National Nutrition MonthBrain Injury Awareness Month

2018 CE, Gift Trade Show CE Courses

Clinical Solutions: Wound Management

Ideal Protein Protocols

Trending In Industry!

Flu Fury: Impact on Retail

Help Your Patients Navigate Healthcare

Front End Fixation

Save The Date: Promo Opportunities

Daylight Savings Time Begins!

Continuing Education Course Offerings(Actual Dates/Times To Be Determined)

2018 CE, Gift & TradeshowJ u l y 2 7 - 2 9 • R e n a i s s a n c e O r l a n d o

Creating Practice NichesAs competition continues to challenge traditional pharmacy businesses, this session is intended to educate participants on how to develop a niche practice model that ultimately improves outcomes and creates new markets for pharmacies and becoming more attractive to health benefit plans. 

You Can Hire A Pharmacist, But You Can’t Hire An OwnerWhen someone gets married; when someone has a child, their priorities must change. That other person becomes more important than themselves. The same is true for pharmacy. When the pharmacist decides to own a community pharmacy, their priorities must change. While you may still be a pharmacist working at the counter, you are now a business owner who has responsibilities that no one else in the pharmacy can take care of for you. This session will look at how to determine which responsibilities you can delegate as well as looking at the details of those responsibilities which are yours. We will also look at how you can create an, “owner’s manual” as we will discuss how most every task that can put into a sequence can be delegated to someone other than yourself.

Physician-Pharmacist CollaborationPharmacists continue to expand their scope of practice and work more closely with physicians. This presentation is intended to provide various models that foster expansion of patient care and revenue through physician-pharmacist collaboration.

The Current State of the Opioid Crisis

An Introduction to Long Term Care Pharmacy for the Community PharmacyThe activity will discuss new federal pharmacy laws that affect the practice of pharmacy and what pharmacists must do to comply with them. Common questions and pharmacy practice-related issues regarding controlled substance dispensing and record keeping will also be covered.  Finally, the program will conclude with tools and techniques pharmacists can use to help combat prescription drug diversion in their pharmacy.

An Update of Federal Pharmacy LawThe activity will discuss new federal pharmacy laws that affect the practice of pharmacy and what pharmacists must do to comply with them.   Common questions and pharmacy practice-related issues regarding controlled substance dispensing and record keeping will also be covered.  Finally, the program will conclude with tools and techniques pharmacists can use to help combat prescription drug diversion in their pharmacy. 

New Therapeutic Agents for Type II DiabetesThis activity will explain the pharmacology of newly released diabetes therapies and review the updates/changes to the American Diabetes Associations treatment guidelines.

The Pharmacist’s Role in Patient SafetyMedication safety is an ongoing concern within the health care system. Pharmacists play a vital role to ensure the safety of patients. System and process related medication errors will be discussed with various solutions for implementation.  

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ON THE INSIDE

Healthwise™ Pharmacy Clinical Solutions

Healthwise™ Pharmacy Circular Program

DollarWise™ Program

Good Sense® Controlled Label Program

Greeting Cards Program

Continuing Education

CE, Gift and Trade Show

Rx QuickShip™

Third Party Station

Pharmacy First

DrugSmith™ Monthly Newsletter

Diabeticare Program

Hamacher 360 Retail Zone Pricing

HME Catalog

HealthWise™ Pharmacy Signage Program

Smith Gift Box Gift Category

Vials and Vitamin Program

Direct Mail Advertising

Well Staffed Customer Service

Excellent Service Levels

Store Fixture Program

Merchandising Services

Spotlight Program

Repeat Rewards Loyalty Cards

2018 CE, Gift & Trade Show: CE Topics 2

Support National Nutrition Month 3

Wound Management for Tetanus Prevention 4

National Nutrition Month: Special Section 5

Ideal Protein Protocols for Your Pharmacy 10

Trending In Industry 12

Flu Fury: How The Flu is Affecting Retail 14

Save The Date: Healthy Promotional Opportunities 16

Front End Fixation: Don't Handcuff Sales 20

March Is: Brain Injury Awareness Month 22

HealthWise Pharmacy: exchange•Rx 24

Help Your Patients Navigate The Healthcare System 25

Spring Forward: Daylight Savings Time Begins 27

https://www.hhs.gov/fitness/programs-and-awards/pala/Your patients can track nutritional progress through PALA+

Use the MyPlate Icon to make sure meals are balanced.https://www.choosemyplate.gov

Learn about the Chefs Move to Schools initiative: Chefs work with local schools to add flavorful, healthy meals to menus.

https://letsmove.obamawhitehouse.archives.gov/chefs-move-schools

Explore the Ideal Protein Protocol for healthy weight loss management for your patients on Pages 9-10

Support National Nutrition Month & Be The Voice Of Healthy Living To Your

Patients!In addition to all of the excellent information on Pages 6-8, here are some other useful tools to present your customers:

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Risk of tetanus disease depends on the type and condition of the wound and immune status of the patient. The following steps should be taken to prevent tetanus:

• Assess the type of wound and provide appropriate wound care. Wounds may be clean or contaminated and dirty, superficial or deep and penetrating. Dirty wounds pose an increased risk for tetanus. Wounds should be considered dirty if contaminated with dirt, soil, feces, or saliva (e.g., animal or human bites). Penetrating or puncture wounds are considered contaminated and may pose a higher risk for tetanus. Wounds containing devitalized tissue (e.g., necrotic or gangrenous wounds), frostbite, crush injuries, avulsion fractures, and burns are particularly conducive for proliferation of C. tetani. All wounds should be cleaned, dirt or foreign material removed, and necrotic material removed or debrided.

• Evaluate the immunization status of the patient. Unvaccinated persons should start and complete a primary series with an age-appropriate tetanus toxoid-containing vaccine (DTaP, TdaP, or Td) as currently recommended by CDC.

Persons with unknown or uncertain history of receiving previous prior doses tetanus toxoid-containing vaccines should be considered to have had no previous tetanus toxoid-containing vaccine and a primary series should be completed. This is because early doses of toxoid may not induce adequate immunity, but only prime the immune system.

Persons who have completed a 3-dose primary tetanus vaccination series:

• If the last dose of a tetanus toxoid-containing vaccine was received less than 5 years earlier, they are considered protected against tetanus and do not require another dose of tetanus toxoid-containing vaccine as part of the current wound management.

• If the last dose of a tetanus toxoid-containing vaccine was received 5 or more years earlier, then a booster dose of an age-appropriate tetanus toxoid-containing vaccine should be administered.

• Rarely have cases of tetanus occurred in persons with a documented primary series of tetanus toxoid.

• Assess need for administering TIG for prophylaxis. TIG provides temporary immunity by directly providing antitoxin. TIG can only help remove unbound tetanus toxin but cannot neutralize toxin that is already bound to nerve endings. Persons who have contaminated and dirty wounds and are either unvaccinated or have not received a primary series of tetanus toxoid-containing vaccines should receive TIG for prophylaxis. The dose of TIG for prophylaxis is 250 IU administered intramuscularly.

People with HIV infection or severe immunodeficiency who have contaminated wounds (including minor wounds) should also receive TIG, regardless of their history of tetanus immunizations.

• Do not use antibiotics for prophylaxis against tetanus. Antibiotic prophylaxis against tetanus is not recommended, but wounds should be observed for signs of infection and promptly treated if signs of infection are detected.

Wound Management for Tetanus Prevention

Reference: https://www.cdc.gov/tetanus/clinicians.html4

is a nutrition education and information campaign created annually

in March by the Academy of Nutrition and Dietetics. The campaign

focuses on the importance of making informed food choices and

developing sound eating and physical activity habits. In addition,

National Nutrition Month® promotes the Academy and its

members to the public and the media as the most valuable and

credible source of timely, scientifically-based food and nutrition

information.

Registered Dietitian Nutritionist Day, celebrated on the second

Wednesday in March, increases awareness of registered dietitian

nutritionists as the indispensable providers of food and nutrition

services and recognizes RDNs for their commitment to helping

people enjoy healthy lives.

2018 NNM Theme

"Go Further with Food" is the theme for 2018, and its importance

is timely for many reasons. Whether it's starting the day off right

with a healthy breakfast or fueling before an athletic event, the

foods you choose can make a difference. Preparing foods to go

further at home and within the community can have a positive

impact, as well. As nutrition experts, Academy members can help

people adopt healthier eating styles, while reducing food loss and

waste.

Be sure to revisit the Academy's National Nutrition Month®

website during the upcoming months for new and updated

resources to help make the NNM 2018 celebration an infinite

success!

History

Initiated in March 1973 as a week-long event, "National Nutrition

Week" became a month-long observance in 1980 in response

to growing public interest in nutrition. Read more in the article,

"National Nutrition Month: A Brief History."

NNM Sponsor

The Academy's mission is to promote optimal nutrition and well-

being for all people by advocating for its members. With more

than 100,000 credentialed practitioners, the Academy is the

world's largest organization of food and nutrition professionals.

The majority of the Academy's members are registered dietitian

nutritionists and nutrition and dietetics technicians, registered.

National Nutrition Month®

6 5

It's easier than you think to start eating healthy! Take small steps each week to improve your nutrition and move toward a healthier you.

Small changes can make a big difference to your health. Try incorporating at least six of the eight goals below into your diet. Commit to incorporating one new healthy eating goal each week over the next six weeks.

Make half your plate fruits and vegetables: Choose red, orange, and dark-green vegetables like tomatoes, sweet potatoes, and broccoli, along with other vegetables for your meals. Add fruit to meals as part of main or side dishes or as dessert. The more colorful you make your plate, the more likely you are to get the vitamins, minerals, and fiber your body needs to be healthy.

Make half the grains you eat whole grains: An easy way to eat more whole grains is to switch from a refined-grain food to a whole-grain food. For example, eat whole-wheat bread instead of white bread. Read the ingredients list and choose products that list a whole-grain ingredients first. Look for things like: "whole wheat," "brown rice," "bulgur," "buckwheat," "oatmeal," "rolled oats," quinoa," or "wild rice."

Switch to fat-free or low-fat (1%) milk: Both have the same amount of calcium and other essential nutrients as whole milk, but fewer calories and less saturated fat.

Choose a variety of lean protein foods: Meat, poultry, seafood, dry beans or peas, eggs, nuts, and seeds are considered part of the protein foods group. Select leaner cuts of ground beef (where the label says 90% lean or higher), turkey breast, or chicken breast.

Compare sodium in foods: Use the Nutrition Facts label to choose lower sodium versions of foods like soup, bread, and frozen meals. Select canned foods labeled "low sodium," "reduced sodium," or "no salt added."

HOW TO EATh e a l t h yContent created by President’s Council on Fitness, Sports & Nutrition

Content last reviewed on January 26, 2017

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Drink water instead of sugary drinks: Cut calories by drinking water or unsweetened beverages. Soda, energy drinks, and sports drinks are a major source of added sugar and calories in American diets. Try adding a slice of lemon, lime, or watermelon or a splash of 100% juice to your glass of water if you want some flavor.

Eat some seafood: Seafood includes fish (such as salmon, tuna, and trout) and shellfish (such as crab, mussels, and oysters). Seafood has protein, minerals, and omega-3 fatty acids (heart-healthy fat). Adults should try to eat at least eight ounces a week of a variety of seafood. Children can eat smaller amounts of seafood, too.

Cut back on solid fats: Eat fewer foods that contain solid fats. The major sources for Americans are cakes, cookies, and other desserts (often made with butter, margarine, or shortening); pizza; processed and fatty meats (e.g., sausages, hot dogs, bacon, ribs); and ice cream.

Try This!

Emphasis on Fruits & Veggies

• Mix vegetables into your go-to dishes. Try spinach with pasta or peppers in tacos.

• Use fresh, frozen, and canned fruits and vegetables. They all offer the same great nutrients. Just be sure to watch the sodium on canned vegetables and look for fruits packed in water or 100% juice (not syrup).

• Pack your child's lunch bag with fruits and veggies: sliced apples, a banana, or carrot sticks are all healthy options.

Healthy Snacks

• For a handy snack, keep cut-up fruits and vegetables like carrots, peppers, or orange slices in the refrigerator.

• Teach children the difference between everyday snacks, such as fruits and veggies, and occasional snacks, such as cookies or other sweets.

• Make water a staple of snack time. Try adding a slice of lemon, lime, or a splash of 100% juice to your water for a little flavor.

• Swap out your cookie jar for a basket filled with fresh fruit.

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Ways to Reduce Fat, Salt, and Sugar

• Choose baked or grilled food instead of fried when you're eating out and implement this at home, too.

• Make water and fat-free or low-fat milk your go-to drinks instead of soda or sweetened beverages.

• Serve fruits as everyday desserts-like baked apples and pears or a fruit salad.

• Read labels on packaged ingredients to find foods lower in sodium.

• Skip adding salt when cooking; instead use herbs and spices to add flavor.

Controlling Portion Size

• Use smaller plates to control portion sizes.

• Don't clean your plate or bowl if you're full, instead save leftovers for tomorrow's lunch.

• Portion sizes depend on the age, gender, and activity level of the individual.

Healthy Eating in School

• Bring healthy snacks into your child's classroom for birthday parties and celebrations, instead of providing sugary treats.

• Pack healthy lunches for your children including whole grains, fruits and vegetables, and fat-free or low-fat dairy products.

• Schools across the nation are making their lunch rooms healthier places.

Tips for Balancing Calories to Manage WeightFollowing the eight healthy eating goals above can help your body get the nutrients it needs. Here are some other tips to keep in mind if you also are trying to manage your weight.

• Balance calories: Find out how many calories you need for a day as a first step in managing your weight. Go to ChooseMyPlate.gov to find your calorie level.

• Enjoy your food, but eat less: Take the time to fully enjoy your food as you eat it. Eating too fast or when your attention is elsewhere may lead to eating too many calories. Pay attention to hunger and fullness cues before, during, and after meals. Use them to recognize when to eat and when you've had enough.

• Watch your portion sizes: Check to see what the recommended portion sizes of foods you eat looks like in the bowls, plates, and glasses you use at home. When dining out avoid "supersizing" your meal or buying "combo" meal deals that often include large-size menu items. Choose small-size items instead or ask for a take home bag and wrap up half of your meal to take home before you even start to eat.

• Be physically active: Being physically active can help you manage your weight. Youth (6-17 years old) need to be active for at least 60 minutes a day (or 12,000 steps). Adults (18 and older) need to be active for at least 30 minutes (or 8,500 steps) a day.

Food SafetyWhen cooking, keep these tips in mind to keep your family safe from food poisoning.

• Clean: Wash hands, utensils, and cutting boards before and after contact with raw meat, poultry, seafood, and eggs.

• Separate: Keep raw meat and poultry apart from foods that won't be cooked.

• Cook: Use a food thermometer. You can't tell if food is cooked safely by how it looks.

• Chill: Chill leftovers and takeout foods within two hours and keep the refrigerator at 40°F or below.

• Rinse: Rinse fruits and vegetables (even those with skins or rinds that are not eaten) with tap water.

For more food safety tips, visit FoodSafety.gov.

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A solution for the health of both your community and your pharmacy.

Expand Consultation Drive Value Improve Outcomes

A Protocol That Can Make a Difference. 10

Ideal Protein ProtocolA Consultative Approach to Your PharmacyThe Ideal Protein Protocol is an effective, turnkey program that arms pharmacists with a medically sound solution, consistent with evidence-based guidelines for weight loss management and maintenance for their patients and community.

The Protocol is a structured approach that integrates partial meal replacements, healthcare professional oversight and one-on-one coaching to support permanent lifestyle and behavioral changes.

Existing pharmacy staff will be trained as coaches and build relationships with required in-person visits. In addition to new revenue, pharmacies are realizing increased foot traffic, clientele, and front-end sales all while helping their patients achieve impactful and sustained health outcomes.

Phase 1 Phase 2 Phase 3 Phase 4 - Ideal Lifestyle

Weight Loss Pre-Stabilization Stabilization - 12 months Maintenance - New Lifestyle

Qualification Followed until weight objective is achieved 2 weeks 2 weeks

Lifestyle Building Lifestyle Living

Pharmacists are expanding their role in the community and helping patients with the Ideal Protein Protocol.

Implement the Ideal Protein Protocol in Your PharmacyFor more information, consult your PBC or email Larry Kobiska, PharmD, R.Ph. BS, at lkobiska@smithdrug.com

Implementation is easy. You will be guided

by your on-site dedicated advisor from onboarding

and forward.

Our Protocol:Structured Four Phases

Adequate Protein

Partial Meal Replacements

Healthcare Professional Oversight

One-on-One Coaching

Education & Support

Lifestyle & Behavioral Changes

Benefits:Ideal Protein Business Advisor • Dedicated on-site support• Assists in onboarding,

workshops and on-site training

Time and Staffing: • Block scheduling with

trained coach• Existing staff can be more

productive during “down time”• Short appointment times

Turnkey System: • Complimentary and proprietary

tools, training and support forpharmacies, coaches anddieters

• Scientific support

• Dedicated marketing materialsfor pharmacies

• Exclusive web access to dietereducation videos

Pharmacy Requirements:ü Consultation Roomü Space for Product*

*Limited Accessibility

ü Trainable Staff2 The potential revenues and pro�ts presented in the table above represent the actual revenues and pro�ts that would be generated from your sales of Ideal Protein Foods Products having successfully achieved the average number of dieters in the table. This should not be interpreted as a guarantee or promise of earnings. Your earning potential is entirely dependent upon you and your efforts in maintaining a stream of dieters and a high level of customer service. The level of success you reach and revenues and pro�ts you generate is entirely dependent upon your skills, �nancial resources, marketing efforts and time you devote to becoming a successful Ideal Protein clinic. Because of this, we cannot guarantee your earnings level nor do we in any way whether directly or indirectly do so.

Structured Protocol Implemented as a Service by your Pharmacy Team:

AVERAGE # OF DIETERS PER MONTH

AVERAGE # OF BOXES

PER MONTH

$29.60 PER BOX RETAIL

AVERAGE GROSS

REVENUE FROM BOXES

+ SUPPLEMENTS AVERAGE $85 PER

DIETER/MONTH

AVERAGE GROSS

MONTHLY REVENUE

TOTAL GROSS

ANNUAL REVENUE

TOTAL ANNUAL

PROFITS FROM PRODUCTS

25 300 $29.60 $8,880 $2,125 $11,005 $132,060 $65,897

50 600 $29.60 $17,760 $4,250 $22,010 $264,120 $131,927

75 900 $29.60 $26,640 $6,375 $33,015 $396,180 $197,957

100 1200 $29.60 $35,520 $8,500 $44,020 $528,240 $263,987

Potential Revenue and Profits2:

Avg # of Dieters

Per Month

Avg # of Boxes

Per Month

$29.60 Per Box Retail

Avg Gross Revenue

From Boxes

+Supplements Average $85 Per Dieter/

Month

Avg Gross Monthly Revenue

Total Gross

Annual Revenue

Total Annual Profits From

Products

25 300 $29.60 $8,880 $2,125 $11,005 $132,060 $65,897

50 600 $29.60 $17,760 $4,250 $22,010 $264,120 $131,927

75 900 $29.60 $26,640 $6,375 $33,015 $396,180 $197,957

100 1200 $29.60 $35,520 $8,500 $44,020 $528,240 $263,9872 The potential revenues and profits presented in the table above represent the actual revenues and profits that would be generated from your sales of Ideal Protein Foods Products having successfully achieved the average number of dieters in the table. This should not be interpreted as a guarantee or promise of earnings. Your earning potential is entirely dependent upon you and your efforts in maintaining a stream of dieters and a high level of customer service. The level of success you reach and revenues and profits you generate is entirely dependent upon your skills, financial resources, marketing efforts and time you devote to becoming a successful Ideal Protein clinic. Because of this, we cannot guarantee your earnings level nor do we in any way whether directly or indirectly do so.

Pharmacists are expanding their role in the community and helping patients with the Ideal Protein Protocol.

Implement the Ideal Protein Protocol in Your Pharmacy!

For more information, consult your PBC or email Larry Kobiska, PharmD, R.Ph. BS.

at lkobiska@smithdrug.com 11

Jeff Bezos’ Amazon and Warren Buffett’s Berkshire Hathaway are forming their own healthcare company with JPMorgan Chase to increase transparency for their employees, and that could be bad news for insurers and pharmacy benefit managers.

Health insurance companies and PBMs have long said they want to bring more transparency to the U.S. healthcare system, yet consumers often don’t know the true cost of healthcare. Prices are negotiated in secret and doctors don’t often know what their own services cost or what their patients will be charged.

Details of the new company the three corporate giants want to create remain sketchy, but the idea that they want to bring more transparency is one of the disclosed goals. “Our people want transparency, knowledge and control when it comes to managing their healthcare,” said Jamie Dimon, Chairman and CEO of JPMorgan Chase.

Those who’ve been engaged in the struggle to find the true cost of healthcare have been working for years with limited success. Often times, they have difficulty getting data from health plans or medical care providers.

“Resistance to transparency in healthcare remains high,” says Network for Regional Healthcare Improvement CEO Elizabeth Mitchell, who welcomes Amazon, Berkshire and JPMorgan’s new company. “Employers who pay for this care still don’t have insight into the relative value of what they are buying. They are looking for a way to have assurance that they are paying a fair price for a high quality service.”The Network for Regional Healthcare Improvement has long said any health

reform effort needs to look closely at transparency because data that reveals the total and true cost of care is difficult to find. In a report last year, NRHI said health spending by U.S. commercial insurers can vary by $1,000 or more per year per patient, depending on where enrollees live.

The potential for the Amazon-Berkshire healthcare company to disrupt the way health plans do business is one reason shares of many healthcare companies tumbled after the partnership was announced.

Shares of insurers like Aetna, Anthem and UnitedHealth Group lost 5% to 10% of their value while pharmacy chains CVS Health, Walgreens Boots Alliance and drug makers with expensive medicines like Abbvie also took a hit on Wall Street. And the big PBM, Express Scripts, also lost more than 2% of its value.

Nobody knows for sure what Amazon, Berkshire and JPMorgan have in mind because they said their effort is in its “early planning stages.” The trio tapped three executives to get the company off the ground: Todd Combs, an investment officer of Berkshire Hathaway; Marvelle Sullivan Berchtold, a Managing Director of JPMorgan Chase; and Beth Galetti, a Senior Vice President at Amazon. No further details were disclosed, including where the company would be located.Some think Amazon could leverage its technology platform to make a dent in the healthcare cost curve and improve transparency.

“Amazon may spur new technology innovations” such as artificial intelligence or information sharing platforms that “can increase the

efficiency of healthcare delivery,” said Idris Adjerid, a management IT professor in the University of Notre Dame’s Mendoza College of Business. “Our research substantiates this potential value. We find that technology initiatives, which facilitated information sharing between disconnected hospitals resulted in significant reductions in healthcare spending.”

Studies show 30% of the money spent on healthcare is waste. Amazon, Berkshire and JPMorgan said the initial focus will be on “technology solutions” that will provide U.S. employees and their families with “simplified, high-quality and transparent healthcare at a reasonable cost.”

But given Amazon’s popularity among consumers and the decades of success Buffett has built with his businesses, the executives say improving patient experience and customer service will also be a target of the new company.

“These businesses understand customer service,” Mitchell of the Network for Regional Healthcare Improvement said of Amazon, Berkshire and JPMorgan. “Reorienting healthcare to being customer focused is exactly what is needed and will require massive and overdue change.”

If Amazon And Buffett Lift Veil On Health Prices, Insurers Are In Trouble.

Stories and information affecting the healthcare and pharmaceutical markets.

12

The company will continue selling the products, but Purdue’s sales force “will no longer be visiting offices to engage in discussions about opioid products,” the company said, confirming an earlier report by Bloomberg. Doctors and other prescribers who have questions about the drugs will have to contact Purdue’s medical affairs department, the company said.

Purdue is also cutting its U.S. sales force by more than 50%, to about 200 people. The remaining sales representatives will market non-opioid products, said the Stamford, Conn.-based company.

Many public-health officials have said Purdue’s aggressive marketing of OxyContin after the drug’s 1996 launch helped encourage lax prescribing and widespread addiction that for many people progressed to heroin and other illicit drugs. More than 300,000 Americans have died from opioid overdoses since the late 1990s.

In 2007, Purdue and three of its executives pleaded guilty in federal court to criminal charges of misleading the public about the addictive qualities of OxyContin. Purdue and the executives agreed to pay $634.5 million in government penalties and costs to settle the civil litigation.

In its guilty plea, Purdue admitted the company’s sales tactics included false claims that OxyContin was less addictive, less subject to abuse and less likely to cause withdrawal symptoms than other pain medications. Within a few years of the drug’s launch, many communities around the country started reporting worrying rates of OxyContin-related abuse and overdose deaths.

Purdue has since said it has “learned from the past,” and that it supports programs to prevent prescription-drug abuse.

Purdue’s halting of its opioid marketing comes as the company faces growing legal scrutiny. More than a dozen states and about 400 cities and counties in the U.S. have sued Purdue or other opioid-painkiller makers, accusing them of fueling addiction by misrepresenting the risks of their drugs. In response to the suits, Purdue has said it is “dedicated to being part of the solution” to the opioid crisis.

In October, Purdue said it was the subject of a probe by federal prosecutors related to OxyContin. The company said it was cooperating with the investigation.

In 2016, the Centers for Disease Control and Prevention issued guidelines urging doctors to limit their prescribing of opioids for chronic pain. Since then, Purdue’s opioid-related discussions with prescribers have included details about the CDC recommendations, the company said.

Stories and information affecting the healthcare and pharmaceutical markets.

Privately held drug company Purdue Pharma LP said it would stop promoting OxyContin and other opioids to doctors, 22 years after the painkiller linked to widespread addiction hit the U.S. market.

Appeared in the February 12, 2018, print edition Of The Wall Street Journal as 'Firm Stops Promoting OxyContin To Doctors.'

13

Everyone’s been talking about how hard hit the nation is from the current flu season, but not many have been dishing about

what’s happening at the checkstand.

Until now.

IRI on Wednesday released a comprehensive report outlining the initial impact of this year’s virulent flu season, as well as a

size-up on how much out-of-stocks are hurting retailers who are running out of cough-cold supplies.

“We all know what it feels like to shop for medicine when you’re sick, only to find an empty peg or shelf,” Bob Sanders,

executive vice president of IRI’s Health Care Practice, said. “When this happens, one-third of consumers will make their

purchase at a different store, and fewer than half will make a substitute purchase. Manufacturers and retailers must be

prepared when the flu sweeps through town. Since market nuances are very important, we leveraged the IRI Illness Tracking

to uncover flu trends market by market and store by store, so consumers from Little Rock to Houston don’t have to face that

dreaded empty shelf.”

IRI Explores How Hard The Flu Is Hitting RetailBY MICHAEL JOHNSEN • DrugStore News • February 7, 2018 • Industrial Research Institute

FLU FURY: IRI Pinpoints How Flu IsImpacting U.S. Markets

14

The flu is now widespread nationwide, and it will take weeks before the epidemic begins to subside. The Houston market has

been hit hard, with 11.8% of its population battling the flu, and New Orleans (11.7%), Mobile, Ala. (11.7%), San Diego (11.7%),

Dallas (11.1%) and St. Louis (9.9%) are following closely behind.

IRI’s new report, “Flu Fury: IRI Pinpoints How Flu Is Impacting U.S. Markets” examines how specific regional markets are being

impacted by the flu and correlates how purchase behaviors vary at the market level. The research helps retailers anticipate

inventory needs and avoid the typical 4% sales loss caused by out-of-stock products.

The spread of the flu virus is creating strong sales growth across many over-the-counter health care categories that treat and

manage symptoms. For the four weeks ended Jan. 14, sales of cough syrups were up 39.9% nationwide; sales of cough-cold

liquid formulations were up 35.1%; and sales of cough-cold tablets were up 26.8%

Like many things in life, though, one size does not fit all. Comparing trends for the entire United States versus specific regional

markets provides a clear illustration of the pronounced variations. For example, sales increases for those categories in Houston

climbed 46.1%, 40.6% and 33.2%, respectively. In San Diego, dollar sales of those categories were up 99.3%, 83.8% and 61.9%,

respectively.

“With health officials reporting that this year’s flu season is now more intense than any since the 2009 swine flu pandemic,

retailers must invest to understand the impact this type of event has on their sales and shopper interactions,” said Susan

Viamari, vice president of Thought Leadership for IRI. “They simply can’t paint a broad brush stroke across their stores and

end up with an accurate picture. You really need to look at stores by specific markets, because stock-outs will have a major

negative impact on sales, and that can hit the bottom line very hard, translating to $40 million per year for a billion-dollar

retailer.”

Other categories benefiting from the rush on cough-cold supplies include spray disinfectant (nationwide, sales were up 39.5%

for the four weeks ended Jan. 14), RTD baby electrolytes (29.2%), single-cup teas (21.1%) and ready-to-serve soups (19%).

"retailers must invest to understand the impact this type of event has on their sales and

shopper interactions"

15

Promotional Opportunities with Healthy Observances This Month

On September 26, 1961, the 87th United States Congress passed a joint resolution (Public Law 87-319) requesting that the President of the United States proclaim the third week of March National Poison Prevention Week. On February 7, 1962, President John F. Kennedy responded to this request and proclaimed the third week of March as National Poison Prevention Week. The first National Poison Prevention Week was therefore observed in March 1962.

The National Poisoning Prevention Council is the official sponsor of National Poison Prevention Week, the third full week of March each year. The Council's mission is: Unintentional poisoning from a wide variety of substances and environmental hazards can happen to anyone, and represents a substantial public health burden in the U.S. The Council is an inclusive community comprised of representatives from the public, nonprofit, and government organizations with a shared commitment to poisoning prevention and education. The Council provides a collective voice to raise awareness among the American public about the risks, frequency, and consequences of unintentional poisoning occurrences, injuries, and fatalities.

The Council promotes poisoning prevention by:• Educating Americans of all ages about the risks of poisoning• Amplifying the poisoning prevention efforts of Council members• Sponsoring National Poison Prevention Week

In honor of National Poison Prevention Week, the Council conducts an annual, nationwide poster contest for kids in Kindergarten through 8th grade to engage the community in helping to promote unintentional poisoning prevention. Promote National Poison Prevention Week in your pharmacy by getting involved with the 2018 Poster Contest.

You can download guidelines for the 2018 poster contest at: https://piper.filecamp.com/1/piper/binary/2jo3-i5t0i4er.pdfYou can download the official poster contest entry form at: https://piper.filecamp.com/1/piper/binary/2jnz-ri997tj3.pdf

National Poison Prevention Week - March 18th - March 24th 2018

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Promotional Opportunities with Healthy Observances This Month

It’s that time of year again — the weather is slowly warming up and the days are getting longer! Despite what the temperature outside may indicate, spring has officially arrived. And with the new season comes that time-honored ritual–spring cleaning. Chances are, if you open up your medicine cabinet, you’ll find some old prescription bottles or maybe some leftover medication that “might come in handy someday.” In actuality, those medications may have expired and may cause more harm than you realize.

It’s important to extend spring cleaning to your medicine cabinet and here are 6 tips to get you started:

1. Check the dates. Examine everything in your medicine cabinet, including ointments, supplements and vitamins. Discard any item that is beyond the expiration date. Many medications lose their effectiveness after the expiration date. Some may even be toxic.

2. For prescriptions, follow the one year cut off rule. Discard any prescription medications that are more than one year old.

3. Ditch any items that have changed color, smell or taste. This includes any colors that have faded, because they may have been exposed to too much light.

4. Discard unmarked containers. If something is no longer in its original container and cannot be identified, get rid of it. In the future, try to always keep medications in their original containers so that you can easily recognize every medication. This includes ointments, since these can easily be mistaken for creams.

5. Be careful about throwing out medication. Because of the potential harm to the environment, it is not recommended to simply throw out medication or flush them down the toilet. Here’s what to do:

• Place all medication in a sealable bag. If there are solid medications, add some water so they can dissolve.

• Add kitty litter, coffee grounds, saw dust, or any material that mixes well and makes it unappealing for children or animals to eat.

• Seal the bag and put it in the trash.

• Remove any identifying information on the prescription bottle (like the label), clean and recycle.

6. Consider relocating your medicine cabinet. Many people don’t realize that the bathroom cabinet is not the best place to store medication. The temperature and humidity changes that take place while the shower is running can lower the potency of your medication. Medications should be kept in a cool dry place, away from children. Consider a drawer in your dresser or a lock box in your closet.

As The Community Pharmacist, consider hosting a "Dispose Your Old Meds" event on or around March 20. Position your pharmacy as the voice of responsible safety in the household!

National Spring Clean Your Medicine Cabinet Day - March 20th, 2018 Jenise Stephen, PharmD

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HealthWise Pharmacy Shopping Destination Opportunities

Take a good look at the front of your store and ask yourself, "does my store create an interest level of

shopping and discovering some of my new products?" This could be a different way of promoting your

new HBW items, gift items, or more specifically, jewelry, collegiate, candles or the rapidly growing pet care

category. How are you making your store a more inviting shopping destination for your customers not only

for prescriptions, but also for other items, products and services. Your customers should never walk in to

pick up their prescriptions and then go down the street to a box or chain store to complete their shopping

list. For the next several months we will feature ideas and suggestions that can help improve your shopping

destination opportunities. These are opportunities for growth, exposure to new customers, and increase

profit to your bottom line. Think outside the box and delegate these responsibilities to your front manager

or employees. It can be fun and exciting for them to engage in the operation of your store, and will certainly

increase your income. Eliminate categories that aren't producing and try something new. Make sure that no

matter what new things you try in your pharmacy that they are marketed to your customers with signage,

notices, or a simple suggestion at the register, “have you seen our new line of gifts, merchandise, items?”

Whatever the case may be, make it fun, inviting, and promote it every way possible.

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Stop Handcuffing Your Sales With Old MerchandiseYou’re the Landlord.

Imagine being the landlord of a 30-unit apartment building. Now imagine three of your tenants have not paid their rent in two

years, but they continue to promise to pay "real soon." Mr. or Mrs. Landlord, are you ready to ask them to leave? They haven’t

paid rent in two years and are still promising to pay some day. However, you have three other people waiting to rent who are

more than willing to pay on time. Would you tell the original three squatters to leave? Of course you would. You wouldn’t let

three tenants handcuff your potential to recover revenue.

In fact, if you own or manage an independent pharmacy, you are indeed a landlord. Each section (apartment) of your store

has to do one or all of these three things: attract customers to your store; enhance your image; and/or make you money (my

favorite). Since your other apartments (break room, restroom, storage room, and office) do none of the above, then as a

landlord, you better make sure that the remaining apartments and their tenants – your products – pay their rent.

The Three Categories of Slow-Moving Product

There are three categories of slow-moving products in your store that are possibly handcuffing your revenue growth: Rx

products, OTC, and general merchandise (which includes anything from collectible gifts to Jean Naté perfume). It is very tough

for some of us to call it quits on older general merchandise. I understand; you paid good money for the stuff and you would

like to get some sort of return out of those squatter products.

Cost and Effect

Let’s analyze the cost and effect of non-moving general merchandise sitting on your shelf for a year or two:

• No revenue. An empty apartment would offer more hope.

• Taking up space that faster moving merchandise could occupy. In a nut shell, it’s handcuffing your potential profit.

• Creating a boring, shopworn look to the store.

• Diminishing the perceived value of the product adjacent to the non-mover – guilty by association. If the item on the left looks old, the product on the right will as well.

• The downward spiral of the item’s appeal. The longer it sits there, the more it looks unwanted. Remember, the ugly duckling turns into a swan only in fairy tales.

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march is:brain injury a w a r e n e s s m o n t h

March is National Brain Injury Awareness Month (BIAM). The Brain Injury Association of America estimates three million

children and adults in the U.S. sustain an Acquired Brain Injury (ABI) every year, although the precise incidence is unknown.

Awareness of brain injuries, including Traumatic Brain Injury (TBI)—a subset of ABI— has increased, due in part the numbers of

returning service men and women who sustained TBI during tours of service. However, millions of children and adults sustain a

TBI every year, resulting most commonly from falls, motor vehicle accidents, assault, or accidents in which a person is struck to

the head. The yearly overview of the Brain Injury Association of America (BIAA) is encouraging.

Get supportive and informative information in front of your customers, by joining in the Brain Injury Awareness cause. Bag stuffers or shelf talkers on the aspirin aisle are great starter points. Be the community resource for information, and provide some of the following websites as resources:

Brainfacts.orgA website that provides information on the field of neuroscience's "understanding of the causes, symptoms, and outcomes of brain disorders.... shares the excitement of scientific discovery and educates about the scientific process." Additional sections are designed for educators, the media and policymakers.

www.biausa.orgOfficial website of the Brain Injury Association of America. Organization works "to advance brain injury prevention, research, treatment and education, and to improve the quality of life for all individuals impacted by brain injury."

braininjuryeducation.orgWebsite offers information and resources for coping with and understanding TBI. Includes how the brain works; differences in TBI-related issues in children, older persons, and veterans; treatment options; and health care providers who offer services for persons with TBI.

brainline.orgOrganization seeks to “provide a sense of community, a place where people who care about TBI can go 24 hours a day for information, support, and ideas.” Website features information and resources about preventing, treating, and living with TBI.

1.5million

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5.3 million

Individuals With Brain Injury

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Learn more.

Find help.

Help raise awareness.

#NotAloneinBrainInjurywww.biausa.org

• More than 3.5 million children and adults sustain anacquired brain injury (ABI) each year, but the totalincidence is unknown.

• An ABI is any injury to the brain that is not hereditary,congenital, degenerative, or induced by birthtrauma.

• Typical causes of ABI include:• Electric Shock• Infectious Disease• Lightning Strike• Near Drowning• Oxygen Deprivation (Hypoxia/Anoxia)• Seizure Disorders• Stroke• Substance Abuse• Toxic Exposure• Trauma• Tumor

More than 12 million Americans live with the impact of ABI.

• Traumatic brain injury (TBI) is a subset of ABI andis caused by trauma to the brain from an externalforce.

• At least 2.5 million children and adults sustain TBIs inthe U.S. each year:• 2.2 million are treated in emergency departments

for TBI each year.• 280,000 are hospitalized for TBI each year.• 50,000 die because of TBI each year.

• The number of people who sustain TBIs and do notseek treatment is unknown.

• Every 13 seconds, someone in the U.S. sustains aTBI.

• One of every 60 people in the U.S. lives with a TBI-related disability.

• Every day, 137 people in the U.S. die because of a TBI-related injury.

• There are many causes of TBI:• Falls – 40.5%• Struck by/against – 15.5%• Motor vehicle – 14.3%• Assaults – 10.7%• Unknown – 19%

• At least 5.3 million Americans live with TBI-relateddisabilities.

• When someone sustains a brain injury, many peopleare affected:• Survivors and their parents, spouses, siblings,

extended families, and friends• Healthcare providers, including surgeons,

physicians, counselors, rehab therapists, socialworkers, and personal care attendants

• Insurance companies that issue auto accident,individual, and group health, disability, life and re-insurance policies

• Attorneys of all types, including those who handlepersonal injury, insurance and disability claims,civil rights/discrimination, domestic actions, wills,estates, and trusts

• Educators at every level, but especially specialeducation teachers and those who prepareAmerica’s future healthcare workforce

• Government agencies that administer health andsocial programs such as Medicare, Medicaid, StateChildren’s Health Insurance Program (SCHIP),Supplemental Nutritional Assistance Program(SNAP), vocational rehab

• Employers of all types

BRAIN INJURY FACTS AND STATISTICS

1608 Spring Hill Rd. • Suite 110 • Vienna, VA • 22182 • 800-444-6443 • www.biausa.org 23

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Changing the outcomeNow imagine if the patient’s health information had been provided to the pharmacy, such as her past medicalhistory of a kidney transplant or the diagnosis requiring the antibiotic. This may have changed the outcome of this story, resulting in a positive patient interaction rather than a negative one.

Pharmacy needs a system that allows triage care for patients who are at higher risk for medical complications.Our current health care system still operates in silos. If a collaborative model existed, it would be simpler forpharmacists to prioritize patient care. With the current business model, we simply cannot call every person whofills a prescription with us. With a collaborative model, pharmacists would be able to triage patients and callthose who need us most. In this case, Hyland would have received a phone call letting her know the prescriptionwas ready.

Until that model exists, we need to advocate for our profession. We need to let our patients and prescribers understand that we don’t have a system in place to triage our sickest patients. We must develop collaborative relationships with our patients and prescribers so they can understand our perspective and how we are trying to help.

I have been hearing the term “patient-centered medical home” for years. Now is the time to make this happen. If the patient is truly at the center of care and all team members are communicating, the chances of patients going without medication are less likely. As pharmacists, we have all been on the receiving end of a patient dissatisfied with our care. Let’s take a stand and change the system.

Help Your Patients Navigate The Healthcare SystemWhen patients are not feeling well, pharmacists are typically

the last health professional they visit. In our health care system, patients make an appointment for a sick visit, see a primary care provider, wait on test results, get a prescription sent to the pharmacy, and then finally pick up the medication. They do all this when they are not feeling their best. I am sure that many of you have been the patient in this situation, and many more of you have been the pharmacist. We can understand, and be frustrated by, both sides. However, our patients do not have the benefit of understanding the health care system like we do. As pharmacists, it is our duty to help patients navigate an often confusing health care system.

Communication breakdownA recent, high-profile public case demonstrates this breakdown in the process.Sarah Hyland, an actress popular for her role on the television show “Modern Family,” recently criticized anational chain pharmacy for not keeping her updated on the status of her prescription, which resulted in her not getting her medication before the pharmacy closed.

A closer look into the story shows that the situation was more complicated than it first appeared. Hyland believed she had an infection but did not seek medical care from her physician because it was the weekend. By the time she saw her physician, who confirmed the infection, she had been in distress for almost 3 days. In addition, she is a kidney transplant recipient and was worried her kidney would go into rejection. So

when she arrived at the store and the pharmacy was closed, she was understandably upset.

What we do not know is whether Hyland or her physician called the pharmacy to explain the situation. Unfortunately, most pharmacies do not have details of their patients’ experiences before they arrive at the pharmacy. This was probably the case for the pharmacist filling Hyland’s prescription.

More than likely, the pharmacist had no idea what the patient had been through for the past 2.5 days. The pharmacist did what pharmacists do best—treated the prescription as one that needed to be filled accuratelyand dispensed quickly because that is the business model for which pharmacists are compensated.

Column coordinator: Stefanie P. Ferreri, PharmD, BCACP, FAPhA, clinical professor and codirector, Independent Pharmacy Ownership Residency, UNC Eshelman School of Pharmacy, Chapel Hill, NC

February 2018 • Pharmacy Todaypharmacist.com

With a collaborative model, pharmacists would be able to triage patients and callthose who need us most.

25

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1. It’s “daylight saving time,” not “daylight savings time.” Many people render the term’s second word in its plural form. However, since the word “saving” acts as part of an adjective rather than a verb, the singular is grammatically correct.

2. Though in favor of maximizing daylight waking hours, Benjamin Franklin did not originate the idea of moving clocks forward. By the time he was a 78-year-old American envoy in Paris, Ben became unpleasantly stirred from sleep at 6 a.m. by the summer sun, and penned a satirical essay in which he calculated that Parisians, simply by waking up at dawn, could save the modern-day equivalent of $200 million through “the economy of using sunshine instead of candles.” As a result of this essay, Franklin is often given the honor of “inventing” daylight saving time, but he only proposed a change in sleep schedules—not the time itself.

3. Englishman William Willett led the first campaign to implement daylight saving time. While on an early-morning horseback ride around, Willett had an epiphany that the UK should move its clocks forward by 80 minutes between April and October so that people could enjoy the plentiful sunlight. He published the 1907 brochure “The Waste of Daylight” and spent much of his personal fortune evangelizing for the adoption of “summer time.” Willett died in 1915 at age 58 without ever seeing his idea come to fruition.

4. Germany was the first country to enact daylight saving time. It took World War I for Willett’s dream to come true, but on April 30, 1916, Germany embraced daylight saving time to conserve electricity. (He may have been horrified to learn that Britain’s wartime enemy followed his recommendations before his homeland.) Weeks later, the United Kingdom followed suit and introduced “summer time.”

5. Daylight saving time in the United States was not intended to benefit farmers, as many people think. Contrary to popular

8 Things You May Not Know About Daylight Saving Time

(Adjust your clocks before going to bed)MARCH 10, 2018

Springing forward and falling back may seem simple enough, but daylight saving’s history has actually been quite complex—and misconceptions about it persist today. As you prepare to reset your watches, alarms and microwaves, explore eight facts about daylight saving time that might surprise you.

Source: http://www.history.com/news/8-things-you-may-not-know-about-daylight-saving-time

belief, American farmers did not lobby for daylight saving to have more time to work in the fields; in fact, the agriculture industry was deeply opposed to the time switch when it was first implemented on March 31, 1918, as a wartime measure. The sun, not the clock, dictated farmers’ schedules, so daylight saving was very disruptive. Farmers had to wait an extra hour for dew to evaporate to harvest hay, hired hands worked less since they still left at the same time for dinner and cows weren’t ready to be milked an hour earlier to meet shipping schedules.

6. For decades, daylight saving in the United States was a confounding patchwork of local practices. After the national repeal in 1919, some states and cities, including New York City and Chicago, continued to shift their clocks. National daylight saving time returned during World War II, but after its repeal three weeks after war’s end the confusing hodgepodge resumed. States and localities could start and end daylight saving whenever they pleased, a system that Time magazine (an aptly named source) described in 1963 as “a chaos of clocks.”

7. Not everyone in the United States springs forward and falls back. Hawaii and Arizona—with the exception of the state’s Navajo Nation—do not observe daylight saving time, and the U.S. territories of American Samoa, Guam, Puerto Rico, the Virgin Islands and the Northern Mariana Islands also remain on standard time year-round.

8. Evidence does not conclusively point to energy conservation as a result of daylight saving. Dating back to Willett, daylight saving advocates have touted energy conservation as an economic benefit. A U.S. Department of Transportation study in the 1970s concluded that total electricity savings associated with daylight saving time amounted to about 1 percent in the spring and fall months. As air conditioning has become more widespread, however, more recent studies have found that cost savings on lighting are more than offset by greater cooling expenses.

27

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