Compounding This Week Newsletter from www.CompoundingToday.com
Brought to you by the International Journal of Pharmaceutical CompoundingHeader
March 9, 2012 Volume 9, Issue 10
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Loyd V. Allen, Jr., Ph.d., R.Ph  Letter from the Editor
Loyd V. Allen, Jr., Ph.D., R.Ph.

Editorial: Learning requires effort and work!

Remember comprehensive exams and pop quizzes in college? Why is it that many think that once you have had an examination on a topic, that specific material should not be tested again? Why is it that most individuals don't like pop quizzes? Is it because it means they need to keep up with their studies daily with constant reviews to be ready at any time and this requires a lot of effort?

The bottom line is that study requires effort and effort is work! Learning requires constant and repeated exposure to material to memorize, learn, and understand. In a book entitled "The Playful Brain," by Richard Restak, MD, and Scott Kim, they explain that "One cannot simply learn something, never test your ability to retrieve it again, and then expect to retain that information over the long term."

In other words, there is a difference between "reading something and taking an exam" vs "learning by repeated exposure over time" and placing it into long-term memory. Learning is different than "exam-taking." Obviously, different individuals learn at different rates and in different ways. But books on the brain and its function explain that repeated exposure to material (effort and work) generally contributes to "learning."


Loyd V. Allen, Jr., PhD, RPh
Editor-in-Chief

 
Other News

Nonprescription Status Considered for Chronic Disease Drugs
The FDA is considering allowing consumers to buy medications for some chronic conditions without a prescription. The agency will soon hold a two-day public meeting to evaluate whether to reclassify drugs for high blood pressure, cholesterol, migraines, and asthma so patients can get them without a prescription. Pharmacists may play a role to help patients assess their conditions with the aid of digital tools and kiosks. This reclassification should only occur if patients can diagnose their illnesses themselves and the medicine doesn't require a physician's supervision, according to some. The FDA can use its administrative powers to make many of the changes.
http://www.bloomberg.com/news/2012-03-08/fda-weighing-non-prescription-status-for-chronic-disease-drugs.html

Abbott, Amgen, AstraZeneca, Bristol-Meyers Squibb, Glaxo, Pfizer, and Novartis Sued Over Copay Discounts
Affiliates of Boston-based Community Catalyst contend that cutting copays for the drugs destroys the incentive to use cheaper generic drugs, in a suit filed today in federal court in Newark, New Jersey, against Abbott, Amgen, AstraZeneca, Bristol-Meyers Squibb, Glaxo, Pfizer, and Novartis. The companies are accused of illegally offering coupons to reduce copayments for brand name drugs. These kickbacks will increase health benefit providers' prescription drug costs by $32 billion over the next 10 years according to the plaintiffs' lawyer.
http://www.bloomberg.com/news/2012-03-07/pfizer-abbott-face-allegations-over-co-pay-coupon-promotions.html

Drug Distributor Tied to Fake Avastin Imports
Investigations involving the importation of low-cost foreign pharmaceuticals into the U.S. have identified a supply chain that may have allowed counterfeits to reach U.S. clinics. Federal officials examining the business dealings of two Canadian businessmen with long histories in the Internet pharmacy trade that delivers discounted prescription drugs from overseas to U.S. citizens have been found. One of the men acknowledges the companies shipped fake vials of Avastin late last year.
http://online.wsj.com/article/SB10001424052970203370604577261343974214110.html?mod=dist_smartbrief

'Pay-for-delay' Deals by PHARMA Companies Examined
California is the first state to examine whether pharmaceutical companies can pay competitors to NOT make or sell cheaper generic versions of their prescription drugs. The California Supreme Court has agreed to review a 10-year-old class-action lawsuit involving Cipro. The suit argues that it was illegal for Bayer to pay a competitor to stay out of the market as part of a settlement in a legal dispute over the Cipro patent. This action forced hundreds of thousands of Californians to collectively overpay millions of dollars for the drug, the lawsuit claimed. Without the competition, drug prices are inflated. Court documents show that between 1997 and the end of 2003, Bayer raised the price of Cipro by 16 percent and made a profit of about $5 billion.
http://californiawatch.org/dailyreport/state-court-examine-pay-delay-deals-drugmakers-15133

FDA to Ban Caramel Coloring in Soda?
The Center for Science in the Public Interest (CSPI) said it found unsafe levels of a chemical used to make caramel color in cans of Coca-Cola, Pepsi-Cola, Dr Pepper Snapple Group Inc.'s Dr. Pepper, and Whole Foods' 365 Cola. The group has asked the FDA to ban caramel coloring agents that contain the chemical known as 4-methylimidazole. "Coke and Pepsi, with the acquiescence of the FDA, are needlessly exposing millions of Americans to a chemical that causes cancer," said CSPI executive director Michael Jacobson. The FDA considers the drinks safe and stated, "A consumer would have to consume well over a thousand cans of soda a day to reach the doses administered in the studies that have shown links to cancer in rodents."
http://www.reuters.com/article/2012/03/06/coca-cola-idUSL2E8E60BN20120306

Drug Companies Have Paid $8 Billion in Medicare and Medicaid Fraud Fines
Some of the largest pharmaceutical companies have paid at least $8 billion in fines for repeatedly defrauding Medicare and Medicaid over the past decade. However, they are still doing business with the federal government because they are often the sole suppliers of critical products.

Companies can be fined and forced to enter corporate integrity agreements that require government oversight and a promise not to defraud the government again—a promise that often goes unkept. "We're seeing some of the big companies a second and third time," said Gregory Demske, assistant inspector general for legal affairs for Health and Human Services. "The corporate integrity agreement is not sufficient to deter further misconduct."

The government announced in 2010 that it would start going after individuals within a company. A bipartisan bill has been introduced that would make it easier for the government to find a middle ground, saying the law now forces "the inspector general to use all-or-nothing, mandatory exclusion penalties against corporations that have committed fraud." The bill would allow the exclusion of individuals from working with the government even after they've left the company where the fraud occurred.
http://www.usatoday.com/news/washington/story/2012-03-05/health-drugmakers-fraud-fines/53372792/1

 
Did You Know ...

�that the Code of Conduct for participation in the Compounders' Network List (CNL) has been updated? For all those involved, please take a minute to review it. The current version can always be found at www.ijpc.com/cnl. The addition involves those that are "Read-Only" participants.

 
Compounding Tip of the Week

CNL Conduct
Please continue to report any questionable conduct on the CNL so it can continue to be of great value to all those that participate.

 
Looking Back

Passing school zone,
Take it slow.
Let our little
Shavers grow.
      Burma Shave

 
PCAB Accreditations

PCAB is proud to announce the accreditation of the following pharmacy:

La Vita Compounding Pharmacy, San Diego, California; Christine Givant, RPh, Co-Founder; chris@LaVitaRx.com; Initial Accreditation for Sterile and Nonsterile Compounding

Please join us in congratulating them for their achievement.

 
Meetings and Events

Supply Chain Integrity to Help Reduce Risks of Counterfeit or Mishandled Medicines Workshop at USP May 22-23, 2012
As the pharmaceutical industry continues to globalize, the challenges of securing complex supply chains and protecting patients from counterfeit medicines have mounted. In an effort to encourage comprehensive public standards across the industry, the USP is seeking feedback on a newly proposed set of recommended best practices that will help ensure that medicines can be traced back to their original manufacturer, are not adulterated or counterfeited, and are transported to their intended destination with their quality intact. These are contained in USP General Chapter <1083> Good Distribution Practices—Supply Chain Integrity, and are the central focus of a workshop to be held May 22-23 (more information here: http://www.usp.org/meetings-courses/workshops/supply-chain-integrity-workshop). These standards are designed to be relevant to all members of the pharmaceutical supply chain, from suppliers to manufacturers to practitioners.

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