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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