Purdue University Pharmacy

1. Purdue University Pharmacy Nicole Noel, pharm.D. March 23, 2018

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

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

4. 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

5. By the numbers…

6. 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

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

8. Shipping Guidelines • All initial sets of active or suspect active orders are shipped overnight via FedEx • 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

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

10. Non-Stocked Medications • 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 amikacinand 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

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