PracaSil-Plus (PCCA #30-4655) is designed for scars or any skin conditions that would benefit from barrier protection. Made with oil derived from the seeds of the Amazonian Pracaxi tree, PracaSil-Plus is a unique silicone base that can be used alone or with active ingredients to smooth, soothe, and soften skin. This innovative new base can make a dramatic difference for patients with scarring and other skin conditions.

The efficacy of PracaSil-Plus in scar therapy treatment was evaluated by visual and instrumental methods, in an eight-week randomized, double-blind, controlled pilot trial conducted by International Research Services, Inc. The evaluations were conducted at week zero (baseline) and at week eight. In this pilot trial, the subjects’ scars were visually graded globally for scar length, scar color intensity, and scar texture/smoothness before application of product and at week eight of application of product. The study found that PracaSil-Plus improved scar length, color and texture.

PCCA Members have reported impressive results for several patients using PracaSil-Plus:

Case Description: A 5-month-old infant was severely scalded with a liquid on the face resulting in a major second degree burn. Following the incident, PracaSil-Plus was advised to be applied twice daily, in addition to a sterile bacitracin ointment. After eight days, there was a considerable progress of the infant’s facial burn, as shown in the figures above.

Pharmacist Report: “Eight days after the treatment, the father came back to my pharmacy with the baby and my staff was about to cry. The father was absolutely blown away with the results and we were, too.” – PCCA Member Mark Binkley, RPh, Health & Wellness Compounding Pharmacy, Nashville, Tenn.

For more information and to download the case studies and technical report, please go to www.pccarx.com/pracasil.

Senate to Return September 9, Status of S.959 Even though proponents of Senate Bill 959 (legislation relating to compounding) pushed for consideration of the legislation a week before the recess, the bill was delayed and will be voted on sometime after they return September 9. However, that may not happen until after any debates over possible actions in Syria.

Thank you to all who made calls and sent emails to your Senators and encouraged your patients, co-workers and practitioners to do the same. We believe that the combined proactive efforts of our compounding pharmacist members, associations and PCCA – the only supplier actively engaged in this debate, dating back all the way to January – have made a difference. But our job is not over yet.

PCCA is committed to continuing to support and protect independent pharmacists and their ability to make a difference in patients’ lives just as we have done over the past 30+ years. As the Senate and House resume their work, we’ll continue to provide you with updates and timely tools to make your voice heard as well as announce new initiatives to strengthen our industry.

UTSPE K

APOTHAGRAM®

T A B L E O F C O N T E N T S

S E P T E M B E R 2 0 1 3

Pharmacist of the Month

Technician of the Month

MarketerSpotlight

FormulaSpotlight

Consultant’s Corner

Call for Speaker Abstracts

PK Software

International Seminar/Dates to Remember

In the News

2

3

5

6

7

8

9

10

PCCA PRACASIL™-PLUS ― FOR SCAR THERAPY, IT’S THE NATURAL CHOICE

4

Before PracaSil™-Plus After PracaSil™-Plus (Day 8)

2 | PCCA’S SEPTEMBER PHARMACIST OF THE MONTH

ROBYN CROW, RPhof Clark’s Rx Pharmacy in Huber Heights, Ohio

STATS: Graduated from University of Cincinnati School of Pharmacy • Clark’s Rx Pharmacy has been compounding since 2005 • Crow has been compounding for more than eight years Pharmacy averages about 75 compounded prescriptions per day

TRAINING AND EDUCATIONI was a regular retail pharmacist, and our owner, Tim Clark, RPh, decided to add compounding to the services we already offered like DME and long-term care. We joined PCCA and came down to Houston for training. I didn’t know anything about compounding when I came to training, and I wasn’t sure of what I was getting myself into, but wow did we learn a lot! Our big goal at that time was to grow our compounding business until we got up to 20 compounds a day. We achieved that and kept on going!

FAVORITE PCCA FORMULASWe do so many types of compounds, but here are a couple that we make all the time, usually prescribed for nausea/vomiting:

PCCA Formula #9491, Promethazine HCl 25 mg/Gm Topical Lipoderm® (BUD Study), can be used by all kinds of patients (although there are special precautions when using with children).

PCCA Formula #9428, Lorazepam 1 mg/mL/Diphenhydramine HCl 12.5 mg/mL/Haloperidol 2 mg/mL Topical Lipoderm®, gets used a lot for hospice patients.

COMPOUNDING SUCCESS STORIESA patient of ours was a grandmother who was the primary guardian of her grandson. He suffered from many problems, including ADHD. He was very defiant and refused to take the capsules or tablets previously prescribed. The school would not allow him to return until he was compliant with his medication regimen. After consulting with the grandmother and his physician, we were able to prepare an atomoxetine suspension.

After the first week, the grandmother called us in tears and said, “You made an impossible situation possible.”

When we were first starting to compound, we had a patient who was undergoing radiation on her throat. She was in the middle of her treatments, could hardly even whisper, could not eat, and was in a great deal of pain. She is a widow and her children all live out of state. Since she lived alone, she was uncomfortable taking any of the standard pain medications because she didn’t like the way they made her feel. She came in asking if there was anything we could do to help. She was a favorite retail customer of ours already, and I didn’t want to fail her.

I called PCCA’s Pharmacy Consulting Department and talked to Andy Glasnapp, PharmD. He recommended a Misoprostol 0.0024%, Phenytoin 5%, Lidocaine 2% Oral Solution (similar to PCCA Formula # 4442, Misoprostol 0.0024%/Lidocaine HCl 1% Oral Suspension). I wasn’t sure at first – Andy had to convince me that it was the right thing and told me he never would waste my time giving bad advice! We talked to her physician and agreed on trying the compound. Within a very short period of time, she was able to eat and talk to her children on the telephone. This meant the world to her and we were thrilled that we could help. This was a big turning point for me as a compounder because the doctor trusted me, and I learned to trust PCCA. I love talking to Andy and I still call him all the time! Stories like these are why we continue to do what we do every day.

MARKETINGHire a marketer! We took a technician with a dynamic personality and had her start marketing. She’s very genuine, passionate, and knows pharmacy. She’s not a salesperson, so she gets practitioners’ attention because she’s simply honest and can walk in and tell them what we do, and they’re interested in that! Sometimes you have to visit them several times to really convince them to try compounding, but she builds relationships and helps me find good opportunities to visit doctors. Communication between the two of us is important so she knows what’s new that we can offer and so I know what the practitioners’ needs are.

THIS WORKS FOR ME!Don’t be afraid to call PCCA with questions! You can trust them to give you great advice. We work with CPM Services, so I receive a lot of good pharmacy management guidance and support from Creighton Maynard, RPh, MBA, and his group. And I get great service from our sales rep, Adam Kemp. They’re all good cheerleaders!

Please Note: Views/therapies expressed in above article are those of the interviewee and may not be endorsed by PCCA.

The pharmacy is owned by Tim Clark, RPh.

TRAINING AND EDUCATIONI was a technician before we actually started compounding, but any time we had to mix up a medication before that, I always liked to do it. We decided to pursue compounding in 1997 and joined PCCA. My boss, Levi Rice, RPh, went to Houston for training at PCCA. We do all kinds of compounding now. We try to offer the services our community needs, not only in our small town, but the surrounding counties.

I attended Aseptic Training at PCCA, and also have been to a number of International Seminars and Symposiums over the years. I am glad every day that I have a job that I love and great bosses that let me keep doing it!

FAVORITE PCCA FORMULAWe enjoy telling doctors about rectal rockets. Gastroenterologists really like prescribing those, and the name is really memorable for practitioners, which makes them easy to market! We make variations on PCCA Formula #0654, Lidocaine HCl 2%/Hydrocortisone 1% Base A Suppository (Rectal Rocket), sometimes adding sucralfate.

We do a lot of compounding for BHRT. The great thing about BHRT troches like PCCA Formula #4056, Estriol/Estradiol/Estrone [80%/10%/10%] 1.25 mg Base A Troche, or PCCA Formula #4054, Estriol/Estradiol/Estrone [80%/10%/10%] 1.25 mg Gelatin Troche, is you have numerous flavor choices. Some of the patients’ favorites tend to be caramel chocolate crème, peach butter rum, peppermint, or strawberry crème, just to name a few.

For our BHRT patients who use topical creams, we use the pink and blue MegaPumpsTM, which they are very happy with. Our patients like PCCA Formula #2264, Estradiol 0.01% Vaginal Cream. They are very happy with the added benefits of the moisturizing component from the PCCA Emollient Cream.

COMPOUNDING SUCCESS STORIESOne patient we have been treating since he was born had a rare liver disorder, and needed a lot of medications because he couldn’t absorb nutrients. He was very jaundiced, but when he started using the compounds, that all changed. His color got much healthier and he felt better. We made about 10 compounds a month for him for the first six years of his life.

He finally got a liver transplant two years ago, and has done marvelously ever since. We don’t have to compound much for him anymore, but we still make a sodium bicarbonate solution flavored with banana cream, cotton candy, marshmallow, and stevioside, which makes the taste tolerable. Sodium bicarb tastes bad on its own, but this way, it’s almost like drinking a banana soda! Before the transplant, he needed about 90 mL a day, so it really needed to taste good to him. When he was in the hospital for the transplant, they made a solution without the flavoring, and it tasted so bad that his father came to us to get our version for him. He still uses it, although he needs less of it now, maybe 45 mL a day.

We make a lot of “Magic Butt Cream,” which is good for babies with diaper rash, but also frequently used for geriatric patients and anyone with chafing issues. There are a lot of variations on the formula, but it usually includes hydrocortisone, bacitracin, zinc oxide, and sometimes cholestyramine 10%.

We had a wound care patient who had very large ulcers in her vaginal area. PCCA Pharmacy Consultant Andy Glasnapp, PharmD, was instrumental in advising us on what we could add to the antibiotics she needed to help her wounds heal. Working with her physician, we compounded tranilast, phenytoin, polymixin B, vancomycin, and ciprofloxacin in PCCA VersaBase® Gel. After about two months, the wounds started closing up and the flesh began regenerating. It is healed

now – the doctors can’t even see where the ulcers used to be. Her mother came to us in tears, she was so happy that we were able to help her daughter with such a terrible problem.

I can’t fully express how much I love the art of compounding and how beneficial it is to our patients. We are contacting our local physicians, nurse practitioners, and patients to let them know about what is going in Washington and how it could adversely affect them if Bill S.959 were to pass as it is!

MARKETINGI go to visit doctors and nurse practitioners. We approach it from a service standpoint – we want to be a reference tool for practitioners. We just want to be there to help them and their patients. Even if they aren’t prescribing a compound at that time, we encourage them to call and consult with us, and we always have PCCA’s consultants to rely on ourselves! We have developed our relationships over the past 16 years so they know they always can come to us with any questions or problems.

Please Note: Views/therapies expressed in above article are those of the interviewee and may not be endorsed by PCCA.

The pharmacy is owned by Levi Rice, RPh.

PCCA’S SEPTEMBER TECHNIC IAN OF THE MONTH | 3

KAREN CHINN, CPhTof Rice’s Pharmacy in Beaver Dam, Ky.

STATS: Has worked in pharmacy for 32 years • Has worked at Rice’s Pharmacy for 22 years Became Certified Pharmacy Technician in March 1998 • Favorite piece of equipment: “PCCA PK Software’s The Compounder Lab™, which is so helpful with streamlining our processes and making things more efficient. I can connect it to our inventory, access formulas, run reports, and so much more. Of everything in the lab, this software is what I would miss the most if it wasn’t working!”

4 | MARKETER SPOTL IGHT

BACKGROUNDI started working for Expert Compounding Pharmacy in 1993 – 20 years ago! This year marks our 50th year in business and we are proud to say that we have been PCCA members since 1985. I started with the pharmacy as a technician. At that time, we filled both traditional and compounded prescriptions. About 15 years ago, the owner/pharmacist at the time decided to change the business to a compounding-only pharmacy.

In 2001, I was approached by our pharmacists regarding a new marketing position. The pharmacists themselves had done the marketing previously, but decided it was time to expand our efforts in reaching practitioners and their patients. Although I did not have marketing experience, they felt that with the knowledge I had obtained working in the pharmacy, I was qualified for the job. And so it began. I received a crash course from Natalie Drake, who was in PCCA’s Marketing Department back then. Natalie spent three days with me and helped me develop our marketing plan. I believe that the training and encouragement I received from Natalie was paramount to my development as a marketer.

MARKETING STRATEGYTwo main points:1. We have always valued our relationships

with the practitioners and patients with whom we work, and as we mark our 50th year in business, we are even more aware of how important these relationships are. Practitioners and patients have more choices than ever as far as meeting their compounding needs, and we are proud to be able to offer them the experience, quality and personal service that set us apart from others. My job is to convey this message to our existing and potential practitioners and patients.

2. Trends in marketing are always evolving and it is very important to keep current, but I truly believe that nothing can replace that “one-on-one” time when you are with a practitioner. I am continually amazed at how little some know about compounding, and when you are able to personally educate them on the benefits for their practice and patients it is very rewarding.

SUCCESS STORIESAs I mentioned, this is a very special year for us. When we discussed our options in celebrating/promoting our 50th anniversary, we once again came back to how important relationships are. We decided to celebrate our loyal practitioners. During this year, we have made special visits to a number of offices to let them know how much we appreciate them. When scheduling these visits, I explain that the pharmacist will be joining me and we chose their office because of how important they are to our pharmacy. I have yet to have one office not be thrilled to be included. Being able to sit with practitioners and their staffs and talk about our 50-year history and our emphasis on quality and personal service has been a huge success.

LEARNING EXPERIENCEFor over 15 years, our pharmacist has done many lectures on compounding throughout the community. When we first started these presentations, the turnouts stayed consistent, but in the last few years, attendance has been quite low. We have done some research and believe that factors such as more people using the internet for information and life’s busy pace have

contributed to this change. Although this has been an important part of our marketing plan, we have had to make some adjustments. I now only schedule lectures to set audiences such as Rotary Clubs, women’s groups, and businesses looking for guest speakers. With these types of organizations, you have a guaranteed turnout.

A TIP FOR FELLOW MARKETERSWe all strive to have that face-to-face time with practitioners, but we can never forget the importance of the office staff. Many times, these are the people handling the prescriptions and answering the patients’ questions on where to get a compounded medication filled. Having a good relationship with the staff can be as important as the relationship with the practitioner. Get to know your office staffs!

The pharmacy is owned by Dana Madievsky, RPh.

TRACY SHUTTLEWORTH, MARKETERof Expert Compounding Pharmacy in Lake Balboa, Calif.

(L-R): Elaine Blieden, RPh, and Dana Madievsky, RPh

FORMUL A SPOTL IGHT | 5

LASER PROCEDURES (tattoo removal, cosmetic procedures, laser hair removal)

PCCA Formula #10117Benzocaine 20%/Lidocaine 6%/Tetracaine 4%Topical Ointment (Plasticized™)

PCCA Formula #5733 Lidocaine 6%/Tetracaine 6%/ Benzocaine 4% Topical Gel

PCCA Formula #10129 Lidocaine 7%/Tetracaine 7% Topical Occlusaderm® (Pliaglis®)

NON-LASER PROCEDURES (tattoos, cosmetic procedures, needle sticks, pre-dermatology or skin procedures)

PCCA Formula #9445Benzocaine 20%/Lidocaine 6%/ Tetracaine 4%Topical Lipoderm® (BUD Study)

PCCA Formula #9872Benzocaine 20%/Lidocaine 6%/ Tetracaine 4%/DMSO 10%Topical Lipoderm® (BUD Study)

PCCA Formula #3927Benzocaine 20%/Lidocaine 6%/ Tetracaine 4%/Phenylephrine HCl 0.01% Topical PLO

DENTAL

PCCA Formula #9957Lidocaine HCl 10%/Prilocaine HCl 10%/Tetracaine HCl 4%Dental Gel (BUD Study)

PCCA Formula #9849 Lidocaine HCl 10%/ Phenylephrine HCl 2%/Prilocaine HCl 10%/Tetracaine HCl 4% Dental Gel

COMPOUNDING TOPICAL ANESTHETICSBy Melissa Merrell, PharmD, PCCA Director of Formulations and Pharmacy Consultant

Always make sure you have checked the PCCA Formula Database and are following the most up-to-date version of a formula as changes are continuously made to existing formulations to provide the highest quality.

OPHTHALMIC

PCCA Formula #3996 Tetracaine HCl 0.25% Ophthalmic Solution

PEDIATRIC (to reduce pain of wound closures)A new article was recently published that reviewed the use of topical LET (Lidocaine/Epinephrine/Tetracaine) gel to reduce pain prior to wound closure with tissue adhesive or “skin glue.” The results showed that children aged three months to 17 years who received the analgesic before wound closure reported less pain.1

PCCA Formula #10054Lidocaine HCl 4%/Tetracaine HCl 0.5%/Epinephrine HCl 0.05%Topical Gel (BUD Study)

PCCA Formula #9242Lidocaine HCl 4%/Tetracaine HCl 0.5%/Epinephrine HCl 0.05% Topical Spray

There are many procedures and medical situations in which topical anesthetics are necessary. Fortunately, there are many compounding opportunities that are available to help patients and practitioners. Below are commonly requested formulas for these applications.

For additional information on toxicities associated with the use of topical anesthetics, please refer to the Resources > Documents section of the Members-only Website for PCCA Document #97181, Toxicities Associated with Topical Anesthetics (February 2005), and #98628, Toxicities of Topical Anesthetics (August 2013).

REFERENCE: 1. Harman S, Zemek R, Duncan MJ, Ying Y, Petrcich W. Efficacy of pain control

with topical lidocaine-epinephrine-tetracaine during laceration repair with tissue adhesive in children: a randomized controlled trial. CMAJ. 2013 Jul 29.

Enhancing Memory Retention and Clarity with Memory PlusBy John Preckshot, RPh, CCN, Director of Wellness Works Nutrition

Memory Plus (WW #10270) is a unique formulation of botanicals, amino acids, circulatory aides, antioxidants, and accessory nutrients that are believed to be helpful for optimal cognitive function and memory enhancement. Memory Plus replaces the former Brain Memory (WW #10199). This unique cognitive combination would be useful for anyone who is having difficulty with focus, memory or cognitive clarity.

DMAE, one of the ingredients in Memory Plus, has been shown to alleviate behavioral problems and normalize activity levels and attention. N-acetyl L-carnitine protects against beta-amyloid neurotoxicity commonly found in Alzheimer’s disease. And alpha-R-lipoic acid (ARLA) is believed to slow brain aging and offer anti-aging benefits. The dosing on Memory Plus is one or two capsules one to three times a day. Individuals should begin with the lowest dosage and work up per need.

CONSULTANT ’S CORNER | 6

Do you have patients with psoriasis? Eczema? A bad rash that just won’t clear up? Diabetic ulcers? Stasis ulcers? Pressure (bed) sores? Surgery incisions that “just won’t heal”? Patients who have “tried everything,” have been to “all sorts of doctors,” used “everything the doctors could give” them, and nothing seems to help?

WHY NOT TRY ZINC?There is evidence that zinc is involved as a major trace element in the wound healing process because it is involved in many different cellular processes that occur from injury to healing.1,2,3 Zinc is the second-most abundant trace element found in the human body.4 And studies have indicated that wounds heal almost twice as fast when oral zinc is administered.5

Studies have been done that indicate folks with the above skin conditions have reduced plasma zinc concentrations. Some of them were completely healed when zinc (zinc sulfate 220 mg twice daily) was administered despite having suffered from the conditions for as long as two years.6 Yet it is very often overlooked when we are trying to bring about healing with all our unctions, salves, and potions.

In my own practice and through recommending it to PCCA member pharmacists, I have experienced that the addition of zinc to the regimen can cause the condition in question to heal within a rather short period of time. That period of time may be eight to 16 weeks, but short compared to the time the patient had the condition.

One of my patients was a young child who had such a bad psoriatic rash since he was six months old that he had to be bathed in a certain type of soap twice daily, and had to have certain strong creams administered twice daily, and different creams/ointments applied when the skin broke open. He was not allowed to go outdoors and play for fear of infection. Nothing had been able to affect healing. I suggested that his mom ask her doctor if she could give the child 1 mL of our Zinc Sulfate Replacement Solution (PCCA Formula #4762) every evening, as it certainly would not hurt anything else she was doing. Mom did it. I got a message three months later that said, “Thank you, thank you, thank you for the zinc idea. My child, who just turned four years old, went swimming for the first time in his life yesterday. His skin is completely healed.”

Our Formula #4762 is used by having the patient take one teaspoonful into their mouth, swish it for 30 seconds and then swallow it. Do this twice daily. (The little boy referenced above did not swish. He was just given 1-2 mL nightly). Over time (seven to 10 days), the solution will start to acquire a taste, as the levels of zinc in

the patient increase. It is not going bad when this happens. It appears that the zinc has some action with a substance called gustin, and that has an effect on taste buds, which causes the taste. But when the taste gets so bad they just can’t stand it, stop. Almost all of the time at this point the condition will have been rectified. For more information, see our Zinc Taste Test file (PCCA Document #94300) under Resources > Documents on the Members-only Website. (By the way, the Zinc Sulfate Replacement Solution also can be used to help older folks re-acquire the sense of taste, but that is another topic.)

So, the changing of the taste is a good thing. There are other studies indicating that the addition of zinc helps to a certain point, and then starts to impede the healing. The bad taste is indication to stop.

The zinc replacement solution is inexpensive enough that I have been known to give it for free to patients (with their doctor’s permission) along with all their expensive prescriptions. However, if dispensed by itself, I would charge for it.

After the skin is cleared, patients often need a moisturizing cream. I have found that PCCA Formula #8928 (Emulsifix®-205 Topical Base) is a wonderful, petrolatum-free moisturizing cream. The patients love it. You can add collagen and even sunscreens to it if they wish. And you, once again, become a hero.

REFERENCES: 1. Gray M. Does oral zinc supplementation promote healing of chronic

wounds? J Wound Ostomy Continence Nurs. 30(6):295–9. 2003. 2. Collins N. Zinc supplementation: yea or nay? Adv Skin Wound Care.

16(5):226–30. 2003. 3. Scholl D, Langkamp-Henken B. Nutrient recommendations for wound

healing. J Intraven Nurs. 2001 Mar-Apr;24(2):124-32. 4. Lansdown, ABG. Zinc and the healing skin wound. Lancet. 347:706-7. 1996 5. Pories, WJ et al, Acceleration of healing with zinc sulfate. Ann Surg.

165:432-6. 1967. 6. Greaves MW, Skillen AW. Effects of long-continued ingestion of zinc

sulphate in patients with venous leg ulceration. Lancet. ii:889–91. 1970

ZINC TO THE RESCUE?By George Harris, RPh, PCCA Pharmacy Consultant

CALL FOR SPEAKER ABSTRACTS | 7

The compounding industry is changing and growing at a record pace, which means it’s even more important to provide quality education to our members and colleagues. Do you or a practitioner you work with have an interest in sharing your successes with others? Can you make others look like stars when they return to their practices with the knowledge you present? Results of previous symposium evaluations clearly show the majority of attendees come for: 1) compounding and clinical pearls they can implement in their practice immediately; 2) learning and enhancing their knowledge base; and 3) networking and sharing with others!

If this is something you or your practitioner can provide, the Education Advisory Board encourages you to submit a proposal to speak at various 2014 PCCA Programs. If selected, you will not only be contributing to the profession and the development of your peers, but also be recognized by your colleagues, and have an opportunity to interact with hundreds of innovators and leaders in compounding!

Important dates to remember:• Call for Speakers opens: September 16, 2013• Call for Speakers closes: December 1, 2013• Applicants notified of acceptance/denial: Spring 2014• Signed contracts due: Spring 2014• Presentation slides and supporting documents due: will vary

depending on program selected for your presentation

Suggested topics may include, but are not limited to:• Hormone Replacement Therapy• Pain Management• Wound Care• Scar Therapy• Nasal Nebulization• Veterinary Medicine• Nutritional and Wellness• Quality and Safety• Marketing for Compounding Pharmacy• Business and Leadership• Management of the Pharmacy• Innovative Formulas• Patient Case Studies• 3rd Party Best Practices• Pediatric and/or Autism Spectrum Disorders• Other

All submissions will be peer-reviewed. Abstracts must be submitted online by completing the form available at www.pccarx.com/callforabstracts. For questions and assistance, please contact PCCA’s Director of Education, Renee Prescott, PharmD, at education@pccarx.com or 800.331.2498.

Call for Speaker Abstracts

How much do you know about skin? Do you know that the skin is our largest organ? It is, both in weight (between six and nine pounds) and surface area (about two square yards). The skin protects you from bacteria

and viruses, helps you sense the outside world, and regulates your body temperature. For these reasons it is so important to know how to protect your skin and keep it healthy as you age – something that so many people neglect to do.

Premature aging is a consequence of poor care for skin, including poor nutrition. Factors that accelerate aging: Environmental exposures • Poor diet • Smoking • UV exposureHarsh skincare products • Hormonal imbalances • Stress • Acne

A key factor in the formation of a wrinkle is inflammation and damage to collagen. To fight aging, start by increasing your cell turnover.

Younger people experience cell turnover every 28-30 days, and by age 60 it’s as many as 45-50 days. Increase your cell turnover by exfoliating.

The next step is to decrease your free radical damage, which causes harm to your collagen, leaving the molecules to become stiff and inflexible. You can do this with the use of antioxidants. Following that is decreasing sun damage, which can be done by using sunscreen. And last but not least, decrease inflammation that is caused by dehydrated skin, acne, and rosacea, among other things. To decrease inflammation, nourish and hydrate your skin.

We hope that YOU do what’s right for your skin.

THE AGING PROCESSBy Kristen Riddle, PharmD, Creator of Rx Skin Therapy

Interested in getting started with the Rx Skin Therapy line? Go to www.rxskintherapy.com or call 888.548.1088.

UPDATES TO BILLING MULTIPLE INSURANCES ONLINEAs we have all seen, insurance billing went through some significant changes since NCPDP version D.0 was released. Part of this challenge is the ability to quickly track and review items in the software. Some questions you may have asked yourself in the past:

• Which insurances am I waiting for payment on? • How much commission did my salesperson earn?• What are my total payments and/or profits from each

insurance company?

Prior to version 4.10.5.1, users had to review multiple insurance payments through the third-party reconciliation section of the software. This section was found by going to Reports > 3rd party claims > Claims center – Online claims reconciliation.

This list displayed each payment as a separate line item. By grouping and filtering to localize the data required, the information could be accessed easily. For instance, search through the reconciled items, group by the insurance name, and sort by payment date to review payments during a certain period. This provided the pharmacy with information on how to handle commissions based on actual paid prescriptions versus paid claim transmissions that were still awaiting payment.

Changes were needed to how each dispensing records the online billing financial data and links it to prescription reporting. Prior to 4.10.5.1, when billing to two insurances, the second insurance would override the first insurance financial information in each prescription. Running any prescription report would show the financial information sent back from the last insurance company transmitted to, and no other previous insurances.

Example: A pharmacy submits an insurance claim to the primary insurance for $280.00. The primary insurance company returns a paid

claim of $152.97 stating the patients copay is $60.00. Although the total of $212.97 is less than what the pharmacy submitted, they decide to accept that amount. Next the pharmacy will process a secondary insurance claim for the patients copay of $60.00. The secondary insurance company returns a paid claim of $60.00 and the patient no longer is responsible for the $60.00 copay.

Prior to version 4.10.5.1, our software displayed the financial values:

Notice the Total, Copay, Ins. Billed, and Fee represent the information sent back from the secondary insurance only. Because this does not display the primary insurance as well, the Log of Scripts report displayed only secondary insurance payments.

With version 4.10.5.1, we have enhanced how the software holds this information. Now when the paid claim comes back, it keeps the running total for each insurance. For versions 4.10.5.1 and higher, it will display as:

The total is showing the total paid by the insurance of both the $152.97 and $60.00 to equal $212.97. The Ins’s paid and Fee’s represent combined values as well. The copay will only display the last copay listed to indicate the patient’s payment.

With these changes, the Log of Scripts report can track multiple insurance payment running totals. We also have added a new report detail to the Log of Scripts called “Rx Fill Billing.” It will display a multi-line report for multiple insurance payments. The payment breakdown will still be located in the third-party reconciliation part of our software.

A video explaining these changes has been posted to the support-only section of our website at www.rxcmpd.com. Or feel free to call PK Software Support at 800.331.2498 with questions.

8 | PK SOFT WARE

Meet. Learn. Succeed. Join us October 12-16 in sunny Orlando, Fla., for the 115th NCPA Annual Convention and Trade Exposition. What do you get out of it? Plenty of peer networking, information on the latest products and services, and lots of CE instruction - plus the opportunity to visit PCCA at Booth #301!

PCCA is proud to sponsor the comprehensive pre-convention program Opportunities in Compounding: Niche Exploration of Nutrition and Pain Management Markets.

Will We See You at NCPA’s 2013 Convention?

Register today at www.ncpanet.org or by calling 1.800.544.7447. See you in Orlando!

INTERNAT IONAL SEMINAR 2013 DATES TO REMEMBER | 9

Think inspiration.

How Compounders Can Keep Changing the World When Everything in Compounding is Changing

Register today at pccarx.com/thinknext

SEMINARS, SYMPOSIUMS & WEBINARSADRENAL FATIGUE: A SIMPLISTIC TERM TO DESCRIBE A COMPLEX PROCESS WEBINARSeptember 24 | 7:00 – 8:30 p.m. Central TimeFeatured speaker: Lena Edwards, MD, FAARM

CPM SERVICES FREE INFORMATIONAL WEBINARSeptember 25 | 1:30 – 2:30 p.m. Central Time

PCCA’S ONLINE PHARMACEUTICAL CARE AND COMPOUNDS FOR VETERINARY PATIENTS – INTRODUCTION COURSEBegins October 7 (Six-Week Course)Course developers: Gigi Davison, BS, DICVP; Dinah Jordan, PharmD, DICVP

CPM SERVICES ANNUAL CLIENT SEMINAROctober 23 | Sugar Land Marriott Town Square, Sugar Land, TexasFeatured speakers: Richard Hadden, CSP; Urs Koenig, PhD; Richard McCool; Richard Jackson, PhD; Bill Letendre, MS, RPh, MBA

PCCA INTERNATIONAL SEMINAROctober 23-26 | Sugar Land Marriott Town Square, Sugar Land, TexasThe biggest compounding event of the year. Register at www.pccarx.com/thinknext.

NUTRITION FOR CANCER PATIENTS WEBINAROctober 29 | 7:00 – 8:30 p.m. Central Time Speaker: Leigh Ann Grasso, PharmD

CPM SERVICES FREE INFORMATIONAL WEBINAROctober 30 | 1:30 – 2:30 p.m. Central Time

TRAININGASEPTIC TECHNIQUE COMPOUNDING COURSESeptember 25-27 | November 13-15COMPREHENSIVE COMPOUNDING COURSE (C3)September 16-19 | November 4-7MARKETING • SALES • BUSINESS SESSIONSeptember 20 | November 8PCCA/PK SOFTWARESeptember 20 | November 8

PCCA CANADAPCCA QUICK-ED: PAIN IN A DAY!October 5 | Novotel Toronto Centre, Toronto, OntarioFeatured speaker: Sebastian Denison, RPh

ASEPTIC TECHNIQUE COMPOUNDING COURSEOctober 16-18 | London, Ontario

COMPREHENSIVE COMPOUNDING COURSE (C3)November 4-7 | London, Ontario

STAYING BALANCED: HORMONES & SKIN THERAPY SEMINARNovember 8-9 | Four Seasons Hotel, Vancouver, British ColumbiaFeatured speakers: Roxanne Carfora, MD; Christopher Cutter, MD; Daniel Banov, RPh, MS; Sebastian Denison, RPh

PCCA AUSTRALIACOMPREHENSIVE COMPOUNDING COURSE (C3)November 4-8 | Sydney, Australia

PCCA AUSTRALIA QA COMPOUNDING STANDARDS – RAISING THE BARNovember 21-22 | Sydney, Australia

The Complete Resource for Compounding Pharmacists

ThinkNext

PCCA USA9901 S. Wilcrest DriveHouston, Texas 77099800.331.2498800.874.5760 Faxpccarx.com

PCCA Canada744 Third StreetLondon, ON Canada N5V 5J2800.668.9453800.799.4537 Faxpccarx.ca

PCCA AustraliaUnit 1, 73 Beauchamp RoadMatraville, NSW 2036 Australia02.9316.150002.9316.7422 Faxpccarx.com.au

Unsubscribe

View the Experience Book

Register NOW

Think inspiration.Get inspired at ThiNk NExT, PCCA’s 2013 international Seminar:• hEAR speakers who will prepare you for the future and

motivate you for success - Keynote speakers Jim Carroll on the “Future of

Healthcare” and Glenn Gelabert and Gary McCrory on “Putting 12 Powerful Principles into Practice”

• ShARE tales from the trenches as you learn from fellow members

- Compounding Pearls Member Panel and Consultants’ Corner

•CElEBRATE the compounding industry’s brightest stars - Award presentations: The M. George Webber

Compounding Pharmacist of the Year; George Roentsch, RPh, Scholarship; and Evelyn Timmons Advocacy Award

How Compounders Can Keep Changing the World When Everything in Compounding is Changing

PCCA International Seminar 2013October 23-26, 2013houston, Texas

Early Bird Registration ContestSign up by August 31 for your LAST CHANCE to win a fREE registration.

Jim Carroll

Glenn Gelabert

Gary McCrory

• HEAR speakers who will prepare you for the future and motivate you for success

- Keynote speakers Jim Carroll on the “Future of Healthcare” and

Glenn Gelabert and Gary McCrory on “Putting 12 Powerful Principles

into Practice”

• SHARE tales from the trenches as you learn from fellow members

- Compounding Pearls Member Panel and Consultants’ Corner

• CELEBRATE the compounding industry’s brightest stars

- Award presentations: The M. George Webber Compounding Pharmacist of the Year; George Roentsch, RPh, Scholarship; and Evelyn Timmons Advocacy Award

Get inspired at

PCCA’s 2013 Think Next International Seminar:

Gary McCrory, RPh, CCN

Glenn Gelabert

Jim Carroll

9901 South Wilcrest DriveHouston, Texas 77099Phone: 281/933-6948 or 800/331-2498Fax: 281/933-6627 or 800/874-5760communications@pccarx.com

Copyright © 2013 PCCA. PCCA is an equal-opportunity employer. Corporate Communications: 800.331.2498

PCCA MEMBERS HONOREDMary Sue Adams, RN, RPhT, of Adams Pharmacy in Lynn Haven, Fla., was named Pharmacy Technician of the Year at the Florida Pharmacy Association’s annual meeting in Orlando. Adams has co-owned the pharmacy with her husband Ray Adams, RPh, since 1978, and they are among PCCA’s most long-term members.

Douglas Boudreaux, RPh, of Boudreaux’s New Drug Store in Lake Charles, La., and Boudreaux’s Specialty Compounding Pharmacy in Shreveport was 2013’s Bowl of Hygeia Recipient at the Louisiana Pharmacists Association Annual Convention and Trade Show. The award is sponsored by the National

Alliance of State Pharmacy Associations. Established in 1958, the Bowl of Hygeia Award recognizes pharmacists who possess outstanding records of civic leadership in their communities and encourages pharmacists to take active roles in their communities.

Congratulations!

PCCA MEMBER IN THE NEWSDouglas Yoch, PharmD, of Stanley Apothecary in Charlotte, N.C., was interviewed recently by local news station WSOC about the possible negative effects that proposed Senate Bill 959 could have on patients. Yoch was part of a committee that recommended ways that North Carolina’s State Board of Pharmacy could revamp their current oversight of compounding pharmacies, and provide better training for inspectors.

PCAB® NEWSCongratulations to PCCA Members Dripping Springs Pharmacy in Dripping Springs, Texas, and Lamar Plaza Drug Store in Austin, both owned by Dorinda Martin, RPh, and Jim Martin, RPh; and McCrory’s Pharmacy in El Paso, Texas, owned by Gary McCrory, RPh, all of which recently achieved PCAB accreditation.

For more information about PCAB accreditation, visit the PCAB website at www.pcab.org.

IN THE NEWS

VIDEO ON DEMAND

WWW.FACEBOOK.COM/PCCARX WWW.T WIT TER .COM/PCCARX WWW.YOUTUBE .COM/PCCARXWWW.PCCARXCHANGE.COM HT TP : / /VOD.PCCARX .COM