Newsletter - Texas

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Newsletterwww.tsbp.state.tx.usPRESIDENT’S COLUMNbyJeanne D. Waggener, R.Ph.Suggested Risk Reduction Strategiesfrom theInstitute for Safe Medication PracticesThe Institute for Safe Medication Practices (ISMP) is anindependent nonprofit agency that analyzes medication errors,near misses, and potentially hazardous conditions as reportedby pharmacists and other practitioners. ISMP makes appropriatecontacts with companies and regulators, gathers expert opinionabout prevention measures, and publishes its recommendations.The following are suggestions from ISMP to reduce the risk oferrors in the pharmacy.InsidePATIENT INFORMATION Ask for patient allergy information at every visit and validateagainst the patient profile; distinguish between No KnownAllergies (NKA) and Unknown Allergies; confirm allergies atthe time of prescription pick up. Routinely ask for patient diagnosis and co-morbid conditions,including pregnancy, and add this information to computerizedpatient profile. Be sure date-of-birth is noted on every prescription hardcopy and clearly visible on prescription receipt. Obtain/validate patient weight when dispensing pediatricmedications. Provide patient with updated medication list annually; confirmlist with patient. Use two unique patient identifiers at point of sale.DRUG INFORMATION Educate all staff, including technicians, about new drugproducts coming to market and/or being stocked in thepharmacy. A designated pharmacist or corporate level staff routinelyreviews, for quality improvement purposes, reports ofcomputer warnings that are overridden by pharmacists. Review external error reports for potential risk within yourpharmacy. Use the ISMP commonly confused drug list for examples ofdrug product names that could lead to error. Routinely run reports of system speed codes in use andreview for dangerous short codes.FALL 2012 Speed codes should only be added by administrativepersonnel using standardized processes, not at store level.COMMUNICATION Incorporate mandatory read back procedures when acceptingspoken prescription orders to confirm understanding. Incorporate patient validation and second patient identifierwith prescriber or agent when accepting spoken prescriptionorders. Repeat numbers in digits when receiving oral prescriptionorders (16 is stated “one-six”, 60 is stated “six-zero”). Spell sound-alike drug names back to caller and obtainindication for use from caller for sound-alike medications. Use prescription phone pads that prompt receiver to askcaller for allergies, date-of-birth, and indication for use orpurpose of drug. Evaluate sig codes and speed codes for error potential.DRUG LABELING, PACKAGING, AND NOMENCLATURE Provide auxiliary warning labels with exaggerated fonts, oruse other label enhancements on packages and storage binsof drugs with problematic names, packages, and labels. Use shelf dividers to separate products with look-alikenames/packaging in all storage areas, including refrigeratorsand narcotic bins. When dispensing unit-of-use packaging to patients, avoidplacing pharmacy label on top of pertinent manufacturer’sinformation. Use labels with special precautions on the stock bottle ofhigh-alert medication (those whose inadvertent dispensingcould cause serious harm if used in error). Use FDA/ISMP-recommended tall man lettering onrepackaged products. Implement tablet imaging on final verification screen.DRUG STANDARDIZATION, STORAGE, AND DISTRIBUTION Institute a stocking program which completely separatesophthalmic and otic products that have been reported asbeing confused for one another. Institute a “shelf-talker” or signing program that bringsattention to sound- or look-alike drug products duringstocking and retrieval procedures. Eliminate from storage potentially dangerous chemicals nolonger necessary for compounding. Do not store non-drug supplies, such as alcohol, neardiluents and products that require reconstitution. Store in separate bins in the refrigerator different types ofinsulin products and other similar items. Never stock any part of a product line of sound- or look-alikedrug in the “fast mover” section.{Abbreviated Information reproduced with permission fromISMP}Disciplinary Actions . p. 3Compliance Reminders . p. 9Complaint Corner . p. 10

DPS INSPECTIONS OF PHARMACIESThe Texas Controlled Substances Act gives the TexasDepartment of Public Safety (DPS) the authority to inspectpharmacies that have a DPS permit for controlled substances.The number of inspections of pharmacies has increased greatlyover the past year because DPS has employed ten complianceinvestigators to conduct inspections.Pharmacists need to know that just as when a TSBP inspectorenters a pharmacy a DPS compliance investigator is required tostate the purpose of the inspection, show appropriate credentials,and provide a written notice of the inspection authority. TheControlled Substances Act allows DPS to inspect and copythe pharmacy’s records for controlled substances (invoices,inventories, prescriptions, etc.), examine and inventory controlledsubstances, and inspect the pharmacy’s security. TSBP hasbeen informed that during some inspections DPS complianceinspectors have required pharmacies to add additional locks toentrances into the prescription department. In addition, some ofthe inspections have included a “mini” audit of a few controlledsubstances.CongratulationsGay Dodson, R.Ph., Executive Director/Secretary for the Texas State Board ofPharmacy, was one of four women selectedto received recognition as OutstandingWomen in Texas Government. Ms. Dodsonreceived the award from Susan Combs,Texas Comptroller of Public Accounts onSeptember 14, 2012.The Outstanding Women in TexasGovernment Awards were created by thestate Agency Council in 1984 to honor women who have madesignificant contributions to the State of Texas through their workin state Government.Ms. Dodson has been an employee of the Board since November1982 and served for 2 years as Field compliance Officer in theHouston Area, 3 years as Senior Compliance Officer in the Austinoffice, and almost 10 years as Director of Compliance beforebeing appointed to her current position as Executive Directoron June 28, 1997. In her position as Executive Director, Gayserves as the chief executive officer of the agency and an exofficio member and secretary of the Board of Pharmacy.New Inventory RequirementsEffective January 1, 2013, all dosage forms of Tramadol(e.g., Ultram) must be included in the pharmacy’s initial,annual, change of pharmacist-in-charge, and closinginventories.Pharmacists & Technicians:Don’t Miss Out on Valuable CPE CreditSet Up Your NABP e-Profile Today!BOARD CALENDARFY2013NOVEMBER 20126-7TSBP BOARD BUSINESS MEETING, Austin22-23 THANKSGIVING HOLIDAYS - Office ClosedDECEMBER 201224-26 CHRISTMAS HOLIDAY - Office ClosedJANUARY 20131NEW YEAR’S DAY - Office Closed21M.L. KING JR. DAY - Office ClosedFEBRUARY 20135-6TSBP BOARD BUSINESS MEETING, Austin18PRESIDENT’S DAY - Office ClosedCPE Monitor integration is underway. Soon all AccreditationCouncil for Pharmacy Education (ACPE)-accredited providerswill require you to submit your NABP e-Profile ID, assigned whenyou set up your NABP e-Profile, along with your date of birth,in order to obtain continuing pharmacy education (CPE) creditfor any ACPE-accredited activity. Many providers have alreadybegun to do so.Visit www.MyCPEmonitor.net to set up your e-Profile and avoidpossible delays in your CPE reporting.CPE Monitor is a national collaborative service from NABP,ACPE, and ACPE providers that will allow licensees to tracktheir completed CPE credit electronically. MAY 20137-8TSBP BOARD BUSINESS MEETING, Austin27MEMORIAL DAY - Office ClosedJULY 20134INDEPENDENCE DAY - Office ClosedAUGUST 20136-7TSBP BOARD BUSINESS MEETING, AustinTexas State Board of Pharmacy NEWSLETTER Fall 2012

DISCIPLINARYPUBLIC DISCIPLINARY ORDERSACTIONSLICENSEES (PHARMACISTS andPHARMACIES), and PHARMACISTINTERNSMarch - May 2012AGREED BOARD ORDERSAfter the Board obtains evidence of allegedviolations, a licensee is sent a preliminarynotice letter of the Board’s intent to institutedisciplinary action.The licensee then has an opportunityto show compliance with the law in aninformal conference with the Board staff(Executive Director/Secretary, Board LegalCounsel, and other staff at the discretionof the Executive Director and Board LegalCounsel). If the licensee cannot showcompliance with the law and desires todispose of any pending allegations, thelicensee may consent to the entry of an“Agreed Board Order.” The licensee mustagree to the terms of the order and theorder must be approved by the Board.It should be noted that while there isagreement on the part of the licensee tothe entry of an “Agreed Board Order,” thereis neither admission nor denial of guilt withrespect to any matters that have come tothe attention of the Board.If a licensee, or the Board does not agreeto terms of the “Agreed Board Order” orif the licensee does not wish an informalconference, a disciplinary hearing isscheduled before an Administrative LawJudge from the Office of AdministrativeHearings. The Administrative Law Judge,after hearing all evidence in the matter willmake a recommendation to the Board foraction to be taken. The Board then makes adecision in the case, which is documentedby the entry of a “Board Order.”On the finding of the existence of groundsfor discipline of a licensee, the Board maysuspend, revoke, restrict, fine, refuse toissue or renew, probate, reprimand, cancel,or retire a license.The Board has directed that “Agreed BoardOrders” and “Board Orders” be published inthe NEWSLETTER.Although every effort is made to assurethat the following information is correct, youshould contact the Board’s office to confirmthe accuracy of the listing before makingany decision based upon this information.Copies of specific orders may be obtainedfor a fee, upon written request.Bright Omemgboji Wokocha, PharmacistLicense No. 31516. Alleged violation:deferred adjudication (in 2011) for thefelony offense of Delivery of a ControlledSubstance. Agreed Board Order acceptedby licensee and entered by the Board on05-08-12: license revoked.H & W Pharmacy, Pharmacy LicenseNo. 26801, Houston, TX. Alleged violation:non-compliance with previously enteredAgreed Board Order. Agreed Board Orderaccepted by licensee and entered by theBoard on 05-16-12: license revoked.Douglas Roy Kotzebue, PharmacistLicense No. 24512. Licensee requestedrevocation of Pharmacist License in lieu offurther disciplinary proceedings regardingallegations pending before the Board.Agreed Board Order accepted by licenseeand entered by the Board on 05-16-12:license revoked.Richard Marshall Botkin, PharmacistLicense No. 21305. Licensee requestedretirement of Pharmacist License in lieu offurther disciplinary proceedings regardingallegations pending before the Board.Agreed Board Order accepted by licenseeand entered by the Board on 05-30-12:license retired.Eugenia Nnenna Agugua, PharmacistLicense No. 27580. Alleged violation: noncompliance with previously entered AgreedBoard Order. Agreed Board Order acceptedby licensee and entered by the Board on05-08-12: prior Order set aside, licenserestricted with conditions.Daron Kent Campbell, PharmacistLicense No. 32994. Licensee requestedsuspension of Pharmacist License in lieu offurther disciplinary proceedings regardingallegations pending before the Board.Agreed Board Order accepted by licenseeand entered by the Board on 05-30-12:license suspended under conditions.Daniel Azubuike Anyadike, PharmacistLicense No. 43683. Alleged violation:convicted (in 2011) of the felony offenseof Conspiracy to Fraudulently Obtain AlienRegistration Receipt Cards. Agreed BoardOrder accepted by licensee and entered bythe Board on 05-08-12: license suspendedfor 60 days, followed by 5-year probationwith conditions.Leadcare Pharmacy, Inc., PharmacyLicense No. 26442, Houston, TX. Allegedviolation:alleged violation by DanielAzubuike Anyadike (see above). AgreedBoard Order accepted by licensee andentered by the Board on 05-08-12:probation period to run concurrent withprobated suspension imposed on corporatepresident.A.B. Hurd Jr., Pharmacist License No.19511. Alleged violation: unauthorizeddispensing of dangerous drugs. AgreedBoard Order accepted by licensee andentered by the Board on 05-08-12: 5-yearprobation with conditions and fined 2500.Townwood Pharmacy, Pharmacy LicenseNo. 4426, Houston, TX. Alleged violation:alleged violation by A.B. Hurd Jr. (seeabove). Agreed Board Order accepted bylicensee and entered by the Board on 0508-12: 5-year probation with conditions andfined 2500.J. Floyd Butler, Pharmacist License No.19595. Alleged violation: as pharmacistin-charge and owner, allowed pharmacytechnicians, in the absence of a pharmacist,to perform duties that may only beperformed under the direct supervision of apharmacist. Agreed Board Order acceptedby licensee and entered by the Board on05-08-12: 3-year probation with conditionsand must successfully pass the pharmacylaw exam.City Pharmacy of Junction, Inc.,Pharmacy License No. 1360, Junction, TX.Alleged violation: alleged violation by J.Floyd Butler (see above). Agreed BoardOrder accepted by licensee and entered bythe Board on 05-08-12: 3-year probationwith conditions and fined 5000.CVS/Pharmacy #6825, Pharmacy LicenseNo. 24596, Waco, TX. Alleged violations:dispensing error and failed to evaluate andidentify clinically significant high dosage.Agreed Board Order accepted by licenseeand entered by the Board on 05-08-12:prior Order set aside; 3-year probationwith conditions; fined 3000; and mustdevelop and implement a ContinuousQuality Improvement Program (to includepeer review) for purposes of preventing andhandling dispensing errors.Christa Adhiambo, Pharmacist LicenseNo. 46589. Alleged violation: dispensingerror. Agreed Board Order accepted bylicensee and entered by the Board on 0508-12:license reprimanded and mustobtain additional hours of CE.CVS/Pharmacy #7472, Pharmacy LicenseNo. 24740, Beaumont, TX. Alleged violation:alleged violation by Christa Adhiambo (seeabove). Agreed Board Order accepted bylicensee and entered by the Board on 0508-12: 2-year probation with conditions, andmust develop and implement a ContinuousTexas State Board of Pharmacy NEWSLETTER Fall 2012see DISCIPLINARY ACTIONSon page 3

DISCIPLINARY ACTIONScontinued from page Quality Improvement Program (to includepeer review) for purposes of preventing andhandling dispensing errors.Chukwuma Ikenna Okafor, PharmacistLicense No. 47796. Alleged violation:dispensing error. Agreed Board Orderaccepted by licensee and entered by theBoard on 05-08-12: 2-year probation withconditions and must obtain additional hoursof CE.CVS/Pharmacy#7222,PharmacyLicense No. 24504, Houston, TX. Allegedviolations: alleged violation by ChukwumaIkenna Okafor (see above) and failedto maintain accurate records. AgreedBoard Order accepted by licensee andentered by the Board on 05-08-12: 2year probation with conditions, and mustdevelop and implement a ContinuousQuality Improvement Program (to includepeer review) for purposes of preventing andhandling dispensing errors.Jose Ricardo Rivas, Pharmacist LicenseNo. 25357. Alleged violation: failed toprovide verbal patient counseling. AgreedBoard Order accepted by licensee andentered by the Board on 05-08-12: 2-yearprobation with conditions.Deidre Ann Shelton, Pharmacist LicenseNo. 42016. Alleged violation: deferredadjudication (in 2010) for the misdemeanoroffense of Attempted Fraudulent Use orPossession of Identifying Information.Agreed Board Order accepted by licenseeand entered by the Board on 05-08-12: 1year probation with conditions.Special Design Healthcare, PharmacyLicense No. 25333, Cape Girardeau, MO.Alleged violation: disciplinary action takenby the Missouri State Board of Pharmacy.Agreed Board Order accepted by applicantand entered by the Board on 05-08-12:probated suspension, with conditions, fora period of time to run concurrent with thesanctions imposed by the Missouri Board ofPharmacy.Cleburne Lloyd Murdoch, PharmacistLicense No. 17968. Alleged violation: aspharmacist-in-charge and owner, allowedtwo employees to perform technician dutieswith no registration. Agreed Board Orderaccepted by licensee and entered by theBoard on 04-16-12: license fined 2000.Clinic Pharmacy, Pharmacy License No.4945, Rotan, TX. Alleged violation: allegedviolation by Cleburne Lloyd Murdoch (seeabove). Agreed Board Order accepted bylicensee and entered by the Board on 04-1612: license fined 6000 and must developand implement policies and procedures toverify the licensure and registration statusfor pharmacists, pharmacist interns, and pharmacy technicians.Daniel Clayton Skaggs, PharmacistLicense No. 20146. Alleged violation: aspharmacist-in-charge and corporate officer,allowed two employees to perform techniciantrainee duties with no registration. AgreedBoard Order accepted by licensee andentered by the Board on 04-16-12: licensefined 2000.Pharmacy Unlimited, Pharmacy LicenseNo. 23105, Odessa, TX. Alleged violation:alleged violation by Daniel Clayton Skaggs(see above). Agreed Board Order acceptedby licensee and entered by the Board on 0416-12: license fined 6000 and must developand implement policies and procedures toverify the licensure and registration statusfor pharmacists, pharmacist interns, andpharmacy technicians.DelphinaChikameleAmuneke,Pharmacist License No. 35417. Allegedviolation:as pharmacist-in-charge andcorporate officer, allowed two employeesto perform technician duties with noregistration. Agreed Board Order acceptedby licensee and entered by the Board on04-16-12: license fined 2000.Med-Rite Pharmacy, Pharmacy LicenseNo. 23378, Houston, TX. Alleged violation:alleged violation by Delphina ChikameleAmuneke (see above). Agreed BoardOrder accepted by licensee and entered bythe Board on 04-16-12: license fined 6000and must develop and implement policiesand procedures to verify the licensureand registration status for ns.Suzanne Theresa Oswalt, PharmacistLicense No. 32989. Alleged violation:as pharmacist-in-charge, allowed twoemployees to perform technician traineeduties with no registration. Agreed BoardOrder accepted by licensee and enteredby the Board on 04-16-12: license fined 2000.United Pharmacy #513, PharmacyLicense No. 21387, Vernon, TX. Allegedviolation: alleged violation by SuzanneTheresa Oswalt (see above). Agreed BoardOrder accepted by licensee and entered bythe Board on 05-16-12: license fined 6000and must develop and implement policiesand procedures to verify the licensureand registration status for ns.SandraGayStowersSimmons,Pharmacist License No. 32492. Allegedviolation: as pharmacist-in-charge, allowedtwo employees to perform technician traineeduties with no registration. Agreed BoardOrder accepted by licensee and enteredby the Board on 04-16-12: license finedHIPDBThe Health Insurance Portability andAccountability Act of 1996 establishedthe Healthcare Integrity and ProtectionData Bank (HIPDB), a nationalhealthcare fraud and abuse datacollection program. In order to implementHIPDB, the U. S. Department of Healthand Human Services adopted rulesthat require all state health licensingagencies to report disciplinary actionsimposed on its licensees.TheTexas State Board of Pharmacy(TSBP) is required to submit reportsto HIPDB regarding all disciplinaryactions taken against pharmacists,pharmacies, pharmacist-interns, andpharmacy technicians. After HIPDBreceives a report from TSBP, HIPDBwill send a copy of the report to thelicensee. The licensee will be giventhe opportunity to respond to the report. 2000.Wise Regional Health System, PharmacyLicense No. 6545, Decatur, TX. Allegedviolation:alleged violation by SandraGay Stowers Simmons (see above).Agreed Board Order accepted by licenseeand entered by the Board on 04-16-12:license fined 6000 and must developand implement policies and procedures toverify the licensure and registration statusfor pharmacists, pharmacist interns, andpharmacy technicians.Michael Lawrence Ward, PharmacistLicense No. 20841. Alleged violation:as pharmacist-in-charge, allowed twoemployees to perform technician dutieswith no registration. Agreed Board Orderaccepted by licensee and entered by theBoard on 05-30-12: license fined 2000.Castle Hills Pharmacy, LLC, PharmacyLicense No. 26414, Victoria, TX. Allegedviolation:alleged violation by MichaelLawrence Ward (see above). Agreed BoardOrder accepted by licensee and entered bythe Board on 05-16-12: license fined 6000and must develop and implement policiesand procedures to verify the licensureand registration status for ns.Texas State Board of Pharmacy NEWSLETTER Fall 2012see DISCIPLINARY ACTIONSon page

DISCIPLINARY ACTIONScontinued from page Tracey Darlene Carruthers, PharmacistLicense No. 39356. Alleged violation:as pharmacist-in-charge, allowed twoemployees to perform technician traineeduties with no registration. Agreed BoardOrder accepted by licensee and enteredby the Board on 05-16-12: license fined 2000.United Pharmacy #536, PharmacyLicense No. 21411, Brownfield, TX.Alleged violation:alleged violation byTracey Darlene Carruthers (see above).Agreed Board Order accepted by licenseeand entered by the Board on 05-16-12:license fined 6000 and must developand implement policies and procedures toverify the licensure and registration statusfor pharmacists, pharmacist interns, andpharmacy technicians.LeonJulioHalfon,PharmacistLicense No. 18219. Alleged violation: aspharmacist-in-charge, allowed an employeeto perform technician trainee duties with noregistration. Agreed Board Order acceptedby licensee and entered by the Board on03-20-12: license fined 1000.Redi-Med Pharmacy, LLC, PharmacyLicense No. 26868, Jacinto City, TX.Alleged violation: alleged violation by LeonJulio Halfon (see above). Agreed BoardOrder accepted by licensee and entered bythe Board on 04-16-12: license fined 3000and must develop and implement policiesand procedures to verify the licensureand registration status for ns.Christopher Kumar Adlakha, PharmacistLicense No. 49330. Alleged violation:failed to provide verbal patient counseling.Agreed Board Order accepted by licenseeand entered by the Board on 05-08-12:license fined 1000.Walgreen Co. #03507, Pharmacy LicenseNo. 10721, Port Neches, TX. Allegedviolation: alleged violation by ChristopherKumar Adlakha (see above). Agreed BoardOrder accepted by licensee and entered bythe Board on 05-08-12: license fined 3000and must develop and implement policiesand procedures to ensure verbal patientcounseling is provided to patients.Robert Michael Holbert, PharmacistLicense No. 20769. Alleged violation: aspharmacist-in-charge and owner, allowedemployees to perform technician dutieswith no registration. Agreed Board Orderaccepted by licensee and entered by theBoard on 05-08-12: license fined 1000.Louis Morgan Drugs #4, Inc., PharmacyLicense No. 1028, Longview, TX. Allegedviolation:alleged violation by RobertMichael Holbert (see above). Agreed BoardOrder accepted by licensee and entered bythe Board on 05-08-12: license fined 3000and must develop and implement policiesand procedures to verify the licensureand registration status for ns.Thomas Manning Neale Jr., PharmacistLicense No. 29336. Alleged violation: aspharmacist-in-charge, allowed an employeeto perform technician duties with noregistration. Agreed Board Order acceptedby licensee and entered by the Board on05-08-12: license fined 1000.Pharmacy Plus #9, Pharmacy LicenseNo. 25170, Southlake, TX.Allegedviolation: alleged violation by ThomasManning Neale Jr. (see above). AgreedBoard Order accepted by licensee andentered by the Board on 05-08-12:license fined 3000 and must developand implement policies and procedures toverify the licensure and registration statusfor pharmacists, pharmacist interns, andpharmacy technicians.Monica Han Yan Lui Chi, PharmacistLicense No. 40728. Alleged violation:dispensing error. Agreed Board Orderaccepted by licensee and entered by theBoard on 05-08-12: license reprimandedand must obtain additional hours of CE.Kroger Pharmacy #689, PharmacyLicense No. 20276, Dallas, TX. Allegedviolations: alleged violation by Monica HanYan Lui Chi (see above); failed to provideadequate security for confidential patientrecords; and failed to provide verbal patientcounseling. Agreed Board Order acceptedby licensee and entered by the Board on05-08-12:license reprimanded; fined 2500; and must develop and implement aContinuous Quality Improvement Program(to include peer review) for purposes ofpreventing and handling dispensing errors.Mark Aaron Prevost, Pharmacist LicenseNo. 38823. Alleged violations: upon audit,failed to submit proof of completion ofrequired number of CE hours and falsifiedpharmacist license renewal application withregard to CE hours obtained. Agreed BoardOrder accepted by licensee and entered bythe Board on 03-20-12: license fined 2200and must obtain additional CE hours.John Christopher Pate, PharmacistLicense No. 42606. Alleged violations:dispensing error; failed to properly keepcomplete and accurate compoundingrecords; labeled compounded preparationwith an invalid beyond-use date; dispensedcompounded preparation of a commerciallyavailable drug; and failed to provideadequate security for confidential patientrecords. Agreed Board Order accepted bylicensee and entered by the Board on 0508-12: license reprimanded; fined 2000;and must obtain additional hours of CE.CVS/Pharmacy#7831,PharmacyLicense No. 24782, San Antonio, TX.Alleged violations: shortages of controlledsubstances following accountability auditand failed to properly maintain pharmacyrecords. Agreed Board Order accepted bylicensee and entered by the Board on 05-0812: license fined 2000 and must developand implement policies and procedures todetect shortages and prevent theft and lossof controlled substances.Cook Children’s Medical Center,Pharmacy License No. 00328, Fort Worth,TX. Alleged violation: falsified Change ofManaging Officer application with regardto pharmacy corporate officers’ criminalhistory. Agreed Board Order accepted byapplicant and entered by the Board on 0307-12: license fined 2000.Biologics, Inc., Pharmacy License No.23756, Cary, NC.Alleged violations:disciplinary action taken by the MissouriState Board of Pharmacy and falsifiedpharmacy renewal and Change ofOwnership applications with regards toprevious disciplinary action by the MissouriState Board of Pharmacy. Agreed BoardOrder accepted by applicant and enteredby the Board on 05-16-12: license fined 2000.Robby Don Timberlake, PharmacistLicense No. 19341. Alleged violation:dispensing error. Agreed Board Orderaccepted by licensee and entered by theBoard on 05-08-12: license reprimanded;fined 1000; and must obtain additionalhours of CE.IV Solutions of Lubbock, PharmacyLicense No. 17088, Lubbock, TX. Allegedviolation: alleged violation by Robby DonTimberlake (see above). Agreed BoardOrder accepted by licensee and enteredby the Board on 05-08-12:licensereprimanded; fined 1500; and mustdevelop and implement a ContinuousQuality Improvement Program (to includepeer review) for purposes of preventing andhandling dispensing errors.Walgreen Co. #5434, Pharmacy LicenseNo. 19800, Cleburne, TX. Alleged violation:failed to evaluate and identify clinicallysignificant high dosage. Agreed BoardOrder accepted by licensee and enteredby the Board on 05-08-12: license fined 1500.Walgreen Co. #11971, Pharmacy LicenseNo. 26028, San Antonio, TX. Allegedviolation: failed to provide verbal patientcounseling. Agreed Board Order acceptedsee DISCIPLINARY ACTIONSon page Texas State Board of Pharmacy NEWSLETTER Fall 2012

DISCIPLINARY ACTIONScontinued from page by licensee and entered by the Board on05-08-12: license fined 1500.Mary E. Azuike, Pharmacist License No.25499. Alleged violations: dispensingerror and failed to evaluate and identifyclinically significant high dosage. AgreedBoard Order accepted by licensee andentered by the Board on 05-08-12: licensereprimanded and fined 1000.Nghi Truc Dinh, Pharmacist License No.49373. Alleged violations: dispensingerror and failed to evaluate and identifyclinically significant high dosage. AgreedBoard Order accepted by licensee andentered by the Board on 05-08-12: licensereprimanded; fined 1000; and must obtainadditional hours of CE.Wal-Mart Pharmacy #10-3500, PharmacyLicense No. 22193, Houston, TX. Allegedviolations:dispensing (delivery) errorand failed to provide adequate securityfor confidential patient records. AgreedBoard Order accepted by licensee andHELP ISAVAILABLEDo you know a pharmacistwith any of the followingsymptoms? DepressedDrinking alcohol inmore than moderateamountsAbusing drugsHas a physical ormental impairmentNot practicingpharmacy in amanner that is in thepublic’s interestIf you do, please overy Network (PRN)an opportunity to help.All calls are kept strictlyconfidential. For information,call the toll free Help Line:1 (800) 727-5152 entered by the Board on 05-08-12: licensereprimanded; fined 1000; and mustdevelop and implement a ContinuousQuality Improvement Program (to includepeer review) for purposes of preventing andhandling dispensing errors.Walgreen Co. #5961, Pharmacy LicenseNo. 20345, Fort Worth, TX.Allegedviolations: dispensing

22-23 THANKSGIVING HOLIDAYS - Office Closed DECEMBER 01 24-26 CHRISTMAS HOLIDAY - Office Closed JANUARY 013 1 NEW YEAR’S DAY - Office Closed 21 M.L. KING JR. DAY - Office Closed FEBRUARY 013 5-6 TSBP BOARD BUSINESS MEETING, Austin 18 PRESIDENT’S DAY - Offi

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