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WEBSITE OF THE STATE OF SOUTH DAKOTA DEPARTMENT OF HEALTH
Kim Malsam-Rysdon, Secretary of Health

South Dakota Board of Pharmacy

Newsletter

 


 

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.  3rd 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 14th – 16th. 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