January 2008

Editor's Notebook

The Dawn of a New Age
Editor-in-Chief Harold E. Cohen, RPh, believes that pharmacists are in an excellent position to meet the growing demand for patient counseling in the coming years.
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Clinical Corner

The Antiphospholipid Syndrome
This complex autoimmune disease presents unique diagnosis and treatment challenges, and careful risk assessment is necessary prior to administering long-term anticoagulation therapy.
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Overview of Drug–Drug Interactions with SSRIs
An understanding of CYP-450 isoenzymes is essential for predicting and understanding the magnitude of potentially harmful combinations.
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ScriptPro

It's the Law

Hey, DEA: Horses Are Not People
The DEA questioned a pharmacy's practice of compounding and dispensing controlled substances to veterinarians rather than to patients. What implications does this have for human use?
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Counseling Pearls

Migraine: Its Recognition and Treatment
A thorough examination of this condition's pathophysiology and treatment options.
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Counseling Patients About Lifestyle Modification
Strategies for training pharmacists to help patients prevent and control disease.
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Appdrugs.com

Tech Talk

InforMedix Launches Med-eMonitor
This "smart pillbox" system was developed to address the problem of noncompliance among patients with chronic conditions, as well as the elderly.
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US Pharmacist's Platinum Plus MasterCard Credit Card

Educational Spotlight

Pharmacotherapeutic Options for Chronic Insomnia
Pharmacotherapy for sleep disturbances should be used with appropriate caution, at minimal effective doses, and for the minimal duration required.
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The Role of Vaccination in the Prevention of Influenza
With an impending pandemic and an aggressive health initiative proposed for 2010, pharmacists are uniquely positioned to become more involved with vaccination initiatives.
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Other Featured CEs:

Newswire  

OIG Report: Pharmacists' Profits on Medicare Part D Razor Thin
Alexandria, VA — A report released by the Office of the Inspector General (OIG) of the Department of Health and Human Services should come as little surprise to thousands of retail pharmacy entrepreneurs. The report discloses that the difference between Part D payments and drug acquisition costs is $9.13 per prescription including wholesale rebates. With the $2.27 dispensing fee, the compensation to pharmacies averages $11.40 per prescription. A recent study from accounting consulting firm Grant Thornton found that the average cost to dispense a Medicare Part D prescription drug is $10.50, yielding 90 cents, on average, per prescription. With an average prescription price of $68.26, the pharmacy nets an anemic 1.3% net profit margin. Responding to the OIG report, National Community Pharmacists Association Executive Vice President and CEO Bruce Roberts said, "When you also consider the slow rate of reimbursement…pharmacists may be forced to close their doors, or stop participating in these government programs and patient access to the medicines they need will be seriously threatened."

South Carolina Pharmacists May Get Higher Dispensing Fee
Alexandria, VA — The National Association of Chain Drug Stores (NACDS) is giving kudos to a proposed Medicaid dispensing fee increase for South Carolina pharmacists. According to NACDS, the South Carolina Department of Health and Human Services (DHHS) recently announced it has petitioned the Centers for Medicare and Medicaid Services to more than double the dispensing fee paid to pharmacists in the state for filling Medicaid prescriptions from $4.05 to $9.94. The new fee was based on a study commissioned by DHHS to find out the actual cost of dispensing a Medicaid prescription in South Carolina.

U.S. Health Care Spending Increases Slightly
Washington, DC — According to a report from the Centers for Medicare and Medicaid Services' Office of the Actuary, 2006 U.S. health care spending increased 6.7% to $2.1 trillion, or $7,026 per person. This represented a slight increase of 0.2% over the previous year. The results, recently published in Health Affairs, showed that the health care portion of gross domestic product was 16%, also slightly higher than in 2005. Prescription spending jumped to 8.5%, partly due to the impact of Medicare Part D. As a result, Medicare spending increased to 18.7% in 2006 compared to a drop of 9.3% the previous year.

Pennsylvania's Population Second Oldest
Chester, PA — According to data from the 2000 U.S. Census, Pennsylvania's population ranks among the oldest in the U.S. behind Florida. Widener University, in conjunction with the Pennsylvania Department of Education, conducted a survey of state baby boomers and centenarians about their attitudes toward their futures, work, wealth, and health issues. More than two-thirds of those polled said they had feared that health care expenses would destroy their retirement nest eggs.

2008 Remington Honor Medal Winner Named
Washington, DC — J. Lyle Bootman, PhD, ScD, has been awarded the 2008 Remington Honor Medal, the profession's highest honor administered by the American Pharmacists Association. Considered a pharmacy research pioneer in the field of outcomes and pharmacoeconomics, Dr. Bootman is an expert in drug-related morbidity and mortality from a clinical and economic perspective. He has published nearly 250 manuscripts, monographs, and textbooks, many related to pharmacoeconomics and health outcomes.

 

 
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