board meeting 051414 - albop files/minutes 051413.pdf · 12 we primarily serve cvs pharmacy 13...

Board Meeting 051414 1

Freedom Court Reporting, Inc 877-373-3660

1

2 ALABAMA STATE BOARD OF PHARMACY

3

4

5

6

7

8 BUSINESS MEETING

9

10 Wednesday, May 14, 2014

11

12 9:15 a.m.

13

14

15

16

17

18 LOCATION: Alabama State Board of Pharmacy

19 111 Village Street

20 Hoover, Alabama 35242

21

22

23 REPORTER: Sheri G. Connelly, RPR



1 APPEARANCES

2

3 BOARD MEMBERS:

4 Mark Conradi, President

5 Tim Martin, Vice President

6 Dan McConaghy, Treasurer

7 Buddy Bunch, Member

8 David Darby, Member

9

10 ALSO PRESENT:

11 Henry Burks, Chief Inspector

12 Susan Alverson, Director of Professional

13 Affairs and Secretary

14 Jim Ward, Board Attorney

15 Todd Brooks

16 Shirley Feagin

17 Cara Leos

18 Anne Salsbury

19 Susan DelMonico

20 Rick Stephens

21 Christy Garmon

22 Morgan Luker

23 Louise Jones



1 Tracy Davis

2 Boopathy Sivaraman

3 Tammie Koelz

4 Paul Rengering

5 Jason Rogers

6 Katie Bradford

7 Julie Hunter

8 Bruce Harris

9 Ronda Lacey

10 Scott Daniel

11 Bart Bamberg

12 Eddie Vanderver

13 Kyle Frederick

14 David Barrington

15

16 ***************************************

17

18 MR. CONRADI: I'll call to order the

19 May meeting of the Alabama Board of Pharmacy.

20 Sorry we're starting so late. Appreciate y'all

21 being here.

22 As usual, we're going to start on the

23 front row with Ms. Cara, if y'all will go down



1 and introduce yourself and tell who you're with

2 loud enough for the court reporter to hear

3 you.

4 MS. LEOS: Cara Leos with ALSHP.

5 MS. SALSBURY: Anne Salsbury with

6 CVS.com Pharmacy.

7 MS. DELMONICO: Susan DelMonico, CVS.

8 MR. STEPHENS: Rick Stephens, Senior

9 Care Pharmacy.

10 MS. GARMON: Christy Garmon, CVS

11 Pharmacy.

12 MS. LUKER: Morgan Luker, CVS

13 Pharmacy.

14 MS. JONES: Louise Jones, Alabama

15 Pharmacy Association.

16 MS. DAVIS: Tracy Davis, Alabama

17 Pharmacy Association.

18 MR. SIVARAMAN: Boopathy Sivaraman,

19 Auburn grad.

20 MS. KOELZ: Tammie Koelz, Walgreens

21 Pharmacy.

22 MR. RENGERING: Paul Rengering,

23 Walgreens Pharmacy.



1 MR. ROGERS: Jason Rogers, Medistat.

2 MS. BRADFORD: Katie Bradford, Auburn.

3 MS. HUNTER: Julie Hunter, Omnicare.

4 MR. HARRIS: Bruce Harris, APCI.

5 MS. LACEY: Ronda Lacey, McWhorter

6 School of Pharmacy.

7 MS. FEAGIN: Shirley Feagin, Board of

8 Pharmacy.

9 MR. DANIEL: Scott Daniel, Board of

10 Pharmacy.

11 MR. BAMBERG: Bart Bamberg, Publix

12 Supermarkets.

13 MR. VANDERVER: Eddie Vanderver, Caps,

14 Incorporated.

15 MR. FREDERICK: Kyle Frederick, not

16 representing anyone.

17 MR. CONRADI: Good morning. I need a

18 motion to adopt the agenda.

19 DR. MARTIN: I move we adopt the

20 agenda as proposed.

21 MR. CONRADI: All in favor?

22 DR. MARTIN: Aye.

23 MR. WARD: Aye.



1 MR. DARBY: Aye.

2 MR. BUNCH: Aye.

3 MR. CONRADI: First up we have CVS

4 pharmacy services permit. Susan, do y'all want

5 to get up here and present? Make sure that mike

6 is on so everybody can hear you back there.

7 MS. DELMONICO: Anne is actually going

8 to be presenting.

9 MR. CONRADI: Okay. You can stand,

10 you can sit, whatever you want to do.

11 MS. SALSBURY: Good morning.

12 MR. CONRADI: Good morning.

13 MS. SALSBURY: As I said, my name is

14 Anne Salsbury and I work for CVS.com Pharmacy

15 and we actually are here today to apply for a

16 pharmacy services permit for the facility.

17 MS. DELMONICO: And Anne is also here

18 for reciprocity to become the PIC.

19 MS. SALSBURY: Yes. So just to

20 explain exactly what we do, we are a community

21 licensed pharmacy in the State of Rhode Island.

22 We -- I actually work in the facility that does

23 the pharmacy calls and questions. We do the



1 prescription data processing where we are and we

2 do the drug utilization review.

3 Now, we have a symbiotic relationship

4 with CVS store 6570 in Indianapolis, Indiana.

5 They actually print the labels out. They fill

6 the prescriptions and they ship them to the

7 customers. We currently take approximately

8 4,500 calls a month. We do 1,600 orders a week.

9 One percent of those are patients from Alabama.

10 That would mean 16 orders a week are coming back

11 to the State of Alabama.

12 We primarily serve CVS Pharmacy

13 patients. We do free shipping, so we also do a

14 lot of Medicare patients. Anybody can use us

15 because we are a retail pharmacy, not

16 technically mail order. We use one central

17 database to process the prescriptions, which is

18 Rx Connect.

19 So my center, we take the doctor

20 calls. We do refill authorizations, new

21 prescriptions that come in. Any new

22 prescription that comes in, the pharmacist

23 reviews before it goes to data. We do the



1 patient counseling and we do the customer

2 contacts for order issues.

3 We are open Monday through Friday from

4 8:00 a.m. until 11:00 p.m. and we do have a

5 pharmacist on obviously the entire time,

6 Saturday 8:30 to 5:00. If we have an emergency

7 after hours, they go to a -- the calls after

8 hours would go to a 24-hour CVS Pharmacy in the

9 area where the patient lives.

10 So just as a quick summary as to why

11 we are here today, we're here today because we

12 are looking to license our facility with

13 Alabama. We feel that we really would be a

14 benefit to be able to provide this service to

15 the patients in Alabama where convenient and we

16 find that our service for a lot of patients adds

17 a lot of value. Our facility is currently

18 licensed in multiple states and holds a clean

19 and valid license in the State of Rhode Island

20 where we reside.

21 So functions of the facility include

22 inbound and outbound calls, remote processing,

23 patient counseling, and proficient resolution of



1 DURs. We do not do any fulfillment of the

2 prescription orders at our facility and we have

3 pharmacists available during all hours of

4 operation with access to a pharmacist available

5 24 hours a day if they need one.

6 MR. WARD: What does that mean

7 available, are they there or would that be by

8 phone?

9 MS. SALSBURY: No, that would be by

10 phone. Now, if we have a customer who, you

11 know, needs a pharmacist immediately, like I

12 said, it would get -- the call would get triaged

13 to a 24-hour CVS store in the area where the

14 patient is.

15 MR. WARD: Who's in charge of this

16 place?

17 MS. SALSBURY: Who's in charge of it?

18 MS. DELMONICO: You're going to be the

19 PIC.

20 MS. SALSBURY: I will be the PIC. I'm

21 here also for reciprocity. I took the MPJ last

22 week.

23 MR. WARD: Does the Indiana pharmacy,



1 do they have a permit?

2 MS. SALSBURY: Yes, they do, that's --

3 yes, and the pharmacist there is also -- has

4 applied for her Alabama license. And that's all

5 I have.

6 MR. WARD: How many -- how many

7 technicians do you have working there?

8 MS. SALSBURY: Okay. Currently I have

9 24 technicians, only one of them is not

10 nationally certified so that gives us 95.8

11 percent certification -- nationally certified

12 technicians.

13 MR. WARD: They're all working at one

14 time?

15 MS. SALSBURY: No, sir, they are

16 not.

17 MR. WARD: What's the -- how many are

18 there -- how many are there at once?

19 MR. CONRADI: Yeah, how many per

20 pharmacist?

21 MS. SALSBURY: Okay. Well, we have

22 certain -- in ratio states -- we have a pod that

23 works ratio states. So we have 5.5 pharmacists



1 and we have 24 technicians and if we have more

2 than the three to one, what we do is we actually

3 have a pod -- we have two -- I mean, I'm sorry,

4 two technicians that work specifically with one

5 pharmacist and they process the orders

6 specifically for the states that have ratio

7 states, so I have -- I'm right now -- I was

8 assigned --

9 MR. WARD: Just so I understand,

10 during the day how many -- how many people will

11 be -- will be there during the day?

12 MS. SALSBURY: On an average day, I

13 probably have about 11 or 12 technicians on.

14 MR. WARD: And how many pharmacists,

15 two?

16 MS. SALSBURY: No, no, it's two --

17 myself and the other pharmacy manager work 8:00

18 to 5:00 Monday through Friday. We have a

19 pharmacist that works -- he comes in 11:30 to

20 8:00 and then we have a 2:30 to 11:00 and then

21 we have a girl that works two days a week and my

22 supervisor -- direct supervisor is also a

23 registered pharmacist.



1 MS. DELMONICO: You know in the State

2 of Rhode Island there is no ratio so.

3 MR. WARD: Right.

4 MS. SALSBURY: So what we do in order

5 to -- the states that require a ratio, we use a

6 two to one ratio and we have two technicians

7 specifically that only work those states and

8 they are supervised by a pharmacist.

9 MR. WARD: So all --

10 MS. DELMONICO: So segregate.

11 MR. WARD: So all Alabama calls would

12 go to them?

13 MS. SALSBURY: Alabama calls are going

14 to be routed -- yes, will be -- we have a system

15 where they will be -- it's going to be by area

16 code so they will go to the two -- the pod.

17 MR. CONRADI: All those calls go to

18 that pod?

19 MS. SALSBURY: Yes, to the pod. That

20 would be -- that's only -- it's 16 orders a

21 week, so it's not -- so it -- right now it's

22 very easy to segregate and just have my two

23 technicians that work the ratio states and one



1 pharmacist.

2 MR. BUNCH: So you just have -- you

3 just have two technicians here in this part of

4 the room?

5 MS. SALSBURY: Yes.

6 MR. BUNCH: And then one pharmacist --

7 one pharmacist there with them, so how many

8 ratio states are there out there?

9 MS. SALSBURY: How many ratio states

10 do we do right now?

11 MR. BUNCH: I guess what I'm getting

12 at is if you're only filling 16 prescriptions

13 for Alabama, you've got two technicians that are

14 just Alabama technicians.

15 MR. CONRADI: They'll be doing other

16 things too I think is what they're saying.

17 MR. BUNCH: Right.

18 MS. DELMONICO: Yeah.

19 MS. SALSBURY: Yes, yes.

20 MR. BUNCH: So really you've got more

21 technicians --

22 MR. CONRADI: You've got 12.

23 MR. BUNCH: You've got more



1 technicians, so if you're filling a prescription

2 for an Alabama resident.

3 MS. SALSBURY: Uh-huh.

4 MR. BUNCH: And you've only got these

5 two technicians doing that with one pharmacist

6 there.

7 MS. SALSBURY: Yes.

8 MR. BUNCH: That seems logistically

9 weird.

10 MS. DELMONICO: Well, that's what we

11 have to do.

12 MS. SALSBURY: Yeah.

13 MS. DELMONICO: We have to have a

14 nonresident license and that's what -- you know,

15 that's the way we try to operate it so you can

16 be compliant. I mean, we're in compliance in

17 our state because we have no ratio there.

18 MR. WARD: Well, the --

19 MS. DELMONICO: No, I know --

20 MR. WARD: Well, the pharmacy permit

21 rule says that the Board may impose ratios.

22 MS. DELMONICO: Right.

23 MR. WARD: The ratio applies to the



1 pharmacy where there's actually drugs.

2 MS. DELMONICO: Right.

3 MR. WARD: The rule says they can set

4 ratios if they like and that's the only reason I

5 was asking. It doesn't sound like it's needed

6 to me.

7 MS. SALSBURY: No, okay.

8 MS. DELMONICO: Thank you.

9 MR. CONRADI: Do y'all have any other

10 questions? Anybody want to make a motion to

11 approve it?

12 MR. DARBY: I make a motion we approve

13 the pharmacy services permit for CVS.com.

14 MR. BUNCH: I'll second.


16 DR. MARTIN: Aye.

17 MR. CONRADI: Aye.

18 MR. DARBY: Aye.

19 MS. SALSBURY: Thank you.

20 MS. DELMONICO: Now, on the

21 reciprocity, do we have to stay for that too?

22 MR. CONRADI: Are you on the interview

23 list for today?



1 MS. DELMONICO: Yeah.

2 MR. CONRADI: Are you on the interview

3 list?

4 MS. SALSBURY: Yes, but I -- when I --

5 when I called, they said that I probably could

6 do it at the same time so that Susan and I can

7 catch a flight.

8 MS. DELMONICO: If we can't, it's no

9 problem.


11 MR. CONRADI: What time is your

12 flight?

13 MS. DELMONICO: We have it for three

14 o'clock.


16 MR. CONRADI: Okay. How about we'll

17 get you after the business meeting?

18 MS. SALSBURY: Okay, perfect. Thank

19 you.

20 MS. DELMONICO: Thank you.

21 MS. SALSBURY: Thank you very much.

22 MR. CONRADI: Thank you. Dan, do you

23 have a treasurer's report?



1 MR. MCCONAGHY: Not much of one.

2 We're -- once again, when you focus in on the

3 expenses, we're almost -- it looks artificial

4 that we're right on the number where we need to

5 be as far as during the cycle of our fiscal

6 year, and if you look at the net revenue, we're

7 about 300,000 down on that, which is actually

8 about where we're supposed to be in this -- this

9 year where we have less income than we do the

10 following year. So it's kind of hard for

11 somebody in business to say we're losing 300,000

12 and that's good but it's --

13 MR. CONRADI: It's only 300,000.

14 MR. MCCONAGHY: It's right on track to

15 where -- by the end of this fiscal year, we will

16 still have money in the bank to pay the bills

17 and then the next cycle goes and we actually

18 will build up and have a little extra in there

19 that takes care of this off year but if you --

20 expense wise, when you -- if you go down the

21 line and compare that, we're right on the mark

22 where we need to be and we've actually saved

23 some on some of the areas that -- that in the



1 past have cost us $8,000 or $10,000, we've been

2 able to weed out some of those items that we no

3 longer use now that we're in this building and

4 functioning full speed on that. So it's -- it's

5 a good report and any questions about any of the

6 items on there that if anybody has seen anything

7 that I didn't see that looks out of hand there,

8 I'll be glad to look at.

9 MR. CONRADI: Thank you, Dan.

10 MR. DARBY: I move we accept the

11 financial report.

12 DR. MARTIN: Second.


14 DR. MARTIN: Aye.

15 MR. DARBY: Aye.


17 MR. BUNCH: Aye.

18 MR. CONRADI: Wellness -- Susan, are

19 you doing the wellness report?

20 DR. ALVERSON: I didn't think I was

21 supposed to. It's in the Dropbox.

22 DR. MARTIN: Would you like for me to

23 read it in?



1 MR. CONRADI: Yeah, read it in, Tim.

2 I'm sorry, I haven't got it up.

3 DR. MARTIN: That's fine. There are

4 presently 134 people in our screening program

5 with signed contracts or orders. This number

6 includes any individuals with a DMC, that's a

7 diagnostic monitoring contract, but it does not

8 include any of the professionals listed below.

9 Under current work there are two

10 pharmacists currently in treatment. There are

11 two pharmacists in a halfway house. There are

12 16 pharmacists that are either being held out

13 for some reason or in the process of being

14 investigated or made ready for presentation to

15 the Board. Currently there are no techs in

16 treatment. There are four technicians who need

17 disposition of some sort and the staff is aware

18 of these people and they are working with them

19 to bring the resolution for each case.

20 There are no students in treatment.

21 There are two students signing orders --

22 actually signed orders yesterday at the

23 hearings. All of these individuals who are in



1 treatment or in evaluation or undecided are

2 presently working -- out of the workplace and

3 without a license. There are 47 individuals in

4 a facility-driven aftercare.

5 Dr. Garver says that they have

6 personally met with all licensees returning to

7 work to sign contracts and explain how

8 monitoring works. All returning licensees have

9 been placed in a caduceus and -- excuse me,

10 either pharmacy or a health professional

11 caduceus. Dr. Garver says he has finally been

12 able to procure a professional database manager

13 to set up templates for them to have a master

14 list of the individuals and he will begin

15 providing the template once it's designed and

16 placing the professionals on the list as we go

17 along and I believe that was a request of the

18 Board that he make that information available to

19 us. This will not violate the professional's

20 privacy rights and will be HIPAA compliant and

21 that's the end of the report.

22 MR. CONRADI: Thank you, Tim. Board

23 minutes we need to approve from last -- from



1 April. May have to -- we have to do these

2 individually.

3 MR. DARBY: I make a motion we approve

4 the Board of Pharmacy meeting minutes from April

5 16.


7 DR. MARTIN: Aye.

8 MR. BUNCH: Aye.

9 MR. DARBY: Aye.

10 MR. CONRADI: Did you second that,

11 Buddy?

12 MR. BUNCH: I second that.

13 MR. DARBY: Make a motion that we

14 approve the Board of Pharmacy work session

15 minutes from April 16.

16 DR. MARTIN: Second.

17 MR. BUNCH: Second.


19 DR. MARTIN: Aye.

20 MR. DARBY: Aye.

21 MR. BUNCH: Aye.


23 One more, David, interview.



1 MR. DARBY: Interview -- they're not

2 on here. I make a motion we approve the

3 interview minutes from April 16, 2014.



6 DR. MARTIN: Aye.

7 MR. DARBY: Aye.

8 MR. BUNCH: Aye.

9 MR. CONRADI: Henry, have you got an

10 inspector's report?

11 MR. BURKS: Yes, sir. Going over the

12 monthly enforcement report for April of 2014,

13 there were 108 inspections that were completed

14 and for the -- from January 1 through the end of

15 April 2014, we've completed a total of 388.

16 Now, on some of these if you'll look, I know on

17 some of these categories, it may have a zero by

18 someone's name. That's because they were out on

19 medical leave during this month and weren't able

20 to perform any. I just wanted to let you know.

21 Also, if you think some of these look a little

22 bit low on the inspector's side, a lot of these

23 are because they were doing the 797 or 795



1 inspections, which takes a lot more time than it

2 does your regular retail inspection or your

3 wholesaler inspection and so we have a lot of

4 those that were completed.

5 On the complaints for April 2014,

6 we've received 20 and we have completed 17 in

7 the month of April 2014. And then I do have

8 stuff for executive session for you.

9 MR. CONRADI: Thank you, Henry. Is

10 everybody back yet from medical leave?

11 MR. BURKS: Yes, sir.

12 MR. CONRADI: Secretary report,

13 Ms. Susan.

14 DR. ALVERSON: Yes, because the Board

15 was kind enough to agree that students could

16 interview before they took their tests, you're

17 going to have quite a group today, so there will

18 be interviews today at 11:30, 1:30, and 3

19 o'clock but I think half of the state's students

20 who are looking for licenses will be done by the

21 end of the day today. There will probably be a

22 fairly large group next month and then it will

23 really taper off.



1 MR. CONRADI: What do we have today,

2 about 150?

3 DR. ALVERSON: I think maybe about 130

4 would be closer to it, all right.

5 We are planning to set up a separate

6 office and a separate computer that we can

7 access the portal for NABP because there will

8 be -- there are options for us to download

9 information. There's information that we have

10 to send to NABP. We do have an extra laptop in

11 the building. We're not going to have to buy

12 anything but we would like to set up one place

13 where we will use for access to NABP and

14 everybody could use that computer rather than

15 have it on everyone's computer.

16 MR. CONRADI: Why would you want to

17 use a laptop instead of getting a desktop?

18 DR. ALVERSON: Because we had one.

19 MR. CONRADI: Okay.

20 DR. ALVERSON: Whichever computer we

21 have in the building we thought we would try to

22 make use of what we had rather than go out and

23 buy another one.



1 MR. CONRADI: That's fine. I was just

2 curious.

3 DR. ALVERSON: Okay. I wanted you to

4 know who was going to APA and ALSHP.


6 DR. ALVERSON: Henry's going to both.

7 I'm going to both. To the APA meeting, three

8 inspectors are going -- Mark, Todd, and Glenn

9 are going to the APA meeting. The other three

10 inspectors are going to the hospital society

11 meeting. We will have a booth at both meetings.

12 I'm planning to have something to raffle off and

13 you get a raffle ticket if you write a question

14 for frequently asked questions for our

15 website.

16 MR. CONRADI: What will we have in the

17 booth?

18 DR. ALVERSON: Well, there will be

19 four of us there that are going to man the

20 booths. We've ordered copies of the law to be

21 available if someone wanted an updated copy of

22 the law. We have a brochure that covers

23 frequently asked questions, which will also be



1 available in the booth and we are really hoping

2 that with the frequently asked questions, we

3 could engage people in conversation somewhat.

4 For the APA meeting, I would like to

5 present our new website to have that ready to go

6 for the APA meeting. We will have transferred

7 everything over. Everything will not have been

8 rewritten yet but we had to make a choice,

9 either we go with the new website with what will

10 be rewritten at that time and bring some of the

11 older data over or wait longer until everything

12 has been rewritten and I think we -- it would be

13 a better choice to go ahead, implement it, it

14 will be more user friendly, and we'll continue

15 to rewrite as we go. Did I explain that well

16 enough?

17 MR. CONRADI: I guess I have a

18 question: Is it going to be worth showing if

19 it's not anything new? I mean, what are we

20 going to show?

21 DR. ALVERSON: There will be a lot --

22 there's a lot that's been rewritten.




1 DR. ALVERSON: I -- we've reorganized

2 it in ways that I think are much more user

3 friendly and we've done a lot on frequently

4 asked questions, so I'm hoping pharmacists will

5 be able to find answers to questions as opposed

6 to calling here to look for answers to

7 questions, which I'm hoping will free up time

8 for everybody, so that's my intent.


10 DR. ALVERSON: All right. For

11 renewals, we still have not seen the proposed

12 renewal software from GLS and I believe I told

13 you that last month.

14 MR. CONRADI: We've got to give them a

15 deadline so we have that at least by the end of

16 June.

17 DR. ALVERSON: I feel we need it now,

18 at least one or two of them because we have to

19 test it and I mean, it never goes smoothly. It

20 always takes a number of weeks to fix something.

21 It took two months to fix the technician renewal

22 software and we're going to have seven or eight

23 renewals come fall.



1 MR. BUNCH: What do you suggest us do,

2 get Joe involved again or --

3 DR. ALVERSON: I've communicated with

4 Joe recently. I have a call scheduled for

5 tomorrow but I wanted to call one of the people

6 at -- we have a contact with in administration

7 this afternoon to say, you know, this is just

8 untenable. I mean, we can't -- we can't

9 function like this.

10 MR. BUNCH: Get somebody's

11 attention.

12 MR. WARD: Don't pay them. That's the

13 best way.

14 MR. BUNCH: Yeah. Dan, hold the

15 check.

16 DR. ALVERSON: Hold the check.

17 MR. MCCONAGHY: No problem.

18 DR. ALVERSON: I will inform them this

19 afternoon that we are going to start to hold

20 checks if that's all right with you.

21 MR. MCCONAGHY: Susan and I -- I know

22 I've had the conversation with her, but I think

23 we need to continue to look at alternatives to



1 them because it's just -- at this point, it

2 should be getting better as far as how the

3 cooperation goes and all and I know we don't

4 want to look at having to do another total

5 conversion like we just went through but if it

6 doesn't get better, then I think your best

7 bargaining point is to have somebody else lined

8 up to take it over.

9 MR. BUNCH: And that might even be

10 mortal disaster if you start -- this one is

11 screwed up and then you get another company in

12 here.

13 MR. CONRADI: That's what part of the

14 problem was on this. I think all of the data

15 has been two or three different companies

16 working on it and it had a lot of trash in it.

17 MR. WARD: I think the next time you

18 do this, you hire a consultant, someone to come

19 in -- it's worth the money. No telling how many

20 hours of Susan's time it's taken. You're paying

21 a lawyer -- just to have someone here who is

22 working for us as our manager -- as our monitor

23 and manager. This happens to us every single



1 time. How much time have you -- I mean, all of

2 y'all's time.

3 DR. ALVERSON: But I think we --

4 whether we threaten or not, I don't feel we

5 should make a change until after this renewal

6 cycle.

7 MR. CONRADI: Oh, we can't right

8 now.

9 DR. ALVERSON: Because we have to get

10 all of the renewal data in so we have everything

11 up to date, at least our data is -- is

12 straightened out so.

13 MR. CONRADI: Do you want to give us

14 an update on the CE audit of technicians? I

15 think you're finally finished with it.

16 DR. ALVERSON: Yes, we did, and I gave

17 you a sheet of paper yesterday. Mitzi has been

18 working very hard. Over half of the people had

19 their CE. We had another section, maybe close

20 to 20 percent, who had their hours but maybe

21 they were four in one year and two in the other

22 year and we agreed to do a deferment on their

23 consent orders, so that has been done on about



1 another 20 percent. I believe we had about 90

2 people who just never responded and at the rate

3 people drop out of the technician field, I

4 imagine that's what's happened, so their

5 licenses will no longer be -- be valid but we

6 have --

7 MR. CONRADI: Has that been entered on

8 the website so people can pull it up and they

9 know they --

10 MR. WARD: You can't do that. You've

11 got to -- you can't just deny it without giving

12 some sort of due process first.

13 DR. ALVERSON: So we have sent consent

14 orders on everybody and some people have signed

15 consent orders and are doubling their CE and

16 they'll be fined but others we just haven't

17 heard from.

18 MR. CONRADI: Have we sent the

19 inspectors out to where their last known work to

20 see if they're working?

21 DR. ALVERSON: No, no, we've made

22 phone calls to see if they're there but I

23 didn't --



1 MR. CONRADI: That's what I mean to

2 see if they're still working.

3 DR. ALVERSON: -- want to send an

4 inspector out to each one of those places.

5 MR. CONRADI: As long as we've made

6 contact to make sure they're not working.

7 DR. ALVERSON: We have.

8 MR. CONRADI: Okay. Thank you.

9 Mr. Ward, have you got a report?

10 MR. WARD: No, nothing other than what

11 Susan just covered. We're going to have

12 probably a handful of technicians who did not

13 respond. Their certified mail came back. We're

14 going to go ahead and notice them anyway because

15 that's the last address we have. We're going to

16 call and see if we can find them. I think that

17 will be fine to do it that way. We need to be

18 sure to put something in our system that if they

19 tried to renew, that bells and whistles and

20 noises and smoke and strobe lights go off, okay,

21 so they don't sneak on through if those bozos

22 who are our computer people can figure out how

23 to do that. You can say bozos if you want.



1 COURT REPORTER: I got it -- B-O-Z-O.

2 MR. CONRADI: Any old business? Tim,

3 have you got some old business?

4 DR. MARTIN: I don't have old or new

5 either one.

6 MR. WARD: Well, we've got that

7 Physician RX thing, whether y'all are going to

8 give them a permit or not -- the Limestone

9 County, the call center, y'all need to decide on

10 that.

11 DR. MARTIN: Yeah.

12 MR. CONRADI: Whether or not it's

13 going to require a pharmacist to be there and

14 all of that.

15 DR. MARTIN: We had a proposal last

16 month, I believe it was, for a pharmacy services

17 permit. Presentation was made if I remember

18 right and the Board needs to take a position on

19 granting or not granting the pharmacy services

20 permit as requested and there may need to be

21 some discussion among the Board members at this

22 point on how they wish to proceed.

23 MR. WARD: Well, the issue was whether



1 or not a pharmacy services permit was needed and

2 y'all decided that it was.

3 DR. MARTIN: Correct, and we decided

4 that a pharmacy services permit would be

5 needed.

6 MR. CONRADI: Was that on that

7 Physician RX call center that was in March?

8 MR. WARD: Yes, yes.

9 MR. DARBY: Two months ago.

10 DR. MARTIN: Yeah. So if there --

11 I'll go ahead and propose that the permit be

12 granted and I guess you may want that in the

13 form of a motion.

14 MR. CONRADI: We will.

15 DR. MARTIN: So I will move that the

16 permit be granted and follow up with discussion

17 if we get a second.

18 MR. CONRADI: And that's on Physician

19 RX Source, Incorporated, call center.

20 DR. MARTIN: That's correct.

21 MR. DARBY: I'll second it so we can

22 have a discussion.

23 MR. CONRADI: Okay. Any discussion?



1 DR. ALVERSON: I'd like to comment. I

2 believe their plan is the person who is the

3 pharmacist in charge at the pharmacy is also

4 planning to be the pharmacist in charge at the

5 call center.

6 MR. CONRADI: The pharmacy was in

7 Athens?

8 MR. WARD: Yes.

9 DR. ALVERSON: She's planning to

10 travel back and forth between the two and spend

11 20 hours at the call center and I think --

12 MR. CONRADI: Is that all the call

13 center would be open, just when he's there?

14 DR. ALVERSON: I have no idea how many

15 hours.

16 MR. DARBY: Can she be the supervising

17 pharmacist at two locations?

18 DR. MARTIN: I don't think so.

19 MR. DARBY: I know it's different type

20 of permits.

21 MR. WARD: You can't for a -- you

22 can't for a old timey pharmacy unless you get

23 permission.



1 MR. MCCONAGHY: Twenty-hour

2 pharmacy.

3 MR. WARD: Twenty hours, yes, but if

4 you've never addressed whether you can be at one

5 with a regular permit and one with a pharmacy

6 service permit, that's never been -- been an

7 issue for y'all.

8 MR. CONRADI: I mean, they're not even

9 close to each other.

10 MR. DARBY: Yeah, I would not be in

11 favor of that.

12 MR. CONRADI: I think they have to

13 have a pharmacist on premises to do that.

14 That's what we required Walgreens to do.

15 MR. DARBY: Yeah.

16 MR. WARD: Okay.

17 MR. CONRADI: So we approve it with

18 that addendum to it, they must have a pharmacist

19 in charge on duty at all times.

20 DR. MARTIN: A designated pharmacy

21 supervisor.

22 MR. CONRADI: In the facility.

23 DR. MARTIN: We want to -- what's the



1 official terminology, Dan?

2 MR. DARBY: Supervising pharmacist.

3 DR. MARTIN: The supervising

4 pharmacist can only be the supervising

5 pharmacist of one facility and not both.

6 MR. CONRADI: They would have to have

7 one in that facility at all times.

8 DR. MARTIN: Correct.

9 MR. CONRADI: A pharmacist while

10 they're open in the call center.

11 DR. MARTIN: Yeah, I think -- I think

12 we're talking about two different topics. One

13 is should there be a pharmacist present at all

14 times and the second topic is whether they can

15 have designated -- a pharmacist designated as a

16 supervising pharmacist for two different

17 facilities.

18 MR. CONRADI: No.

19 DR. MARTIN: So we're saying that

20 they -- we're not in favor of them having an

21 individual designated as a supervising

22 pharmacist for two facilities.

23 MR. DARBY: That's correct and then --



1 and then they also have to have a pharmacist --

2 MR. WARD: On site.

3 MR. DARBY: -- physically on site, who

4 may or may not be the supervising pharmacist.

5 MR. BUNCH: Do we want to let that

6 motion die or do we want to go ahead and approve

7 it with those stipulations?

8 MR. CONRADI: We could do a friendly

9 amendment to it.

10 DR. MARTIN: Let's go ahead and vote

11 down the current motion and I'll restate it.

12 MR. CONRADI: All in favor of giving

13 the -- the name of it is the Physicians RX

14 Source, Incorporated, call center a pharmacy

15 services permit, say aye.

16 (No response.)

17 MR. CONRADI: All against?

18 DR. MARTIN: Aye.


20 MR. DARBY: Aye.

21 MR. MCCONAGHY: Aye.

22 MR. BUNCH: Aye.

23 MR. CONRADI: Motion failed.



1 DR. MARTIN: Mr. President, I'd like

2 to move that we allow that facility to have a

3 pharmacy services permit with the conditions

4 that the individual named as the supervising

5 pharmacist be the supervising pharmacist of only

6 one facility and that during operations there be

7 a pharmacist present.

8 MR. DARBY: I'll second that.

9 MR. CONRADI: Okay. All in favor?

10 DR. MARTIN: Aye.

11 MR. DARBY: Aye.

12 MR. BUNCH: Aye.


14 MR. CONRADI: Aye. Susan, will you

15 communicate that to them?

16 DR. ALVERSON: Yes, I will.

17 MR. CONRADI: Any other old business?

18 (No response.)

19 MR. CONRADI: Any new business?

20 DR. MARTIN: I have one item of new

21 business, Mr. President.

22 MR. CONRADI: Dr. Martin.

23 DR. MARTIN: I'm going to ask the



1 Board to allow hours gained in institutional

2 settings that are consistent with the definition

3 of traditional hours as presented in 680-X-2-.16

4 be honored as a requirement for traditional

5 hours.

6 MR. CONRADI: Do I hear a second on

7 that motion?



10 DR. MARTIN: Aye.

11 MR. BUNCH: Aye.

12 MR. DARBY: Aye.


14 Do you understand that, Ms. Susan?

15 DR. ALVERSON: Yes, sir.

16 MR. CONRADI: Any other new business?

17 I'd like to make a motion we retire

18 into executive session for the purpose of

19 discussing the professionalism, competence,

20 general reputation, and character of licensees

21 and registrants of the Board.

22 MR. WARD: Hold on a second. Hold on

23 one minute.



1 MR. CONRADI: You always have to

2 interrupt me.

3 MR. WARD: I just want to make sure

4 because you'll say if I didn't interrupt you,

5 you'll ask me later why I didn't, so I lose

6 either way.

7 We got an email from Louise about

8 changing institutional permit -- institutional

9 rule. Are we going to talk about that, so do we

10 want to do that as new business or wait until

11 next time? I just read it.

12 MR. CONRADI: I think we wanted to

13 discuss it --

14 MR. WARD: I just read it last night.

15 MR. CONRADI: Yeah, have time to read

16 it and bring it up next time.

17 MR. WARD: All right. I just want to

18 make sure --

19 MS. JONES: Yeah, I sent it to you

20 late Monday and I fully understood --

21 MR. WARD: Okay.

22 MS. JONES: -- that it was late

23 notice. I wasn't asking for this time.



1 MR. WARD: And I looked it over and it

2 looks, at least from my -- legally it looks fine

3 to me but -- so we need to put it on the agenda

4 for the next time, okay.

5 MS. JONES: And I will not be present

6 at the Board meeting next month, but we will

7 have a representative here that's capable of

8 discussing that.

9 MR. CONRADI: Why can't you come back

10 from Italy and be here? At least Skype in --

11 you can Skype in right here.

12 MS. JONES: You want to Skype me in

13 from Europe, seven-hour time difference, so

14 that's the first obstacle, so yeah.

15 MR. CONRADI: You'll be here on time

16 then.

17 MS. JONES: Maybe.

18 MR. BUNCH: Don't count on it.

19 MS. JONES: But I'll have someone here

20 that's capable of answering any questions from

21 our perspective on that.

22 MR. CONRADI: Okay. I think Tim said

23 we'll have some other things with that rule we



1 need to clean up at the same time, so.

2 DR. MARTIN: I think while we're

3 opening it up it makes sense to do a little

4 additional housekeeping in that one. We

5 appreciate you bringing that to the Board.

6 MR. CONRADI: Now can we go into

7 executive session, Mr. Ward?

8 MR. WARD: Yes, you may as far as I'm

9 concerned. We could have done it before that

10 but you would have asked my why -- yeah.

11 MR. CONRADI: We will go in at ten

12 o'clock and come out at 10:20 to go over some

13 cases from the Board and after 10:20 we will

14 vote on those cases and then adjourn. No more

15 business will be conducted after that. You're

16 welcome to stay, can come back or -- we

17 appreciate you being here.

18 MR. WARD: Do you want me to interrupt

19 you to make a motion?

20 MR. CONRADI: I done made the

21 motion.

22 MR. WARD: No, you didn't.

23 MR. CONRADI: Yeah, you did. You



1 interrupted me.

2 MR. BUNCH: We have to individually

3 vote.

4 MR. CONRADI: We've got to

5 individually vote on it. All in favor,

6 Mr. McConaghy?


8 MR. CONRADI: Mr. Darby?

9 MR. DARBY: Aye.

10 MR. CONRADI: Dr. Martin?

11 DR. MARTIN: Aye.


13 MR. BUNCH: And aye.

14 MR. CONRADI: Thank y'all.

15

16 (Whereupon, a recess was taken from

17 9:53 a.m. to 11:04 a.m.)

18

19 MR. CONRADI: I need a motion to come

20 out of executive session.

21 MR. DARBY: I move we come out of

22 executive session.

23 MR. MCCONAGHY: Second.



1 THE COURT: All in favor?

2 DR. MARTIN: Aye.


4 MR. DARBY: Aye.

5 MR. BUNCH: Aye.

6 MR. CONRADI: Let me see if I can get

7 all of these together.

8 On complaint number 13-0638, complaint

9 number 14-0033, complaint number 14-0038,

10 complaint number 14-0047, complaint number

11 14-0048, complaint number 14-0050, I have a

12 finding of no violation. How do y'all vote?


14 MR. DARBY: Aye.

15 DR. MARTIN: I move we accept the --

16 MR. CONRADI: Recommendation.

17 DR. MARTIN: -- recommendation as

18 submitted.



21 DR. MARTIN: Aye.

22 MR. DARBY: Aye.




1 MR. BUNCH: Aye.

2 MR. CONRADI: Complaint number

3 14-0040, suggested action, letter of

4 education.

5 DR. MARTIN: I move we accept the

6 recommended action.




10 DR. MARTIN: Aye.

11 MR. DARBY: Aye.


13 Y'all be sure and not leave these

14 laying around. If you don't take them home,

15 shred them.

16 MR. MCCONAGHY: Yeah.

17 MR. CONRADI: Please.

18 DR. ALVERSON: Thank you.

19 MR. CONRADI: All right. I make a

20 motion we adjourn the May 2014 meeting.






1 DR. MARTIN: Aye.

2 MR. DARBY: Aye.

3 MR. CONRADI: Aye.

4 MR. BUNCH: Aye.

5 DR. MARTIN: I seconded that.


7

8 (Whereupon, the hearing was adjourned

9 at 11:07 a.m.)

10

11

12

13

14

15

16

17

18

19

20

21

22

23



1 CERTIFICATE

2

3 STATE OF ALABAMA

4 SHELBY COUNTY

5

6 I, Sheri G. Connelly, RPR, Certified

7 Court Reporter, hereby certify that the above

8 and foregoing hearing was taken down by me in

9 stenotype and the questions, answers, and

10 statements thereto were transcribed by means of

11 computer-aided transcription and that the

12 foregoing represents a true and correct

13 transcript of the said hearing.

14 I further certify that I am neither of

15 counsel, nor of kin to the parties to the

16 action, nor am I in anywise interested in the

17 result of said cause.

18

19

20 /s/ Sheri G. Connelly

21 SHERI G. CONNELLY, RPR

22 ACCR No. 439, Expires 9/30/2014

23

WORD INDEX

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35242 1:20388 22:15

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approve 15:11, 12 20:23 21:3, 14 22:2 36:17 38:6approximately 7:7April 21:1, 4, 15 22:3, 12, 15 23:5, 7area 8:9 9:13 12:15areas 17:23artificial 17:3asked 25:14, 23 26:2 27:4 43:10asking 15:5 41:23assigned 11:8Association 4:15, 17Athens 35:7attention 28:11Attorney 2:14Auburn 4:19 5:2audit 30:14authorizations 7:20available 9:3, 4, 7 20:18 25:21 26:1average 11:12aware 19:17Aye 5:22, 23 6:1, 2 15:16, 17, 18 18:14,15, 16, 17 21:7, 8, 9,19, 20, 21, 22 22:6,7, 8 38:15, 18, 19,20, 21, 22 39:10, 11,12, 13, 14 40:10, 11,12, 13 44:7, 9, 11,12, 13 45:2, 3, 4, 5,13, 14, 21, 22, 23 46:1, 9, 10, 11, 12,23 47:1, 2, 3, 4

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buy 24:11, 23

< C >caduceus 20:9, 11call 3:18 9:12 28:4, 5 32:16 33:9 34:7, 19 35:5, 11,12 37:10 38:14called 16:5calling 27:6calls 6:23 7:8, 20 8:7, 22 12:11, 13,17 31:22capable 42:7, 20Caps 5:13Cara 2:17 3:23 4:4Care 4:9 17:19case 19:19cases 43:13, 14catch 16:7categories 22:17cause 48:17CE 30:14, 19 31:15center 7:19 33:9 34:7, 19 35:5, 11,13 37:10 38:14central 7:16certain 10:22CERTIFICATE 48:1certification 10:11certified 10:10, 11 32:13 48:6certify 48:7, 14change 30:5changing 41:8character 40:20charge 9:15, 17 35:3, 4 36:19check 28:15, 16checks 28:20Chief 2:11choice 26:8, 13Christy 2:21 4:10clean 8:18 43:1close 30:19 36:9closer 24:4code 12:16

come 7:21 27:23 29:18 42:9 43:12,16 44:19, 21comes 7:22 11:19coming 7:10comment 35:1communicate 39:15communicated 28:3community 6:20companies 29:15company 29:11compare 17:21competence 40:19complaint 45:8, 8,9, 10, 10, 11 46:2complaints 23:5completed 22:13,15 23:4, 6compliance 14:16compliant 14:16 20:20computer 24:6, 14,15, 20 32:22computer-aided 48:11concerned 43:9conditions 39:3conducted 43:15Connect 7:18Connelly 1:23 48:6, 20, 21Conradi 2:4 3:18 5:17, 21 6:3, 9, 12 10:19 12:17 13:15,22 15:9, 15, 17, 22 16:2, 11, 16, 22 17:13 18:9, 13, 16,18 19:1 20:22 21:6, 10, 18, 22 22:5, 9 23:9, 12 24:1, 16, 19 25:1, 5,16 26:17, 23 27:9,14 29:13 30:7, 13 31:7, 18 32:1, 5, 8 33:2, 12 34:6, 14,18, 23 35:6, 12 36:8, 12, 17, 22 37:6, 9, 18 38:8, 12,17, 19, 23 39:9, 14,17, 19, 22 40:6, 9,

13, 16 41:1, 12, 15 42:9, 15, 22 43:6,11, 20, 23 44:4, 8,10, 12, 14, 19 45:6,16, 20, 23 46:2, 8,12, 17, 19, 22 47:3,6consent 30:23 31:13, 15consistent 40:2consultant 29:18contact 28:6 32:6contacts 8:2continue 26:14 28:23contract 19:7contracts 19:5 20:7convenient 8:15conversation 26:3 28:22conversion 29:5cooperation 29:3copies 25:20copy 25:21Correct 34:3, 20 37:8, 23 48:12cost 18:1counsel 48:15counseling 8:1, 23count 42:18County 33:9 48:4court 4:2 33:1 45:1 48:7covered 32:11covers 25:22curious 25:2current 19:9 38:11currently 7:7 8:17 10:8 19:10, 15customer 8:1 9:10customers 7:7CVS 4:7, 10, 12 6:3 7:4, 12 8:8 9:13CVS.com 4:6 6:14 15:13cycle 17:5, 17 30:6

< D >

Dan 2:6 16:22 18:9 28:14 37:1Daniel 3:10 5:9, 9Darby 2:8 6:1 15:12, 18 18:10, 15 21:3, 9, 13, 20 22:1,7 34:9, 21 35:16,19 36:10, 15 37:2,23 38:3, 20 39:8,11 40:12 44:8, 9,21 45:4, 14, 22 46:11 47:2data 7:1, 23 26:11 29:14 30:10, 11database 7:17 20:12date 30:11David 2:8 3:14 21:23Davis 3:1 4:16, 16day 9:5 11:10, 11,12 23:21days 11:21deadline 27:15decide 33:9decided 34:2, 3deferment 30:22definition 40:2DelMonico 2:19 4:7, 7 6:7, 17 9:18 12:1, 10 13:18 14:10, 13, 19, 22 15:2, 8, 20 16:1, 8,13, 20deny 31:11designated 36:20 37:15, 15, 21designed 20:15desktop 24:17diagnostic 19:7die 38:6difference 42:13different 29:15 35:19 37:12, 16direct 11:22Director 2:12disaster 29:10discuss 41:13discussing 40:19 42:8

discussion 33:21 34:16, 22, 23disposition 19:17DMC 19:6doctor 7:19doing 13:15 14:5 18:19 22:23doubling 31:15download 24:8DR 5:19, 22 15:16 18:12, 14, 20, 22 19:3 20:5, 11 21:7,16, 19 22:6 23:14 24:3, 18, 20 25:3, 6,18 26:21 27:1, 10,17 28:3, 16, 18 30:3, 9, 16 31:13,21 32:3, 7 33:4, 11,15 34:3, 10, 15, 20 35:1, 9, 14, 18 36:20, 23 37:3, 8,11, 19 38:10, 18 39:1, 10, 16, 20, 22,23 40:10, 15 43:2 44:10, 11 45:2, 15,17, 21 46:5, 10, 18 47:1, 5drop 31:3Dropbox 18:21drug 7:2drugs 15:1due 31:12DURs 9:1duty 36:19

< E >easy 12:22Eddie 3:12 5:13education 46:4eight 27:22either 19:12 20:10 26:9 33:5 41:6email 41:7emergency 8:6enforcement 22:12engage 26:3entered 31:7entire 8:5Europe 42:13evaluation 20:1

everybody 6:6 23:10 24:14 27:8 31:14everyone's 24:15exactly 6:20excuse 20:9executive 23:8 40:18 43:7 44:20,22expense 17:20expenses 17:3Expires 48:22explain 6:20 20:7 26:15extra 17:18 24:10

< F >facilities 37:17, 22facility 6:16, 22 8:12, 17, 21 9:2 36:22 37:5, 7 39:2,6facility-driven 20:4failed 38:23fairly 23:22fall 27:23far 17:5 29:2 43:8favor 5:21 15:15 18:13 21:6, 18 22:5 36:11 37:20 38:12 39:9 40:9 44:5 45:1, 20 46:8,22Feagin 2:16 5:7, 7feel 8:13 27:17 30:4field 31:3figure 32:22fill 7:5filling 13:12 14:1finally 20:11 30:15financial 18:11find 8:16 27:5 32:16finding 45:12fine 19:3 25:1 32:17 42:2fined 31:16finished 30:15

First 6:3 31:12 42:14fiscal 17:5, 15fix 27:20, 21flight 16:7, 12focus 17:2follow 34:16following 17:10foregoing 48:8, 12form 34:13forth 35:10four 19:16 25:19 30:21Frederick 3:13 5:15, 15free 7:13 27:7frequently 25:14,23 26:2 27:3Friday 8:3 11:18friendly 26:14 27:3 38:8front 3:23fulfillment 9:1full 18:4fully 41:20function 28:9functioning 18:4functions 8:21further 48:14

< G >gained 40:1Garmon 2:21 4:10,10Garver 20:5, 11general 40:20getting 13:11 24:17 29:2girl 11:21give 27:14 30:13 33:8gives 10:10giving 31:11 38:12glad 18:8Glenn 25:8GLS 27:12go 3:23 8:7, 8 12:12, 16, 17 17:20 20:16 24:22 26:5,9, 13, 15 32:14, 20

34:11 38:6, 10 43:6, 11, 12goes 7:23 17:17 27:19 29:3going 3:22 6:7 9:18 12:13, 15 22:11 23:17 24:11 25:4, 6, 7, 8, 9, 10,19 26:18, 20 27:22 28:19 32:11, 14, 15 33:7, 13 39:23 41:9Good 5:17 6:11,12 17:12 18:5grad 4:19granted 34:12, 16granting 33:19, 19group 23:17, 22guess 13:11 26:17 34:12

< H >half 23:19 30:18halfway 19:11hand 18:7handful 32:12happened 31:4happens 29:23hard 17:10 30:18Harris 3:8 5:4, 4health 20:10hear 4:2 6:6 40:6heard 31:17hearing 47:8 48:8,13hearings 19:23held 19:12Henry 2:11 22:9 23:9Henry's 25:6HIPAA 20:20hire 29:18hold 28:14, 16, 19 40:22, 22holds 8:18home 46:14honored 40:4Hoover 1:20hoping 26:1 27:4,

7hospital 25:10hours 8:7, 8 9:3, 5 29:20 30:20 35:11,15 36:3 40:1, 3, 5house 19:11housekeeping 43:4Hunter 3:7 5:3, 3

idea 35:14imagine 31:4immediately 9:11implement 26:13impose 14:21inbound 8:22include 8:21 19:8includes 19:6income 17:9Incorporated 5:14 34:19 38:14Indiana 7:4 9:23Indianapolis 7:4individual 37:21 39:4individually 21:2 44:2, 5individuals 19:6,23 20:3, 14inform 28:18information 20:18 24:9, 9inspection 23:2, 3inspections 22:13 23:1Inspector 2:11 32:4inspectors 25:8, 10 31:19inspector's 22:10,22institutional 40:1 41:8, 8intent 27:8interested 48:16interrupt 41:2, 4 43:18interrupted 44:1

interview 15:22 16:2 21:23 22:1, 3 23:16interviews 23:18introduce 4:1investigated 19:14involved 28:2Island 6:21 8:19 12:2issue 33:23 36:7issues 8:2Italy 42:10item 39:20items 18:2, 6

< J >January 22:14Jason 3:5 5:1Jim 2:14Joe 28:2, 4Jones 2:23 4:14,14 41:19, 22 42:5,12, 17, 19Julie 3:7 5:3June 27:16

< K >Katie 3:6 5:2kin 48:15kind 17:10 23:15know 9:11 12:1 14:14, 19 22:16, 20 25:4 28:7, 21 29:3 31:9 35:19known 31:19Koelz 3:3 4:20, 20Kyle 3:13 5:15

< L >labels 7:5Lacey 3:9 5:5, 5laptop 24:10, 17large 23:22late 3:20 41:20, 22law 25:20, 22lawyer 29:21laying 46:14leave 22:19 23:10 46:13

legally 42:2Leos 2:17 4:4, 4letter 46:3license 8:12, 19 10:4 14:14 20:3licensed 6:21 8:18licensees 20:6, 8 40:20licenses 23:20 31:5lights 32:20Limestone 33:8line 17:21lined 29:7list 15:23 16:3 20:14, 16listed 19:8little 17:18 22:21 43:3lives 8:9LOCATION 1:18locations 35:17logistically 14:8long 32:5longer 18:3 26:11 31:5look 17:6 18:8 22:16, 21 27:6 28:23 29:4looked 42:1looking 8:12 23:20looks 17:3 18:7 42:2, 2lose 41:5losing 17:11lot 7:14 8:16, 17 22:22 23:1, 3 26:21, 22 27:3 29:16loud 4:2Louise 2:23 4:14 41:7low 22:22Luker 2:22 4:12,12

< M >mail 7:16 32:13man 25:19manager 11:17

20:12 29:22, 23March 34:7Mark 2:4 17:21 25:8Martin 2:5 5:19,22 15:16 18:12, 14,22 19:3 21:7, 16,19 22:6 33:4, 11,15 34:3, 10, 15, 20 35:18 36:20, 23 37:3, 8, 11, 19 38:10, 18 39:1, 10,20, 22, 23 40:10 43:2 44:10, 11 45:2, 15, 17, 21 46:5, 10 47:1, 5master 20:13McConaghy 2:6 17:1, 14 28:17, 21 36:1 38:21 39:13 44:6, 7, 23 45:3, 13,19 46:7, 9, 16, 21,23McWhorter 5:5mean 7:10 9:6 11:3 14:16 26:19 27:19 28:8 30:1 32:1 36:8means 48:10medical 22:19 23:10Medicare 7:14Medistat 5:1MEETING 1:8 3:19 16:17 21:4 25:7, 9, 11 26:4, 6 42:6 46:20meetings 25:11Member 2:7, 8MEMBERS 2:3 33:21met 20:6mike 6:5minute 40:23minutes 20:23 21:4, 15 22:3Mitzi 30:17Monday 8:3 11:18 41:20

money 17:16 29:19monitor 29:22monitoring 19:7 20:8month 7:8 22:19 23:7, 22 27:13 33:16 42:6monthly 22:12months 27:21 34:9Morgan 2:22 4:12morning 5:17 6:11,12mortal 29:10motion 5:18 15:10,12 21:3, 13 22:2 34:13 38:6, 11, 23 40:7, 17 43:19, 21 44:19 46:20move 5:19 18:10 34:15 39:2 44:21 45:15 46:5MPJ 9:21multiple 8:18

< N >NABP 24:7, 10, 13name 6:13 22:18 38:13named 39:4nationally 10:10, 11need 5:17 9:5 17:4, 22 19:16 20:23 27:17 28:23 32:17 33:9, 20 42:3 43:1 44:19needed 15:5 34:1,5needs 9:11 33:18neither 48:14net 17:6never 27:19 31:2 36:4, 6new 7:20, 21 26:5,9, 19 33:4 39:19,20 40:16 41:10night 41:14noises 32:20nonresident 14:14notice 32:14 41:23

number 17:4 19:5 27:20 45:8, 9, 9, 10,10, 11 46:2

< O >obstacle 42:14obviously 8:5o'clock 16:14 23:19 43:12office 24:6official 37:1Oh 30:7Okay 6:9 10:8, 21 15:7 16:16, 18 24:19 25:3, 5 26:23 27:9 32:8,20 34:23 36:16 39:9 41:21 42:4,22 47:6old 33:2, 3, 4 35:22 39:17older 26:11Omnicare 5:3once 10:18 17:2 20:15open 8:3 35:13 37:10opening 43:3operate 14:15operation 9:4operations 39:6opposed 27:5options 24:8order 3:18 7:16 8:2 12:4ordered 25:20orders 7:8, 10 9:2 11:5 12:20 19:5,21, 22 30:23 31:14,15outbound 8:22

p.m 8:4paper 30:17part 13:3 29:13parties 48:15patient 8:1, 9, 23 9:14

patients 7:9, 13, 14 8:15, 16Paul 3:4 4:22pay 17:16 28:12paying 29:20people 11:10 19:4,18 26:3 28:5 30:18 31:2, 3, 8, 14 32:22percent 7:9 10:11 30:20 31:1perfect 16:18perform 22:20permission 35:23permit 6:4, 16 10:1 14:20 15:13 33:8, 17, 20 34:1, 4,11, 16 36:5, 6 38:15 39:3 41:8permits 35:20person 35:2personally 20:6perspective 42:21pharmacist 7:22 8:5 9:4, 11 10:3,20 11:5, 19, 23 12:8 13:1, 6, 7 14:5 33:13 35:3, 4,17 36:13, 18 37:2,4, 5, 9, 13, 15, 16, 22 38:1, 4 39:5, 5, 7pharmacists 9:3 10:23 11:14 19:10,11, 12 27:4PHARMACY 1:2,18 3:19 4:6, 9, 11,13, 15, 17, 21, 23 5:6, 8, 10 6:4, 14,16, 21, 23 7:12, 15 8:8 9:23 11:17 14:20 15:1, 13 20:10 21:4, 14 33:16, 19 34:1, 4 35:3, 6, 22 36:2, 5,20 38:14 39:3phone 9:8, 10 31:22physically 38:3Physician 33:7

34:7, 18Physicians 38:13PIC 6:18 9:19, 20place 9:16 24:12placed 20:9places 32:4placing 20:16plan 35:2planning 24:5 25:12 35:4, 9Please 46:17pod 10:22 11:3 12:16, 18, 19point 29:1, 7 33:22portal 24:7position 33:18premises 36:13prescription 7:1, 22 9:2 14:1prescriptions 7:6,17, 21 13:12PRESENT 2:10 6:5 26:5 37:13 39:7 42:5presentation 19:14 33:17presented 40:3presenting 6:8presently 19:4 20:2President 2:4, 5 39:1, 21primarily 7:12print 7:5privacy 20:20probably 11:13 16:5 23:21 32:12problem 16:9 28:17 29:14proceed 33:22process 7:17 11:5 19:13 31:12processing 7:1 8:22procure 20:12Professional 2:12 20:10, 12professionalism 40:19professionals 19:8

20:16professional's 20:19proficient 8:23program 19:4proposal 33:15propose 34:11proposed 5:20 27:11provide 8:14providing 20:15Publix 5:11pull 31:8purpose 40:18put 32:18 42:3

< Q >question 25:13 26:18questions 6:23 15:10 18:5 25:14,23 26:2 27:4, 5, 7 42:20 48:9quick 8:10quite 23:17

< R >raffle 25:12, 13rate 31:2ratio 10:22, 23 11:6 12:2, 5, 6, 23 13:8, 9 14:17, 23ratios 14:21 15:4read 18:23 19:1 41:11, 14, 15ready 19:14 26:5really 8:13 13:20 23:23 26:1reason 15:4 19:13received 23:6recess 44:16reciprocity 6:18 9:21 15:21Recommendation 45:16, 17recommended 46:6refill 7:20registered 11:23registrants 40:21regular 23:2 36:5

relationship 7:3remember 33:17remote 8:22renew 32:19renewal 27:12, 21 30:5, 10renewals 27:11, 23Rengering 3:4 4:22, 22reorganized 27:1report 16:23 18:5,11, 19 20:21 22:10,12 23:12 32:9REPORTER 1:23 4:2 33:1 48:7representative 42:7representing 5:16represents 48:12reputation 40:20request 20:17requested 33:20require 12:5 33:13required 36:14requirement 40:4reside 8:20resident 14:2resolution 8:23 19:19respond 32:13responded 31:2response 38:16 39:18restate 38:11result 48:17retail 7:15 23:2retire 40:17returning 20:6, 8revenue 17:6review 7:2reviews 7:23rewrite 26:15rewritten 26:8, 10,12, 22Rhode 6:21 8:19 12:2Rick 2:20 4:8right 11:7 12:3, 21 13:10, 17 14:22 15:2 17:4, 14, 21 24:4 27:10 28:20

30:7 33:18 41:17 42:11 46:19rights 20:20Rogers 3:5 5:1, 1Ronda 3:9 5:5room 13:4routed 12:14row 3:23RPR 1:23 48:6, 21rule 14:21 15:3 41:9 42:23Rx 7:18 33:7 34:7, 19 38:13

< S >Salsbury 2:18 4:5,5 6:11, 13, 14, 19 9:9, 17, 20 10:2, 8,15, 21 11:12, 16 12:4, 13, 19 13:5, 9,19 14:3, 7, 12 15:7,19 16:4, 10, 15, 18,21Saturday 8:6saved 17:22saying 13:16 37:19says 14:21 15:3 20:5, 11scheduled 28:4School 5:6Scott 3:10 5:9screening 19:4screwed 29:11second 15:14 18:12 21:10, 12, 16,17 22:4 34:17, 21 37:14 39:8 40:6, 8,22 44:23 45:19 46:7, 21seconded 47:5Secretary 2:13 23:12section 30:19see 18:7 31:20, 22 32:2, 16 45:6seen 18:6 27:11segregate 12:10, 22send 24:10 32:3Senior 4:8sense 43:3

sent 31:13, 18 41:19separate 24:5, 6serve 7:12service 8:14, 16 36:6services 6:4, 16 15:13 33:16, 19 34:1, 4 38:15 39:3session 21:14 23:8 40:18 43:7 44:20,22set 15:3 20:13 24:5, 12settings 40:2seven 27:22seven-hour 42:13sheet 30:17SHELBY 48:4Sheri 1:23 48:6,20, 21ship 7:6shipping 7:13Shirley 2:16 5:7show 26:20showing 26:18shred 46:15side 22:22sign 20:7signed 19:5, 22 31:14signing 19:21single 29:23sir 10:15 22:11 23:11 40:15sit 6:10site 38:2, 3Sivaraman 3:2 4:18, 18Skype 42:10, 11, 12smoke 32:20smoothly 27:19sneak 32:21society 25:10software 27:12, 22somebody 17:11 29:7somebody's 28:10someone's 22:18somewhat 26:3

Sorry 3:20 11:3 19:2sort 19:17 31:12sound 15:5Source 34:19 38:14specifically 11:4, 6 12:7speed 18:4spend 35:10staff 19:17stand 6:9start 3:22 28:19 29:10starting 3:20STATE 1:2, 18 6:21 7:11 8:19 12:1 14:17 48:3statements 48:10states 8:18 10:22,23 11:6, 7 12:5, 7,23 13:8, 9state's 23:19stay 15:21 43:16stenotype 48:9Stephens 2:20 4:8,8stipulations 38:7store 7:4 9:13straightened 30:12Street 1:19strobe 32:20students 19:20, 21 23:15, 19stuff 23:8submitted 45:18suggest 28:1suggested 46:3summary 8:10Supermarkets 5:12supervised 12:8supervising 35:16 37:2, 3, 4, 16, 21 38:4 39:4, 5supervisor 11:22,22 36:21supposed 17:8 18:21sure 6:5 32:6, 18 41:3, 18 46:13

Susan 2:12, 19 4:7 6:4 16:6 18:18 23:13 28:21 32:11 39:14 40:14Susan's 29:20symbiotic 7:3system 12:14 32:18

< T >take 7:7, 19 29:8 33:18 46:14taken 29:20 44:16 48:8takes 17:19 23:1 27:20talk 41:9talking 37:12Tammie 3:3 4:20taper 23:23technically 7:16technician 27:21 31:3technicians 10:7, 9,12 11:1, 4, 13 12:6,23 13:3, 13, 14, 21 14:1, 5 19:16 30:14 32:12techs 19:15tell 4:1telling 29:19template 20:15templates 20:13ten 43:11terminology 37:1test 27:19tests 23:16Thank 15:8, 19 16:18, 20, 21, 22 18:9 20:22 23:9 32:8 44:14 46:18thereto 48:10thing 33:7things 13:16 42:23think 13:16 18:20 22:21 23:19 24:3 26:12 27:2 28:22 29:6, 14, 17 30:3,15 32:16 35:11, 18 36:12 37:11, 11

41:12 42:22 43:2thought 24:21threaten 30:4three 11:2 16:13 25:7, 9 29:15ticket 25:13Tim 2:5 19:1 20:22 33:2 42:22time 8:5 10:14 16:6, 11 23:1 26:10 27:7 29:17,20 30:1, 1, 2 41:11,15, 16, 23 42:4, 13,15 43:1times 36:19 37:7,14timey 35:22today 6:15 8:11,11 15:23 23:17, 18,21 24:1Todd 2:15 25:8told 27:12tomorrow 28:5topic 37:14topics 37:12total 22:15 29:4track 17:14Tracy 3:1 4:16traditional 40:3, 4transcribed 48:10transcript 48:13transcription 48:11transferred 26:6trash 29:16travel 35:10Treasurer 2:6treasurer's 16:23treatment 19:10, 16,20 20:1triaged 9:12tried 32:19true 48:12try 14:15 24:21Twenty 36:3Twenty-hour 36:1two 11:3, 4, 15, 16,21 12:6, 6, 16, 22 13:3, 13 14:5 19:9,11, 21 27:18, 21 29:15 30:21 34:9

35:10, 17 37:12, 16,22type 35:19

Uh-huh 14:3undecided 20:1understand 11:9 40:14understood 41:20untenable 28:8update 30:14updated 25:21use 7:14, 16 12:5 18:3 24:13, 14, 17,22user 26:14 27:2usual 3:22utilization 7:2

< V >valid 8:19 31:5value 8:17Vanderver 3:12 5:13, 13Vice 2:5Village 1:19violate 20:19violation 45:12vote 38:10 43:14 44:3, 5 45:12

< W >wait 26:11 41:10Walgreens 4:20, 23 36:14want 6:4, 10 15:10 24:16 29:4 30:13 32:3, 23 34:12 36:23 38:5, 6 41:3,10, 17 42:12 43:18wanted 22:20 25:3,21 28:5 41:12Ward 2:14 5:23 9:6, 15, 23 10:6, 13,17 11:9, 14 12:3, 9,11 14:18, 20, 23 15:3 28:12 29:17 31:10 32:9, 10 33:6, 23 34:8 35:8,

21 36:3, 16 38:2 40:22 41:3, 14, 17,21 42:1 43:7, 8, 18,22way 14:15 28:13 32:17 41:6ways 27:2website 25:15 26:5,9 31:8Wednesday 1:10weed 18:2week 7:8, 10 9:22 11:21 12:21weeks 27:20weird 14:9welcome 43:16Well 10:21 14:10,18, 20 25:18 26:15 33:6, 23Wellness 18:18, 19went 29:5we're 3:20, 22 8:11 14:16 17:2, 3,4, 6, 8, 11, 21 18:3 24:11 27:22 32:11,13, 15 37:12, 19, 20 43:2we've 17:22 18:1 22:15 23:6 25:20 27:1, 3, 14 31:21 32:5 33:6 44:4Whichever 24:20whistles 32:19wholesaler 23:3wise 17:20wish 33:22work 6:14, 22 11:4, 17 12:7, 23 19:9 20:7 21:14 31:19working 10:7, 13 19:18 20:2 29:16,22 30:18 31:20 32:2, 6workplace 20:2works 10:23 11:19,21 20:8worth 26:18 29:19write 25:13

< Y >y'all 3:20, 23 6:4 15:9 33:7, 9 34:2 36:7 44:14 45:12 46:13y'all's 30:2Yeah 10:19 13:18 14:12 16:1, 10, 15 19:1 28:14 33:11 34:10 36:10, 15 37:11 41:15, 19 42:14 43:10, 23 46:16year 17:6, 9, 10, 15,19 30:21, 22yesterday 19:22 30:17

< Z >zero 22:17

WORD LIST

< $ >$10,000 (1)$8,000 (1)

< 1 >1 (1)1,600 (1)1:30 (1)10:20 (2)108 (1)11 (1)11:00 (2)11:04 (1)11:07 (1)11:30 (2)111 (1)12 (2)130 (1)13-0638 (1)134 (1)14 (1)14-0033 (1)14-0038 (1)14-0040 (1)14-0047 (1)14-0048 (1)14-0050 (1)150 (1)16 (7)17 (1)

< 2 >2:30 (1)20 (4)2014 (8)24 (3)24-hour (2)

< 3 >3 (1)30 (1)300,000 (3)35242 (1)388 (1)

< 4 >4,500 (1)

439 (1)47 (1)

< 5 >5.5 (1)5:00 (2)

< 6 >6570 (1)680-X-2-.16 (1)

< 7 >795 (1)797 (1)

< 8 >8:00 (3)8:30 (1)

< 9 >9 (1)9:15 (1)9:53 (1)90 (1)95.8 (1)

< A >a.m (5)able (5)accept (3)access (3)ACCR (1)action (3)addendum (1)additional (1)address (1)addressed (1)adds (1)adjourn (2)adjourned (1)administration (1)adopt (2)Affairs (1)aftercare (1)afternoon (2)agenda (3)ago (1)agree (1)agreed (1)

ahead (5)ALABAMA (17)allow (2)ALSHP (2)alternatives (1)Alverson (29)amendment (1)Anne (5)answering (1)answers (3)Anybody (3)anyway (1)anywise (1)APA (5)APCI (1)APPEARANCES (1)applied (1)applies (1)apply (1)Appreciate (3)approve (8)approximately (1)April (8)area (3)areas (1)artificial (1)asked (5)asking (2)assigned (1)Association (2)Athens (1)attention (1)Attorney (1)Auburn (2)audit (1)authorizations (1)available (6)average (1)aware (1)Aye (60)

back (7)Bamberg (3)bank (1)bargaining (1)Barrington (1)Bart (2)

believe (5)bells (1)benefit (1)best (2)better (3)bills (1)bit (1)BOARD (21)Boopathy (2)booth (3)booths (1)B-O-Z-O (1)bozos (2)Bradford (3)bring (3)bringing (1)brochure (1)Brooks (1)Bruce (2)Buddy (2)build (1)building (3)Bunch (33)Burks (3)BUSINESS (11)buy (2)

< C >caduceus (2)call (13)called (1)calling (1)calls (9)capable (2)Caps (1)Cara (3)Care (2)case (1)cases (2)catch (1)categories (1)cause (1)CE (3)center (9)central (1)certain (1)CERTIFICATE (1)certification (1)certified (4)

certify (2)change (1)changing (1)character (1)charge (5)check (2)checks (1)Chief (1)choice (2)Christy (2)clean (2)close (2)closer (1)code (1)come (8)comes (2)coming (1)comment (1)communicate (1)communicated (1)community (1)companies (1)company (1)compare (1)competence (1)complaint (7)complaints (1)completed (4)compliance (1)compliant (2)computer (5)computer-aided (1)concerned (1)conditions (1)conducted (1)Connect (1)Connelly (4)Conradi (109)consent (3)consistent (1)consultant (1)contact (2)contacts (1)continue (2)contract (1)contracts (2)convenient (1)conversation (2)conversion (1)

cooperation (1)copies (1)copy (1)Correct (5)cost (1)counsel (1)counseling (2)count (1)County (2)court (4)covered (1)covers (1)curious (1)current (2)currently (5)customer (2)customers (1)CVS (8)CVS.com (3)cycle (3)

< D >Dan (5)Daniel (3)Darby (33)data (6)database (2)date (1)David (3)Davis (3)day (5)days (1)deadline (1)decide (1)decided (2)deferment (1)definition (1)DelMonico (20)deny (1)designated (4)designed (1)desktop (1)diagnostic (1)die (1)difference (1)different (4)direct (1)Director (1)disaster (1)

discuss (1)discussing (2)discussion (4)disposition (1)DMC (1)doctor (1)doing (4)doubling (1)download (1)DR (74)drop (1)Dropbox (1)drug (1)drugs (1)due (1)DURs (1)duty (1)

< E >easy (1)Eddie (2)education (1)eight (1)either (5)email (1)emergency (1)enforcement (1)engage (1)entered (1)entire (1)Europe (1)evaluation (1)everybody (5)everyone's (1)exactly (1)excuse (1)executive (5)expense (1)expenses (1)Expires (1)explain (3)extra (2)

< F >facilities (2)facility (11)facility-driven (1)failed (1)fairly (1)

fall (1)far (3)favor (16)Feagin (3)feel (3)field (1)figure (1)fill (1)filling (2)finally (2)financial (1)find (3)finding (1)fine (4)fined (1)finished (1)First (3)fiscal (2)fix (2)flight (2)focus (1)follow (1)following (1)foregoing (2)form (1)forth (1)four (3)Frederick (3)free (2)frequently (4)Friday (2)friendly (3)front (1)fulfillment (1)full (1)fully (1)function (1)functioning (1)functions (1)further (1)

< G >gained (1)Garmon (3)Garver (2)general (1)getting (3)girl (1)give (3)

gives (1)giving (2)glad (1)Glenn (1)GLS (1)go (21)goes (4)going (26)Good (5)grad (1)granted (2)granting (2)group (2)guess (3)

< H >half (2)halfway (1)hand (1)handful (1)happened (1)happens (1)hard (2)Harris (3)health (1)hear (3)heard (1)hearing (3)hearings (1)held (1)Henry (3)Henry's (1)HIPAA (1)hire (1)hold (5)holds (1)home (1)honored (1)Hoover (1)hoping (3)hospital (1)hours (12)house (1)housekeeping (1)Hunter (3)

idea (1)imagine (1)

immediately (1)implement (1)impose (1)inbound (1)include (2)includes (1)income (1)Incorporated (3)Indiana (2)Indianapolis (1)individual (2)individually (3)individuals (4)inform (1)information (3)inspection (2)inspections (2)Inspector (2)inspectors (3)inspector's (2)institutional (3)intent (1)interested (1)interrupt (3)interrupted (1)interview (6)interviews (1)introduce (1)investigated (1)involved (1)Island (3)issue (2)issues (1)Italy (1)item (1)items (2)

< J >January (1)Jason (2)Jim (1)Joe (2)Jones (9)Julie (2)June (1)

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Page 1 1

2 ALABAMA STATE BOARD OF PHARMACY 3

4

5

6

7

8 BUSINESS MEETING 9

10 Wednesday, May 14, 201411

12 9:15 a.m.13

14

15

16

17

18 LOCATION: Alabama State Board of Pharmacy19 111 Village Street20 Hoover, Alabama 3524221

22

23 REPORTER: Sheri G. Connelly, RPR

Page 2 1 APPEARANCES 2

3 BOARD MEMBERS: 4 Mark Conradi, President 5 Tim Martin, Vice President 6 Dan McConaghy, Treasurer 7 Buddy Bunch, Member 8 David Darby, Member 9

10 ALSO PRESENT:11 Henry Burks, Chief Inspector12 Susan Alverson, Director of Professional13 Affairs and Secretary14 Jim Ward, Board Attorney15 Todd Brooks16 Shirley Feagin17 Cara Leos18 Anne Salsbury19 Susan DelMonico20 Rick Stephens21 Christy Garmon22 Morgan Luker23 Louise Jones

Page 3 1 Tracy Davis 2 Boopathy Sivaraman 3 Tammie Koelz 4 Paul Rengering 5 Jason Rogers 6 Katie Bradford 7 Julie Hunter 8 Bruce Harris 9 Ronda Lacey10 Scott Daniel11 Bart Bamberg12 Eddie Vanderver13 Kyle Frederick14 David Barrington15

16 ***************************************17

18 MR. CONRADI: I'll call to order the19 May meeting of the Alabama Board of Pharmacy.20 Sorry we're starting so late. Appreciate y'all21 being here.22 As usual, we're going to start on the23 front row with Ms. Cara, if y'all will go down

Page 4 1 and introduce yourself and tell who you're with 2 loud enough for the court reporter to hear 3 you. 4 MS. LEOS: Cara Leos with ALSHP. 5 MS. SALSBURY: Anne Salsbury with 6 CVS.com Pharmacy. 7 MS. DELMONICO: Susan DelMonico, CVS. 8 MR. STEPHENS: Rick Stephens, Senior 9 Care Pharmacy.10 MS. GARMON: Christy Garmon, CVS11 Pharmacy.12 MS. LUKER: Morgan Luker, CVS13 Pharmacy.14 MS. JONES: Louise Jones, Alabama15 Pharmacy Association.16 MS. DAVIS: Tracy Davis, Alabama17 Pharmacy Association.18 MR. SIVARAMAN: Boopathy Sivaraman,19 Auburn grad.20 MS. KOELZ: Tammie Koelz, Walgreens21 Pharmacy.22 MR. RENGERING: Paul Rengering,23 Walgreens Pharmacy.



Page 5 1 MR. ROGERS: Jason Rogers, Medistat. 2 MS. BRADFORD: Katie Bradford, Auburn. 3 MS. HUNTER: Julie Hunter, Omnicare. 4 MR. HARRIS: Bruce Harris, APCI. 5 MS. LACEY: Ronda Lacey, McWhorter 6 School of Pharmacy. 7 MS. FEAGIN: Shirley Feagin, Board of 8 Pharmacy. 9 MR. DANIEL: Scott Daniel, Board of10 Pharmacy.11 MR. BAMBERG: Bart Bamberg, Publix12 Supermarkets.13 MR. VANDERVER: Eddie Vanderver, Caps,14 Incorporated.15 MR. FREDERICK: Kyle Frederick, not16 representing anyone.17 MR. CONRADI: Good morning. I need a18 motion to adopt the agenda.19 DR. MARTIN: I move we adopt the20 agenda as proposed.21 MR. CONRADI: All in favor?22 DR. MARTIN: Aye.23 MR. WARD: Aye.

Page 6 1 MR. DARBY: Aye. 2 MR. BUNCH: Aye. 3 MR. CONRADI: First up we have CVS 4 pharmacy services permit. Susan, do y'all want 5 to get up here and present? Make sure that mike 6 is on so everybody can hear you back there. 7 MS. DELMONICO: Anne is actually going 8 to be presenting. 9 MR. CONRADI: Okay. You can stand,10 you can sit, whatever you want to do.11 MS. SALSBURY: Good morning.12 MR. CONRADI: Good morning.13 MS. SALSBURY: As I said, my name is14 Anne Salsbury and I work for CVS.com Pharmacy15 and we actually are here today to apply for a16 pharmacy services permit for the facility.17 MS. DELMONICO: And Anne is also here18 for reciprocity to become the PIC.19 MS. SALSBURY: Yes. So just to20 explain exactly what we do, we are a community21 licensed pharmacy in the State of Rhode Island.22 We -- I actually work in the facility that does23 the pharmacy calls and questions. We do the

Page 7 1 prescription data processing where we are and we 2 do the drug utilization review. 3 Now, we have a symbiotic relationship 4 with CVS store 6570 in Indianapolis, Indiana. 5 They actually print the labels out. They fill 6 the prescriptions and they ship them to the 7 customers. We currently take approximately 8 4,500 calls a month. We do 1,600 orders a week. 9 One percent of those are patients from Alabama.10 That would mean 16 orders a week are coming back11 to the State of Alabama.12 We primarily serve CVS Pharmacy13 patients. We do free shipping, so we also do a14 lot of Medicare patients. Anybody can use us15 because we are a retail pharmacy, not16 technically mail order. We use one central17 database to process the prescriptions, which is18 Rx Connect.19 So my center, we take the doctor20 calls. We do refill authorizations, new21 prescriptions that come in. Any new22 prescription that comes in, the pharmacist23 reviews before it goes to data. We do the

Page 8 1 patient counseling and we do the customer 2 contacts for order issues. 3 We are open Monday through Friday from 4 8:00 a.m. until 11:00 p.m. and we do have a 5 pharmacist on obviously the entire time, 6 Saturday 8:30 to 5:00. If we have an emergency 7 after hours, they go to a -- the calls after 8 hours would go to a 24-hour CVS Pharmacy in the 9 area where the patient lives.10 So just as a quick summary as to why11 we are here today, we're here today because we12 are looking to license our facility with13 Alabama. We feel that we really would be a14 benefit to be able to provide this service to15 the patients in Alabama where convenient and we16 find that our service for a lot of patients adds17 a lot of value. Our facility is currently18 licensed in multiple states and holds a clean19 and valid license in the State of Rhode Island20 where we reside.21 So functions of the facility include22 inbound and outbound calls, remote processing,23 patient counseling, and proficient resolution of



Page 9 1 DURs. We do not do any fulfillment of the 2 prescription orders at our facility and we have 3 pharmacists available during all hours of 4 operation with access to a pharmacist available 5 24 hours a day if they need one. 6 MR. WARD: What does that mean 7 available, are they there or would that be by 8 phone? 9 MS. SALSBURY: No, that would be by10 phone. Now, if we have a customer who, you11 know, needs a pharmacist immediately, like I12 said, it would get -- the call would get triaged13 to a 24-hour CVS store in the area where the14 patient is.15 MR. WARD: Who's in charge of this16 place?17 MS. SALSBURY: Who's in charge of it?18 MS. DELMONICO: You're going to be the19 PIC.20 MS. SALSBURY: I will be the PIC. I'm21 here also for reciprocity. I took the MPJ last22 week.23 MR. WARD: Does the Indiana pharmacy,

Page 10 1 do they have a permit? 2 MS. SALSBURY: Yes, they do, that's -- 3 yes, and the pharmacist there is also -- has 4 applied for her Alabama license. And that's all 5 I have. 6 MR. WARD: How many -- how many 7 technicians do you have working there? 8 MS. SALSBURY: Okay. Currently I have 9 24 technicians, only one of them is not10 nationally certified so that gives us 95.811 percent certification -- nationally certified12 technicians.13 MR. WARD: They're all working at one14 time?15 MS. SALSBURY: No, sir, they are16 not.17 MR. WARD: What's the -- how many are18 there -- how many are there at once?19 MR. CONRADI: Yeah, how many per20 pharmacist?21 MS. SALSBURY: Okay. Well, we have22 certain -- in ratio states -- we have a pod that23 works ratio states. So we have 5.5 pharmacists

Page 11 1 and we have 24 technicians and if we have more 2 than the three to one, what we do is we actually 3 have a pod -- we have two -- I mean, I'm sorry, 4 two technicians that work specifically with one 5 pharmacist and they process the orders 6 specifically for the states that have ratio 7 states, so I have -- I'm right now -- I was 8 assigned -- 9 MR. WARD: Just so I understand,10 during the day how many -- how many people will11 be -- will be there during the day?12 MS. SALSBURY: On an average day, I13 probably have about 11 or 12 technicians on.14 MR. WARD: And how many pharmacists,15 two?16 MS. SALSBURY: No, no, it's two --17 myself and the other pharmacy manager work 8:0018 to 5:00 Monday through Friday. We have a19 pharmacist that works -- he comes in 11:30 to20 8:00 and then we have a 2:30 to 11:00 and then21 we have a girl that works two days a week and my22 supervisor -- direct supervisor is also a23 registered pharmacist.

Page 12 1 MS. DELMONICO: You know in the State 2 of Rhode Island there is no ratio so. 3 MR. WARD: Right. 4 MS. SALSBURY: So what we do in order 5 to -- the states that require a ratio, we use a 6 two to one ratio and we have two technicians 7 specifically that only work those states and 8 they are supervised by a pharmacist. 9 MR. WARD: So all --10 MS. DELMONICO: So segregate.11 MR. WARD: So all Alabama calls would12 go to them?13 MS. SALSBURY: Alabama calls are going14 to be routed -- yes, will be -- we have a system15 where they will be -- it's going to be by area16 code so they will go to the two -- the pod.17 MR. CONRADI: All those calls go to18 that pod?19 MS. SALSBURY: Yes, to the pod. That20 would be -- that's only -- it's 16 orders a21 week, so it's not -- so it -- right now it's22 very easy to segregate and just have my two23 technicians that work the ratio states and one



Page 13 1 pharmacist. 2 MR. BUNCH: So you just have -- you 3 just have two technicians here in this part of 4 the room? 5 MS. SALSBURY: Yes. 6 MR. BUNCH: And then one pharmacist -- 7 one pharmacist there with them, so how many 8 ratio states are there out there? 9 MS. SALSBURY: How many ratio states10 do we do right now?11 MR. BUNCH: I guess what I'm getting12 at is if you're only filling 16 prescriptions13 for Alabama, you've got two technicians that are14 just Alabama technicians.15 MR. CONRADI: They'll be doing other16 things too I think is what they're saying.17 MR. BUNCH: Right.18 MS. DELMONICO: Yeah.19 MS. SALSBURY: Yes, yes.20 MR. BUNCH: So really you've got more21 technicians --22 MR. CONRADI: You've got 12.23 MR. BUNCH: You've got more

Page 14 1 technicians, so if you're filling a prescription 2 for an Alabama resident. 3 MS. SALSBURY: Uh-huh. 4 MR. BUNCH: And you've only got these 5 two technicians doing that with one pharmacist 6 there. 7 MS. SALSBURY: Yes. 8 MR. BUNCH: That seems logistically 9 weird.10 MS. DELMONICO: Well, that's what we11 have to do.12 MS. SALSBURY: Yeah.13 MS. DELMONICO: We have to have a14 nonresident license and that's what -- you know,15 that's the way we try to operate it so you can16 be compliant. I mean, we're in compliance in17 our state because we have no ratio there.18 MR. WARD: Well, the --19 MS. DELMONICO: No, I know --20 MR. WARD: Well, the pharmacy permit21 rule says that the Board may impose ratios.22 MS. DELMONICO: Right.23 MR. WARD: The ratio applies to the

Page 15 1 pharmacy where there's actually drugs. 2 MS. DELMONICO: Right. 3 MR. WARD: The rule says they can set 4 ratios if they like and that's the only reason I 5 was asking. It doesn't sound like it's needed 6 to me. 7 MS. SALSBURY: No, okay. 8 MS. DELMONICO: Thank you. 9 MR. CONRADI: Do y'all have any other10 questions? Anybody want to make a motion to11 approve it?12 MR. DARBY: I make a motion we approve13 the pharmacy services permit for CVS.com.14 MR. BUNCH: I'll second.15 MR. CONRADI: All in favor?16 DR. MARTIN: Aye.17 MR. CONRADI: Aye.18 MR. DARBY: Aye.19 MS. SALSBURY: Thank you.20 MS. DELMONICO: Now, on the21 reciprocity, do we have to stay for that too?22 MR. CONRADI: Are you on the interview23 list for today?

Page 16 1 MS. DELMONICO: Yeah. 2 MR. CONRADI: Are you on the interview 3 list? 4 MS. SALSBURY: Yes, but I -- when I -- 5 when I called, they said that I probably could 6 do it at the same time so that Susan and I can 7 catch a flight. 8 MS. DELMONICO: If we can't, it's no 9 problem.10 MS. SALSBURY: Yeah.11 MR. CONRADI: What time is your12 flight?13 MS. DELMONICO: We have it for three14 o'clock.15 MS. SALSBURY: Yeah.16 MR. CONRADI: Okay. How about we'll17 get you after the business meeting?18 MS. SALSBURY: Okay, perfect. Thank19 you.20 MS. DELMONICO: Thank you.21 MS. SALSBURY: Thank you very much.22 MR. CONRADI: Thank you. Dan, do you23 have a treasurer's report?



Page 17 1 MR. MCCONAGHY: Not much of one. 2 We're -- once again, when you focus in on the 3 expenses, we're almost -- it looks artificial 4 that we're right on the number where we need to 5 be as far as during the cycle of our fiscal 6 year, and if you look at the net revenue, we're 7 about 300,000 down on that, which is actually 8 about where we're supposed to be in this -- this 9 year where we have less income than we do the10 following year. So it's kind of hard for11 somebody in business to say we're losing 300,00012 and that's good but it's --13 MR. CONRADI: It's only 300,000.14 MR. MCCONAGHY: It's right on track to15 where -- by the end of this fiscal year, we will16 still have money in the bank to pay the bills17 and then the next cycle goes and we actually18 will build up and have a little extra in there19 that takes care of this off year but if you --20 expense wise, when you -- if you go down the21 line and compare that, we're right on the mark22 where we need to be and we've actually saved23 some on some of the areas that -- that in the

Page 18 1 past have cost us $8,000 or $10,000, we've been 2 able to weed out some of those items that we no 3 longer use now that we're in this building and 4 functioning full speed on that. So it's -- it's 5 a good report and any questions about any of the 6 items on there that if anybody has seen anything 7 that I didn't see that looks out of hand there, 8 I'll be glad to look at. 9 MR. CONRADI: Thank you, Dan.10 MR. DARBY: I move we accept the11 financial report.12 DR. MARTIN: Second.13 MR. CONRADI: All in favor?14 DR. MARTIN: Aye.15 MR. DARBY: Aye.16 MR. CONRADI: Aye.17 MR. BUNCH: Aye.18 MR. CONRADI: Wellness -- Susan, are19 you doing the wellness report?20 DR. ALVERSON: I didn't think I was21 supposed to. It's in the Dropbox.22 DR. MARTIN: Would you like for me to23 read it in?

Page 19 1 MR. CONRADI: Yeah, read it in, Tim. 2 I'm sorry, I haven't got it up. 3 DR. MARTIN: That's fine. There are 4 presently 134 people in our screening program 5 with signed contracts or orders. This number 6 includes any individuals with a DMC, that's a 7 diagnostic monitoring contract, but it does not 8 include any of the professionals listed below. 9 Under current work there are two10 pharmacists currently in treatment. There are11 two pharmacists in a halfway house. There are12 16 pharmacists that are either being held out13 for some reason or in the process of being14 investigated or made ready for presentation to15 the Board. Currently there are no techs in16 treatment. There are four technicians who need17 disposition of some sort and the staff is aware18 of these people and they are working with them19 to bring the resolution for each case.20 There are no students in treatment.21 There are two students signing orders --22 actually signed orders yesterday at the23 hearings. All of these individuals who are in

Page 20 1 treatment or in evaluation or undecided are 2 presently working -- out of the workplace and 3 without a license. There are 47 individuals in 4 a facility-driven aftercare. 5 Dr. Garver says that they have 6 personally met with all licensees returning to 7 work to sign contracts and explain how 8 monitoring works. All returning licensees have 9 been placed in a caduceus and -- excuse me,10 either pharmacy or a health professional11 caduceus. Dr. Garver says he has finally been12 able to procure a professional database manager13 to set up templates for them to have a master14 list of the individuals and he will begin15 providing the template once it's designed and16 placing the professionals on the list as we go17 along and I believe that was a request of the18 Board that he make that information available to19 us. This will not violate the professional's20 privacy rights and will be HIPAA compliant and21 that's the end of the report.22 MR. CONRADI: Thank you, Tim. Board23 minutes we need to approve from last -- from



Page 21 1 April. May have to -- we have to do these 2 individually. 3 MR. DARBY: I make a motion we approve 4 the Board of Pharmacy meeting minutes from April 5 16. 6 MR. CONRADI: All in favor? 7 DR. MARTIN: Aye. 8 MR. BUNCH: Aye. 9 MR. DARBY: Aye.10 MR. CONRADI: Did you second that,11 Buddy?12 MR. BUNCH: I second that.13 MR. DARBY: Make a motion that we14 approve the Board of Pharmacy work session15 minutes from April 16.16 DR. MARTIN: Second.17 MR. BUNCH: Second.18 MR. CONRADI: All in favor?19 DR. MARTIN: Aye.20 MR. DARBY: Aye.21 MR. BUNCH: Aye.22 MR. CONRADI: Aye.23 One more, David, interview.

Page 22 1 MR. DARBY: Interview -- they're not 2 on here. I make a motion we approve the 3 interview minutes from April 16, 2014. 4 MR. BUNCH: Second. 5 MR. CONRADI: All in favor? 6 DR. MARTIN: Aye. 7 MR. DARBY: Aye. 8 MR. BUNCH: Aye. 9 MR. CONRADI: Henry, have you got an10 inspector's report?11 MR. BURKS: Yes, sir. Going over the12 monthly enforcement report for April of 2014,13 there were 108 inspections that were completed14 and for the -- from January 1 through the end of15 April 2014, we've completed a total of 388.16 Now, on some of these if you'll look, I know on17 some of these categories, it may have a zero by18 someone's name. That's because they were out on19 medical leave during this month and weren't able20 to perform any. I just wanted to let you know.21 Also, if you think some of these look a little22 bit low on the inspector's side, a lot of these23 are because they were doing the 797 or 795

Page 23 1 inspections, which takes a lot more time than it 2 does your regular retail inspection or your 3 wholesaler inspection and so we have a lot of 4 those that were completed. 5 On the complaints for April 2014, 6 we've received 20 and we have completed 17 in 7 the month of April 2014. And then I do have 8 stuff for executive session for you. 9 MR. CONRADI: Thank you, Henry. Is10 everybody back yet from medical leave?11 MR. BURKS: Yes, sir.12 MR. CONRADI: Secretary report,13 Ms. Susan.14 DR. ALVERSON: Yes, because the Board15 was kind enough to agree that students could16 interview before they took their tests, you're17 going to have quite a group today, so there will18 be interviews today at 11:30, 1:30, and 319 o'clock but I think half of the state's students20 who are looking for licenses will be done by the21 end of the day today. There will probably be a22 fairly large group next month and then it will23 really taper off.

Page 24 1 MR. CONRADI: What do we have today, 2 about 150? 3 DR. ALVERSON: I think maybe about 130 4 would be closer to it, all right. 5 We are planning to set up a separate 6 office and a separate computer that we can 7 access the portal for NABP because there will 8 be -- there are options for us to download 9 information. There's information that we have10 to send to NABP. We do have an extra laptop in11 the building. We're not going to have to buy12 anything but we would like to set up one place13 where we will use for access to NABP and14 everybody could use that computer rather than15 have it on everyone's computer.16 MR. CONRADI: Why would you want to17 use a laptop instead of getting a desktop?18 DR. ALVERSON: Because we had one.19 MR. CONRADI: Okay.20 DR. ALVERSON: Whichever computer we21 have in the building we thought we would try to22 make use of what we had rather than go out and23 buy another one.



Page 25 1 MR. CONRADI: That's fine. I was just 2 curious. 3 DR. ALVERSON: Okay. I wanted you to 4 know who was going to APA and ALSHP. 5 MR. CONRADI: Okay. 6 DR. ALVERSON: Henry's going to both. 7 I'm going to both. To the APA meeting, three 8 inspectors are going -- Mark, Todd, and Glenn 9 are going to the APA meeting. The other three10 inspectors are going to the hospital society11 meeting. We will have a booth at both meetings.12 I'm planning to have something to raffle off and13 you get a raffle ticket if you write a question14 for frequently asked questions for our15 website.16 MR. CONRADI: What will we have in the17 booth?18 DR. ALVERSON: Well, there will be19 four of us there that are going to man the20 booths. We've ordered copies of the law to be21 available if someone wanted an updated copy of22 the law. We have a brochure that covers23 frequently asked questions, which will also be

Page 26 1 available in the booth and we are really hoping 2 that with the frequently asked questions, we 3 could engage people in conversation somewhat. 4 For the APA meeting, I would like to 5 present our new website to have that ready to go 6 for the APA meeting. We will have transferred 7 everything over. Everything will not have been 8 rewritten yet but we had to make a choice, 9 either we go with the new website with what will10 be rewritten at that time and bring some of the11 older data over or wait longer until everything12 has been rewritten and I think we -- it would be13 a better choice to go ahead, implement it, it14 will be more user friendly, and we'll continue15 to rewrite as we go. Did I explain that well16 enough?17 MR. CONRADI: I guess I have a18 question: Is it going to be worth showing if19 it's not anything new? I mean, what are we20 going to show?21 DR. ALVERSON: There will be a lot --22 there's a lot that's been rewritten.23 MR. CONRADI: Okay.

Page 27 1 DR. ALVERSON: I -- we've reorganized 2 it in ways that I think are much more user 3 friendly and we've done a lot on frequently 4 asked questions, so I'm hoping pharmacists will 5 be able to find answers to questions as opposed 6 to calling here to look for answers to 7 questions, which I'm hoping will free up time 8 for everybody, so that's my intent. 9 MR. CONRADI: Okay.10 DR. ALVERSON: All right. For11 renewals, we still have not seen the proposed12 renewal software from GLS and I believe I told13 you that last month.14 MR. CONRADI: We've got to give them a15 deadline so we have that at least by the end of16 June.17 DR. ALVERSON: I feel we need it now,18 at least one or two of them because we have to19 test it and I mean, it never goes smoothly. It20 always takes a number of weeks to fix something.21 It took two months to fix the technician renewal22 software and we're going to have seven or eight23 renewals come fall.

Page 28 1 MR. BUNCH: What do you suggest us do, 2 get Joe involved again or -- 3 DR. ALVERSON: I've communicated with 4 Joe recently. I have a call scheduled for 5 tomorrow but I wanted to call one of the people 6 at -- we have a contact with in administration 7 this afternoon to say, you know, this is just 8 untenable. I mean, we can't -- we can't 9 function like this.10 MR. BUNCH: Get somebody's11 attention.12 MR. WARD: Don't pay them. That's the13 best way.14 MR. BUNCH: Yeah. Dan, hold the15 check.16 DR. ALVERSON: Hold the check.17 MR. MCCONAGHY: No problem.18 DR. ALVERSON: I will inform them this19 afternoon that we are going to start to hold20 checks if that's all right with you.21 MR. MCCONAGHY: Susan and I -- I know22 I've had the conversation with her, but I think23 we need to continue to look at alternatives to



Page 29 1 them because it's just -- at this point, it 2 should be getting better as far as how the 3 cooperation goes and all and I know we don't 4 want to look at having to do another total 5 conversion like we just went through but if it 6 doesn't get better, then I think your best 7 bargaining point is to have somebody else lined 8 up to take it over. 9 MR. BUNCH: And that might even be10 mortal disaster if you start -- this one is11 screwed up and then you get another company in12 here.13 MR. CONRADI: That's what part of the14 problem was on this. I think all of the data15 has been two or three different companies16 working on it and it had a lot of trash in it.17 MR. WARD: I think the next time you18 do this, you hire a consultant, someone to come19 in -- it's worth the money. No telling how many20 hours of Susan's time it's taken. You're paying21 a lawyer -- just to have someone here who is22 working for us as our manager -- as our monitor23 and manager. This happens to us every single

Page 30 1 time. How much time have you -- I mean, all of 2 y'all's time. 3 DR. ALVERSON: But I think we -- 4 whether we threaten or not, I don't feel we 5 should make a change until after this renewal 6 cycle. 7 MR. CONRADI: Oh, we can't right 8 now. 9 DR. ALVERSON: Because we have to get10 all of the renewal data in so we have everything11 up to date, at least our data is -- is12 straightened out so.13 MR. CONRADI: Do you want to give us14 an update on the CE audit of technicians? I15 think you're finally finished with it.16 DR. ALVERSON: Yes, we did, and I gave17 you a sheet of paper yesterday. Mitzi has been18 working very hard. Over half of the people had19 their CE. We had another section, maybe close20 to 20 percent, who had their hours but maybe21 they were four in one year and two in the other22 year and we agreed to do a deferment on their23 consent orders, so that has been done on about

Page 31 1 another 20 percent. I believe we had about 90 2 people who just never responded and at the rate 3 people drop out of the technician field, I 4 imagine that's what's happened, so their 5 licenses will no longer be -- be valid but we 6 have -- 7 MR. CONRADI: Has that been entered on 8 the website so people can pull it up and they 9 know they --10 MR. WARD: You can't do that. You've11 got to -- you can't just deny it without giving12 some sort of due process first.13 DR. ALVERSON: So we have sent consent14 orders on everybody and some people have signed15 consent orders and are doubling their CE and16 they'll be fined but others we just haven't17 heard from.18 MR. CONRADI: Have we sent the19 inspectors out to where their last known work to20 see if they're working?21 DR. ALVERSON: No, no, we've made22 phone calls to see if they're there but I23 didn't --

Page 32 1 MR. CONRADI: That's what I mean to 2 see if they're still working. 3 DR. ALVERSON: -- want to send an 4 inspector out to each one of those places. 5 MR. CONRADI: As long as we've made 6 contact to make sure they're not working. 7 DR. ALVERSON: We have. 8 MR. CONRADI: Okay. Thank you. 9 Mr. Ward, have you got a report?10 MR. WARD: No, nothing other than what11 Susan just covered. We're going to have12 probably a handful of technicians who did not13 respond. Their certified mail came back. We're14 going to go ahead and notice them anyway because15 that's the last address we have. We're going to16 call and see if we can find them. I think that17 will be fine to do it that way. We need to be18 sure to put something in our system that if they19 tried to renew, that bells and whistles and20 noises and smoke and strobe lights go off, okay,21 so they don't sneak on through if those bozos22 who are our computer people can figure out how23 to do that. You can say bozos if you want.



Page 33 1 COURT REPORTER: I got it -- B-O-Z-O. 2 MR. CONRADI: Any old business? Tim, 3 have you got some old business? 4 DR. MARTIN: I don't have old or new 5 either one. 6 MR. WARD: Well, we've got that 7 Physician RX thing, whether y'all are going to 8 give them a permit or not -- the Limestone 9 County, the call center, y'all need to decide on10 that.11 DR. MARTIN: Yeah.12 MR. CONRADI: Whether or not it's13 going to require a pharmacist to be there and14 all of that.15 DR. MARTIN: We had a proposal last16 month, I believe it was, for a pharmacy services17 permit. Presentation was made if I remember18 right and the Board needs to take a position on19 granting or not granting the pharmacy services20 permit as requested and there may need to be21 some discussion among the Board members at this22 point on how they wish to proceed.23 MR. WARD: Well, the issue was whether

Page 34 1 or not a pharmacy services permit was needed and 2 y'all decided that it was. 3 DR. MARTIN: Correct, and we decided 4 that a pharmacy services permit would be 5 needed. 6 MR. CONRADI: Was that on that 7 Physician RX call center that was in March? 8 MR. WARD: Yes, yes. 9 MR. DARBY: Two months ago.10 DR. MARTIN: Yeah. So if there --11 I'll go ahead and propose that the permit be12 granted and I guess you may want that in the13 form of a motion.14 MR. CONRADI: We will.15 DR. MARTIN: So I will move that the16 permit be granted and follow up with discussion17 if we get a second.18 MR. CONRADI: And that's on Physician19 RX Source, Incorporated, call center.20 DR. MARTIN: That's correct.21 MR. DARBY: I'll second it so we can22 have a discussion.23 MR. CONRADI: Okay. Any discussion?

Page 35 1 DR. ALVERSON: I'd like to comment. I 2 believe their plan is the person who is the 3 pharmacist in charge at the pharmacy is also 4 planning to be the pharmacist in charge at the 5 call center. 6 MR. CONRADI: The pharmacy was in 7 Athens? 8 MR. WARD: Yes. 9 DR. ALVERSON: She's planning to10 travel back and forth between the two and spend11 20 hours at the call center and I think --12 MR. CONRADI: Is that all the call13 center would be open, just when he's there?14 DR. ALVERSON: I have no idea how many15 hours.16 MR. DARBY: Can she be the supervising17 pharmacist at two locations?18 DR. MARTIN: I don't think so.19 MR. DARBY: I know it's different type20 of permits.21 MR. WARD: You can't for a -- you22 can't for a old timey pharmacy unless you get23 permission.

Page 36 1 MR. MCCONAGHY: Twenty-hour 2 pharmacy. 3 MR. WARD: Twenty hours, yes, but if 4 you've never addressed whether you can be at one 5 with a regular permit and one with a pharmacy 6 service permit, that's never been -- been an 7 issue for y'all. 8 MR. CONRADI: I mean, they're not even 9 close to each other.10 MR. DARBY: Yeah, I would not be in11 favor of that.12 MR. CONRADI: I think they have to13 have a pharmacist on premises to do that.14 That's what we required Walgreens to do.15 MR. DARBY: Yeah.16 MR. WARD: Okay.17 MR. CONRADI: So we approve it with18 that addendum to it, they must have a pharmacist19 in charge on duty at all times.20 DR. MARTIN: A designated pharmacy21 supervisor.22 MR. CONRADI: In the facility.23 DR. MARTIN: We want to -- what's the



Page 37 1 official terminology, Dan? 2 MR. DARBY: Supervising pharmacist. 3 DR. MARTIN: The supervising 4 pharmacist can only be the supervising 5 pharmacist of one facility and not both. 6 MR. CONRADI: They would have to have 7 one in that facility at all times. 8 DR. MARTIN: Correct. 9 MR. CONRADI: A pharmacist while10 they're open in the call center.11 DR. MARTIN: Yeah, I think -- I think12 we're talking about two different topics. One13 is should there be a pharmacist present at all14 times and the second topic is whether they can15 have designated -- a pharmacist designated as a16 supervising pharmacist for two different17 facilities.18 MR. CONRADI: No.19 DR. MARTIN: So we're saying that20 they -- we're not in favor of them having an21 individual designated as a supervising22 pharmacist for two facilities.23 MR. DARBY: That's correct and then --

Page 38 1 and then they also have to have a pharmacist -- 2 MR. WARD: On site. 3 MR. DARBY: -- physically on site, who 4 may or may not be the supervising pharmacist. 5 MR. BUNCH: Do we want to let that 6 motion die or do we want to go ahead and approve 7 it with those stipulations? 8 MR. CONRADI: We could do a friendly 9 amendment to it.10 DR. MARTIN: Let's go ahead and vote11 down the current motion and I'll restate it.12 MR. CONRADI: All in favor of giving13 the -- the name of it is the Physicians RX14 Source, Incorporated, call center a pharmacy15 services permit, say aye.16 (No response.)17 MR. CONRADI: All against?18 DR. MARTIN: Aye.19 MR. CONRADI: Aye.20 MR. DARBY: Aye.21 MR. MCCONAGHY: Aye.22 MR. BUNCH: Aye.23 MR. CONRADI: Motion failed.

Page 39 1 DR. MARTIN: Mr. President, I'd like 2 to move that we allow that facility to have a 3 pharmacy services permit with the conditions 4 that the individual named as the supervising 5 pharmacist be the supervising pharmacist of only 6 one facility and that during operations there be 7 a pharmacist present. 8 MR. DARBY: I'll second that. 9 MR. CONRADI: Okay. All in favor?10 DR. MARTIN: Aye.11 MR. DARBY: Aye.12 MR. BUNCH: Aye.13 MR. MCCONAGHY: Aye.14 MR. CONRADI: Aye. Susan, will you15 communicate that to them?16 DR. ALVERSON: Yes, I will.17 MR. CONRADI: Any other old business?18 (No response.)19 MR. CONRADI: Any new business?20 DR. MARTIN: I have one item of new21 business, Mr. President.22 MR. CONRADI: Dr. Martin.23 DR. MARTIN: I'm going to ask the

Page 40 1 Board to allow hours gained in institutional 2 settings that are consistent with the definition 3 of traditional hours as presented in 680-X-2-.16 4 be honored as a requirement for traditional 5 hours. 6 MR. CONRADI: Do I hear a second on 7 that motion? 8 MR. BUNCH: Second. 9 MR. CONRADI: All in favor?10 DR. MARTIN: Aye.11 MR. BUNCH: Aye.12 MR. DARBY: Aye.13 MR. CONRADI: Aye.14 Do you understand that, Ms. Susan?15 DR. ALVERSON: Yes, sir.16 MR. CONRADI: Any other new business?17 I'd like to make a motion we retire18 into executive session for the purpose of19 discussing the professionalism, competence,20 general reputation, and character of licensees21 and registrants of the Board.22 MR. WARD: Hold on a second. Hold on23 one minute.



Page 41 1 MR. CONRADI: You always have to 2 interrupt me. 3 MR. WARD: I just want to make sure 4 because you'll say if I didn't interrupt you, 5 you'll ask me later why I didn't, so I lose 6 either way. 7 We got an email from Louise about 8 changing institutional permit -- institutional 9 rule. Are we going to talk about that, so do we10 want to do that as new business or wait until11 next time? I just read it.12 MR. CONRADI: I think we wanted to13 discuss it --14 MR. WARD: I just read it last night.15 MR. CONRADI: Yeah, have time to read16 it and bring it up next time.17 MR. WARD: All right. I just want to18 make sure --19 MS. JONES: Yeah, I sent it to you20 late Monday and I fully understood --21 MR. WARD: Okay.22 MS. JONES: -- that it was late23 notice. I wasn't asking for this time.

Page 42 1 MR. WARD: And I looked it over and it 2 looks, at least from my -- legally it looks fine 3 to me but -- so we need to put it on the agenda 4 for the next time, okay. 5 MS. JONES: And I will not be present 6 at the Board meeting next month, but we will 7 have a representative here that's capable of 8 discussing that. 9 MR. CONRADI: Why can't you come back10 from Italy and be here? At least Skype in --11 you can Skype in right here.12 MS. JONES: You want to Skype me in13 from Europe, seven-hour time difference, so14 that's the first obstacle, so yeah.15 MR. CONRADI: You'll be here on time16 then.17 MS. JONES: Maybe.18 MR. BUNCH: Don't count on it.19 MS. JONES: But I'll have someone here20 that's capable of answering any questions from21 our perspective on that.22 MR. CONRADI: Okay. I think Tim said23 we'll have some other things with that rule we

Page 43 1 need to clean up at the same time, so. 2 DR. MARTIN: I think while we're 3 opening it up it makes sense to do a little 4 additional housekeeping in that one. We 5 appreciate you bringing that to the Board. 6 MR. CONRADI: Now can we go into 7 executive session, Mr. Ward? 8 MR. WARD: Yes, you may as far as I'm 9 concerned. We could have done it before that10 but you would have asked my why -- yeah.11 MR. CONRADI: We will go in at ten12 o'clock and come out at 10:20 to go over some13 cases from the Board and after 10:20 we will14 vote on those cases and then adjourn. No more15 business will be conducted after that. You're16 welcome to stay, can come back or -- we17 appreciate you being here.18 MR. WARD: Do you want me to interrupt19 you to make a motion?20 MR. CONRADI: I done made the21 motion.22 MR. WARD: No, you didn't.23 MR. CONRADI: Yeah, you did. You

Page 44 1 interrupted me. 2 MR. BUNCH: We have to individually 3 vote. 4 MR. CONRADI: We've got to 5 individually vote on it. All in favor, 6 Mr. McConaghy? 7 MR. MCCONAGHY: Aye. 8 MR. CONRADI: Mr. Darby? 9 MR. DARBY: Aye.10 MR. CONRADI: Dr. Martin?11 DR. MARTIN: Aye.12 MR. CONRADI: Aye.13 MR. BUNCH: And aye.14 MR. CONRADI: Thank y'all.15

16 (Whereupon, a recess was taken from17 9:53 a.m. to 11:04 a.m.)18

19 MR. CONRADI: I need a motion to come20 out of executive session.21 MR. DARBY: I move we come out of22 executive session.23 MR. MCCONAGHY: Second.



Page 45 1 THE COURT: All in favor? 2 DR. MARTIN: Aye. 3 MR. MCCONAGHY: Aye. 4 MR. DARBY: Aye. 5 MR. BUNCH: Aye. 6 MR. CONRADI: Let me see if I can get 7 all of these together. 8 On complaint number 13-0638, complaint 9 number 14-0033, complaint number 14-0038,10 complaint number 14-0047, complaint number11 14-0048, complaint number 14-0050, I have a12 finding of no violation. How do y'all vote?13 MR. MCCONAGHY: Aye.14 MR. DARBY: Aye.15 DR. MARTIN: I move we accept the --16 MR. CONRADI: Recommendation.17 DR. MARTIN: -- recommendation as18 submitted.19 MR. MCCONAGHY: Second.20 MR. CONRADI: All in favor?21 DR. MARTIN: Aye.22 MR. DARBY: Aye.23 MR. CONRADI: Aye.

Page 46 1 MR. BUNCH: Aye. 2 MR. CONRADI: Complaint number 3 14-0040, suggested action, letter of 4 education. 5 DR. MARTIN: I move we accept the 6 recommended action. 7 MR. MCCONAGHY: Second. 8 MR. CONRADI: All in favor? 9 MR. MCCONAGHY: Aye.10 DR. MARTIN: Aye.11 MR. DARBY: Aye.12 MR. CONRADI: Aye.13 Y'all be sure and not leave these14 laying around. If you don't take them home,15 shred them.16 MR. MCCONAGHY: Yeah.17 MR. CONRADI: Please.18 DR. ALVERSON: Thank you.19 MR. CONRADI: All right. I make a20 motion we adjourn the May 2014 meeting.21 MR. MCCONAGHY: Second.22 MR. CONRADI: All in favor?23 MR. MCCONAGHY: Aye.

Page 47 1 DR. MARTIN: Aye. 2 MR. DARBY: Aye. 3 MR. CONRADI: Aye. 4 MR. BUNCH: Aye. 5 DR. MARTIN: I seconded that. 6 MR. CONRADI: Okay. 7

8 (Whereupon, the hearing was adjourned 9 at 11:07 a.m.)10

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Page 48 1 CERTIFICATE 2

3 STATE OF ALABAMA 4 SHELBY COUNTY 5

6 I, Sheri G. Connelly, RPR, Certified 7 Court Reporter, hereby certify that the above 8 and foregoing hearing was taken down by me in 9 stenotype and the questions, answers, and10 statements thereto were transcribed by means of11 computer-aided transcription and that the12 foregoing represents a true and correct13 transcript of the said hearing.14 I further certify that I am neither of15 counsel, nor of kin to the parties to the16 action, nor am I in anywise interested in the17 result of said cause.18

19

20 /s/ Sheri G. Connelly21 SHERI G. CONNELLY, RPR22 ACCR No. 439, Expires 9/30/201423

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