Chain Pharmacy

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Wide-scale pill-splitting as a cost-containing measure is practiced by such large healthcare systems as the West Coast VA, Kaiser, and United Healthcare. The practice may serve the bottom line. But does it serve the patients?

As long as pharmacists work in such understaffed conditions, the repeated promise of more time spent with the patient will never be a reality.

Letters: May 2011

Readers speak out about the 15-minute Rx, antibiotic stewardship, and MTM.

REMS update

FDA recently called for the addition of new Risk Evaluation and Mitigation Strategy requirements for medications. This article examines some resulting challenges and potential solutions.

Quantum leap

Companies get their professional staff to do what they want by instilling fear. The result is thousands of pharmacists who are afraid, all of them, of one thing or another.

Depression is a disease like any other. The pharmacist's task is to keep depression patients educated about their disease and their medications, and to stress the importance of adherence to medication. But before that, depression screening may be Job 1.

Jenelle Sobotka, PharmD, FAPhA, 2011-2012 president-elect of the American Pharmacists Association, started out at the U.S. Veterans Administration, where she helped improve patient health through medication management.

CMS is considering new regulations that would require Medicare Part D prescription drug plans to contract directly with long-term-care facilities rather than with consultant pharmacists. This doesn't sit well with the American Society of Consultant Pharmacists.

In March the National Association of Chain Drug Stores relaunched its advertising campaign to promote new MTM legislation and pharmacists ' role in medication therapy management.

Many third-party payers have either switched to or are considering moving to a mail-order requirement for long-term prescriptions that would prevent patients from choosing to purchase medications through retail pharmacies. Pharmacists and patients are pushing back.

Letters: April 2011

Readers speak out about the increasing efficiency demands of chain pharmacies.