blog/credit-score/ All information is believed to be from You will probably always carry some credit-score-range-bad-to-excellent/ reliable sources; however we make no debt, and you can’t rule out risks to [9/4/14] representation as to its completeness your net worth tomorrow – but if you or accuracy . Please note: Investing are getting further and further ahead Pat Reding and Bo Schnurr may be involves risk, and past performance is no financially and your bottom line shows reached at 800-288-6669 or pbh@ guarantee of future results . The publisher it, you are making progress in your berthelrep.com. is not engaged in rendering legal, pursuit of financial independence . Registered Representative of and accounting or other professional services . securities and investment advisory If assistance is needed, the reader is Citations services offered through Berthel advised to engage the services of a 1 dailyfinance .com/2014/09/03/why- Fisher & Company Financial Services, competent professional . This information american-wages-arent-rising/ [9/3/14] Inc. Member FINRA/SIPC. PRISM should not be construed as investment, 2 money .usnews .com/money/personal- Wealth Advisors LLC is independent tax or legal advice and may not be relied finance/articles/2014/07/16/do-you- of Berthel Fisher & Company on for the purpose of avoiding any Federal have-enough-life-insurance [7/16/14] Financial Services Inc. tax penalty . This is neither a solicitation 3 forbes .com/sites/ nor recommendation to purchase or sell nextavenue/2014/04/09/americans- This material was prepared by any investment or insurance product or ostrich-approach-to-estate-planning/ MarketingLibrary .Net Inc ., and does service, and should not be relied upon as [4/9/14] not necessarily represent the views of such . All indices are unmanaged and are the presenting party, nor their affiliates . not illustrative of any particular investment .
Pharmacy and the Law Continued from page 32 GRAPh Continued from page 25 Citations 1 Tug Valley Pharmacy, LLC, et al . v . how we effectively operate in this possibility of forming an MTM network All Plaintiffs below in Mingo County community . I look forward to future in Grand Rapids and the surrounding Cases, No 14-0144 (Supreme Court GRAPh meetings knowing that I will areas and the collaboration for of Appeals of West Virginia, May 13, gain something from each one . I submitting a grant application to 2015) . sincerely wish that all communities facilitate this endeavor . GRAPh is 2 Orzel v . Scott Drug Co ., 537 N .W .2d had professional groups like ours to planning an educational opportunity 208, 213 (Mich . 1995) . provide the support and discussion later this year on the changing that can only improve our practices .” landscape of medical cannabis . The © Don R. McGuire Jr., R.Ph., J.D., pharmacists and technicians welcome is General Counsel, Senior Vice Since this first meeting, GRAPh has collaboration with each other — and President, Risk Management & grown to include many pharmacist together the members of GRAPh Compliance at Pharmacists Mutual members and is inviting technicians will do many great things in their Insurance Company. to join as well . The group had its communities . second meeting in December 2014, cosponsored by MPhA, with University This article discusses general of Minnesota – Duluth College of Submit Your Article or News! principles of law and risk Pharmacy Senior Associate Dean The Minnesota Pharmacists Association management. It is not intended as Randall Seifert, PharmD (then- welcomes articles on clinical topics and legal advice. Pharmacists should president of MPhA), presenting on other issues related to any pharmacy consult their own attorneys and STAR ratings and quality measures . setting . We also welcome information on insurance companies for specific Both hospital and community career milestones, awards, etc ., for our advice. Pharmacists should be pharmacists attended and MPhA News & Notes section of the Minnesota familiar with policies and procedures granted continuing education credit . At Pharmacist . Contact Laurie Pumper at of their employers and insurance the third GRAPh meeting in February lauriep@ewald .com . companies, and act accordingly. 2015, Dean Seifert presented again . This time, GRAPh discussed the
Minnesota Pharmacist • Winter 2016 • 33 MINNESOTA PHARMACISTS ASSOCIATION 1000 Westgate Drive, Suite 252, St. Paul, MN 55114 p. 651.697.1771 | f. 651.290.2266 | [email protected]
MPhA Membership Gives You... OUR MISSION Serving Minnesota pharmacist providers to advance You are joining a strong professional organization patient care. whose mission is serving Minnesota pharmacist providers to advance patient care. OUR VISION We will be a vital organization of engaged Minnesota pharmacy professionals. We will be recognized for 01 leadership in advancing patient care. Keep Informed Weekly Small Doses OUR VALUES eNewsletter, Issue Professional Development • Engagement Annual Learning Alerts, Quarterly • Patient Care MPhA Journal, eBook 02 Networking Event, MTM library, Pharmacy Symposium, Annual • Inter-professional Collaboration News Flash Leadership Summit & • Economic Viability of Practice House of Delegates, Minnesota Pharmacy • Advocacy Advocacy Legislative Day, MTM & • Workforce You are represented 03 Immunization Certificate by a strong and Programs, Monthly • Lifelong Learning and Professional Development respected voice. Webinars, On-Demand • Pharmacy Teamwork Development See our recent Webinar Library, Statewide • Diversity in Membership accomplishments Town Hall Meetings, including expanded Online CE from the • Professional Collaborations and Relationships pharmacists scope of University of Minnesota practice and increased ACCOMPLISHMENTS technician ratios. Advocacy: We are actively engaged in advocacy efforts 04 Be Involved to ensure that laws and regulations keep pace with Public Affairs, Professional the evolution of the profession, and to increase public & Organizational Affairs, awareness of the role of pharmacists in advancing Networking patient care. Discuss pharmacy 05 Education & Events, issues and best Editorial and Awards This year MPhA members, partners and volunteers practices at programs Committees, MTM and worked to tirelessly representing Minnesota and events. Make other Academies. pharmacists interests at the Capitol and at regulatory contacts with over agencies. 2,000 pharmacy professionals. Online Key accomplishments include: member directory of 06 Resources Expansion of pharmacists’ ability to immunize pharmacists. Online access to The ability to immunize to age 6 for influenza and to resources to support age 13 for all CDC vaccines Navigator Program your practice including Technician ration expansion A new offering with MTM, immunizations Technician ratio language was modified to 3:1+1 from MPhA is available to and pharmacy practice former 2:1+1 help you navigate and management. Supported and followed legislation on: Patient Choice get the most out of of Pharmacy, Additional Board of Pharmacy Members, your membership! Prescription Monitoring Program, Pharmaceutical Waste Disposal, DHS MTM Expansion, Expanded Access to Epinephrine Auto Injectors, the Healthy MN Initiative 07 and Expanded Training & Support for Mental Health Recognition Become a Provision in Underserved Areas. Pharmacist and industry leaders member recognized for their innovation, advocacy TODAY! and service.
Find out more and fill out a membership application at WWW.MPHA.ORG