Members present: President Jeff Nielsen, Arlene Ham-Burr, Steve Statz, Marla Hayes, and Arvid Liebe.
Staff present: Executive Secretary Ron Huether; Inspectors Earl McKinstry and Randy Jones, Senior Secretary Rene Hixon.
Others present: Dan Hansen, SDSU College of Pharmacy, Brookings; Chris Sonnenschein, President, SD Pharmacists Association, Sioux Falls; Bill Ladwig, Pharmacy Director, Lewis Drug Inc., Sioux Falls; Ann Oberg, President, SD Association of Pharmacy Technicians, Sioux Falls; and Cheryl McKiernan, Sioux Falls.
The meeting was called to order by President Nielsen at 10:00 a.m.
The meeting agenda was approved by the board members.
Ham-Burr moved to approve the minutes of the May 4, 2009 Board meeting and the July 7, 2009 rules hearing. Seconded by Statz. These have been posted on the Board of Pharmacy website after preliminary electronic approval of the board members. Motion approved.
The Board financial reports were reviewed and approved.
The Inspector’s Activity Reports were reviewed. Jones and McKinstry reported on compliance visits to pharmacies and non-prescription drug outlets. A camera has been purchased for inspection purposes to document non-compliance issues and good examples of pharmacy operations.
The Statistical Report of all licensing activities was discussed. The first application to operate a telepharmacy has been submitted. The permit for Vilas Pharmacy, Eagle Butte, will be approved upon verification of the pharmacy technician’s certification and experience.
SD Pharmacists Association – Chris Sonnenschein, President, presented the report from SDPhA. He discussed goals for this year – including a proactive approach on issues and organizing a group of pharmacists to serve as liaisons to members of the legislature.
SDSU College of Pharmacy – Dan Hanson reported that there are seventy P1 students entering the school of pharmacy this fall. The new electronic system for intern evaluations of IPPE and APPE experiences is working well and was a good investment. Information from this system will be available to the Board of Pharmacy for the purpose of verifying intern hours.
SD Association of Pharmacy Technicians – Ann Oberg provided information on the fall educational conference for technician.
Approvals: Huether reported on approval requests:
Automated Mechanical Dispensing Devices –
Avera Gregory Healthcare Center, Dan Fiebelkorn.
Miller Rexall, Trent Merkwan.
Variances: Technician Ratio – Curt Rising, Medicine Shoppe, Rapid City – Extension of the variance granted last year was approved.
Complaints: Huether reported on complaints received regarding the following pharmacies –
Cigna Tel-Drug, Sioux Falls; AmeriPharm, Sioux Falls; Lewis Westgate, Sioux Falls.
None of these complaints warranted disciplinary action against the pharmacy or a pharmacist. In each case the Pharmacist-in-charge made appropriate efforts to resolve the complaint and to improve procedures to prevent recurrence.
Investigations: The DEA is conducting an investigation related to controlled substances accountability at Family Drug, Sioux Falls. This pharmacy closed several months ago.
Disciplinary Actions: Huether reported that two pharmacists will be asked to appear at our next meeting because of disciplinary actions by Boards of Pharmacy in other states.
Multi-State Pharmacy Jurisprudence Examination (MPJE): Jones has completed the initial review of questions the current pool. The final list of questions will be determined after a second review to be carried out by Jones and Huether. We will also submit new questions based on recent rules changes. We will implement MPJE as our jurisprudence exam to on January 1, 2010.
We have expressed our concern to NABP that an additional testing is needed to accommodate our candidates for pharmacist licensure and our pharmacy technicians seeking certification. NABP has responded that they are asking Pearson VUE to add capacity to meet our needs.
Rules Updates: Huether attended the Interim Rules Review Committee meeting on July 28 to present our rules changes related to technician ratio, pharmacist licensure, internship, and reciprocity. The committee approved the changes as presented. These rules will be in effect on August 17, 2009.
Sterile Compounding: Huether reported that the draft of new rules for Sterile Compounding Practices is nearly ready. A group of pharmacists directly involved in sterile compounding is reviewing this draft. We will plan to schedule a rules hearing in conjunction with the October 2, 2009, Board of Pharmacy meeting.
Prescription Drug Monitoring Program: Statz, Jones and Huether have attended two planning meetings to study the development of a prescription drug monitoring program in South Dakota. Liebe moved to recommend and approve attendance by Huether and Jones in national meetings held this fall in Washington, DC and San Diego if designated by the Department of Health. Seconded by Hayes. Motion carried. Ham-Burr moved to approve up funding of up to 50% of the expenses for these meetings if the planning grant funds are not sufficient. Seconded by Hayes. Motion carried.
The Board asked that Jones prepare a report of frequently asked questions about PDMT to help educate pharmacists and other health professionals on the merits of this program.
Budget Planning FY2011 – Huether discussed the Annual Report for FY 2009 and budget for FY 2011 that has been submitted to the Department of Health.
Reciprocity and Reinstatement: McKinstry reported on the internship completed by reciprocity candidate Jeff Baird. He also reported that the pharmacists who have mentored Baird are recommending licensure. After discussion regarding concerns that because of Baird’s long absence from the practice of pharmacy additional training would be in the best interest of patient safety Liebe made a motion that license by reciprocity of candidate Jeff Baird be approved after he completes an additional 80 additional hours of internship. Seconded by Statz. Motion carried.
The Board members continued further discussion on the need to establish guidelines for reciprocity and reinstatement candidates who have not been practicing pharmacy for several years, or have disciplinary action in another state.
Upcoming Meetings: Ham-Burr moved to request approval from DOH for Deputy Attorney General Robert Mayer to attend the American Society of Pharmacy Law conference in Naples, FL, on November 12-15. Seconded by Statz. Motion approved.
Liebe moved to approve per diem and expenses for three board members and three staff to attend the NABP District 5 meeting in Omaha, NE, August 6-8, and for Board Member Hayes and Inspector Jones to attend the NABP Fall Symposium on December 3-4, 2009. Seconded by Ham-Burr. Motion carried.
Agenda Items: Electronic inspections will be discussed at the next meeting.
Board Meeting Dates: The next meeting will be held on October 2, 2009, at the Rapid City Regional Hospital Hospice House.
President Nielsen adjourned the meeting at 1:15 p.m.