Monday, June 24, 2013

Vermont Board of Pharmacy May 15, 2013 Unapproved Minutes--Default Hearing for Royal Palm Compounding Pharmacy Continued


BOARD OF PHARMACY – Unapproved Minutes
Secretary of State, Office of Professional Regulation
23 College Street, Schulmaier Hall, Montpelier, VT 05602
May 15, 2013 at 9:00 A.M.
1. The meeting was called to order at 9:01 a.m.
Members Present: Ms. Julie A. Eaton, RPh, Vice-Chair; Mr. Steven M. Vincent, RPh; Mr. Larry
Labor RPh; Mr. King Milne, RPh; and Mr. James Arisman, Esq., Public Member.
Members Absent: Mr. Jeffrey P. Firlik, RPh, Chair and Ms. Judith Wernecke, Public Member,
Secretary
OPR Personnel Present: Mr. Larry S. Novins, Board Counsel; Mr. Colin Benjamin, Board
Counsel; Mr. Ed Adrian, Prosecuting Attorney; Mr. Dan Vincent, Inspector; Mr. Ronald Klein
RPh, Executive Officer; and Ms. Aprille Morrison, Licensing Board Specialist.
Others Present: Mr. Theo Kennedy, Esq. and Mr. Mike Fish
2. The Vice-Chair called for approval of the Minutes of the April 24, 2013 meeting as presented.
Mr. Labor made a motion to accept the minutes with corrections. The motion was seconded by
Ms. Eaton. Motion passed.
3. Hearings/Stipulations et al:
9:15 am – Stipulation and Consent Order Re.: Thomas Fortier, Docket # 2013-11. Mr. Labor
made a motion to accept the Order as presented. The motion was seconded by Ms. Eaton. Mr.
Vincent did not participate in the hearing as he was the Investigative Team member. The motion
passed.
9:15 am – Summary Suspension Re.: Kelly Conn, Docket # 2013-212. Ms. Conn participated in
the hearing by telephone. Prosecuting Attorney for the State, Ed Adrian, informed the Board that
he had spoken with Ms. Conn the previous day and that she would like to voluntarily surrender
her pharmacist license. Mr. Adrian requested the Board accept Ms. Conn’s request. Mr.
Arisman made a motion to accept Ms. Conn’s request for voluntary surrender of her Pharmacist
license. Mr. Vincent seconded the motion. Motion passed. Mr. Adrian dismissed the Summary
Suspension Order. The Board requested Ms. Conn return her paper copy of her license to the
Board within the next seven (7) days.
Mr. Adrian informed the Board that the Default hearing that was on the agenda for Royal Palm
Compounding Pharmacy, docket # 2010-391, was continued. The hearing will be set for a later
Pharmacy Board meeting.
4. Report of Concluded Investigation:
Report of Concluded Investigation for 2010-682. Ms. Eaton made a motion to reject the report.
The motion was seconded by Mr. Arisman. Mr. Vincent did not participate in the vote as he was
the Investigative Team member. Motion passed. The Board did not feel it was appropriate to
close the case as the pharmacist manager in this case did not follow proper reporting
procedures regarding drug losses.

Board of Pharmacy Page 2
Report of Concluded Investigation for 2012-135 & 2012-136. Mr. Arisman made a motion to
accept the report as written. The motion was seconded by Mr. Labor. Mr. Vincent did not
participate in the vote as he was the Investigative Team member. Motion passed.
Report of Concluded Investigation for 2012-270 & 2012-271. Mr. Vincent made a motion to
accept the report as written. The motion was seconded by Mr. Arisman. Mr. Labor did not
participate in the vote as he was the Investigative Team member. Motion passed.
Report of Concluded Investigation for 2012-508. Mr. Vincent made a motion to accept the report
as written. The motion was seconded by Ms. Eaton. Mr. Labor did not participate in the vote as
he was the Investigative Team member. Motion passed.
5. Discussion Items:
Ms. Eaton brought a couple samples of prescriptions she recently received from patients who
had to been to Fletcher Allen Healthcare. The prescriptions were for Schedule II controlled
substances. She questioned the prescriptions as they had the date the prescription was written
as well as a delayed or later “start date”. She clarified with the Board that as long as the
prescription did not have “do not fill until” instructions, the prescription could be filled on the date
it was received by the pharmacy.
In one case the pharmacy received a written prescription for a Schedule II controlled substance
which had been given to the patient more than thirty (30) days in advance of the indicated start
date. This prescription is believed to have been issued for pain following scheduled surgery at a
future date. As the patient presented this prescription for filling more than thirty (30) days after
date of issue, it could not be filled.
The Board requested that Mr. Klein contact Fletcher Allen Health Care to clarify the
requirements and suggest the addition of appropriate language for prescriptions with a specific
start date.
6. Guests:
Peter Comart presented the Board with a proposal regarding the Vermont Professional
Colleague Assistance Program (VPCAP). Mr. Comart gave the Board a timeline of the approval
process to start the program and informed them that he would be visiting every Board that the
Office of Professional Regulation oversees. The Board informed Mr. Comart that they support
the Office of Professional Regulation moving forward with implementing this program. Mr.
Arisman and Mr. Vincent informed Mr. Comart that they would like to participate in the committee
that is currently developing this program.
7. Case Manager’s Report:
Ms. Preston was not available to report to the Board so Ms. Morrison reported the case numbers
to the Board. There are 31 cases pending, 9 are pending Investigative Team meetings, 3 are in
intake for screening, 1 is awaiting a response from the Respondent, 6 have been recommended
for closing, 3 are under investigation, 6 have had charges filed, and 3 are pending hearings.
8. Legislation/Rulemaking:
Administrative Rules revision discussion – Remote Pharmacies – The Board discussed the
separation of the Automated Dispensing Units (ADU) and decided there need not be a separate
Board of Pharmacy Page 3
section of the Rules for this. The ADU information will be included in the Report Pharmacy
section of the Rules. The Board also discussed how to regulate pharmacist supervision of the
remote site. Mr. Klein, Ms. Eaton, Mr. Vincent and Mr. Novins will refine the current draft rules to
prepare the final draft for Board review at the June meeting.
Mr. Klein presented the Board with the drafts for revisions of the Pharmacist Intern and
Pharmacy Technician sections of the Administrative Rules. Mr. Klein will work with Mr. Novins to
refine this draft and move forward with the public hearing process on this.
7. Review Applications for licensure:
Ms. Eaton made a motion to approve Martin’s Foods of South Burlington, Inc. d/b/a Hannaford
Supermarket & Pharmacy #8426 for licensure pending receipt of complete affirmation forms
from Elting Smith and Douglas Pierson. The motion was seconded by Mr. Arisman. Motion
passed.
Mr. Labor made a motion to approve the following applications for licensure in Vermont:
Allergychoices, In.c d/b/a Allergychoices Pharmacy, and
Diamondback Drugs of Delaware, LLC d/b/a Diamondback Drugs for licensure
The motion was seconded by Mr. Milne. Motion passed.
8. Executive Officer Report:
• There will be three Board members, Ms. Eaton, Mr. Vincent and Mr. Firlik, as well as Mr.
Klein attending the NABP meeting next week.
• Bill 205 for the Office of Professional Regulation has passed both the House and Senate
and is waiting to be signed into Law by the Governor. This bill removes the issuance of
temporary licenses/registrations for pharmacy registrations for individuals and
institutions.
• Mr. Klein informed the Board that the Office is working with VPMS to get all prescribing
individuals/institutions data for registration purposes.
• Mr. Klein acknowledges that the Vermont Pharmacy Statutes need to be revised and the
first draft should be done by early autumn. The Board would like this added to the July
meeting agenda.
• Ms. Eaton asked for an update on bill H.522. Mr. Klein informed the Board that he would
look into the resolution of the bill as he has not heard.
9. Pharmacy Technicians: Total number of Active Registered Technicians is 1,633 (1,511
Resident, 122 Non-Resident).
10. Newsletter Topics:
Board of Pharmacy Page 4
Mr. Klein informed the Board that everything for the June 1 publication is with NABP. The Board
discussed the option of sending out an additional newsletter as there are several updates with
the legislative bills that have passed as well as Administrative Rules changes the Board is
looking to make.
12. The next meeting is scheduled for Wednesday, June 26, 2013, at 9:00 A.M.
14. Ms. Eaton made a motion, seconded by Mr. Vincent, to adjourn at 12:52 p.m. Motion Passed.
Respectfully Submitted:
_______________________________
Judith Wernecke, Secretary
Vermont Board of Pharmacy
_______________________________
Ronald J. Klein, RPh
Executive Officer
Vermont Board of Pharmacy

quoted from here

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