NMPhA 73rd Annual Convention - Sheraton Old Town Inn



Friday, June 23, 2017

8:00 - 11:30 am NMPhA Council Meeting

Isleta Resort, 11000 Broadway SE, Albuquerque, NM 87105

Noon to Finish Isleta Golf Course, 4001 Hwy 47 SE, Albuquerque, NM 87105

Noon Registration

1:00 pm Golf Tournament Tee-time

6:00 pm Buffet Dinner - Golf Tournament Awards, Silent Auction & Raffle

Saturday, June 24, 2017

7:00 - 8:00 am Past President’s Breakfast – Sponsored by Pharmacist Mutual Companies

7:30 am Pick up name badges - Continental Breakfast

8:00 - 9:00 am General Session

The Role of Pharmacist and Pharmacy Technicians in the Treatment of Asthma Kevin P. McDermott, PharmD, NCPS-PP, PhC, BCPS, AE-C

ACPE#: 0104-0000-17-050-L01-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/24/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) Describe how pharmacists and pharmacy technicians in various settings can work within the NIH asthma guidelines to improve care; 2) Review the four components of care in the asthma guidelines; 3) Describe some specific health maintenance issues related to asthma patients and 4) Identify other useful guidelines.

ACPE#: 0104-0000-17-050-L01-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) Describe how pharmacists and pharmacy technicians in various settings can work within the NIH asthma guidelines to improve care; 2) Review the four components of care in the asthma guidelines; 3) Describe some specific health maintenance issues related to asthma patients and 4) Identify other useful guidelines.

Program Acknowledged by: Northern Navajo Medical Center

9:00 – 11:00 am General Session

Fall Risk Screening: Utilizing the CDC STEADI Fall Prevention Toolkit

Janet Popp, PT, MS

ACPE#: 0104-0000-17-039-L04-P Contact Hours: 2.0 CEU 0.2 Initial Release Date: 6/24/17

Following this application-based presentation, the pharmacist participants will be able to: 1) Apply effective communication strategies to discuss the issue of falls with older adults; 2) Identify fall risk factors and perform 3 strength and balance tests to screen for fall risk; 3) Implement resources from the CDC STEADI Toolkit to engage older adults in fall risk reduction and 4) Identify possible fall risk reduction referrals to other healthcare professionals and evidence based community programming.

ACPE#: 0104-0000-17-039-L04-T

Following this application-based presentation, the pharmacy technician participants will be able to: 1) Apply effective communication strategies to discuss the issue of falls with older adults; 2) Identify fall risk factors and perform 3 strength and balance tests to screen for fall risk; 3) Implement resources from the CDC STEADI Toolkit to engage older adults in fall risk reduction and 4) Identify possible fall risk reduction referrals to other healthcare professionals and evidence based community programming.

Program Acknowledged by: NM Department of Health ERD, Office of Injury Prevention

11:10am - 2:00 pm Exhibits - Buffet Lunch

1:00 – 2:00 pm NM Pharmaceutical Care Foundation Meeting

2:00 - 4:00 pm Concurrent Sessions

|( 2017 New Mexico Board of Pharmacy Drug Law Update |

|Ben Kesner, RPh & Shelley Bagwell, RPh |

|ACPE #: 0104-0000-17-001-L03-P |Contact Hours: 2.0 CEUs: 0.2 |Initial Release Date: 1/28/17 |

To familiarize health care professionals with new and/or changes to state and federal regulation or laws and to promote compliance with existing laws and regulations. At the completion of this knowledge-based presentation, the Pharmacist participant will be able to: 1) Identify and describe new drug laws and regulations; 2) Identify and describe changes to existing drug regulation and laws; 3) Identify compliance problem areas in drug laws and regulations;

4) Define the Pharmacist role in compliance with the drug laws and regulations discussed and 5) Identify drug law trends.

ACPE #: 0104-0000-17-001-L03-T

At the completion of this knowledge-based presentation, the Pharmacy Technician participant will be able to: 1) Identify and describe new drug laws and regulations; 2) Identify and describe changes to existing drug regulation and laws;

3) Identify compliance problem areas in drug laws and regulations; 4) Define the Pharmacy Technician role in compliance with the drug laws and regulations discussed and 5) Identify drug law trends.

Program Acknowledged by: New Mexico Board of Pharmacy

2:00 - 3:00 pm

VACCINE FOLLOW-UP - Mandatory for Pharmacists w/ Vaccination Prescriptive Authority (One Live CE hour per year)

( Immunizations: You are the Key to HPV Cancer Prevention

Lance A. Chilton, MD

ACPE#: 0104-0000-17-040-L01-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/24/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) Define the importance of HPV vaccination for cancer prevention and the rationale for vaccinating at ages 11 or 12; 2) List the recommendations for HPV vaccine for girls and for boys; 3) Provide useful and compelling information about HPV vaccine to parents to aid in making the decision to vaccinate and 4) Locate resources relevant to current immunization practice.

ACPE#: 0104-0000-17-040-L01-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) Define the importance of HPV vaccination for cancer prevention and the rationale for vaccinating at ages 11 or 12; 2) List the recommendations for HPV vaccine for girls and for boys; 3) Provide useful and compelling information about HPV vaccine to parents to aid in making the decision to vaccinate and 4) Locate resources relevant to current immunization practice.

Program Acknowledged by: UNM's Area Health Education Center

3:00 – 3:10 pm Afternoon Snack Break

3:10 - 4:10 pm

( New Antiepileptic Drugs Mikiko Y. Takeda, PharmD, MS, PhC

ACPE#:0104-0000-17-041-L01-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/24/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) Review pharmacology and pharmacokinetics of antiepileptic drugs (AEDs) and  to detect possible adverse reactions at early stage; 2) Review pharmacology and pharmacokinetics of newer AEDs and to explain the differences and similarities of newer AEDs and

3) Select appropriate AED for patients with epilepsy and to monitor adequate labs for patient safety.

ACPE#:0104-0000-17-041-L01-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) Review pharmacology and pharmacokinetics of antiepileptic drugs (AEDs); 2) Update drug information on the newer AEDs and 3) Identify major adverse reactions from AEDs for patient safety.

Program Acknowledged by: UNM College of Pharmacy

4:20 - 5:20 pm General Session

Palliative Medicine and Symptom Management for Terminally Ill Patients

Traci M. White, PharmD, PhC

ACPE#:0104-0000-17-042-L04-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/24/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) Describe the roles and responsibilities of the pharmacist in palliative care; 2) Assess and recommend treatment strategies for pain and common symptoms encountered in the palliative care setting; 3) Describe basic principles and approach to deprescribing and 4) Identify communication techniques for discussing serious illness and advance directives with patients and their families.

ACPE#:0104-0000-17-042-L04-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) Describe the role of palliative care in the trajectory of illness; 2) Identify commonly used medications and various routes of administration utilized in the palliative care setting and 3) Identify communication techniques for discussing serious illness and advance directives with patients and their families.

Program Acknowledged by: UNM/NMSU Cooperative Pharmacy Program

5:30pm – 7:00pm Wine & Cheese – Sponsored by: New Mexico Pharmacy Business Council

Sunday, June 25, 2017

7:30 am Pick up name badges - Continental Breakfast

8:00 - 9:00 am General Session

Pipe Cleaners in the Pipeline: Mechanisms of Action for Novel Cardiovascular Drugs on the Clinical Horizon Matthew J. Campen, PhD, MSPH

ACPE#: 0104-0000-17-043-L01-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/25/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) List novel cardiac agents available and upcoming; 2) Learn mechanisms of action of cardiac agents and 3) Review the target populations who may benefit from novel cardiovascular drugs.

ACPE#: 0104-0000-17-043-L01-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) List novel cardiac agents available and upcoming; 2) Learn mechanisms of action of cardiac agents and 3) Review the target populations who may benefit from novel cardiovascular drugs.

Program Acknowledged by: UNM College of Pharmacy

9:00 – 9:10 am Coffee Break

9:10 – 10:10 am General Session

Gut Feeling: Adventures into the Microbiome Jennifer Smith, PharmD

ACPE#: 0104-0000-17-048-L04-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/25/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) Describe the proposed mechanism(s) between the gut microbiome and psychiatric disease; 2) Describe factors that shape bacterial landscape; 3) List psychiatric diseases that have been associated with alterations in gut microbiota and 4) Describe the strength of the evidence supporting use of probiotics to treat psychiatric disease.

ACPE#: 0104-0000-17-048-L04-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) Describe the proposed mechanism(s) between the gut microbiome and psychiatric disease; 2) Describe factors that shape the bacterial landscape; 3) List psychiatric diseases that have been associated with alterations in gut microbiota and 4) Describe the evidence supporting use of probiotics to treat psychiatric disease.

Program Acknowledged by: Walgreens

10:20 – 11:20 am Concurrent Sessions

( Preparing Pharmacists to Safely Care for Veterinary Patients

Elaine Blythe, PharmD

ACPE#: 0104-0000-17-047-L04-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/25/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) Describe the trend of increased animal prescriptions outsourced to community and retail pharmacies by veterinarians; 2) Summarize the outcomes of the recent survey on veterinary prescriptions and retail pharmacies relating to pharmacist filling of veterinary prescriptions; 3) List the educational resources and tools that can be utilized to ensure the safe dispensing of prescription medications for companion animal patients and 4) Communicate effectively with animal owners and veterinarians to: meet state-mandated counseling requirements, ensure patient safety, and solve drug administration problems.

ACPE#: 0104-0000-17-047-L04-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) Recognize veterinary pharmacy as a specialized area within pharmacy practice; 2) Describe the trend of increased animal prescriptions outsourced to community and retail pharmacies by veterinarians and 3) List a resource that can be utilized to ensure the safe dispensing of prescription medications for companion animal patients.

10:20am – 11:20 am Concurrent Session

( Management of the Complex Organ Donor Patient David L. Comfort

ACPE#:0104-0000-17-051-L04-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/25/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) Anticipate the pharmacologic needs of the brain injured patient; 2) Diagnose Death by Neurologic Criteria and 3) Appropriately treat electrolyte imbalance.

ACPE#:0104-0000-17-051-L04-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) Anticipate the pharmacologic needs of the brain injured patient; 2) Diagnose Death by Neurologic Criteria and 3) Appropriately treat electrolyte imbalance.

Program Acknowledged by: New Mexico Donor Services

11:30am – 12:30pm General Session

ProntoPharm: A Quick and Speedy Pharmacy Knowledge Review

Amy Bachyrycz, PharmD & Damian Lucero, PharmD

ACPE#: 0104-0000-17-045-L04-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/25/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) Review the sections of the NAPLEX Exam breakdown as it is currently organized; 2) Simulate a NAPLX Exam experience to review the material and determine your simulated score and 3) Practice selected questions for a review of your pharmacy knowledge, using a Q and A format.

ACPE#: 0104-0000-17-045-L04-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) Define what the NAPLEX Exam is and the main goal of the NAPLEX Exam; 2) Review the sections of the NAPLEX Exam breakdown as it is currently organized and 3) Learn selected pharmacy knowledge questions, using a Q and A format.

Program Acknowledged by: Walgreens

12:30 – 2:00 pm Luncheon

State of the Association – Teri Rolan, President

Current Issues - R. Dale Tinker, Executive Director

UNM College of Pharmacy Update – Dean, Lynda Welage

2:00 – 3:00 pm Concurrent Sessions

Patient Safety/Opioid Safety CPE

( Pharmacy-Based Naloxone Distribution: Successes, Challenges and Opportunities Carly Cloud Floyd, PharmD, PhC, CACP, AAHIVP

ACPE#: 0104-0000-17-049-L05-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/25/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) Describe the need to address opioid-related overdoses in the state of New Mexico; 2) Outline the progress New Mexico has made in reducing overdose death rates and opportunities for future improvements; 3) Describe “A Dose of Reality” training program strategies for improving access to naloxone; 4) Address common stigmas around opioid use and naloxone distribution that may pose a barrier to care; 5) Review “A Dose of Reality” program results over the past year; 6) Describe lessons learned from “A Dose of Reality” participants and 7) Outline process to request naloxone training and benefits of training for all staff, including pharmacists, pharmacy technicians, and pharmacy clerks.

ACPE#: 0104-0000-17-049-L05-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) Describe the need to address opioid-related overdoses in the state of New Mexico; 2) Outline the progress New Mexico has made in reducing overdose death rates and opportunities for future improvements; 3) Describe “A Dose of Reality” training program strategies for improving access to naloxone; 4) Address common stigmas around opioid use and naloxone distribution that may pose a barrier to care; 5) Review “A Dose of Reality” program results over the past year; 6) Describe lessons learned from “A Dose of Reality” participants and 7) Outline process to request naloxone training and benefits of training for all staff, including pharmacists, pharmacy technicians, and pharmacy clerks.

Program Acknowledged by: Southwest CARE Center

2:00 – 3:00 pm

( Getting a grASP on Antibiotic Use and Resistance: Principles of Antimicrobial Stewardship Jacob M. Kesner, PharmD

ACPE#: 0104-0000-17-046-L04-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/25/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) Review the purpose of implementing an antimicrobial stewardship program and the role of the pharmacist within this program; 2) Recall the core elements of hospital and outpatient antibiotic stewardship programs as defined by the CDC and 3) Recognize key interventions that an antimicrobial stewardship program can implement in both the hospital and community settings.

ACPE#: 0104-0000-17-046-L04-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) Review the key concepts of antimicrobial resistance and why this is a concern in the healthcare field and 2) Define the role of the pharmacy technician within an antimicrobial stewardship program.

Program Acknowledged by: UNM College of Pharmacy

3:00 – 3:20 pm Afternoon Snack Break

3:20 – 4:20 pm General Session

Patient Safety

An Overview of Approaches to Minimize the Risk of Medication Errors

Tammy J. Butler, PharmD

ACPE#: 0104-0000-17-044-L05-P Contact Hours: 1.0 CEU 0.1 Initial Release Date: 6/25/17

Following this knowledge-based presentation, the pharmacist participants will be able to: 1) Outline the classification of medication errors; 2) Discuss examples of the types of medication errors and examine related clinical cases; 3) Examine approaches to reduce the risk of medication errors; 4) Review medication error reporting such as internal and external reporting and discuss guidelines to follow when reporting medication errors; 5) Summarize available resources for pharmacists and healthcare professionals and 6) Discuss the impact of medication errors and evaluate the related costs.

ACPE#: 0104-0000-17-044-L05-T

Following this knowledge-based presentation, the pharmacy technician participants will be able to: 1) Outline the classification of medication errors; 2) Discuss examples of the types of medication errors and examine related clinical cases; 3) Examine approaches to reduce the risk of medication errors; 4) Review medication error reporting such as internal and external reporting and discuss guidelines to follow when reporting medication errors; 5) Summarize available resources for pharmacy technicians and 6) Discuss the impact of medication errors and evaluate the related costs. 

Program Acknowledged by: Molina Healthcare of New Mexico

HOTEL INFORMATION

Isleta Resort

11000 Broadway SE, Albuquerque, NM 87105

(505) 848-1999/(877) 747-5382

You are responsible for making your own hotel reservations through the Isleta Resort by calling (505) 848-1999/(877) 747-5382. Reservations must be made by June 4, 2017 to be a part of the NMPhA room block (Mention Group Code PHA0617 or New Mexico Pharmacists Association). Reservations received after June 4, 2017, will be confirmed on a space available basis only. 

Single or Double.................................................................................. $119.00

( Program information + online payment available at…



√Mark your calendars…

2018 Mid-Winter Meeting – 1/27 – 1/28/18 – Sheraton Albuquerque Uptown Hotel

2018 89th Annual Convention – 6/23 – 6/24/18 – Location TBA

Program Acknowledgements

McKesson

Molina Healthcare of New Mexico

National Association of Chain Drug Stores (NACDS)

New Mexico Board of Pharmacy

New Mexico Donor Services

New Mexico Pharmacy Business Council (NMPBC)

NM Department of Health ERD, Office of Injury Prevention

Northern Navajo Medical Center

Pharmacist Mutual Companies

Regent Drugs of New Mexico

Rx Systems Inc.

Southwest CARE Center

University of New Mexico College of Pharmacy

UNM/NMSU Cooperative Pharmacy Program

UNM's Area Health Education Center

Walgreens

EXHIBITORS

AbbVie Biopharmaceuticals

Adapt Pharma

Aging & Long Term Services Dept.

American Associated Pharmacies

American Pharmacies

AmerisourceBergen

AstraZeneca

Cardinal Health

CNM

CVS Health (unconfirmed)

DMC Logistics

DōTerra

Independent Pharmacy Cooperative

Isleta Spa

JH Enterprises, LLC

The Keeper Stories

Liberty Software

McKesson

Mary Kay

Molina Healthcare of New Mexico

New Mexico CPR Associates

New Mexico Pharmacists Association Committee Volunteer Sign Up

New Mexico Pharmacy Business Council (NMPBC)

New Mexico Poison & Drug Information Center

Northwestern Mutual

PBA Health

Pfizer

Pharmacists Mutual Companies

Planned Parenthood of NM

QS/1

Sanofi

Southwest CARE Center

Sunrise Springs Spa Resort

UCB

UNM College of Pharmacy

UNM College of Pharmacy Students

Walgreens

Walmart Health & Wellness

SPEAKER INFORMATION

Amy Bachyrycz, PharmD

Walgreen’s Patient Care Center Clinical Pharmacy Specialist;

Clinical Assistant Professor, UNM College of Pharmacy, Albuquerque, NM

Shelley Bagwell, RPh

PMP Director, New Mexico State Board of Pharmacy, Albuquerque, NM

Elaine Blythe, PharmD

Adjunct Professor of Animal Science, West Texas A&M University, Department of Agricultural Sciences, Canyon, TX

Tammy J. Butler, PharmD

Clinical Pharmacist, Molina Healthcare of New Mexico, Albuquerque, NM

Matthew J. Campen, PhD, MSPH

Professor, Pharmaceutical Sciences, UNM College of Pharmacy, Albuquerque, NM

Lance A. Chilton, MD

Emeritus Professor, Dept. of Pediatrics, University of New Mexico, Albuquerque, NM

Carly Cloud Floyd, PharmD, PhC, CACP, AAHIVP

Pharmacy Manager, Southwest CARE Center, Albuquerque, NM

David L. Comfort

Clinical Services Manager, In-House Coordinator, New Mexico Donor Services, Albuquerque, NM

Ben Kesner, RPh

Executive Director, Chief Inspector, New Mexico State Board of Pharmacy, Albuquerque, NM

Jacob M. Kesner, PharmD

PGY2 Pharmacy Resident in Infectious Diseases UNM College of Pharmacy, Albuquerque, NM

Damian Lucero, PharmD

Pharmacy Manager, Walgreens, Albuquerque, NM

Kevin P. McDermott, PharmD, NCPS-PP, PhC, BCPS, AE-C

CDR, U.S. Public Health Service; PGY1/PY2 Residency Director; IHS National Residency Co-Coordinator,

Northern Navajo Medical Center, Shiprock, NM

Janet Popp, PT, MS

Chair, New Mexico Adult Falls Prevention Coalition; Adjunct Faculty, UNM Division of Physical Therapy;

Balance for Life, LLC, Albuquerque, NM

Jennifer Smith, PharmD

Pharmacy Manager, Walgreens, Albuquerque, NM

Traci M. White, PharmD, PhC

Assistant Director, UNM/NMSU Cooperative Pharmacy Program, Las Cruces, NM

Mikiko Y. Takeda, PharmD, MS, PhC

Assistant Professor, Pharmacy Practice & Administrative Sciences, UNM College of Pharmacy, Albuquerque, NM

FULL DISCLOSURE POLICY: All presenters participating in the continuing education programs of the 88th Annual Convention of the New Mexico Pharmacists Association are expected to disclose to the program audience any real or apparent conflict(s) of interest related to the content of his/her presentation. Full disclosure of speaker relationships will be made available at the event.

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Accreditation Council for Pharmacy Education Information

The New Mexico Pharmacists Association is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. Pharmacists and other health professionals may earn up to 12.0 contact hours or 1.2 CEU’s by participating and successfully completing a program evaluation form for each program attended. (There are concurrent programs, an individual can earn at the most 12.0 or 1.2 CEU’s.) NMPhA will submit your completed CPE hours into the CPE Monitor database within 60 days to attendees who have successfully completed a Program Evaluation Form.

NOTE: CPE will not be submitted until all appropriate fees are paid.

TARGET AUDIENCE: Pharmacists, pharmacy technicians and pharmacy students.

GRIEVANCE POLICY: If, for any reason, a participant is unsatisfied with one program or the entire program, that participant must file his/her grievance, either by phone or in writing, with the NMPhA office within ten business days of the program in order to determine the refund amount. If the individual(s) remain unsatisfied with the response from the NMPhA Program Administrator, he/she may request to appeal the situation before the Association’s Executive Council at the next scheduled meeting. Such an appeal may be done either in person or in writing. All expenses pertinent to such an appeal shall be borne by the individual(s) requesting the appeal. REFUND POLICY: Up to five days prior to the program, a refund less a $25 administrative fee may be obtained. NO REFUNDS after June 19, 2017. Refunds will not be granted for no shows.

REGISTRATION NMPhA 2017 Annual Convention - 6/24 - 6/25/17

Name: (Print Clearly) ___________________________ _______ Profession: (R.Ph., CPhT, etc.)_________

NABP e-Profile ID:_________________DOB (MMDD)__________Employer :________________________

( to obtain ID #)

Address: __________________________________________________________________________________

(How you wish to be listed in NMPhA database)

City: _____________________________________________________ State: _____ Zip: _________________

Work #: __________________ Other #: __________________ E-Mail: _______________________________

Spouse/Guest-Full Name_____________________________________Professional Designation___________

|FULL REGISTRATION — Section A |Daily Registration |

|Includes continental breakfast and lunch both days,. |Circle which day. Includes continental breakfast and lunch. |

|Please Circle Choice(s) |Saturday (6.0 CE) or Sunday (6.0 CE) |

|Member RPh (12.0 CE) |$ 360.00 |Member RPh |$ 250.00 |

|CNP, CNM, PA (12.0 CE) |$ 360.00 |CNP, CNM, PA |$ 250.00 |

|*Non-Member RPh (12.0 CE) |$ 580.00 |*Non-Member RPh |$ 470.00 |

|Pharmacy Technician (12.0 CE) |$ 190.00 |Pharmacy Technician |$ 120.00 |

|*Non-Member Technician |$ 250.00 |*Non-Member Technician |$ 180.00 |

|Associate Member/Spouse/Guest (No CE) |$ 100.00 |COP Students | FREE |

| | |Saturday Law Program |$ 50.00 |

|ADDITIONAL MEALS - Section B |PAYMENT |

| |Make check out to: NMPhA |

|Saturday, June 24, 2017 |Complete entire page, mail to: |

|**NOTE ANY DIETARY RESTRICTIONS BELOW… |Fax credit card or PO registrations: (505) 255-8476 |

| |Register on-line: |

| |Phone in: (505) 265-8729 / (800) 464-8729 |

|6/24/17 Past President’s Breakfast-No Charge/Must RSVP |FEES |

|_____ |Registration Fees (from section A) $ |

|6/24/17 Exhibit Lunch |$30.00 X_____ |= $_____ |Extra Meal Tickets (from section B) $____ |

| | | |Late Fee After June 19th add $20.00 $____ |

|Sunday, June 25, 2017 |TOTAL DUE $ |

|Luncheon |$30.00 X_____ |= $_____ |AMEX/VISA/MC#______________________________Exp_______ |

| | | |Security Code:______________Card Billing Address:____________ |

| | | |_______________________________________________________ |

|**NOTE DIETARY RESTRICTIONS: | | |Name on Card__________________________________________ |

| | | | |

| | | | |

|□ Vegetarian | | | |

|□ Gluten Free | | | |

|□ Other______ |□ Other______ | | |

| | | | |

| | | |Signature______________________________________________ |

( Program information + online payment available at…



√Mark your calendars…

2018 Mid-Winter Meeting – 1/27 – 1/28/18 – Sheraton Albuquerque Uptown Hotel

2018 89th Annual Convention – 6/23 – 6/24/18 – Location TBA

-----------------------

2716 San Pedro NE, Suite C

Albuquerque, NM 87110

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