Utah Pharmacy Digest

The Utah Pharmacy Digest: Official Publication of the Utah Pharmaceutical Association. Published since 1948, the Utah Pharmacy Digest is dedicated to assisting the profession of pharmacy in better serving and protecting the public health and welfare. This involves educating pharmacists and pharmacies for public service and professional strength, and encouraging scientific and professional research ethics.

UTAH E"("l FQ UI;:Al TH SCIENLLu ._,._., AAY SE PO 310Q" UNIVERSITY OF UTAH SALT LAKE CITY Angina Pectoris and . Treatment 1n Review Veterans Pharmacy Association Mid- Year Meeting November 6-7 VOLUME 92 SEPTEMBER 1982 Update I 1982 NUMBER 9 OFFICIAL PUBLICATION OF THE UTAH PHARMACEUTICAL ASSOC. Put our, computer systems to work for you. Today's pharmacy is undergoing rapid change. McKesson has the computer systems to help you take advantage of these changes. ECONOMOST® is a practical computerized inventory control and order processing system designed to-increase product turnover-expedite restocking-reduce operating costs-provide vital management data. ECONOFICHE™ Comprehensive microfiche pharmacy data system including medicaid, drug interaction, pricing information and current deals and promotions. ECONOTONP" Telephone-to-computer ordering system which enables retailers to order merchandise 24 hours a day. ECONOCHARGP", the Drug Record System, is the complete computerized accounts receivable service for pharmacies. Customers apJ!>reciate the purchase records (for use in possible tax deductions), monthly statements and convenient payment cycles. You can count on the increased credit control provided by the monthly Econocharge business report. Your success is our business. McKesson McKesson Drug Company For additional information, call McKesson Drug Co. 160 West 21st South, Salt Lake City, Utah Phone [phone] in S.L.C. In Utah WATS 1-800-662-7825 - . Opinions that may be expressed in any article in this publication are those of the individual author, or the editor as an individual and do not necessarily reflect the views or policies of the Utah Pharmaceutical Association. Subscription rate, $11.00 per year, $1.00 per copy. UTAH PHARMACY DIGEST MANAGING EDITOR C. Neil Jensen BUSINESS MANAGER Peggy C. Whetton UTAH PHARMACEUTICAL ASSOCIATION EXECUTIVE COMMITTEE Delbert A. Park . . . . . Immediate Past Pres. . . . . President R. Dale Hunt . . . . . . Roy Haws (1984) . . . . President Elect Roger Clements (1983) . . . . Vice President Dominic DeRose(1984) . . . . . . . Treasurer C. Neil Jensen . . . . Executive Director David K. Robinson. . . . . . . . Legal Counsel (USPS 654-220) BOARD OF TRUSTEES TERMS EXPIRE 1983 Roger Clements, Jane Poznar, Mark L. Johnson TERMS EXPIRE 1984 CONTENTS Roy Haws, Lamar Hansen, Dominic DeRose, Martin D. Higbee. TERMS EXPIRE 1985 Steven G. Avey, George B. Glade, Jr.,. Garold L. Jensen, Ann 0. Wright. ASSOCIATE TRUSTEES Larry M. Kearns, Larry R. Madsen, Kent W. Ramon, Dennis R. White. UTAH STATE BOARD OF PHARMACY Frederic R. Homer, Chairman; Jerry Graff, Secretary; Craig Jackson; Henry Gardner; Miriam Zabriske. STUDENT APbA Roland Werner UTAH SOCIETY OF HOSPITAL PHARMACISTS Ron Robinson, President UTAH VETERANS PHARMACISTS' ASSOCIATION Eldon Frost, R.Ph., Kaysville, Utah UPbA WOMEN'S AUXILIARY Joyce Anderson PUBLICATION INFORMATION The UTAH PHARMACY DIGEST, formerly, until January 1963, the U.Ph.A BULLETIN NEWS, is published monthly by the Utah Pharmaceutical Association, 1062 East 2100 South, Salt Lake City, Utah 84106. Second-class postage paid at Salt Lake City, Utah. Advertising rate care furnished on request. The UTAH PHARMACY DIGEST is dedicated to assist the profession of pharmacy to better serve and protect the public health and welfare by: (I) Educating all pharmacists and pharmacies in the state for public service and professional strength; (2) Encouraging scientific and professional research talent and ethics; (3) Supporting all Federal and State laws relating to the profession; and all rules, regulations, and memorandums of the Utah State Board of Pharmacy restricting the practice of pharmacy to qualified and licensed pharmacists and pharmacies. The DIGEST urges every pharmacist in Utah to join his State Association first and then join one or both of his National Pharmacy Associations. Postmaster: Send address changes (under Form 3579) to the Ut. Pharm. Assn., 1062 E. 2100 So., Suite 212, SLC, Ut. 84106. APhA NARD UTAH PHARMACY DIGEST/SEPTEM BER 1982 .. Presidents Message ...... . Lipman on ASHP Board. Women's Auxiliary ...... . UPhA Board in Review ... . Third Annual Mid-Year Meeting. Angina Pectoris & Treatment. Vacation in San Diego .. Credit Union News ..... Computer Use Growing . UPhA Committees ..... Join Veterans Pharmacists Assn. Burroughs Wellcome Awards ... .. ....... 2 .2 .4 6 .7 .8 11 12 12 14 16 ...... 16 OUR ADVERTISERS McKesson Drug Co ........ . . Inside front cover Upjohn Company ......... . .3 Smith, Kline & French Lab .. . .5 Boots Pharmaceuticals Inc .. . .9 Eli Lilly and Company ..... . 15 Bergen-Brunswig Corporation Inside back cover Grant-Hatch & Associates .... .Outside back cover SUPPORT OUR ADVERTISERS- THEY SUPPORT US. President's Message Recently, C. Neil Jensen, our Executive Director and I spent a very productive and informative hour with Dr. Mason of the Social Services Division of the Utah State Health Department. Dr. Mason is concerned about the Pharmacists of the state being put in the position of subsidizing the Medicaid Program, and having to charge your other customers more for their prescriptions. The bottom line of the interview was a promise to seriously look at the Medicaid fee with an increase in the offing, and the possibility of a Co-pay arrangement. Very soon now our summer will be over, the kids back in school. Footballs will fill the air once more, as the different teams prepare for their season ahead. Teamwork will be the big challenge, and the best teams will work toge ther to achieve their greatest composite success. No team can excel without teamwork being at its highest point. This most certainly applies to the working of an Assoiation as well. Teamwork requires a committment of individuals to work as a team so that all can succeed. A strong team has each and every player carrying out his responsibility. Today, more than ever, the Pharmacists of Utah must work as a team. Every Pharmacist must be on that team. The Utah Pharmaceutical Association needs your support as a member, as a participant on a committee, and as a contributor to the UPHAP AC Fund. Many of you have paid once but we need more money from each of you to successfully lobby and get things done to improve pharmacy in Utah. -If we are going to be successful with the Legislature we need your support now. Remember these funds up to 50% of a $200.00 contribution can be used as a direct tax credit and not just as an itemized deduction. Thanks for your support. Best regards, Dale R. Hunt 2 R. Dale Hunt, RPh - UPhA President UPMAN INSTALLED ON ASHP BOARD Arthur G. Lipman, Pharm.D. , of Salt Lake City, Utah, was one of two new ASHP Board members sworn into office at the June 9 final meeting of the ASHP House of Delegates session during ASHP's 39th Annual Meeting in Baltimore. Dr. Lipman is Associate Professor of Clinical Pharmacy and Chairman of the Department of Pharmacy Practice at the University of Utah College of Pharmacy in Salt Lake City. Previously, he was Drug Information Director and Associate Director of Pharmacy Services at the Yale-New Haven Hospital in New Haven, CT. Lipman has served as a member of the Commission on Goals, the Council on Clinical Pharmacy and Therapeutics, the Advisory Panel on Student Membership, and as Vice Chairman and member of the Joint Committee with AACP. He is a past president of the Connecticut Society of Hospital Pharmacists, and has been an active member of numerous professional societies and associations. He is an active member of UPhA and has been on the board until his recent commitment to serve ASHP on a national basis. Since 1978, Lipman has served as Editor of Hospital Formulary. In 1980, he received the ASHP Research and Education Foundation Award for · Achievement in Professional Practice. UTriJ PHARMACY DIGEST/SEPTEMBER 1982 ----------··----------___:~== .......= - - - - - - - Our best friends are our severest critics and our greatest assets. Meet our 1982 Pharmacy Consultant Panel. Paul Burkhart , R .Ph . Director of Pharmacy University of Maryland Hospital Baltimore , Maryland Louis M. Sesti, R.Ph. Executive Director Michigan Pharmacists Association Lansing , Michigan Martin Lambert, Ph .D.,R.Ph. Community Pharmacist Knoxville, Tennessee No diplomatic double talk. We need the advice of pharmacists in order to do a better job for pharmacists. The bad news and the good. That's what the ten members of our 1982 Pharmacy Consultant Panel provide. Their views on profes- sional and other pertinent matters are invaluable. Their advice and counsel helps us serve you better in the expanding role of pharmacy. emn.t.• Cl 1982. The Upjohn Company. Kalamazoo. Michigan 49001 Women's Auxiliary News I will do more than earn . . . I will enrich. Mark your calendar for Saturday, September 18, the new date of the opening luncheon, which had to be changed from the 25th because of conflicts. Linda Hoge, Virginia McMahon and their committee Colleen Avey, Donna Johnson, and Mary Conkwright from the board are planning a super event for your enjoyment. A quartet called "Four Times The Fun" will sing barbershop for us. A Friendship Cup will be given to a new member. Please join with us! The Southwestern Regional meeting at Brian Head was very pleasant. It was a pleasure to meet with old and new friends. The weather was delightful and the food delicious. News items, dues, upcoming events were some of the areas discussed. Boyd and I finished off our trip by touring by Cedar Breaks, Navaho Lake, Panguitch Lake and by seeing the Shakespearean Festival in Cedar City. It is not too soon to start thinking about our Yule Candle Award; please vote by November 20 for an outstanding, deserving Lady of Pharmacy. Ballots will be in the Capsulette for September. Also, this year is the Salt Lake Council of Women's time to elect seven women for their Hall of Fame Award. "LET'S MEET" . . . Gwen Ellison is doing a fantastic job this year as historian. Among her duties have included printing of the Capsulette, raffle tickets, the membership book, etc. She was born and raised in Honolulu, Hawaii and graduated from the University of Hawaii. She met her husband, Ty, while he was in the Air Force in HI. Ty is a salesman for Burrought-Wellcome Drug Company and they have lived in Salt Lake for five years. They are the proud parents of Tom, 9 and Nora, 5, both of whom were born in HI. Gwen has worked at Kodak Company for about one year and enjoys it very much. As her hobbies she enjoys canning fruit, gardening, reading, swimming and rafting and canoeing. She did a wonderful job as chairman of the 1982 Convention in St. Geroge this spring. We appreciate you being on the board this year, Gwen, and all the time you spend in our behalf. 4 Joyce Anderson -President A word about Convention '83 ... Lois Foster is busy already making favors for this annual event. Please plan early to be with us. News of members . . . Trips - Dora Jeanne Elkington to CA, also RaNae to CA, Carolyn to Oregon, Linda to Yellowstone, Helen Shumway to L.A. . . . Weddings - Marguerite Hatch's son married a girl from Calgary, Alberta on July 8 . . . Norma's son will go to Paris, France on an L.D.S. mission . . . Marsha Walker's daughter to Sweden with Virginia Tanner Dance Group . . . besides being editor of the Capsulette, Bessie Dean works for Thrifty Rent-a-Car, part-time ... So sorry to hear of Rosalynd Manning's illness, wishes for good health go to her ... Helen's son graduated from the U of U in June. If you are felling a little lost and the house is so, so quiet it must mean one thing, the children are back in school. Never fear, soon you'll take life in stride and get to the projects you have been neglecting all summer. "Patches of Joy", a book I read recently by Velma S. Daniels had many provocative thoughts, some of which I want to share with you. The author quoted a neighbor as saying that among other things she considered in her idea of a perfect day was when she could go to the store without grape jelly in her hair. What makes your d~y--­ perfect? It sounds like a good prescription for all of us and the ingredients are so simple and natural. (Continued on page 12) UTAH PHARMACY DIGEST/SEPTEMBER 1982 ' I. --------·-···-------------------- ARE YOU "SELLING" YOUR PRESCRIPTION DEPARTMENT? Are you taking advantage of all the proven methods to promote a pharmacy's prescription department? If not, SK&F's newest 30-minute videotape program can start you thinking about the opportunities you may be missing. SI~&F Pharmacy Support Our new management program is called Promoting Your Prescription Department-and ifs designed as a seminar for interested groups of community pharmacists. You can leam more about advertising, promotional budgets, personal selling, publicity, pharmacy layout, and evaluation of your promotion efforts. Promoting Your Prescription Department is one more valuable addition to the pharmacy management series now available from SK&F. Ask your SK&F Representative how you can obtain this videotape program for your next meeting. CSmrthKIIne Corporation, 1982 SI~&F a Sm1thKime company Smith Kline &French Laboratories Philadelphia, Pa. UPhABoard In Review Your Utah Pharmaceutical Association organization is functioning efficiently and effectively to meet the needs of pharmacy in Utah. Our new officers, board members and committee personnel are all active in fulfilling their respective challenges. Our three major meetings are all scheduled, and the programs plaimed are exciting and timely. The third annual Mid-year meeting is set for Nov. 6th and 7th, 1982. Del Park, the meeting chairman, anticipates a full house for the great program he has arranged. (See the special announcement in this digest for full particulars.) Roger Clements is chairing the Great Western Conference and he and his committee have set Jan. 21, 22, and 23, 1983 as the big days. This meeting will deal with pharmacist and patient education. The very best programs available have been arranged. It will be another fine meeting that every pharmacist should attend. Roy Haws, our President elect, and annual convention chairman has his committee on the run and much of the program is already scheduled. The dates will be April 28, 29, 30, 1983. St. George will be the location. Hence our Golf and Tennis Tournaments are set for Thursday April 28. C.E. starts Friday morning and continues through Saturday. All of the annual luncheons, dinners, breakfasts and special meetings are included in the plans and it should be the biggest and best ever. PLAN NOW FOR THESE MEETINGS! The Veterans Committee under Eldon Frost also has plans set for meetings and increased activity. Their first meeting will be Friday Oct. 8th, 1982 at the University of Utah. The program starts at II :00 a.m. with a tour of the newly remodeled and updated University Pharmacy. Lunch is next followed by Dr. James D. McMahon discussing and demonstrating "A Computerized Dispensing Laboratory". You don 't have to be a veteran pharmacist to attend. 6 C. Neil Jensen - Executive Director The Drug Travelers of Utah have had their first two meetings. Doug Forsythe is the President. A full listing of officers will be in our next issue. This is an enthusiastic group and they are most suppprtive of UPhA. We in turn support them and encourage you to challenge every pharmaceutical representative to join and participate. Full details are available from the UPhA office. George Glade, our Crime Committee chairman, along with Pete Thompson will be · writing a Crime bill for the 1983 Utah Legislature. They welcome any input you may have. · Larry Madsen, our Governmental Affairs Committee Chairman, has his committee plus a special advisory group working hard on all the legislative issues. The Third-Party bill is the prirrie goal but crime, and possible law changes to protect pharmacy and the patient we serve are in the hopper. The DMBA mail order program for maintenance drugs has been given many hours by the committee and they have made some inroads to hopefully solve this dilemma. Regional meetings were held in Brian Head on July 31, and in Salt Lake City on Aug. 14th. Meetings are planned for the Ogden region on Thursday Sept. 9th for the Provo region on Friday Sept. 1Oth and the Roosevelt region on Saturday Sept. 11th. The program on how the legislative process works is outstanding. Don't miss your chance to learn more about this key subject that affects all we do in this day and age. UTAH PHARMACY DIGEST/SEPTEMBER 1982 ·---··············-···-·· --- UTAH PHARMACEUTICAL ASSOCIAITON Third Annual Mid Year Meeting November 6th & 7th, 1982 LITTLE AMERICA MOTEL Salt Lake City, Utah (Special room rates) Saturday, November 6th Homecoming Festivities at University of Utah Alumni Reception Womens Auxiliary: Alumni Evening Dinner Dancing Reunions Relaxation Sunday, November 7th Continuing Pharmaceutical Education "Computer Operation of a Retail Pharmacy" 7 Hours C.E. or "The Use of Supportive Personnel in Hospital Pharmacies" "Security in Hospital Pharmacies" "Rhematoid Arthritis-Disease and Treatment" 7 Hours C.E. Enrollment is limited. Make your plans now to ·attend. UTAH PHARMACY DIGEST/SEPTEMBER 1982 7 Angina Pectoris and Treatment What is Angina? Angina pectoris - chest pain caused by the restriction of oxygen flow to the heart - is the predominant symptom of atherosclerotic heart disease. The disease, also called coronary artery disease, occurs when deposits of fatty plaque mtrrow the inside walls of a coronary artery. The reduction in diameter reduces the blood flow and curtails blood supply to the heart. Physical effort or emotional stress, resulting in an increased demand for oxygen which the occluded artery is unable to supply, are the commonest causes of stable angina pectoris. Prinzmetal's angina, a variant form, occurs when spasms (called vasaspasms) of the coronary artery reduce oxygen supply to the heart. These unpredictable vasospasms can occur in the absence of the usual causes for stable angina and can occur even in the absence of atherosclerotic disease. Non-Drug Treatment Regular exercise, · which reduces heart rate and blood pressure and helps increase smaller arteries and capillaries in the heart, is often prescribed as a preventative. In patients with angina, prophylactic measures include the avoidance of cigarette smoking, anxiety, overeating, physical strain, or exposure to cold. Hypertension and diabetes appear to hasten coronary artery disease and must be medically managed. In some cases, coronary artery bypass surgery has been successfully performed. 8 Drug Treatment Nitroglycerin, one of several organic nitrates with the property of vasodilation, is the most frequently used antianginal drug. Nitrates work well on smooth muscles, the kind of muscle that constricts and dilates the blood vessels. Although nitroglycerin and related compounds make possible only minor increases in total coronary blood flow, angina is often relieved. Nitroglycerin also dilates veins, thus increasing their holding capacity. The veins, therefore, return less blood to the heart, which decreases tension on the walls of the heart chambers and decreases myocardial oxygen demand. Nitroglycerin may also reduce the work of the heart through the dilation of peripheral arterioles, lowering the pressure against which the heart must work. With tension on the heart chamber walls reduced, myocardial oxygen requirements may be correspondingly reduced. Simple dilation terminates the vasospasms in Prinzmetal's angina. The exact mechanism by which dilation occurs with the use of nitroglycerin is unknown. Nitroglycerin, appears, however, to reverse both basic causes of angina by improving the flow of blood through the coronary arteries and by reducing the osygen requirements of the heart muscle. (Continued on page I OJ UTAH PHARMACY DIGEST/SEPTEMBER 1982 PHARMACY NUMBERS ------------------------------------------------------- NEWSLINETM EDITORS' COMMENT A national pharmacy magazine recently featured an article by a pharmacistturned-physician who addressed the future of pharmacy by predicting "further frustation " for practicing pharmacists. He noted that pharmacists are overeducated, that we make few , if any, significant decisions, and that the development of pharmacy practice was based upon highly questionable abilities and opportun ities to practice generic substitution, to select the medications to be dispensed following the physician 's diagnosis, and to prescribe on a limited basis. It was more than a little discouraging to read the physician's remarks , since it was obvious that he had left pharmacy out of frustration with the lack of professional responsibility . Of course, frustrations exist in the profession of pharmacy . Over the years , a number of pharmacists have felt that they were no more than glorified technicians-those who "count and pour and lick and stick." Others have expressed dismay at spending four to six years learning virtually everything there is to know about medications and their role in health care, only to spend the rest of their professional lives in positions that offered few opportunities to use all they had learned. It's important to keep these negative observations in perspective, however. A quick rev iew of other state and national pharmacy periodicals indicates that there are many pharmacists who are experiencing professional fulfillment, and their number has grown considerably in the past few years. Many pharmacists now practice in hospital pharmacies that encourage professional decision-making -dosage adjustment, pharmacokinetic determ inations, limited prescribing, patient education , and other clinically oriented activities. When I first entered the profession , such activities were conducted only on a limited basis in teaching institutions. Larger metropolitan hospitals soon began to broaden the clinical roles of their pharmacists, and gradually , smaller hospital pharmacies have jumped on the bandwagon. Community pharmacists also are engaging in more patient-oriented activities. As recently as ten years ago, many community pharmacists would not have dreamed of providing medication instructions to patients-it simply was not done. Now, many pharmacists consider patient education the most important part of their pharmacy activity. Other community pharmacists conduct limited physical assessment examinations. Obviously, no pharmacist is going to attempt to diagnose and treat a complex medical problem , but many have been trained to determine when a patient can be treated safely with nonprescription products, and when the patient should be referred to a physician . How many pharmacists provided such guidance on the use of nonprescription medication 15 years ago? Many years ago, of course, pharmacists were even more active in providing professional services than they are now. For a variety of reasons, most of us gave up those functions as our responsibilities as drug-preparers diminished . Now, it is refreshing to find that pharmacists , consumers, and even a number of physicians have rediscovered the pot~ntial value of a " patient-oriented " pharmacist. There has been measurable progress in the past few years , but a great deal remains to be done. We hope that more and more pharmacists will join the movement to " put pharmacy back on the professional map ."-RPM ABOUT PEOPLE Happy Birthday, ASHP!! This year, the American Society of Hospital Pharmacists celebrates its 40th anniversary . It mushroomed from a small group of hospital pharmacists who met during World War II to address the needs of the brand-new pharmacy specialty , to one of the largest, most influential pharmacy associations in the world. Anyone who questions the viability of the ASHP should consider these impressive statistics. The Society was formed in 1942 by 153 charter-member institutional pharmacists: its current membership is just under 21 ,000. The work of ASHP was carried out entirely through the voluntary efforts of its members until 1960, when a staff of two was hired: A continuing education service from WYETH LABORATORIES currently , it employs 94 pharmacists, specialists, and clerical personnel. The budget in 1960 was approximately $200,000: this year's budget approaches $6 .6 million, which is expected to reach $7.5 million next year. In 1960, the Society offices consisted of two rooms in the headquarters of the American Pharmaceutical Association: the Society now owns its own five-story building , occupying about 75% of the space, and leasing some to the American Association of Colleges of Pharmacy. During the mid-1970s, the ASHP leadership decided that pharmacists in hospital pharmacy specialties could benefit fro(Tl meeting to discuss their work . Consequently, 11 ASHP special interest groups" SIGs " -were formed, covering such specialties as nuclear, pediatric, and psychiatric pharmacy. The SIGs have been a big success . How has the ASHP become an organization whose budget size is in the top 6% of all US associations? According to its executive vice-president, Dr. Joseph A. Oddis, the organization's success has centered around three basic developments: the passage of the MedicareMedicaid Act in the mid-60s, the evolution of undergraduate pharmacy education to include an emphasis on clinical hospital pharmacy practice , and the ability of the Society to identify the needs of the institutional practitioner and effectively meet them. Oddis points to the Society's extensive accomplishments in providing clinical drug information materials, continuing education activities, and the residency accreditation program as examples of how ASHP has directly aided the development of hospital pharmacy practice. Much of the credit for ASHP's success, however, must go to Oddis himself. A Pennsylvania native, Oddis graduated from the Duquesne School of Pharmacy and worked in hospital pharmacy for several years before joining the staff of the American Hospital Association in 1956. He became one of ASHP 's original employees in 1960, and is the only chief ,executive the Society has had . His undying devotion to ASHP and its members, and his energetic, personable manner have earned him the respect and friendship of hundreds of pharmacists nationwide. Odd is has received numerous pharmacy awards . includioa thQ nr~diroi"""' 11.~uo PHARMACY NUMBER5 NEWSUNE'· Editors: David A. Banta, M.A. Robert P. Marshall, Pharm. D. Publisher: Martin J. Zittel Executive Editor: Linda Harper Assistant Meneg/ng Editor: Sheri Steinberg Production Meneger: Susan Smith Harvey A.K . Whitney Award, and he currently serves as president of the FIP Hospital Pharmacy Section. He is an honorary member of several international pharmacy organizations, including the British, Canadian, and Australian associations. Certainly, the ASHP has enjoyed 40 years of tremendous growth and development. No one can say how much of that growth is directly due to Oddis' leadership, but it is safe to say that it would not have occurred without himan outstanding pharmpcy leader for an outstanding pharmacy association. Congratulations, Dr. Odd is and the American Society of Hospital Pharmacists! ASSOCIATION NEWS Pharmacists in Florida are urged to "mug" their neighbors as part of a Florida Pharmacy Association membership promotion.-As part of this year-long membership promotion, both members and the nonmembers they sponsor will receive coffee mugs inscribed with their names. The mugs will be presented at local pharmacy association meetings throughout the state. The Illinois Pharmacists Association will provide part-time administrative services for the Illinois Council of Hospital Pharmacists. The Council has approximately 500 members and is run by volunteers . The contract arrangement will prevent duplication of effort while preserving the autonomy of both organizations . A course in Spanish for pharmacists was recently presented for 25 members of the Passaic County Pharmaceutical Association, in New Jersey. Recognizing the need for a second language in their area, the Association retained a Spanish professor to set up two 10-hour courses dealing with the everyday interactions between pharmacists and their Hispanic patients. As part of its centennial celebration, the Louisiana Pharmacists Association commissioned an architectural study of its headquarters. The building was designed by Emile Weil in a style now Developed by Continuing Professional Education, 625 North Michigan Avenue , Chicago, Illinois 60611 . Published by Professional Communications Associates, 625 North Michigan Avenue, Chicago, Illinois 60611 . Circulated to selected practicing pharmacists. Cl 1982, Professional Communications Associates. All rights reserved . None of the content of this publication may be reproduced in any form without the written permission of the publisher. Editorial correspondence should be directed to the attention of the Executive Editor, Continuing Professional Education, Suite 800, 625 N. Michigan Ave., Chicago , IL 60611 . This statement applies to all articles appearing in this publication : The editors have complete independence in selection of such articles. No article has been predisclosed to the advertiser, and the advertiser has exerted no influence on the information appearing in any article. The opinions expressed in the articles are those of the authors, and are not to be construed as the opinions or recommendations of the advertiser or publisher. recognized for its architectural and historic significance. The Association also announced a fund-raising drive to establish a past president's library in its offices. The library will be used as a conference room and will house documents, memorabilia, and artifacts. The Mississippi State Pharmaceutical Association recently conducted a survey of its 720 member pharmacies and the 70% return response indicated that approximately two thirds of the pharmacies had at least one incidence of suspected forgery during the previous year. The Council of the Missouri Pharmaceutical Association is proposing that an Academy for Pharmaceutical Education be made part of the Association. If approved by the membership, the Academy would require dues and members would be entitled to participate in its professional education courses. Programs for CEU credit would include workshops and seminars, self-study courses, and articles in the Association's journal. The Michigan Pharmacists Association's special Task Force on Fr~ud and Abuse has completed its work and reported to the House of Delegates. Prompted by a series of news articles, the task force investigated allegations of abusive practices by Medicaid providers and recipients. The South Carolina Pharmaceutical Association is considering a major review of its constitution and bylaws as a result of the findings of a Long Range Planning Conference and Task Force. This group was led by a non pharmacist, who provided an objective viewpoint. The first major revision of its pharmacy practice law since the 1930s was accomplished by the Kentucky Pharmacists Association during the last legislative session. In addition, a major overhaul of the drug product selection laws and clarification of Board of Pharmacy powers became part of Kentucky law as result of the Association's successful legislative session. The Virginia Pharmaceutical Association is publishing in its journal a patient education briefing on common diseases and complaints that are treated with OTC medications. The briefing, "Guidelines for OTC Prescribing," urges phar- macists to explain indications and correct techniques of self-medication to patients. Members of the Association may reprint or revise the briefing for their own use. The West Virginia Pharmacists Association is celebrating its 75th anniversary and recently published a new journal for its members. REGULATION REVIEW It appears that the Supreme Court will decide whether the definition of a "new drug" applies to the entire product or only to its active ingredients. The Fifth Circuit Court of Appeals disagreed with the FDA's position that the entire generic drug must be approved, and the US Justice Department has petitioned the Supreme Court to review this decision . Virginia, Arkansas, Nevada, and Vermont now have Medicaid copayments of $1 for prescriptions of $10 or more. Lower-priced prescriptions remain with the $.50 copay . West Virginia has a $1 copay for prescriptions over $11 and Alabama and Georgia have variable copayments, up to $1 . The Jefferson County (Alabama) Pharmaceutical Association suit in the Supreme Court has gained support from both the American Pharmaceutical Association and the National Association of Retail Druggists . The two national societies filed "friend of the court" briefs siding with the local Association. Jefferson County pharmacists are suing a state hospital, claiming that it passes on manufacturer volume-purchase price discounts to walk-in patients in violation of the Robinson-Patman Act. They claim this represents unfair competition to local community pharmacists. The Texas Medicaid program increased the prescription dispensing fee on May 1, 1982 to a variable fee ranging from $3.24 to $3.51. On July 1, 1982, the Florida Medicaid fee went from $2.75 to $3.33 and the Maryland fee increased from $2.95 to $3.25. -4 WHAT THEY'RE SAYING On "The Good Old Days": "We are members of what should be the proudest profession of the ages ... we have forgotten that the benefit gained from just about any of today's drugs is a bargain at any price. When President Coolidge's son had an infection from a broken blister on his heel, the President would have given $1 ,000 for one dose of an antibiotic. His son died of blood poisoning. That seldom happens today . When I was a child, I knew of one family that was just about wiped out with diphtheria. A couple of years ago, diphtheria was so rare that one case made headlines in the newspapers. We in pharmacy have a wonderful record of removing the old-time killers that plagued the nation just a few years ago." Pharmacist Herb Fitz in the Idaho Pharmacist, May 1982. On Self-Medication: "We are now entering an era in which self-care will be of even greater importance. In the prescription drug area, for example, we have witnessed, just in the past decade in the US, a remarkable increase in the amount of information available to consumers about prescription drugs. The information explosion occurred largely because of a great demand on the part of consumers for more information-and more understandable information-about prescription drugs . . .. Central to this newly discovered interest in self-care is the need for all of us to recognize that consumers must be properly informed and educated. Self-medication begins with an ability to diagnose certain ailments and to select the appropriate drug to use, and then to use it correctly. Inevitably, most of the information used by consumers comes from you , the industry, whether in the form of advertising or labeling." Arthur Hull Hayes, Jr., MD, FDA Commissioner, in a speech to the European Proprietary Association, Athens, Greece, May 13, 1982. On Closing the Pharmacy (See "Editors' Comment" in Pharmacy Newsline, Number 2) : " Before you say it can't be doneit can! My partner and I trained our customers in a highly competitive area that we were going to be closed (yes, closed) for certain pharmacy meetings and simultaneous vacations. We didn't lose customers ; we gained their respect because we took the time to communicate and , because of this, they recognized our need to maintain our professional contacts and continuing education ... Can you imagine the impact it would have, legislatively speaking , if a thousand pharmacists went to Tallahassee at the same time, became knowledgeable about one or two proposals, wore an identifiable badge, and flooded the halls of the Capitol and legislative wings? WHOOEE!!" Pharmacist Pete Demro, in "The President Speaks," Florida Pharmacy Journal, April 1982. On New Drug Information: "When a new drug is released, one of our pharmacists accepts a detail from the representative, or reads the package insert. The pharmacist then highlights and outlines the important areas for the practicing pharmacist. When we have a slow period , he discusses it with the other pharmacists . This enables all of us to consult with the physician and patients at a high level." Pharmacist Robert Roeschen, in "The President 's Comments," Wisconsin Pharmacist, April1982. On Consumers ' Respect for the Pharmacist: "As I stood waiting for a prescription to be filled one day, I looked up at the ·p harmacists behind the counter, filling prescriptions with such an intent look on their faces, and a thought came to mind: how much we, the public, take them for granted without meaning to. I have, on certain occasions, spoken to a pharmacist, asking for advice pertaining to medicine, or just had the need to talk with someone with know-how, and not once have I gone away without a sense of relief. So, what I'm trying to say is, we know we have needs for other professional people, such as doctors, lawyers, etc, but I thank our Dear Lord for the patience and understanding of those people filling all our prescriptions behind the counter. Many, many thanks to all of you." A pharmacy consumer,• in a letter to an Arizona pharmacist, as reported in " The President 's Messag(l, " Arizona Pharmacist, March / April1982. On Pharmacists ' Responsibilities to Interns: "Think back to the last several professional encounters you have had with patients. Did you see another pair of eyes and ears watching and listening just as intently as the patient? Perhaps those eyes and ears belonged to the pharmacy intern whose education is also in your care. A great responsibility rests with us during these brief moments. Terms such as patient compliance, drug interactions, patient profiles, etc., can be transferred from unknown entities to recognized, worthwhile, conscientiously applied realities by the patients if they understand our explanation. Our conversations with patients and all our other actions also make an indelible impression on the professional pharmacy intern, as well they should. Isn't this the reason they are with us? I feel the fine-tuning of many years of education is left in our hands." Pharmacist William Fox, in "The President 's Message, " The Delaware Pharmacist, January/ February 1982. KUDOS Pharmacist Douglas P. Johnson recently was appointed to the staff of the Pharmacy and Trade Relations Department of the Upjohn Company. Johnson has served admirably as executive director of the Kansas Pharmacists Association for the past nine years. Dr. Charles C. Rabe, president of the St. Louis College of Pharmacy for the past 21 years, announced that he will retire on July 1, 1983. Donald Hagen, chairman of the College Board of Trustees, noted that "Rabe has adhered to a policy of quality education and fiscal responsibility, and these qualifications will be considered in the search for his replacement." Pharmacist Dick Fowler of the National Pharmaceutical Council recently assumed responsibility for the Council's reimbursement programs and professional relations with government and private third-party administrators. Fowler also is involved in pharmacy professional relations activities, and is respected and well-liked by pharmacy leaders nationwide. Carmen A. DiCello has been appointed executive director of the Pennsylvania Pharmaceutical Association. Carmen previously served as a lobbyist and first vice-president for the Association. His pharmacy is in Pottsville, Pennsylvania. The National Association of Retail Druggists has unveiled its new headquarters in Alexandria, Virginia . The Association previously rented space in downtown Washington, DC. John Schreiber is the new executive director of the Pharmaceutical Society of the State of New York. He holds an MBA from the University of Buffalo and is experienced in association management and business consulting . George F. Archambault has received the first annual President's Award from the American Society for Pharmacy Law. Archambault is a pharmacist , attorney, author, editor, educator, and consultant. Marilynn Mitchell, who served as executive secretary of the Wyoming Board of Pharmacy for 16 years , has become the first female president of the National Association of Boards of Pharmacy. CALENDAR OF EVENTS September 22-26, 1982 ACA Annual Conference , Boston , MA October 10-14, 1982 NARD Annual Convention , Boston, MA December 5-9, 1982 ASHP Midyear Clinical Meeting, Los Angeles, CA April 9-15, 1983 APhA Annual Meeting, New Orleans, LA rr tE p S( ti A Treasure Chest of Values is now available from Wyeth Laboratories. Purchase a combination Oral Antibiotics and Phenergan® Expectorants Deal and receive these values: w 0 A. t ar pr dE bE P< + Discount Prices +Free Goods + Extended Dating + Reorder Privileges Tum these treasures into profits! Contact your WYeth Representative for fuU details. th cc its Si! WY.eth Laboratories ~Ph lad ph a Pa 1910 Large Sizes, Large Savings • Lopurin ®is allopurinol at a substantially reduced price. LOPURIN® • Lopurin ®is a fully licensed product. U.S. patent#3,624,205 (use patent). (Allopurinol) E.ae:n scored tetMet contaloa: Allopurinol. .• , , ..•••• 100 mg. 1000 TABLETS, The economical alternative to Zyloprim ® (allopurinol/ Burroughs Wellcome) ® P Rl (allopurinol/Boots) A.W.P.* 19°/o less than Zyloprim® at A.W.P.* Lopurin® 100 mg (1000)-$63.48 Lopurin® 300 mg (500)~$89.04 *Source 1981 -82 American Druggist Blue Book Stock up now e Boots Pharmaceuticals, Inc. Shreveport. Louisiana 71106 Pioneers in medicine for the family ANGINA PECTORIS (Continued ji·om page 8} ., Mode of Delivery Sir Lauder Brunton discovered in 1867 that inhalation of amyl nitrate provided relief for angina pectoris. Sublingual, or under-the-tongue use followed his experiments. Both methods begin to work immediately but last only a short time; the effects often disappear within 30 minutes. But since it is difficult for the patient to anticipate situations that may produce chest pain and impossible to prevent angina by such means while the patient is asleep, the pharmaceutical industry for many years has turned its attention to developing prophylactic means of administration. Oral use, since the liver rapidly destroys nitroglycerin when it is absorbed in the gastro-intestinal tract, has been found to be of limited value. Nitroglycerin ointment applied to the skin was introduced in 1955. As a topical dose entering the body directly and bypassing the liver, it has proven effective in smaller doses. The ointment has disadvantages as well, however. As well as being messy, it is difficult to spread evenly and thus obtain a controlled dosage. Prophylactic controlled dosages needed a more dependable delivery system that would provide medication at determined levels for sustained periods. That system was found in the development of another drug used for an entirely different purpose - the prevention of motion sickness. Genesis of Transdermal Therapeutic Systems Most research and development of pharmaceutical products concentrates on new active sub- 10 stances. Dosage forms have been secondary in importance. The conventional methods - tablets, capsules, powders, liquids and injections - have a similar limitation; an uncontrolled and uncertain capability to deliver the drug over an extended period. Usually these methods of delivery require a higher-than-necessary dosage level in order to assure a therapeutic affect. After building high concentration in the blood and tissues, the drug falls off, often dipping below the therapeutic level until the next dose is taken. To keep an optimal therapeutic level they must be taken several times daily. Clearly a system of drug delivery that provides medication at the proper level for sustained periods is an important subject of medical research, and a new element in medical progress. One pr_oduct which was developed as an advance in the prevention of motion sickness, the Transderm-V Scopolamine System, allows the human body to absorb scopolamine directly into the blood stream from the skin. The scopolamine is delivered by means of a flexible plastic disk about the size of a dime. The adhesive surface of the disk is fastened behind the ear and delivers scopolamine up to 72 hours at a controlled rate, an average of five micrograms per hour. (Continu ed on page 13) UTAH PHARMACY DIGEST/SEPTEMBER 1982 - VACATION IN SAN DIEGO AND EARN lOV2HOORS OFCE! Theonehistoric Hotel del Coronado is of Californ ia's most glamorous resorts . Built in 1888, the "del" is a blend of Victorian charm and modern-day convenience . It is a historic landmark and a worldrenowned seaside resort. Its proxim ity to San Diego also allows visits to the San Diego Zoo, Balboa Park , Sea World , Old Town and , of course , Tijuana. Sponsored by the California Pharmacists Association Educational Foundation EXHIBITS Over 60 booths will house representatives of computer companies , di"Ug wholesale firms , pharmaceutical suppliers and many other companies interested in and participating in the profession of · pharmacy . Don 't miss the Mexican fiesta luncheon ar.,J special hosted dessert party, the cocktail bar, and the Oktoberfest, all held in the Exhibit Hall. CONTINUING EDUCATION In three days , you can earn 10112 hours of high-quality accredited continuing education . Whether your interest is pharmacy management, clinical pharmacy or long-term care , you will find what you need in this program . The Opening Session Friday morning will feature Howard R. Pyfer, M.D. , speaking on "A Prescription for the Rest of Your (and Your Patients ') Lives ," a presentation worthwhile for all attendees and their spouses . SOCIAL EVENTS Meet informally with·pharmacists from around the West at such events as spc..rts tournaments , a Western party given by Bergen Brunsy,tig , and Saturday 's Oktoberfest. A number of events in the Exhibit Hall will make that a popular gathering place . SPOUSE PROGRAMS Spouses of those attending the weekend program are invited to attend a special presentation called "The Zest of the West," an armchair tour through California and Mexico, including native arts and crafts and the preparation of classic Mexican dishes . Saturday morning offers a tour to Tijuana for those who wish to cross the border for shopping and sightseeing . For further information on and registration forms for the Third Annual Western Pharmacy Education Fa ire , send the coupo n below to California Pharmacists Association Educational Foundation 555 Capitol Mall . Suite 619 Sacramento , CA 95814 ·------------.. I I 1 I I I II I 1 I Please send me more information on the Third Annual Western Pharmacy Edu cation Faire . Name Addre ss City State Zip 1 I I I I 1 I I I I ·------------.1 PROGRAM AT A GLANCE Thursday, Se ptember 23 12 00 noon -6 00 p.m. Registration Open 1 00 p.m.-5 00 p.m . Golf and Tenn1s Tournaments Friday, Se ptember 24 8 00 a.m.-5 00 p.m. Registration Open 900a .m.· 11 OOam . Opening Sess1on 1'h hou rs of acc redi ted CE 11 00 a.m.- 1 30 p .m. Exhibit Hall Grand Open ing 1 30 p.m.-2 30 p.m. Spouse Prog ram 1 30 p.m.-3 30 p.m. Cont1nuing Education Programs (Choice of 3 prog rams : 2 hours of accredi ted CE each) 3 30 p.m. 5 30 p.m Exhibit Hall Open 6 30 p.m.- 1000 p.m Bergen Brunsw1g's Western Party Satu rd ay , September 25 8 00 a.m.-500 p.m. Registration Open 900a .m.- 1100am Continuing Education Programs (Choice of 3 programs 2 hours of accredited CE each) 11 00 a.m.- 1 00 p.m. Exhibit Hall Open 1 00 p m -4 00 p .m Continu1ng Education Prog rams (Cho1ce of 2 programs 3 hours of accredited CE each) 4 00 p.m.-6 00 p.m Oktoberfest 1n the Exhibit Hall Sunday , Se ptember 26 8 00 a.m.- 12 00 noon Registration Open 10 00 a.m.- 12 00 noon Continuing Education Programs (Choice of 2 programs 2 hours of accredited CE each ) Computer UPhA Credit Union Use Growing The UPhA Credit Union continues to serve the financial needs for pharmacy in Utah. A dividend of 8% was paid on all share accounts for the first six months of 1982. Collections, have improved but we were forced to t4rn some accounts over to a collection agency. New programs and rates have been approved by the credit union board. Effective Sept. l, 1982 all $500.00 certificates held for 6 months will receive I 0% interest. Money market certificates in the amount of $10,000.00 held for 6 months will receive current money market certificate rates. The credit union is a UPhA member benefit and is one of the few administered by a state pharmaceutical association. Take advantage of the great interest paid on savings and the low rates charged on loans. WOMEN'S AUXILIARY (Continued from page 4) (I) You can listen with excited curiousity ·instead of with a shrug of indifference. (2) You can show sincere delight over their successes instead of wallowing in jealousy. (3) You can exclaim over something of beauty rather than comment on an unhappy thought. (4) You can exhibit trust and faith in them instead of planting a seed of doubt or suspicion. A great prescription . . . why not try it on your family, your neighbors, your auxiliary. May you and yours have perfect daxs and may your "Patches of Joy" be multiplied. See you Saturday, September 18 at the Oaken Bucket. Sincerely, Joyce 12 Though not dramatic, the use of pharmacy computer systems is continuing its steady growth. In a little more than a year, two dozen new firms have come into the marketplace, while a significant number have left this increasingly crowded field. The American Pharmaceutical Association's (APhA's) Pharmacy Management Institute has identified about 90 primary suppliers who have several hundred offices throughout the country. Pharmacy managers continue to fill computer system conferences to capacity. There does not, however, seem to be the degree of skepticism that was evident before as pharmacy managers continue their search for a solution to paperwork headaches and the cost-price squeeze. This change in thinking is probably a result of more information being available in the form of conferences, articles in the literature, and the emergence of Computer Talk for Pharmacists, a relatively new source of pertinent information on pharmacy computer systems. The Pharmacy Management Institute has updated and consolidated its popular computers bibliography and is available without charge from the APhA Pharmacy Management Institute, 2215 Constitution Avenue, NW, Washington, DC 20037, by sending a stamped, self-addressed envelope. COLORECTAL CANCER SCREENING Have _you ordered and are you promoting the Colorectal Cancer Detection Program? September is Colorectal Cancer Detection/ Awareness Month. See page 14 of the August Utah Pharmacy Digest for full details. Why not use this program as another opportunity to show your customers you care about them? UTAH PIIARMACY DIGEST/SEPTEMBER 1982 '.I "' ANGINA PECTORI~ (Continued fro m page 1 0) The delivery system makes the use of scopolamine acceptable for the first time. Probably the oldest drug employed to prevent motion sickness, scopolamine prevents nausea and vomiting. Despite its effectiveness, it has not been widely used for motion sickness because oral or intra-muscular doses produced unacceptable side effects. The use of a topical controlled method of delivery largely overcame its limitations. .. This successful development has led pharmaceutical researchers to hope that similar systems can be developed to deliver other medications. The second use of the transdermal system is the delivery system for nitroglycerin, Transderm-Nitro. How the Systems Work In both cases a four-layered disk is employed. An impermeable backing of aluminized plastic holds the active substance in the unit; a drug reservoir holds the active substance; a microporous membrane controls the rate at which the drug is released from the reservoir; and an adhesive layer keeps the unit on the skin and also contains a priming dose of the active substance. 9- An energy source is required to move the active ingredient in the reservoir to the body. The source is the thermodynamic energy provided by the reservoir. The diffusion process allows the drug to pass through the membrane. The larger concentration of the drug inside the reservoir diffuses to the area of lower concentration outside. The thickness of the membrane and the amount of surface area it UTAH PHARMACY DIGEST/SEPTEMBER 1982 covers help control the rate of the diffusion as do the composition of the membrane and the concentration of the drug on each side of it. The amount of drug delivered can be precisely regulated by managing the various elements involved in diffusion. This form of application permits the drug to bypass the gastro-intestinal tract and directly enter the bloodstream, quickly achieving and maintaining an optimal dose. Application of Transderm-Nitro The Transderm-V Scopolamine System was found to work best behind the ear. Transderm-Nitro, however, can be applied anywhere on the body except the distal parts of the extremities. Most patients apply it near the thorax on the assumption that a medication for the heart should be placed near the heart. To avoid possible irritation, each patch should be applied at a site different from the one used the previous day. Dosage Physicians titrate Transderm-Nitro to the proper size of system as they would other nitrate medications. The usual dosage is one TransdermNitro system every 24 hours. Transderm-Nitro can be used with other nitroglycerin products. Since it is formulated as a prophylactic preparation, occasional use of a sublingual preparation may be necessary to abort acute angina. (Continued on page 14) 13 f ANGINA PECTORIS (Continued from page 13) Dependable and Durable System The dependability and durability of the transdermal therapeutic system is well established through clinical trials and actual use in the marketplace. The system has been put to the test through the critical demands of the space shuttle program where Transderm-V has been, and will continue to be made available by NASA to those susceptible to space motion sickness. The Transderm-V Ther:apeutic System has passed the vigorous test and rough seas of single handed sailboat racing, deep sea fishing as well as being used by the divers on the salvage mission of the sunken ship, the Andrea Doria. Transderm-Nitro is reported to provide the following advantages: * It is the only transdermal system with a rate controlling membrane. ·· * Because of the membrane, it allows a precise and predictable release of nitroglycerin in two dosage forms, either Smg or I Omg over a 24 hour period. * .The adhesive layer of it contains a priming dose of nitroglycerin which saturates the skin for prompt release of the medication. The reservoir maintains the blood levels for 24 hours. * It can be worn bathing or showering. * It is clearly identifiable with the dosage & name imprinted on the patch, a significant advantage in emergency situations. * Transderm-Nitro is compact in size. Primer Dose The level of nitroglycerin in the blood stream will remain essentially unchanged during the replacement of patches - a feature that the primer dose in the adhesive aids. As soon as a new patch is applied, the primer dose saturates the skin site and the delivery . of nitroglycerin begins. Nitroglycerin from the previous patch lingers in the plasma long enough to bridge the transition. The therapeutic effect can be anticipated in 30 minutes after application of the system and can be maintained for 30 minutes after its removal. If the patch is removed before 24 hours have elapsed the same patch should not be used again. The system would lack the primer dose and consequently would take much longer to bring the plasma to the steady-state level. (In addition, nitroglycerin is unstable when exposed to light and air, so it is likely that some degradation of the drug would occur at the exposed surface of the system.) A new patch should be applied on a different skin site. 14 UPhA Committees 1. Convention Committee Roy Haws, Chairman R. Nelson Fenton* 2. Governmental Affairs Committee Larry Madsen, Chairman Bill Hoge Emory J. Herndon* 3. Public Relations Committee Lamar Hansen Leota Craner* 4. Professional Affairs Committee Martin Higbee, Chairman Lewis Miner* 5. Credit Union Liaison Ann Wright, Chairman Nellie Vanderlinden 6. Nominations & Awards Committee Delbert A. Park, Chairman James D. McMahon* 7. Audit and Finance Committee Dominic De Rose, Chairman Ivan Sorenson* 8. Hospital Relations Committee Mark L. Johnson, Chairman Ron Robinson Charlie Johnson* 9. Education Committee Garold Jensen, Chairman Paul Haymond* Anath Shenoy PhD * Veteran Committee Member (Continu ed on pa~:e 16) UTAH PH A RM ACY DI GEST/SEPTEMBER 1982 Productdependabflity For 60 years, "Lilly" has been nearly synonymous with "insulin" to most people. Iletin® I (beef-pork insulin) and Iletin® II (purified pork or purified beef insulin), the trade names for Lilly insulins, are known for their consistent quality. Lilly research constantly strives to develop new products, such as biosynthetic human insulin, and improved delivery systems. Distribution system The unmatched Lilly retail distribution system insures that Iletin products are available all over the United States. Such availability offers both convenience and reassurance to your customers. Ancillary services for you and your customers Lilly provides medical service items to physicians, patients, and pharmacists who use Iletin. We also offer monographs on diabetes, a full range of diabetic diets, and patient information on diabetes. Outdated Iletin can be exchanged promptly for other Lilly products. 200Z10 Eli Lilly and Company For information on insulin delivery systems, contact Cardiac Pacemakers, Inc., at 1-(800)-328-9588. lndianaoolis. Inrliana 4f12R.'l QUALIFICATIONS FOR JOINING THE UTAH VETERAN PHARMACISTS ASSOCIATION. 1. Must be a registered Pharmacist of 25 years standing. 2. Twenty-five years of association in the Wholesale Drug Division. 3. Twenty-five years of association in the Drug Travelers Association. 4. Twenty-five years as a Teacher of Pharmacy (a College of Pharmacy). 5. Twenty-five years as a writer, director or compiler of Pharmacy news. 6. Twenty-five years as a manager, director, owner of independent or chain drug stores or hospital. 7. To have had 25 years as a skillful legislator, State or National. .. Purpose of the Association: To work in conjunction with the UPhA; To renew old acquaintances and have fun; to effect an able organization; To assist the students of Pharmacy, the College of Pharmacy, to encourage scholarships; hold regular conventions; to assist legislation both local and national; To assist the disabled Veteran; to own our own Pharmaceutical Building. BURROUGHS WELLCOME AWARDS Burroughs Wellcome Co. will expand its Pharmacy Education Program in 1982 to 156 awards of $1,000 each. For the first time, each grant will be split into two $500 awards, presented in the winning pharmacist's name to a U.S. school of pharmacy and to the educational foundation of a national pharmacy association. Each year, Burroughs Wellcome Co. contacts retail and hospital pharmacists throughout the country, inviting them to participate in the pr~gr~m by returning a simple entry form. Three wmmng names are drawn from each state, plus the District of Columbia and Puerto Rico. Winn~rs receive a check to be presented in their names to the U.S. pharmacy school of their choice, and this year, to the educational foundation of the American Pharmaceutical Association (APhA), the American Society of Hospital Pharmacists (ASHP), the National Association of Chain Drug Stores (NACDS), .QI. the National Association of Retail Druggists (NARD). The money helps establish loan funds to aid deserving pharmacy students in completing their education. The ninth annual Pharmacy Education Program drawings will take place at Burroughs Wellcome Co. headquarters in Research Triangle Park, North Carolina. Awards totaling $156,000 will be given this year, bringing the grand total of awards since· the beginning of the program to $832,000. COMMITTEES (Continued from page 14) l 0. Ethics and Grievance Committee Dennis White, Chairman Boyd Parrish* 11. Insurance Committee Roger Clements, Chairman 12. Membership Committee Steve Avey, Chairman Larry Kearns Don Kennedy* David Heiner 13. Constitution & By-Laws Committee Dr. Robert V. Petersen, Chairman Jane Poznar Ewart Swinyard* 14. Public Welfare & Economic Affairs Comm. Kent Ramon, Chairman Charles Revell* 16 15. V~terans Affairs Committee Eldon L. Frost, Chairman Harold Driver* Albert Olson* Sam Harmon* 16. Students Affairs Committee Roland Werner, Chairman (SAPhA) 17. Crime Committee George B. Glade, Chairman I 8. Building Committee Glenn Cooper Chairman* Lane Call Chesley Win tch * 19. PCCE Representatives Roy Haws Garold Jensen *Veteran Committee Member UTAII PIIARMA('Y DICFST/SEPTEMBER 1982 ,ol Introducing Telephase II ... 60 times faster than touch-tone ordering. That's the Bergen Brunswig Prescription for Profit. For the small and medium-size retailer, Telephase II consists of a small hand-held terminal on which you key in product codes and quantities as you walk the aisles. Merely enter product number and re-order quantity on the calculator-like keyboard. The information is stored in an electronic memory until you're ready to order. Then, connect Telephase II to your telephone , dial the toll-free number, and in an instant your order is sent-and processed for delivery to you on the next shipment. Nothing could be simpler, more efficient, or more cost-effectivebecause the cost for Telephase II is surprisingly reasonable. And, in terms of increasing your efficiency and saving you time, it's a service you really can't afford to be without. For details, call your Bergen Brunswig Customer Marketing Consultant today or Lew Dawson [phone]. While you're at it, ask about other Bergen Brunswig Prescriptions for Profit. Every one a very effective Rx! lilt Bergen Drunswig 0 ~~~,~£~~P,any © Bergen Brunsw1g Drug Co 1979 ARE YOUR INSURANCE NEEDS UPTO DATE? In this changing world, it is difficult for most of us to keep pace with the insurance coverages our home, family and business need. At Grant-Hatch and Associates, Inc., though, our professionals are trained to keep your insurance needs in step with the times. We are an independent insurance agency, built on a history of tradition and service. We can use our knowledge to protect you and put your insurance dollars ·where you will receive the greatest benefit and protection . ........ . _ :"l ,.• The Utah Pharmaceutical Association is pleased to announce their endorsement of the Utah Pharmaceutical "Package Policy" now offered through Grant-Hatch and Associat"es. This new program is designed to meet the property and casualty insurance needs of UPhA members by offering excellent coverage, service and pricing, along with a "Premium financing" program to facilitate enrolled pharamcies. The new "Package Policy" can offer security to your business in many areas, including: Property Insurance Druggist Liability Crime Coverage Commercial Auto General Liability Products Liability Data Processing Business Life Insurance ENDORSED BY: CC®T1ll r1®cil®;» ®wcilll®r1 ®mfl' ltfl'®ciloo r1o®w ® wcil fuw ®W ll®cil{EJ® W® fl' fu [!® [J' :»@ [![1 ~Associatcs,/izc. 0 [phone] 447 East First South P.O. Box 11809, Salt Lake City, Utah 84147 I would like more information about insurance coverages in the following areas: 0 Homeowners 0 Auto 0 Renters 0 RV 0 All personal lines 0 Life 0 Accident & Health 0 Estate Planning 0 Retirement 0 Property Insurance 0 Druggist Liability 0 Crime Coverage 0 Com. Auto 0 General Liability 0 Products Liability 0 Data Processing 0 Bus. Life Ins. Name - - - - - - - - - - - - - - - - - - Business Address - - - - - - - - - - - - - - - - - - - - - - - - - Phone Mail to Grant-Hatch & Assoc., Inc. • Box 11809 • Salt Lake City, Utah 84147 "'