1. Medication Management
John Karwoski, RPh, MBA
JDJ Consulting, LLC
June 11, 2014

2. New Administrative Director
Brittney Cammarota, MPH
(609)

3. Medication News
Ofirmev price will increase due to sale of Cadence Pharmaceuticals to Mallinckrodt
Price increase could be 300%
$11 per vial to $36 per vial
Phenylephrine Ophthalmic no longer available through AKORN
Dexamethasone Shortage

4. Product Availability JCB Laboratories
Phenylephrine Ophthalmic 2.5% in combo eye drops
Omnipaque Re-packaging
Dexamethasone
Dexamethasone Sodium Phosphate Solution for Injection 10mg/ml Preservative Free 2-ml Single Dose Vial Dexamethasone Sodium Phosphate Solution for Injection 4mg/ml Preservative Free 2-ml Single Dose Vial 

5. NJ Prescription Pads Change in Regulations
Changes Include
When?
Color Changing Ink
0.5-point micro-printing
Hollow “VOID” hidden word feature
Unique 15-digit ID number
A Barcode
List of security features will be printed on back of prescription blank
Green on front, blue on back
May 18, 2014: State approved endors must stop selling, printing, or delivering old form
August 18, 2014: All state- licensed prescribers must stop using old forms

6. Compounding Pharmacies 503A vs. 503 B
Compounders not registered as outsourcing facilities
Only exempt from certain aspects of 503B
Still must meet all applicable conditions of the FDCA
Compounding entity that may register as an outsourcing facility
Must compound in compliance with CGMP or under direct supervision of a licensed pharmacist in a registered facility
Must also report information to the FDA about compounded drugs such as source of ingredients
Must adhere to new quality standards

7. Tighten Up! (On Medical Record Documentation)
Current Focus of Medical Record Audit:
Documentation of Allergies and Reactions
Completion of Medication Reconciliation, if applicable
Physician order to accompany all administered meds
Use of unapproved abbreviations

8. Medical Record Audit Early Findings
Unapproved abbreviations most commonly used:
“cc” is being used instead of “ml”
“qd” being used
Continued use of AM/PM rather than 2400
Documentation of allergies, but no documentation of sensitivities

9. Unapproved Abbreviations

10. Syringe labeling

11. Vial Labeling

12. JDJ Launches New Website
Same web address:
Features:
“About” page with employee information
“JDJ News” page with up-to-date information on medication management news
“Services” page
“Trusted Associates” page
“Contact” page

15. Brittney Cammarota, MPH
For More Information
John Karwoski, RPh, MBA
(609)
Brittney Cammarota, MPH
(609)