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Pharmacists save the medical system millions of dollars every day by being the last resort for the poor people who have nowhere else to turn.

A relief pharmacist should spend the first 10 minutes with an internal checklist. Its items may be small in themselves, but overlooked, they will make the day considerably harder.

Starting this month, the Patient Protection and Affordable Care Act requires employees with tax-advantaged health accounts to have a prescription for an OTC drug to qualify for account reimbursement and preferred tax treatment. Insulin and OTC medical devices and supplies are exempt.

Under the federal Controlled Substances Act, marijuana is classified as Schedule I, a definition that gives it a high potential for abuse, with no current safe or medical use. Meanwhile, in 14 states, patients have access to medical marijuana upon physican recommendation.

Medication therapy management is looking like the next new career opportunity for pharmacists as the Patient Protection and Affordable Care Act, health plans, and employers press for its adoption.

Patients with health insurance are abandoning their prescriptions at higher rates than they did a year ago and far more frequently than they did 5 years ago, according to a recent study.

New data show that while nearly all MI patients receive beta blockers, most patients receive suboptimal doses that are never increased.

Despite the barriers to provision of MTM that exist for pharmacists, figuring out a way to do it is our professional obligation.

A pharmacy that engages in veterinary compounding has been embroiled in a struggle with FDA since it compounded a vitamin supplement for administration to 21 polo ponies during the U.S. Open Polo Championships in April 2009. When they were injected with the compounded vitamin supplement, all 21 ponies collapsed and died. FDA's subsequent court challenge raises the question of when compounding becomes manufacture.

Pharmacy then and now

In his 200th column for Drug Topics' "JP at Large," Jim Plagakis reflects on some moments that stand out.

The first interstate electronic exchanges of real patient information should begin shortly in Ohio, at what is expected to become a national hub that will enable information related to prescription drug monitoring to flow across state lines.

The promise of genomic discoveries is tremendous, but modern medicine is not yet ready to use the bulk of these discoveries, said Muin Khoury, MD, PhD, at the annual meeting of the American College of Clinical Pharmacology (ACCP) in Baltimore, Md.

After fighting about it for years, Congress included legislation in the mammoth healthcare reform bill that would allow an easier approval path for ?biosimilars,? sometimes referred to as generic versions of biologic products.