Monday, February 5, 2018

Opinion: A Reaction to DEA's Efforts to Target Pharmacies with ...

Pharmacy Times-1 minute ago
In response to “Sessions: DEA to Target Pharmacies, Prescribers in Crackdown”1 as published in The Hill, it should be obvious to responsible medical clinicians that Sessions and colleagues are naïve to the complex and biopsychosocial, medical, and pharmaceutical paradigms that are actually driving the opioid epidemic.

Cork vet-pharmacist censured for selling animal medicines without ...

Irish Times-6 hours ago
A dual-qualified pharmacist and vet has been censured for dispensing animal medicines without prescriptions through his Co Cork pharmacies and has undertaken not to repeat the breaches. Bandon-based Dan McCarthy, who works as a vet and owns four pharmacies in Co Cork, admitted to the Pharmaceutical Society of

Gary officials demand answers for pharmacy closings

Pharmacy Today, American Pharmacists Association, pharmacist.com-5 hours ago
In addition, there are two Fagen pharmacies still open; however, neither location is near some of Gary's communities in need, nor do they use mail-order systems. Rep. Charlie Brown (D-Gary) recently proposed a bill to the House Family, Children and Human Affairs Committee to establish a study committee to explain why ...

No change to pack sizes

Australian Journal of Pharmacy (blog)-12 hours ago
This proposal sought to create a new S3 entry for orphenadrine in “oral preparations containing 35 mg or less of orphenadrine when compounded with not more than ... occurrence of abuse episodes, OD-induced deaths, adverse cardiac events, drug-druginteractions, and incompatible pharmacokinetics with other drugs.

Fentanyl has added a deadly kick to the opioid woes in Britain

Pittsburgh Post-Gazette-6 hours ago
But Hull continues to catch the most national attention for issues relating to drugabuse. And lately, those miseries have been compounded by fentanyl, which has been blamed for at least 60 deaths nationwide, the National Crime Agency said, and has emerged as a favorite of addicts like Chris. On this gloomy day, he was ...

Sunday, February 4, 2018


Moncton pharmacist fined for drug-dispensing mistake that led to affected person's demise
The college said the error was made in the “compounding suite,” when a Ford staff member selected an incorrect compounding sheet to prepare the patient's prescription — a sheet for a 10 mg/mL concentration of baclofen instead of 2 mg/mL. Pharmacists use compounding sheets when they mix the 

Friday, February 2, 2018

Coastal Bend doctor under investigation for abuse of opioid ...

kiiitv.com-11 hours ago
According to the Caller Times, Evans practices in both Harlingen and here in Corpus Christi although most of his prescriptions were being filled through a pharmacy in Houston. Investigators say from August 2016 to August 2017 Evans prescribed 4,906 opioid prescriptions among many others. Stay connected with 3News ...

Amazon and Telenursing – a Match Made in Healthcare Heaven?

Nurse.org (blog)-6 hours ago
Can you envision an Amazon Prime pharmacy experience? What about the intricacies of the secret 1492 project? This is reportedly a team of people who have been working on healthcare technology: everything from electronic health records, to healthcare apps, to telemedicine. Speaking of telemedicine, according to ...

The Opioid Crisis: An Emerging False Claims Act Risk Trend

The National Law Review-5 hours ago
Of those subjects charged, 115 are medical professionals, with many of the charges involving improper or excessive prescription of opioids. Exclusion notices were served to 295 individuals (57 doctors, 162 nurses and 36 pharmacists) for conduct related to opioid diversion and abuse. The exclusion notices bar participation

Kasich administration announces new regulations on prescription ...

WTRF-6 hours ago
COLUMBUS (WCMH) - For years Governor John Kasich's administration has been attacking the abuse of prescription opioids at where they could actually effect change; not on the street corners but in doctor's offices, hospitals, and pharmacies. Thursday, the Governor announced the next round of regulations that he says ...

District Court Dismisses TCPA Class Action for Pharmacy Reminder ...

The National Law Review-2 hours ago
The court noted that this exception would not necessarily apply to all pharmacyreminder calls, relying on a case from the Northern District of California, St. Clair v. CVS Pharmacy, Inc., 222 F. Supp. 3d 779, 780 (N.D. Cal. 2016). The court agreed with St. Clair that that there could not be an “emergency” if the customer ...

Zurik: Drug consumers seek relief as PBM's make money hand over ...

FOX 8 News WVUE-TV-20 hours ago
"The PBM's in everyone's pocket," warns Doug Hoey, who heads National Community Pharmacists Association. "I mean that literally and figuratively because, in every wallet or purse, that prescription drug card that people carry around, somewhere in the fine print, it'll usually say the name of the PBM, the pharmacy benefits .

Williamson, W. Va., where there are 6500 opioid pills per person

WSAZ-TV-12 hours ago
(NBC) -- The deadly math in this struggling but proud West Virginia town breaks down like this: For over a decade, two pharmacies just four blocks apart dispensed some 20.8 million prescription painkillers in a town of just 3,191 residents. That's more than 6,500 prescription painkillers per person in this coal-mining town ...

Lawmakers to investigate companies, pharmacies that flooded ...

WVVA TV-7 hours ago
(WVVA) Lawmakers are taking new action against pharmaceutical companies and distributors that pushed millions of pain pills to West Virginia pharmacies. ... to the drug wholesaler Miami-Luken, raising questions about the companies shipments to Colony Drug in Beckley and Westside Pharmacy in Oceana, West Virginia.

Justice Department Seeks More Information About CVS-Aetna Deal

Forbes-Feb 1, 2018
Pedestrians walk past a CVS pharmacy in Washington, DC on December 3, 2017. ... CVS Health and Aetna confirmed Thursday that each company has received a so-called “second request,” for additional information from the U.S. Department of Justice about the pharmacy chain's agreement to buy the health insurer.

Pharmacists turn to lawmakers after reimbursement changes hit

KAIT-9 minutes ago
But many left that meeting with unanswered questions, including Michael Barkley, who owns the Pharmacy at Brookland. It's the only pharmacy in the Craighead County town. He said these troubles started on January 1, 2018, when the amount that insurance companies reimburse pharmacies abruptly changed.

Ohio set to tighten rules on drug distribution

Pharmacy Today, American Pharmacists Association, pharmacist.com-10 hours ago
John Kasich of Ohio on Thursday proposed rules that would require wholesalers that distribute prescription drugs to pharmacies, doctors, and hospitals to report more information about suspicious orders to Ohio regulators. The state also wants to require that drug distributors do a better job researching their customers and ...

How Could the New Amazon Health Care Company Affect Specialty ...

Specialty Pharmacy Times-7 hours ago
How Could the New Amazon Health Care Company Affect Specialty Pharmacy? Laurie Toich, Associate Editor. Publish Date: Friday, February 02, 2018. Amazon, Berkshire Hathaway, and JPMorgan Chase have teamed up to launch a new health care company in an effort to provide high-quality care while reducing costs, ...
Health effort by Amazon, others aims to succeed where others have ...
Pharmacy Today, American Pharmacists Association, pharmacist.com-10 hours ago

Pharmacy protocols for reporting missing drugs

wwlp.com-11 hours ago
(WWLP) - Tens of thousands of prescription drugs are reported lost, missing, or stolen from Massachusetts pharmacies every year. Pharmacies are required by law to report losses to the Massachusetts Board of Registration in Pharmacy. The 22News I-Team requested copies of those reports and compiled a list of the top

Evansdale pharmacist arrested; Medicaid fraud alleged

Waterloo Cedar Falls Courier-9 hours ago
The investigation began following a routine inspection by the Iowa Board of Pharmacy in August 2017 that turned up five boxes of medications that had been filed and paid for by insurance companies but were never delivered. Many of the medications were expired, and some dated back to 2014. They ranged from 

FDA Gives Update on Saline Shortage in Midst of Severe Flu Season

Regulatory Focus-Feb 1, 2018
On Thursday, US Food and Drug Administration (FDA) Commissioner Scott Gottlieb gave an update on FDA's efforts to address the shortage of saline ... to look to workarounds such as compounding their own saline solution, which in turn 

A Florida man has been sentenced to three years in prison for his role in what prosecutors say was a $100 million fraud scheme involving compounding pharmacies making prescription medications like scar creams

Florida man gets prison for role in $100 million pharmacy fraud

Reuters-1 hour ago
A Florida man has been sentenced to three years in prison for his role in what prosecutors say was a $100 million fraud scheme involving compounding pharmacies making prescription medications like scar creams. Matthew Sterner, 49, was sentenced on Thursday by U.S. District Judge James Moody in Tampa, Florida ...
Department of Justice
U.S. Attorney’s Office
District of Massachusetts

FOR IMMEDIATE RELEASE
Wednesday, January 31, 2018

New England Compounding Center Pharmacist Sentenced for Role in Nationwide Fungal Meningitis Outbreak

BOSTON – The former supervisory pharmacist of New England Compounding Center (NECC) was sentenced today in connection with the 2012 nationwide fungal meningitis outbreak that killed 64 and caused infections in 793 patients.
Glenn Chin, 49, of Canton, Mass., was sentenced by U.S. District Court Judge Richard G. Stearns to eight years in prison, two years of supervised release, and forfeiture and restitution in an amount to be determined later. In October 2017, Chin was convicted by a federal jury in Boston of 77 counts, including racketeering, racketeering conspiracy, mail fraud and introduction of misbranded drugs into interstate commerce with the intent to defraud and mislead.
“Mr. Chin was a pharmacist, but again and again he acted with complete disregard for the health and safety of patients,” said United States Attorney Andrew E. Lelling. “Mr. Chin will now be held responsible for producing contaminated drugs that killed dozens and grievously harmed over 750 people across the country. No patient should suffer harm at the hands of a medical professional, and we will continue to work with our law enforcement partners to combat fraud and abuse in the health care system.”
“A key aspect of the FDA’s mission is to ensure that drugs are made under high quality conditions so that no patient is at risk of harm due to poorly compounded products,” said FDA Commissioner Scott Gottlieb, M.D. “In response to episodes where patients were harmed by poorly compounded drugs, Congress passed a new set of laws to improve the FDA’s oversight of these products. We’re committed to the efficient, timely and robust implementation of that framework to help make sure patients can trust the reliability and safety of compounded drugs, recognize the benefits of pharmacy compounding, and that we protect consumers from harm.”
“As a licensed pharmacist, Glenn Chin took an oath to protect his patients,” said Harold H. Shaw, Special Agent in Charge, FBI Boston Division. “In contrast, he failed miserably by cutting corners, ignoring warning signs, and harming hundreds of people with his reckless disregard for their safety.  Dozens of unsuspecting patients died because of the tainted drugs that were distributed on his watch.  Now, Mr. Chin is finally being held accountable for his role in one of the worst pharmaceutical disasters in this country. The FBI hopes today’s sentence will bring some comfort to the hundreds of victims and their families who have suffered so much.”
In 2012, 753 patients in 20 states were diagnosed with a fungal infection after receiving injections of preservative-free methylprednisolone acetate (MPA) manufactured by NECC.  Of those 753 patients, the U.S. Centers for Disease Control and Prevention (CDC) reported that 64 patients in nine states died.  The government has since identified a total of 793 patients throughout the country harmed by NECC’s contaminated steroids.
Chin manufactured three lots of contaminated MPA, which comprised more than 17,000 vials of medication. In doing so, Chin ignored NECC’s own drug formulation worksheets and standard operating procedures. Specifically, he improperly sterilized the MPA, failed to verify the sterilization process, and improperly tested it to ensure sterility. Despite knowing these deficiencies, Chin directed the MPA to be filled into thousands of vials and shipped to NECC customers nationwide.  During the fungal meningitis outbreak, the CDC identified 18 different types of fungi from MPA vials and patient samples.  In the words of one public health official, NECC was a “fungal zoo.”
Chin directed the shipping of drugs prior to receiving test results confirming their sterility, and he directed NECC staff to mislabel drugs to conceal this practice. He also directed the compounding of drugs with expired ingredients, including chemotherapy drugs that had expired several years prior. Chin prioritized drug production over cleaning, directed the forging of cleaning logs, and routinely ignored mold and bacteria found inside the clean rooms. Lastly, for more than three years, Chin, along with co-conspirators, utilized a pharmacy technician whose license had been revoked by the Massachusetts Board of Pharmacy to compound highly sensitive cardiac drug solutions, and took steps to conceal the technician’s presence inside the clean room from state regulators. 
“One of the Defense Criminal Investigative Service’s (DCIS) priorities is to protect the integrity of TRICARE, the U.S. Defense Department's health care program,” stated Special Agent in Charge Leigh-Alistair Barzey, DCIS Northeast Field Office. “Today’s sentencing demonstrates DCIS’ commitment to work with the USAO-MA, the FBI, the FDA-OCI and its other law enforcement partners, to identify, investigate and prosecute individuals who disregard pharmaceutical regulations and endanger the health and safety of U.S. military members, retirees and their families.‎”
“The VA provides healthcare to those who have sacrificed so much for our country and fortunately no veterans receiving VA care were harmed by the fungal meningitis outbreak. However, it is appalling that NECC staff acted with such reckless disregard for patients by putting profits over safety,” said Special Agent in Charge Sean J. Smith for the Department of Veterans Affairs, Office of Inspector General.  “The VA Office of Inspector General is honored to work with our partners in law enforcement on such an important investigation and assist in bringing those individuals who were responsible to justice.”
“The sentence imposed today on Glenn Chin demonstrates the commitment of the U.S. Postal Inspection Service and our law enforcement partners, to the safety and health of the American public,” said Raymond Moss, Acting Inspector in Charge of the U.S. Postal Inspection Service, Boston Division.  “Chin’s actions as a supervising pharmacist jeopardized the health of many patients and we will continue to investigate and take action against those who take part in this type of egregious behavior.”
U.S. Attorney Lelling, FDA Commissioner Gottlieb, M.D., FBI SAC Shaw, DCIS SAC Barzey, VA OIG SAC Smith, and Acting Inspector in Charge of USPIS Moss made the announcement today.  Assistant U.S. Attorneys George P. Varghese and Amanda P.M. Strachan of Lelling’s Health Care Fraud Unit prosecuted the case.
Topic(s): 
Health Care Fraud
Component(s): 
Updated January 31, 2018

Moncton pharmacist fined for drug-dispensing mistake that led to ...

CBC.ca-1 hour ago
The college said the error was made in the "compounding suite," when a Ford staff member selected an incorrect compounding sheet to prepare the patient's prescription — a sheet for a 10 mg/mL concentration of baclofen instead of 2 mg/mL. Pharmacists use compounding sheets when they mix the ingredients in a

Question of the Day February 2, 2018 Rep. Buddy Carter (R-GA) alleges is the agency's use of guidance documents as the basis for compounding enforcement actions. What will be the results in criminal and/or civil actions if FDA guidance is not used? What will be the results for victims? What will be the results for compounders? Could DOJ bring more prosecutions using strictly the statutes with no guidance or warning to compounders? For example, any compounder who makes inordinate amounts of office use compounds be prosecuted for violating the statute without any definition from DOJ or the FDA as to what inordinate amount means and a jury making this determination? Why or why not?


EDITORIAL: Justice eludes victims in compounding scandal

EDITORIAL: Justice eludes victims in compounding scandal

Lowell Sun-2 hours ago
Where's the justice? That's the question those innocent victims of the New England Compounding Center tragedy want to know. Another sentencing chapter in the deadly 2012 fungal meningitis outbreak that killed nearly 80 people and sickened 10 times that many unfolded in a Boston federal court Wednesday.

New compounding guidelines now in effect

Australian Journal of Pharmacy (blog)-15 hours ago
A revised guidance titled 'Compounding of sterile injectable medicines', has been incorporated into the Board's Guidelines on compounding of medicines. It replaces the previously postponed section 'Expiry of compounded parenteral medicines'. The Pharmacy Board of Australia published the guidance on 1 August 2017 ...

Thursday, February 1, 2018

Must Read!! MICHAEL V. KELLY, II, M.D., COMPOUNDING PLUS LLC D/B/A DIAMOND PHARMACY, TAMARA MITCHELL, JOYCE JAMES, R.PH., CHRISTIAN SCHWALM, AND DIAMOND PHARMACY, LLC, Appellants v. RICHARD FORD AND RAQUEL GONZALES, AS WRONGFUL-DEATH BENEFICIARIES OF DESIREE FORD, DECEASED, Appellees NO. 14-17-00180-CV NO. 14-17-00226-CV NO. 14-17-00497-CV State of Texas in the Fourteenth Court of Appeals January 30, 2018 On Appeal from the 164th District Court Harris County, Texas Trial Court Cause No. 2016-09792 OPINION


Four things the Pharmacy Board wants you to know about ...

Pharmacy News-18 hours ago
Some pharmacists are risking disciplinary action because they are not complying with rules for dispensing without a prescription, says the Pharmacy Board. It could be that some are confused by legal provisions for emergency supply, the board writes in its latest newsletter. “By not complying with the applicable legal ...

Long-dreaded Amazon.com threat to drug middlemen draws close

The Star Online-12 hours ago
The Health Transformation Alliance, a group of 46 large employers launched two years ago to fix the health-care system, negotiated better drug contracts with CVS Health Corp and UnitedHealth Group Inc's OptumRx, two of the largest pharmacy-benefits managers. It says the new contracts should save its members who ...

How Pharma is targeting states that try to rein in drug prices

Philly.com-6 hours ago
First in line was Pete Martinez, PhRMA's top Louisiana operative. “I've had this volume” of special-interest pressure “but not the speed,” said Mills, a small-pharmacyowner from St. Martin Parish who said he sees the rising price of pills firsthand. Mills recalled phone calls from “top government affairs people” at Pfizer, “telling .

Texas Court Tosses Wrongful Death Case Against Pharmacy

Law360-20 hours ago
Law360, New York (January 31, 2018, 8:26 PM EST) -- A Texas state appeals court Tuesday tossed a wrongful death suit alleging a young woman found dead in her bathtub four days after using a compound prescription lotion would have survived had the doctor never prescribed it, finding the lower court erred in accepting ...

Pharmacists receive scripts for 'hundreds' of addictive pain pills

The Sydney Morning Herald-15 hours ago
One pharmacy has received a prescription for more than 2000 addictive painkiller tablets and many others across the country have seen orders for hundreds in the past few days. Pharmacists say it's a trend which appears to undermine Australia's new ban on over-the-counter codeine that came into effect on Thursday.

Drug firms shipped 20.8M pills to Williamson

Williamson Daily News-16 hours ago
Over the past decade, out-of-state drug companies shipped 20.8 million prescription painkillers to two pharmacies four blocks apart in a Southern West Virginia ... Between 2006 and 2016, drug wholesalers shipped 10.2 million hydrocodone pills and 10.6 million oxycodone pills to Tug Valley Pharmacy and Hurley Drug in ...

Maine pharmacy board votes to raise age to buy overdose antidote

Bangor Daily News-7 hours ago
Paul LePage, after the Board of Pharmacy voted Thursday morning to raise the age limit to buy the drug from 18 to 21. The board made the decision Thursday as part of an effort to make the drug available without a doctor's prescription. Democrats have criticized both the board and LePage for failing to move forward on ...

Drug-insurance trims too deep, Arkansas pharmacies say

Arkansas Online-11 hours ago
They spoke at a meeting of the Arkansas Health Insurance Marketplace Oversight Subcommittee before an overflow audience of pharmacistspharmacy students and others at the Multi-Agency Complex near the state Capitol. Cissy Clark, owner of Clark's Family Pharmacy in Earle, said about 22 percent of the prescriptions ...

Term Sheet -- Thursday, February 1

Fortune-7 hours ago
Caffeine, a social broadcasting platform, raised $46 million in funding across two rounds. Investors include Andreessen Horowitz and Greylock Partners. • QuVa Pharma, a Sugar Land, Texas-based platform for sterile compounding pharmacyservices, raised up to $40 million in debt and equity funding. The funding includes ...

Execution bills advanced by South Carolina Senate Corrections ...

Greenville News-2 hours ago
So-called shield laws are used in 15 states, but opponents have argued states are now relying on inadequately vetted means, including new execution drugs or mixtures often made by compounding pharmacies, and they say those have helped lead to executions that have been botched, with witnesses reporting inmates ..

Pleasantville guidance counselor pleads guilty in federal health ...

Press of Atlantic City-5 hours ago
According to federal court documents, this drug ring targeted the state's health benefits plan by submitting fraudulent prescriptions for unneeded compoundeddrugs, which ... In exchange for prescriptions, recruiters and doctors would receive kickbacks from an out-of-state compounding pharmacy and pay co-conspirators, ...

Man Must Pay $3.5M in Restitution for Role in Compounding Drug Scheme

Man Must Pay $3.5M in Restitution for Role in Drug Scheme

U.S. News & World Report-23 minutes ago
Man Must Pay $3.5M in Restitution for Role in Drug Scheme. A high school guidance counselor must pay nearly $3.5 million in restitution for his role in a ring that defrauded the state's health benefits plan and other insurers by submitting prescriptions for unnecessary compounded drugs. Feb. 1, 2018, at 4:07 p.m.. Man Must ...

Lawyers claim last 2 Texas executions botched by old drugs - and ...

Chron.com-1 hour ago
"It looks like Texas might have caused a botched execution by using substandard compounded drugs that they knew had passed their original beyond use date," said Maya Foa, an expert who works with pharmaceutical companies on protecting medicines from misuse in executions. "They have systematically flouted the ...

Gottlieb Lays Out Risk-Based Approach For Compounding GMPs ...

Inside Health Policy-3 hours ago
FDA Commissioner Scott Gottlieb told legislators Tuesday (Jan. 30) that FDA will take a risk-based approach to both the yet-to-be-finalized 503B-lite category of compounders and the new model agreement between states and FDA on oversight of compounders that ship products out of state. Gottlieb emphasized that FDA ...

Carter Alleges FDA Guidance Improperly Drives Compounding ...

Inside Health Policy-3 hours ago
FDA came under fire from Rep. Buddy Carter (R-GA) Tuesday (Jan. 30) for what he alleges is the agency's use of guidance documents as the basis for compounding enforcement actions. Carter's concerns were buoyed by a new policy from the Department of Justice which bars use of guidance to create binding standards, ...

Statement from FDA Commissioner Scott Gottlieb, M.D., on ongoing efforts to mitigate impact of saline shortages during this flu season

As flu activity remains widespread across the U.S., the FDA continues to monitor this situation closely and in coordination with our colleagues at the U.S. Centers for Disease Control and Prevention. We’re continuing to take steps to help ensure that people with the flu have access to critical medical products, including antivirals, saline and other supportive care drugs and devices. Continue reading