Friday, November 7, 2014


Tangential post because
(1) Wal-mart is a store that incorporates a pharmacy in its business model.
(2) There is a lot of concern about anti-bacterial resistance in humans, and some more seasoned peers say people do not mention that amount given to animals....
(3) Customers frequently like natural over synthetic. Numerous people ask "is there some herb I can take for my ailments instead of some pill?"
Walmart is attempting to bring organic food to its stores at prices similar to its non-organic products.

This article: "Wal-Mart Promises Organic Food for Everyone" By Andrew Martin
mentions examples where one organic product cost the same (or less) than a non-organic product. Walmart uses the Wild Oats brand. The examples were organic cinnamon applesauce, black beans and quinoa were either the same or cheaper than a non-organic version.

When I was younger I was told that "organic" meant no extra herbicides, pesticides, insecticides. Less chemicals in one's body. Sounds great. Normally one has to pay more for a better quality product. However, the article states that the organic producers are not producing in the most efficient manner. Wal-mart's size would allow for greater products produced at the same cost, which is more efficiency. If it is possible due to economies of scale, then so much the better for the consumer that has a demand for organic foodstuffs selling for the same price as a non-organic version.

For the full text read page one and two below:

http://www.businessweek.com/articles/2014-11-06/wal-mart-promises-organic-food-for-everyone#r=shared

http://www.businessweek.com/articles/2014-11-06/wal-mart-promises-organic-food-for-everyone#p2

Tuesday, November 4, 2014

An online ebola survey from Drug Topics had over 2/3s of responders doubting the local hospital could cure an ebola outbreak.

Meanwhile in California, on the horizon: Plastic bags targeted for removal, and it is not just in pharmacies. For the full criteria of stores see the end of this blog*.

Existing California law requires store owners to recycle plastic bags on site until 2020. Paper bags will be available, but only if the customer pays a dime per paper bag. Starting July 2015 "compostable bags" will be available in limited areas for a price of at least a dime, but it could be higher. 

All subsequent quotes will be from the law 
http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB270


For the technical policy wonk it is: CHAPTER  5.3. Single-Use Carryout Bags


Reusable bags would be available if:
"certified reusable grocery bag producer and to meet specified requirements with regard to the bag’s durability, material, labeling, heavy metal content, and, with regard to reusable grocery bags made from plastic film on and after January 1, 2016, recycled material content."

Failure to comply with the law is inadvisable:
"The bill would allow a city, county, or city and county, or the state to impose civil penalties on a person or entity that knows or reasonably should have known it is in violation of the bill’s requirements. The bill would require these civil penalties to be paid to the office of the city attorney, city prosecutor, district attorney, or Attorney General, whichever office brought the action, and would allow the penalties collected by the Attorney General to be expended by the Attorney General, upon appropriation by the Legislature, to enforce the bill’s provisions."

Plastic bag companies are going to have to design a re-usable bag for California To lessen the pain the state will allow for funding in the form of loans & tax credits:

"(e) Applicants for funding under this section may also apply for funding or benefits from other economic development programs for which they may be eligible, including, but not limited to, both of the following:
(1) An income tax credit, as described in Sections 17059.2 and 23689 of the Revenue and Taxation Code.
(2) A tax exemption pursuant to Section 6377.1 of the Revenue and Taxation Code."

Loans are also available.
42288.
 (a) Notwithstanding Section 42023.2, the sum of two million dollars ($2,000,000) is hereby appropriated from the Recycling Market Development Revolving Loan Subaccount in the Integrated Waste Management Account to the department for the purposes of providing loans for the creation and retention of jobs and economic activity in this state for the manufacture and recycling of plastic reusable grocery bags that use recycled content, including postconsumer recycled material.
(b) The department may expend, if there are applicants eligible for funding from the Recycling Market Development Revolving Loan Subaccount, the funds appropriated pursuant to this section to provide loans for both of the following:
(1) Development and conversion of machinery and facilities for the manufacture of single-use plastic bags into machinery and facilities for the manufacturer of durable reusable grocery bags that, at a minimum, meet the requirements of Section 42281.
(2) Development of equipment for the manufacture of reusable grocery bags, that, at a minimum, meet the requirements of Section 42281.
(c) A recipient of a loan authorized by this section shall agree, as a condition of receiving the loan, to retain and retrain existing employees for the manufacturing of reusable grocery bags that, at a minimum, meet the requirements of Section 42281.
(d) Any moneys appropriated pursuant to this section not expended by the end of the 2015–16 fiscal year shall revert to the Recycling Market Development Revolving Loan Subaccount for expenditure pursuant to Article 3 (commencing with Section 42010) of Chapter 1.

The 5 types of stores that qualify:


(1) A full-line, self-service retail store with gross annual sales of two million dollars ($2,000,000) or more that sells a line of dry groceries, canned goods, or nonfood items, and some perishable items.
(2) Has at least 10,000 square feet of retail space that generates sales or use tax pursuant to the Bradley-Burns Uniform Local Sales and Use Tax Law (Part 1.5 (commencing with Section 7200) of Division 2 of the Revenue and Taxation Code) and has a pharmacy licensed pursuant to Chapter 9 (commencing with Section 4000) of Division 2 of the Business and Professions Code.
(3) Is a convenience food store, foodmart, or other entity that is engaged in the retail sale of a limited line of goods, generally including milk, bread, soda, and snack foods, and that holds a Type 20 or Type 21 license issued by the Department of Alcoholic Beverage Control.
(4) Is a convenience food store, foodmart, or other entity that is engaged in the retail sale of goods intended to be consumed off the premises, and that holds a Type 20 or Type 21 license issued by the Department of Alcoholic Beverage Control.
(5) Is not otherwise subject to paragraph (1), (2), (3), or (4), if the retail establishment voluntarily agrees to comply with the requirements imposed upon a store pursuant to this chapter, irrevocably notifies the department of its intent to comply with the requirements imposed upon a store pursuant to this chapter, and complies with the requirements established pursuant to Section 42284.



Tuesday, October 21, 2014

Since 2010 APHA has been hoping that RPHs would not sell tobacco. They partly got their wish with CVS. It stopped selling in September, when it planned on ceasing sales 9 days from today.

In other news, the DEA is giving hospitals and clinics the ability to start collecting unwanted medications any day of the year. No longer are they limited to DEA take back days ever since 9/8/14 when they issued what is sometimes called a "final rule" on the subject of how to throw away  controlled RXs. For most pharmacists, beware of accepting illegal medicine. Follow the rule: to take back from patients only marinol, not marijuana.

Source: Pharmacy Today

Tuesday, September 23, 2014

To any RPH who wants to import medicine for their pharmacy..... Please make sure you have filled out all your importation forms. Do not imitate a RPH who was convicted of importing without a license. For more, check out the article in Drug Topics. It is available here http://drugtopics.modernmedicine.com/drug-topics/news/pharmacist-accused-internet-fake-pill-scheme?page=0,1

Tuesday, September 16, 2014


After reading an older article in US Pharmacist here are some thoughts:
Is your CPR up to date so that you can immunize? That may be needed.

Are you seeing a spike in flu like symptoms? It's time to call the health department.

Inhaled anthrax isn't contagious, but the flu is. Most likely your patients may need to see the article printed out to believe you, but if you have your white coat on you may be more credible, unless you are worried about white coat induced hypertension of your patients. 
http://legacy.uspharmacist.com/oldformat.asp?url=newlook/files/Feat/Bioterrorism.htm&pub_id=8&article_id=798

The CDC has tips on what should be in your prep kit. 
http://www.bt.cdc.gov/preparedness/kit/disasters/

Did you know? There are five titles to the Bioterrorism Act of 2002, and you can get electronic updates.

On a more morose note here's an article from last year that talks about a California RPH who went to jail because he helped Pakistanis attack US soldiers. 
http://www.huffingtonpost.com/2013/03/29/oytun-ayse-mihalik-sentenced_n_2981266.html
I skim the slideshows at dictionary.com occasionally. They even have a word of the day email. It helped me out one day when I was talking to a classmate, and he said "I've never heard that word before, what does it mean?" On another day, another person jokingly implied I should have job security because of my vocabulary skills.

Dictionary.com claims that there is only 1 word in the english language that has X, Y, and Z in the word. Atarax. Hydroxyzine.

This is why chemistry is useful to learn. There are carbon bonds, hydrogen bonds, etc. There are single and double bonds. A good chemistry student will know if the chlorine was ortho, meta, or para....

Thursday, September 11, 2014


Yes there is a link between today (911) and pharmacy.
Andy Stergachis, professor of epidemiology and affiliate professor of pharmacy for University of Washington, had the following commentary on the role of a RPH during a disaster:

Who is your health departments "health officer" ?
Which agents would villains like to use to harm your neighbors, and what preventive antibiotics might be useful for you to have in your pharmacy?
What local clinics would need a volunteer RPH?
Do you have time (and money) to take a training class on how to prepare for an ER?
Here's the washington state link:
http://www.wsparx.org/emergencyprep
Here's some link to the FDA page & CDC's pages:
http://www.bt.cdc.gov
http://www.fda.gov/EmergencyPreparedness/Counterterrorism/default.htm