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                                       | About GSHP | ASHP | How You Can Join | Contact Us |

                                                                                                               
                                                                                                                  April 2012
         Announcements
                                                                                                                  GSHP Membership Dues
       GSHP Newsletter
                                                                                                                  Click here to pay your
       Welcome to the GSHP Newsletter. We hope you will enjoy the new revised                                     GSHP membership dues
       newsletter filled with Georgia and National news and information.
                                                                                                                  web link
       In this issue are:

       GSHP 2012 Summer meeting, July 20-22                                                                       About GSHP

       2012 Legislative Session Wrap-Up

       Get more out of your GSHP membership

        web link


                                                                                                                  Georgia Society of Health-
         Headlines                                                                                                System Pharmacists (GSHP)
                                                                                                                  is a professional society of
         GSHP News                                                                                                pharmacists and related
                                                                                                                  personnel practicing in
              GSHP 2012 Summer meeting, July 20-22                                                                organized healthcare
              2012 Legislative Session Wrap-Up                                                                    settings.
              Get the Most Out of Your GSHP Membership
                                                                                                                  Mission Statement
         ASHP News                                                                                                Helping our members
              Renewed Focus on Tuberculosis Holds Promise for New Treatments                                      become better practitioners.
              FDA Mulls Expanded Universe of Nonprescription Drugs
                                                                                                                  Motto
              ASHP and Other Concerned Organizations Call for Changes to Draft Drug
                                                                                                                  Bringing pharmacy practice
              Shortages Bill
                                                                                                                  into focus.
              BPS Calls for Taskforce Members for New Specialties

         Pharmacy News
              Hospitals Scramble on the Front Lines of Drug Shortages                                             Georgia Society of Health-
                                                                                                                  System Pharmacists
              FDA Approves Peginesatide to Treat Anemia in Adult Patients on Dialysis
                                                                                                                  3015 Shannon Lakes North
              FDA, IOM Point to Need to Ramp Up Development of Abuse-Resistant
                                                                                                                  Suite 303
              and Novel Nonopioid Pain Medications
                                                                                                                  Tallahassee, FL 32309
              Percentage of Child Deaths by Meds Poisoning Rising
                                                                                                                                (800) 913-4747      
              Citalopram Hydrobromide - Drug Safety Communication: Revised
              Recommendations, Potential Risk of Abnormal Heart Rhythms                                           • e-mail link
              NY Leaders Negotiate Prescribed Drugs Restrictions                                                  • web link
              Kentucky Joins Program to Share Prescription Drug Dispensing Data
              AMA, Pharmacist Testify at FDA Hearing on Innovative Technologies
              White House and the F.D.A. Often at Odds
              California, Vermont Consider Tougher Vaccine-Exemption Rules



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           GSHP News

       GSHP 2012 Summer meeting, July 20-22
                                                                             About ASHP
                                                                             ASHP is a 35,000-member
                                                                             national professional
                                                                             association that represents
                                                                             pharmacists who practice in
                                                                             hospitals, health
                                                                             maintenance organizations,
       Amelia Island Plantation                                              long-term care facilities,
                                                                             home care, and other
                                                                             components of health care
       Amelia Island Plantation Video                                        systems. ASHP is the only
                                                                             national organization of
                                                                             hospital and health-system
       Take a tour of Fernandina Beach (video)                               pharmacists and has a long
                                                                             history of improving
                                                                             medication use and
                                                                             enhancing patient safety.
       Summer meeting online registration
                                                                             American Society of
       Comments from last year's meeting                                     Health-System
                                                                             Pharmacists
                                                                             7272 Wisconsin Avenue
       GSHP has a superior program! Well worth traveling to attend. Have     Bethesda, MD 20814
       attended state meetings elsewhere, and Georgia rocks! Very relevant                 301-657-3000      
       & applicable information, excellent speakers & fun, too. 
                                                                             • e-mail link
                                                                             • web link
       I thought the meeting was fantastic...the right mix of learning and
       fun!
                                                                             Calendar
       Great facility, friendly GSHP facilitators, wonderful learning and
       collaborative environment                                             2012 Summer Meeting
                                                                             and Exhibition [ASHP]
       Beautiful location, very good content, will attend again next year    6/09/12 - 6/13/12
                                                                             The ASHP 2012 Summer
       AGENDA as of 4/18/2012, subject to revisions                          Meeting is your chance to
                                                                             take part in four fulfilling
                                                                             days of intense intellectual
       FRIDAY (6.5 hours)                                                    stimulation, in-depth
                                                                             education, and hands-on
                                                                             exploration. Join your peers
       10:00am – 11:00am Parenteral Nutrition                                in Baltimore for this unique
                                                                             experience designed
       11:00am – 11:15am BREAK                                               expressly for current and
                                                                             future pharmacy leaders in
                                                                             hospitals and health
       11:15am – 12:45pm Multiple Myeloma (Lunch provided)                   systems.

                                                                             Baltimore Convention
       12:45pm – 1:00pm BREAK                                                Center
                                                                             Baltimore, Maryland
       1:00pm – 2:00pm TRACK A: Stroke prevention for afib                   web link

       TRACK B: Neonatology                                                  GSHP Summer Meeting
                                                                             7/20/12 - 7/22/12
       2:00 – 2:15 pm BREAK
                                                                             Amelia Island Plantation, FL

       2:15 – 3:15pm TRACK A: Surviving Sepsis update TRACK                  web link

       B: TBD
                                                                             2012 National
                                                                             Residency Preceptors
       3:15 – 4:15 pm Poster session                                         Conference [ASHP]
                                                                             8/16/12 - 8/18/12
       4:15pm – 5:15pm Key Note Address- PPMI                                The National Residency




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                                                                                      Preceptors Conference
                                                                                      (NRPC) is the only meeting
       5:15pm – 6:15pm Open Forum:                                                    purely dedicated to
                                                                                      pharmacy residency
                                                                                      training. The NRPC covers
       6:30pm – 8:30pm Reception/Exhibits in Exhibit Hall                             timely topics important to
                                                                                      all program directors and
       SATURDAY (3.5 hours)                                                           preceptors of ASHP-
                                                                                      accredited, ASHP-
                                                                                      application submitted, and
       8:00am – 9:30am TRACK A: Managing vascular                                     newly emerging residency
       complications of new targeted chemotherapeutic agents                          training programs. This is a
                                                                                      must-attend event for
       TRACK B: Informatics                                                           residency preceptors and
                                                                                      directors who seek quality
                                                                                      programming and
       9:30am – 11:00am Exhibits/Breakfast in Exhibit Area                            networking opportunities
                                                                                      with other preceptors across
       11:00am – 12:00pm TRACK A: Berkley testing / Am care                           the country.

       clinic expansion TRACK B: Medication Errors                                    Washington D.C.
                                                                                      web link
       12:00pm – 1:00pm TRACK A: New drug update:
       antibiotics TRACK B: Medication Errors                                         GSHP Annual Meeting
                                                                                      10/19/12 - 10/21/12
                                                                                      Brasstown Valley Resort
       12:00pm – 2:00pm Resident and Student Forum (box
       lunch provided)                                                                Young Harris, GA

                                                                                      web link
       SUNDAY (3 hours)
                                                                                      2012 Midyear Meeting
                                                                                      [ASHP]
       8:00am – 9:00am Breakfast / Officer Installation                               12/02/12 - 12/06/12
                                                                                      The 47th ASHP Midyear
       9:00am – 10:30am New Anticoagulant reversal                                    Clinical Meeting & Exhibition
                                                                                      will be held in the exciting
                                                                                      Las Vegas, this year.
       10:30am – 12noon TRACK A: Sun, Sand, and Simplifying                           ASHP's Midyear Clinical
       Preceptor Development: A Winning Combination for                               Meeting is the largest
                                                                                      gathering of pharmacists in
       Advancing Residency Training. TRACK B: HIV Overview                            the world. With its focus on
                                                                                      improving patient care, the
       Room Reservations                                                              meeting is attended by
                                                                                      more than 20,000
                                                                                      pharmacy professionals
       The 2012 Summer Meeting will be held at the Omni Amelia Island Plantation,     from 86 countries. For
       Amelia Island, FL.  GSHP has very attractive room rates that start at $173     decades, the ASHP Midyear
       single/double per night for an ocean view hotel room at the Omni Amelia        Clinical Meeting has
       Island Inn and Beach Club.  To make your reservation, click here:              provided health-system
                                                                                      pharmacy practitioners with
       http://www.omnihotels.com/FindAHotel/AmeliaIsland/MeetingFacilities/GSHSP      a venue for updating their
                                                                                      knowledge, networking with
                                                                                      colleagues, enhancing their
       The GSHP room rate will be honored for three days prior to group arrival and
                                                                                      skills, and learning about
       three days after group departure.                                              the latest products and
                                                                                      technologies.
       The Plantation has a wide variety of rooms and villas and the link above can
       help you with any of them.                                                     Las Vegas, NV
                                                                                      web link
       Click here for villa information, rates, etc.

       There is NO daily resort service fee this year.   The room rate includes:

               Self Parking ($10 daily value)
               Unlimited high speed internet access in all accommodations ($9.95
               daily value)
               On-property Transportation ($4.00 daily value)
               Unlimited use of health & fitness center ($20 daily value)
               In Room Coffee Service ($5.00 daily service)



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               Meeting Concierge & 24 Public Safety Team
               Local & Toll Free Phone Access

       Summer meeting cancellation policy

       A full refund will be granted for refund requests received by July 1; from July
       2 through July 10, a $25 administrative fee will be deducted from the
       registration fee; after July 10, there will be NO refunds for cancellations.

                                                                                              

                                                                            

                                                                            

                                                                            

                                                                            

                                                                            

                                                                            

                                                                            




        




                                                                                               




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           web link | return to headlines

       2012 Legislative Session Wrap-Up

                2012 Georgia General Assembly
                Summary of Legislation for GSHP
        
        
       S.B. 288 - Immunizations; allow pharmacists to give
       immunizations with physician's protocol. This measure
       passed out of the Senate 43-7, but died in House Health
       and Human Services Committee.
        
       S.B. 346 - State Board of Pharmacy; prescription drugs
       by mail/other common carriers. This proposition changes
       current state law to allow mail order from within the
       state with the same restrictions and patient safety
       precautions that Kaiser Permanente currently has. Also
       allows the Board of Pharmacy to develop rules to allow
       for a prescription to be filled at one pharmacy and sent
       to another pharmacy, which is commonly referred to as
       Central Fill. Language for the Board of Pharmacy to
       regulate remote entry access for hospital pharmacies was
       also added to the legislation. Passed out of the Senate
       and House and is on the Governor's desk.
        
       S.B. 370 - Controlled Substances; Schedule I and V
       controlled substance; "dangerous drug."  This is the
       annual drug update bill. It passed the Senate and House
       and has already been signed by the Governor into law.
        
       S.B. 378 - Controlled Substances; changes definition of
       written prescriptions for dangerous drugs.  S.B. 378
       allows prescriptions to be filled in Georgia that are
       written in other states. It also brings state law into
       compliance with Federal law related to drug samples.
       Passed the Senate 49-0 and died in the House Judiciary
       Non-Civil Committee.
        
       S.B. 380 - Pharmacist and Pharmacies; change definition
       of security paper. This measure remedies the problems


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       related to prescription pads that was inadvertently
       created with the passage of the Prescription Drug
       Monitoring legislation from last year. This bill also
       requires licensing of pharmacies from other states that
       send prescriptions to Georgians.  Passed the Senate, but
       died on the floor of the House on the final legislative day.
        
       S.B. 416 – Authorizes the Department of Insurance to
       develop exchange standards regarding electronic prior
       authorization drug requests with health care providers.
        Allows for the national standards that are to be adopted
       by the National Council of Prescription Drug Programs
       governing electronic prior approvals of prescriptions to be
       the standard followed here in Georgia. Passed the Senate
       and House and is awaiting the Governor's signature.
        
       S.B. 417 - Pharmacists and Pharmacies; electronic
       transmission mechanism; provide certain requirements. 
        Authorizes physicians to be able to see a complete
       electronic version of an insurance company's drug
       formulary. Did not pass the Senate and is dead.
        
       S.B. 445 - Secretary of State; create the position of
       director of professional licensing; provide powers, duties,
       and responsibilities.  This is the Secretary of State's bill
       to streamline the process of getting professional licenses
       and renewals. This bill was withdrawn from General
       Assembly consideration on February 28, 2012 and
       therefore died.  However, it is a certainty that the
       Secretary of State will re-introduce a similar measure
       during next year’s General Assembly.
        
       H.B. 729 - Revenue and taxation; Internal Revenue and
       Internal Revenue Code of 1986;. Clarifies that insulin is
       exempt from taxes like all prescription drugs in Georgia.
       Passed the House and Senate and is awaiting the
       Governor's signature.
        
       H.B. 878 - Pharmacists and pharmacies; use remote
       order entry for hospital pharmacies under certain
       conditions. This issue was ultimately added to S.B. 346. 
       This version of the proposal did not pass the House and
       is dead.
        
       H.B. 952 - Pharmacists and pharmacies; revises certain
       definitions of specific opioid drugs. Current Georgia law
       already allows for Doctors to notate that the prescription
       must be “dispensed as written.” GSHP was successful in
       adding language to exempt hospital systems, however
       this measure did not pass the House and is dead.
        
       H.B. 964 - The Pharmacy Audit Bill of Rights; recoupment
       pursuant to an audit under certain circumstances.
        Currently when a Pharmacy Benefit Manager audits a
       pharmacy, they can recoup the cost of the drug for
       simple clerical or record keeping errors. This legislation
       would correct this problem. H.S. 964 did not pass the
       House and is dead.

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       H.B. 972 - Georgia Pain Management Clinic Act; This is
       the Attorney General's legislation to continue regulating
       pill mills in Georgia. H.B. 972 died on the last day of the
       session as the House did not have time to approve the
       changes made by the Senate.
        
       H.B. 1069 - Pharmacists and pharmacies; revise
       definition of security paper.  Similar to S.B. 380, this
       measure addresses the problems regarding prescription
       pads that were inadvertently created with the passage of
       the Prescription Drug Monitoring legislation from last
       year. It passed the House, but died on the floor of the
       Senate the last day.
        
       H.B. 1124 - Pharmacists and pharmacies; prescription
       biologic product and biosimilar product. Seeks to limit the
       substitution of biologic and biosimilar products to only
       other biologic or biosimilar prescriptions. Did not pass the
       House and is dead.
        
       H.B. 1125 - The Pharmacy Audit Bill of Rights;
       recoupment pursuant to an audit under certain
       circumstances.  Does not allow PBM's to recoup the costs
       of drugs in an audit if there was a technical or error such
       as spelling errors, etc. Did not pass the House and is
       dead.
        
       H.B. 1130 - Georgia State Board of Pharmacy;
       administratively attached to Department of Community
       Health;  Moves the Board of Pharmacy out from under
       the Secretary of State and makes it an independent
       agency like the Composite Medical Board. Did not pass
       the House and is dead for this year.
        
       H.B. 1149 - Physicians; administration of vaccines by
       pharmacists or nurses pursuant to vaccine protocol
       agreements; House version of SB 288 which allows
       pharmacists to give any immunization. Did not pass the
       House and is dead.
        
        
        

           web link | return to headlines

       Get the Most Out of Your GSHP Membership

       Our goal at GSHP is to provide you with current and timely information that will
       help you with your practice. In addition to the GSHP website and our email blast
       system, we utilize three other methods for reaching out to members.



       Facebook



       GSHP has a page on Facebook. Follow us on Facebook, by clicking on the link



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       below: https://www.facebook.com/pages/Georgia-Society-of-Health-System-
       Pharmacists/3262
       61148598



       LinkedIn



       We also have a group on LinkedIn. To join the group,
       http://www.linkedin.com/groups?trk=hb_side_g&gid=3699702



       Text messaging service



       We now have the ability to send you a text message to your cellphone and would
       like to ask you to join in our txt messaging service. Based on current cellphone
       regulations, you have to opt in to this service which you can do by sending a txt
       from your cellphone. You will need to txt gshp to 33938 from your cellphone. Your
       cellphone number will not be shared with anyone and you will receive no more than
       3 txt messages per month from GSHP. Remember this is an opt in service that
       requires you to txt GSHP to 33938.




         ASHP News

       Renewed Focus on Tuberculosis Holds Promise for New Treatments
       [May 1, 2012, AJHP News] Kate Traynor BETHESDA, MD 13 April 2012—FDA
       approved rifampin for the treatment of tuberculosis (TB) in 1971, the same year
       Intel Corporation invented the first microprocessor.

       Since then, advances in computer technology have revolutionized the way people
       live and work. But no additional medications have been approved by FDA for the
       treatment of Mycobacterium tuberculosis infection—a problem that federal officials
       and others want to fix.

       "It can't take 40 years for us to get our next drug candidates for tuberculosis
       developed," said Janet Woodcock, chief of FDA's Center for Drug Evaluation and
       Research, during a March 19 briefing in Washington, D.C., sponsored by the Critical
       Path to TB Drug Regimens partnership.

       Launched in 2010, the partnership was founded by the Bill and Melinda Gates
       Foundation, the Critical Path Institute, and the Global Alliance for TB Drug
       Development, also known as the TB Alliance. The partnership promotes innovative
       ways to speed the development of new TB drugs.

       Read More



       FDA Mulls Expanded Universe of Nonprescription Drugs
       [May 1, 2012, AJHP News] Kate Traynor BETHESDA, MD 13 April 2012—Some
       drugs that are now available only with a prescription may one day be obtained after
       consulting with a pharmacist or answering a series of questions on a computer
       terminal, under a new system that FDA is considering for nonprescription drug use.

       Described in the February 28 Federal Register, the new system would establish
       "conditions of safe use" for nonprescription sales of specific drugs that would,
       absent these conditions, require a prescription.

       FDA calls its outline for the expanded availability of nonprescription drugs a new
       paradigm for medication use.

       "I would like for us to have additional flexibility for nonprescription use and the
       ability to use circumstances and technology and incorporate those into practices,"
       said Janet Woodcock, chief of FDA's Center for Drug Evaluation and Research,
       during a March 22–23 public hearing on the new paradigm.




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       Read More



       ASHP and Other Concerned Organizations Call for Changes to Draft Drug
       Shortages Bill
       Sign-on Letter Asks Senate Working Group to Improve Pending Legislation 4/6/2012
       Bethesda, Md.— The American Society of Health-System Pharmacists (ASHP),
       together with 22 other health care organizations representing patients, clinicians,
       and hospitals, sent a letter today to the Senate Committee on Health, Education,
       Labor and Pensions (HELP) urging improvements in draft legislation addressing the
       drug shortage crisis.

       The Senate HELP Committee is currently drafting language to help solve the drug
       shortage crisis as part of its work to reauthorize the Prescription Drug User Fee Act.
       The signers of the letter acknowledge their appreciation of the Senate’s draft
       legislation; however, they are urging several improvements to ensure that the goal
       of eliminating generic drug shortages can be accomplished.

       Read More



       BPS Calls for Taskforce Members for New Specialties
       4/2/2012 The Board of Pharmacy Specialties (BPS) is accepting nominations for
       taskforce members in two role delineation studies, a critical step in evaluating
       proposed specialties. The studies will determine whether infectious diseases and
       cardiology pharmacy are based upon a specialized knowledge of pharmaceutical
       sciences, as well as specialized functions routinely performed by practitioners in
       these proposed specialties, according to the BPS announcement on its website.

       BPS took this action in response to requests submitted jointly by several
       organizations including ASHP, the American College of Clinical Pharmacy, and the
       American Pharmacists Association. The Society of Infectious Disease Pharmacists
       also joined the organizations in the requests for a study of infectious disease
       pharmacy. ASHP has been a long-time supporter of BPS and the development of
       sound specialty credentials, serving as a petitioner or co-petitioner on requests to
       recognize four of the specialties currently recognized by BPS.

       The deadline for volunteering for the taskforces is May 4. For more information, go
       to http://www.bpsweb.org/news/pr_040212.cfm.

       Read More




         Pharmacy News

       Hospitals Scramble on the Front Lines of Drug Shortages
       Washington Post (DC) (04/10/12) Sun, Lena H.
       The scarcity of certain drugs--including those used to anesthetize surgical patients
       and to alleviate pain--has been an escalating problem for several years now, finally
       hitting record proportions in 2011. The phaseout of older drugs for newer ones, as
       well as quality problems such as fungal contamination, are the primary reasons for
       the shortages. Manufacturing shutdowns play a role as well. "Right now, anesthesia
       is a big concern," points out Valerie Jensen, associate director of the Food and Drug
       Administration's drug-shortage program. "These drugs are absolutely in critical
       shortage." Hospitals have been forced to ration medications, use more expensive
       alternatives, and even postpone critical treatments as a result. The fallout,
       according to the Institute for Safe Medication Practices, has included numerous
       injuries--and even some deaths--as healthcare workers make errors in dosing and
       preparing substitutes. Some hospitals have resorted to mixing drugs themselves,
       for their own use. Not only is this legal, say pharmacists, it reduces the chances of
       a mistake. As hospital staffers struggle daily to manage shortages and avert crises,
       federal regulators are fast-tracking the process for some upstart firms to produce
       older drugs. Additionally, manufacturers are providing earlier notification when a
       drug is in danger of going into short supply.

        return to headlines

       FDA Approves Peginesatide to Treat Anemia in Adult Patients on Dialysis



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       FDA.gov (03/27/12)
       The FDA has approved peginesatide (Omontys) for the treatment of anemia in adult
       dialysis patients who have chronic kidney disease (CKD). This approval decision was
       based on two randomized, active-controlled, open-label, multi-center clinical trials
       including a total of 1,608 patients with hemoglobin levels initially stabilized by ESA.
       These patients were assigned to receive either peginesatide or to continue their
       current ESA treatment. Results showed peginesatide was as safe and effective as
       the current treatment in maintaining hemoglobin levels. The most common adverse
       events observed in patients treated with peginesatide included diarrhea, vomiting,
       hypertension, and arthralgia. Based on this data, the drug has been approved with
       a Risk Evaluation and Mitigation Strategy (REMS), which added safety measures
       consisting of educational elements for health care professionals and a requirement
       to assess drug use data.

        return to headlines

       FDA, IOM Point to Need to Ramp Up Development of Abuse-Resistant and
       Novel Nonopioid Pain Medications
       Genetic Engineering & Biotechnology News (04/02/12) Philippidis, Alex
       FDA officials, including Center for Drug Evaluation and Research (CDER) director Dr.
       Janet Woodcock, have recently said that the development of abuse-resistant opioids
       and novel nonopioid pain therapies are among the agency's priorities for 2012. This
       announcement follows the release of the Institute of Medicine's (IOM) "blueprint for
       action" to improve pain prevention, care, education, and research by 2015. The
       blueprint asks for increased coordination by government, business, and academia
       on these efforts. To this end, the National Institutes of Health (NIH) awarded $386
       million in research grants during the 2011 fiscal year to research to aid patients
       with chronic pain conditions. While there are no comparable statistics for private
       industry, anecdotal evidence suggests there is growing interest among
       pharmaceutical researchers to improve abuse-resistant pain medicines.

        return to headlines

       Percentage of Child Deaths by Meds Poisoning Rising
       CNN Health (03/20/2012)
       Each day roughly about 165 young kids in the United States are seen in emergency
       rooms after getting into medications, according to findings revealed in a report by
       Safe Kids Worldwide, which unveiled a new initiative Tuesday called “Safe Storage,
       Safe Dosing, Safe Kids." The campaign calls on caregivers, medical personnel,
       pharmacists, drug makers and government groups to work to reduce accidental
       poisonings of children from medications. The report, which contains poisoning data
       from the Centers for Disease Control and Prevention and the American Association
       of Poison Control Centers, reveals that while overall U.S. poisoning deaths among
       kids plunged by half from 1979 to 2006 - the percentage of those deaths from
       medications – both prescription and over-the-counter products – has nearly
       doubled, jumping from 36% to 64%. The trend is blamed on several factors,
       including more available and improperly stored medications in homes.

        return to headlines

       Citalopram Hydrobromide - Drug Safety Communication: Revised
       Recommendations, Potential Risk of Abnormal Heart Rhythms
       Medwatch (03/28/2012)
       The FDA has issued new recommendations for citalopram hydrobromide (Celexa).
       These recommendations advise that the drug not be used at doses greater than 40
       mg per day because it may increase a patient's risk of QT interval prolongation and
       Torsade de Pointes. The new recommendations also advise against use of
       citalopram in patients already at risk of QT interval prolongation, and calls for the
       use of doses not exceeding 20 mg in patients over 60 years of age. These new
       recommendations are based on postmarketing data, and results of thorough QT
       studies assessing the effects of doses of citalopram and its active S-isomer
       escitalopram (Lexapro) on the QT interval in adults.

        return to headlines

       NY Leaders Negotiate Prescribed Drugs Restrictions
       Wall Street Journal (04/10/12)
       Spokesman for New York Governor Cuomo, Attorney General Eric Schneiderman,



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       and legislative leaders have confirmed that there are ongoing talks negotiating
       measures to control the black market in hydrocodone and other addictive
       painkillers. Schneiderman has been advocating for "real time" online review and
       reporting on each prescription written and filled for a patient by doctors and
       pharmacists, as it would prevent doctor shopping by addicts and dealers. The
       Senate has passed bills that reclassify hydrocodone into the same restricted group
       as oxycodone, meaning that a new prescription is required each time, and a bill
       that would increase the criminal penalties for those doctors and pharmacists who
       illegally divert prescription drugs.

        return to headlines

       Kentucky Joins Program to Share Prescription Drug Dispensing Data
       Surfky News Group (03/27/12)
       Gov. Steve Beshear announced that the Kentucky All Schedule Prescription
       Electronic Reporting (KASPER) program will join the Prescription Monitoring Program
       InterConnect (PMP InterConnect). Under the agreement, Kentucky will share and
       receive prescription drug dispensing data with at least 20 other states to help
       monitor prescription drug abuse. PMP InterConnect aids the transfer of information
       to other states by linking participating drug monitoring programs. Twenty states
       already agreed to join the Interconnect program, and more may follow. "We are
       very proud of the success of our KASPER program and feel it is one of the most
       effective tools available for tracking drug abuse, misuse, and diversion within the
       state of Kentucky," said Acting Cabinet for Health and Family Services Secretary
       Eric Friedlander. "Joining the InterConnect will dramatically strengthen our ability to
       monitor and detect abuse." Kentucky has the highest rate of opioid abuse in the
       United States, according to the Kentucky State Epidemiological Outcomes
       Workgroup. Prescription drug deaths in the state almost outnumber deaths
       attributed to motor vehicle accidents. PMP InterConnect will allow Kentucky
       prescribers and pharmacists to more easily identify patients with prescription drug
       abuse problems.

        return to headlines

       AMA, Pharmacist Testify at FDA Hearing on Innovative Technologies
       Modern Physician (03/22/12) Robeznieks, Andis
       Both pharmacists and physicians recently testified at the Food and Drug
       Administration hearing on using innovative technologies—such as interactive kiosks
       where individuals could self diagnose and self medicate for certain conditions—to
       expand the availability of certain drugs without a prescription. For example, Dr.
       Sandra Adamson Fryhofer, expressed doubts that expanding the availability of
       drugs available over the counter would significantly reduce patient visits to the
       emergency room for minor ailments.

        return to headlines

       White House and the F.D.A. Often at Odds
       New York Times (04/02/12) Harris, Gardiner
       FDA staff say that politics continues to play a role in their decisions, despite some
       improvements under the Obama Administration. FDA officials say that, for example,
       the White House intervened when the FDA considered removing from the market
       unapproved, pharmacist-compounded versions of KV Pharmaceutical's 17 alpha-
       hydroxyprogesterone caproate (17P) due to cost concerns. Officials have also
       indicated that politics interfered with their decisions on access to levonorgestrel
       (Plan B) for some adolescents. Harvard University Prof. Daniel Carpenter has raised
       concerns that these revelations could have a significant impact on the FDA. "In a
       globalizing world, where trust is a huge part of what American manufacturers have
       to sell, the politicization of the FDA could hurt not only consumer protection but
       industry profits as well," he warned. "If this trend continues, one could easily see
       major government purchasing programs in Europe, India, China and elsewhere
       saying, 'We're not going to follow FDA recommendations anymore.'"

        return to headlines

       California, Vermont Consider Tougher Vaccine-Exemption Rules
       American Medical News (04/09/12) O'Reilly, Kevin B.
       Vaccine exemptions for children with physician-verified medical contraindications
       area allowed in every state, while 48 states allow religious exemptions and 20



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CMS:Preview/Send

       states allow philosophical exemptions. In California, parents need only sign a form
       to opt-out of immunization requirements, but proposed legislation would require
       parents to get signatures from physicians, nurse practitioners, or physician
       assistants indicating that they have been informed of the benefits and risks of
       immunization. The measure is a response to outbreaks of vaccine-preventable
       diseases, such as pertussis, which infected more than 9,000 people and resulted in
       800 hospitalizations and 10 deaths statewide in 2010. The bill is supported by the
       California Medical Association, whose president-elect, Dr. Paul Phinney, says: "It
       just makes sure parents are fully informed and make a good decision." Meanwhile,
       lawmakers in Vermont have proposed eliminating the personal-belief exemption.
       Legislation to add religious or personal-belief exemptions or make them easier to
       obtain is being considered in Kansas, Massachusetts, Minnesota, Mississippi, New
       Jersey, New York, South Dakota, and West Virginia.

        return to headlines


                                © 2012 American Society of Health-System Pharmacists.
                                News summaries © 2012 Information, Inc.    [subscribe/unsubscribe]




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April 2012 GSHP Newsletter

  • 1. CMS:Preview/Send Your Account GSHP News Content Newsletter Design Preview/Send News Log-Out Preview Production Calendar Newsletter Archive You can preview your newsletter as many times as you like. When you are ready to "publish", enter an E-mail address in the box below, click on the checkbox and then click on the "publish newsletter" button. deliver to Publish/E-mail Newsletter   multiple addresses? | About GSHP | ASHP | How You Can Join | Contact Us |   April 2012 Announcements GSHP Membership Dues GSHP Newsletter Click here to pay your Welcome to the GSHP Newsletter. We hope you will enjoy the new revised GSHP membership dues newsletter filled with Georgia and National news and information. web link In this issue are: GSHP 2012 Summer meeting, July 20-22 About GSHP 2012 Legislative Session Wrap-Up Get more out of your GSHP membership web link Georgia Society of Health- Headlines System Pharmacists (GSHP) is a professional society of GSHP News pharmacists and related personnel practicing in GSHP 2012 Summer meeting, July 20-22 organized healthcare 2012 Legislative Session Wrap-Up settings. Get the Most Out of Your GSHP Membership Mission Statement ASHP News Helping our members Renewed Focus on Tuberculosis Holds Promise for New Treatments become better practitioners. FDA Mulls Expanded Universe of Nonprescription Drugs Motto ASHP and Other Concerned Organizations Call for Changes to Draft Drug Bringing pharmacy practice Shortages Bill into focus. BPS Calls for Taskforce Members for New Specialties Pharmacy News Hospitals Scramble on the Front Lines of Drug Shortages Georgia Society of Health- System Pharmacists FDA Approves Peginesatide to Treat Anemia in Adult Patients on Dialysis 3015 Shannon Lakes North FDA, IOM Point to Need to Ramp Up Development of Abuse-Resistant Suite 303 and Novel Nonopioid Pain Medications Tallahassee, FL 32309 Percentage of Child Deaths by Meds Poisoning Rising               (800) 913-4747       Citalopram Hydrobromide - Drug Safety Communication: Revised Recommendations, Potential Risk of Abnormal Heart Rhythms • e-mail link NY Leaders Negotiate Prescribed Drugs Restrictions • web link Kentucky Joins Program to Share Prescription Drug Dispensing Data AMA, Pharmacist Testify at FDA Hearing on Innovative Technologies White House and the F.D.A. Often at Odds California, Vermont Consider Tougher Vaccine-Exemption Rules http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]
  • 2. CMS:Preview/Send GSHP News GSHP 2012 Summer meeting, July 20-22 About ASHP ASHP is a 35,000-member national professional   association that represents pharmacists who practice in   hospitals, health maintenance organizations, Amelia Island Plantation long-term care facilities, home care, and other   components of health care Amelia Island Plantation Video systems. ASHP is the only national organization of hospital and health-system Take a tour of Fernandina Beach (video) pharmacists and has a long history of improving medication use and enhancing patient safety. Summer meeting online registration American Society of Comments from last year's meeting Health-System Pharmacists 7272 Wisconsin Avenue GSHP has a superior program! Well worth traveling to attend. Have Bethesda, MD 20814 attended state meetings elsewhere, and Georgia rocks! Very relevant               301-657-3000       & applicable information, excellent speakers & fun, too.  • e-mail link • web link I thought the meeting was fantastic...the right mix of learning and fun! Calendar Great facility, friendly GSHP facilitators, wonderful learning and collaborative environment 2012 Summer Meeting and Exhibition [ASHP] Beautiful location, very good content, will attend again next year  6/09/12 - 6/13/12 The ASHP 2012 Summer AGENDA as of 4/18/2012, subject to revisions Meeting is your chance to take part in four fulfilling days of intense intellectual FRIDAY (6.5 hours) stimulation, in-depth education, and hands-on exploration. Join your peers 10:00am – 11:00am Parenteral Nutrition in Baltimore for this unique experience designed 11:00am – 11:15am BREAK expressly for current and future pharmacy leaders in hospitals and health 11:15am – 12:45pm Multiple Myeloma (Lunch provided) systems. Baltimore Convention 12:45pm – 1:00pm BREAK Center Baltimore, Maryland 1:00pm – 2:00pm TRACK A: Stroke prevention for afib web link TRACK B: Neonatology GSHP Summer Meeting 7/20/12 - 7/22/12 2:00 – 2:15 pm BREAK Amelia Island Plantation, FL 2:15 – 3:15pm TRACK A: Surviving Sepsis update TRACK web link B: TBD 2012 National Residency Preceptors 3:15 – 4:15 pm Poster session Conference [ASHP] 8/16/12 - 8/18/12 4:15pm – 5:15pm Key Note Address- PPMI The National Residency http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]
  • 3. CMS:Preview/Send Preceptors Conference (NRPC) is the only meeting 5:15pm – 6:15pm Open Forum: purely dedicated to pharmacy residency training. The NRPC covers 6:30pm – 8:30pm Reception/Exhibits in Exhibit Hall timely topics important to all program directors and SATURDAY (3.5 hours) preceptors of ASHP- accredited, ASHP- application submitted, and 8:00am – 9:30am TRACK A: Managing vascular newly emerging residency complications of new targeted chemotherapeutic agents training programs. This is a must-attend event for TRACK B: Informatics residency preceptors and directors who seek quality programming and 9:30am – 11:00am Exhibits/Breakfast in Exhibit Area networking opportunities with other preceptors across 11:00am – 12:00pm TRACK A: Berkley testing / Am care the country. clinic expansion TRACK B: Medication Errors Washington D.C. web link 12:00pm – 1:00pm TRACK A: New drug update: antibiotics TRACK B: Medication Errors GSHP Annual Meeting 10/19/12 - 10/21/12 Brasstown Valley Resort 12:00pm – 2:00pm Resident and Student Forum (box lunch provided) Young Harris, GA web link SUNDAY (3 hours) 2012 Midyear Meeting [ASHP] 8:00am – 9:00am Breakfast / Officer Installation 12/02/12 - 12/06/12 The 47th ASHP Midyear 9:00am – 10:30am New Anticoagulant reversal Clinical Meeting & Exhibition will be held in the exciting Las Vegas, this year. 10:30am – 12noon TRACK A: Sun, Sand, and Simplifying ASHP's Midyear Clinical Preceptor Development: A Winning Combination for Meeting is the largest gathering of pharmacists in Advancing Residency Training. TRACK B: HIV Overview the world. With its focus on improving patient care, the Room Reservations meeting is attended by more than 20,000 pharmacy professionals The 2012 Summer Meeting will be held at the Omni Amelia Island Plantation, from 86 countries. For Amelia Island, FL.  GSHP has very attractive room rates that start at $173 decades, the ASHP Midyear single/double per night for an ocean view hotel room at the Omni Amelia Clinical Meeting has Island Inn and Beach Club.  To make your reservation, click here: provided health-system pharmacy practitioners with http://www.omnihotels.com/FindAHotel/AmeliaIsland/MeetingFacilities/GSHSP a venue for updating their knowledge, networking with colleagues, enhancing their The GSHP room rate will be honored for three days prior to group arrival and skills, and learning about three days after group departure.  the latest products and technologies. The Plantation has a wide variety of rooms and villas and the link above can help you with any of them. Las Vegas, NV web link Click here for villa information, rates, etc. There is NO daily resort service fee this year.   The room rate includes: Self Parking ($10 daily value) Unlimited high speed internet access in all accommodations ($9.95 daily value) On-property Transportation ($4.00 daily value) Unlimited use of health & fitness center ($20 daily value) In Room Coffee Service ($5.00 daily service) http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]
  • 4. CMS:Preview/Send Meeting Concierge & 24 Public Safety Team Local & Toll Free Phone Access Summer meeting cancellation policy A full refund will be granted for refund requests received by July 1; from July 2 through July 10, a $25 administrative fee will be deducted from the registration fee; after July 10, there will be NO refunds for cancellations.                                                http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]
  • 5. CMS:Preview/Send          web link | return to headlines 2012 Legislative Session Wrap-Up 2012 Georgia General Assembly Summary of Legislation for GSHP     S.B. 288 - Immunizations; allow pharmacists to give immunizations with physician's protocol. This measure passed out of the Senate 43-7, but died in House Health and Human Services Committee.   S.B. 346 - State Board of Pharmacy; prescription drugs by mail/other common carriers. This proposition changes current state law to allow mail order from within the state with the same restrictions and patient safety precautions that Kaiser Permanente currently has. Also allows the Board of Pharmacy to develop rules to allow for a prescription to be filled at one pharmacy and sent to another pharmacy, which is commonly referred to as Central Fill. Language for the Board of Pharmacy to regulate remote entry access for hospital pharmacies was also added to the legislation. Passed out of the Senate and House and is on the Governor's desk.   S.B. 370 - Controlled Substances; Schedule I and V controlled substance; "dangerous drug."  This is the annual drug update bill. It passed the Senate and House and has already been signed by the Governor into law.   S.B. 378 - Controlled Substances; changes definition of written prescriptions for dangerous drugs.  S.B. 378 allows prescriptions to be filled in Georgia that are written in other states. It also brings state law into compliance with Federal law related to drug samples. Passed the Senate 49-0 and died in the House Judiciary Non-Civil Committee.   S.B. 380 - Pharmacist and Pharmacies; change definition of security paper. This measure remedies the problems http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]
  • 6. CMS:Preview/Send related to prescription pads that was inadvertently created with the passage of the Prescription Drug Monitoring legislation from last year. This bill also requires licensing of pharmacies from other states that send prescriptions to Georgians.  Passed the Senate, but died on the floor of the House on the final legislative day.   S.B. 416 – Authorizes the Department of Insurance to develop exchange standards regarding electronic prior authorization drug requests with health care providers.  Allows for the national standards that are to be adopted by the National Council of Prescription Drug Programs governing electronic prior approvals of prescriptions to be the standard followed here in Georgia. Passed the Senate and House and is awaiting the Governor's signature.   S.B. 417 - Pharmacists and Pharmacies; electronic transmission mechanism; provide certain requirements.   Authorizes physicians to be able to see a complete electronic version of an insurance company's drug formulary. Did not pass the Senate and is dead.   S.B. 445 - Secretary of State; create the position of director of professional licensing; provide powers, duties, and responsibilities.  This is the Secretary of State's bill to streamline the process of getting professional licenses and renewals. This bill was withdrawn from General Assembly consideration on February 28, 2012 and therefore died.  However, it is a certainty that the Secretary of State will re-introduce a similar measure during next year’s General Assembly.   H.B. 729 - Revenue and taxation; Internal Revenue and Internal Revenue Code of 1986;. Clarifies that insulin is exempt from taxes like all prescription drugs in Georgia. Passed the House and Senate and is awaiting the Governor's signature.   H.B. 878 - Pharmacists and pharmacies; use remote order entry for hospital pharmacies under certain conditions. This issue was ultimately added to S.B. 346.  This version of the proposal did not pass the House and is dead.   H.B. 952 - Pharmacists and pharmacies; revises certain definitions of specific opioid drugs. Current Georgia law already allows for Doctors to notate that the prescription must be “dispensed as written.” GSHP was successful in adding language to exempt hospital systems, however this measure did not pass the House and is dead.   H.B. 964 - The Pharmacy Audit Bill of Rights; recoupment pursuant to an audit under certain circumstances.  Currently when a Pharmacy Benefit Manager audits a pharmacy, they can recoup the cost of the drug for simple clerical or record keeping errors. This legislation would correct this problem. H.S. 964 did not pass the House and is dead. http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]
  • 7. CMS:Preview/Send   H.B. 972 - Georgia Pain Management Clinic Act; This is the Attorney General's legislation to continue regulating pill mills in Georgia. H.B. 972 died on the last day of the session as the House did not have time to approve the changes made by the Senate.   H.B. 1069 - Pharmacists and pharmacies; revise definition of security paper.  Similar to S.B. 380, this measure addresses the problems regarding prescription pads that were inadvertently created with the passage of the Prescription Drug Monitoring legislation from last year. It passed the House, but died on the floor of the Senate the last day.   H.B. 1124 - Pharmacists and pharmacies; prescription biologic product and biosimilar product. Seeks to limit the substitution of biologic and biosimilar products to only other biologic or biosimilar prescriptions. Did not pass the House and is dead.   H.B. 1125 - The Pharmacy Audit Bill of Rights; recoupment pursuant to an audit under certain circumstances.  Does not allow PBM's to recoup the costs of drugs in an audit if there was a technical or error such as spelling errors, etc. Did not pass the House and is dead.   H.B. 1130 - Georgia State Board of Pharmacy; administratively attached to Department of Community Health;  Moves the Board of Pharmacy out from under the Secretary of State and makes it an independent agency like the Composite Medical Board. Did not pass the House and is dead for this year.   H.B. 1149 - Physicians; administration of vaccines by pharmacists or nurses pursuant to vaccine protocol agreements; House version of SB 288 which allows pharmacists to give any immunization. Did not pass the House and is dead.       web link | return to headlines Get the Most Out of Your GSHP Membership Our goal at GSHP is to provide you with current and timely information that will help you with your practice. In addition to the GSHP website and our email blast system, we utilize three other methods for reaching out to members. Facebook GSHP has a page on Facebook. Follow us on Facebook, by clicking on the link http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]
  • 8. CMS:Preview/Send below: https://www.facebook.com/pages/Georgia-Society-of-Health-System- Pharmacists/3262 61148598 LinkedIn We also have a group on LinkedIn. To join the group, http://www.linkedin.com/groups?trk=hb_side_g&gid=3699702 Text messaging service We now have the ability to send you a text message to your cellphone and would like to ask you to join in our txt messaging service. Based on current cellphone regulations, you have to opt in to this service which you can do by sending a txt from your cellphone. You will need to txt gshp to 33938 from your cellphone. Your cellphone number will not be shared with anyone and you will receive no more than 3 txt messages per month from GSHP. Remember this is an opt in service that requires you to txt GSHP to 33938. ASHP News Renewed Focus on Tuberculosis Holds Promise for New Treatments [May 1, 2012, AJHP News] Kate Traynor BETHESDA, MD 13 April 2012—FDA approved rifampin for the treatment of tuberculosis (TB) in 1971, the same year Intel Corporation invented the first microprocessor. Since then, advances in computer technology have revolutionized the way people live and work. But no additional medications have been approved by FDA for the treatment of Mycobacterium tuberculosis infection—a problem that federal officials and others want to fix. "It can't take 40 years for us to get our next drug candidates for tuberculosis developed," said Janet Woodcock, chief of FDA's Center for Drug Evaluation and Research, during a March 19 briefing in Washington, D.C., sponsored by the Critical Path to TB Drug Regimens partnership. Launched in 2010, the partnership was founded by the Bill and Melinda Gates Foundation, the Critical Path Institute, and the Global Alliance for TB Drug Development, also known as the TB Alliance. The partnership promotes innovative ways to speed the development of new TB drugs. Read More FDA Mulls Expanded Universe of Nonprescription Drugs [May 1, 2012, AJHP News] Kate Traynor BETHESDA, MD 13 April 2012—Some drugs that are now available only with a prescription may one day be obtained after consulting with a pharmacist or answering a series of questions on a computer terminal, under a new system that FDA is considering for nonprescription drug use. Described in the February 28 Federal Register, the new system would establish "conditions of safe use" for nonprescription sales of specific drugs that would, absent these conditions, require a prescription. FDA calls its outline for the expanded availability of nonprescription drugs a new paradigm for medication use. "I would like for us to have additional flexibility for nonprescription use and the ability to use circumstances and technology and incorporate those into practices," said Janet Woodcock, chief of FDA's Center for Drug Evaluation and Research, during a March 22–23 public hearing on the new paradigm. http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]
  • 9. CMS:Preview/Send Read More ASHP and Other Concerned Organizations Call for Changes to Draft Drug Shortages Bill Sign-on Letter Asks Senate Working Group to Improve Pending Legislation 4/6/2012 Bethesda, Md.— The American Society of Health-System Pharmacists (ASHP), together with 22 other health care organizations representing patients, clinicians, and hospitals, sent a letter today to the Senate Committee on Health, Education, Labor and Pensions (HELP) urging improvements in draft legislation addressing the drug shortage crisis. The Senate HELP Committee is currently drafting language to help solve the drug shortage crisis as part of its work to reauthorize the Prescription Drug User Fee Act. The signers of the letter acknowledge their appreciation of the Senate’s draft legislation; however, they are urging several improvements to ensure that the goal of eliminating generic drug shortages can be accomplished. Read More BPS Calls for Taskforce Members for New Specialties 4/2/2012 The Board of Pharmacy Specialties (BPS) is accepting nominations for taskforce members in two role delineation studies, a critical step in evaluating proposed specialties. The studies will determine whether infectious diseases and cardiology pharmacy are based upon a specialized knowledge of pharmaceutical sciences, as well as specialized functions routinely performed by practitioners in these proposed specialties, according to the BPS announcement on its website. BPS took this action in response to requests submitted jointly by several organizations including ASHP, the American College of Clinical Pharmacy, and the American Pharmacists Association. The Society of Infectious Disease Pharmacists also joined the organizations in the requests for a study of infectious disease pharmacy. ASHP has been a long-time supporter of BPS and the development of sound specialty credentials, serving as a petitioner or co-petitioner on requests to recognize four of the specialties currently recognized by BPS. The deadline for volunteering for the taskforces is May 4. For more information, go to http://www.bpsweb.org/news/pr_040212.cfm. Read More Pharmacy News Hospitals Scramble on the Front Lines of Drug Shortages Washington Post (DC) (04/10/12) Sun, Lena H. The scarcity of certain drugs--including those used to anesthetize surgical patients and to alleviate pain--has been an escalating problem for several years now, finally hitting record proportions in 2011. The phaseout of older drugs for newer ones, as well as quality problems such as fungal contamination, are the primary reasons for the shortages. Manufacturing shutdowns play a role as well. "Right now, anesthesia is a big concern," points out Valerie Jensen, associate director of the Food and Drug Administration's drug-shortage program. "These drugs are absolutely in critical shortage." Hospitals have been forced to ration medications, use more expensive alternatives, and even postpone critical treatments as a result. The fallout, according to the Institute for Safe Medication Practices, has included numerous injuries--and even some deaths--as healthcare workers make errors in dosing and preparing substitutes. Some hospitals have resorted to mixing drugs themselves, for their own use. Not only is this legal, say pharmacists, it reduces the chances of a mistake. As hospital staffers struggle daily to manage shortages and avert crises, federal regulators are fast-tracking the process for some upstart firms to produce older drugs. Additionally, manufacturers are providing earlier notification when a drug is in danger of going into short supply. return to headlines FDA Approves Peginesatide to Treat Anemia in Adult Patients on Dialysis http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]
  • 10. CMS:Preview/Send FDA.gov (03/27/12) The FDA has approved peginesatide (Omontys) for the treatment of anemia in adult dialysis patients who have chronic kidney disease (CKD). This approval decision was based on two randomized, active-controlled, open-label, multi-center clinical trials including a total of 1,608 patients with hemoglobin levels initially stabilized by ESA. These patients were assigned to receive either peginesatide or to continue their current ESA treatment. Results showed peginesatide was as safe and effective as the current treatment in maintaining hemoglobin levels. The most common adverse events observed in patients treated with peginesatide included diarrhea, vomiting, hypertension, and arthralgia. Based on this data, the drug has been approved with a Risk Evaluation and Mitigation Strategy (REMS), which added safety measures consisting of educational elements for health care professionals and a requirement to assess drug use data. return to headlines FDA, IOM Point to Need to Ramp Up Development of Abuse-Resistant and Novel Nonopioid Pain Medications Genetic Engineering & Biotechnology News (04/02/12) Philippidis, Alex FDA officials, including Center for Drug Evaluation and Research (CDER) director Dr. Janet Woodcock, have recently said that the development of abuse-resistant opioids and novel nonopioid pain therapies are among the agency's priorities for 2012. This announcement follows the release of the Institute of Medicine's (IOM) "blueprint for action" to improve pain prevention, care, education, and research by 2015. The blueprint asks for increased coordination by government, business, and academia on these efforts. To this end, the National Institutes of Health (NIH) awarded $386 million in research grants during the 2011 fiscal year to research to aid patients with chronic pain conditions. While there are no comparable statistics for private industry, anecdotal evidence suggests there is growing interest among pharmaceutical researchers to improve abuse-resistant pain medicines. return to headlines Percentage of Child Deaths by Meds Poisoning Rising CNN Health (03/20/2012) Each day roughly about 165 young kids in the United States are seen in emergency rooms after getting into medications, according to findings revealed in a report by Safe Kids Worldwide, which unveiled a new initiative Tuesday called “Safe Storage, Safe Dosing, Safe Kids." The campaign calls on caregivers, medical personnel, pharmacists, drug makers and government groups to work to reduce accidental poisonings of children from medications. The report, which contains poisoning data from the Centers for Disease Control and Prevention and the American Association of Poison Control Centers, reveals that while overall U.S. poisoning deaths among kids plunged by half from 1979 to 2006 - the percentage of those deaths from medications – both prescription and over-the-counter products – has nearly doubled, jumping from 36% to 64%. The trend is blamed on several factors, including more available and improperly stored medications in homes. return to headlines Citalopram Hydrobromide - Drug Safety Communication: Revised Recommendations, Potential Risk of Abnormal Heart Rhythms Medwatch (03/28/2012) The FDA has issued new recommendations for citalopram hydrobromide (Celexa). These recommendations advise that the drug not be used at doses greater than 40 mg per day because it may increase a patient's risk of QT interval prolongation and Torsade de Pointes. The new recommendations also advise against use of citalopram in patients already at risk of QT interval prolongation, and calls for the use of doses not exceeding 20 mg in patients over 60 years of age. These new recommendations are based on postmarketing data, and results of thorough QT studies assessing the effects of doses of citalopram and its active S-isomer escitalopram (Lexapro) on the QT interval in adults. return to headlines NY Leaders Negotiate Prescribed Drugs Restrictions Wall Street Journal (04/10/12) Spokesman for New York Governor Cuomo, Attorney General Eric Schneiderman, http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]
  • 11. CMS:Preview/Send and legislative leaders have confirmed that there are ongoing talks negotiating measures to control the black market in hydrocodone and other addictive painkillers. Schneiderman has been advocating for "real time" online review and reporting on each prescription written and filled for a patient by doctors and pharmacists, as it would prevent doctor shopping by addicts and dealers. The Senate has passed bills that reclassify hydrocodone into the same restricted group as oxycodone, meaning that a new prescription is required each time, and a bill that would increase the criminal penalties for those doctors and pharmacists who illegally divert prescription drugs. return to headlines Kentucky Joins Program to Share Prescription Drug Dispensing Data Surfky News Group (03/27/12) Gov. Steve Beshear announced that the Kentucky All Schedule Prescription Electronic Reporting (KASPER) program will join the Prescription Monitoring Program InterConnect (PMP InterConnect). Under the agreement, Kentucky will share and receive prescription drug dispensing data with at least 20 other states to help monitor prescription drug abuse. PMP InterConnect aids the transfer of information to other states by linking participating drug monitoring programs. Twenty states already agreed to join the Interconnect program, and more may follow. "We are very proud of the success of our KASPER program and feel it is one of the most effective tools available for tracking drug abuse, misuse, and diversion within the state of Kentucky," said Acting Cabinet for Health and Family Services Secretary Eric Friedlander. "Joining the InterConnect will dramatically strengthen our ability to monitor and detect abuse." Kentucky has the highest rate of opioid abuse in the United States, according to the Kentucky State Epidemiological Outcomes Workgroup. Prescription drug deaths in the state almost outnumber deaths attributed to motor vehicle accidents. PMP InterConnect will allow Kentucky prescribers and pharmacists to more easily identify patients with prescription drug abuse problems. return to headlines AMA, Pharmacist Testify at FDA Hearing on Innovative Technologies Modern Physician (03/22/12) Robeznieks, Andis Both pharmacists and physicians recently testified at the Food and Drug Administration hearing on using innovative technologies—such as interactive kiosks where individuals could self diagnose and self medicate for certain conditions—to expand the availability of certain drugs without a prescription. For example, Dr. Sandra Adamson Fryhofer, expressed doubts that expanding the availability of drugs available over the counter would significantly reduce patient visits to the emergency room for minor ailments. return to headlines White House and the F.D.A. Often at Odds New York Times (04/02/12) Harris, Gardiner FDA staff say that politics continues to play a role in their decisions, despite some improvements under the Obama Administration. FDA officials say that, for example, the White House intervened when the FDA considered removing from the market unapproved, pharmacist-compounded versions of KV Pharmaceutical's 17 alpha- hydroxyprogesterone caproate (17P) due to cost concerns. Officials have also indicated that politics interfered with their decisions on access to levonorgestrel (Plan B) for some adolescents. Harvard University Prof. Daniel Carpenter has raised concerns that these revelations could have a significant impact on the FDA. "In a globalizing world, where trust is a huge part of what American manufacturers have to sell, the politicization of the FDA could hurt not only consumer protection but industry profits as well," he warned. "If this trend continues, one could easily see major government purchasing programs in Europe, India, China and elsewhere saying, 'We're not going to follow FDA recommendations anymore.'" return to headlines California, Vermont Consider Tougher Vaccine-Exemption Rules American Medical News (04/09/12) O'Reilly, Kevin B. Vaccine exemptions for children with physician-verified medical contraindications area allowed in every state, while 48 states allow religious exemptions and 20 http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]
  • 12. CMS:Preview/Send states allow philosophical exemptions. In California, parents need only sign a form to opt-out of immunization requirements, but proposed legislation would require parents to get signatures from physicians, nurse practitioners, or physician assistants indicating that they have been informed of the benefits and risks of immunization. The measure is a response to outbreaks of vaccine-preventable diseases, such as pertussis, which infected more than 9,000 people and resulted in 800 hospitalizations and 10 deaths statewide in 2010. The bill is supported by the California Medical Association, whose president-elect, Dr. Paul Phinney, says: "It just makes sure parents are fully informed and make a good decision." Meanwhile, lawmakers in Vermont have proposed eliminating the personal-belief exemption. Legislation to add religious or personal-belief exemptions or make them easier to obtain is being considered in Kansas, Massachusetts, Minnesota, Mississippi, New Jersey, New York, South Dakota, and West Virginia. return to headlines © 2012 American Society of Health-System Pharmacists. News summaries © 2012 Information, Inc.    [subscribe/unsubscribe] http://www.infoinc.com/cms/preview_send.cfm?pos=4[4/30/2012 11:03:00 AM]