CONVENTION REGISTRATION

LOUISIANA PHARMACISTS ASSOCIATION

137TH ANNUAL CONVENTION

&TRADE SHOW July 18-20, 2019

L’Auberge Casino Resort | Lake Charles, LA

Golf Tournament

Thursday, July 18, 2019 Lunch/Registration: 12:00 p.m. Tee Time: at 1:00 p.m. The Country Club at Golden Nugget Lake Charles (next door to L’Auberge Casino Lake Charles) SPONSORED IN PART BY LIPA

A Signature Lake Charles Golf Course With open fairways, immaculately-kept Bermuda greens, challenging holes, and unmatched scenery, The Country Club at Golden Nugget offers an exceptional resort golf experience. The 18-hole, par 72 golf course on the bayou was designed by California-based architect Todd Eckenrode and Origins Golf Designs. Offering 7,000 yards of exciting golf on manicured greens surrounded by native marsh landscaping, The Country Club at Golden Nugget is a must-play.

Convention Information

LPA 137th Annual Convention & Trade Show July 18-20th – L’Auberge Casino Resort, Lake Charles, LA

Hotel Accommodations

Reservations should be made with

L’Auberge Casino Resort Lake Charles

777 L’Auberge Ave. | Lake Charles, LA 70601

Call 1-866-580-7444

Group Code:

SLPA19

$119 (Wednesday and Thursday)

$199 (Friday and Saturday)

Reservations Deadline: June 26, 2019

Cancellation Policy

Convention cancellations received before June 15, 2019 are subject to a $150.00 charge per

person. Cancellations following said date are subject to forfeiture of all registration fees.

Spouse / Guest Program Mardi Gras Museum of Imperial Calcasieu Friday, July 19, 2019 11:00 a.m.—3:00 p.m. 809 Kirby Street

There's nothing that describes Louisiana as much as the phrase "Mardi Gras" - words that conjure up the sights and sounds of Carnival as unique as centuries-old traditions. The Mardi Gras Museum is a unique treasure in the Lake Area as it is the central place where traditions, history and artifacts are on display preserving the cultural heritage of the second largest Mardi Gras celebration in Louisiana. The museum houses the largest collection of costumes in the South. In preserving the history of Mardi Gras in Southwest Louisiana, the Mardi Gras museum officially opened its doors on 12th Night in 1998. The museum encompasses six rooms. The first room explains how Mardi Gras came about. The second room is the Captain's Den, with the third room dedicated to costume design. The fourth room gives the history of king cakes and the marvel of 12th Night. Ballroom costumes are on display in the fifth room, with the sixth room dedicated to Mardi Gras parades and all their wonder, including the sounds and excitement of a parade float that everyone can climb aboard.

After your tour, enjoy the local shops surrounding the area!

Giving Back to Lake Charles

LPA will be accepting perishable and non-perishable goods. Donations will

benefit the Lake Charles area food banks.

Donors will receive a chance to win a special door prize during the Exhibit Hall!

Thank you to our 2019 Corporate Supporters

Award Presentations Awards will be presented at the following times during the convention: Friday Luncheon: ULM Meritorious & Alumnus Awards, LPA Scholarships

Saturday Luncheon: Hospital Pharmacist of the Year Award; Compounding Pharmacist of the Year Award; Chain Pharmacist of the Year Award, Sponsored by

NACDS; Independent Pharmacist of the Year Award, Sponsored by McKesson

President’s Banquet: LABP Gold Certificate Presentation(s); Leadership Award, Sponsored by NCPA; Excellence in Innovation Award, Sponsored by Upsher-Smith

Laboratories; Distinguished Young Pharmacist of the Year Award, Sponsored by Pharmacists

Mutual Companies; William P. O’Brien Award; Bowl of Hygeia Award, Sponsored by APhA Foundation and NASPA, with support from

Boehinger Ingelheim; Pharmacist of the Year Award

Convention Tentative Agenda

LPA 137th Annual Convention & Trade Show July 18-20th – L’Auberge Casino Resort, Lake Charles, LA

Thursday, July 18, 2019

9:00 - 11:00 a.m. LPA Board of Directors Meeting

12:00 p.m. - 5:00 p.m. Golf Tournament (prior registration required)

3:00 - 5:00 p.m. Convention Registration

Friday, July 19, 2019

7:30 - 8:00 a.m. Continental Breakfast / Registration Opens

8:00 - 9:00 a.m. General Session

9:00 - 10:30 a.m. CPE: Legislative and Regulatory Update, Senator Fred Mills, RPh, Louisiana Senate, Representative

Bernard LeBas, RPh, Louisiana House of Representatives, Carl Aron, RPh, Louisiana Board of Pharmacy

10:30 - 11:00 a.m. Refreshment Break

11:00 - 12:00 p.m. CPE: OSHA Updates for Today’s Pharmacy, Alexander Novas, Compliance Assistance Specialist,

US Department of Labor, OSHA

11:00 - 3:00 p.m. Guest Program (prior registration required)

12:00 - 1:00 p.m. Awards Luncheon

1:00 - 4:30 p.m. CPE: AHA Basic Life Support for the Healthcare Provider (prior registration required)

1:00 - 2:30 p.m. Breakout 1 – CPE: Diabetes—I Read on the Internet.., Dr. Emily Weidman-Evans, PharmD, Associate

Professor, LSUHSC-S School of Allied Health

Breakout 2 – CPE: Compounding Updates, Dr. Joseph Gary LeBlanc, PharmD, MHA,

MBA, Director of Pharmacy, Heart Hospital of Lafayette: Breakout 3 – CPE: Preparing Your Pharmacy for Natural Disasters, Patrick Brazan, Sales

Team Leader, Pharmacists Mutual Companies Breakout 4 – Student Workshop: Advocacy 101, Panel Discussion

2:30 - 3:00 p.m. Refreshment Break

3:00 - 4:30 p.m. Breakout 1 - CPE: Medical Marijuana—A Deep Dive, Daphne Robinson, JD, MPH, Principal, Daphne

Robinson Consulting & Training, LLC

Breakout 2 – CPE: New Drug Update 2019, Dr. LaKeisha Williams, PharmD, MSPH, Clinical Assistant

Professor Xavier University College of Pharmacy Breakout 3 – CPE: Regulatory Issues Facing Pharmacies and Patient Access, Randal Johnson,

President /CEO, Louisiana Independent Pharmacies Association Breakout 4 - Student Workshop: Faces of Pharmacy, Panel Discussion

5:00 - 8:00 p.m. Exhibit Hall and Reception—We’re Not in Kansas Anymore, Toto!!

8:00 - 10:00 p.m. ULM Reception

Saturday, July 20, 2019

7:00 - 8:00 a.m. Continental Breakfast / Registration Opens

8:00 - 8:30 a.m. General Session

8:30 - 10:00 a.m. CPE: Adverse Drug Reactions—A Legal Point of View, Jeff Bennett, RPh, Expert Witness

10:00 - 11:00 a.m. CPE: What’s New with Immunizations: 2019 Annual Update, Dr. Courtney Robertson, PharmD,

Clinical Assistant Professor, University of Louisiana at Monroe College of Pharmacy

11:00 - 11:30 a.m. Refreshment Break

11:30 a.m. - 12:30 p.m. CPE: PBMs—The Functional Role and the Dilemmas, Dr. Dan Buffington, PharmD, MBA, Practice

Director, Clinical Pharmacology Services, Inc.

12:30 - 1:30 p.m. Awards Luncheon

1:30 - 2:30 p.m. CPE: Opioids: The Problem, the Patient and the Reversal Agent, Dr. Stephen Hill, PharmD,

Clinical Assistant Professor, University of Louisiana at Monroe College of Pharmacy; Carleigh Roberts, PharmD

Candidate, University of Louisiana Monroe College of Pharmacy 2:30 - 4:00 p.m. CPE: Self Care Challenge, facilitated by Dr. Julie Breithaupt, PharmD, MBA, Red River Pharmacy

5:30 - 6:00 p.m. Past President’s Reception

6:00 - 9:00 p.m. President’s Banquet, Keynote Speaker; Installation of 2019-20 Board; Annual Awards Presented

9:00 p.m. President’s Hospitality Suite

The Louisiana Pharmacists Association is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. LPA is offering a total of 11.5 live contact hours for this convention. Full agenda details and objectives are available on our website at www.louisianapharmacists.com. All continuing education materials will be made available through the association website prior to the convention. Printed materials will only be provided as requested on the registration form.

AGENDA AND TOPICS SUBJECT TO CHANGE.

Section 1: Convention Registration Fees

Full Registration includes access to all ACPE accredited programs, general sessions, meals, and social events. Exceptions are listed below in Section 4.

Daily Registration includes access to all ACPE accredited programs, general sessions, and meals for the day(s) selected. The cost shown in the table below is the cost PER DAY. Exceptions and additional event tickets are listed below in Section 4.

*Prospective Member Fees include discounted 2019 LPA membership and 1st time attendee registration.

LPA 137th Annual Convention & Trade Show July 18-20th – L’Auberge Casino Resort, Lake Charles, LA

Convention Registration Form

Attendee Name: ____________________________________________ Email: ______________________________________________

License #: _________ NABP e-Profile #: __________ Birthday:___/___ Phone: _____________________ Fax: __________________ Month Day

Address: ______________________________________________ City, State: ______________________________ Zip: ____________

Spouse/Guest Attending: _____________________________________ Email: ______________________________________________

Special Requests / Dietary Needs: _____________________________ □ I DO NOT want my email address(es) distributed to exhibitors.

Full Registration Daily Registration**

** Please indicate the day(s) you will be attending:

□ Friday

□ Saturday

Rates shown are PER DAY. If attending CPE both days, please include both daily registra-tion rates in payment.

Prior to 05/31/19

After 05/31/19

Prior to 05/31/19

After 05/31/19

LPA Members

□ Pharmacist $375 $425 $150 $175

□ Pharmacy Technician $210 $240 $95 $105

□ Student $50 $70 $25 $35

Prospective Members*

□ Pharmacist $450 $500 $225 $250

□ Pharmacy Technician $225 $255 $115 $125

□ Student $55 $75 $30 $40

LPA Guests

□ Spouse/Guest $200 $225 $75 $85

□ Speaker/Faculty Complimentary Complimentary

With Full Registration

With Daily Registration

Additional Tickets

□ BLS Training (Friday) ___ x $60 ___ x $60 N/A

□ Friday Luncheon included included ____x $40

□ Exhibit Hall included ___ x $50 ___ x $50

□ Saturday Luncheon included included ___ x $40

□ included ___ x $85 ___ x $85

Section 4: Social / Networking Events

Please indicate if you will be attending the following. Registration Fees apply as indicated.

Section 3: Golf Tournament Registra-

Prior Registration is Required.

□ Golfer Registration —$165

□ Mulligans _____ x $10

Handicap __________

Requested Team: _____________________________________________________________________________________________ _______________________________

Section 2: Guest Program

Prior Registration is Required. Walk-ups will not be accepted.

□ Attending ___ x $50 Attendee Name(s): ___________________

Section 6: Supporter Opportunities

□ Golf Hole Supporter ____ x $100

□ Pharmacy Student Supporter _ $50 _ $100 _ $200 _ Other $___

□

Section 5: Printed Materials

□ I request that my CE materials be provided in print upon check-in - $75.

Payment:

$________ Total from Section 1

+ $________ Total from Section 2

+ $________ Total from Section 3

+ $________ Total from Section 4

+ $________ Total from Section 5

+ $________ Total from Section 6

□ Enclosed is my check in

the amount of $__________________. Check No.___________

□ I hereby authorize LPA

to charge my credit card (Visa or MC only) for the total amount of $ _______________.

Student Registrations Only

Gender: M F Graduation Year: ________ School: _________ Roommate Request: ____________________________________ Requested Room Nights: ________________________________

Please complete the following information for credit card payments:

□ Visa □ MasterCard

Exp. Date: ___ /___ Sec. Code: __ __ __ Billing Zip: _______

Card #: _____________________________________________

Signature:___________________________________________

Printed Name (as it appears on card):______________________

T-Shirt Size: ___ S ____ M ____ L ____ XL ____ 2XL ____ 3XL

Conference T-Shirt Size (All Attendees)