SD Pharmacy Board - April 2014 Newsletter

South Dakota Board of Pharmacy

April 2014
South Dakota State Board of Pharmacy
3701 West 49th Street - Suite 204, Sioux Falls, SD 57106

NEW REGISTERED PHARMACISTS

The following candidates recently met licensure requirements and were registered as pharmacists in South Dakota: Cedric Williams; Scott Bishop; Michelle McKay; Chet Messmer; Teri Bruster; Kevin Quach; Mohamed Ibrahim; Shekar Ganesh; Amanda Wiechers; Justin Jones; Mariah Fickbohm.

SUBOXONE AND DEA REQUIREMENTS

Practitioners who wish to prescribe Suboxone (or other controlled substances) for the treatment of opioid dependence must meet the training and qualification to do so. The DEA will then issue registration certificate unique to this scope of practice. The DEA certificate will begin with the letter “X”. If you receive a prescription for opioid dependence, the DEA regulations state that “X” DEA number in addition to the existing DEA number need to be included on all controlled substance prescriptions for the treatment of opioid dependence. Pharmacists can verify the prescriber’s authority to prescribe for opioid dependence by calling 1-866-287-2728, or by email at info@buprenorphine.samhsa.gov.

How are pharmacists to determine if the prescription for Suboxone; 1 tablet BID # 60; is for opioid dependence or for an off-label use for (example) pain? If the prescription does not have an indication for therapy, it is the board staffs opinion to clarify the indication with the prescriber and document accordingly. 3^rd payer audits look for this type of documentation.

NABP / AACP DISTRICT V ANNUAL MEETING

The District V NABP / AACP Annual Meeting will be hosted by South Dakota this year. The meeting will be held in Deadwood, SD on August 14^th – 16^th. The Board of Pharmacy in conjunction with the SDSU College of Pharmacy is planning an exciting event, and hope many of you can attend. District V representation consists of colleges and boards South Dakota, North Dakota, Minnesota, Iowa, Nebraska, Manitoba and Saskatchewan. Stay tuned as more information will be forth coming.

South Dakota Prescription Drug Monitoring (SD PDMP) Statistics for 2013 and Update for 2014

The PDMP has now been in operation for nearly 2 years and has more than 2.7 million prescriptions in the database! 1,710 prescribers and pharmacists have been granted on-line access to the database and 33,396 queries have been run by pharmacists and 25,570 queries have been run by prescribers in this time. In 2013, the database assisted numerous prescribers and pharmacists to provide the optimal care for their patients who take controlled substances (CS) and also provided assistance in 89 prescription drug cases. This number is down from 130 and 126 in 2011 and 2012 respectively. Law enforcement agents have requested 339 queries of which 40% have led to charges. We take this as a sign that the PDMP is becoming a very useful tool. Hydrocodone combinations remained the most popular for 2013.

YTD 2013 Most Prescribed Controlled Drugs	RX's	Quantity	Quant/Rx
Hydrocodone BIT/Acetaminophen	296,433	17,124,276	58
Zolpidem Tartrate	97,732	3,141,573	32
Lorazepam	87,372	4,187,409	48
Clonazepam	76,889	4,709,526	61
Alprazolam	60,050	3,457,152	58
Methylphenidate HCL	53,384	2,418,282	45
Oxycodone HCL	45,954	3,694,068	80
Oxycodone HCL/Acetaminophen	44,607	2,754,356	62
Acetaminophen with Codeine	32,911	1,423,356	43
Dextroamphetamine/Amphetamine	32,304	1,457,759	45

The end of year provides an opportunity to look at statistics for the year and make our “Top 10 Prescriber Trends” list.

Top 10 Controlled Substance Prescriber Trends in 2013 - Statistics from SD PDMP

80% of all CS prescriptions are written by 23% of all prescribers

80% of CS prescriptions (by quantity) are written by 21% of prescribers

The top CS prescribing physician prescribed 7,058 CS prescriptions (or 28 Rxs/day) and 491,093 doses of CS which is 1,300 prescriptions and 145,000 doses more than the second highest

Of the top 50 prescribers of CS, only 50% have requested and obtained access to the SD PDMP

Only 24% of all Prescribers have requested and obtained access to the SD PDMP

One resident obtained CS prescriptions from 37 different prescribers

21 residents obtained CS prescriptions from 20 or more different prescribers

296,443 prescriptions and 17,124,276 doses of Hydrocodone/APAP were prescribed/dispensed

45,954 prescriptions and 2,418,282 doses of Oxycodone (non-combo) were prescribed/dispensed

In October, the PDMP sent letters to 111 prescribers identifying their patients who had used > 6 prescribers and filled prescriptions at > 6 pharmacies in 90 days. 76% went to MD/DO’s and 22% to PA’s. New letters will be sent in January, April, July and October 2014.

PHARMACY TRIVIA

Did you know?

There are 66 counties in South Dakota?
There are 52 counties that have at least one pharmacy?*

16 counties without any pharmacies

There are 8 counties with only one pharmacy
There are 31 counties with 3 pharmacies or less?
The counties with the highest density of pharmacies?

Minnehaha – 60
Pennington – 33
Brown – 14
Lincoln – 14
Lawrence – 10
Yankton – 10

With a population of approximately 815,000, there is one pharmacy for every 2,820 citizens. *

*includes full and part time pharmacies

BOARD MEETING DATES

Please check our website for the time, location and agenda for future Board meetings.

BOARD OF PHARMACY STAFF DIRECTORY

Office Phone 605-362-2737	FAX 605-362-2738
Randy Jones, Executive Director	randy.jones@state.sd.us
Kari Shanard-Koenders, PDMP Director	kari.shanard-koenders@state.sd.us
Gary Karel, Pharmacy Inspector	gary.karel@state.sd.us
Paula Stotz, Pharmacy Inspector	paula.stotz@state.sd.us
Rita Schulz, Sr. Secretary	rita.schulz@state.sd.us
Melanie Houg, Secretary	melanie.houg@state.sd.us
Jony Bruns, PDMP Assistant	jony.bruns@state.sd.us
Board of Pharmacy Website	www.pharmacy.sd.gov

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