the georgia pharmacy journal: october 2009

The Georgia Pharmacy Journal October 20092

Open EnrollmentBegins October 1st for the Plan Year 2010

Prescription Drug CoverageDental and Orthodontic Benefits

$500 Wellness BenefitGuaranteed Issue Term Life Insurance... up to $50,000

(with no underwriting requirements)

Call or e-mail TODAY to schedule a time to discuss your health insurance needs.Trevor Miller – Director of Insurance Services

404.419.8107 or email at [email protected]

NEW PLANS – BETTER RATES – MORE BENEFITS in 2010

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

Insurance

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

12 Keep Jobs in Georgia

15 Reagan Home Care Pharmacy Celebrates 50th Anniversary

18 Foundation Scholarship Recipients Say “Thank You”

19 Pharmacies are Negatively Impacted by “as directed” Prescriptions

19 PA Signature Line Change

21 CPE Opportunity: Advancing Pharmacy Practice Though Performance Measurement: Future Implications

C O L U M N S

4 President’s Message

7 Editorial

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

17On the Road Again

Fall Region MeetingsOctober 6, 13, 15 & 27, 2009

Departments5 New Members13 Pharm PAC Contribution Card14 GPhA Member News20 University News30 GPhA Board of Directors

Advertisers2 The Insurance Trust2 Principal Financial Group6 Pharmacists Mutual Companies11 PharmStaff11 Toliver & Gainer16 AIP 18 Melvin M. Goldstein, P.C.21 Michael T. Tarrant31 Southeastern “Girls of Pharmacy”

Leadership Weekend32 The Insurance Trust

P R E S I D E N T ’ S M E S S A G E


As I traveled around the State making our regionmeetings, I have asked the audience how manyimmunizing pharmacists were in attendance.

Much to my surprise they were in the minority. I havebeen an immunizer since March 2001. My experiencewith offering immunizations in my community has beenvery rewarding. I have had many new faces enter mypharmacy and have also had a lot of previous patientsreturn. I started being bombarded with calls in lateAugust wanting to know when the flu shots would beavailable. I am amazed at how my community hasbecome aware of my pharmacy being a source for fluimmunizations.

This year is a new year for Georgia pharmacists wishingto give immunizations. During the last calendar yearand this year’s legislative session, our Association hasbeen working with the Medical Association of Georgiacrafting legislative language that will permit Georgiapharmacists to give influenza vaccinations underprotocol. There are new legal requirements forpharmacists to provide influenza vaccinations under aprotocol. These new requirements invalidate ourprevious use of a protocol, which was deemed illegal, togive mass immunizations.

To utilize a protocol agreement for influenzavaccination, specific requirements must be met. An

approved template protocol agreement is available onthe Georgia Composite Medical Board’s website. If youdo not use the pre-approved template then yourprotocol must be submitted to and approved by theBoard. This agreement must be executed between thepharmacist and an active physician located in a countyor contiguous county for non-chain pharmacists orwithin a state health district for chain pharmacists and itmust be filed with the Georgia Composite MedicalBoard. Both the pharmacy and the physician’s practicemust be registered with GRITS, a Georgiaimmunization registry designed to collect and maintainaccurate and complete vaccination records which arerequired to be used by Georgia law. The pharmacistimmunizer must also complete an approved course onthe administration of vaccines, one of which is theAPHA’s Immunization Delivery Program. I amcurrently preparing to take the APHA ImmunizationClass to meet the legal requirements. While I haveadministered more than a thousand vaccinations, I amfinding that this program has given me a more in depthunderstanding of the basics of immunology and theimportance of vaccine preventable diseases. Thecompletion of Basic Cardiac Life Support is also a newrequirement increasing the level of training above CPR.

October is the prime time for administering fluvaccinations. If you are not an immunizing pharmacist, I

Eddie M. Madden, R.Ph.GPhA President

Flu Season is Upon Us

5The Georgia Pharmacy Journal October 2009

urge you to consider expanding your scope of practiceto include this vital activity. As our profession strugglesto offer opportunities to expand our scope of practice, itis up to you to take advantage of the fruits of our efforts.By offering immunizations, you have the opportunity toraise the public’s awareness of the increasing role thepharmacist can play as part of the healthcare team andheightens our statute in the community and amongother healthcare providers. The process to establish animmunization program in your pharmacy will takeseveral months. Begin now for next year’s flu season.

Another important aspect of being an immunizingpharmacist is the opportunity to play a vital role in thecase of a pandemic flu. The emergence of the H1N1 fluhas gotten international attention. Every state isworking on plans to handle a pandemic flu event. Withthe chance of tens of thousands of more deaths, ourcurrent health systems will become inundated withpatients seeking medical treatment and immunizations.The State is currently trying to identify pharmacies andpharmacists that can provide an expanded network totake care of this pandemic threat. To participate in thisyear’s H1N1 flu program, an immunizing pharmacistmust contact their district health department and fillout an application to be approved for receiving andadministering this vaccine. You will be required to have

registered with GRITS and have the facilities to storevaccine and the training to give vaccinations. OurAssociation has also made efforts to contact and identifypharmacies and pharmacists from throughout the statethat would be willing to participate in a pandemicemergency not only providing vaccinations, but alsodispensing government stockpiles of Tamiflu. If youhave not been contacted and would like to participate,please notify the Association so we can assist you inbecoming involved.

Pharmacists are the most accessible and underutilizedmembers of the healthcare team. Pharmacists can makesignificant contributions to improving immunizationrates in their communities. We can easily identifyspecific people who need vaccines on the basis of ageand medical histories. We owe it to our communitiesand patients to be an advocate for vaccine preventablediseases. With over 40,000 pharmacists and futurepharmacists now having completed certificate trainingin immunizations, momentum is rapidly movingpharmacy-based immunizations to become the standardof practice throughout the United States. The train isleaving the station. Be sure you and your practice are onboard!!!

Hagar Badawy, SavannahTara R. Bennett, Savannah

Timothy Scott Costyn, AthensKaren Melissa Da Cruz, Atlanta

Amy Elhamshary, SavannahWilliam M. Harper, OD, Tifton

Kimberly Ann Jameson, C.Ph.T., WoodstockJesica Aileen Lipcsei, Savannah

Phung Kim Mach, DuluthKayleigh Marx, Athens

Henry McGill, R.Ph., Hahira

Kristen Leigh Motlow, MartinezGerald J. Prchal, Albany

Erin Sage Rodems, SavannahStephen E. Schock, OD, Marietta

Jason Paul Sneed, Pharm.D., Sugar ValleyBen Stanley, Pharm.D., Gordon

Heather Angelica Tidwell, SavannahZachary Tomberlin, Savannah

Erica Nicole Williams, SavannahWeldon Williams, Jr., Pharm.D., Savannah

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

professional pharmacy association!

Independent Community Pharmacies

large corporations EVERY DAY!

competewith

• Pharmacists Mutual Insurance Company

• Pharmacists Life Insurance Company

• Pro Advantage Services, Inc.

d/b/a Pharmacists Insurance Agency (in California) CA License No. 0G22035

800-247-5930 • PO Box 370, Algona, Iowa 50511 • www.phmic.com†

*Dividends cannot be guaranteed; however, they have been returned uninterrupted since 1909.†Notice: Th is is not a claims reporting site. You cannot electronically report a claim to us. To report a claim, call 800-247-5930.

Not all products available in every state. Pharmacists Mutual Insurance Company is not licensed in HI or FL. Th e Pharmacists Life Insurance Company is not licensed in AK, FL, HI, MA, ME, NH, NJ, NY or VT. Pro Advantage Services, Inc., d/b/a Pharmacists Insurance Agency (in CA) is not licensed in HI. Check with a representative or the company for details on coverages and carriers.

Contact your Pharmacists Mutual representative to discuss comprehensive insurance products to help your business prosper.

Like most independent pharmacies, you present yourself as:• a pharmacy that patients trust• a friendly, knowledgeable pharmacist• knowing and caring for your patients• giving high quality care to every patient• providing bett er service for the co-pay dollar• a specialist in disease management

Like YOU, Pharmacists Mutual competes with large corporations. Pharmacists Mutual:

• is trusted by its pharmacy customers• has a friendly, knowledgeable staff • knows its customers and the pharmacy industry• provides quality service to every customer• has provided policyholder dividends every year since 1909*

• specializes in all aspects of pharmacy insurance and fi nancial products

Like YOU, Pharmacists Mutual is successful because we have been taking care of our customers... since 1909!

A. Hutt on MaddenMobile: 404-375-7209 • Toll Free: 800-247-5930 ext. 7149

E X E C U T I V E V I C E P R E S I D E N T ’ S E D I T O R I A L

Jim BracewellExecutive Vice President / CEO

Caution: Sit Down Before You ReadThis Article


The following is taken directly from the August 2009communication to State of Georgia retirees fromthe Department of Community Health.

Georgia Department of Community Health to StateRetirees:“The mail order option means that you either:1. Pay 3 co-pays for a 90-day supply at your retail pharmacyOR2. Reduce your out-of-pocket cost and pay only 2 co-paysfor a 90 day supply if you choose to get your prescriptionsthrough the mail.”

This mandate to charge each retiree an extra co-pay to filltheir prescriptions at their home town pharmacy or chargethe retiree a co-pay less to go to an out of state mail orderpharmacy which is owned by the company that isadministering the contract for the State of Georgia is almosttoo much to believe. The only increased cost involved is tothe retiree for using a local Georgia pharmacy.

“What can you do?” you ask.

These are three statements you need to provide personallyto your local chamber of commerce president.

1. The Pharmacy Benefit Manager (PBM) contracted bythe State of Georgia sets the terms and conditions for allpharmacies including the mail order pharmacy owned bythe PBM. Specifically how many co-pays the retiree mustpay each pharmacy.

2. The State has allowed this PBM to implement a contractthat penalizes a retired state employee by requiring theretiree through the health plan contract to pay an additionalprescription drug co-payment for a 90-day prescription ifthey fill their 90-day prescriptions at a Georgia communitypharmacy.

3. This PBM is allowed to charge one less co-pay on 90 dayprescriptions if the prescription is filled at their PBMowned mail order pharmacy in another state. Currently weare told the PBM by contract terms will not allow Georgiapharmacies to offer the same two co-pay program.

“Why go to your local chamber of commerce with thisissue?” you ask.

Because the state of Georgia has 171 local chambers ofcommerce and collectively they have much more clout oneconomic issues than all of the pharmacy community put

continued on page 8


together. The local chamber president knows that if this canhappen to a local pharmacy it can happen to any businessthat contracts with the state of Georgia. As taxpayers and asrepresentatives of business, especially small business theyought to be outraged by this action.

Do not let a slick reply from the insurance company orPBM representative distract you from the issue of thesethree statements. Stay focused on this issue, no state retireeshould be financially penalized for purchasing theirprescription drugs from the community pharmacy in theirhome town.

It is egregious that the Department of Community Healthwho handles these benefits would allow such an action totake place.

See the letter to Governor Perdue from President EddieMadden on page 9.

See the letter to Commissioner Dr. Medows from PresidentEddie Madden on page 10.

See the article in the Atlanta Journal Constitution by StateRepresentative Buddy Carter on page 12.

How do you reach your local chamber of commerce?If you do not find them quickly in the phone book then goto www.gachamber.com/directory?localchambers for a fulllisting.

When you contact your local chamber, please fax me at 404237-8435 or email me at [email protected] about yourcontact and I will follow up with a personal letter to thelocal chamber thanking them for their interest and support.

Will this effort work? Will this cause a change in the state tochange the contract? It is for sure nothing will happen if youdo not let your local chamber know and ask for their help.

The State Health Plan takes effect January 1, 2010. Let'splan on a happy 2010 by keeping Georgia tax dollars inGeorgia.


The Honorable Sonny PerdueGovernor of GeorgiaThe Office of the GovernorState of Georgia203 State CapitolAtlanta, Georgia 30334

Dear Governor Perdue:

This letter is offered to serve as the Georgia Pharmacy Association’s response to the two co-pay, mail-orderincentive for State Health Benefit retirees.

As pharmacists we believe the best patient care can only be achieved through a system that allows the patient tohave access to the pharmacist. A pharmacist is an important factor in medication therapy management becauseof their superior knowledge of pharmacology. A pharmacist has the ability and knowledge to intercedeeffectively if they see a mistake made during the prescribing or dispensing process. In a mail-order system thereare no checks and balances to assure the medication is properly prescribed, stored and shipped to the patient. Ina time when many state agencies are asking patients to seek a “medical home,” other Georgia state agencies aretelling patients thatfrom where and from whom they receive their medications is not important to their overallhealth.

When a state agency has the ability to assign a dollar value to the healthcare of Georgia’s citizens, the patientsultimately suffer. We are allowing our citizens’ level of care to be determined by publicly traded companies thathave no interest in the welfare of our state much less the welfare of our citizens’ health. The pharmacists whohave been educated in Georgia, built businesses in Georgia and paid taxes in Georgia have a vested interest inthe welfare of their communities.

The Georgia pharmacists are willing to come to the table to help with the deep budget cuts currently beingenacted. We are asking that the Department of Community Health allow Georgia pharmacists to participate inthe same two co-pay incentive. This is not a popular choice, but our pharmacists are willing to do what isnecessary to help their communities and patients in the time of need. Please help create a level playing field soour citizens can make choices that are best for their healthcare, not only their wallets. Do not put our state’shealthcare in the hands of corporate entities that have no vested interest in the welfare of our citizens.

Sincerely,

Eddie Madden, R.Ph.Madden’s Pharmacy, Elberton, GAPresident, GPhA Board of Directors


Dr. Rhonda MedowsCommissionerDepartment of Community Health 2 Peachtree Street, NWAtlanta, GA 30303

Dear Dr. Medows:

This letter is offered to serve as the Georgia Pharmacy Association’s response to the two co-pay, mail-orderincentive for State Health Benefit retirees.

As pharmacists we believe the best patient care can only be achieved through a system that allows the patient tohave access to the pharmacist. A pharmacist is an important factor in medication therapy management becauseof their superior knowledge of pharmacology. A pharmacist has the ability and knowledge to intercedeeffectively if they see a mistake made during the prescribing or dispensing process. In a mail-order system thereare no checks and balances to assure the medication is properly prescribed, stored and shipped to the patient. Ina time when many state agencies are asking patients to seek a “medical home,” other Georgia state agencies aretelling patients thatfrom where and from whom they receive their medications is not important to their overallhealth.

When a state agency has the ability to assign a dollar value to the healthcare of Georgia’s citizens, the patientsultimately suffer. We are allowing our citizens’ level of care to be determined by publicly traded companies thathave no interest in the welfare of our state much less the welfare of our citizens’ health. The pharmacists whohave been educated in Georgia, built businesses in Georgia and paid taxes in Georgia have a vested interest inthe welfare of their communities.

The Georgia pharmacists are willing to come to the table to help with the deep budget cuts currently beingenacted. We are asking that the Department of Community Health allow Georgia pharmacists to participate inthe same two co-pay incentive. This is not a popular choice, but our pharmacists are willing to do what isnecessary to help their communities and patients in the time of need. Please help create a level playing field soour citizens can make choices that are best for their healthcare, not only their wallets. Do not put our state’shealthcare in the hands of corporate entities that have no vested interest in the welfare of our citizens.

Sincerely,

Eddie Madden, R.Ph.Madden’s Pharmacy, Elberton, GAPresident, GPhA Board of Directors


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

• Professional LicensureDisciplinary Proceedings

• Medicaid Recoupment Defense• Challenges in Medicaid Audits• OIG List Problems• SCX or Other Audits

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

attorney for 25 years and has represented numerouspharmacists and pharmacies in all types of cases.Collectively, he has saved his clients millions of

dollars.

Toliver and Gainer,LLP

942 Green Street, SWConyers, GA 30012-5310

[email protected]

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Some of my fondest memories growing up are ofvacations my family and I spent at a Georgia StatePark- camping at Elijah Clark State Park near

Lincolnton.

Throughout the years, my family and I have continuedthis vacation tradition and always look forward to ouryearly summer pilgrimage.

Imagine our surprise when we called last year to make areservation and reached a call center in Maryland. That’sright- to make a reservation for a Georgia State Park youhave to call Maryland.

If you want to buy a Georgia hunting or fishing licenseguess where you call? You got it- out of state.

Recently the Georgia Department of Community Health(DCH) announced a new policy that requires all StateHealth Benefit Plan (SHBP) retirees and covereddependents to enroll in an insurance plan that offers ahuge incentive to use mail order pharmacies located out ofstate instead of your local retail pharmacy.

In other words, DCH is encouraging and offeringincentives for Georgia citizens to send their prescriptionbusiness out of the state.

What’s going on here? Why are we sending business out ofour state when revenues are down and unemployment isup?

Georgia’s main budget revenue sources are income,corporate and sales taxes. Out of state workers andcompanies pay no income tax, no corporate tax and nosales taxes- so why do we send jobs and business out ofour state?

In July, Georgia’s unemployment rate topped 10 percentfor the second month in a row. The nationalunemployment rate for July was 9.4 percent, making Julythe 21st consecutive month in which the stateunemployment rate topped the national rate.

According to the Labor Department there were 493,748unemployed Georgians looking for work in July, which isan increase of 63.6 percent from July of 2008.

Keep Jobs in Georgia

Buddy Carter, R.Ph.Candidate for State Senate

P H A R M A C Y N E W S

Recently, Georgia State University’s chiefeconomic forecaster predicted that Georgia’s joblosses will continue through 2010 before seeingany significant jobs added in 2011.

While some economists are suggesting that therecession may have bottomed out, many are stillconcerned that without an increase in jobs,Georgia’s high unemployment rate will continue tohave a negative impact on the budget.

After all, job losses not only mean less income,corporate and sales tax revenues going into thebudget, it also means more pressure on socialprograms such as food stamps, Medicaid andPeachcare coming out of the budget.

So why would a state such as Georgia, that hasworked so hard to be viewed as being” businessfriendly,” offering tax credits for major economicdevelopment projects as well as other financialincentives for companies to bring jobs to our state,send jobs out of the state?

Some critics point to budget cuts ordered by theGovernor to be made by department and agencyheads as being the problem. Had the Legislaturebeen more involved and a special session beencalled, this probably would not have happened,they say.

After all, they point out, the Legislature has passednumerous bills to help create and keep jobs in ourstate and even created the “Made in Georgia”program that promotes goods and productsmanufactured in Georgia.http://georgiamadegeorgiagrown.com

Regardless of the reason for this oversight, thesewrongs need to be righted. We shouldn’t have tocall another state to make reservations in a GeorgiaState Park or purchase a Georgia hunting or fishinglicense. And State Health retirees shouldn’t have touse an out of state mail order pharmacy to get theirmedications.

Let’s be smart about the cuts we make and keepGeorgia tax dollars in Georgia.

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 30324You may also donate online.



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

Ashish A. Advani, Pharm.D., clinicalassistant professor at Mercer University,was awarded a $50,678 grant for theDrug Information Residency programfrom Alaven Pharmaceuticals, LLC.

Michael W. Jann, Pharm.D., professorat Mercer University, co-authored“Cholinesterase Inhibitors” inCOMPREHENSIVE TEXTBOOK OF

PSYCHIATRY.

Heather DeBellis, Pharm.D., AssistantProfessor of Pharmacy Practice(Community Care) at South Universityreceived the Mortar and Pestle Awardfrom the class of 2009

Andrea L. McKeever, Pharm.D.,BCPS, Assistant Professor of PharmacyPractice (Drug Information) & Director, Drug Information Center atSouth University received the Mortarand Pestle Award from the class of 2009and 2010

Michael A. Crouch, Pharm.D., BCPS,Professor and Chair (Cardiology) atSouth University co-authored “A cost-effectiveness analysis of anticoagulationstrategies in non-ST-elevation acutecoronary syndromes.” in THE ANNALS OF

PHARMACOTHERAPY 2009.

C. Scott Lancaster, Pharm.D., AssistantProfessor of Pharmacy Practice(Ambulatory Care) at South Universityco-authored “Diabetes-RelatedMedication-Induced Hypoglycemia.”published in the JOURNAL OF PHARMACY

PRACTICE 2009.

Pamela F. Hite, Pharm.D.,Assistant Professor of Pharmacy Practice(Internal Medicine) and HeatherDeBellis, Pharm.D., Assistant Professorof Pharmacy Practice (CommunityCare) at South University co-authoredDiabetic Kidney Disease: A Renin-Angiotensin-Aldosterone SystemFocused Review” published in the

JOURNAL OF PHARMACY PRACTICE 2009.

James W. Fetterman, Jr., Pharm.D.,Associate Professor and ExperientialEducation Coordinator at SouthUniversity co-authored “The therapeuticpotential of n-3 polyunsaturated fattyacids in disease published” in theAMERICAN JOURNAL OF HEALTH-SYSTEMS

PHARMACY 2009.

University of Georgia’s Albertson’s, LLCScholarship went to Leann Walton ofLincolnton, and Phillip Tyler Mayotte ofMarietta.

UGA’s Alpha Iota Chapter of Phi DeltaChi (Brian Eastmead MemorialScholarship) went to Rejena Azad ofCovington.

UGA’s Alumni Scholarships went toLaura Leigh Guillebeau of Albany,Mansi Tushar Sheth of Chattanooga,Jennifer Louise Cribb of Stockbridge,Alina Maylene Kuo of Douglasville,Rola Mousa Franks of Demorest, ShuangOuyang of Kennesaw, and Bryan JamesGreen of Douglasville.

UGA’s AmerisourceBergen CorporationScholarship went Lydia ElisabethCronic of Newnan.

UGA’s Howard C. Ansel Scholarshipwent to Lora K. Yim of Acworth, andKimberly Renee Ward of Senoia.

UGA’s Pamela Beth Goldman BlockMemorial Scholarship went to SamanthaRuth English of Dudley, and MollyElizabeth Keaton of Belton, S.C.

UGA’s Broadrick Family EndowedStudent Scholarship went to JenniferAnn Boykin of Richmond Hill and JohnAnthony Galdo of Marietta.

UGA’s College of Pharmacy FacultyScholarship went to Matthew Miles

Mack of Hephzibah; Iraida Vega ofAthens, and Phillip Lorenza Mohorn, Jrof Statesboro.

UGA’s CVS Scholarships went to AmberLauren Jenkins of Bonaire, Kristina S.Yacoub of Marietta, Selena HinaMehmood of Lawrenceville, RoxanneAtkins Hotz of Woodstock and WillianBurt Wrenn of Watkinsville.

UGA’s Georgia Pharmacy AssociationRegina Baird Memorial Fellowships wentto Melissa Gay Weaver of Smyrna, andJetta Marie Sartwell of Ellaville.

UGA’s Georgia Pharmacy AssociationCarlton Henderson Fellowship went toRafael Rocha Felippi of Cumming.

UGA’s Georgia Pharmacy FoundationNeil L. Pruitt Sr. Scholarship went toMaria Miller Thurston of Athens.

UGA’s Harvey’s Endowed StudentScholarship went to Lindsey AnnJackson of LaGrange.

UGA’s Dione Mavis JohnstonScholarship went to Natalie DianneJohnson of Lexington.

UGA’s Albert W. Jowdy Scholarshipswent to Bryan Pinckney White ofStatesboro, Kimberly Ann Millward ofMartinez, Kelly Lynn Thornburg ofWarner Robins, Sametria R. Glass ofWarner Robins, Abigail Sara Hobbs ofWatkinsville, Jacob David Hampton ofRinggold, Kathleen McManus ofGainesville, Lilly Lien Hildingof Fortson, Cecilia JoAnn Inhulsen ofMontezuma, Jamie Leigh Huckaby ofConyers, and Olubusola OpeoluwaOluyemi of Kennesaw.

UGA’s Jun Family AchievementScholarship went to Michael LouisThiman of Buford and Megan AmyGettis of Lawrenceville.



UGA’s Reagan Roland Lykins MemorialScholarship went to Lucyna Anne Webbof Ringgold and Dominique AkeemGardner of Athens.

UGA’s Alhaja Sekinat MumuneyMemorial Scholarship went to AnthonyCarlos Scott of Lawrenceville andManisha Patel of Buford.

UGA’s Publix Scholarships went to LeighAnne Dye of Powder Springs, KristenLeigh Motlow of Evans, Lauren RachelBiehle of Marietta, and Marissa AnnMeiring of Loganville.

UGA’s Randolph-Mercer MemorialScholarship went to Ryan AugustusMarkham of Duluth and Abbie JohnsonScarborough of Jesup.

UGA’s Adetoun (Rita) ThompsonAlumni Memorial Scholarship went toPhung Kim (Michelle) Mach of Duluth.

UGA’s Youngblood Scholarship went toElizabeth Hutto Brown of Claxton.

Sally Huston, Ph.D., Assistant Professorat The University of Georgia published“Decision-making about the use ofhormone therapy among perimenopausalwomen” in the BRITISH JOURNAL OF

HEALTH PSYCHOLOGY, also availableonline.

Beth Phillips, Pharm.D., BCPS,Clinical Associate Professor Presented“Developing Clerkship Student andResident Learning Experiences” at theTeaching Certificate Program forResidents and Preceptors in Athens.

In Remembrance

Paul Bowen passed away on August27, 2009, at the age of 85. Hegraduated from Southern College ofPharmacy in 1953 and was PastPresident of the Mercer UniversityCollege of Pharmacy and HealthSciences Alumni Association Board ofDirectors.

If you have an item that you would likeincluded in the GPhA Member Newssection of THE GEORGIA PHARMACY

JOURNAL please email the news to KellyMcLendon at [email protected] orfax it to her attention at 404.237.8435.

On August 27, 2009, Reagan Home Care Pharmacy celebratedits 50th Anniversary with the opening of its new location at1600 Milstead Road in Conyers, Georgia. The celebrationbegan with a ribbon cutting at 11:30 a.m. and continued untilAugust 28 with Customer Appreciation Refreshments, a“Celebration Sale” and the introduction of a $5 Generic DrugProgram called RxCares.

Roland Reagan opened the pharmacy in 1959 under the name“Reagan’s Pharmacy” which was located in the Medical ArtsBuilding next to the old Rockdale Hospital. In 1965 “Reagan’sPharmacy” moved to Conyers in order to group and became“Reagan Home Care Pharmacy.” Roland and his sons, Mikeand Jeff, ran the pharmacy and expanded to home medicalequipment and home oxygen. In 1984, Mike and Jeffpurchased the store from their father. In 199,0 Reagan’sbecame the first pharmacy in Conyers to offer home medicalI.V. services.

Through it all the Reagan family has serviced their patients inConyers and continued to innovate their pharmacy to fit thechanging health care environment. Congratulations to them.

Reagan Home Care Pharmacy Celebrates50th Anniversary

Roland Reagan, R.Ph., receiving his 50 years in pharmacy award atthe opening of the new location of Reagan Home Care Pharmacy andthe celebration of Reagan’s 50th Anniversary.

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Speakers will be :Robert Bowles, R.Ph., CDM, CFts, Chairman of the Board, 2009-2010Eddie Madden, R.Ph., President, 2009-2010Dale Coker, R.Ph., President-Elect, 2009-2010Jack Dunn, R.Ph., First Vice President, 2009-2010Robert Hatton, Pharm.D., Second Vice President, 2009-2010Jim Bracewell, Executive Vice President

Schedule of Fall 2009 Region Meetings: Save the DateFor additional information and to RSVP go to www.gpha.org.

October 6, 2009 6:30-9:30 p.m. Old Mill Restaurant Region 7 Acworth Mike CrooksOctober 6, 2009 6:30-9:00 p.m. Ryan’s Steakhouse Region 11 Augusta Marshall FrostOctober 6, 2009 6:30-9:00 p.m. Deano’s Italian Restaurant Region 12 Dublin Ken Eiland October 13, 2009 6:30-9:30 p.m. Healy Pointe Country Club Region 6 Macon Bobby Moody October 13, 2009 7:00-9:30 p.m. Holiday Inn Region 8 Waycross Larry BattenOctober 13, 2009 6:00-9:00 p.m. Provino’s Italian Restaurant Region 9 Canton Jason Rich October 15, 2009 6:30-9:00 p.m. Love’s Seafood Region 1 Savannah Heather DeBellisOctober 15, 2009 6:00-9:00 p.m. Canongate at Flat Creek Region 4 Peachtree City Bill McLeerOctober 15, 2009 6:00-8:00 p.m. Mercer University Region 5 Atlanta Shobhna ButlerOctober 27, 2009 6:00-9:00 p.m. Sunset Country Club Region 2 Moultrie Tony SingletaryOctober 27, 2009 6:30-9:00 p.m. Columbus Regional Region 3 Columbus John DrewOctober 27, 2009 6:30-9:00 p.m. Logan’s Roadhouse Region 10 Athens Chris Thurmond

For details about the Continuing Education Program at the Fall RegionMeetings please visit www.gpha.org or call GPhA at 404.231.5074.

The Georgia Pharmacy Association is accredited by the Accreditation Council of Pharmacy eduction as aprovider of continuing pharmacy education.



Georgia Pharmacy Foundation,

Thank you for your help in funding our trip to the Universityof Utah School of Alcoholism and Other Drug Dependencies.The experience was eye opening and we learned atremendous amount. We look forward to sharing ourknowledge with the students at our school and throughoutGeorgia.

Thanks again,

Darshin Jani and Raina PenkarMercer University College of Pharmacy & Health SciencesDoctor of Pharmacy Candidates, 2011

This is their first hand account:

This summer, we attended the University of Utah’s School ofAlcoholism and Other Drug Dependencies. We truly enjoyedthe experience and learned a tremendous amount. Theschool, which is recognized, offers seminars that focus onincreasing awareness of the health and social problems ofalcoholism and other drug dependencies. The conference wasdivided into multiple sections. During the day time weattended seminars specifically for the pharmacy section.These sessions were informative and also served as anetworking opportunity. At these seminars we touched on thepathphysiology of the disease and how drugs and alcoholaffect the brain. Many of the pharmacists who attended werein recovery and made an effort to serve as mentors to thestudents and new pharmacists in recovery. It was interestingto see the close-knit community amongst those in recoveryand how they leaned on each other for help and support. Wealso heard the touching stories of those affected by substanceabuse during several Alcoholics Anonymous, NarcoticsAnonymous and Al-Anon meetings. This showed us howaddiction not only impacts the abuser, but their families aswell.

We also had several informative lectures on the recoveryprocess of this disease. Once we finished with the seminars,we had the rest of the day to explore beautiful Salt Lake City.In the evening we were able to take a hike on a nearbymountain as a group. It was a great bonding experience for us

students and although the hike was a challenge, the view fromthe top made it well worth it. We were also able to travelaround Salt Lake City and visit the Mormon Temple, and thenearby shopping malls. The whole week was an incredibleexperience.

It allowed us to meet some extraordinary people from all overthe country. The experience also allowed us to appreciate ourlives. It taught us that life is a gift and should not be taken forgranted. We ended each day in Utah by saying the serenityprayer, “God, grant me the serenity to accept the things Icannot change, the courage to change the things I can, and thewisdom to know the difference.” This prayer has now becomepart of our daily lives. We strongly encourage those who areinterested to attend the conference next year. For moreinformation regarding The University of Utah School ofAlcoholism and other Drug Dependencies, visit:www.usaprn.org.

Foundation Scholarship Recipients SayThank You


P H A R M A C Y N E W S

In the last few years, the number of pharmacy auditsperformed by Pharmacy Benefit Managers (PBMs)has increased tremendously. While the core goal

professed by PBMs is to reduce fraud and waste, thepharmacies have often been hit financially by acceptingcertain prescriptions that prescribers may not know areunacceptable by the PBM.

For instance, most PBMs do not allow as directed (UD)prescriptions because it is impossible to determine thecorrect days supply. Pharmacies must submit the claimwith an accurate days supply based on prescriber’sdirections and the quantity dispensed. If the prescriptionjust states “as directed” there is no way to calculate thedays supply unless the pharmacy contacts the prescriber’soffice for clarification. The pharmacy may be paid initiallybut if the PBM audits the prescription and there isn’t

documentation where the pharmacy clarified thedirections or the maximum dosage per day, then thepharmacy will have to pay the entire amount back to thePBM, which can often be thousands of dollars. Anotherinstance is just writing “sliding scale” for insulin. Usingthis language will result in the pharmacy having to returnpayment to the PBM if they haven’t documented on theprescription the maximum amount used per day.

Including the specific directions on the prescription isbeneficial for prescriber, patient and pharmacist. Thepharmacist will not have to make any unnecessary calls tothe prescriber while the patient waits. Also, the pharmacistcan reinforce and instruct the patient on the proper use ofthe medication during the counseling session. And finally,the pharmacy will not be penalized financially foraccepting an ‘as directed’ prescription.

Pharmacies are Negatively Impacted by “asdirected” PrescriptionsAmanda Gaddy, R.Ph. Georgia Pharmacy Association Audit Staff

Anew law is now in effect which eliminates the needfor a Physician Assistant to have to utilize thetraditional special PA signature line language on

their prescription. This new law allows PA prescriptions tohave a traditional prescription signature line, the same asthe ones already used by physicians and APRNs. The oldlanguage that was done away with is as follows:

"This prescription authorized through: (M.D. or D.O.) by(the physician's assistant) PHYSICIAN'S ASSISTANT."

Nothing else has changed about the requirements for a PA

prescription. The name of the PA's supervising physicianstill has to be at the top of the prescription, along with thephysician's address and telephone number. Nor hasanything changed which will authorize a PA to write aprescription for a C-II Controlled Substance.For text of this bill visit: www.legis.state.ga.us/legis/2009_10/pdf/hb509.pdf.

Physician’s Assistant Signature LineChangeC. Richard “Rick” Allen, R.Ph.Deputy Director Georgia Drugs and Narcotics


P h a r m a c y S c h o o l N e w s

Mercer University: White Coat CeremonyHeld in Atlanta

The Class of 2013 for the Mercer School of Medicine andthe Doctor of Pharmacy students at the College ofPharmacy and Health Sciences were officially introduced

to their Mercer education at white coat ceremonies on August 20,2009. Pharmacy students participated in their ceremony inAtlanta. The students also took their professional oaths for thefirst time at the ceremonies.

One hundred forty-eight students entering the Doctor ofPharmacy program received their white coats in a ceremony atthe Sheffield Education Center on the Cecil B. Day Campus inAtlanta. Keynote speaker was Liza Guy Chapman, Pharm.D., a2002 graduate of the Mercer Pharmacy School. She is a clinicalcoordinator with Kroger.

University of Georgia: Largest ClassEnrolled at College of Pharmacy

The Class of 2013 at the University of Georgia College of Pharmacy has a record number of 138students enrolled in the four-year Doctor of Pharmacy curriculum. They are also the firstpharmacy students to begin their academic careers in the new 93,288 square foot Pharmacy

South addition.

The new class, which is 62 percent female, has a 3.64 grade point average and an average PharmacyCollege Admission Test (PCAT) composite score in the 83rd percentile. Minorities represent 26percent of the class; one percent are out-of-state students and 26 percent have a previous bachelor ofscience degree or higher.

The beginning of their pharmacy careers was commemorated with a White Coat ceremony where eachstudent received a white lab coat as a symbol of entry into the pharmacy profession. The annualceremony featured Neil Wohlford (‘95), president of the College’s Alumni Council, as keynotespeaker. Alumnus Rick Allen (‘74), deputy director of Georgia Drugs and Narcotics Agency, gaveopening remarks and was among the five members of the College’s Alumni Council to welcome theincoming students. Kroger Pharmacy sponsored the event.

Liza G. Chapman, Pharm.D. being honoredfor her role as speaker that the MercerUniversity White Coat Ceremony for class of2013 by Dean Hewitt “Ted” Matthews,Ph.D.


J o u r n a l C P E U p d a t e

As I reported to you earlier in April 2009, the Association’s longstanding provider of many years for continuing education home studyprograms with a short notice discontinued that service. The Georgia

Pharmacy Association has searched diligently for a new acceptable and qualityvendor for this service. We have concluded that the most viable option is forGPhA to engage itself in the development of it own home study programs toassure the service continues be available to our membership. The Associationis presently in the process of developing a series of these programs. In themean time so our members will not go another month with a home studyprogram we partnered with The Collaborative Education Institute (CEI) thismonth to provide you a two hour (.2 CEU) credit course for this month for acost of only $5.00. You will see when you visit their website their normalcharge is $25.00 for a home study course from CEI.

The arrangement is for this month only as GPhA plans to have its own homestudy courses available beginning next month.

If you do not have access to a computer to complete the answer sheets pleasefeel free to contact GPhA toll free at 404-231-5074 and we will makearrangements for you to complete the answer and evaluation.

To the best of our knowledge the Georgia Pharmacy Association (GPhA) isthe only state pharmacy association in America that prints a monthly journalwith a home study CE course for its members. This has been a memberbenefit for a long time at GPhA and current leadership is committed tokeeping this service for our members.

If I or the staff can help you in any manner please do not hesitate to give us acall.

Jim BracewellExecutive Vice President

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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

2009 - 2010 GPhA

BOARD OF DIRECTORS

Name PositionRobert Bowles Chairman of the BoardEddie Madden PresidentDale Coker President-ElectJack Dunn First Vice PresidentRobert Hatton Second Vice PresidentJim Bracewell Executive Vice President/CEOHugh Chancy State-at-LargeAshley Dukes State-at-LargeKeith Herist State-at-LargeJonathan Marquess State-at-LargeSharon Sherrer State-at-LargeAndy Rogers State-at-LargeAlex Tucker State-at-LargeHeather DeBellis Region One PresidentTony Singletary Region Two PresidentJohn Drew Region Three PresidentBill McLeer Region Four PresidentShobhna Butler Region Five PresidentBobby Moody Region Six PresidentMike Crooks Region Seven PresidentLarry Batten Region Eight PresidentJason Rich Region Nine PresidentChris Thurmond Region Ten PresidentMarshall Frost Region Eleven PresidentKen Eiland Region Twelve PresidentRenee Adamson ACP ChairmanLiza Chapman AEP ChairmanBurnis Breland AHP ChairmanTim Short AIP ChairmanDeAnna Flores APT ChairmanRick Wilhoit ASA ChairmanJohn T. Sherrer Foundation ChairmanMichael Farmer Insurance Trust ChairmanFred Barber Ex Officio - President, GA Board of

PharmacyDon Davis Ex Officio - Chairman, GSHPGina Ryan Johnson EX Officio MercerMeagan Spencer Barbee Ex Officio Mercer ASPRusty Fetterman Ex Officio South Garrick Schenck Ex Officio South ASPDaniel Forrister Ex Officio UGAKyle Burcher Ex Officio UGA ASP

January 15-17, 2010 Grove Park Inn; Asheville, NC

Gather your girlfriends for a weekend of fun, facts, and facials! With the growing demand of this popular event, space is limited. Register today to ensure your spot at the 2010 Southeastern “Girls of Pharmacy” Leadership Weekend. Full registration includes: CE programming, event materials, two breakfasts, and one dinner re-ception with included drink ticket. Saturday only registration includes: CE programming, event materials, and one breakfast. Extra reception tickets can be purchased separately. (Men - Don’t be shy! You can attend too!)

Rooms are available at the Grove Park Inn for $136 per night. Call (800) 438-5800 to book your room today.

Spa appointments will be made available for reservation through the Grove Park Inn. You must be registered for the event to make reservations through SCPhA’s reserved appointment times. Visit www.spaweekend.org for more details. (Those already registered - watch your email!)

If you wish to attend the Southeastern “Girls of Pharmacy” Leadership Weekend 2010, visit www.scrx.org to

South Carolina Pharmacy Association is accredited by the Accreditation Council for Pharmacy Education

Yes! I would like to register for the 2010 Southeastern “Girls of Pharmacy” Leadership Weekend.REGISTRATION DEADLINE: January 5, 2010

Address_____________________________________________________________________________

City, State, Zip________________________________________________________________________

Phone__________________ Email______________________________________________________

Registration Fees (Guest registrations DO NOT include CE but do cover meal function costs):

Event PharmDiva Shirts:Short Sleeve ($20 each): ___Small ____Medium ____ Large ____ XLarge ____ XXLargeLong Sleeve ($25 each): ___Small ____Medium ____ Large ____ XLarge ____ XXLarge Additional PharmDiva apparel and accessory options are available for purchase at www.pharmdiva.com.

Please make checks payable to SCPhA

minus a $10 processing fee. No refunds will be given for late cancellations or no-shows. Please note that the threat of inclement

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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

Disability Income InsuranceWorkers’ Compensation PlansMajor Medical InsuranceAccident Policy InsuranceProfessional Liability InsuranceLong Term Care

Jumbo Term Life InsuranceRetirement Income PlansAnnuitiesGroup Dental401(k) and SNIP PlansAnd more...

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