Purdue University Pharmacy NICOLE NOEL PHARM D MARCH

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Purdue University Pharmacy NICOLE NOEL, PHARM. D. MARCH 23, 2018

Purdue University Pharmacy NICOLE NOEL, PHARM. D. MARCH 23, 2018

Partnerships Services commenced with ISDH July 1, 2013 Services commenced with MCPHD October 1,

Partnerships Services commenced with ISDH July 1, 2013 Services commenced with MCPHD October 1, 2017

Pharmacy Team @ Purdue Nicole Noel, Director Nancy Chapman, Staff Pharmacist Mary Grable, Assistant

Pharmacy Team @ Purdue Nicole Noel, Director Nancy Chapman, Staff Pharmacist Mary Grable, Assistant Director Mary Jo Withered, Staff Pharmacist

What services does Purdue provide? Receive prescriptions Collaborate with providers to ensure appropriate doses

What services does Purdue provide? Receive prescriptions Collaborate with providers to ensure appropriate doses and medications in both LTBI and active TB Prepare prescriptions for shipment Drug information questions

By the numbers… # of RXs Dispensed by Year 7000 6000 5000 4000 3000

By the numbers… # of RXs Dispensed by Year 7000 6000 5000 4000 3000 2000 1000 0 2015 2016 2017 ISDH MCPHD 2018

Initial Orders Electronic prescription or phone in prescription If prescriber is a designee of

Initial Orders Electronic prescription or phone in prescription If prescriber is a designee of the county health officer: LHD nurse can phone in order because he/she is acting as the prescriber’s authorized and direct agent If prescriber is a community provider: LHD nurse cannot call the order into Purdue Provider’s office needs to provide the prescription directly to Purdue Pharmacy

Initials Orders Include: Patient allergies Patient weight Other medications Confirm dosages based on patient

Initials Orders Include: Patient allergies Patient weight Other medications Confirm dosages based on patient weight Screen for drug interactions County Where should the medications be shipped?

Shipping Guidelines All initial sets of active or suspect active orders are shipped overnight

Shipping Guidelines All initial sets of active or suspect active orders are shipped overnight via Fed. Ex Prescriptions received prior to 2 PM will be shipped same day All refills for both active or suspect active patients and all initials and refill LTBI orders are shipped via USPS Shipping days are Tuesday and Thursd ay of each week

Stocked Medications First-line Agents Second-line Agents Isoniazid Cycloserine Rifampin Ethionamide Rifabutin Levofloxacin Rifapentine Moxifloxacin

Stocked Medications First-line Agents Second-line Agents Isoniazid Cycloserine Rifampin Ethionamide Rifabutin Levofloxacin Rifapentine Moxifloxacin Pyrazinamide Linezolid Ethambutol

Non-Stocked Medications like bedaquiline and clofazamine are not stocked at Purdue University Pharmacy If

Non-Stocked Medications like bedaquiline and clofazamine are not stocked at Purdue University Pharmacy If an MDR occurs, the pharmacy and ISDH will work collaboratively to obtain the medications Other medications like amikacin and p-aminosalicylic acid (PASER), can be obtained by the next business day PASER must be refrigerated – special arrangements will be made with ISDH to have medication delivered to local health department

Nicole Noel, Pharm. D. Email: NLNOEL@PURDUE. EDU Phone: 765 -494 -1374

Nicole Noel, Pharm. D. Email: NLNOEL@PURDUE. EDU Phone: 765 -494 -1374