Independent Thoughts

The Voice of Independent Community and Compounding Pharmacists 

The Alliance is directed by independent community pharmacists and is not obligated or tied to one single buying group or wholesaler. We are working to pass substantive legislation that makes a difference in your small business and community. 

November 9, 2018

Legislative News

Texas Election Results and Pharmacy

Election results for Texas were a mixed bag of good and bad news for pharmacy. Congressman Pete Sessions lost his race to democrat Dallas lawyer and former NFL player, Colin Allred, flipping District 32 blue. Sessions was first elected in 1996 and has been a long-time supporter of pharmacy. He has served as chairman of the House Rules Committee since 2012.

Pharmacy advocate Congressman John Carter, who has served since 2002, maintained his seat after a tough race against MJ Hager, a former combat search-and-rescue pilot who served three tours in Afghanistan and was awarded a Purple Heart after she was shot down by enemy fire. While she didn't win, she appears to have dramatically closed the gap compared to prior democratic challengers. As of Wednesday morning, Carter had prevailed by just over 3 points, according to The New York Times. Congressman Carter's district covers much of the Austin area.

Democrats flipped 12 seats in the Texas House in Tuesday's Midterm Elections with Dallas seeing the largest turn over from red to blue. House Representative Rodney Anderson of Grandbury, lost his race to democrat Terry Meza. He was elected in 2016 and served on the House Insurance Committee. He has always been an ally of our PBM reform initiatives, so we will be sad to see him leave. The Senate lost two republican senators, Konni Burton from Tarrant County and Don Huffines from Dallas.

The good news is those who have invested time in drafting our bill language and are gearing up to champion our PBM and Medicaid Reform initiatives remain in office. The other good news is we now have an opportunity to make new champions. Invite your legislators to your pharmacy and educate them about the challenges your small business and pharmacy face in their district. Let them know how the corrupt business practices of the PBMs affect their constituents and the state's budget. Don't wait, now is the time to congratulate newly elected lawmakers in addition to those who have been in office for a while and become their pharmacy resource.

See members only section of website for Medicaid and PBM Reform one-pagers.

Alliance News

Alliance Participates in ERISA Webinar for NCOIL Legislators

Today, Alliance CEO Audra Conwell participated in an ERISA educational webinar for the National Council of Insurance Legislators (NCOIL). The purpose of the webinar was to educate state insurance legislators from across the country on ERISA. Robert Smith, a partner with Katten Muchin Rosenman law firm, was a panelist on behalf of NCPA and community pharmacy. He spoke to actions states could take to regulate PBMs without triggering an ERISA preemption.

Other panelists included, R.B. Drennan, a professor at Temple University, and Stephanie Kanwit on behalf of PCMA.

Alliance Sponsor Hosts CE in Dallas

Alliance partner sponsor IPC held a CE last night in Dallas at Lamberti's Ristorante & Wine Bar on Navigating the Changing Landscape of Pharmacy: Enhanced Networks and Performance Pharmacy. In the presentation Alliance members heard the benefits and advantages of expanding pharmacy services to include 340B and CPESN.

Alliance Sponsor Hosts Webinar for Members--New Date

Our partner sponsor RxGenomix will host a webinar for Alliance members on Wednesday, November 14 at 11 a.m.

In the webinar, the RxGemonix executive team will explain the pharmacogenomics program and review their APhA certified education course. In addition, they will outline the logistics of their community-based program, lab partnerships, workflow, and pharmacy compensation.

Please contact Ashley Bishop for login and further information.

We have had great feedback from pharmacies that have already signed on with RXGenomix and begun pharmacogenomics testing.

Agency News

DUR Board Summarizes October 26 Meeting

The Texas Drug Utilization Review Board met October 26 to make recommendations about clinical prior authorizations and drugs to be included on the Texas Medicaid preferred drug list. A summary of the meeting is available, including:

  • A recording of this meeting's webcast
  • Approved minutes from the July 27, meeting
  • A report of this quarter's clinical prior authorization and preferred drug list recommendations
  • The preferred drug list class review schedule for the January 25 meeting. 

TSBP Holds Quarterly Board Meeting this Week in Austin

The Texas State Board of Pharmacy held it quarterly board meeting in Austin this week. The Board adopted the following rules that affect independent community and compounding pharmacists.

  • Amendments to §281.62 Concerning Disciplinary Aggravating and Mitigating Factors (Tab 02) 

  • Amendments to §281.65 Concerning Administrative Penalties (Tab 03) 

  • Amendments to §291.17 Concerning Inventory Requirements (Tab 04) 

  • Amendments to §291.28 Concerning Access to Confidential Records (Tab 05) 

  • Amendments to §291.104 Concerning Reporting to the Prescription Monitoring Program (Tab 08) 

  • New Rule §315.15 Concerning Access Requirements (Tab 11) 

Compounding pharmacists should review and provide comment on the following proposed rules that defines compounding active pharmaceutical ingredients, commercially available products, easily substitutable dosage strength, and essentially a copy of a commercially available product. Comments should be submitted prior to the February 2019 Board meeting.

  • Amendments to §291.131 Concerning Compounding Essentially Copies of Commercially Available Products (Tab 19) 

  • Amendments to §291.133 Concerning Compounding Essentially Copies of Commercially Available Products (Tab 20) 

Support IPRX PAC

We need your HELP building our Political Action Committee (PAC) funds! As we move into the campaign season we need your financial support of the independent pharmacist's PAC (IPRX PAC). We have several events planned to provide financial support and education to pharmacy and small-business friendly candidates and we need your support, so we can give to as many candidates as possible. Contribute Now!


Remember PAC contributions should be personal and not from an incorporated business.







December 5-8 
Oklahoma City, OK

January 8
Texas Legislative Session Begins
Austin, TX

February 26
Pharmacy Day at the Capitol
Austin, TX 



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Your Staff

Audra L. Conwell, CAE
Executive Director/CEO
(512) 413-4088

Ashley Bishop, CPhT
Membership Director

Brittani Bilse 
Legislative Consultant

Honorable Jaime Capelo
Legislative Consultant

Robert Culley
Legislative Consultant



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Independent Thoughts is the 
e-newsletter of the Alliance of Independent Pharmacists of Texas. 

P.O. Box 170323 | Austin, TX 78717 | (512) 260-7986  |