One Minute Counselor

enacted are eligible to enroll as preferred providers in the FEHP program at the lowest bid awarded in that state. Many have chosen not to provide services at reimbursement tenns as low as the average wholesale price less 15%, plus a $1.25 dispensing fee, but in those states phannacists are guaranteed access to the program nonetheless. To ease communication with patients who may be deciding to change phannacies because of the information they have received from Blue Cross/Blue Shield or PCS Inc., the plan administrators, APhA suggests that phannacists post a sign in their phannacies stating: "The new Federal Employee Health Plan, which became effective January 1, 1993, includes important changes in your benefit for prescription medications. Although the plan designates phannacies as 'Preferred Phannacy Providers,' you are not required to use these phannacies. However, your reimbursement may be reduced for prescriptions dispensed by nonpreferred providers. Speak to your phannacist for details." APhA will continue to study this program and the issue of payment systems in phannacy. The Association is committed to working on reimbursement plans that will facilitate phannacists' delivery of quality phannaceutical care services.

AMERICAN PHARMACY

APhA,ASHP Dra\N Up Compounding Guidelines

tion is now affiliated with all 50 state phannacy associations as well as with the associations of the District of Columbia and Puerto Rico. Affiliation is an arrangement between state associations and APhA to work more closely to further their common interests and the interests of the profession. APhA's State affiliates also have a stronger voice in the Association's House of Delegates and policy-making process. In her letter announcing the affiliation, NMPA President Tris McSherry wrote, "We feel that NMPA and APhA are generally in agreement on the major issues affecting the practice of phannacy.... The ability of the profession to work together will determine the success of our efforts." McSherry thanked APhA for its support and said she and her association "look forward to an even better relationship in the future."

APhA is working with the American Society of Hospital Phannacists (ASHP) to draft a set of guidelines for pharmacists who compound phannaceuticals in daily practice. The "Draft Guidelines on Compounding of Nonsterile Products in Phannacies" will list practice standards allowing phannacists to assess whether or not their practices are equipped to handle extemporaneous compounding. The guidelines address such factors as equipment and facilities, ingredient selection, personnel, recordkeeping, stability and expiration dating, and packaging and labeling. An open hearing to discuss the draft guidelines was held at APhA's Annual Meeting last month in Dallas, Tex. A second will be held at ASHP's Annual Meeting in June 1993. APhA and ASHP expect the guidelines to be fmal by the end of the year.

MEMBERS

APhA Affiliates \Nith All 50 States

Mary Jo Hunst, Park Ridge, Ill., has been promoted to associate executive director of the National Association of Boards of Phannacy. She had been testing programs director at the association.

The New Mexico Phannaceutical Association (NMPA) has announced that it is affiliating with the American Phannaceutical Association (APhA). The national associa-

Phylliss Moret, Jackson, Miss., recently received the Distinguished Alumni Award from the St. Louis College of Phannacy for her service to the phannacy profession. Moret, who had been

lim

director of the Mississippi Phannacists Association, joined the American Phannaceutical Association May 1 as director of state services. The Chicago College of Phannacy appointed David Blumenfeld, Chicago, ill., adjunct assistant professor of phannacy practice. Blumenfeld has a law office in Chicago and is attorney to the 00nois Board of Phannacy. PCS Health Systems appointed DanielJ. Boesen, Tempe, Ariz., vice president of professional affairs. Also a past executive director of the Arizona Phannacy Associaton, Boesen had been assistant vice president of professional services at PCS. Daniel E. Wagner, Overland Park, Kans., was appointed director of research services at International Medical Technical Consultants, Inc. He had been vice president of business development and operations at a clinical research organization. Harris Laboratories named Terry Voss, Glenview, ill., director of clinical scientific services at the company. She had been associate director of corporate safety assurance at the G.D. Searle company. Robert P. Navarro, Van Nuys, Calif., was named vice president and director of managed and long-tenn care development at Emron, Inc. He had been associate vice

April 1993

Vol. NS33, No. 4

president of provider services at Health Net, an HMO in Woodland Hills, Calif. The California Pharmacists Association (CPhA) installed the following officers at their recent annual meeting: David A. Wilcox, Clovis, president; Ronald L. Keil, San]ose, president-elect; George E. Yasutake, Rosemead, vice president; Daniel C. Pagano, Mill Valley, trustee; Scott K. Workman, Fresno, trustee; Alan J. Martin, San Luis Obispo, trustee; Ruth ArnoldSmarinsky, Los Angeles, trustee; and Christopher A. Woo, San Diego, trustee. Jody Stewart, Carmichael, received CPhA's Pharmacist of the Year award for her participation in pharmacy at the state and national levels, including representing pharmacy on several national committees and serving on the CPhA Board of Trustees. Irv Sitkoff, Los Angeles, was awarded the Bowl of Hygeia, for his dedication to conununity pharmacy in South Central Los Angeles before, during, and after the riots. Jennifer Ura, Watsonville, was named Pharmacy Student of the Year. A student at the University ofthe Pacific School of Pharmacy, Ura is an active member of the Associated Students of Pharmacy, having served as its president 1991-92. She has received numerous awards and held many offices in state and national organizations. Vol. NS33, No.4

Apri11993

Nevv Members

APhA welcomes the following new members and encourages their participation in and conunents on APhA activities. Louis M. Abboud, Gumee, IL Suzanne W. AbdeUatif, West Hartford, cr Yasser E. Abdelmaksound, College POint, Y Gene Adams, Garland , TX Carin R. Adelstein, Lindenwold, NJ Farokh Afshar, Venice, CA Mohanuned T. Akbani, Houston , TX Mohanuned H. Al·Haidari, Riyadh , Saudi Arabia Boisvert Alain, Montreal , Ontario, Canada Jeff Albritton, Snow Hill , NC Cristin P. Allgauer, Rochester, NY Marsha E. Alvarez, Baltimore, MD Arnold L. Amass, Westminster, MD AmbarishJ. Ambegankar, Morgantown , WV Mary M. Ambrefe, Groveland, MA Sabra A. Amena, Brooklyn, NY J. V. Anandan, Royal Oak, MI Cynthia L. Anderson, Baltimore, MD Dale W. Anderson, Houston , TX Doris M. Anderson, I.a Porte City, IA Kanji F. Allis, Bumaby, British Columbia, Canada Kenneth M. Annear, Waxahachie, TX Sandy L. Annear, Waxahachie, TX I.ynne P. Antonio·Lonie, Brooklyn, NY Sister Mary Aquinas, Chicago, II. Alexis H. Arango, Hialeah, FI. Robin P. Arnaud, New Orleans, lA David M. Arrington, Reisterstown, MD Frank S. Artusa, Inwood, NY Yehia Aryan, Fort Meyers, FI. Jeffrey R. Ashley, Cullman, AI. Stacey R. Attaway, Arlington, TX Joseph B. Atuah, Brooklyn, NY Marianne Ausmus, Sptingfield, II. Ngozi Auz, Denver, CO Carolin A. Avedissian, Par'dmus, NJ William E. Axcell, Lawrence, KS Alan W. Baker, Seneca Falls, NY Steve L. Bandy, Mechanicsville , VA Archana Banerjee, Parsippanny, J Charles F. Bankes, Abilene, KS Zach s. Barker, Leoti , KS

Anita Barbour, Worthington , OH Robert F. Barclay, Eugene, OR Jeanne R. Barfield, Atlanta, GA Enuna M. Barger, Downers Grove, IL Bernadette T. Barrett, Burlington, MA Phyllis M. Bartilucci, L1 Plata, MD DominicJ. Bartone, Vandalia, OH Barry A. Bates, Ohatchee, AI. Patrick Batson, Belleville, IL Minnie Baylor·Henry, Silver Spting, MD Brenda S. Becker, Van Nul'S, CA Sheri L. Bedell, Oceanside, NY Charan R. Behl, Nutley, NJ Kim Bell, Piscataway, NJ Andrie L. Bellezza, Camlel, NY Robert M. Benge, Broken Arrow, O K Justos Benjamin, Jr., San Diego, CA Robert M. Berg, North East, MD Lisa L. Bergmann, Saginaw, MI Peter M. Betts, Eliot , ME Linda L. Bhatia, Medway, MA Timothy D. Bimer, Beverly, MA John D. Black, San Rafael , CA Sonia Blesic, West Des MOines, IA Karen D. Bliss, Marlton, NJ Christopher D. Boch, Portsmouth, VA Kevin Bodnar, Butler, PA Jack Boeth, Centreville, VA Ginger L. Boles, Springfield, OH Deborah I. BoniUa, Jersey City, NJ Diana Borders, Red Oak , 'IX Julia A. Borkowski, Chicago, IL lisa H. Bowles, Lexington, VA Ginger Branscomb, Highland Springs, VA Frank A. Braverman, Ukiah, CA Mary L. Bravo, Brookline, MA Carol A. Breitkreutz, Sioux Falls, SD Barbara Bridges, Evanston, IL LindaJ. Brocato, Westerly, Rl Madelein C. Bronner, Naples, FI. Barry M. Brown, Charleston, SC Beverly D. Brown, Houston, TX Janell E. Brown, Wichita, KS Mary J. Brown, Fountain Hills, AZ Roy T. Brown, San Diego, CA Stanton P. Brown, Silver Spting, MD Susan V. Brown, Richmond, VA Cynthia M. Browne, Uncasville, cr Dwight E. Brumfield, Leesville, lA Ronald D. Bryson, Port St. Lucie, FI. Bridget L. Buckley, South Weymouth, MA Douglas R. Bulman, Oelwein, IA Lee Burcie, Tyler, TX Jeffrey A. Burg, Alpena, MI Leslie G. Busichio, Newtown , PA George Cain, Orlando, FI.

Robin M. Canode, Dixon, II. Patricia Capomaccio, Malden, MA Richard Carlson, Schwenksville, PA Anna Carlton, Markham, IL Mary Jo Carman, Humble, TX Daniela Carnevale, North Miami, FL Wayne Carr, Carson, CA David B. Carrington, Houston, TX Anthony G. Caserta, Brooklyn, NY Roger L. Cass, Englewood, TN Alfonso A. Castaneda, Laredo, TX Otilia Castillo, Miami, FL Robert I.. Cecere, Yorktown Heights, NY Lisa Chalk, Berlin, NJ Arnold Chapman, Oceanside, NY Matthew K. Charatan, Montvale, NJ Mark A. Chastain, Muscle Shoals, AI. Dennis o. Chicken, Palm Coast, FL Marie N. Childers, Dubuque, IA Amy S. Childress, West Palm Beach , FL JonJ. Chock, South Pasadena, CA Esther M. Chon, Norwalk, CA Jane Christiansen, Manchester, IA Gerard A. Christie, Parsippany, NJ Mary A. Christopher, San Diego, CA Mabel W. Chui, Sacr'dmento, CA Kim Chung·Bin, Hillside, NJ Gina M. CialleUa, Philadelphia, PA

Sallie Cira, San Francisco, CA Melissa M. Ciricillo, CinCinnati, OH Betsy A. Clay, Palmyra, VA Jerome Clayman, Baltimore, MD Gina M. Colon, Ozone Park, NY Luis G. Colon, Carolina, PR Susan E. Conn, Williamson, WV James E. Conrad, Lancaster, TX JamesJ. Correia, Burlington, MA Mary L. Cosentino, Clinton, NY Barry Courtney, Springfield, MO GeorgeJ. Couto, West Haven, cr John W. Cox, Carthage, IN Steven E. Cunningham, Buckl1arlllon, WV Susan M. Cunningham, Beacon Falls, CT Katherine L. Dahl, Viroqua, WI Sandra K Dahl, Vancouver, WA Saeid Davani, Richardson, TX Arnold L. Davidov, BaltinlOre, MD Felicia A. Delio Buono, Cherry Hill, NJ Michael M. Desist, Raeford, NC Luz Diaz, Davie, FL Francis A. Diliberto, Honeoye Falls, NY Charles s. DiVaolo, Wall, NJ Daniel G. Diver, Oak Forest, II. Lawrence R. Dixon ill, Florence, SC Minh V. Do, Wilmington , DE

AMERICAN PHARMACY

Melvyn G. Dolin, Northbrook, IL

Raymond P. Godlewski, Gurnee, II.

Steve D. Dombrowski, Canyon City, CO LeslieJ. Domeyer, Valencia, CA

Uday J. Gohel, Philadelphia, PA Micheline A. Goldwire,

Pete S. Doughty, Oklahoma City, OK Gregory A. Drake, Albany, GA Leonard R. Drew, Philadelphia, PA Carl K Dude, New York, NY Luke A. Dunn, Spokane, W A Sol Duszny, South Windsor, cr Gregory M. Easton, Duluth, MN John R. Eberhardt,Jr., Houston, TX Sarah A. Ebner, Chicago, IL Howard W. Eckenrode, Gainesville, FL David B. Eddington, Memphis, TN Michael Edwards, Damascus, MD Ifeyinwa T. Emenaba, Missouri City, TX Katherine K. Emery, Shreveport, I.A Jacqueline Eng, Rockville, MD James c. Eoff ill, Memphis, TN Mark D. Erwin, Kettering, OH Carolyn S. Evans, Chesapeake City, MD Jim B. Everett, San Saba, TX Edward Eybs, Hicksville, NY Michale O. Fadeyi, Topeka, KS Jimbo Farmer, Winder, GA Walter L Fava, Berwyn Heights, MD LisaJ. FeIdmilIer, Dillsburg, PA Cynthia M. Ferko, Hazelton, PA RebeccaJ.Fink,Tucson,AZ Kandy A. Fitch, Sparta, NJ Shirley Flippen, Richmond, CA Sohrab Forouhar, Miami, FL David Rae Foster, Portsmouth, VA Robert A. Foster, Hollywood, FL Frank Foti, Sebastian, FI. LaurieJ. Franci, Pittsburgh, PA PhiIlip Fried, Toms River, NJ Michael Fruchter, Garden Grove, CA Kimberly J. Fuller, Derby, KS Dwight Fullerton, Bend, OR Tinyam K. Fung, Flushing, NY Margaret Gallegos, Albuquerque, NM Guntown G. Galleisky, San Diego, CA James E. Gannon, North Fort Myers, FL Nina K. Ganz, Chicago, II. Bryan S. Gay, Morgantown, WV Jerry J. Gee, San Antonio, TX LT. Geiser, East Providence, RI Lisa M. Geoly, Staten Island, NY Michelle D. Huber, Sioux Falls, SO Robert H. Geyer, Jr., Mena, AR Joanne Giannopouios, Chicago, II. Amous L Gibson, Lauderhill, FL Russel A. Gobeille, Mifflintown, PA

AMERICAN PIIARMACY

Brooklyn, NY Sheryl F. Gonzales, Tuba City, AZ Fred L Goodman, San Francisco, CA GeorgeJ. Goodreau ill, San FranCiSCO, CA Patricia D. Gott, Largo, FI.

Marlene Holland, Franklin Park, NJ S. Denise Holzman, Tucson, AZ Donna A. Hori, San Ramon, CA

Kimberly S. Kirkpatrick, Whitesburg, TN Shawna L Kittridge, Boise, ID

Kay E. Houghton, Valdez, AK Kay M. Howard, Baldwinsville, NY

Patrick Klein, Honesdale, PA Philip B. Klepak, Berkeley

Mengwei Hu, North Arlington, NJ Donald Hudnall, Seminole , FL James B. Hudson, Marianna, FL Irving C. Hughes, Lancaster, NH

Heights, NJ MargaretJ. Knapp, Ann Arbor, MI Paul R. Knerr, Long Beach, CA Regina K. Kobishop, Reedsburg, WI Paul F. Koehler, Malone, NY

Ken-Ichi Inui, Tokyo, Japan Ingrid Irani, East Brunswick, NJ Gerald A. Isaacs, Coral Springs, FL Amirul Islam, Deer Park, NY

Dale Gould, Sarasota, FI. Elizabeth Gower, Salem, NH Contance L Graber, Wilmington, DE John F. Grace, Silver Spring, MD Karen A. Grace, Silver Spring, MD

Rui dos Santos Ivo, Lisbon , Portugal Doris M. Jackson, Houston, TX Kathleen F.Jackson, La Porte, TX

Nigel L Gragg, Washington, DC RichardJ. Grame, Danville, CA Arliss M. Greathouse, Morgantown, WV Robert Green, Highland Park, IL

Scott T. Jackson, New Haven, cr Michael A. Jacoby, Hector, MN David R. James, Columbus, OH BarbaraA.Jarosz, Wayne, PA David W. Johnson, Portage, MI Robert LJohnson, Miami, FL

Sidney A. Greenblatt, Moorestown, NJ Phyllis Gregorski, Longmeadow, MA Carol F. Greiner, St. Clair Shores, MI Kristine Grigus, Chicago, IL

Scott W. Johnson, Scarborough, ME

Alan B. Jones, University, MS Collette Jones, Solon, OH

John D. Groen, Redman, WA Frances H. Grogan, Wickliffe, KY Joseph Grubb, Grove City, OH Carl M. Gustafson, Beaverton, OR Mary Haffey, Philadelphia, PA Linda Hampton, Dolton, II. Susan E. Hanna, Monroe, LA Max E. Hanover, Phildelphia, PA

Jeffrey B. Jones, Shreveport, LA Larry A.Jones, St. Petersburg, FL Robert C. Jones, Bay City, MI Robert E. Jones, Charlotte, NC NimishaJoshi, Upton, NY GeetaJoshi, Spring Valley, NY C. S. Jurgens, Lawrenceville, IL Vasilki Kalivas, Malba, NY Michael P. Kane, Somerest, NJ Kristen Kang, Huntingdo n Valley, PA David Kannass, Brookfield , WI Ratilal H. Kansagra, Marlton, NJ Stephen Kaplan, Boca Raton, FL Robert F. Kastholm, Elmhurst, IL NormJ. Kaufman, Freeman, SO Anne M. Kawakami, Oakland, CA Coleen M. Kayden, Conestoga, PA

Jeffrey J. Harnsberger, Columbia, MD Randy S. Harrington, Bozeman, MT Dawn R. Harris, St. Louis Park , MN Frank K. Harris, Richmond, VA Lori W. Harris, Sandersville, GA Kevin R. Harrison, Ocala, FI. Roger A. Harrison, Decatur, TN Chandrakant Hasolkar, Yorba Linda, CA

Irene Hatch, Pataskala, OH

Robert S. Kayden, Jr., Conestoga, PA Vicki Keefer, Anchorage, AK Keith G. Kehler, Lakeland, FL Susan Keller, Vinton, IA George L Kenyon, San Francisco, CA Susan M. Kerr, Clearwater, FL E. Kessler,Jr., Springfield, TN Mike E. Kessler, Sheffield, AI. Shahnawaz Khan, Jackson Heights, NY Hossein Khanzadeh, irvine, CA Allison D. Kiene, South Windsor, cr Lori S. Kile, South Bend, IN Benjamin K. Kim, Toms River, NJ Theresa S. Kim, Marietta, GA Judy Kingshott, Henderson, KY Biilent Kiran, IZmir, Turkey

John L Hatch, Pataskala, OH Theresa G. Hedgecock, North Charleston, SC Frank L Heilman, Lebanon, PA RobertJ. Heiser, Ronko nko ma, NY Stephen B. Helman, Beverly, MA Tracey S. Henderson, Pendleton, SC Aaron E. Henry, Clarksdale, MS Barbara Henry, Kingston, NY Thomas E. Henry ill, Scotia, NY Patrick M. Heyerdahl, Des Moines, IA Katherine Hicks, Aiken, SC Douglas E. Hinders, Tampa, FL Jeffrey D. Hines, Cadillac, MI Frances V. Ho, Fullerton, CA Keith Hoehn, La Crosse, WI David A. Holdford, Columbia, SC

... m

Donald Kogachi, Honolulu, HI Louis H. Kohn, Omaha, NE Frank Kolondra, Wildwood, NJ Kathleen Kopp, Oradell , NJ LindaJ. Kostba, Cambridge, MA Alexander A. Kotzebue, Gonzalos, TX Merri L Krom, lhppe, PA Mary Kubiak, Pittsburgh, PA ThomasJ. KubiC, Farmington, MI John David Kutzko, Nokomis, FL Michael G. Kyler, Littleton, CO Yue S. Lam, Reistertown , MD Yuet H. Lam, San Diego, CA KarlaJ. Lane, Salisbury, MD Sally Lane, Washington, WV Dirk D . Larson, River Falls, WI Andrea C. Ledford, Mechanicsville, VA Grace V. Lee, LiVingston , TX Michael Myung Y. Lee, Sherman Oaks, CA Shaun T. Lee, Yorba Ijnda, CA Steven R. Lefevre, Columbus, OH Nicky Legakis, Brooklyn, NY Steven Lenzinger, North Plainfield, NJ Alan Levine, Forest Hills, NY Ezra Levy, La Mirada, CA

Marisa A. Lewis, Houston, TX Michael Lewis, Northridge, CA Anna K. Li, Holmdel, N./ Lisa M. Libby, Ormond Beach, FL James B. Liddell, La Mesa, CA Patricia Lillyman, Dixon, IL Janet B. Lindsey, Columbia, TN Terry W. Lint, Blanchard, MI Consuelo Maria Loera, Houston, TX Laurens T. Long, Antioch, TN Roger G. Long, Bridgeton, NJ Susan M. Long, Baldwin, NY Helen LoSasso, Wenonah, NJ Leslie A. Lotano, Ballston Lake, NY Tracy A. Love, Cleveland, OH Dana K. Lowy, Chagrin Falls, OH Jerry R. Luttrell, Anadarko, OK Charles W. Macenski, Chicago, IL Stephen Madden, Quinton , OK Randall L Magee, Franklinton, LA JacquelineJ. Mai, Napeville, IL Edward L. Maier, Mapleton, IA

April 1993

Vol. NS33, No.4

ThomasJ. Malec, Laguna Niguel, CA Donna K. Mallard, Cabot, AR Dawn M. Malseed, Swedesboro, NJ KennethC. Mangano, Warsaw, VA Kristin F. Mann, South Bend, IN Ken E. Mantei, Apalachin , NY Susan E. Marchi, Spokane , WA Jacqueline S. Marinac, Blue Springs, MO Robert D. Marotta, Columbus, OH Pauline L Marqueling, San Jose, CA Richard Martin, Orlando, FL Washdev S. Mata, Oak Park, MI Guy Mathews, Pittsburgh, PA Catherine E. Mathies, Covington, LA Ronald R. Mattson, Grand Forks, NO Randal N. McCarthy, Suffern, NY Richard Donn, West Milford, NJ Gregory S. McCain, Harrisonburg, VA Velda P. McDaniel, Georgetown, KY KarenJ. McDonough, Diamond Bar, CA Shelly McFadden·Kumar, Pasadena, CA Eileen McFall, Raleigh, NC Deanna D. McGrew-Williams, Fort Worth, TX Scott A. McHugh, Lakewood , CO Pamela A. McMullen, Kalamazoo, MJ Laura C. Mehi, Plano, TX Patricia M. Menegaz, Richmond, lX Diana C. Merritte, Missouri City, TX Edward R. Meyer, Seminole, FL Howard Meythaler, Glendale, CA James F. Mezwicki, Grand Rapids, MJ SusanJ. Michaels, Williamsport, PA Victoria G. Mickail, Bastrop, LA Aniello Bruno Miele, Manhasset, NY Paul G. Miller, Macomb lWP, MI Larry D. Milne, Uttle Rock, AR Daniel E. Mitchell, South Dartmouth , MA Eva I. Mlynaryk, Peekskill, NY Milton S. Momita, Fort Wayne, IN Alexander R. Monroy, Santa Barbara, CA Raymond C. Moore, Griffm, GA Tina M. Moreno, Katy, TX Catherine Morlock, Santa Fe, NM John Henry J. Morone, Palm Desert, CA David W. Morrell, Winter Garden, FL Gary S. Morrow, Elmhurst, IL Sunday K. Muniz, Racine, WI James J. Murray, San Antonio, TX Jack E. Myers, Victoria, TX John B. Myers, Rogue River, OR Clement O. Nduka, EI Paso, TX Kaluude Ndukwe, Brooklyn, NY

Vol. NS33, No.4

April 1993

Allan K. Nelson, Citm s Heights, CA Frank Nemeth, Royal Oak, MI John F. Nie, Independence, KY william E. Nones, Fremont, CA Constance Nunan, Pottstown, PA Debra N. O'Bryan, Camby, IN Wendy A. O'Connell, Fargo, NO James O'Connor, Missoula, MT Stacy R. O'Dell, Huntsville, AL Patricia M. O'Donnell, Chicago, II. Ellen O'Neil, Austin , TX Timothy J . O'Neil, Winchester, NH James S. Oaks, Ridgeley, WV Kathlene A. Ohi, Philadelphia, PA Gary J. Okano, Austin, WY Albert A. Okunade, Memphis, TN George Oldright, Enumclaw, WA Felicia A. Pace, Dodge, TX Eunjoo H. Pacifici, Thousand Oaks, CA Dennis Palmer, Fullerton, CA Michael Palone, Webster, NY Maurice R. Paradis, Lewiston, ME Dilip Parikh, Forest Hills, NY Unsuk S. Park, Addison, TX Young H. Park, Deerfield, IL Joann M. Parker, L~nsdale , PA Rudy A. Parola, Sanford, FL Shirley Paroulek, Arlington, TX Peter M. Pascale, Buffalo, NY Pradip I. Patel, Bmnswick, GA Mark R. Pawlak, Detroit, MD Celeste R. Peeler, Etowah, TN Cynthia L Peitzsch, Royal Oak, M[ Alex Perchuk, Brooklyn, NY Michael A. Perkins, St. Clair Shores, MI Susan P. Perrotti, Newington, cr Eric L Perry, Farrell, PA Roy T. Pesciotta, Toms River, NJ Susan C. Peters, Warrior, AL Eric S. Peterson, Houghton, M[ Donald Petrusha, Riverview, MI Kimberly J. Phelps-Blirer, Fort Lauderdale, FL Gina R. Pinney, Kingsport, TN VeITle W. M. Pittman,Jr., Nutley, NJ Nicholas Plotnikoff, Wilmette, IL Kelly Pokuta, Chicago, IL Tapanika Pongsivapai, Hialeah, FL Nicholas G. Popovich, West Lafayette, LN LoITle S. Powell, Dushore, PA Ann M. Prendergast, Noblesville, [N Chester Price, Bel Air, MD linda L Proctor, Hillsdale, MI KevinJ. Purcell, Dubuque, lA Kirpal Purewal, Staten [sland, NY Kathleen M. Quarto, L~ncaster, PA Galen S. Queen, Laurel , DE Guillermo Quiles, Jr., Fort

Bragg, NC David Rabih, Montreal, Quebec, Canada Gary A. Raines, White Bear Lake, MN Irene E. Ralske, North Bellmore, NY Steven D. Ramsey, Conway, AR Kathy A. Randall, Topeka, KS Raymond R. Rantala, Duluth, MN Mary G. Raptis-Garcia, Chicago, IL Donna K. Ratke, Farwell, TX Patricia Rauch, Mt. Laurel, NJ Luzviminda E. Rebong, Bellerose, NY Nina M. Redlin, Reston, VA JohnJ. Reed, Horseheads, NY Maureen Reeder, Champlin, MN James D. Rehanek, Claremore, OK Michael A. Reinke, Forest L~e, MN Robert M. Resnick, Los Angeles, CA Dorinda Lynn Reynolds, Sherman, TX Phyllis I. Reynolds, Harrodsburg, KY Michael E. Richardson, Danville, VA Robert Rieker, Winthrop Harbor, [L Cynthia Rios, St. Davids, PA Kim D. Roberson, Tempe, AZ Deanna K. Roberts, Spring, TX Karen R. Roberts, Jefferson City, MO Sharletta Roberts, Jacksonville, FL Karla H. Roberts-Hughes, Boothwyn, PA DonnaS. Robinson, New Orleans, LA Kate Rodgers, Cranford, NJ Suzzette E. Rose, Brooklyn, NY Gary Ross, East Meadow, NY Pam S. Rott, Des Moines, lA Carolyn Rowinski, Abington, PA Lisa M. Russell, Houston, TX Robert W. Saba, Bloomsburg, PA Issa G. Saboura, Marietta, GA James L Sain, Piedmont, SC Maria D. Salinas, Dallas, TX Margaret A. Sal1adin, Medfield, MA Clifford M. Sallale, West Warwick, RI MichaelJ. Sambourn, Hudson, MI Phillip R. Sanford, Riverview, FL Surendra A. Sangeker, Kennelworth, NJ Marie K. Sargent, Phillipsburg, NJ Deborah S. Schmidt, McDonald, PA Barbara M. Schuetter, Park Ridge, [L James H. Schuetter, Park Ridge, IL Leonard G. Seader, East Bmnswick, NJ Tonino J . Sementilli, Bronx, NY Marites T. SeITla, Sampaloc Manila, Philippines Larry D. Shaffer, Wellsville, OH

Sara A. Shapiro, Miami, FL David L Shaw, Jamestown, NC Frank 8. Shelmet, Morrisville, PA Robert .P. Shores, New London, lA Thelma Sidberry, Monterey, CA Valerie A. Silva, Overland Park, KS William G. Simmons, Tampa, FI. Jody Simon, Land O 'Lakes, FL Danette D. Skelton, Manchester, TN M. Kristin Slack, Sonord, CA HarlanJ. Smith, FaUs Church, VA William A. Smith, Thomasville, GA Carol H. Snodgrass, Auburn, CA Peggy J . Snow, Austin, TX Gerald F. Soderberg, Rockford, IL Daniel Solak, Medina, OH Gretchen Somma, West Columbia, SC Margaret P. Sparkman, Van Buren,AR Eugene L Spinadel, Tampa, FL Jean E. Springer, Brooklyn, NY Paul St. Pierre, Newport News, VA Charles Patrick Stachowiak, Tampa, FL Max B. Standefer, Chattanooga, TN Betty J . Stantulis, Cincinnati, OH Herbert G. Statsinger, North Miami Beach,FL Richard M. Stein, Toronto, Ontario, Canada Richard P. SteITl, Southampton, PA Robert A. Stessman, Manning, lA Daleitha A. Stewart, Washington, DC Brenda Stodart, Silver Spring, MD James Swearingen, Spring, TX Jeanette Tanne, Parsippany, NJ ThomasJ. Targost, Lockport, IL Lisa Tate, Pittsburgh, PA Cassandra C. Taylor, Martinez, GA Charles Teeman, Rockford, IL Marie A. Terp, Levittown, NY Sossena Tesfaye, Silver Spring, MD Bham Thaker, Portsmouth , RI Min Than, Baltimore, MD Sally M. Theriaque, Deland, FL Alisa R. Thomas, Charlotte, NC Douglas D. Thomas, EndweU, NY James T. Thomas, Charleston, SC Charles E. Thomason, Shelby, NC John P. ThoITlton, Lincolnshire, IL Teresa Tipton, Hopkins, SC Charles D. Topping, Goodlettsville, TN Gregory Toretta, Ossining, NY Jerry M. Trachtenberg, Philadelphia, PA Noreen A. Tracy, Parkesburg, PA Thomas G. Trinidad, Tolleson, AZ Steven Triplett, Blair, NE Lisa I. Troup, North Grafton, MA

AMERICAN PIIARMACY

SusanJ. Truitt, Columbus, OH John W. Trumm, Alexandria, MN Norris P. Tureau, St. Amant, IA Ruth Turner, Eagan, MN John E. Uraih, Portsmouth, VA RobertJ. Valuck, Chicago, IL Yvette C. Van Seters, Columbia, SC Jacob Varsano, Momstown, NJ Anna N. Vasilios, Chicago, IL Yolanda Velazquez, Bronx, NY Patel Vimal, Scottsdale, AZ David P. Vogel, Summit, NJ Robert Volpe, Philadelphia, PA laVerne M. VonScio, Export, PA William M. Wagner, Richmond, VA Mary v. Walden, Aurora, CO Jerry Waletzko, Garden Grove, CA Tony Wan, Monterey Park, CA Clare M. Wanjohi, WinstonSalem,NC Amy J. Warren, Gross Pointe Woods, MI MarthaJ. Warren, Fort Smith, AR Kishor Wasan, Houston, TX Carl Wasserman, Jacksonville, FL Robert L. Watts, Coatesville, PA SusanL. Way, Durham, NC Terry Webb, Blythe, CA Ellen K. Weil, Brooklyn, NY EricJ. Weiner, St. Petersburg, FL Andrea Weithman, Bucyms, OH Charles E. Wells, Bellbrook, OH Bryan Wengryn, Somerville, NJ Kathryn Ann Weritz, Indian Head Park,IL James R. Werte, Pittsburgh, PA Michael T. Wessel, Virginia Beach, VA Courntey T. Wheeler, Richmond, VA Kristin R. Wheeler, Valparaiso, IN Darcy M. Wible, San Diego, CA Kenneth Wilcox, Syracuse, NY Terry Wiley, Rouses Point, NY Bobbie L. Wilkins, Jackson Center, OH Michael S. Williams, Rochester, NY Rodney N. Wilson, Lawrenceville, GA Thomas J. Wilson, Arnold, MD Allan K. Wong, BelOit, WI Jennie M. Wong, Beaverton, OR Erica Worhatch, Anchorage, AK David Wray, Birmingham, AL Sandra M. Wright, Salem, OR Kimberly Wynn, Pocatello, ID Nelson S. Yee, New York, NY PeterS. Yoon, Upland, CA Gertrude K. Young, Evans, GA Gene T. Zale, Warsaw, IN Christina Zirzaw, Vernon Hills, IL

AMERICAN PHARMACY

Letters continued from page 4

area of OTCs. Their input, it seems to me, would be extremely valuable to the committee's deliberations. For example, practicing pharmacists recently identified that women coming in for the new OTC vaginal antifungal creams could actually be showing symptoms of a much more serious underlying disorder such as HIV infection. Other practicing pharmacists have identified the problem associated with laxatives, or ipecac, and eating disorders. The new Omnibus Budget Reconciliation Act of 1990, drug use review, and counseling requirements require practicing pharmacists to make a reasonable effort to predict and prevent drug-drug interactions, including interactions with OTC products. If federal law requires pharmacists to consider their patients' OTC drug use, then federal agencies should make every effort to seek advice from practicing pharmacists in this area. jeff M. jellin, PharmD Editor, Pharmacist's Letter

Legislation Needed for Chains to Change The February 1993 article "New Services Emerge in Chain Pharmacy" (p. 23) reviewed patient-oriented services that chain pharmacies now offer to comply

with the Omnibus Budget Reconciliation Act of 1990 (OBRA '90). This article underscores the fact that it takes the extraordinary means of legislation to force the chain drugstores to allow us a professional practice. I believe that a pharmacist is a health care professional. I do not believe, however, that chain pharmacies and the National Association of Chain Drug Stores (NACDS) share this belief. Many interns and one district manager have told me that many chains actively discourage pharmacists from doing anything other than dispense medications because only dispensing brings in money. Recently, the California Pharmacists Association discussed with members the need for collective bargaining, because many of its chain pharmacist members are being denied reasonable working conditions. In Arizona, the chain drugstore industry attempted to influence appointees to the Board of Pharmacy in an effort to keep pharmacists at the counting tray. 1 NACDS would prefer us to be much less educated than most of us are comfortable with. A reasonable balance is needed between practicing professionally, producing revenues, and caring for the patient. OBRA '90 is forcing the chains to stop directing us according to their profit margin and let us practice

the way we are taught. We need to regain control of our professional direction so that Congress need not act to make it happen. john H Eastham Student University of the PacifiC Stockton, Calif. Reference 1. Molique AL. Influence of chain drugstore industry on pharmacy practice. Am J Hosp Pharm. 1992;49: 1395-6.

Let Us Hear ,,'from You! We invite your comments onissues ofiuterest to pha.nnacists or your responses t . n aterial in the journal. Send your letters of 250 words or less to: Edi- ' tor, American Pharrna0',2215 Constitution Ave., NW, Washington, D<=20037-2985. Letters are edited and published atthe editor's i

di~cretion.

April1993

Vol. NS33, No. 4