the georgia pharmacy journal: june 2009

Volume 31, Number 6 www.gpha.org

The Official Publication of the Georgia Pharmacy Association June 2009

GPhA President2009-2010

Eddie M. Madden, R.Ph.

The Georgia Pharmacy Journal June 20092

Look what’s NEW in 2009...Reduced Rates

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NEW PLANS – BETTER RATES – MORE BENEFITS in 2009

Georgia Pharmacy Association Members Take Advantage ofPremium Discounts Up to 30% on Individual Disability

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Have you protected your most valuable asset? Many people realize the need to insure personal belongings like carsand homes, but often they neglect to insure what provides their lifestyle and financial well-being - their income!

The risk of disability exists and the financial impact of a long-term disability (90 days or more) can have adevastating impact on individuals, families and businesses. During the course of your career, you are 3½ timesmore likely to be injured and need disability coverage than you are to die. (Health Insurance Association of America,2000)

As a member of the Georgia Pharmacy Association, you can help protect your most valuable asset and receivepremium discounts up to 30% on high-quality Individual Disability Income Insurance from Principal Life InsuranceCompany.

For more information visit www.gphainsurance.com.

* Association Program subject to state approval. Policy forms HH 750, HH 702, HH 703. This is a general summary only. Additional guidelines apply. Disability insurance has limitations and exclusions. Forcosts and details of coverage, contact your Principal Life financial representative.


F E A T U R E A R T I C L E S

10 Pharm PAC: New Beginnings

11 Pharmacy Time Capsules

13 Tech Bit 1

16 The Role of Pharmacists Within a Community Physician’s Off ice

18 A Shot to the Bottom Line

22 10 Myths About Dieting

C O L U M N S

4 President’s Message

8 Editorial

For an uptodate calendarof events, log onto www.gpha.org.

24Eddie Madden, R.Ph.

GPhA 20092010 PresidentPreserving the Triad

Departments12 GPhA Member News13 New Members14 UGA News15 Mercer University News23 CE Notice27 Pharmacy News29 GPhA-ASP Update30 GPhA Board of Directors

Advertisers2 The Insurance Trust2 Principal Financial Group7 PharmStaff7 Toliver & Gainer9 Pharmacists Mutual Companies11 PQC12 Michael T. Tarrant21 AIP23 Melvin M. Goldstein, P.C.31 PACE32 The Insurance Trust

P R E S I D E N T ’ S M E S S A G E

The GPhA President’sReport


As I stand before you today, I can truly say thatserving as President of the Georgia PharmacyAssociation has indeed been a privilege and one of

the most rewarding times in my professional career. Theevents of this year have indeed created in me a muchdeeper appreciation for those who have served before me.Thank you to each person who has previously served asPresident of the Georgia Pharmacy Association. I havetruly been blessed to serve as the 134th President ofGPhA.

As I have traveled our state and our nation, I have beenprivileged to meet with old friends and make many newfriends. I have been able to learn a great deal from eachencounter—both professionally and personally. You havegiven me the opportunity to see things through a differentset of eyes. None of my experiences this year would havebeen possible without the love and support of my dearwife, Judy. Thank you, Judy, for your patience and supportthroughout this busy year.

I would like to thank the GPhA Executive Committee fortheir support. Jack Dunn, Jr., R.Ph.; Dale Coker, R.Ph.;Eddie Madden, R.Ph.; and Sharon Sherrer, Pharm.D.,CDM, have encouraged and supported me every step ofthe way. This year has validated for me the importance ofserving on the Executive Committee for 5 years.Becoming President of the GPhA is truly a process andnot an event. Thanks to each of you on the Executive

Committee for your friendship, support, and guidance.

The GPhA staff is truly incredible. At our monthlymeetings in Atlanta, the Executive Committee alwaysparks at the rear of the building. There is always a warmand friendly smile as someone opens the door to let us in.Ruth Ann McGehee is responsible for taking care of theimmediate needs and the travel of your ExecutiveCommittee. Four years ago, I told my wife that it wasunbelievable just how much Ruth Ann does in preparationfor the Executive Committee to serve. This year, I havebeen made even more keenly aware of Ruth Ann’sassistance as she has kept me focused on meetings,deadlines, and travel. Thank you, Ruth Ann, for all you doin keeping the Executive Committee focused on the tasksat hand. During this year, Stuart Griffin has served as ourDirector of Government Affairs. Stuart brings with him apassion for the political process and a deep understandingof the need to develop relationships with those involved inthe process. This year has also seen the addition of KellyMcLendon as Director of Public Affairs. Kelly’s brightsmile and strong leadership have attributed to a positiveincrease in GPhA memberships. Finally, as with anythingthat we do in life, there are times when we feeloverwhelmed. Our Executive Vice President and CEO,Jim Bracewell, has been an encourager to me when thosetimes have occurred and has offered solutions to get methrough those times. To each of you who has served as aRegion President, a Standing Committee Chair, an

Robert Bowles, Jr. , R.Ph., CDM, CFtsGPhA President

5The Georgia Pharmacy Journal June 2009

Academy Chair, or a member of the Board of Directors, Ithank you. Your leadership is vital to the success of GPhA.Lastly, in my inaugural speech, I commented that myserving on the Executive Committee would not have beenpossible without the support of the staff in my pharmacy.Certainly, this year has made me even more keenly awareof their support in order for me to serve as your President.

“The mission of the Georgia Pharmacy Association shallbe to promote and enhance the profession of pharmacyand the practice standards of its practitioners. Further, theAssociation shall endeavor to heighten the public’sperception of the profession of pharmacy and pharmacists,and to promote the value of pharmacy services to thehealth and welfare of the general public.” I could havenever anticipated the imminent need for me to appoint animmunization task force so that pharmacists couldcontinue to provide influenza vaccine under a physician-directed protocol. Thank you, Sharon, for chairing thistask force. During this process we began establishing andcultivating a professional relationship with the MedicalAssociation of Georgia and the Georgia CompositeMedical Board. Both of these groups were supportive ofthe physician-directed influenza protocol legislation. TheGovernor has signed the “Access to Flu Vaccines Act.”Now it is time for each immunizing pharmacist to ensurethat they are registered with G.R.I.T.S., the GeorgiaImmunization Registry. It is very important for us tocontinue to build and strengthen our relationship witheach of these groups.

July also was the time for the annual GPhA ExecutiveCommittee retreat, a time when we could reflect on thepast year and look ahead to the issues that are now facingpharmacy and the Association. While at our retreat, wehad the opportunity to have dinner with GSHPleadership. Thank you to Don Davis, R.Ph., President ofGSHP, for his leadership as our two organizationscontinue to work together to benefit the profession ofpharmacy and the citizens of Georgia.

In August, your Executive Committee attended theSoutheastern Officer’s Conference meeting in Mississippi.The time that is spent annually at this meeting provides anopportunity for us to monitor and learn from things thatare happening in other state associations. I assure you thatyour Association is well respected across this nation.

The process of updating all GPhA bylaws continuedthroughout this year and is almost totally completed. Iremind each of you that there is a need for this to be anongoing project. In August, I had the privilege of talkingwith Senator Johnny Isakson when he came toThomaston. This provided an opportunity for me to sharewith him the concerns that pharmacists have on a nationallevel. August also was a time for our Strategic LegislationPlanning Session. This year the session was held inSavannah. This is a great opportunity for the pharmacistlegislators, the State Board of Pharmacy, the GeorgiaDrugs and Narcotics Agency, and the elected leadershipand staff leaders of GPhA and GSHP to get together anddiscuss issues affecting our profession in the upcominglegislative session. This time is crucial to our legislativesuccess. GPhA was significantly involved in helping electformer GPhA Executive Vice President, Rep. BuddyHarden, Jr., R.Ph., to the Georgia House ofRepresentatives. I would like to thank the pharmacistlegislators: Rep. Buddy Carter, R.Ph.; Rep. BuddyHarden, Jr., R.Ph.; Rep. Bobby Parham, R.Ph.; Rep.Butch Parrish, R.Ph.; and Rep. Ron Stephens, R.Ph.,These individuals tirelessly give of themselves and aretruly the backbone of our legislative approach. We all owethem a debt of gratitude for their efforts on behalf ofpharmacy.

In September, I had the privilege of meeting with SenatorSaxby Chambliss while he was in Thomaston. Thisprovided yet another opportunity to share the concernsthat pharmacists have on a national level. Later inSeptember, we held our standing committee meetings atthe Atlanta campus of Mercer University. This allowedmembers from all practice settings to be an integral part inthe decisions that are made throughout the year for yourAssociation.

October found us kicking off our region meetings. Thisprovided a venue for us to share our upcoming legislativeagenda. This is always a special time as I travel all ofGeorgia and renew old friendships while making newfriendships that will last a lifetime. Once again in October,I had the opportunity to meet with Senator SaxbyChambliss as he visited Thomaston. Later in the month,the annual NCPA Convention was held in Tampa. YourExecutive Committee attended this meeting and was ableto gain additional knowledge of issues that are facingpharmacy. At this meeting, I had the distinct honor of


nominating John Sherrer for a three year term on theNCPA Executive Committee. John continues to tirelesslygive of himself to the profession of pharmacy.

The Georgia Pharmacy Foundation sponsors theSoutheastern PRN (Pharmacists’ Recovery Networks)Conference held each November at Simpsonwood.Regena Banks serves as Director of the Foundation and isresponsible for organizing this conference. Attendeescome from many states as this is a well respectedconference throughout the nation. Thank you, Regena, formaking this possible. During November, your leadershipcontinued to meet with leadership from the MedicalAssociation of Georgia to foster and strengthen ourrelationship.

The Georgia General Assembly began the 2009 session onJanuary 12. Budget concerns proved to be a primary focusduring this year’s session. GPhA continued to host aweekly caucus lunch meeting with our five pharmacistlegislators, GPhA, GSHP, and the respective lobbyists for

these organizations. As in the past, this proved to be verybeneficial in bringing our team together to get the mostout of our collective efforts. We reinstituted the Pharm-O-Gram weekly e-news during the legislative session andcontinued to host a weekly legislative conference call forthe Board of Directors and other key legislative leaders inthe Association. As I mentioned earlier, GPhA led thepassage of legislation to positively affirm the right ofcertified pharmacists to deliver influenza vaccine under aphysician’s protocol. Also, GPhA led the passage oflegislation to license PBMs under the State InsuranceCommissioner; however, this legislation was regrettablyvetoed by the Governor.

The January Leadership Conference brought together theleadership of GPhA from across the state for a retreat atLake Lanier Islands. The standing committees continuedtheir focus on issues within our Association, and the Boardof Directors held its third meeting of the GPhA fiscal year.

During this year, we have developed requests forproposals in seeking and engaging an audit firm for all ofthe GPhA entities to ensure that your Association is in fullcompliance with the new IRS 990 guidelines. Additionally,we developed requests for proposals in seeking andengaging a new banking partner for all GPhA entities.Both of these decisions have proven to be wise andproductive in our goal to ensure the compliance of GPhAwith these guidelines and the continued viability of ourAssociation.

I would be remiss if I did not thank Kelly McLendon forher leadership in taking our website to a new level. Kellyhas indeed put a new face on GPhA in the digital age.Now on this website, you can register for events and makepayments online for events and membership dues.Additionally, Kelly has initiated the GPhA Journal onlineas well as continuing the hard copy of the Journal. I hopethat you have already noticed that GPhA is on Facebook.If not, I hope that you will take advantage of this means ofcommunication.

Thank you to Trevor Miller who serves as Director of theInsurance Trust. The Trust developed a strategic plan thattook effect in January and has proven to increase thenumber of insured lives in this self-funded healthinsurance program.

In February, almost 300 pharmacists and students put ontheir white coats and made the trip to the Georgia Capitolfor “Very Involved Pharmacist” day at the Capitol. Theirefforts proved to members of the General Assembly howcommitted pharmacists are and how much they care abouttheir patients and their profession. We must continue toshare our passion for our patients and our profession.

Eddie Madden and I represented GPhA at the AmericanPharmacy Association in San Antonio. During the APhAConvention, GPhA and the three Colleges of Pharmacy inGeorgia hosted a reception for all Georgia pharmacistsand students attending the APhA Convention. April

We must continue to have the courage to change as we embracenew opportunities in immunizations, medication therapymanagement, adherence, and compliance for our patients.


continued to be a busy time as wehosted region meetings for all 12GPhA regions. The GeorgiaPharmacy Foundation and Mercksponsored the annual NewPractitioner Leadership Conferenceat St. Simons. This provides a venuefor 20 practitioners who havegraduated from pharmacy schoolwithin the past 10 years to developleadership skills. This also affordsthese new practitioners theopportunity to meet the GPhAleadership. Thanks to John T.Sherrer, R.Ph., and Regena Banksfor organizing and hosting this event.Toward the end of April and with thedeveloping swine flu issues, SharonSherrer, Jim Bracewell, and I met withDr. Patrick O’Neal, Director of Officeof Preparedness and Anasa Johnson,Coordinator of Pharmacy Services.We will continue to foster theserelationships in the future.

In May, the Executive Committeeand many pharmacists from acrossGeorgia attended the NationalCommunity Pharmacists AssociationLegislative Conference inWashington, DC. During this time wewere able to meet with the staff ofboth Senator Saxby Chambliss andSenator Johnny Isakson. Also, we hadthe privilege of meeting with SenatorIsakson and Rep. Nathan Deal whowere both speakers at the NCPALegislative meetings.

June completes my year as President.Thank you for allowing me to serveyou this past year. The theme for myyear as President has been “Courageto Change,” We must continue tohave the courage to change as weembrace new opportunities inimmunizations, medication therapymanagement, adherence, andcompliance for our patients.

Regardless of your practice setting –independent, chain, health system,long term care, or industry setting, wecan make a contribution to ourprofession and the communities inwhich we serve.

I thank Sharon Sherrer for these past5 years of outstanding service to ourAssociation. Sharon, you have been asource of inspiration andencouragement. While you will nolonger be on the ExecutiveCommittee, I still have yourtelephone number so that I can getadvice. Most of all thank you for yourfriendship.

The future of GPhA is extremelybright under the upcoming leadershipof my friend and colleague EddieMadden. I look forward to workingwith Eddie and each one of you as weseek to “Preserve the Triad.”

Lawyer and Pharmacist Leroy Toliver, Pharm.D., R.Ph., J.D.

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Leroy Toliver has been a Georgia RegisteredPharmacist for 34 years. He has been a practicing

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Jim BracewellExecutive Vice President / CEO

2009 Healthcare Reform Urgent ActonNeeded


On May 11, 2009, President Obama calledrepresentatives to the White House to hear fromphysicians, hospitals and big PhRMA for solutions to

reduce the cost of health care in America. He heard from twoproviders, medicine and hospitals and one provider of productPhRMA. That is, at best, an interesting threesome, but mostdisturbing is the fact that pharmacy was conspicuously notincluded in the meeting.

How do we get pharmacy a seat at the table and off the menu ofa carved up new health care reform? One way is by takingaction like your GPhA leadership is doing as depicted by thephoto at the bottom of this page with U.S. Senator JohnnyIsakson. But that is not enough.

During the Congressional recess from June 27 to July 5, GPhAwill host in person meetings with each of Georgia’s 13congressional representatives. Georgia pharmacists mustpersonally advocate for pharmacy to be a part of health carereform. Are you interested in having your voice heard? Are you

willing to invest two to three hours of one day in late June tojoin us for breakfast, lunch, an in office, or a visit in a localpharmacy with your U.S. Congressman?

Are you ready to be a member of the world changing effort forpharmacy? Then email Stuart Griffin, our Director ofGovernment Affairs at [email protected] and put your name inthe group. Stuart will be setting up these meetings. He willcontact you to confirm your attendance. Stuart, Jeff Lurey,members of the GPhA Executive Committee, and I will attendeach meeting.

These meetings are our opportunity to influence health carereform legislation for 2009. If we do not step up to the plate,others will write health care reform for you us. Don’t be absentfrom the health care reform table. You are invited by GPhA.

GPhA Executive Committee and members discuss health care reform with U.S. Senator Isakson.

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Beginning July 1, 2009, Pharm PAC will bechanging. GPhA has incorporated a new PAC withthe official title “Georgia Pharmacy Association

Political Action Committee, Inc.” The political actioncommittee will still be known in short as Pharm PAC.

The purpose of the makeover is to hopefully breathe newlife into an aged and often complicated process. Our goalwas to streamline the different levels of contributing sothey would be conducive to maximizing fundraisingefforts in the future.

It was obvious that something had to be done to stimulatePharm PAC fundraising. Influential health care groups inGeorgia like the Medical Association and the TrialLawyers Association were contributing $125,000 -$140,000 annually while the Pharmacy Association wasexpecting to compete in the same arena by onlycontributing in the annual range of $45,000 - $50,000.Pharmacy will not be able to survive in the political arenaat these levels. We must change our thinking.

We have made huge efforts to transform our governmentaffairs department and we are sure that we can reach thenext level of success if we begin to contribute financiallyat the same levels as other influential groups in healthcare. We have set a goal to raise $125,000 between July 1,2009 and July 1, 2010. This is only $250.00 spread amoug500 pharmacists - $62.50 per quarter.

In early July you will receive a letter from the chairman ofPharm PAC, Mr. Bruce Broadrick, R.Ph. In this letterthere will be an explanation of the different contributionlevels available. Please keep our goal in mind andcontribute to Pharm PAC accordingly.

The most successful fundraising occurs when a group ofindividuals hold one another accountable. Please call yourpeers around the state to make sure they have sent in their$250.00 check to Pharm PAC.


Pharm PAC: New Beginnings

Pharm PAC would like to encourage you to make acontribution today and help pharmacy look forward

to a bright future in the state of Georgia.

Name:__________________________________________Address:____________________________________________________________________________________Phone Number:__________________________________________Email Address:__________________________________________Pledge: $___________________________________(Circle the Pledge Level to which you wish to belong.)

$1 - $250 - Patriot$251 - $500 - Representative$501 - $1000 - Senator$1001+ - Governor’s Circle

Sustainers Circle: When you check thisbox and provide valid credit card information you are makinga 5 year commitment to make the same contribution for thenext 5 years. Your credit card will automatically be charged annually on the date of your initial contribution.

Contributions or gifts to Pharm PAC are not deductible ascharitable contributions for Federal income tax purposes.

Name on the Credit Card:__________________________________________Credit Card Number:__________________________________________CSV#: ________ Expiration Date: _________________Signature: __________________________________

Detach this form and complete it and return it to: Pharm PAC, 50 Lenox Pointe, NE

Atlanta, GA 30324

by Stuart Griffin, Director of Government Affairs - [email protected]


Pharmacy Quality Commitment® (PQC) is what you need!

PQC is a continuous quality improvement (CQI) program that supports you inresponding to issues with provider network contracts, Medicare Part D requirements

under federal law, and mandates for CQI programs under state law.

When PQC is implemented in your pharmacy, you will immediately improve your abilityto assure quality and increase patient safety. Do you have a CQI program in place?

Call toll free (866) 365-7472 or go to www.pqc.net for more information.

PQC is brought to you by your state pharmacy association.

“We implemented PQC in our pharmacy fourmonths ago – it was easy. I have noticed an

enhanced effort from the staff to work together to avoid and eliminate quality-related events.”

Pharmacy Time Capsules2009 (Second Quarter)

1984—Twenty-five years ago:• At least 38 infant deaths were linked to E-Ferol Aqueous Solution. It was later determined that the product had not been approved bythe FDA. • “The Controlled Substance Registrant Protection Act of 1984” authorized federal backup to the states. Department of Justiceintervention is triggered in the cases of armed robberies of pharmacies when more than $500 of drugs or bodily injury or death occur.

1959—Fifty years ago• J&J acquired McNeil Labs • From 1959 to 1961 Lawrence Brock, a 1929 graduate of the University of Nebraska College of Pharmacy, served in the U.S. House ofRepresentatives. When not re-elected he was appointed administrator of the Farmers Home Administration.

1934—Seventy-five years ago• There were 67 colleges of pharmacy – 42 states and D.C. mandated graduation from a recognized college of pharmacy as aprerequisite for licensure in place

1909—One hundred years ago• There were 75 schools of pharmacy granting the 2-year PhG diploma. Only 3 states – NY, PA, and RI – mandate pharmacy collegegraduation as a prerequisite for licensure.• Oklahoma passed state pharmacy act

1884—One hundred and twenty-five years ago• Two new colleges of pharmacy started – Purdue University and Ohio Normal University (now Ohio Northern)

By: Dennis B. Worthen Lloyd Scholar, Lloyd Library and Museum, Cincinnati, OHOne of a series contributed by the American Institute of the History of Pharmacy, a unique non-profit society dedicated to assuring that the contributionsof your profession endure as a part of America's history. Membership offers the satisfaction of helping continue this work on behalf of pharmacy, andbrings five or more historical publications to your door each year. To learn more, check out: www.aihp.org

National Association of Boards ofPharmacy (NABP) introduced theNorth American PharmacistLicensure Examination (NAPLEX)Review Committee. William AHopkins, Jr., Pharm.D., of BigCanoe will be one of thecommittee members.

Bradley G. Phillips, Pharm.D.,BCPS, Professor and Head,Clinical and AdministrativePharmacy, moderated theScientific Paper PlatformPresentation, “The Great Eight,” atthe American College of ClinicalPharmacy/European Society ofClinical Pharmacy InternationalCongress on Clinical Pharmacy,and announced the Best ScientificPaper Award with co-chairProfessor J.W. Foppe van Mil.

Kalen B. Porter, Pharm.D.,Clinical Assistant Professor,presented a poster presentation:“The use of azithromycin for thetreatment of pediatric acute asthmaexacerbations’ at the AmericanCollege of ClinicalPharmacy/European Society ofClinical Pharmacy InternationalCongress on Clinical Pharmacy inOrlando, Florida, with CaityBowers, Pharm.D. student.

The Coastal Bank recently electedstate Rep. Buddy Carter, R.Ph. toserve on its board of directors.

William Berry Ivey, Pharm.D., ofLakeland was recipient of theDurward N. Entrekin PharmacyStudent Leadership Award.

Elizabeth Wright McCormick,Pharm.D., of Woodstock, andNatalia AleksandrovnaRozenberg, Pharm.D., ofLawrenceville received the MerckAwards for academic excellence.

The GlaxoSmithKline Patient CareAward was given to RobynLindsay Keen, Pharm.D., ofJonesboro for exemplaryperformance during clinicalrotation.

The Mylan Pharmaceuticals Inc.Excellence in Pharmacy Award forhigh academic achievement andprofessional motivation wasawarded to Jenna BriannLuedtke, Pharm.D., of Lilburn.

Aaron Blake Atkins, Pharm.D.,of Huntsville, AL, received thePerrigo Award of Excellence inNon-prescription MedicationStudies.

Vinh Hgoc Do, Pharm.D., ofAthens, received the RedfearnAward for professionalism andcommunity service.

Andrea Michelle Albritton,Pharm.D., of Columbus, receivedthe TEVA Pharmaceuticals USAOutstanding Student Award forexcellence in the study ofpharmacy.

If you have an item that you wouldlike included in the GPhAMembers in the News section ofThe Georgia Pharmacy Journalplease email the item of news toKelly McLendon [email protected] or fax it toher attention at 404.237.8435.

G P H A M E M B E R N E W S


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Welcome to GPhA!The following is a list of new members who have joined Georgia’s premier

professional pharmacy association!Ashish A. Advani,Pharm.D., Atlanta

Evan Anderson, AthensJose M. Arencibia, O.D., Hiawassee

George Brown, Pharm.D., BraseltonMarguerite Elizabeth Bryan, St. Simons Island

Cassie Butler, CPT, KennesawLaura Susan Cain, R.Ph., Columbus

Will Coley, Pharm.D., LeesburgKatlynd Contrael, Athens

Don R. Dye, O.D., ElbertonRobin D-O Findlay, Pharm.D., Savannah

Edward R. Ford, O.D., KennesawJennifer Fries, Athens

Marsha Gilbreath, Pharm.D., AtlantaKatie Smith Glover, Pharm.D., Smyrna

Christopher R. Haire, AthensLilly Lien Hilding, Athens

Abigail Hobbs, WatkinsvilleChristopher Johnson, AugustaMelinda Clair Kezer, Augusta

Emily Knowles, Pharm.D., DublinNeva Lamascus, C.Ph.T., Kennesaw

Sarah Lobello, AthensShanna Martin, C.Ph.T., Canton

Tammy Lynn McLellan, Pharm.D., Ocala, FLMandy Mock, Pharm.D., BCPS, Phenix City, AL

Devera Moeller, Pharm.D., CantonChristopher M. Saliba, Savannah

DeRoyce Simmons, Pharm.D., NorcrossJason Waller, Savannah

Angela Williams, AthensLinda J. Wilson, Blairsville

Patricia Lea Wooley, R.Ph., Lake Park

Tech Bit 1100 million hard drives fail every year. I’ve had my share, including one last Christmas Eve.

When was the last time you backed up your notebook? Your home desktop? Your work PC?

500 gigabyte external USB drives are selling for $99 to $129 on sale. That’s enough to back up a notebook andmost people’s desktop(s).

My favorite backup software is CMS Products’ BounceBack Professional ($79, www.cmsproducts.com).While Windows has a built in backup program, BB Pro can create a backup drive that can be simply installedto replace a failed drive (obviously you can’t put a 3.5” hard drive into a notebook).

What I really like about BB Pro is it’s the ultimate “nagware.” You tell it how often you want to back up and itwill nag you to plug in that external drive and do your backups.

So really, when was the last time you backedup?

Gregg Marshall, CPMR, CSP, is a speaker, authorand consultant. He can be reached by email [email protected], or visit his website atwww.repconnection.com.


On May 2, 2009, TheUniversity of Georgia Collegeof Pharmacy graduated 133

Doctor of Pharmacy and non-traditional Doctor of Pharmacystudents. They are as follows: Andrea Michelle AlbrittonHeidi Allison Kirk Almeter Philip John Almeter Katie Marie Blalock Candace Wanda Boatright Emily Lynn Sprayberry Burg Benjamin Adam Butts Erin Marie CainKelly Beth Wrick CainChristine Elizabeth Carbonell Irina Cedeno Jeffrey Norman Champine Kara Marie Church Thomas Gene Clement Melissa Kay Cohen Marie Danielle DabbsTracy Nell Dabbs Millie Camille Dalton Chelsea Melinda DavisJordan Bradley Davis Nancy Rebecca Davis Rachana Suresh Dhruva Andrea Nicole Diaz Nicole Janette diMonda Eunha Do Vinh Ngoc Do Jackson Guy Dove Jenna Leigh Evans Keith Alan Ferris Brian Christopher Ferslew Kevin Miller Florence Rebecca Lee Foreman Abraham Thompson Funk James Kennith Gable Hannah Elizabeth Gilmore James Lee Goodson Brett Ryan Hall Calvin White Hancock, III Sarah Te-Yi Hao Amy Leigh Harlen Stephanie Nicole Harrell

Matthew Kearney Hebbard Kevin Lewis Hempe Samuel James Henderson, Jr. Philip Eugene House Erin Melinda Innis William Berry Ivey Kimberly Lynn JakaitisJoseph Donald James Amy Marie Johnson Vincent Paul Jones Aasif Abdulqader Kazi Robyn Lindsay KeenHolly Kathryn Kincaid Zerine Susan Kurian Clay Andrew LewisKathryn Elizabeth Lewis Bing Liao Richard H. Lo Emilie Farr Lobeck Matthew Mark Luce Jenna Briann Luedtke Yen Kim Mach Stephanie Louise Markov Jemique Lauryn McCalley Elizabeth Wright McCormick Scott Thomas McDowellJason Stewart McNeely Thomas Lamar McNeil, III Melissa Johnson Medders Adam Todd Mills Ashlie Nicole Morgan Robert Douglas MurryAllison Shea Musick Hillary Ndeh Nchotu Melissa Anne Nestor Duong Thuy Nguyen Kimberly Thanh NguyenMin Hwan Oh Michael Allan Olsommer Jeffrey Brandon PadgettJaina Jagdish PatelPuja Shailesh Patel Seema Vallabhbhai Patel Pana Veronica Perron Quynh Diem Thuy PhanMatthew Gordon Post Casey Deann Reese

Andrew Lee Rogalski Reah Irene Rogers Natalya Aleksandrovna RozenbergSara Lynne Sawyer Lauren Therese Schoenbachler James D. ScogginsNicole Leigh Shirah Megan Leigh Sightler Jonathan Lee Sinyard Jonathan Clark Slone John Joseph SmallLindsay Paige Smith Gregory Scott Snyder Steven Dennis Stockdale Melissa Faith Sumner Adrian Penny Sykes Thomas Henry Teasley Ryan Michelle Tharp Justin William Thomas Stephanie Erin ThomasStephanie Brooke Thompson Adam Joseph Toenes Clinton Thomas Tucker Preeti Dhirajlal VallabhKevin James VanLandingham Veronica Dawn VazquezAlex Harrison Ward Melissa Aysen Amerson Webber Jennifer Lauren Smith Wells Kyle D. WilbanksLaurie Marie Wyatt Amir Yavari

Nontraditional Graduates Christa Bailey Karen Cucina Leann Evans Anthonia Fregene Marcia Fye Larry Guthrie Donna LackeyRadhaica ParmerTony PayneElaine ReifingerRoxanne SmithUna SnyderRobin Townsend

T H E U N I V E R S I T Y O F G E O R G I A N E W S


M E R C E R U N I V E R S I T Y N E W S

On May 9, 2009, MercerUniversity College ofPharmacy and Health

Sciences graduated the Doctor ofPharmacy students. They are asfollows: Liju AbrahamRonald Acoff, Jr.Oluwayemisi AdeyefaAnita AikenRuaa Al-BaldawiKimberly Michelle AllenMollie Starkie AllenWilliam AndersenLaura AndersonDayana AtallahNadeje AurubinAmanda BatesJessica BealJill BennettKelly BlanchfieldEbony BlueCynthia BowersKatie BozemanSophia BraunMonikka BrownTimothy Burns, IIJennifer CanipeTanea ChaneMelissa Martin ChessonBilly-Clyde ChildressElyn Choa TanMichael ClarkJenna CleavelandRyan Manning ClementsCrystal CooperZ. Shaden DadashnejadWhitney Deal HauserJennifer DeJamesDaniel DiazDiana DiazTina DiTizioBrittany DixonCortney DonovanAmber Sandlin DraperPatrick DurhamLauren Kate Fernald

Tara FisherAdrienne FitzpatrickKristen McCarthyDana FloresJoaquin GarciaMondonna GhaziTiffany GibsonBryan GoodmanJonathan GordonKari GrierKatharine HallHannah HeadMary HendyBeth HiettLaura HillCarly HingsonRebecca Hoelker-TranCortney HollandMatthew HurdJade HuynhTobin JacobKaren JacobsRhondolyn JonesAmanda PageBrian KeysMatthew KigerCimeon KoebelDana LacyKeeyeon Lee JinBrian LewisLayne LittlejohnJoy LocklearAshley Sherwood LondonSetor LotsuHannah LuckAndrea MaxfieldGinny MaxonDominic McCormickAmy Alread McCreadySheldon McDonaldDiane McNeilBhavi MehtaFabian MejiasPaul MichelettoKaren MillerJoshua MorganKarrie Mosby

Dana MullisCory McDonaldLilian NdehiAshley NeuMichael NguyenMyHang NguyenQuynh NguyenEvan NixJennifer NormanAshley ParkerPaige ParsonsKatie PatelKhilna PatelPratik PatelSonal PatelJenna PattesonClara PhamSarah PhancoDerek PollyDevan PressleyJames Prues, Jr.Carolyn RagsdaleLindsay RainesScott RaiserKimberly RichardsonTamara RigglemanAmanda RolandLynn HunterAmanda ScottDavid ScottLaura ShermanJaime SlapkusLuke SowardsErin SpiveyJennifer SpryMelisa SuttonKayla StrackJonathan StylesBrian SwierczekJeremiah TaylorMiheret TesfayeSy Quoc TranUbong UmorenLauren Ward BessRichard Joseph Yonkofski, Jr.Sheida Rose Zelaya


P h a r m a c y N e w s

Ryan Tharp & Jason M. VanLandingham, PharmD, BCPS

The Role ofPharmacists Withina CommunityPhysician’s Office

Anew movement in health care is taking place.Small, efficient clinics are becoming moreprevalent and the local pharmacy is increasingly

becoming a place for patients to obtain routineimmunizations, have conditions monitored, and addressminor health concerns. This is appealing to many patientsbecause a pharmacy is often faster than waiting in adoctor’s office and appointments are not necessary. Also,the pharmacist is a highly accessible member of the healthcare team. A patient can simply drive to theneighborhood pharmacy to ask questions and discussmedications, a service that is unheard of in a doctor’soffice. In deciding whether or not to have pharmacistsand physicians working alongside one another, it isimportant to examine their individual roles, satisfaction ofall members of the team, patient satisfaction, and how thisaffects therapeutic outcomes.

A major role for pharmacists in community practicecooperative with physicians would be the enforcement ofguidelines. JNC 7 states that 66 percent of hypertensivepatients have uncontrolled blood pressure readings. Thispresents an enormous area for pharmacists to getinvolved. Most community pharmacies have automaticblood pressure monitors and, if not, the majority ofpharmacists would be willing to take the readings ofanyone who asked. If an established cooperation betweenpharmacist and physician were present, the pharmacistwould be in a prime position to recommend the person

for evaluation and treatment. Another role in whichpharmacists could be involved is drug interactions. Asimple glance down a patient’s medication history couldtip off a pharmacist to potential interactions betweendrugs, foods, or even herbal supplements the patientpurchases with his or her prescriptions. Cost is also amajor factor contributing to whether or not patients taketheir medications. Pharmacists can suggest alternativeagents that are lower cost, but have similar efficacy. Hereis a definite possibility for agreements between physiciansand pharmacists. By creating pre-set interchanges, apharmacist would be able to automatically switch a patientfrom one drug to another based on cost, insurance, orother issues while maintaining safety and efficacy withoutever having to bother the physician about the matter. Heor she would obviously be made aware of the change andappropriate documentation made in the patients record,but the patient would not be left in the pharmacy waitingarea pending physician approval.

Pharmacists also have the ability to decreasepolypharmacy and duplicate medications being used forthe same indication. A patient with multiple doctors maynot have made each one aware of all the medications theyare taking. This presents a problem when severalphysicians write for drugs used for the same conditions,hyperlipidemia for instance. A patient may haveprescriptions for both simvastatin and atorvastatinwithout knowing they are the same type of medication


being used for the same indication. This multiplies thepotential for adverse effects.

Pharmacists can play a huge role in increasing medicationcompliance. By simply asking a patient how they taketheir medicine, how they remember to take all theirmedications as directed, and what they do when theyforget, patient compliance improves. The pharmacist canoffer novel methods of remembering dosing times orrecommend the use a pillbox or an alarm.

Obviously, in order for this all to work, physicians andpharmacists must be willing to work together. In a recentstudy, there was a high rate of physician acceptance ofpharmacist recommendations especially with regard todiscontinuing unnecessary medications (Lim, 224).There was less concern when making recommendationssolely on the basis of cost. It also seems that large medicalcenters and teaching hospitals that routinely havepharmacists rounding with the rest of the staff would bemore willing to accept the recommendations ofpharmacists when compared to private practices wherephysicians are accustomed to a high degree of autonomy.

Outcomes measured in various studies included patients’medication knowledge, perception, residual adverse drugsreactions, cost avoidance, compliance, and whether or notthe patient was at therapeutic goal. With regard to lipidlevels, patients who were seen in pharmacist-managedclinics were more likely to have LDL levels below 100mg/dL than patients being seen in conventional doctors’offices, 72 percent versus 39 percent (Mazzolini, 768).There was also a statistically significant increase inmedication knowledge in the set of patients visiting apharmacist consult clinic (Lim, 224). Compliance andadverse drug reactions did not show an appreciabledifference between consult clinics and traditionalphysician visits in Lim’s study; however, one pilot studydid show an increase in knowledge and reductions in thenumber of medications and side effects despite noincrease in compliance (225).

With the benefits of a pharmacist in a physicians officehaving been shown, how would the patient feel about apharmacist’s presence in his or her doctor’s office? HopeMedical Center in Augusta, Georgia, a small family-practice clinic, utilized pharmacists and pharmacystudents to conduct a small anonymous survey of a sampleof its patients. The pharmacists retrieved medication

histories prior to the physician or physician’s-assistantvisit. After the physician visit, the pharmacist theneducated the patient on their new prescriptions andaddressed any concerns of the patient or physician. Thepatients were then given a brief survey about the visit.Seventy-two percent of the patients stated that this wasthe first time they had been educated by a pharmacistwithin a physician’s office and 84.8 percent of the patientswould prefer a pharmacist within their physician’s office.When asked about the importance of the informationreceived from the pharmacist, on a scale of 1 (noimportance) to 5 (very important), the average score was4.6. Though this is a small survey of one patientpopulation, it demonstrates the importance of apharmacist’s education to a patient and a desire frompatients for pharmacist interactions.

It seems that a pharmacist in a family practice communityenvironment is a welcome addition to the health careteam. The addition of a pharmacist would expand thepatient base, services offered, and the quality of care given.The patients would benefit the most from the increasedpersonal attention and guidance with regard tomedications, therapies, and lifestyle.

A thank you to Barry S. Bryant, R.Ph., David D. Pope,Pharm.D., CDE., and Andrea Byrd-Doak, PA-C for allowing us to use Hope Medical Center. Thanks to the following students for help with thisproject.

Amy Harlen (UGA)Christy Carbonell (UGA)Elizabeth McCormick (UGA)Emily Sprayberry (UGA)Neely Davis (USC)Stephanie Bryant (USC)

Works CitedLim, W.S., et al. “Impact of a Pharmacist Consult Clinic on aHospital Based Geriatric Outpatient Clinic in Singapore.”Annals Academy of Medicine. Vol. 33. No. 2. March 2004. P220-227.

Mazzolini, Timothy, et al. “Lipid Levels and Use of Lipid-Lowering Drugs for Patients in Pharmacist-Managed LipidClinics Versus Usual Care in Two VA Medical Centers.”Journal of Managed Care Pharmacy. Vol. 11 No. 9November/December 2005. P 763-771.


A Shot to the Bottom LineBuford Road Pharmacy of Richmond, Virginia, develops a lucrative nichethrough its immunization program.Chris Linville, Managing Editor, America’s Pharmacist, NCPA

As an independent pharmacyowner for almost 35 years,including more than 20 with

Buford Road Pharmacy in Richmond,Virginia, Ronald Davis is alwayslooking for ways to grow and diversifyhis business. And about a decade agohe saw what appeared to be a primeopportunity.

Davis, an R.Ph., was reading somearticles about pharmacists who hadimplemented flu immunizationprograms into their practices. Hedecided it might be worth a try in hisown pharmacy. Today, Buford Road’simmunization program has evolvedinto a lucrative niche, and as a bonushas helped spur additional revenuewithin the pharmacy.

“Like so many parts of my business, alittle door opens up, and you walkthrough it,” Davis says. “You don’tnecessarily know where it’s going tolead, but you have a good feelingabout it so you go there.”

After modestly starting his programby giving about 300 flu shots in thefirst year, Davis and his staff nowimmunize about 6,500 patientsannually. The pharmacy also providessome 3,000 more shots to combathealth ailments such as hepatitis Aand B, meningitis, typhoid, yellowfever, and shingles.

“We give a whole host ofimmunizations now,” Davis says.“And it’s all done on protocol, so we

don’t have to have a prescription—we’ve had a doctor sign off on it (asrequired by law). As long as you are18 years old, we can give you animmunization via the protocol.”

Building a Program Davis, a native of Fredericksburg,Virginia, lived around the worldgrowing up, as his father was in themilitary. But he says, the family“always made our way back toVirginia.” Davis would join themilitary himself, serving in the U.S.Army in Vietnam, where he waswounded. As part of a vocationalrehabilitation program offered by theVeterans Administration, Davisenrolled as an engineering student at

Old Dominion University. Afterabout a year, he had second thoughts,and after speaking with a chemistryprofessor, Davis decided to go intopharmacy.

In 1973, Davis graduated from theVirginia Commonwealth UniversityMedical College in Richmond, andbegan his pharmacy career at a chain.In 1975, he purchased his firstpharmacy, which he ran for 13 years.Davis joined Buford Road Pharmacyin 1988, and not long after bought amajority interest.

Buford Road Pharmacy has been inbusiness for more than 50 years undervarious incarnations and owners, and

Pharmacist Tyler Stevens (right) discusses the immunization program with apatient.


was a 9,000-square-foot facility whenDavis acquired it. Wanting to growhis home health care and otherclinical services, Davis set out torebuild the pharmacy in a shoppingcenter near the existing location. The“new” Buford Road Pharmacy,opened in 2000, now has 15,000square feet. The extra space providedample room for some of Buford’sstaple services, such as blood pressureand blood glucose monitoring, andcholesterol and bone densityscreenings. Davis also decided toinclude a dedicated immunizationarea within the pharmacy.

“When we were doing plans for thestore it included an actual clinic—asopposed to having a table out frontand putting up a screen and doingshots,” Davis says. “We decided tobuild a clinic room. We also have aconference room that we use quite abit, especially at the beginning of theflu season when there are a lot ofpeople coming in. We just decided tosee where we could go with it.”

To help get the program off andrunning, Davis hired a nurse, and alsoenlisted students, residents, and otherstaff pharmacists. Prior toadministering any immunizations,individuals must successfullycomplete an accredited immunizationcertification program. Davis says thatsome pharmacy schools offercertification programs, and in his statethe Virginia Pharmacists Associationalso offers annual accreditationcertification.

To Start, Go Slow For pharmacists who may beconsidering doing immunizations,Davis suggests consulting withcolleagues who have alreadyestablished a program. “There’s no

sense in trying to recreate anywheels,” he says. Also, it’s vital forpharmacists to consult with their stateboard of pharmacy, public healthdepartments, and other relatedorganizations to be aware of any andall regulations, requirements,restrictions, and laws pertaining to animmunization program. To date,Maine is the only state that prohibitspharmacists from immunizing.

Davis also suggests a gradualimplementation. “My advice is to goslow,” he says. “Don’t do too manythings all at one time. Maybe just startwith flu. I would prefer in my firstyear to give 100 and do it smoothly,and get all the systems down and geteveryone trained in what they aredoing, as opposed to saying, ‘Hey,there’s a big potential for profit here,let’s try to do 1,000 in the first year.’ Ifyou do that, and make a bunch ofmistakes, then you have a negativereaction in the community, asopposed to a positive.”

Starting a program doesn’t have to beexpensive, Davis says. It can besomewhat labor intensive, at leastinitially. And the cost ofimmunizations must be considered.He says that flu vaccines were about$17 per vial when Buford RoadPharmacy started its program. Now avial costs more than $100. Zostavax(for shingles) is about $150 for asingle dose vial. At 10 shots a bottle,Davis points out that 100 bottleswould be needed to perform 1,000vaccinations. He says the pharmacyspends close to $60,000 annually onflu vaccines.

“And that’s not spread out becauseyou have to buy it all at one time,”Davis says. However, he adds, “Onceyou get your customer base in, then

you have a good idea of how manyshots you’re going to give. You haveto bill Medicare, because probably75–80 percent of the flu vaccines thatyou’re going to give are going to befrom Medicare patients. Then you’regoing to have to wait at least 30 daysto get reimbursed for that. So thereare some financial considerations tokeep in mind.

“But again, I think if you start slowand you grow with it, and you manageyour money well, it shouldn’t be aproblem. It’s never been a problemfor me—fortunately. You can get aread on things and your cash flow cansupport that if you manage yourmoney well.”

Relationships and Marketing As most pharmacists will say, buildinga professional, cordial, andcollaborative relationship with localphysicians can make their jobs muchmore productive and efficient. AndDavis has managed to do so withdoctors in his market. Heacknowledges that some pharmacistsmay be hesitant about doingvaccinations, because they don’t wantto alienate local physicians by takingbusiness away from them.

“I’m not saying that it couldn’thappen in some places, but I’ve foundit’s just the opposite of that here,”Davis says. “A lot of ourimmunizations are done becausephysicians have referred patients tous.” He says that many doctors don’twant to be burdened with items suchas billing, stocking, refrigeration,upkeep, and other issues. “A lot ofphysicians have just found it toocumbersome to handle. So they justsend patients to us, because theyknow we carry just about everything.”


To spread the word about theprogram, Davis says that along withcontacting physicians’ offices, thepharmacy does advertising in localnewspapers and radio stations. Davisalso has a marketing specialist whocalls on assisted living facilities andbusinesses.

“We have several assisted livingfacilities where we go and do all of theimmunizations,” Davis says. “All ofthe paperwork is done prior to usarriving. So when we get there it’spretty quick and easy.”

“We’ll also go to companies and havean immunization day. A lot of thosecompanies will pay for theiremployees to get those flu shots todecrease their sick days, which helpstheir productivity.”

Davis also says that through acomputerized tracking system, BufordRoad Pharmacy has a record of allimmunizations it has performed,whether for flu or for something else.It’s especially useful for patients whotravel, as the pharmacy does a healthybusiness with travel immunizations.

“We know exactly how many shotsthat we’ve given,” he says. “Somepeople come here on a regular basisfor all of their immunizations, so inthat regard we’re just like a doctor’soffice—we keep their records here, soif they are traveling abroad or theyneed a copy of their shot records,then we have it.”

One Niche Creates Others Davis has discovered that having asuccessful immunization program canhighlight the pharmacy’s otherofferings, thus creating an upwardspiral for the business as a whole(“creating synergy” might be thephrase from marketing gurus).

Davis points out that during fluseason, a lot of people are in the store.After they receive an immunization,they need to stay for about 15minutes to be sure there are noadverse reactions. So the pharmacyhas plenty of potential customers,which can translate to added revenue.

“When you’ve got people walkingaround your store, what we do is tohand them a coupon for a discountoff a lot of items we sell,” Davis says.“A lot of flu shots are given in thefourth quarter, which is Christmastime. And our store is pretty heavyinto Christmas merchandise. So itencourages those people, while theyare here, to do some shopping. Sothat also adds greatly to the profitstructure of your vaccine program. Itincreases your traffic, and it causesyour traffic that’s in the store to stayfor awhile. So if your store is wellmerchandised, and well stocked,you’re bound and determined to sell merchandise. You can’t help but dothat.

“It’s like one niche is creating anotherniche.”

Davis says the pharmacy can alsotrack long-term customer prospectsthrough the immunization program.

“We measure that because in thecomputer, we can see that somebodygot a flu shot, and then we have it onrecord if they come back a fewmonths later to get a prescriptionfilled,” he says. “And if that’s the firsttime that they had a prescription filledat your store, then you can say, ‘Wellthe last time they were here they justgot a shot. They came here againbecause they liked us and they likedour store.’ So it does help to buildyour customer base.”

Obviously the financial benefits of asuccessful immunization program arerewarding. But the opportunity toprovide community pharmacy-stylepatient care is particularly gratifyingfor Davis.

“It’s really an enjoyable thing,” hesays. “You get several minutes to sitdown with a patient and have a oneon one conversation about theirhealth. So you can impact that patientmore than just giving them theimmunization itself.”

This article originally appeared in theApril 2009 issue of America’sPharmacist, published by the NationalCommunity Pharmacists Association,Alexandria, VA. Reprinted withpermission.

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by Trevor Miller, Director of Insurance Services - [email protected]

10 Facts About Dieting

Diets Do Work The phrase “diets don't work” hasbeen drummed into us by books, advertising andother such mantras. But the truth is you can lose

weight following pretty much any diet on the bookstoreshelf. The problem is that unless the diet fits your lifestyle,it's bound to fail, and your weight will creep back on. Youwant a diet you can live with. If you're trying to loseweight, you’ll have to exercise your options.

There's No Need to Shun Red Meat on a Low-Fat DietWhile it's true that prime and choice grades of meat arehigh in fat, lean cuts with fewer than 30 percent calories asfat are available. When buying meat, it's best to look for"select" grades of lean cuts like top round and tenderloinas well as extra-lean ground beef. They are among thelowest in fat.

Yo-Yo Dieting Won't Wreck Your Metabolism Becauseof all the diet plans available some people are afraid thatdieting might have messed with their metabolism. Whileextremely low-cal diets temporarily lower yourmetabolism, recent studies suggest that the effects don'tlast. Even if you've lost and regained weight countlesstimes, don't give up. Yo-yo diets don't hurt you; they justdon't get you anywhere.

You Can Lose More in Cold Weather Than You ThinkSome people swear they gain more weight in thewintertime. Mostly because people believe they are notquite as active in winter. But the reality is, your

metabolism revs up to keep your body warm in coldtemperatures. This may mean marginally more calorieexpenditure each day.

Calorie-Free Soft Drinks May Make You Fat Studieshave indicated that the artificial sweeteners, perhaps eventhe caramel coloring, may muddle brain chemistry. Thebrain in a sense gets a reward, and the desire for moresweets is intensified. The more of these fake sweetproducts you eat or drink, the more sweets you want.

Moderately Overweight Kids Shouldn't Be Put onRestrictive Diets If you have kids who are 10 to 15pounds overweight, the current thinking is that theyshould not be put on restrictive diets. Instead, it's better tohelp them make basic improvements in their diets, rampup their activity, and give up some T.V. and computertime. Perk up your kids' diet by adding more fruits,vegetables and whole grains while cutting back on the junkfoods. That way, you'll automatically slow the rate of theirweight gain while they continue to grow in height.Children go through dynamic phases of growth, and alow-calorie diet is not what they need. They neednutrients and activity.

Dessert Can Be Dinner Finally someone got it right!Don't call the food police, but you can enjoy a Hot FudgeSundae for dinner "every now and then," which means asan occasional meal and not a steady routine. Don't denyyourself certain cravings. Make a meal out of a favorite


treat and you'll be less tempted to overindulge on yoursplurge foods. Just swap your dinner for a sundae — and itmay help you be more successful in controlling yourweight over the long term.

Liquid Calories Count If and when you tally up yourcalories at the end of a meal or a day, do your calculationstake into account what you’ve drank? Did you rememberto include that can of soda, smoothie, cup of latte, orcocktail? People tend to guzzle more of their daily caloriesthan they think and it really adds up, often more than theyrealize. For example, a can of soda has the same amount ofcalories (150) as of a piece of fruit and a slice of toast. Asmoothie can run up to an extra 500 to 1,000 caloriesdespite all the good stuff added in, and a 16-ounce lattewith whole milk packs 260 calories. The average margaritahas more than 500 calories, per drink! What's more, thebrain doesn't seem to register liquid calories as accuratelyas calories that are chewed, and it doesn't send stop-eatingsignals to keep you from drinking more. If you're taking in

only 1,200 to 1,500 calories a day, save those calories forfood and drink more water!

There Are No Negative-Calorie Foods You may haveheard that some foods, because they are difficult to digest,will make you lose weight. Dubbed "negative-caloriefoods," citrus fruits and celery have both basked in thisflattering light in fad diets over the years. The problem isthat it's not true. Although chewing celery might seem likea strenuous activity, it burns about the same amount ofcalories as watching the grass grow.

You Can Eat After 8 p.m. It doesn't matter what time ofday you eat. What matters is what and how much you eatand how much physical activity you get during the entireday that determines whether you gain, lose or maintainyour weight. No matter when you eat, your body will storeextra calories as fat. If you want a snack before bedtime,just think first about how many calories you've eaten thatday.

Important NoticeRegarding Journal

Published Home StudyContinuing Education

The Ohio Pharmacists Association for years hascoordinated a program to provide home study continuingeducation programs, for many states associationsincluding Georgia. The Ohio Association, due to risingcosts associated with that program, discontinuedproviding them for publication this spring. May was thelast edition of these studies.

GPhA is actively determining our best resource tocontinue this service to our members. We expect toresume publication of the home study courses as early asJuly or August 2009.

Thank you for your patience as we explore the mosteconomical method to continue this service to ourmembers.

Jim BracewellExecutive Vice PresidentGeorgia Pharmacy Association


Always concerned for healthcare in the state of Georgia,Eddie Madden, R.Ph., has

found many ways to both serve theinterests of his profession and hiscommunity of Elberton, Georgia. Foralmost 40 years, always protectingtheir interests, he has served hiscommunity and his patients .

Born in 1948 to parents, Jack and SueMadden, Eddie attended ElbertCounty High School. He thenattended Middle Georgia College andearned an Associate of Science degreebefore attending the University ofGeorgia School of Pharmacy . Hegraduated in 1971 with a Bachelor ofScience in Pharmacy.

Eddie is married to Linda DriskillMadden. He has three children, M.Bryan Madden, A. Hutton Maddenand Ashley Anne Madden.

Service to PatientsIn 1972, Madden opened Madden'sPharmacy, Inc., an independent retailpharmacy which has been serving theElberton area for over 30 years. Herecognizes the importance of apersonal relationship between patientand the pharmacist.

Madden's Pharmacy providesextensive prescription services, billingmost insurance companies, acceptingmajor credit cards, offering freedelivery in the Elberton area, in-storecharge accounts, and convenient

drive-in window service.

The pharmacy’s location next door toElberton's largest physician complex,The Medical Center, makes utilizingMadden's Pharmacy even moreconvenient.

Madden's Pharmacy also offersElberton's only local outlet for yourhome health care needs. Same dayservice can be provided for hospitalequipment and home oxygen. Setupand delivery is free throughout Elbertand the surrounding counties. Theycarry a wide selection of hospitalequipment, diabetic supplies, ostomysupplies, mastectomy prosthesis, andmany other items for the home boundpatient.

C o v e r S t o r y

by Kelly McLendon, Director of Public Affairs - [email protected]

Eddie Madden, R.Ph.: Preserving the Triad


Eddie Madden, R.Ph.Born: August 6, 1948Place: Elberton, GeorgiaParents: Jack and Sue MaddenSibling: Larry G. MaddenChildren: M. Bryan Madden

A. Hutton MaddenAshley Anne Madden

Wife: Linda Driskill MaddenEducation:

Graduate of Elbert County High School-1966Graduate of Middle Georgia College-1968 A.S.Graduate University of Georgia School of

Pharmacy-1971 B.S.Ph.

Employment: Founded Madden’s Pharmacy in 1972 in Elberton, GeorgiaCurrently is President of Madden’s Pharmacy, Inc., which operates as a prescription oriented pharmacy, home medical equipment business, Vital Care Home Infusion, and compounding pharmacy.

Community Service: President of the Elberton Kiwanis Club, 1976-1977President of the Elbert County Chamber of Commerce, 1986-1987President of the Elbert County Chamber of Commerce, 1990-1991Class Member of Leadership Georgia, 1991Board of Directors of Leadership Georgia, 1994-1997Second Vice President, Georgia Pharmacy Association, 2006-2007First Vice President, Georgia Pharmacy Association, 2008

Public Service: Elected to Georgia Senate 1993, serving 4 terms thru 2000.Chairman, Senate Interstate Cooperation Committee, 1995-1996Chairman, Senate Ethics Committee, 1997-1998Chairman, Senate Insurance Committee, 1998-2000Member, Senate Health and Human Services Committee, 1993-2000Member, Senate Natural Resources Committee, 1993-2000

Chairman, Environmental Subcommittee, 1996-2000Member, Senate Appropriations Committee, 1994-2000

Chairman, Subcommittee on State FacilitiesMember, Governor’s Education Reform Commission, 1998-2000Member, the Georgia State Board of Pharmacy, 2001-2006

Professional Affliliations: Georgia Pharmacy Association, National Community PharmacyAssociation, American College of Apothecaries; American Pharmacy Association; Georgia Society ofHealth-System Pharmacists


Professionally, Madden is amember of GPhA, NCPA, ACA,APhA, and GSHP.

Public ServiceBeing involved in local civicorganizations has always beenimportant to Madden. He served asPresident of the Elberton KiwanisClub 1976 to 1977; President of theElbert County Chamber ofCommerce 1986-1987 and 1990-1991; Class member of LeadershipGeorgia in 1991; Board of Directorsof Leadership Georgia 1994-1997;Executive Committee of GPhAfrom 2006-present.

But, his community service did notend there. Madden was elected tothe Georgia State Senate in 1993where he served four terms. Duringhis time in the Senate he served as theChairman of the Senate InterstateCooperation Committee 1995-1996;Chairman of the Senate EthicsCommittee 1997-1998; Chairman ofthe Senate Insurance Committee1998-2000; Member of the Senate

Health and Human ResourcesCommittee 1993-2000; Member ofthe Senate Natural ResourcesCommittee 1993-2000; Chairman ofthe environmental Subcommittee ofthe Natural Resources Committee1996-2000; Member of the SenateAppropriations Committee 1994-2000; Chairman of the State FacilitiesSubcommittee of the Senate

Appropriations Committee1994-2000; Member of theGovernor’s Education ReformCommission 1998-2000 andMember of the Georgia State

Board of Pharmacy 2001-2006.

Service to ProfessionMadden continues his professionaland public service when he begins histerm as president of the GeorgiaPharmacy Association. His chosentheme for the year, “Preserving theTriad,”exemplifies Madden’s visionfor GPhA. To protect therelationships the Triad represents: thepatient, the physician, and thepharmacy professional who providesan essential link between the patientand the physician.

Eddie Madden exiting the pool into which he wastossed after being elected to the position of 2ndVice President of GPhA in 2006.

Eddie Maddin (center) with David Graves, R.Ph. and Judy Gardner, R.Ph. at theGPhA Convention in Amelia Island.



AIP Announces the Establishment of aSummer Intern Program to PromoteIndependent Pharmacy for StudentsAIP has established a Summer Intern Program forpharmacy students. This program will allow pharmacystudents to receive an extensive 12 week training programwith an independent pharmacy. The first student toparticipate in the program is Nick Cummings. Nick is astudent at Mercer University. Nick will split his 12 weekinternship between Little Five Points Pharmacy and EastMarietta Drugs.

The AIP Executive Committee is currently establishinggoals and criteria for the program. We are very excited toinitiate this program with a young pharmacist who has astrong desire to work for an independent and one day ownhis own pharmacy. If this project is successful, we willexpand it in the future to include students from all thepharmacy schools in Georgia. We feel very strongly theintense, specialized training we can provide will greatlyencourage young pharmacy students to seek a future inindependent pharmacy.

If you have questions about this program contact JeffLurey at [email protected].

License RenewalsLicenses expire as follows:Pharmacists: December 31 of even numbered yearsNuclear Pharmacists: December 31 of even numberedyearsClinic Pharmacy: June 30 of odd numbered yearsHome Healthcare, Retail Pharmacy: June 30 of oddnumbered yearsHospital Pharmacy: June 30 of odd numbered yearsLimited Chemical Wholesale Distributors: June 30 of oddnumbered yearsManufacturing Pharmacy: June 30 of odd numberedyearsNuclear Pharmacy: June 30 of odd numbered yearsOpioid Treatment Clinic Pharmacy: June 30 of oddnumbered yearsPBM-Retail Pharmacy: June 30 of odd numbered yearsPrison Pharmacy: June 30 of odd numbered yearsRetail Pharmacy: June 30 of odd numbered yearsSchool Pharmacy: June 30 of odd numbered years

Wholesaler Pharmacy: June 30 of odd numbered yearsResearcher Pharmacy: June 30 of even numbered years

It is illegal to practice as a pharmacist with an expiredlicense.

How do I renew my license? You may renew your license on the Professional LicensingBoard website with a credit card. Click on the “LicenseRenewal” icon and follow the instructions. You will beasked a series of questions including whether you havebeen arrested, convicted or received a board sanctionsince your last renewal, whether you have completed yourcontinuing education requirements, and whether or notyou are a U.S. citizen. Renewing your license via thewebsite is the fastest way to renew your license.

The Professional Licensing Boards do not mail paperrenewals unless requested. A paper renewal form may berequested by the licensee by calling the Board office at478.207.2440, or submitting a written request. Licenseesmay also call our automated system at 404.463.1100 andrequest a paper renewal form using their personalidentification number included in their renewal notice.

Disciplinary Issues:The Board addresses these issues on a case-by-case basisand applies sanctions to those who violate the GeorgiaBoard of Pharmacy Practice Act, Board rules, and policies.It is important that licensees review all laws, rules andpolicies that affect their profession. These may be foundon the Board’s website at www.sos.ga.gov/plb/pharmacy.

All public disciplinary actions will be reflected in theBoard minutes which may be found on the Georgia Boardof Pharmacy website.

Grounds for denial, suspension, revocation of a license, orother disciplinary actions may be found at O.C.G.A. § 26-4-60 or at O.C.G.A. § 43-1-19, which can be found on theGeorgia Board of Pharmacy website.


Georgia State Board of Pharmacy ComplaintsProcess InformationThe Georgia General Assembly created the Georgia Boardof Pharmacy to regulate the licensing and regulation ofpharmacists and pharmacies in Georgia. Theresponsibility of administering the laws in O.C.G.A. § 26-4is given to the Board, whose members are appointed bythe Governor. The Board determines if applicants meetlicensure requirements, promulgates rules, and considerscomplaints against licensees and allegations of unlicensedpractice. The process for disposing of complaints is asfollows:

Complaint Form:Complaints must be reported to and received by theBoard in writing. Written complaints may be submitted tothe Board office or online athttp://sos.georgia.gov/myverification/submitcomplaint.aspx. Documents received in connectionwith a complaint will not be returned. The complaintmust contain sufficient factual evidence indicating a clearviolation of Georgia law or Board rules.

Investigations:The Board gives serious consideration to all complaints.Further investigative action may be taken. Generally,complaints are referred to Georgia Drugs and NarcoticsAgency for an investigation. Should you file a complaint,you may be contacted by a Georgia Drugs and Narcoticsagent for additional information. Investigative files areconsidered confidential for any purpose other than ahearing before the Board. However, the Board is

authorized to release such records to another enforcementagency or lawful licensing authority.

Notification Process:While the investigation is ongoing, the Board is unable todiscuss the status of a complaint with anyone, includingthe complainant. All public disciplinary actions will bereflected in the Board minutes which may be found on theBoard’s website.

Actions Taken by the Georgia State Board ofPharmacyJanuary: The Board adopted two new rules governing thepractice of pharmacy as follows:* 480-31-.01 Patient Counseling: The change allows for

professional judgment concerning patient counselingpertaining to prescription drug refills.* 480-27-.01 Definitions, 480-27-.02 Prescription Drug

Order Requirements, and 480-27-.04 Use of FacsimileMachine or Other Electronic Means to Transmit orReceive Prescription Drug Orders: The changes provideguidelines for acceptable types of electronic signatures onprescription drug orders.

The Board voted to reinstate the license of Joe T.Ricketson, Fort Valley.

February: The Board voted to accept the consent ordersfrom the following individuals:* Crystal L. Johnson, Nacoochee: Probationary licensure.* Gregory P. Sullivan, Martinez: Suspended license.


Pharmacy Law CE given for Pharmacy Technicians on May 17, 2009, at Pharmacy Partners of Georgia LLC.


The Board voted to accept thevoluntary surrender of a pharmacistlicense from Murriel MichaelWilliamson, Dublin.

March: The Board voted to acceptpublic consent orders from thefollowing individuals for probationarylicensure:* William Jason Warren, Centre, AL* Danna Brown, Birmingham, AL

Academy of PharmacyTechnicians (APT) ElectionResultsAs provided by the newly revisedbylaws of APT, an election of theofficers was held during the businessmeeting of the Academy held onSunday, May 17. The following are theofficers of APT for 2009-2010 andthey will serve for one year:

Chair: K. DeAnna Flores ofDouglasville - employed by PharmacyPartners of Georgia LLCVice Chair: L. Gail Lowney of Dallas -employed by Pharmacy Partners ofGeorgia LLC

Board Members: Donna P. Kelley ofAnniston, AL - employed by RobinsonDrug CompanyShanna Martin of Canton - employedby Pharmacy Partners of Georgia LLC

Carolyn D. Winney of Roswell- employed by the Kroger Company

Before the election we held a CEprogram for Technicians on PharmacyLaw taught by Flynn Warren. Thisevent was held at Pharmacy Partnersof Georgia, LLC, and was attended by22 technicians and pharmacists.Dinner for this event was provided byGlaxoSmithKline.

GPhA-ASA Members Participate in Multicultural Health Fair

Submitted by Meagan Spencer

On April 18, 2009, GPhA-ASA held its second annual state-wideMulticultural Community Health Fair. This event was started in 2008 with a$2000 seed grant from GPhA. The three pharmacy schools in the state, UGA,Mercer, and South, each organized a health fair in their respective region.

Mercer’s health fair was located at the parking lot of the InternationalFarmer’s Market on Buford Highway in Atlanta, GA. This area targeted alarge international population that is often underserved by the health caresystem.

To advertise, brochures and posters were printed and posted around themarket and on Buford Highway prior to the event. Additionally, the day of theevent, lots of balloons and a large jump castle were utilized to attractadditional bystanders.

Mercer screened over 150 individuals for diabetes, deep vein thrombosis,hypertension, obesity and gastroesophageal reflux disease (GERD) in ninedifferent languages (Vietnamese, Korean, Arabic, Spanish, French,Portuguese, Indonesian, Hindi, and Gujragi). Additionally, tables were set upfor information on AIDS/HIV, poison control for pediatric populations,smoking cessation, cancer where complimentary sunscreen was provided,geriatric populations, and women’s health. With face painting, stick-ontattoos, and a large jump castle, the children were not left out of the event andsupervision was provided while their parents received screenings.

This event provided essential health care services to an underservedpopulation. Many of the participants had never seen a physician, had recentlylost their job and thus their medical coverage insurance, or were having issuesfinding health care services with a provider that spoke their language. Mercer,UGA, and South would like to thank GPhA, the Foundation, and itscontributors for helping make this event a possibility. We look forward to ournext annual Multicultural Community Health Fair.


The Georgia Pharmacy JournalEditor: Jim Bracewell

[email protected]

Managing Editor & Designer: Kelly [email protected]

The Georgia Pharmacy Journal® (GPJ) is the official publication of theGeorgia Pharmacy Association, Inc. (GPhA). Copyright © 2009, GeorgiaPharmacy Association, Inc. All rights reserved. No part of this publicationmay be reproduced or transmitted in any form or by any means, electronicor mechanical including by photocopy, recording or information storageretrieval systems, without prior written permission from the publisher andmanaging editor.

All views expressed in bylined articles are the opinions of the author anddo not necessarily express the views or policies of the editors, officers ormembers of the Georgia Pharmacy Association.

ARTICLES AND ARTWORKThose who are interested in writing for this publication are encouraged torequest the official GPJ Guidelines for Writers. Artists or photographerswishing to submit artwork for use on the cover should call, write or e-mailthe editorial offices as listed above.

SUBSCRIPTIONS AND CHANGE OF ADDRESSThe Georgia Pharmacy Journal® (GPJ) (ISSN 1075-6965) is distributed asa regular membership service, paid for through allocation of membershipdues. Subscription rate for non-members is $50.00 per year domestic and$10.00 per single copy; international rates $65.00 per year and $20.00single copy. Subscriptions are not available for non-GPhA memberpharmacists licensed and practicing in Georgia.

The Georgia Pharmacy Journal® (GPJ) (ISSN 1075-6965) is publishedmonthly by the GPhA, 50 Lenox Pointe NE, Atlanta, GA 30324.Periodicals postage paid at Atlanta, GA and additional offices.POSTMASTER: Send address changes to The Georgia PharmacyJournal®, 50 Lenox Pointe, NE, Atlanta, GA 30324.

ADVERTISINGAdvertising copy deadline and rates are available at www.gpha.org uponrequest. All advertising and production orders should be sent to the GPhAheadquarters as listed above.

GPhA HEADQUARTERS50 Lenox Pointe, NEAtlanta, Georgia 30324Office: 404.231.5074Fax: 404.237.8435 www.gpha.org

Print: Star Printing - 770.974.6195

2008 - 2009 GPhA BOARD OF DIRECTORS

Name PositionSharon Sherrer Chairman of the BoardRobert C. Bowles PresidentEddie Madden President ElectDale Coker First Vice PresidentJack Dunn Second Vice PresidentJim Bracewell Executive Vice President/CEOBurnis Breland State at LargeHugh Chancy State at LargeJudy Gardner State at LargeKeith Herist State at LargeJohn McKinnon State at LargeAndy Rogers State at LargeTommy Whitworth State at LargeAlex Tucker Region One PresidentTony Singletary Region Two PresidentRenee Adamson Region Three PresidentBill McLeer Region Four PresidentShobhna Butler Region Five PresidentBobby Moody Region Six PresidentPam Marquess Region Seven PresidentLarry Batten Region Eight PresidentAlissa Rich Region Nine PresidentChris Thurmond Region Ten PresidentMarshall Frost Region Eleven PresidentKen Eiland Region Twelve PresidentRusty Lee ACP ChairmanLiza Chapman AEP ChairmanDebbie Nowlin AHP ChairmanTim Short AIP ChairmanMichelle Bishop APT ChairmanHillary Volsteadt ASA ChairmanJohn T. Sherrer Foundation ChairmanMichael Farmer Insurance Trust ChairmanFred Barber Ex Officio - President, GA Board of

PharmacyCynthia Pangburn Ex Officio - Chairman, GSHPGina Ryan EX Officio MercerMeagan Spencer Ex Officio Mercer ASPRusty Fetterman Ex Officio South Rebecca Cubbedge Ex Officio South ASPBrian Buck Ex Officio UGAKyle Burcher Ex Officio UGA ASP

The Insurance Trust

Serving Georgia Pharmacists Since 1981

GeorgiaPharmaceutical Services

I n s u r a n c e A g e n c y

Trevor MillerDirector of Insurance Services

[email protected]

Main: (404) 231-5074 ext. 8107

Direct: (404) 419-8107

The GPhA Journal50 Lenox Pointe, N.E.Atlanta, Georgia 30324

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