Connecticut Society of Health-System Pharmacists
NEWS BRIEF
September 2010
Dear Colleague,
Inside CSHP
Legislative
Education
Opportunities
Special Feature Article
Inside This Issue
Use the Quick Links
above to connect
with the sections below.
Inside CSHP: Check
out our candidates for
the 2010-2011 Board.
Legislative:
Read about Advocacy
in Pharmacy
and Health Care.
Education:
Catch the Wave is
right around the
corner. Register now
to save $
Read about an
upcoming Medical
Safety Seminar
Opportunities:
Don't forget to check
the CSHP website on a
As my term draws to a close, I can't believe how quickly this year has gone
by. It has been a very busy and rewarding year, and we have accomplished
quite a lot, but still have a lot more to do.
I sincerely appreciate the support of the CSHP members, member volunteers
(Ralph Frank, Wendy Chen, Michael Rubino, Michael Schlesselman, Greg
Gousse, Kathleen Spooner, and Pharmacy Residents of Yale New Haven
Hospital); the CSHP Board (Bruce Sill, Bill Baker, Bogdan Musial, Jennifer
Colby, Nigjar Memeti, and Effie Kuti); our committee leadership group (Tom
Buckley, Sarah Arnold, Molly Leber, Ron Abrahams, Eric Tichy and Mojdeh
Saba); Phoenix Advisory Committee (Ralph Frank, Janet Kozakiewicz and
David Girouard), the CSHP Student Chapter Liaisons (Victoria Liu, Rachel
Merson, Manas Prasad and Justine Surh), and our association management
team. These individuals made it all happen.
We started off the year with a half day CSHP Leadership Retreat on
December 21, 2009 at Hartford Hospital. The objective of this retreat was to
engage the CSHP leadership to envision and articulate a "value statement"
that goes beyond CE programs and will engage more professional
involvement of the membership, and to discuss short and long-term strategic
goals that include the Society's financial stability. My 2009-2010 annual
report will be coming out soon.
Improved communications with members was a high priority. Some of the
highlights of our successes this year include the development and
implementation of a new CSHP website (www.cshponline.org, launched
June 2010), a CSHP list-serve (launched May 2010), the new E-News Brief
(launched March 2010), a CSHP Facebook page (launched December 2009).
On the legislative front, CSHP participated in "Pharmacy Day" at the Capitol
on March 23rd 2010. More importantly, during this legislative session, our
regular basis.
Take advantage of a
mixture of
opportunites from
webinars to
volunteering.
Special Feature:
Guest contributor
talks
about overcoming the
challenge of drug
shortages.
VOTE
Active Pharmacists,
Active Retired
Pharmacists, Joint
Active Pharmacist
Members
Remember to cast your
ballot for the 20102011 Board of
Directors by October
4th.
We welcome the
following pharmacy
professionals and
students who have
joined or re-joined
us since July 22nd.
Sabina Alilehanoz,
Student
Ashley Christensen,
Pharm D
Julie D'Ambrosio,
Pharm D
Ana Delgado, Pharm
D
Legislative Chair, Tom Buckley, provided oral testimony to the Public Health
Committee on three specific bills of concern to pharmacists in CT. We scored
significant victories in the passing of the following bills: HB 5290
(immunization expansion) and RB 262 (collaborative practice expansion) that
will affect pharmacy practice in this state. The next phase of our planning
will focus on how to best disseminate and implement collaborative drug
therapy management opportunities into pharmacy practice for our
members.
One of our strategic goals this year is to expand our CSHP membership and
to this end, our membership Committee, chaired by Sarah Arnold, has been
hard at work brainstorming membership building initiatives. One of our
most valued member services is providing continuing education and
networking opportunities. This past year, we held five, live CE dinner
programs at the Rocky Hill Marriott. Please save the date for our Annual
CSHP 'Catch the Wave" Meeting to be held on October 15 at the Water's Edge
Resort & Spa in Westbrook.
I am extremely honored and proud to have served you this year. I want to
take this opportunity to welcome the new in-coming CSHP President, Bill
Baker who will bring CSHP to the next level.
Wishing you all the best ...
Fei Wang
Inside CSHP
Candidates for 2010-2011 CSHP Board:
The CSHP Nominations Committee is proud to present the following slate of
candidates for the CSHP Board of Directors.
President-elect: Robyn J. Wahl, Pharm D, MBA
Dr. Wahl is currently pharmacy operations manager at UCHC responsible
for the Correctional Managed Health Care pharmacy services. In addition to
correctional pharmacy and managed care, she has experience in both acute
and chronic care hospital settings, long-term care, home infusion and
specialty pharmacy, and community pharmacy with large chains and small
independent pharmacies. Dr. Wahl received her B.S. in Pharmacy from the
University of Connecticut in 1990, an MBA from the University of Hartford
in 2002, and Doctor of Pharmacy from the University of Florida in 2007. She
is a 2009 recipient of the Dr. Peter J. Deckers Employee Appreciation Award
for her outstanding contribution and commitment. She is a preceptor for
UCONN pharmacy students since 2000 and has participated in patient
counseling laboratory and lectured in Pharmacy Management and Home
Care Specialties.
Treasurer: Jose Luis Scarpa, RPh
Mr. Scarpa is currently Director of Pharmacy at Natchaug Hospital
responsible for the operations and clinical pharmacy services. He has over 22
years of experience in institutional and community pharmacy settings. He
Jim Farrell, MHA
Rich Gannon, Pharm
D
Lukas Gilmore, Pharm
D
Danielle Henry, Pharm
D
Jill Jessmer, Pharm D
Lindsey Klish, Pharm
D
Michael Ladd, Pharm
D
Christine Lee,
Pharm D Candidate
Ken Lupi Jr., Student
Malek Mediouni,
Pharm D Candidate
Anisa Naka, Pharm D
Joanna Rhieu, Pharm
D
Roger Simao, CPhT
began his career as a staff pharmacist at ECHN, eventually serving as an
Assistant director and Acting Director until 2005. Mr. Scarpa received his B.S.
in Pharmacy from the University of Connecticut in 1988 and a Bachelors
degree in Chemistry from Western Connecticut State University in 1985. He
is an Adjunct Assistant Clinical Professor of the University of Connecticut
and has developed a clerkship rotation and precepted numerous students
over the years. He was selected as the hospital employee of the month at
ECHN and is a member of CSHP since 1990.
Secretary: Marla Campbell, Pharm D
Dr. Campbell is currently a Regional Medical Scientist in the vaccines
division of GlaxoSmithKline. Prior to that, she was an Associate Clinical
Professor at the University of Connecticut School of Pharmacy with practice
sites at UCHC, Bristol Hospital and Yale New Haven Hospital, and a Drug
Utilization Management Pharmacist at St. Boniface Hospital. Dr. Campbell
received her B.S. in pharmacy from the University of Alberta in 1988 and her
Doctor of Pharmacy from the University of Iowa in 1992. She completed a
Pharmacy Practice Residency at Buffalo General and is a Board Certified
Pharmacotherapy Specialist. Dr. Campbell has numerous publications and
speaking engagements and has served on many national professional
organizations. She is a previous recipient of the CSHP Pharmacist of year
award and has served on the CSHP Continuing Education and Legislative
Committees. She has been a member of CSHP since 1997.
Senior Board Member: Ronald J. Abrahams, RPh
Mr.
Abrahams is currently a dialysis pharmacist since 1994 at Hartford Hospital
implementing programs to promote safe medication prescribing and dosing
mediations per collaborative practice protocols for 180 patients. He has
previous experienceat Hartford Hospital as a clinical pharmacist on the
Nutritional support team and Coumadin clinic. Prior to this, he was a
Director of Pharmacy Services at Windham Community Hospital and has
served in senior administrative roles in various institutional, long-term care
and community health-system pharmacies. He is an adjunct instructor for
the University of Connecticut School of Pharmacy teaching various
Nephrology and Dialysis topics. Mr. Abrahams received his B.S. in Pharmacy
from the University of Connecticut and completed a one year residency in
Pharmacy Administration at Jefferson Hospital in Philadelphia. He has
presented at many national professional meetings and was a 2008 recipient
of the CSHP Paul G. Pierpaoli award for extraordinary service and
dedication to the profession of pharmacy.
Brett Sluyter
Junior Board Member: Sarah Arnold, Pharm D
Steve Sparks
Dr. Arnold completed her doctor of pharmacy at Northeastern University in
Boston MA in 2005. In 2006, she completed a Pharmacy Specialty Residency
in Pediatrics at Boston Children's Hospital. Dr. Arnold moved back to CT in
2006 and began work as a pediatric clinical pharmacist at Yale New Haven
Hospital. She is currently the Pediatric Clinical Specialist at Yale, where her
work focuses on medication safety in this population. Dr. Arnold is also the
residency director for the PGY2 pharmacy specialty residency in pediatrics at
Yale New Haven hospital. In 2010, Dr. Arnold served as CSHP's Membership
Jessica Trujillo,
Pharm D
Christy Varughese,
Pharm D
Committee Chairperson.
Amanda Volpe,
Pharm D
Richard Wojtowicz,
Pharm D, MBA
Diane Yourie, RPh
SAVE THE DATE
William Baker, Pharm D, BCPS, will serve as our President and Fei Wang,
MSc, PharmD, BCPS, FASHP, will serve as our Immediate Past President.
Legislative
Advocacy in Pharmacy and Health Care
by Thomas Buckley, MPH, RPh, CSHP Legislative Chair
Assistant Clinical Professor, University of Connecticut School of Pharmacy
October 15th
Catch the Wave
Annual Meeting and
Conference
Water's Edge Resort
The history of health care is full of political milestones affecting health
professionals and the patients they serve. The Flexner Report of 1910
changed the face of medical education; the Medicare and Medicaid programs
created health care for the aged, disabled, and poor in 1964; and Congress
granted nurse practitioners and registered dietitians Medicare provider
status in 1997 and 2000. These events did not just occur; they were
November 16th
influenced by individual and collective advocacy on behalf of and in
CE Program &
Dinner
opposition to the causes of many different stakeholders.
In a perfect world, the health care system would recognize pharmacists'
The CSHP leadership meets
at 5 p.m., prior to the CE
dinners. Members are
welcome to attend these
meetings. Please
rsvp office@cshponline.org
by the prior Friday. If you
would like the Board to
discuss a particular
suggestion or issue, please
contact the CSHP office ten
days prior to the meeting.
CSHP
Headquarters
888-506-3784
office@cshponline.org
USEFUL LINKS
ability to improve patient outcomes and decrease total health care costs, and
pharmacists would be paid for their services. Instead, pharmacy's advocacy
campaign has focused on informing decision makers that pharmacists are
trained medication experts who work collaboratively with patients and
physicians to improve medication use. Progress, albeit slow, is being made
toward payment for pharmacists' services, with government programs such
as Medicare and with private payers.
While CSHP made great strides recently with the passage of comprehensive
collaborative drug therapy management (CDTM), we have reached one of
those health care milestones shaped by politics, namely federal and state
health care reform. We have set the stage with the passage of CDTM to take
advantage of numerous medication therapy management and medical home
opportunities afforded by both federal and state policy. Now, as we
collectively help others see how pharmacists can help them achieve their
goals will be a key advocacy strategy.
CSHP Membership
Application
Advocacy happens anywhere, anytime, and one person at a time. Each
pharmacist in each practice setting has opportunities to use emotions to
advocate for the profession. You have countless examples of how you've
ASHP Website
helped your patients. Individual pharmacists also represent the profession
as a whole. CSHP is your conduit to transform individual and collective
CT Dept. of Public
advocacy into policy change. The history of health care has been shaped by
visionaries who saw how pharmacists could solve existing or future
Health
problems. The literature documents pharmacists improving patients' quality
of care and decreasing health care costs, and policy makers are looking to us
Your Legislative
Contacts
CT Dept. of Consumer
Protection
US Food and Drug
Administration
Deadline for
submissions to the
for help. Are you ready to help? If you are willing to advocate for
pharmacists and the patients you serve, CSHP only needs your passion.
"If we fail to dare, if we do not try, the next generation will harvest the fruit of our
indifference; a world we did not want - a world we did not choose - but a world we
could have made better, by caring more for the results of our labors." Senator Robert
F. Kennedy
Education
2010 Catch the Wave: The Conference for Health System
Pharmacists and Allied Professionals
7 CE Credits
next issue of
News Brief
e-mail to
office@cshponline.o
rg
by October 25, 2010
News Brief is a service
for and about CSHP
and its current
members.
We invite you to send
us information to
share as well as your
comments on the
information contained
in this issue.
October 15th 2010
Water's Edge Resort and Spa
Westbrook, CT
Early bird registration ends on Thursday, September 30th. Be sure to register
on or before that date. Registration increases $25 on October 1st.
To ensure you make the deadline, register with your credit card by calling
CSHP 888/506-3784 (weekdays 9am-5pm)
For more details on Catch the Wave click here.
For a registration form click here.
Medication Safety Seminar
November 12, 2010
Let us know about your
professional
accomplishments. Have
you been promoted,
completed a
certification or degree
program, started a
new job, received an
award, won a grant,
made a presentation
for colleagues?
Let us know about your
10 a.m. - 2 p.m.
Mohegan Sun Casino
1 Mohegan Sun Blvd
Uncasville, CT 06382
Safe Use of Automated Dispensing Cabinets: Choosing Safety over Convenience
presented by Matthew Grissinger, RPh, FISMP, FASCP, Director, Error
Reporting Programs
Institute for Safe Medication Practices, Horsham, Pennsylvania
Strategic Planning for Pharmacy Automation: What Does That Pharmacist Want
Now?
presented by Melinda Joyce, FAPhA, FACHE, Director of Pharmacy
personal milestones and
celebrations.
Have you gotten
married, celebrated the
birth of a child or a
special
anniversary, participat
ed or led a volunteer
activity in your
community or abroad?
Let us know about
information to share with
colleagues.
Have you read a
particularly good
book related
to pharma, had a
particularly interesting
case study, learned a
new technique worth
sharing?
We don't want to lose
you. If your home or
work contact
information has
changed,
please let us know.
The Medical Center at Bowling Green, Bowling Green, Kentucky
RSVP: November 9, 2010
On-line at http://registration.intercall.com/view/26-446857
Or call 888-713-8715, ext. 6300
MedicationSafetySeminar@comcast.net
Please leave the following information: Name, Title, Hospital, Address,
Phone, & E-mail
This program will provide 2.0 ACPE Contact Hours under program numbers
0459-0000-10-042-L04-P&T & 0459-0000-10-050-L04-P&T.
This educational event is provided to you at no cost thanks to an educational
grant from McKesson Automation.
Opportunities
Have you visited the CSHP Web Site Lately?
If you haven't, you may be missing out on professional development
opportunities. The CSHP web site is updated weekly save it in your favorites
and check in on a regular basis.
Recent additions include ...
Upcoming Live ASHP Webinars - September and October
The six-part series "Implementing Quality Improvement in VTE
Prophylaxis," accredited for pharmacists, physicians, nurses, nurse
practitioners, and case managers, will be offered September 16 through
November 16. A live webinar scheduled for September 22 will share practical
strategies for maintaining the momentum of antimicrobial stewardship
programs, including tips for engaging the support of clinicians in
stewardship activities. A series of leadership development webinars
highlighting two timely topics-(1) managing the interface between pharmacy
and the C-Suite and (2) building an organizational culture of safety-will also
be offered in September and October. To register and obtain complete
information on the webinars, click here.
New 'Pharmacist's Manual' on Controlled Substances Act
The 81-page manual, available from the DEA, explains the basic
requirements for prescribing, administering, and dispensing controlled
substances under the Controlled Substances Act and related Drug
Enforcement Administration regulations. Click here for manual.
Justin Micalizzi Memorial IHI Scholarship
This Scholarship helps people working with vulnerable, underprivileged,
and underserved pediatric populations to attend the Institute for Healthcare
Improvement's 22nd National Forum on Quality Improvement in Health
Care. Applicants for the scholarship must submit a 500-word essay by
September 24. Click here for application.
ASHP's Manual for Pharmacy Technician, 4th Edition
The new, fourth edition of the best-selling Manual for Pharmacy Technicians is
now available. This newly reorganized text provides comprehensive
coverage designed to engage students and prepare them for all types of
pharmacy technician positions. New features include full-color design,
photos, and illustrations to enhance learning and four additional chapters.
Click here for the manual.
Poster-Abstract Submission Site Opens for Student, Residents, Fellows
The Student and Resident Poster Submission site for the 2010 ASHP Midyear
Clinical Meeting is open. The deadline for abstract submissions by students,
residents, and fellows is 11:59 p.m. EDT October 1.
Click for student info
Click for resident/fellow info
Pharmacy Resident Practice-Based Research Grant
The Pharmacy Resident Practice-Based Research Grant program supports
practice-based research in medication use conducted by residents in ASHPaccredited pharmacy residency programs and residents in pharmacy
residency programs that have submitted an application for ASHP
accreditation. The deadline to apply for this program is October 22.
Click here for info and application.
EPA Solicits Input
The draft of "Guidance Document: Best Management Practices for Unused
Pharmaceuticals at Health Care Facilities" from the Environmental Protection
Agency is open for public comment. The document describes techniques for
reducing or avoiding pharmaceutical waste, practices for identifying and
managing unused pharmaceuticals, and applicable disposal regulations.
Comments are due to the agency, at unusedpharms@epa.gov, by November
8. Click here for more info.
Volunteer To Be Poster Mentor for Students, Residents
If you are interested in serving as a student or resident poster mentor for the
2010 Midyear Clinical Meeting, please complete and submit an online
application by November 12.
Click for student mentor info
Click for resident mentor info
Call for Nominations - Harvey A. K. Whitney Lecture Award
The annual Harvey A. K. Whitney Lecture Award, ASHP's highest honor,
was established in 1950 by the Michigan Society of Hospital Pharmacists to
honor an individual who has made an outstanding contribution to healthsystem pharmacy. This prestigious award will be presented at the ASHP
Summer Meeting in Denver, Colorado, June 11-15, 2011. Submissions of
nominations should be postmarked no later than January 15, 2011. For all
the details and a nomination form click here.
Junior Investigator Research Grant
This grant program is a unique opportunity for pharmacist new investigators
to obtain support for practice-based research in medication use. The ASHP
Foundation Junior Investigator Research grantees have obtained support for
studies that improved patient care in areas such as the ambulatory care
clinic, emergency department, and intensive care unit. Grantees have also
published studies in leading medical journals, including the Journal of the
American Medical Association, Annals of Emergency Medicine, and Journal of
Trauma. The deadline to apply is February 11, 2011. Click here for more info.
Special Feature
Drug Shortages: Another Hurdle
By Bogdan Musial, PharmD, BCPS and David Girouard, MPh, RPh
In the last several years, drug shortages have become a significant problem
for hospital pharmacies. This situation has the potential of compromising
patient safety, negatively impacting pharmacy/ hospital budgets and altering
the already strained pharmacy operations. Dealing with drug shortages can
consume large amounts of time. According to the American Society of
Health-Systems Pharmacists (ASHP) website in September 20101, there were
approximately 140 active drug shortages.
This article will serve to quickly summarize the causes, and describe the
impacts of the drug shortages and what has been done to deal with this
seemingly escalating situation based on Connecticut hospital pharmacy
viewpoints. Perspectives were offered by the Eastern Connecticut Health
Network (ECHN), Hartford Hospital, Hospital of Central Connecticut
(HCC), and Hospital of Saint Raphael.
Manufacturers may not always publish the cause of drug shortages.
However, ASHP1,2 and the Food and Drug Administration (FDA) 3 have cited
several reasons for drug shortages. Manufacturers may stop or decrease
production of certain products to focus on more profitable ventures. Our
current national economic situation potentially may drive these decisions.
Raw material shortages may limit the amount of certain medications that are
produced. Manufacturing difficulties, unfortunate or natural disasters, or the
inability to meet regulatory specifications may also disrupt production.
Market shifts to smaller companies can happen when larger manufacturers
who typically carrying the majority of the market have manufacturing
disruptions. The smaller companies do not have the supply or the
production capabilities to handle the new, larger demand. Another
contributor is hoarding by hospitals. Hospitals typically react to imminent
drug shortages by over-purchasing large amounts of medications which
further compounds the situation. Other causes of drug shortages, not
mentioned in detail in this article, include drug recalls, changes in
manufacturing practices or changes in formulations.
Hospital pharmacies need to devote extensive amounts of time and efforts to
search for alternative manufacturers/suppliers, procure alternative strengths
of a medication, or establish a therapeutically equivalent/similar substitute.
Pharmacies then must devote more time to effectively communicate the drug
shortages, their associated impacts and any related process changes. Drug
shortages also have caused increases in pharmacy expenditures due to
inflated prices of alternatives and purchasing from non-contract vendors.
Most importantly, process changes attributed to the drug shortages may
compromise patient safety. Some examples include the use of different
strengths (e.g. morphine 10 mg vials instead of 5 mg vials), different means
to administer medications (e.g. morphine vials to carpujets), or the transition
to similar medications (e.g. furosemide IV to bumetanide IV). These changes
may lead to increased confusion and cause medication errors which may
ultimately lead to patient harm.
Steven Hurchala, RPh, Director of Pharmacy at ECHN, stated that his
pharmacies had to spend large amounts of time to find alternative inventory
and medication. He also added that the pharmacies at ECHN sometimes
need to "rely on secondary wholesalers who are able to get inventory of the
shorted product but at highly inflated prices" as compared to purchasing the
product at contract costs.
According to Janet M Kozakiewicz, MS, PharmD, Director of Pharmacy at
the Hospital of Saint Raphael, drug shortages have caused problems to
processes related to the automated dispensing and computerized physician
order entry system (CPOE). Ordinarily, medications use a charge description
manager (CDM) which links the medications ordered through CPOE to the
automated dispensing cabinet (ADC) for dispensing on the nursing units.
When a medication goes on shortage, the medication must be updated in the
CDM which takes a considerable amount of time. In many cases, the
pharmacy must place the alternative medication into the ADC as patient
specific which makes the process lengthier and wastes valuable time.
To lessen the burdens of drug shortages, hospital pharmacies in Connecticut
have developed specific plans to deal with this continuing situation. ECHN
has created a Drug Shortage Communication Plan that uses a ticker tape in
the main pharmacy and e-mails about the existing shortages to notify their
staff. Within their CPOE, they are working with IT to enter a warning on the
short items to notify the MD on the front end of the possible alternatives.
Mike Rubino, MS, RPh, Director of Pharmacy Services at Hartford Hospital,
explained some of the strategies that his pharmacy and the hospital have
implemented. 1. They asked the wholesaler and Group Purchasing
Organization (GPO) representative for assistance. 2. The pharmacy regularly
distributes a shortage list among pharmacy and medical staff. 3. They use
ASHP and the GPO for information regarding alternatives and also consult
with their own experts who include physicians and pharmacist-specialists. 4.
They keep a running list of drug shortages on the common drive and on the
intranet, and update the list regularly. 5. The pharmacy participates in the
GPO program for rebates due to failure to supply. 6. The pharmacy buyer
spends many hours tracking shortages. 7. Hartford Hospital also has been
packaging certain items to delay or avoid a shortage, e.g., enclose
epinephrine in a zip lock with a diluent to replace the shorted pre-filled
emergency syringes and compound smaller volumes of propofol into
syringes to minimize waste.
Another good way to lessen a large burden is to distribute the weight of that
burden over more personnel. Individually handling the issues related to
drug shortages can be quite taxing. The Hospital of Saint Raphael was able to
develop a plan that aligns the responsible people in and out of the pharmacy
to specific tasks which includes communications. Please refer to Figure 1 for
the illustration.
Multiple situations can cause drug shortages. They can lead to increase
frustration among pharmacy and medical staff and also may compromise
patient safety due to process changes causing increased confusion among
healthcare staff. Several hospital pharmacy directors can attest to this.
However, there are ways to ease the pressures caused by drug shortages and
lessen the confusion/burden. Distribution of responsibilities, good
communication with staff, keeping up to date with the latest information and
good inventory control will help alleviate some of the troubles caused by
drug shortages. For more information about drug shortages, please visit the
ASHP website under drug shortages or the FDA CDER website on drug
shortages.
We would like to recognize and appreciate Steven Hurchala, RPh,Janet M
Kozakiewicz MS, PharmD, and Mike Rubino MS, RPh, for their contributions
and perspectives in this article. The information they shared hopefully will
be helpful to other local hospitals.
References:
1. Jensen V., Kimzey L., Goldberger M. "FDA's Role in Responding to
Drug Shortages" American Journal of Health-Systems Pharmacists 2002;
59:1423-5.
2. American Society of Health-Systems Pharmacists. Drug Shortages.
http://www.ashp.org/shortages?WT.ac=hp%5FPopLinks%5FDrug%5FSh
ortages (accessed September 23, 2010).
3. Food and Drug Administration. Drug Shortages. www.FDA.gov
/cder/drug/shortages (accessed September 23, 2010).
CSHP is your professional organization
CSHP represents the interests and concerns of pharmacists
practicing in CT, and actively works to enhance your
practice environment. We invite you to support us, your
professional society, by encouraging other to join us.
Click here for a Catch the Wave Special membership application