INDIANA BOARD OF PHARMACY AGENDA Will meet on Monday, January 8, 2018 8:30 a.m. Indiana Professional Licensing Agency 402 West Washington Street, Room W064 Indianapolis, Indiana 46204 I. PROBATIONARY APPEARANCES 7:30 a.m. (Conference Center Room A) 1. Kristina Luers 2. Charles McGee 3. Estil Caton 4. Ryan Manges 5. Donovan Higgins 6. Phillip Simpson II. CALL TO ORDER AND ESTABLISHMENT OF QUORUM 8:30 a.m. III. IV. PLEDGE OF ALLEGIANCE ADOPTION OF THE AGENDA V. APPROVAL OF THE MINUTES DECEMBER 11, 2017 VI. VII. ELECTION OF OFFICERS FULL BOARD APPEARANCES 1. Tate Trijillo, IU Health Discussion on Gabapentin 2. Jack Wells, PCA Pharmacy DOSIS Machine 3. Rich Palombo, R.Ph., DPh, Senior Director of Pharmacy Regulatory Affairs, Express Scripts Work at home Technician Discussion 4. Pill Box Pharmacy, Inc Jerrold Blocker, R.Ph., PIC Remote Location App using Telepharmacy VIII. COMMITTEE MEETINGS - PERSONAL APPEARANCES A. Standing Committee Personal Appearances
1. Beth Parsons Intern Permit App Positive 2. Shayna Eck Tech App Positive 3. Dominic Senemis Intern Permit App Positive 4. Rashauna White Tech in Training App Positive s 5. Jordan Green Tech App Positive 6. Ashley Custer Tech in Training App Positive 7. Morgan McClintock Tech in Training App Positive 8. Nuvia Cazarez Tech in Training App Positive B. Compliance Committee Personal Appearances 9. Wells Pharmacy Network, LLC 64001422A Non Resident Ren Positive 10. Wells Pharmacy Network, LLC 64001355A Non Resident Ren Positive 11. Rood and Riddle Veterinary Pharmacy 64000796A Non Resident Ren Positive 12. Animal Health International 64002066A Non Resident Ren Positive IX. APPLICATION REVIEW A. Individual Applications 1. Mikeena Fitzgerald, Tech in Training Positive B. Continuing Education Applications 1. Don Newman Morton Plant Hospital Prevention of Medical Errors Part II 1 hour 2. LaToija Snodgrass American Lung Association - Asthma Educator Institute 14 hours C. Pharmacy Technician Training Programs D. Controlled Substance Registration / EDI / HME Applications 1. John Colaluca, M.D. CSR App Positive 2. Sherry Evans, APN CSR App Positive 3. Indiana State University/Dr. H. Kathleen Dannelly Researcher CSR App Schedules 2,2N 4. Purdue University/J. Paul Robinson Researcher CSR App Schedule 2N 5. Shekher Mohan, PhD Researcher CSR App Schedules 1,2,2N,3,3N 6. Great Lakes Surgical Suites, LLC Surgery Center CSR App Schedules 2,2N,3,3N,4,5
7. University of Notre Dame/Dr. Xin Lu Researcher CSR App Schedules 3,3N E. Compounding Facility Application Review 1. Pharmacy Associates, Inc d/b/a CompreCare Non Resident App Change of Ownership Positive s 2. Medical Arts Clayton Pharmacy Non Resident Change of Location App Positive 3. Pharmacore, Inc d/b/a Hallandale Pharmacy Non Resident App Positive 4. Fusion Specialty Pharmacy Non Resident App Positive 5. Hook-SupeRx, LLC d/b/a CVS/pharmacy #10983 Pharmacy/CSR App Positive 6. Hook-SupRx, LLC d/b/a CVS/pharmacy #6911 Pharmacy/CSR App Positive 7. Foothills Professional Pharmacy, LTD Non Resident Change of Ownership App Positive F. Non-Compounding Facility Application Review 1. Trigen Laboratories, LLC WDD App Positive 2. Glen Rock Medical Pharmacy Non Resident Change of Ownership App Positive 3. McKesson Specialty Pharmacy LC Non Resident Change of Location App Positive G. Facility Renewal Application Review 1. Woodland Hills Pharmacy, 64001491A Non Resident Ren Positive 2. Pinnacle Pharmacy, 64002130A Non Resident Ren Positive 3. Healthwarehouse.com, 64000967A Non Resident Ren Positive 4. Summit City Pharmacy, 60006518A Pharmacy Ren Positive 5. Brookside Rx, 64002257A Non Resident Ren Positive 6. GenRx Pharmacy, 64001860A Non Resident Ren Positive 7. Express Scripts Pharmacy, 64001569A Non Resident Ren Positive 8. Accredo Health Group, 60006353A Pharmacy Ren Positive 9. Express Scripts Pharmacy, 6400093A Non Resident Ren Positive 10. ESI Mail Pharmacy Service, 64000469A Non Resident Ren Positive
11. St. Charles Surgical Pavillon, 61100340B CSR Ren Positive 12. Hawthorne Pharmacy, 64002260A Non Resident Ren Positive 13. AnazaoHealth Corp, 64002011A Non Resident Ren Positive 14. University Compounding Pharmacy, 64001106A Non Resident Ren Positive 15. Paradigm Healthcare Solutions d/b/a Athena Pharmacy, 64001782A Non Resident Ren Positive 16. Caremark, LLC, 64000357A Non Resident Ren Positive 17. Wellness Pharmacy, 64000502A Non Resident Ren Positive 18. Diamondback Drugs, 64001886A Non Residnet Ren Positive 19. IU Health West Hospital, 60005848B CSR Ren Positive 20. Daviess Community Hospital Pharmacy, 6000723B CSR Ren Positive 21. Intrathecal Compounding Specialists, 64000848A Non Resident Ren Positive 22. Advanced Pharmacy, 64001196A Non Resident Ren Positive X. DISCUSSION A. Reports a. Director b. INSPECT c. Compliance d. Attorney General B. Mark Newell, MBA, Deputy Director, State Psychiatric Hospitals, FSSA Approval of EDS C. Emergency Scheduling LSA 18-XXX(E) MT-45 (1-cyclohexyl-4-(1,2- diphenylethyl)piperazine) D. Update to 856 IAC 1-2-1 Darren/Zaneta E. Former Category VI pharmacies Darren/Zaneta XI. ADMINISTRATIVE HEARINGS 1:30 p.m. A. In the Matter of the License of: Melanie Ann Arvin, R.Ph. License No. 26020779A Administrative Cause No. 2018 IBP 0002 Re: Petition for Summary Suspension B. In the Matter of the Reinstatement of the Controlled Substances Registration of: Dorwyn Collier, D.O. License No. 02001521B Administrative Cause No. 2017 IBP 0099 Re: OTSC Reinstatement of CSR
C. In the Matter of the Controlled Substances Registration of: Atiman Damodaran, M.D. License No. 01028450B Administrative Cause No. 2015 IBP 0035 Re: Petition to Withdraw Probation D. In the Matter of the License of: Paul Elmer, R.Ph. License No. 26013086A Administrative Cause No. 2017 IBP 0041 E. In the Matter of the Application for a Controlled Substances Registration of: Indiana University-Purdue University Indianapolis, Department of Psychology License No. 61100939B Administrative Cause No. 2017 IBP 0070 Re: OTSC Application for CSR F. In the Matter of the Renewal of the Controlled Substances Registration of: Craig Johnson, D.O. License No. 02002070B Administrative Cause No. 2017 IBP 0092 Re: OTSC Renewal of CSR G. In the Matter of the License of: Tonya Johnson, Ph.T. License No. 67016382A Administrative Cause No. 2017 IBP 0084 Re: Disciplinary Hearing H. In the Matter of the License of: Brent Losier, R.Ph. License No. 26018627A Administrative Cause No. 2017 IBP 0057 I. In the Matter of the License of: Nicholas Martin, Ph.T. License No. 67025489A Administrative Cause No. 2017 IBP 0087 J. In the Matter of the License of: Melissa Moore, Ph.T. License No. 67029291A Administrative Cause No. 2017 IBP 0086
K. In the Matter of the License of: Randi Pratt, Ph.T. License No. 67013344A Administrative Cause No. 2017 IBP 0008 L. In the Matter of the Reinstatement of the Controlled Substances Registration of: Robert Richey, Jr., M.D. License No. 01023980B Administrative Cause No. 2017 IBP 0093 Re: OTSC Reinstatement of CSR M. In the Matter of the License of: Charles Ringger, R.Ph. License No. 26012961A Administrative Cause No. 2017 IBP 0049 N. In the Matter of the Renewal of the Controlled Substances Registration of: Josue Villalta, M.D. License No. 01029614B Administrative Cause No. 2017 IBP 0090 Re: OTSC Renewal of CSR O. In the Matter of the License of: Tessa Wetherald, Ph.T. License No. 67022308A Administrative Cause No. 2017 IBP 0075 Re: Disciplinary Hearing P. In the Matter of the License of: Janice Wilson, R.Ph. License No. 26015287A Administrative Cause No. 2017 IBP 0085 XII. NOTICE OF PROPOSED DEFAULTS/DISMISSALS A. In the Matter of the License of Tracy Bair, P.T.I.T. License No. 99076130A Administrative Cause No. 2017 IBP 0007 Re: Notice of Proposed Default & Disciplinary Hearing B. In the Matter of the License of Kathryn Bearss (formerly Wroblewski), Ph.T. License No. 67003506A Administrative Cause No. 2004 IBP 0033 Re: Notice of Proposed Dismissal
C. In the Matter of the License of: Tri-Coast Pharmacy License No. 64001261A Administrative Cause No. 2017 IBP 0038 Re: Notice of Proposed Default & Disciplinary Hearing XIII. ADJOURNMENT Next Scheduled Meeting February 12