MO Pharmacist November 2022

November 2022 Volume 96, Issue III

Oddities In LawMaking pg. 16

Little fish in a big pond? Not anymore!

Join AAP, where we're stronger together.

Learn More at RxAAP.com/BigFish (877) 797-9227

Missouri Pharmacist Magazine, Volume 96, Issue III THE TABLE OF CONTENTS

MPA Staff RON FITZWATER, MBA, CAE, Chief Executive Officer ROBYN SILVEY, CMP, MBA, Chief Operating Officer ANNIE EISENBEIS, PharmD, MBA, Director of Practice Development HENRIO THELEMAQUE, Director of Government Affairs LAUREN EICHELBERGER, Membership & Programs Coordinator DREW OESTREICH, Pharmacy Provider Relations ASHLEY STONE, PharmD – Education Coordinator TRAVIS FITZWATER, Director of Strategic Initiatives JOSH BERRY, PharmD, Executive Fellow CYNTHIA HICKS, PharmD, Executive Fellow Board of Directors President – JERRY CALLAHAN, RPh Elsberry Pharmacy, Elsberry President Elect – KOBY PRATER, PharmD Prater’s Pharmacy, Seneca Treasurer – KENDALL GUTHRIE, PharmD, BCACP UMKC School of Pharmacy, Kansas City Secretary – ROXANE TOOK, PharmD, BCACP SSM Saint Louis University Hospital, St. Louis Immediate Past President – CURT WOOD, RPh, CGP, FASCP Elder Care Pharmacy Consultants, LLC, New London

FROM THE PRESIDENT pg. 2 CEO UPDATE pg. 4 REDLETTERDATES pg. 6 U.S. PHARMACY STAMP pg. 9 MPACONFERENCEREVIEW pg. 12 GRANTFORCHWTRAINING pg. 18 STORM ON THE HORIZON pg. 22 NOW& THEN pg. 31

Members At Large SHELLY BADER, PharmD John J Pershing VAMC, Poplar Bluff

BRYAN KIEFER, PharmD Jones Drug Store, Jackson PAWEL SIERBINSKI, PharmD, BCACP, AAHIVP Gateway Apothecary, St. Louis ERICA MAHN, PharmD, BC-ADM Alps Pharmacy, Springfield Ex-Officio Members RUSSELL MELCHERT, PhD, RPh UMKC School of Pharmacy, Kansas City TERRI WARHOLAK, PhD, RPh, CPHQ, FAPhA St. Louis College of Pharmacy at University of Health Sciences & Pharmacy, St. Louis

Download the App

MISSOURI PHARMACY ASSOCIATION | 211 EAST CAPITOL AVENUE | JEFFERSON CITY, MO 65101 PH: (573) 636-7522 FAX: (573) 636-7485 MoRx.com MISSOURI PHARMACYASSOCIATIONMISSION: The Missouri Pharmacy Association promotes and protects the role of pharmacists as the medication expert in patient care relationships, and as an integral part of the health care team. Missouri Pharmacist is mailed toMPAmembers, non-member pharmacists, pharmacy educators, pharmacy technicians, and pharmacy students in the state of Missouri. All views and opinions expressed in articles are those of the writer and are not necessarily the official position of the Missouri Pharmacy Association. Layout and design by wetsuCREATIVE Marketing. To advertise email Jason Jett at advertising@MoRx.com or call (573) 644-2258. For editorial inquiries, contact Robyn Silvey at robyn@MoRx.com or call (573) 636-7522.

Missouri Pharmacist, Volume 96, Issue III is owned and published biannually by the Missouri Pharmacy Association, 211 East Capitol Avenue, Jefferson City, MO 65101. Postage paid at Fulton, MO and additional mailing offices. Postmaster: send address changes to Missouri Pharmacist, 211 E. Capitol Avenue, Jefferson City, MO 65101-3001

FROM THE PRESIDENT

by JERRY CALLAHAN, RPh Advocate, Educate, Promote, Value, and Lead A s I begin my year as President of the Missouri Pharmacy Association, I want to express what an honor and privilege it is to serve you, ADVOCATE includes lobbying ef forts, contributions to the Pharmacist Polit ical Action Committee of Missouri (PPAC), grassroots engagement with the community and legislators, payment protection issues through lobbying for PBM transparency, price protections, and keeping Missouri

Medicaid out of the hands of the PBMs. EDUCATE is more than continuing ed ucation. It includes our conference as ameans to network and learn. It also includes support for those seeking to renew designations and certifications. PROMOTE is howwe can elevate pub lic awareness of pharmacy and the associa tion. We need to position pharmacy at the forefront of patient care and the community, nomatter what area of pharmacy we practice. VALUE is what your association provides to you and what you provide to your associa tion by your membership and support both physically and financially. We will continue to work with MO HealthNet to find ways to offer additional funding sources through enhanced services. We need to make sure that your association is represented by all pharmacy practice settings. MPA is here to serve, not just independent pharmacists-we need all of you in chain, hospital, consultant, education, and all other areas where pharma cists and support personnel work to join the association tomake us stronger and a united voice for our profession. LEAD is what your Board and staff at MPAmust do tomake sure we continue to be to protect and advance the pharmacy profes sion. We must be excellent stewards of MPA finances, assets and intellectual property. You need to know and have confidence inMPA’s achievements and objectives and how you benefit, and be engaged in your association. Our strength lies in our numbers and the in volvement of our members in the association.

our members of MPA. I want to thank our past Presidents for their leadership and the knowledge I have gained from them these past years. My goal is to be the best President I can be for you and this organization, and with your help, along with Ron and his staff at MPA, we will have a successful year with the goals your Board has set for this coming year. At our con ference this year, a new slate of officers was in stalled, and our work is just beginning. What a conference it turned out to be. We went back to the upgraded and much improved Margari taville, and the positive comments we received were verymuch appreciated. If all goes well, we will return there next year. For those of youwho were there, youwere able to hear my acceptance speech and the goals I have set personally for this coming year, as well as the goals the board has set aside at the Board’s retreat we held this past summer. I would like to take this time to share those with you and what I personally hope to achieve, as well as what you, our members, can do to help your MPA achieve these goals. To paraphrase John F Kennedy, ‘Ask not what MPA can do for you, ask what you can do to help MPA.’ Your Board has recommended five goals to pursue this year and beyond. Four deliver value tomembers, while the fifth addresses the structure and human capital of MPA.They are as follows: Advocate, Educate, Promote, Value, and Lead. (If you would like to view the Stra tegic Plan, visit www.morx.com).

The two areas that I will personally focus on are the passage of a strong PBM bill that will allow pharmacy to take back control of our profession and to increase the member ship and involvement of all the various practice site pharmacists and support personnel. We need all pharmacists, students, and support personnel-chain, hospital, consultant, educa tion, research, independent and all other areas we practice-to join and support MPA. If we are to pass a PBM bill this year, we will need your financial support for theMPAPAC as well as your contacts with your State Legislators. Whether you are a student, educator, techni cian or pharmacist, your involvement is needed, welcomed, and appreciated. I am asking all pharmacists who practice in this state to join MPA and to contribute to our PAC, whether it is a one-time donation or monthly as I do. If you are able and willing to contribute with a one-time donation of more than $5000, that will show the Legislators that we are a force to be reckonedwith andwill give us access to at least be heard. I want to thank you again for this oppor tunity to serve as your President, and I look forward to see our association and our profes sion be the best that we can be. I cannot do it alone, though. Your association and I need your assistance and involvement. Jerry Callahan, RPh, Elsberry Pharmacy, is President of the Missouri Pharmacy Association.

2 Missouri PHARMACIST | Volume 96, Issue III | November 2022

Snap a pic. Impact your profession. Join today!

JoinMPA today! MoRx.com or call (573) 636-7522 .

Your livelihood MPA represents you by continuing to expand the pharmacy profession and securing financial reimbursements for your benefit.We are the connection to legislation that affects the Missouri pharmacy profession. We’ve got your back at every table discussing pharmacymatters-private industry, Medicare & Medicaid and national organizations.

Your environment The health care delivery system is continuously changing and we keep you up to date. A weekly MPA email alert provides facts about state and national issues impacting you. We protect your pocketbook with quality improvement programs and affordable membership dues.

Business MEMBERSHIP $500 annually For only $500 a pharmacy gains membership and benefits for pharmacists (up to 9 per site) and ALL technicians employed on site. Individual MEMBERSHIP $160 annually or

We are your voice.

&

CUT OUT AND RETURN BY MAIL, FAX OR SCAN/EMAIL.

BusinessMembership For only $500 annually a pharmacy gains membership and benefits for pharmacists (up to 9 per site) and ALL technicians employed on site. Individual Membership $160 annually gains membership. Yes, I want to receive my own subscription to Missouri Pharmacist magazine, free with my MPA membership.

SIGNATURE

DATE

NAME (PLEASE PRINT)

Strengthen the voice of pharmacists. JoinMissouri Pharmacy Association today.

BUSINESS NAME

ADDRESS

PAYMENT ENCLOSED

BILL ME LATER

CITY

STATE/ZIP

Ph: (573) 636-7522 Fax: (573) 636-7485 MoRx.com/join-now laurene@MoRx.com

Missouri Pharmacy Association 211 East Capitol Avenue Jefferson City, MO 65101

PHONE

EMAIL

CEO UPDATE

Another Busy Holiday Season Is Here Again by RON FITZWATER, CAE, MBA

A s we enter this Holiday Season, I wish a Happy Thanksgiving, Mer ry Christmas, Happy Hanukkah and Happy New Year to you and your family. It is always a busy time of the year. I hope you have special times with your

tional for most of the session. They fulfilled their constitutionallymandated responsibility of passing a state budget and passed a limited number of bills. Unfortunately, there were a lot of issues left unfinished as the Senate struggled to find common ground onmany issues.Their

"The Missouri Pharmacy Association will be entering 2023 with an aggressive agenda for the new year. "

Ron Fitzwater, CAE, MBA, is the CEO of the Missouri Pharmacy Association.

family and friends over the next several weeks. If your plans include traveling, I alsowish you safe travels. By the time you read this; I will have been listening to Christmas music for several weeks. It is amagical time that passes by much too quickly. The Holiday Season also begins the conclusion of the current year and the plan ning for the new year just around the corner. Closing out 2022 brings about mixed feelings. When the year started last January 1, there was optimism for the upcoming year on several fronts. First, we had been through over 20 months of dealingwith the COVIDpandemic. Although a new variant of COVIDwas work ing its way throughmuch of the country, there was a general feeling that we were on the back side of the pandemic. I think that has proven to be essentially correct. Our country got back to a more normal operating environment as the year progressed. Second, on January 1, 2022, there was an optimism that the state legislature would begin to address some of the critical issues fac ing pharmacists in our state.That quickly got derailed as the Missouri Senate was dysfunc

inability to gain traction during the session caused hardship for many groups and busi nesses that were looking to the legislature to address some critical issues impacting them. At the end of the session inmid-May, most of those issues were still outstanding. That leads to the final activity during the Holiday Season-ushering in the newyear and the optimism that it often brings. The Mis souri Pharmacy Association will be entering 2023 with an aggressive agenda for the new year. In September 2022, the MPA Board of Directors finalized and approved a compre hensive newStrategic Plan for the association. MPA committees are already underway in implementing the items outlined in the plan. MPA president, Jerry Callahan, did a great job of outlining the new Strategic Plan in his article that is earlier in the magazine. I hope that you are involved in one of the committees that is implementing these programs. If not, there are plenty of places for you to plug in. Just let me know at ron@morx.com where you would like to participate. In addition to the education, membership development and professional affairs activities, the Legislative

Committee has been hard at work developing the legislative strategy for the newLegislative Session that will begin on January 4, 2023.We are optimistic that we will have amuchmore productive session in 2023. For the past month, two task forces have been working on critical pieces of the 2023 MPA Legislative Agenda. One task force is dealing with the issue regarding Pharmacy Benefit Managers (PBMs) and their impact on higher drug prices for patients and lower reimbursements for pharmacists. A second task force is working on proposals to expand the practice of pharmacy in Missouri so that pharmacists can practice your profession at the top of your license and training. The full Legislative Committee is reviewing several other issues that could become part of the final Legislative Agenda for the 2023Missouri Legislative Session. Each of these task forces will present their findings to the MPA Board of Directors at their meeting on December 1. MPA staff is already beginning to identify leg islators to approach about being bill sponsors for us. Your work in getting to know legislators

4 Missouri PHARMACIST | Volume 96, Issue III | November 2022

in your area will be critical as we begin to fi nalize the 2023MPALegislative Agenda based on the direction given by the MPA Board at the December 1 meeting. Again, best wishes for a great Holiday Season. We look forward to working with you in 2023. In closing, I am asking that you put a few important days on your calendar for you to join your pharmacist colleagues in key activities for your profession. The first is Wednesday, April 5, the date for the 2023MPA Legislative Day in Jefferson City. The other days are August 24–27, the dates for the 2023 MPA Annual Convention at Margaritaville in Lake Osage. Both promise to be fun and productive times. Thank you. Send me an email at ron@MoRx.com to tell us how _M ZM LWQVO TMILQVO aW]Z XZWNM[[QWV QV 2M ٺ MZ[WV +Q\a ?M _IV\ \W PMIZ NZWU aW] I[ _M ÅOP\ \W SMMX XPIZUIKa at the forefront of legislators and administration W ٻ KQIT[ UQVL[ 58) XZWUW\M[ IVL XZW\MK\[ \PM ZWTM WN the Missouri pharmacists as the medication expert in patient care relationships, and as an integral part of the health care team.

Ways to Interact & Improve Your Pharmacy Profession

Join Today It's never been more important for you to be a member of the MPA, as we advocate. Receive the weekly update MPA Insider email newsletter, Continuing Education offerings, the earliest news on the vaccine distribution plans from the state, and much, much more. For as little as $160/year, join and impact your profession. bit.ly/mpa-membership

Be Informed Join our Advocacy Team to be on the front lines of the battle in Jefferson City. bit.ly/mpa-advocacy-team MPA Podcast You can find some of our best content on the Missouri Pharmacy Podcast. bit.ly/mpa-podcast

NEW AT THE MISSOURI BOARD OF PHARMACY

The Board held its annual strategic planning meeting in September 2022 and adopted the following strategic focus areas for 2023: 1. Removing barriers to pharmacist clinical services and aligning with pharmacist education and training,

2022 has been another unpredictable year in healthcare, with Missouri pharmacists leading the way in providing patient care for Missouri citizens. The Board continued its standards of practice regulatory review throughout the year, which is focused on updating Missouri’s rules to enhance patient safety, empower pharmacist clinical services, and remove unnecessary regulatory barriers/ requirements.

Other Upcoming Board Items • The updatedMissouri Pharmacy Practice Guide will be released inDecember 2023, alongwith an updated Pharmacy Practice Guide Continuing Education online exam. Visit www.pr.mo.gov/pharmacists.asp for additional information. • Rules Pending/Under Review: a. 20 CSR 2220-2.175 (Pharmacist Well-Being) b. 20 CSR 2220-2.900 (Automated Dispensing and Storage Systems) c. 20 CSR 2220-6.025 (HIV Post Exposure Prophylaxis) *February/ March 2023 effective date d. Pharmacist naloxone/naltrexone dispensing by protocol/Missouri Dept. of Health and Senior Services standing order

2. Pharmacy Working Conditions, 3. Increasing education/awareness of Board practice resources, and 4. Reviewing Board regulation of 3rd Party entities assisting with/ facilitating pharmacy services.

Visit www.pr.mo.gov/pharmacists.asp for additional information or to provide input.

MedWise ® Decision Support

RED LETTER DATES

MPA

members receive a

for the Community Pharmacist Prevent adverse drug events and i mprove patient outc mes

December 1, 2022 Legislative Bill Filing Opens Jefferson City, MO Missouri’s legislators begin filing bills for the 2023 legislative session. December 1, 2022 MPA Board of Directors Jefferson City, MO The MPA’s decision-makers meet to discuss the direction of the association January 4, 2023 Legislative Session Opens Jefferson City, MO The Missouri state legislature begins its legislative session that ends in mid-May. March 24-27, 2023 APhA Annual Convention Phoenix, AZ The American Pharmacists Association brings together pharmacists from around the world to discuss pharmacy and celebrate the work done in the field. aphameeting.pharmacist.com April 5, 2023 MPA Legislative Day Jefferson City, MO The MPA's most important advocacy event provides an opportunity for pharmacists to hear how the legislature is impacting the practice of pharmacy and encourages member pharmacy professionals to interact with their legislators on crucial pharmacy issues. MoRx.com July 2023 Young Pharmacist Leadership Retreat Camdenton, MO This two-and-a-half-day program is designed to help you become an exceptional leader in the pharmacy industry by providing you with important tools, training, and resources. Our goal is to help you reach your status as an emerging leader in pharmacy. MoRx.com MedWise Risk Score™ (MRS)

20%

DISCOUNT

® technology to

Leverage Tabula Rasa HealthCare’s (TRHC) MedWise assess si multaneous, accumulative, multi-drug interactions to ensure

medication safety, efficacy, and promote adherence. MedWise decision support tools, available within the PrescribeWellness software, provide the community pharmacist with personalized medication safety solutions for

customized care and i mproved outcomes.

MedWise decision support tools Medication Risk Mitigation Matrix™, Bullseye, and

Windrose

Certified MedWise Advisor™ training Accredited for continuing education credits

Patient communications and outreach

Learn more blog.prescribewellness.com/mds-pharmacy-association/

Connect with our team today:

sales@prescribewellness.com or (800) 960-8147

Copyright © 2021, Tabula Rasa HealthCare, Inc., all rights reserved. These materials are confidential and proprietary information of Tabula Rasa HealthCare, Inc. and may not be reproduced in whole or in part without the written consent of Tabula Rasa HealthCare, Inc.

MedWise ® Decision Support for the Community Pharmacist Prevent adverse drug events and improve patient outcomes

MPA members receive a 20% DISCOUNT

Leverage Tabula Rasa HealthCare’s (TRHC) MedWise ® technology to assess simultaneous, accumulative, multi-drug interactions to ensure medication safety, efficacy, and promote adherence. MedWise decision support tools, available within the PrescribeWellness software, provide the community pharmacist with personalized medication safety solutions for customized care and improved outcomes.

MedWise Risk Score™ (MRS)

MedWise decision support tools Medication Risk Mitigation Matrix™, Bullseye, and Windrose

Certified MedWise Advisor™ training Accredited for continuing education credits

Patient communications and outreach

Learn more

blog.prescribewellness.com/mds-pharmacy-association/

Connect with our team today: sales@prescribewellness.com or (800) 960-8147

Copyright © 2021, Tabula Rasa HealthCare, Inc., all rights reserved. These materials are confidential and proprietary information of Tabula Rasa HealthCare, Inc. and may not be reproduced in whole or in part without the written consent of Tabula Rasa HealthCare, Inc.

CONQUER E D H E IGH T S H E RE AND ON T HE ROPES COURSE

CONQUER E D H E IGH T S H E RE AND ON T HE ROPES COURSE

CONQUER E D H E IGH T S H E RE AND ON T HE ROPES COURSE

NEXT UP - ONE MI LK SHAKE, T WO S T RAWS

NEXT UP - ONE MI LK SHAKE, T WO S T RAWS

B EF OR E T HIS, BRAV E D SHAR CANYON

B EF OR E T HIS, BRAV E D SHARK CANYON

B EF OR E T HIS, BRAV E D SHARK

B EF OR E T HIS, BRAV E D SHARK CANYON

B EF OR E T HIS, BRAV E D SHARK

CANYON

CANYON

See Where It Takes You stlouisunionstation.com Discover The St. Louis Wheel, The St. Louis Aquarium, Ropes Course and Carousel, The Soda Fountain and more!

by DALE SMITH, R.Ph., M.A. U.S. Pharmacy Stamp is 50 Years Old

D id you know that the United States issued a stamp to honor the pharmacy profession on November 10th, 1972? I had just returned from Vietnam where I served in an Army MASH unit for the 11thArmored Cavalry. I was a pharmacist specialist treating Army personnel and South Vietnamese soldiers. While sitting in my pharmacy class, the middle of No vember 1972, my professor introduced two gentlemen from Geigy Pharmaceutical Company. They surprised the whole class with a gift of their pharmacy cover. (figure 1) None of us were aware that the stamp was being issued. That day startedmy life of philatelic collecting of this stamp, and First Day covers, with a complete focus on this wonderful stamp honoring our profession. This 8-cent stamp has quite a history. It took nearly 38 years to convince the postal service to issue this stamp. First proposed in 1934 and rejectedmultiple times, efforts proved futile.There were repeated efforts for almost four decades by many leaders in the pharmacy industry who worked diligently to promote such a commemorative stamp. Failure after failure meant that efforts had to restart time and again, all the while promoters were learning what worked to convince the right individuals to consider such a stamp. Why shouldn’t there be a stamp honoring the pharmacy profession? Over a few years all themajor medical professions: doctors, dentists, osteopathic physicians, nurses and hospitals had already been honored with stamps. Many other nations had printed the pharmacy subject on stamps years before. But for some reason it was difficult to convince the Citizens Stamp Advisory Committee (who decide which commem orative stamps will be issued each year) to recognize the devotion and conscientious service that pharmacists pro vide to the public in partnership with the health care providers mentioned above. Finally in the mid-60s journalist Irving Rubin, editor of Pharmacy Times, teamed up with leaders of pharmacy organizations, drug companies, pharma cists and politicians in Washington, DC and start ed an aggressive campaign for a pharmacy stamp. A groundswell of letters frompharmacists, National Association of Retail Druggists, American Pharma ceutical Association, and other pharmaceutical or ganizations and their members was finally working.

RK

THE LEADING VOICE FOR THE MISSOURI PHARMACIST | MoRx.com 9

f61

A friend, pharmacist George Griffenha gen, communications director for APhA at that time, was a key leader in promoting the pharmacy stamp. Drug manufactur ers, national, state and local pharmacy organizations, and even the healthcare practitionersmentioned above grew into a flood of support for such a stamp. Success was achieved because of the team effort to support the campaign. Senator Robert Griffin (Mich.) promoted the stamp in Congress andwas soon joined by Senator BobDole (Kans.) (chair of the Republican National Committee) to provide the po litical push in this effort. The postal service finally responded with the announcement on August 14, 1971, they would issue a stamp honoring the nation’s 100,000 pharmacists. They revealed the design (figure 2) and stated it would be printed and issued on No vember 10, 1972. The First Day of Issue ceremony would occur at the 120th year convention of the American Pharmaceu tical Association at the NetherlandHilton hotel in Cincinnati Ohio. When a commemorative stamp is issued, there is usually a First Day cere mony with invited guests present for the first day of sale of the stamp. Many of the pharmaceutical organizations men tioned produced First Day Covers (FDC). A first day cover (figure 3) is an envelope with a picture usually on the left (cachet) and the newly issued stamp in the usual place on the upper right, canceled with FIRSTDAYOF ISSUE on the stamp. Over 804,320 first day covers were made by over 100 organizations in the pharmacy profession. Also, drug manufacturers, several pharmacy schools, drug store chains as well as independent pharmacy owners, pharmacy publications and local stamp clubs produced these covers. Pharmacists received many of the different FDCs from these organizations. Many of these FDCs were saved because many pharmacists also collected stamps during the time of issue. Some pharma cies used the occasion to send these FDCs as a marketing tool to physicians, with a message about the personal care and oth er services their patients would receive. Look at the picture on the stamp. Ken Davies, of Madison, Connecticut,

was the designer and artist who created the artwork. He drew the Bowl of Hygeia (Greek goddess of health), Mortar and Pestle, the pharmacy symbol Rx (Recipe or take thou) and two 19th century bot tles (one for medicine and one for per fume). The writing on both labels was intentionally made illegible. The colors of orange, dark and light tan, blue bottles, red Hygeia, and brown pestle handle are striking. This also provided many color shifts during the printing (figure 4) and creating perforation errors that are highly collectible. (figure 5) The total quantity of the Pharma cy Stamp printing was 165,895,000. The stamp was sold by the post office from the first issue date to January 4, 1974. After that date no more were produced. Millions of sheets were bought during that time. Now, you can find the stamps and covers from stamp dealers or collectors. You can still buy sheets of 50 stamps for around $13-those sheets, plate blocks of four stamps and singles are still available. A large variety of FDCs are available for between $3-$10. Some of the covers are hand painted or produced in such small quantities that they sell for several hun dred dollars. (figure 6) Once plentiful, it is becoming dif ficult to find these items. Millions were used by the pharmacy industry right after they were issued. After 50 years of use, you must search to find those stamps to day. Graduating students had used them on their announcement cards. Yes, they still are valid to use as postage. At today’s cost for a first-class letter (60 cents) you would have to use eight stamps to mail a letter, overpaying by four cents. Today, I see these stamps given as a gift to grad uates, given as awards, or used as a com memorative gift to those in pharmacy education and industry. It took over 38 years, and total sup port by many leaders in the pharmacy industry working diligently to promote the Pharmacy stamp. It continues to be one of the most highly respected and ap preciated U.S. stamps issued since 1847 when the first U.S. stamp was issued. If you are looking for a hobby, consider col lecting this stamp and its covers.

f2

f3

f4

f5

f6

10 Missouri PHARMACIST | Volume 96, Issue III | November 2022

NOW AVAILABLE Pharmacy Technician Professional Liability Insurance ILAB E Pharmacy Technician Professional Liability Insurance NOW AVAILABLE Pharmacy Technician Professional Liability Insurance NOW AVAILABLE Pharmacy Technician Professional Liability Insurance NOW AVAILABLE Pharmacy Technician Professional Liability Insurance

Are You Covered? re You Covered? Are You Covered? Are You Covered? Are You Covered?

WHAT IF you provide COVID-19 testing or immunizations? WHAT IF you provide COVID-19 testing or immunizations? WHAT IF you provide COVID-19 testing or immunizations? WHAT IF you provide COVID-19 testing or immunizations? WHAT IF you provide COVID-19 testing or immunizations?

WHAT IF your scope of practice as a Pharmacy Technician WHAT IF your scope of practice as a Pharmacy Technician exposes you to liability claims? WHAT IF your scope of practice as a Pharmacy Technician exposes you to liability claims? WHAT IF your scope of practice as a Pharmacy Technician ex oses you to liability claims? WHAT IF your scope of practice as a Pharmacy Technician exposes you to liability claims? exposes you to liability claims?

WHAT IF you were named individually in a lawsuit? WHAT IF you were named individually in a lawsuit? WHAT IF you were named individually in a lawsuit? WHAT IF you were named individually in a lawsuit? WHAT IF you were named individually in a lawsuit?

LEARN MORE AT: phmic.com/pharmacy-technician-professional-liability LEARN MORE AT: phmic.com/pharmacy-technician-professional-liability LEARN MORE AT: phmic.com/pharmacy-technician-professional-liability LEARN MORE AT: phmic.com/pharmacy-technician-professional-liability phmic.com LEARN MORE AT: phmic.com/pharmacy-technician-professional-liability phmic.com

Professional | Commercial | Personal | Life & Disability

Professional | Commercial | Personal | Life & Disability Professional | Commercial | Personal | Life & Disability Professional | Commercial | Personal | Life & Disability Professional | Commercial | Personal | Life & Disability Policy terms and conditions control. Coverage may not be available in all states and territories. Life and disability insurance are written through PMC Advantage Insurance Services, Inc., a wholly-owned subsidiary of Pharmacists Mutual Insurance Company. Policy terms and conditions control. Coverage may not be available in all states and territories. Life and disability insurance are written through PMC Advantage Insurance Services, Inc., a wholly-owned subsidiary of Pharmacists Mutual Insurance Company. phmic.com phmic.com phmic.com

Policy terms and conditions control. Coverage may not be available in all states and territories.

2022 MPA ANNUAL CONFERENCE: CHANGES IN LATITUDES, CHANGES IN ATTITUDES

The MPA Annual Conference & Trade Show in Osage Beach at Margaritaville Lake Resort this year was a huge success-full of content, continued education, speakers and networking. The following pages show you this year's award winners and tell you just how lucky we are to serve such incredible members. If you missed out this year, well, you missed out. Take a peek and consider joining us in 2023. CHANGES IN LATITUDES CHANGES IN ATTITUDES

BOWL OF HYGEIA AWARD TIM MITCHELL

The 2022 “Bowl ofHygeia”Awardwas presented toDr. TimMitchell.This prestigious award is presentedannually to apharmacist for their outstanding recordof community service in the pharmacy profession. TimMitchell graduated fromEastNewtonHighSchool in1985.He attendedMissouri StateUniversity and graduatedwith aB.S. inEducation in1990. He attendedUMKC School of Pharmacy from1992-1996 and graduatedwith a B.S. inPharmacy in 1996. Timis the owner ofMitchell'sDrug Stores, which consists of three community phar macies, a Long-Term Care closed-door pharmacy, as well as Vital Care of the Four States Infusion, Specialty, and Compounding Pharmacy, all of which are inNeosho, Missouri. Tim will be the first to tell you that pharmacy is no longer simply about fillingprescriptions but requires pharmacists tobewell-roundedhealthcare providers. Tim pushes his pharmacies to be patient-centered by providing medication therapy management services, immunizations, point of care tests,medicationadministration, diabetes education services, heart healthy services, transitional care services, travel wellnessmedicine services, aswell asmanyother consultative services for his patients. Tim’s stores serve as rotation sites for UMKC pharmacy students and the St. Louis School of Pharmacy. All pharmacists at his locations are members of MPA, NCPA and CPESN and provide care beyond dispensing medication. Recently, Tim has in vested in traininghis pharmacy technicians tobecomeCommunityHealthWorkers. Tim feels that it is very important for pharmacists to embrace the new era of Clinical Community Pharmacy Practice by adopting a patient-centered approach. Tim lives in Neosho with his wife of 35 years, Michelle; they have raised their five children in Neosho. All his family members play an active role in the foundation and success of the business andwill help carry on the legacy of independent community pharmacy. Timhas served as the President of theMissouri PharmacyAssociation and is also on numerous other state and local boards for health and community awareness. Above all else, Timsays that his success in the business comes fromThe Lord and the support of his family. TimandMichelle also are active in their nonprofit organizationVoices of Hope; where their family serves in Haiti, working with underprivileged children throughmedical, wellness and spiritual needs."

ATTITUDES

CHANGES IN LATITUDES CHANGES IN ATTITUDES

12 Missouri PHARMACIST | Volume 96, Issue III | November 2022

2022 MPA ANNUAL CONFERENCE: CHANGES IN LATITUDES, CHANGES IN ATTITUDES

DISTINGUISHED YOUNG PHARMACIST AWARD ANNIE EISENBEIS The Distinguished Young Pharmacist Award was presented to Annie Eisenbeis, PharmD, MBA. To be eligible to be nominated for the award, an outstanding young pharmacist must be a member of the Missouri PharmacyAssociation; licensed inMissouri; have receivedhis/her entry degree in pharmacy nomore than nine years ago; actively practicing in retail, hospital or consulting pharmacy; and participating in pharmacy associations, professional programs and/or community service. Dr. Annie Eisenbeis received her Doctorate of Pharmacy from the St. LouisCollege of Pharmacy andher ExecutiveMBAfromtheUniversity of Missouri Trulaske School of Business and is a licensed pharmacist in Missouri and Illinois. She completed anExecutive Fellowship inAssociation Management at theMissouri PharmacyAssociationafterworking as apharmacy manager and clinical coordinator for communitypharmacies inbothurbanand rural Missouri. Her current role atMPA as the Director of Practice Development involves overseeing and managing grant-funded programs that work to support the design, testing, and evaluation of novel approaches involving pharmacy teams to address reducing risks, complications, and barriers to prevention and control of chronic diseases. She also is the Lead Network Facilitator for the Community Pharmacy Enhanced Services Network of Missouri's clinically integrated network of over 125 pharmacies. In addition, Dr. Eisenbeis serves as the Vice President of the Missouri Immunization Coalition, Chair of theMissouri Diabetes Council, and as amember of the City of Columbia’s Substance Abuse Advisory Commission. Fun Fact: Annie is also a certified Irish Dance instructor and has owned a dance school for several years. EXCELLENCE IN INNOVATION AWARD BIANCA DAISY-BELL The Excellence in Innovation Award was presented to Dr. Bianca Daisy-Bell. To be eligible to be nominated for this award, a pharmacist must have demon strated a rare, unique, and/or innovative style of pharmacy practice resulting in improved patient care. Bianca Daisy-Bell, PharmD, is the Director for Clinical Pharmacy Services at SikestonPharmacy/SEMORx Pharmacies/L&S Inc. Dr. Daisy-Bell earned herDoctorate of Pharmacy fromManchesterUniversityCollege of Pharmacy, Natural andHealth Sciences in 2017. She then completed a PGY-1Communi ty-Based Residency at L&S Pharmacy/St Louis College of Pharmacy. Prior to returning to Logan and Seiler Inc, she served as the Director for Introductory Pharmacy Practice Experiences at Chicago State University College of Pharmacy in Chicago, IL. Dr. Daisy-Bell is passionate about evolving community pharmacy practice, implementing Social Determinants of Health practices, and embedding CommunityHealthWorkers in the pharmacy setting. Most recently, she has played an integral role in the creation, accreditationand implementationof theCommunity HealthWorker Course for Pharmacy Technicians and Liaisons.

THE LEADING VOICE FOR THE MISSOURI PHARMACIST | MoRx.com 13

2022 MPA ANNUAL CONFERENCE: CHANGES IN LATITUDES, CHANGES IN ATTITUDES

PHARMACIST MAKING A DIFFERENCE AWARD MERRY LYNN SCHMITTGENS

ThePharmacistMaking aDifferenceAwardwas presented toMerryLynnSchmittgens, RPh. To be eligible for nomination of this award, the pharmacist must have shown a desire to go above and beyond the call of duty to provide quality pharmacy care and make a difference in patients' quality of life. Merry Schmittgens graduated in 1977 from Webster College with a BA in Psych andManagement and thenwent on to graduate fromSt. Louis College of Pharmacy in 1987. After having worked at Walgreens for several years, she bought Medicine Shoppe in Affton in 1998. Twenty years later, Merry became partners with Jerry Callahan and Bill Jehlingwho has since sold to Jason Wang. These last few years with COVID, she had worked harder thanwhen she was a student at the St. Louis College of Pharmacy. Merry has two children and grandchildren and has since sold her interest inMedicine Shoppe. STLCOP FACULTY MEMBER OF THE YEAR AWARD SARA LIN The 2022 UHSP Faculty Member of the Year Award was presented to Sara Lingow, PharmD, BCACP. This award is presented annually to one faculty member at the UniversityofMissouri –KansasCity, School of Pharmacy, and toone facultymember at the St. Louis College of Pharmacy at University of Health Sciences &Pharmacy in St. Louis for their contributions to pharmacy practice. Dr. Sara Lingowgraduated fromSt. Louis College of Pharmacywith her PharmD in 2016. She completedher PGY1Residency atMercyHospital St. Louis/St. LouisCollege of Pharmacy and aPGY2Residency inAmbulatoryCare at the St. LouisCountyDe partment of PublicHealth/St. LouisCollege of Pharmacy. She is currently anAssistant Professor of Pharmacy Practice at St. Louis College of Pharmacy at UHSP, and her practice site is at the St. Louis County Department of Public Health. Sara is board certified inAmbulatoryCare andworks underMedicationTherapy Service protocols at her practice site for primary care disease states. She is passionate about working at the topof her license andpharmacists achievingprovider status.Her clinical interests include diabetes, hypertension, andpreventativemedicine. She enjoys educating both students and patients, which makes Ambulatory

ATTITUDES

Care the perfect fit. In the classroom, she coordinates the Self Care & Dermatology Integrated Pharmacotherapy course and the Advanced Diabetes Management Elective.

BE THE FIRST TO KNOW! Snap a pic to get on the 2023 conference mailing list!

Save the Date 2023 MPA Conference / Aug. 24-27, 2023 Margaritaville Latke Resort, Lake of the Ozarks ,

CHANGES IN LATITUDES CHANGES IN ATTITUDES

14 Missouri PHARMACIST | Volume 96, Issue III | November 2022

2022 MPA ANNUAL CONFERENCE: CHANGES IN LATITUDES, CHANGES IN ATTITUDES

UMKC FACULTY MEMBER OF THE YEAR AWARD SARAH OPRINOVICH The 2022 UMKC Faculty Member of the Year Award was presented to Dr. Sarah Oprinovich. This award is presented annually to one faculty member at theUniversityofMissouri –KansasCity School of Pharmacy and to one faculty member at the St. Louis College of Pharmacy at the University of Health Sciences & Pharmacy in St. Louis for their contri butions to pharmacy practice. Dr. Sarah Oprinovich has been a Clinical Assistant Professor at the University of Missouri-Kansas City School of Pharmacy since 2017. She serves as the Residency Program Director for two of the UMKC Community-basedPharmacyResidencyPrograms at L&SPharmacy and Balls Foods Pharmacy. Dr. Oprinovich’s research focuses on expanding the practice of community-basedpharmacy to a patient-focusedmodel rather than a product-focused model. Outside of work, she enjoys “having her hands full” with her husband, three children, and two dogs. TECHNICIAN OF THE YEAR AWARD RACHEL BARNETT The 2022 Technician of the Year Award was presented to Rachel Barnett. To be eligible to be nominated for the award, a pharmacy technicianmust demonstrate outstanding skills that help the pharmacist and pharmacy provide better pharmacy care andmore efficient service to the patient/cus tomer. In addition, the technicianmust showan interest in and concern for the community by participating in some activities outside of work. Rachel Barnett has been working as a pharmacy technician for four years at Alps Pharmacy in Springfield, MO. Rachel is the first face the patients ofAlps Pharmacy see. She hasmade it hermission toknoweach patient byname and tobecome a part of their lives. She is a resource from lending an ear to hear about a patient’s day, sending a card to those who are experiencing grief or doing their hair in her free time. Rachel is always looking forways tomake a difference.Withher background in Criminal Justice and her love for people from all walks of life, she became a CommunityHealthWorker to build on her abilities to help her patients. Rachel goes the extra mile to help low income-patients by helping them complete paperwork for coverage on their medications, food stamps, and essentials. Rachel also works in the Springfield community in various capacities. She is a co-chair for the DREAMCo alition, which is an extension of the Community Partnership. She also spends time coordinating Bingo at the Senior Center every month. When Rachel is not in the pharmacy, you can find her traveling to beaches with her daughter Carinne.

THE LEADING VOICE FOR THE MISSOURI PHARMACIST | MoRx.com 15

2022 MPA ANNUAL CONFERENCE: CHANGES IN LATITUDES, CHANGES IN ATTITUDES

STLCOP STUDENT MEMBER OF THE YEAR AWARD NICOLE GASPAROVIC The 2022 STLCOP at UHSP Student Member of the Year Award was presented to Nicole Gasparovic.This award is presented annually to one student member each at the University of Missouri – Kansas City, School of Pharmacy and at the St. Louis College of Pharmacy at theUniversity ofHealthSciences&Pharmacy inSt. Louis for their commitment to pharmacy and community, as evidenced by membership and participation in pharmacy organizations and community involvement. Nicole is a P4 student at the University of Health Sciences and Pharmacy (UHSP) in St. Louis and has had the privilege to serve as the student chapter’s president during the last academic year. As a pharmacy student, she had the opportunity to work at two local independent pharmacies (Ladue pharmacy and Millbrook pharmacy) and Siteman Cancer Center. Nicole has been inducted into Phi Lambda Sigma, a pharmacy leadership society, and Rho Chi honors society during her time at UHSP. She is passionate about pharmacy, and the many roles pharmacists can have in the healthcare field. UMKC STUDENT MEMBER OF THE YEAR AWARD MADELINE CLARK The 2022UMKCStudentMember of theYearAwardwas presented toMadelineClark. This award is presented annually to one student member each at the University of Missouri –KansasCity, School of Pharmacy and at the St. LouisCollege of Pharmacy at the University of Health Sciences & Pharmacy in St. Louis for their commitment to pharmacy and community, as evidenced by membership and participation in pharmacy organizations and community involvement. Madeline Clark is a fourth-year student pharmacist at the University of Missouri – KansasCity. She is fromClaremore,Oklahoma. She obtainedher Bachelor of Science inBiochemistry atDruryUniversity inSpringfield,Missouri, andgraduatedwithher MBA fromUMKC this last December. At UMKC, Madeline has been active in the American Pharmacy Association – Academy of Student Pharmacists, serving as the local PolicyVPandRegion6Delegate, and in theNational CommunityPharmacists Association as the local chapter president. She is the current president of the national NCPAStudent LeadershipCouncil. Because of these roles, shewas honored tobe able to serve as the UMKCMPA Board Liaison this last year. PRESIDENT’S AWARD DANIEL GOOD Eachyear theMPAPresidentmay select an individual for thePresident’sAward that is given in recognition for outstanding service and loyalty toMPA.This year, the award went to Daniel Good, MS, RPh, FASHP.

16 Missouri PHARMACIST | Volume 96, Issue III | November 2022

2022 MPA ANNUAL CONFERENCE: CHANGES IN LATITUDES, CHANGES IN ATTITUDES

NCPA PHARMACY LEADERSHIP AWARD JERRY CALLAHAN

TheNCPALeadershipAward is presented to the incomingPresidents of the State Pharmacy Associations. NCPA acknowledges the time, talent, and commitment that is required to lead a state pharmacy association. This year the awardwent to JerryCallahan, RPh, your currentMPApresident. INCOMING PRESIDENT’S AWARD JERRY CALLAHAN TheMcKesson IncomingPresident’s award is givenby theMissouri Phar macy Association and McKesson to recognize the beginning of the term as President of the association. This year the award went to Jerry Callahan, RPh, your current MPA president. HONORARY PRESIDENT JASON WANG Each year the new board president selects an Honorary President for his or her term. This year, Jerry Callahan chose JasonWang, PharmD, as his honorary President. APPRECIATION AWARD CURT WOOD The Appreciation Award is selected by the new board president for his or her outstanding service on the Board of Directors.This year the awardwas presented toCurtWood, RPh, BCGP, FASCP for his hardwork anddedication. PRESENTATION OF PAST PRESIDENT’S CLOCK AND PIN CURT WOOD In true MPA tradition, it is customary for the outgoing President to be presented with a clock and lapel pin representing their year of presidency and outstanding support and leadership of the association. This year Curt Wood, RPh, BCGP, FASCP received his clock and pin from Past President Paul Perniciaro.

THE LEADING VOICE FOR THE MISSOURI PHARMACIST | MoRx.com 17

Community Health Workers (CHWs) are people from the community, a pharmacy technician for ex ample, who connects individuals with organizations to fulfill their needs. This includes addressing social determinants of health (SDoH), which includes helping someone get transportation to their healthcare appointments, connecting themwith food banks, or many other solutions to support nonclinical needs. Community pharmacists are already an information, education and health care hub re ceiving information, such as prescriptions fromall of the various doctors and specialists for each patient. Similar to pharmacy services, many community resources are being underutilized due to lack of awareness. Pharmacy technicians who are trained and serve in a dual role as CHWs serve as a referral hub and effectively determine what support their fellow community members need. to incorporate CHWs into the pharmacy workflow. There is an other element to pharmacy technicians becoming CHWs that is valuable, and that is their proximity to a clinician, the pharmacist. This powerhouse team of patient advocates, community support, and health care professionals has public health organizations taking notice. Through a collaboration among MPA, L&S Pharmacy, and CEimpact, the first virtual CHWcourse for pharmacy technicians was developed and is now being offered in Missouri and several other states. This course is specifically designed with pharmacy workflows and processes in mind and utilizes relevant case studies specific to pharmacy. The Missouri Department of Health and Senior Services has partnered with MPA to provide grant funding to cover scholarships for pharmacy technicians to complete the course. In addition, for MPA business members, pharmacies can receive implementation and onboarding stipends to support the integration of the CHW activities into the pharmacy after the technician becomes a credentialled CHW. You can now get your Community Health Worker training paid for, for free! free! free! Grant opportunity details include: $1380 scholarship for the course and textbook for MO pharmacy technicians $1800 implementation and onboarding stipend per pharmacy tech who completes the course for MPA Business Member pharmacies Community HealthWorkers (CHWs): A Favorite Topic in PublicHealth and How Pharmacies Can Get Involved by DR. ANNIE EISENBEIS, PharmD, MBA CHWs currently work in settings like clinics, nursing homes and health systems. Because pharmacies provide an ideal setting for routine as sessments, monitoring and follow-up for patients, it makes sense

Register to get started.

What's the day-to-day like? Check it out.

Listen to learn how.

$3000+ value available to Missouri pharmacies and technicians through grant funding - for questions or additional information, email Dr. Annie Eisenbeis at annie@morx.com.

THE LEADING VOICE FOR THE MISSOURI PHARMACIST | MoRx.com 19

Financial Forum

by PAT REDING AND BO SCHNURR

Do Our Biases Affect Our Financial Choices? Even the most seasoned investors are prone to their influence.

I nvestors are routinely warned about al lowing their emotions to influence their decisions. However, they are less routinely cautioned about their preconceptions and biases that may color their financial choices. In a battle between the facts &biases, our biases may win. If we acknowledge this tendency, we may be able to avoid some unexamined choices when it comes to personal finance. It may actually "pay" to recognize blind spots and biases with investing. Here are some common examples of bias creeping into our financial lives. Letting emotions run the show. An in vestor thinks, "I got a great return from that decision," instead of thinking, "that was a good decision because___________________ ."1 How many investment decisions do we make that have a predictable outcome? Hard ly any. In retrospect, it is all too easy to prize the gain from a decision over the wisdom of the decision, and to, therefore, believe that the findings with the best outcomes were the best decisions (not necessarily true). Putting some distance between your impulse tomake a change and the action you want to take to help get some distance from your emotions.1 Valuing facts we "know" & "see" more than "abstract" facts. Information that seems abstract may seem less valid or valuable than information that relates to personal experience. This is true when we consider different types of investments, the state of the markets, and the economy's health.2

Valuing the latest informationmost. In the investment world, the latest news is oftenmore valuable than old news. But when the latest news is consistently good (or consistently bad), memories of previous market climate(s) may become too distant. If we are not careful, our minds may subconsciously dismiss the eventual emergence of the next bear (or bull) market.2 Being overconfident. The more experi enced we are at investing, the more confidence we have about our investment choices. When the market is going up, and a clear majority of our investment choices work out well, this reinforces our confidence, sometimes to a point where wemay start to feel we can do little wrong, thanks to the state of the market, our investing acumen, or both. This can be dangerous.3 The herd mentality. You know how this goes: if everyone is doing something, they must be doing it for sound and logical reasons. The herd mentality is what leads many investors to buy high (and sell low). It can also promote panic selling. The advent of social media hasn't helped with this idea. Above all, it encour ages market timing, and when investors try to time the market, they frequently realize subpar returns.⁴ Sometimes, asking ourselves what our certainty is based on and reflecting about our selves can be a helpful and informative step. Examining our preconceptions may help us as we invest.

Pat Reding and Bo Schnurr may be reached at 800-288-6669 or pbh@berthelrep.com.

Registered Representative of and securities and investment advisory services offered through Berthel Fisher & Company Financial Services, Inc. Member FINRA/SIPC. PRISM Wealth Advisors LLC is independent of Berthel Fisher & Company Financial Services Inc. This material was prepared by MarketingPro, Inc., and does not necessarily represent the views of the presenting party, nor their affiliates. This information has been derived from sources believed to be accurate. Please note - investing involves risk, and past performance is no guarantee of future results. The publisher is not engaged in rendering legal, accounting or other professional services. If assistance is needed, the reader is advised to engage the services of a competent professional. This information should not be construed as investment, tax or legal advice and may not be relied on for the purpose of avoiding any Federal tax penalty. This is neither a solicitation nor recommendation to purchase or sell any investment or insurance product or service, and should not be relied upon as such. All indices are unmanaged and are not illustrative of any particular investment.

Citations 1. CNBC.com, September 28, 2020 2. Forbes.com, March 26, 2020 3. Forbes.com, March 19, 2020 4. CNBC.com, June 26, 2020

THE LEADING VOICE FOR THE MISSOURI PHARMACIST | MoRx.com 21