Tuesday, February 23, 2010

Newsletter

I am currently working on a new newsletter that we hope to have sent out in the beginning of March.

As always, if you have any comments regarding the newsletter of wish suggest topics, please contact me. My email address is cpencak@pharmacylawpro.com

California Pharmacy Labeling Law Rejection

The Los Angeles Times reports on a rejection of a pharmacy labeling rule in California. The pharmacy board was set to vote for new labeling rules for prescriptions until Governor Schwarzenegger appointed a CVS executive to the board the day before the vote but left three other spots vacant. The rule was defeated in a 5-4 vote.

Not only did CVS oppose the vote but so did one of Governor Schwarzenegger's largest campaign contributors- the California Retailers Association. The Association has contributed over $400,000 to his political committees.

What are your thoughts on this?

Thursday, February 18, 2010

Early Education Changes

As changes to education standards are considered, I have a couple suggestions.

First, children should be taught how to think from an early age. If children know how to think, they can learn anything easier. Theories of logic, deductive reasoning and inductive reasoning are applicable across all subjects.

Second, in addition to practical finances, students need to learn practical probability and statistics. This will make them smarter with their finances, better citizens and lead to smarter medical decisions. Casino patrons will have a better idea that their chance of winning is slim. Voters will better understand political polls and concepts such as loaded questions leading to desired answers. Even medical decisions, such as new drug choices, will be affected because patients will understand studies regarding the effectiveness of new drugs.

Wednesday, February 17, 2010

Time for Change for Performance Enhancing Drugs?

Is it time for a new look at performance enhancing drugs? Should we make the drugs legal through prescription?

Look at any bodybuilding forum online and it is clear that their availability is widespread. If an athlete wants to use the drugs, he/she can. Their level of knowledge is quite impressive. Users combine multiple drugs to achieve the benefits while counteracting the side effects. Yet the manufacturing of the drugs can be suspect and their safety should be questioned.

But this knowledge comes from others’ trial and error and locker room talk. It would be safer for knowledgeable physicians to prescribe performance enhancing drugs. Physicians and pharmacists can monitor the long-term effects and ensure a safer supply of drugs.

I see performance enhancing drugs being especially important for motivating people to exercise. Why should we prescribe drugs like Lipitor to lower cholesterol but not prescribe drugs that will help and encourage people to exercise? The drugs can help people achieve and see results faster and encourage them to continue exercising.

Tuesday, February 16, 2010

Atypical Antipsychotics MOA

Do any of the physicians or pharmacists out there know the mechanism of action that causes weight gain in patients taking atypical antipsychotics?

Please let me know.

I would be interested in looking at the MOA and what suggestions this might hold for weight gain. Conversely, can we learn anything more about weight loss from the MOA?

Thursday, January 21, 2010

Technology in Health Care

The Nashville Business Journal reports on a talk that Steve Ballmer gave at the Nashville Health Care Council. The main point of his speech was the distance that health care has to go to catch-up to technology. Yet, it is an area which can benefit extensively from improvements in health care.

“I’m optimistic. The money is coming. The national debate has been engaged. And now is the time where our industry may be able to step up with some enabling factors and make an even bigger difference,” Ballmer said.

It is amazing that health care technology seems to lag so far behind other sectors, yet technology offers so much that can improve our profession to improve patient safety and health. It can even allow us more time to interact with patients. After all, that is what we went into practice for.

Ohio Prescription Database Fight

According to the Cleveland Plain Dealer, the Buckeye State Sheriffs' Association is working with the Ohio State Board of Pharmacy to write a law requiring doctors, nurses, dentists and others who write prescriptions for narcotic pain killers to consult a database. This is meant to prevent patient drug abuse.

According to the paper, Ohio would be the second state after Nevada to have this requirement.

However, doctor groups are expected to oppose this law because it adds another requirement.

Jeff Smith, director of government relations at the Ohio State Medical Association, said the group would likely oppose any mandate on doctors forcing them to check a database for prescriptions.

"We're not ready to agree to that kind of administrative burden on the Ohio physicians," Smith said, adding that it would hit doctors at a time when they are seeing more patients and implementing their own electronic medical records.

Doctors receive training on what to look for and how to evaluate potential patients who are doctor shopping for dangerous pain medications, Smith said.

However, he said, the statewide doctor's association is willing to work with the pharmacy board to understand why physicians aren't already voluntarily participating.

What are your thoughts on this? It often is the pharmacist who is required to verify that patients are not doctor shopping and abusing prescriptions. This bill attacks the problem from another angle. Is it more effective this way or through pharmacies?

Tuesday, January 19, 2010

Medical Cost Database

A state representative in Colorado is pushing a bill to create a state medical cost database. Basically, this would allow for transparancy into medical costs at various locations across the state.

The database systems combine information from all patients, whether they paid through private health insurance, Medicaid or out of their pockets.

Kefalas said he'd like to see Colorado's system track the cost of various episodes of care and compare them to similar situations in other parts of the state.


This is a good idea to help illuminate some of our medical care costs and perhaps a step in the right direction to lower them.

Thursday, January 14, 2010

Healthcare Reform Benefit

One of the greatest benefits that a true healthcare reform act can have is to prevent "job lock". This happens when employees fear leaving their employer to begin their own businesses because the employee fears losing health care.

But the opportunity cost of sticking around a larger company for the coverage can be steep. Job lock costs U.S. workers an estimated $3.7 billion every year in foregone wages, according to a 2009 report from the White House Council of Economic Advisers.


Imagine if we had true universal healthcare. The entrepreneurs in our society would have the freedom to pursue their dreams and reinvigorate business with new companies and ideas because they would not have to fear losing their healthcare.

FTC Ban on 'Pay to Delay'?

According to the USA Today, the FTC wants to ban drug companies from paying to delay generic alternatives.

Agency officials estimate the deals cost American consumers $3.5 billion per year in unnecessarily high drug prices.

The FTC advocates making this ban in the healthcare reform bills being negotiated.

Tuesday, January 12, 2010

Disturbing Quote

From the Seattle Post Intelligencer, this is a disturbing quote from a pharmacy robber:


A 14-time felon has been charged with robbing the Maple Leaf Pharmacy and the Ballard Walgreens with an illegally possessed handgun, and is suspected of robbing the Reckless Video in Maple Leaf last month.

Jacob Harley Shook, 29, was released from the Monroe prison about six weeks ago, and told a friend he met there "robbing pharmacies for OxyContin is the only way to go," according to court documents.

More Outsourcing

Walgreens and Genpact have reached agreement to have Genpact provide accounting service. Genpact is a business outsourcing company. Note where there company has centers. According to their website, "We strive to be the first mover in a location to corner talent and set industry standards. We eagerly adopt Tier-2 cities to expand the talent pool, while maintaining price advantage for our clients." In other words, they look to be "the first mover" to take advantage of cheap workers.

This is another sellout of jobs overseas when our economy needs it least.

South Dakota Database

South Dakota is taking steps to implement a database to prevent doctor shopping. With the economic problems, questions remain whether the project could receive long-term funding. Additionally, it remains to be seen which government agency would supervise the database. The Attorney General is a supporter-

Attorney General Marty Jackley doesn't see money as a problem. Federal grants are available for start-up, and a pool of money from legal settlements can pay the bills for as long as 10 years before the state would need to look for more federal money or increase fees or taxes to maintain the database.

What are your thoughts on these systems? Have you as a pharmacist been subjected to increased burdens and problems?

Tuesday, January 05, 2010

Asian Carp Invasion

I hope people have been following the ominous progress of Asian Carp towards the Great Lakes. We must do more to prevent invasive species from invading the Great Lakes. Not only do they ruin local ecosystems, but they cause BILLIONS of dollars in damages.

Zebra mussels and other invasive species have already taken hold, but we can still prevent the Asian Carp from ruining our precious resources.

FDA Scam

Multiple sources are reporting on a scam being run by individuals calling people posing as the FDA. The scammer tells individuals that they are violating law by purchasing their medicine from outside the country. If the individual doesn't pay, they will be punished. This leads to individuals paying thousands of dollars to the scammer out of fear.

Helping to prevent innocent people from being scammed is another reason for strong community pharmacists. A strong pharmacist-patient relationship is more valuable than a few dollars saved from buying questionable drugs from online.

Extortionists posing as federal agents have taken as much as $31,000 from frightened people who thought they would be prosecuted for purchasing their medications from outside the country, federal regulators say.

Nevada Supreme Court Case

I've discussed this case previously on the blog, but the Nevada Supreme Court rendered a decision in Walmart v. Sanchez. This decision has a positive outcome for pharmacists.

The Nevada Supreme Court has ruled that pharmacies are not liable for the actions of their customers when those medicated patients cause harm to third parties. The much-anticipated ruling comes in a case filed against Wal-Mart and other local pharmacies involving a Las Vegas woman who killed one person and injured another while driving under the influence of prescription drugs.


Happy Holidays and Happy New Years

I hope everyone enjoyed the holidays and had a wonderful New Year. Look for more activity on the blog now that the holidays are over.

Friday, December 11, 2009

Data Mining

Two Democratic Senators are attempting to end data mining of prescription records in order to prevent excessive influence from drug companies into prescription writing by physicians.

The amendment to the Senate health care bill would effectively ban pharmaceutical data mining, the drug company practice of buying prescription records to target sales pitches to doctors.

Sens. Herb Kohl of Wisconsin and Dick Durbin of Illinois say the measure will combat "harassing sales practices" and "restrain undue influence" of pharmaceutical salespersons.

Crime Prevention

The National Community Pharmacists Association and RxPatrol have released a short video to train pharmacy staff about "some of the pharmacy crimes occurring across the country. It also details low-cost measures to protect pharmacies and explains the steps to take if a robbery or other crime occurs."

The video is on RxPatrol's website and can be directly accessed here.

Wednesday, December 09, 2009

High Regard

Gallup does annual polling on Honesty and Ethics of Professions.

Can you guess the top three spots?

Nurses, Pharmacists and Medical Doctors are the top professions believed to have high ethics.

Great news for health care professions and a sign that your opinion is valued. Use it wisely.