Knowledge Center

Proposition 46

Category: Regulatory

On November 4, 2014, residents of California will be voting on Proposition 46, an initiative that has the potential to greatly impact physicians and pharmacies in this state. According to the California Official Voter Information Guide, the Medical Malpractice Lawsuits Cap and Drug Testing of Doctors Initiative proposes five amendments to current healthcare practices: Require […]

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Did You Know?

Category: About Hartley Medical

Pharmacy boards across the United States are rapidly and actively changing industry regulations in response to the New England Compounding Center tragedy of 2012. Some regulations are being altered on a monthly basis, and as a result, we have been required to develop proactive measures and adapt quickly. To that end, we have hired a […]

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Revisiting HR 3204: The Drug Quality and Security Act of 2013

Category: Regulatory

In the past, I have discussed the recent passage of HR 3204, the Drug Quality and Security Act of 2013. I am still receiving calls from individuals who are confused with this law and how it affects their clinical practice.  This federal legislation was enacted in response to the New England Compounding Pharmacy tragedy of […]

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A Review: The 3rd Annual Cancer Pain Conference

Category: About Hartley Medical | Conference Recaps

I recently attended the 3rd Annual Cancer Pain Conference: Integrating Interventional Pain Management and Supportive Care in Patients Diagnosed with Cancer presented by Dr. Lisa Stearns and the Valley Cancer Pain Foundation in Scottsdale, Arizona. At this conference, I was fortunate to attend a lecture by Dr. Robert Levy, entitled, Publication Update- IDDS Safety and […]

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Off-Label Drug Use Versus FDA-Approved Medications

Category: Clinical | Drug Reviews

In November 2012, Medtronic issued a warning letter regarding the use of off-label medications within its Synchromed II pain pump. This letter emphasized an increase of motor stalls within implantable infusion devices with unapproved drugs. This letter specifically stated, “The use of unapproved drugs can lead to intermittent or permanent pump motor stalls which may […]

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Bill HR 3204: The Drug Quality and Security Act

Category: Regulatory

I wish to discuss with you the recent passage of federal legislation as it relates to sterile compounding. In November 2013, President Obama signed a bill – HR 3204, The Drug Quality and Security Act – in response to the New England Compounding Center tragedy of 2012. With all of the fanfare and publicity surrounding […]

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Employee Highlight: Cesar Benavidez, Pharmacy Technician

Category: About Hartley Medical

Cesar Benavidez, Pharmacy Technician at Hartley Medical, has been a crucial part of Hartley’s pharmaceutical compounding team for over four years. With vast training from the Pharmacy Technician Training Institute, Cesar has invaluable knowledge of both sterile and non-sterile compounding. At Hartley Medical, Cesar uses optimal sterilization and compounding techniques to produce the highest-quality compounded […]

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William’s Notations from NANS 2013: Dr. David Caraway, A Review

Category: Clinical | Conference Recaps

Dr. David Caraway was another intriguing presenter at the 2013 NANS meeting.  His discussion, On-label and Off-label Use of Intrathecal Medications and PACC Review, hit some very controversial issues over which many of my clients have expressed concerns. He started by reviewing the history of the PACC guidelines development process, going back to the year […]

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William’s Notations from NANS 2013: Dr. Elliott Krames, A Review

Category: Clinical | Conference Recaps

Another great 2013 NANS meeting presentation was by Dr. Elliott Krames on Using the S.A.F.E.  Principles for Patient Selection and IT Trialing Methods. Initially, Dr. Krames produced a set of guidelines for treating patients with chronic pain, known as KISS; Keep It Simple and Safe. Using the KISS guidelines, he developed an algorithm for treating […]

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William’s Notations from NANS 2013: Dr. Lawrence Poree, A Review

Category: Clinical | Conference Recaps

  I recently attended the North American Neuromodulation Society (NANS) Meeting 2013, in Las Vegas, Nevada, held at the Mandalay Bay Resort. It was another amazing conference and I have much to report. I was fortunate to attend the Intrathecal Pump Evaluation, Management and Refill Course on December 5th. This course had a fantastic lineup […]

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