**IHS** Number range CHAPTER**Pharmacy Program Update**

**November 5, 2004**

**Acquisitions of Medications**

***Flu Vaccine Update***

*In December, the Department of Veterans Affairs (VA) National
Acquisition Center (NAC) solicits flu vaccine requirements from VA
facilities and IHS. VA negotiates a National Flu Vaccine Contract which
is awarded in February or March. Orders are paid up front and vaccine is
delivered starting in September (25% of order is received in September,
50% in October and 25% in November). Wyman Ford at the National Supply
Service Center (NSSC) in Ada, Oklahoma, purchases flu vaccine for
approximately 100 Federal and Tribal facilities in the Aberdeen,
Albuquerque, Bemidji, Billings, California, Nashville and Oklahoma City
Areas. CAPT Chris Watson purchases vaccine for Federal and Tribal
facilities in the Phoenix and Tucson Areas. The Gallup Supply Service
Center (GSSC) orders vaccine for Navajo Area and some Albuquerque Area
sites. Portland and Alaska Areas and other federal & tribal facilities
purchase their flu vaccine through other mechanisms. Some IHS and Tribal
sites use Perry Point Depot. For up-to-date information on flu vaccine,
please go to
[www.pharmacyissues.ihs.gov](http://www.pharmacyissues.ihs.gov/) and
click in "Acquisition of Medications" then scroll down to "Drug
Shortages".*

On October 5, 2004, Chiron Corporation, a manufacturer of standard
inactivated influenza vaccine based in the United Kingdom, announced it
would be unable to export this year's supply due to contamination,
reducing by half the available influenza vaccine supply in the United
States for the 2004-05 flu season. During the first two weeks of
October, the Centers for Disease Control and Prevention (CDC) issued a
guidance that flu vaccine should only be offered to highest priority
patients and employees including:

-   all children 6-23 months

-   children 6 months to 18 years of age on chronic aspirin therapy

-   patients 2-64 with underlying chronic medical conditions

-   patients 65 and older

-   all women who will become pregnant during the influenza season

-   residents of nursing homes and long-term care facilities

-   health care workers with direct patient care and

-   out-of-home caregivers and household contacts of children less than
    6 months

Each Indian Health Service, Tribal and Urban program (I/T/U) facility
was asked to develop a plan that maximizes the protection of patients at
the greatest risk from influenza by vaccinating them and the employees
who are involved in direct patient care or who provide services that are
essential to keep the hospital or clinic operating for the delivery of
direct patient care. Patients and employees NOT in the CDC priority
groups were asked to forgo or defer flu vaccination until full delivery
of vaccine can be assured.

Fortunately for most IHS and Tribal sites, this year's VA National
Vaccine Contract was with Aventis Pasteur. All IHS and Tribal sites
ordering through NSSC, Phoenix Area Office or GSSC have received or are
soon expected to receive most if not all of their flu vaccine order.
Indian health sites ordering part or all of their influenza vaccine
directly from Chiron or from state immunization program which ordered
some or all of their vaccine from Chiron were asked to identify their
vaccine needs. Area Immunization Coordinators and the Division of
Epidemiology conducted a review of IHS, Tribal, and Urban Indian
facilities and found that at least four IHS areas would not receive a
significant portion of their influenza vaccine orders. Beginning on

November 2, 2004, IHS began redistribution of 18,060 does of vaccine to
82 I/T/U sites. Area Immunization Coordinators will continue to monitor
vaccine needs and usage on a weekly basis. Additional redistributions of
flu vaccine will take place throughout the month of November as
additional vaccine is identified.

***Importation of Medications from Canada***

Tribes continue to be approached by U.S. and Canadian companies
advertising that the companies can ship bulk medications to Tribes from
Canada at reduced prices. They also encourage Tribes to serve as
intermediaries for mail order prescriptions from Canadian pharmacies.
Tribes are advised that these activities violate the Federal Food, Drug
and Cosmetic Act. For additional information on this topic please go to
the IHS website at <http://www.pharmacyissues.ihs.gov/> .

***National Core Formulary***

The National Core Formulary (NCF) was approved by the Director in
February 2004. Funding for the National Pharmacy and Therapeutics
Committee (NPTC) operations has being finalized. Nominations were
requested from the Area Directors in September 2004. The NPTC committee
will consist of a Physician Chair, Pharmacist Vice-Chair, 7 physicians
and 5 pharmacists. The first meeting of the new committee will take
place in December 2004 in Phoenix, Arizona. The committee members are:

Howard Hayes, MD Chair (Acting) Phoenix Indian Medical Center Phoenix,
AZ

Robert Pittman, R.Ph. Vice-Chair (Acting) IHS Headquarters Rockville, MD

John E. Jones, R.Ph. Aberdeen Area Sioux San Hospital Rapid City, SD

Robert Carlson, MD Alaska Area Mt. Edgecumbe Hospital Sitka, AK

Matthew Clark, MD Albuquerque Area Ignacio Health Center Ignacio, CO

Patrick Rock, MD Bemidji Area Indian health Board Minneapolis, MN

Jo Ellen Maurer, R.Ph. Billings Area Ft. Peck Indian Hospital Poplar, MT

Dan Calac, MD California Area Indian Health Council Pauma Valley, CA

Jonathan Dando, PharmD Nashville Area Cherokee Indian Hospital Cherokee,
NC

Dorothy Sanderson, MD Navajo Area Tuba City Regional Health Tuba City,
AZ

Travis Watts, PharmD Oklahoma City Area Claremore Indian Hospital
Claremore, OK

Mark Caspi, PharmD Phoenix Area Phoenix Indian Medical Center Phoenix,
AZ

Miles Rudd, MD Portland Area Warm Springs Health & Wellness Warm
Springs, OR

James Olson, MD Tucson Area Sells Hospital Sells, AZ

***Patient Assistance Programs***

The Office of General Council is reviewing the IHS "Gifts
Administration" policy and additional ethical restrictions on acceptance
of gifts by federal facilities or programs to determine their impact on
accessing pharmaceutical manufacturer bulk patient assistance programs.

***Vioxx Recall***

On September 30, 2004, Merck announced an immediate and voluntary
withdrawal of Vioxx (rofecoxib) from the market. I/T/U sites with
non-dispensed inventory and unused returned inventory can receive credit
for this product. Additionally, sites may be reimbursed for the cost of
notifying patients to stop taking the medication and requesting that it
be returned to the pharmacy. For more information, go to
[www.pharmacyissues.ihs.gov](http://www.pharmacyissues.ihs.gov/) and
click on "Acquisition of Medications" and scroll down to "Medication
Recalls".

**Dept. of Veterans Affairs Pharmaceutical Prime Vendor**

*The Department of Veterans Affairs (VA) currently allows Indian Health
Service (IHS) and Tribes operating health programs pursuant to contracts
under the Indian Self-Determination Education and Assistance Act
(ISDEAA), Pub. L. 93-638, use of the VA Pharmaceutical Prime Vendor
(PPV) for purchasing pharmaceuticals. By ordering through the VA PPV,
IHS and Tribes are able to access Federal Supply Schedule (FSS)
Contract, National Standardization Contract (NSC) and Blanket Purchase
Agreement (BPA) pricing for pharmaceuticals. IHS and Tribal
pharmaceutical purchases through the VA PPV totaled over \$220 million
in FY 2004. The VA PPV estimates that IHS and Tribes save approximately
50 percent annually off of the Average Manufacturer Price on
pharmaceutical costs by using FSS, NSC and BPA pricing.*

***Direct Tribal Access to the VA PPV***

Tribes currently must use an IHS intermediary to access the VA PPV
contract. Tribes have asked for direct access to the VA PPV. IHS and the
VA have had ongoing discussions on this issue. Currently, IHS Office of
General Council is working on a statement related to the Economy Act
that will allow IHS to be paid by VA for managing IHS related contract
issues, the IHS Pharmacy Program is working on changes to the IHS and VA
Interagency Agreement, and Tribal representatives are gathering
information regarding 1) which Tribes would be interested in ordering
directly from the VA PPV and 2) the total dollars those Tribes spent on
pharmaceuticals in FY 2004.

***340B Discount Drug Program***

Many Tribes are eligible to order medications at discounted prices
through the HRSA 340B Program. The VA PPV contract with McKesson does
not allow Tribes eligible for the HRSA 340B program to have both a PPV
and 340B account with McKesson. Tribes must choose one or the other.
Since McKesson is the VA PPV, it is recommended that if a Tribe plans to
access FSS and NSC prices, they keep their PPV account with McKesson.
For information about the VA PPV, please contact Wyman Ford at the
National Supply Service Center at (580) 436-5000, ext 122 or
<wyman.ford@mail.ihs.gov>. For additional information about the HRSA
340B Discount Drug Program, go to the HRSA 340B web site at
<http://bphc.hrsa.gov/opa/> or call HRSA Office of Pharmacy Affairs at
(301) 594-4353.

**Centers for Medicare and Medicaid Services (CMS)**

*The Medicare Prescription Drug, Improvement and Modernization Act of
2003 authorized a new Medicare Drug Benefit. From 2004 to the end of
2005 the benefit is a Medicare Approved Drug Discount Card. Starting in
January 2006, Medicare Part D will provide a new prescription drug
benefit that will allow all Medicare beneficiaries to enroll in drug
coverage through a prescription drug plan or Medicare health plan with
Medicare paying for 75 percent of the premium. Additional benefits for
Medicare beneficiaries who have limited means will cover, on average, 95
percent of their drug costs. For more information about this benefit go
to <http://www.cms.hhs.gov/medicarereform>,
[www.cms.hhs.gov/discountdrugs](http://www.cms.hhs.gov/discountdrugs) or
[www.cms.hhs.gov/aian](http://www.cms.hhs.gov/aian) .*

***Medicare Approved Drug Discount Card***

IHS and Tribes have worked closely with CMS staff and the two Indian
Health Special Endorsement Card sponsors ("Pharmacy Care Alliance,"
offered by Express-Scripts; and "Criterion Advantage," offered by
Computer Science Corporation, also marketed under the name MemberHealth)
to try to ensure that American Indians and Alaska Natives will have
access to these benefits. The IHS and Tribes hope be able to bill card
sponsors for the \$600 per year credit in Transitional Assistance
funding available to low income card holders.

The Medicare Approved Drug Discount Card program began in October 2004
for IHS and Tribes. IHS signed national agreements for all IHS
facilities with both drug card sponsors. Most Tribes have signed or are
in the process of signing agreements with the drug card sponsors. IHS
Area training on the drug cards program took place in September, October
and November 2004. Patients began enrolling in drug card programs the
first week of October. Sites are completing the process of preparing for
billing with most sites being able to bill for drug cards beginning
November 1, 2004. Sample contracts, provider and patient information and
other materials about the drug cards are available at
[www.pharmacyissues.ihs.gov](http://www.pharmacyissues.ihs.gov/) by
clicking on the "Medicare and Medicaid" section.

***Medicare Drug Benefit -- Part D***

The comment period for proposed regulations related to Part D closed
October 4, 2004. The National Indian Health Board, CMS Tribal Technical
Advisory Group and many others provided comments on the proposed rules.
CMS and HHS work groups are reviewing the comments and IHS has asked to
participate on these workgroups. To see a copy of the proposed rules go
to <http://www.hhs.gov/news/press/2004pres/20040726.html> . NIHB
comments are available at
<http://www.nihb.org/index.php?topic=legislative> .

***Medicaid Reimbursement for Drugs purchased at Federal Supply Schedule
(FSS) Prices***

For almost 3 years, IHS has asked CMS to retract letters sent to State
Medicaid Directors that had incorrect information about payment Medicaid
paying for medications purchased at Federal Supply Schedule (FSS)
pricing. In December 2003, CMS started to prepare a memorandum to State
Medicaid Directors providing new guidance on Medicaid payment for
medications purchased at FSS prices. IHS and had agreed CMS in principal
that:

1.  IHS and Tribes can bill Medicaid for medications purchased at FSS
    pricing.

2.  Current billing practices should remain in place.

3.  Manufacturers must continue to provide FSS pricing, and state
    Medicaid offices will continue to collect rebates from the
    manufacturers for FSS medications billed by IHS. This process cannot
    be changed without a legislative fix.

This letter continues to be delayed due to IHS and CMS being unable to
agree on wording related to billing.

**Recruitment**

***Pharmacist Recruitment Activities for FY 2004***

As of November 1, 2004, the Indian Health Service had 486 federal
pharmacists (421 Commissioned Corps and 65 Civil Service) and 2 Senior
Commissioned Officer Student Training and Extern Program (COSTEP)
students on duty and reported 60 vacant pharmacist positions. In FY
2004, IHS called to active duty 56 new commissioned corps pharmacists,
two Senior COSTEP students and 32 Junior COSTEP students.

***Loan Repayment Program***

In FY 2004 there were 69 loan repayment awards to pharmacists totaling
\$2,606,654. This included 43 new awards and 26 extensions. The IHS Loan
Repayment Program (LRP) has set aside \$2.33 million for pharmacist loan
repayment in FY 2005. This amount is expected to cover approximately 33
new awards and 34 award extensions. Individuals who have applied for
loan repayment and who work at a site with a site score of 70 or above
will be considered for loan repayment beginning in January 2005 (or as
soon as funds are available). Applicants at sites with a LRP site score
of 69 or below will not be considered for the LRP until June 2005
selections. This policy is designed to encourage applicants to
preferentially consider going to higher priority sites. For information
about the IHS LRP for pharmacists contact Janet Goodfox, at (301)
443-3396, ext 4.

***Scholarship Program***

In FY 2004, there were 9 IHS Scholarship recipients who graduated from
pharmacy school. Below is information from the scholarship program about
where the current status of these IHS scholars.

[Scholar]{.underline} [Status]{.underline}

Ladonna Arredondo Ada, OK

Idella Bryant Tuba City, AZ

Lessina Dele Unknown

Carrie Hick Gallup, NM (Resident)

Generosa Jones Ada, OK

Walter Nahno-Kerchee Ada, OK

Marnie Weston-Traversie Unknown

Peggy Willcuts Rosebud, SD

Shelby Zwaryck Graduated, Deferred entry for 8 months

***Commissioned Officer Student Training and Extern Program (COSTEP)***

In FY 2004, IHS and Tribal sites sponsored 32 pharmacy Junior COSTEP
students and 2 Pharmacy Senior COSTEP students. Junior and Senior COSTEP
applications are being accepted through December 31, 2004 for the summer
2005 cycle. Students can get application materials at
<http://www.usphs.gov/html/application.html>. Sites should start working
on funding now and notify me no later than February 15, 2005 whether or
not they have a position and funding for a Junior or Senior COSTEP.
Sites can start interviewing applicants at this time, but may not
officially "select" or "make a job offer" until the official selection
period in March 2005. If you have an applicant you would like me to
select for you in March, let me know as soon as possible.

***Early Commissioning Program***

IHS discipline chiefs are working with the Office of Commissioned Corps
Force Management to rewrite the Early Commissioning policy. This policy
would allow students to be directly commissioned into the Inactive
Reserve without having to serve a COSTEP assignment. Students would earn
longevity credit which affects the computation of their base pay when
called to active duty.

***Residency Programs***

Applications for the 12 IHS and Tribal residency programs are being
accepted through February 28, 2005. Interested applicants should review
the material at the IHS Pharmacy Residency website at
<http://www.ihs.gov/medicalprograms/pharmacy/resident/resprgm.asp> . The
following individuals have started pharmacy residencies at IHS and
Tribal facilities starting in summer 2004:

[Site]{.underline} [Resident]{.underline} [Pharmacy School]{.underline}

Anchorage, AK LT John Carothers Idaho State

Albuquerque, NM LT Carol Vondall University of Montana

Cherokee, NC LT Kyle Sheffer University of Utah

Chinle, AZ LT Anthony Steeno University of Wisconsin

\*Talihina, OK LT Chris Holmes University of Oklahoma

Claremore, OK LT Amy Albertson Idaho State

Gallup, NM LT Larissa DeDea University of Florida

Gallup, NM LT Carrie Edsitty University of New Mexico

Phoenix, AZ LT Heather Huentelman University of Florida

Santa Fe, NM LT Laurelle Cascio Long Island University

Shiprock, NM LT Jennifer Essary University if Missouri

Tahlequah, OK LT Carla Guzic University of Maryland

Warm Springs, OR LT Katie Johnson (Malone) University of Kansas

Whiteriver, AZ LT Courtney Suggs Univ. of North Carolina

\* New residency site awaiting ASHP accreditation

***National Recruitment Meetings***

In FY 2005, IHS will recruit pharmacists and pharmacy students at the
American Society of Health System Pharmacists meeting in Orlando,
Florida on December 5-9, 2004 and at the American Pharmacists
Association Annual Meeting on April 1-5, 2005 in Orlando, Florida.

***MORE Project/Applicant Follow-up***

The Multi-Program On-line Recruiting Enterprise (MORE) system is
available for pharmacist and student entry on the IHS Pharmacy web site
at [www.pharmacy.ihs.gov](http://www.pharmacy.ihs.gov/). Pharmacists and
pharmacy students are able to enter contact information, ask questions,
and request that a recruiter contact them. The IHS Pharmacist
Recruitment Team (Team Ten) and others are currently using this system
to track pharmacist recruits. Pharmacists needing access to the system
to look for potential recruits should contact Ed Stein (phone:
602-364-7745) or Robert Pittman (phone: 301-443-1190). The MORE system
is averaging two to three inquiries daily.

***Pharmacist Accession Bonus***

*In FY 2004, Commissioned Corps pharmacists who were newly hired by IHS
or Tribes had the opportunity to sign an Accession Bonus Contract within
60 days of being called to active duty. For a four-year commitment, new
pharmacists receive a \$30,000, one time, lump sum payment. This has had
a substantial impact on pharmacist recruitment for IHS and the Tribes
(nearly doubling Commissioned Corps pharmacist hires in the last 2
years).*

The Accession Bonus for Pharmacists became law when President Bush
signed H.R. 4200 - Ronald W. Reagan National Defense Authorization Act
for Fiscal Year 2005 on October 28, 2004. The Accession Bonus is
extended until December 31, 2005. This will allow all accession bonus
and special pay legislation to be considered on the same schedule by
Congress each year.

***Recruitment Statistics***

PHS Commissioned Corps Pharmacists on Active Duty as of November 1,
2004.

**Operating Number of Commissioned Corps Pharmacists**

**Division 11/01/04 11/03/03 11/01/02 06/13/01**

AHRQ 1 1 1 1

ATSDR 1 1 1 1

BOP 138 135 131 117

CDC 6 6 7 7

CMS (HCFA) 10 7 7 5

DHS 19 20 16 (USCG) 16 (USCG)

EPA 1 1 0 0

FDA 242 230 205 149

HRSA 25 29 30 25

IHS 421 406 390 367

NIH 23 26 28 29

OS 14 11 14 12

PSC 5 5 5 4

SAMHSA 3 3 3 7

Total 909 881 838 740

**GPRA**

***Medication Error Reporting***

The FY 2004 Medication Error GRPA indicator required IHS to establish a
baseline for medication errors. In September 2004, I/T/U sites reported
medication errors based on the categories listed below. Beginning this
month, sites will be asked to report their medication error data
quarterly. The data will need to be submitted by the last day of the
month following the end of the calendar quarter (e.g., for the reporting
period of October to December, the report is due January 31^st^). In the
initial evaluation, many sites were not recording Category A or B
errors. Sites are asked to at least submit a total number for these
types of errors (even if they are not entered into a formal reporting
system).

Name of Facility:

Address:

Medication Error Coordinator:

Total prescriptions filled during the quarter:

Total medication errors divided into the following categories:

**Near Miss Errors**

Category A: Circumstances or events that have the capacity to cause
error.

Category B: An error occurred but the medication did not reach the
patient.

**Error Occurred but no present or future anticipated harm to the
patient**

Category C: An error occurred that reached the patient but did not cause
the patient harm.

Category D: An error occurred that resulted in the need for increased
patient monitoring, but no

patient harm.

> **Error Occurred with harm to the patient**

Category E: An error occurred that resulted in the need for treatment or
intervention and caused

temporary patient harm.

Category F: An error occurred that resulted in initial or prolonged
hospitalization and caused

temporary patient harm.

Category G: An error occurred that resulted in permanent patient harm.

Category H: An error occurred that resulted in a near-death event (e.g.,
anaphylaxis, cardiac arrest).

Category I: An error occurred that resulted in patient death.

**Computer Issues**

**Number range CHAPTER**

***Micromedex***

Starting in September 2004, sites interested in participating in the
Micromedex contract were required to pay for their share of the
contract. A total of 86 sites are now part of the September 2004 to
September 2005 contract. Each site provided \$4,699 and an additional
\$50,000 was provided by the National Institutes of Health Library. The
national contract saved participating sites over \$33,000 each on the
private sector cost of the Micromedex package. Additional sites have
expressed interest in participating in the contract. IHS has determined
that Number range CHAPTERTribes with Self-Governance compacts will be
able to participate in the Micromedex contract. A notice should go out
shortly.

***Electronic Health Record and Pharmacy Package***

The Office of Information Technology (OIT) has been coordinating efforts
to deploy the IHS Electronic Health Record (IHS-EHR), modeled after the
Veterans Health Administration (VHA) electronic health record.  

 

To prepare for the IHS-EHR, there is a new version of Pharmacy software
that is required to be in use for several months prior to implementing
Provider Order Entry (POE) using the Graphical User Interface (GUI).
 Installing the Pharmacy Packages takes place in a final installation,
along with several other applications, which enables a site to start the
lengthy set-up process for the IHS-EHR.  

 

[Facilities with Pharmacy/EHR software:]{.underline}

 

Alaska Area Billings Area California Area Indian Health Council

> • Fairbanks • Crow • Indian Health Council • Cherokee
>
> • Kotzebue • Wind River

Navajo Area Oklahoma Area Phoenix Area Portland Area

> • Fort Defiance • Carl Albert • Gila River • Warm Springs
>
> • Tuba City • Carnegie • Whiteriver
>
> • W.W. Hastings

[Upcoming scheduled installations]{.underline}

PIMC (11/2004) Chinle (3/2005)

Red Lake (12/2004) ACL (3/2005)

Western Oregon (1/2005) Claremore (4/2005)

Hopi Health Care Center (2/2005)

Information on preparing the drug file for Pharmacy 5/7:
<http://www.ihs.gov/CIO/EHR/index.cfm?module=preparing>

Asthma Register System, a register that keeps specific asthma data, will
be rolled into the integrated case management system. For additional
information about this system, go to <http://www.ihs.gov/CIO/ca/> and
click on "Asthma Register System".

***RPMS Point of Sale Billing***

 Over 100 pharmacies are using the RPMS POS billing application. At a
minimum, facilities should be on POS v1 patch9.  Patch 11, to be
released shortly, contains the Criterion Advantage format that will be
needed for one of the Medicare Drug Card plans.

 

[Information to set up the Medicare Drug Card for billing:]{.underline}

 

Plan Name: **Criterion Advantage**

Processor: SXC

BIN: 610593

PCN: SXCDDC

POS Format Name: Criterion Advantage

RPMS Insurer: recommend MEDICARE RX-CRITERION

 

Plan Name: **Pharmacy Care Alliance**

Processor: Express Scripts

BIN: 003858

PCN: A4

Group: PC5A

POS Format Name: Express Scripts 5.1

RPMS Insurer: recommend MEDICARE RX-PCA

 

There are several RPMS POS trainings scheduled for the 2005 calendar
year:
<http://www.ihs.gov/Cio/RPMS/index.cfm?module=training&option=Index>

***Automated Prescription Refill Software***

The Pharmacy Auto Refill (BEX) software has been released and is
available from the Area Offices. The Pharmacy Auto Refill system allows
RPMS to interact with a commercial automated telephone system,
AudioCare®, to refill prescriptions. The system will also check on
prescription status and provide feedback to patients who are calling to
have prescriptions refilled. Sites who want to use the AudioCare®
automated refill call-in system will need to contact the company to
obtain a contract for the equipment. Account representatives are Alex
Seligson, (610) 296-9840 ext. 105, and Wendy Michaels, (610) 296-9840
ext. 170. Thanks to the everyone at Claremore, GIMC, Cherokee, and
Lawton for working so hard on testing the software!

**Credentialing and Certification**

***IHS Pharmacists Certified by the IHS NCPS***

The IHS National Clinical Pharmacy Specialist (NCSP) Credentialing
Committee certifies IHS and Tribal pharmacists in a variety of
specialties. For more information about becoming NCSP certified go to
<http://home.pharmacy.ihs.gov/> click on "General Information" then
"[Clinical - NCPS (National Clinical Pharmacy Specialist)
Information](http://home.pharmacy.ihs.gov/index.cfm?module=gen_one&id=10)".

CAPT Pam Schweitzer has served as Chairperson for the NCPS for the last
year. As CAPT Schweitzer rotates off the committee, I want to thank her
and the committee for all their hard work. Effective October 1, 2004,
Travis Watts from Claremore, Oklahoma, will took over as Chairperson,
Don Ahrens from Gallup, New Mexico took over as committee Secretary and
Brian Campbell at Whiteriver, Arizona as a member of the committee. The
following pharmacists recently received NCPS credentialing:

[NAME]{.underline} [LOCATION]{.underline} [CREDENTIAL]{.underline}
[APPROVED]{.underline}

Rey Marbello   Whiteriver, AZ Anticoagulation July 2004

Lisa Olson Phoenix, AZ (PIMC) Anticoagulation (Recert) July 2004

Steven Smalley Cherokee, NC Anticoagulation (Recert) July 2004

Derek Teschler Phoenix, AZ (PIMC) Anticoagulation (Recert) July 2004

Timothy Murray Claremore, OK   Pain Management July 2004

Quynh-Chi Duong Santa Fe, NM Anticoagulation September 2004

Matthew Rodriquez Santa Fe, NM Anticoagulation September 2004

Sye Bennefield Sells, AZ Anticoagulation (Recert) September 2004

Chung-Ah Grace Cho Salem, OR Anticoagulation (Recert) September 2004

Tamara Close Whiteriver, AZ Anticoagulation (Recert) September 2004

Eon Jeon Whiteriver, AZ Anticoagulation (Recert) September 2004

Kristy Klinger Whiteriver, AZ Anticoagulation (Recert) September 2004

Brandon Taylor Tahlequah, OK Anticoagulation (Recert) September 2004

Thomas Addison Phoenix, AZ (PIMC) Nicotine Dependence September 2004

**Training**

***American Society of Health System Pharmacists***

The American Society of Health-System Pharmacists (ASHP) Midyear
Clinical Meeting will be held on December 5-9, 2004 in Orlando, FL. To
register for the meeting or to make room reservations, go to the ASHP
web site at <http://www.ashp.org/> and click on "Midyear Clinical
Meeting".

***American Pharmacists Association***

The American Pharmacists Association Annual Meeting will be held on
April 1-5, 2005 in Orlando, Florida. To register for the meeting or to
make room reservations, go to the APhA web site at
<http://www.aphanet.org/> and click on "Meetings".

***Commissioned Officers Association Annual Meeting***

The Commissioned Officers Association Annual Meeting will be held on
June 6-10, 2005 in Philadelphia, PA. To register for the meeting or to
make room reservations, go to the COA web site at
<http://www.coausphs.org/> click on "Professional Conference".

***Federal Pharmacy Conferences***

The Federal Pharmacy Conference Program began in 1989 in response to a
need expressed by the federal services for additional education and
training in specific areas of pharmacy practice. Four colleges of
pharmacy across the United States - the University of California, San
Francisco, School of Pharmacy; the University of South Carolina College
of Pharmacy; the University of Texas at Austin College of Pharmacy; and
the University of Wisconsin - Madison School of Pharmacy - develop and
conduct a conference annually.

Each school focuses on its strengths in a particular area of interest to
the federal sector.

[School]{.underline} [Program Focus]{.underline}

Wisconsin Pharmacy Management/Leadership/Medication Safety

Texas at Austin Ambulatory care

South Carolina Pharmacoeconomics and Health Policy

California San Francisco Clinical Therapeutics

Each year the Public Health Service nominates 6 pharmacists and two
alternates to attend each of the four Federal Pharmacy Conferences
(travel and expenses are reimbursed to the site by the College of
Pharmacy using funds from an unrestricted educational grant from
GlaxoSmithKline). Nominations (Commissioned Corps or Civil Service) for
all four conferences are due in late April or early May. Individuals
selected to attend the conferences are expected to do a poster
presentation in addition to participating in the sessions. Individuals
are nominated by their Area Pharmacy Officer. The PHS pharmacists
selected to attend the 2004-05 conferences are listed below.

[Wisconsin]{.underline} [Texas - Austin]{.underline}

BOP LCDR Carol Feldotto Ft. Worth, TX BOP LT Violette Geza Bradford, PA

IHS LCDR Steve Gray Lower Brule, SD IHS LT Lorri Moore Santa Fe, NM

IHS LCDR Clint Hinman Chinle, AZ IHS LT Cristen Smithmyer Cherokee, NC

IHS LT Brian Wren Tahlequah, OK NIH Ms. Hillary Eichelsdorfer Bethesda,
MD

IHS LT Anthony Blash Reno, NV USCG CAPT Mark Burroughs Alameda, CA

NIH Ms. Justine Harris Bethesda, MD USCG CDR Vernon Lew Cape May, NJ

[South Carolina]{.underline} [California San Francisco]{.underline}

BOP Ms. Regina Brown Watsontown, PA BOP LT Irene Ahlstrom Leavenworth,
KS

IHS LCDR Melissa Schweiss Rapid City, SD IHS LT Latonna Olic Pine Ridge,
SD

IHS CAPT Steve Doane Cherokee, NC IHS LT Maya Thompson Chinle, AZ

IHS LT Tracie Patten Lawton, OK IHS LT Mike Kelly Wellpinit, WA

IHS LT Ann Reynolds Parker, AZ IHS LT James Cummings Lawton, OK

NIH Mr. James Schlick Bethesda, MN NIH LT Kun Shen Bethesda, MD

**Office of the Inspector General**

**IOG Audit Division 2005 Work Plan - Controlled Substances**

The Office of the Inspector General Audit Division has listed a review
of Controlled Substances as part of its IHS work plan for FY 2005. IHS
headquarters staff will be meeting with the OIG staff in late November
to discuss the audit and propose sites to be reviewed. Site audits are
expected to begin in early spring 2005. Additional information will be
sent out when available.

**Commissioned Corps**

***Promotion Year 2005***

Commissioned Corps pharmacists up to temporary or permanent promotion in
Promotion Year 2005 are reminded to complete their Office of Force
Readiness and Deployment requirements (<https://ccrf.hhs.gov/ccrf/>),
Report of Medical History (form DD-2807-1) and Disclosure statement,
update your Official Personnel file to include a current resume using
the Pharmacy PAC format, assure your completed 2004 COER and current
license are in file in your OPF.

***Assimilation***

Nominations approved by the Assimilation Board have gone forward and
been approved by the Senate. They are now in the Department of Health
and Human Services awaiting release. Officers can speed up the
assimilation process (once the list is released) by making sure the have
a current Report of Medical History (form DD-2807-1) and Disclosure
Statement on file with Medical Branch.

Applications for Assimilation into Regular Corps are due before February
15, 2005. Information and an Assimilation packet are available at
<http://dcp.psc.gov/assimilation.asp> .

**Personnel Actions**

***Retirement***

[*Number range CHAPTER*NAME]{.underline} [DATE]{.underline}
[ACTION]{.underline}

CAPT Walter Scott 09/01/2004 Retirement from Elko, NV

CAPT Don Morgan 09/01/2004 Retirement from Lakewood, CO

CAPT Jeffrey Gallagher 09/01/2004 Retirement from Sisseton, SD

CDR David Larson 08/01/2004 Retirement from Belcourt, ND

CDR Darcy Cummingham 07/01/2004 Retirement from Nespelem, WA

CAPT Roger McGhee 07/01/2004 Retirement from Sells, AZ

CAPT Donovan Sauter 07/01/2004 Retirement from Crow Agency, MT

CDR Robert Brady, Jr. 06/01/2004 Retirement from Winnebago, NE

***Inactivation***

[*Number range CHAPTER*NAME]{.underline} [DATE]{.underline}
[ACTION]{.underline}

LCDR Erika Wessel 09/29/2004 Inactivation from Anchorage, AK

LT Casey Blair 08/14/2004 Inactivation from Anchorage, AK

LT Denise Vermilyea 08/07/2004 Inactivation from Tuba City, AZ

***Termination***

[*Number range CHAPTER*NAME]{.underline} [DATE]{.underline}
[ACTION]{.underline}

LT Gidget Eaton 07/02/2004 Termination from Claremore, OK

***Transfer***

[*Number range CHAPTER*NAME]{.underline} [DATE]{.underline}
[ACTION]{.underline}

LCDR Kenneth Say 09/28/2004 Transfer from Sells, AZ to Whiteriver, AZ
(SR Pharmacist)

LT Helen Teklay 09/09/2004 Transfer from Eagle Butte, SD to Rapid City,
SD (SR Pharmacist)

LCDR Louis Feldman 09/01/2004 Transfer from Zuni. NM to Ft. Defiance, AZ
(Assistant Chief Pharm.)

LCDR David Bates 08/26/2004 Transfer from Chinle, AZ to FEMA in
Washington DC

CDR Truman Gillette 08/24/2004 Transfer from Schurz, NV to Princeton, ME
(Chief Pharmacist)

LT Robin Bartlett 08/16/2004 Transfer from Whiteriver, AZ to Cherokee,
NC (Senior Pharmacist)

LT John Bearden 08/01/2004 Transfer from Talihina, OK to Stigler, OK
(Chief Pharmacist)

LCDR Rosalind Chorak 07/28/2004 Transfer from Espanola, NM to Rock Hill,
SC (Chief Pharmacist)

LCDR Sherri Yoder 07/13/2004 Transfer from Browning, MT to Fallon, NV
(Assistant Chief Ph)

LT Zaki Gad 07/02/2004 Inter-Service Transfer to Phoenix, AZ (Sr.
Pharmacist)

LT Kofi Sallar 07/01/2004 Transfer from Resident to Staff Pharmacist at
Gallup, NM

LT Kari Barrett 07/01/2004 Transfer from Resident to Staff Pharmacist at
Tahlequah, OK

LT Gina Jorgenson 07/01/2004 Transfer from Resident to Staff Pharmacist
at Anchorage, AK

LT Naveed Ahmed 07/01/2004 Transfer from Shiprock, NM to NIH Bethesda,
MD

LT Lori Moore 07/01/2004 Transfer from Resident to Staff Pharmacist at
Santa Fe, NM

LT Jefferson Fredy 07/01/2004 Transfer from Resident to Staff Pharmacist
at Phoenix, AZ

LT Irene Chan 07/01/2004 Transfer from Resident to Staff pharmacist at
Gallup, NM

LT Jefferson Fredy 07/01/2004 Transfer from Resident to Staff Pharmacist
at Phoenix, AZ

LT Melissa Stahlecker 06/29/2004 Transfer from Resident to Staff
Pharmacist at Shiprock, NM

LCDR Michael Dupree 06/21/2004 Transfer from Cass Lake, MN to BOP
Peterburg, VA (Chief Ph)

LT Michael Mabry 06/13/2004 Transfer from Shiprock, NM to BOP
Montgomery, AL (Chief Ph)

LT Heather Klug 05/29/2004 Transfer from Denver, CO to Rosebud, SD
(SRCOSTEP to Staff Ph)

***Change of Assignment***

[*Number range CHAPTER*NAME]{.underline} [DATE]{.underline}
[ACTION]{.underline}

CDR Samuel Foster 09/20/2004 Change from Senior Pharmacist to Chief
Pharmacist at Cass Lake, MN

LT Joseph Lambert 08/09/2004 Change from Staff Pharmacist to Assistant
Chief at Winnebago, NE

CDR Amy Minnick 07/15/2004 Change from Senior Pharmacist to Chief
Pharmacist Crow Agency, MT

LT Patrick Bolte 07/13/2004 Change from Staff Pharmacist to SR
Pharmacist at Anchorage, AK

CDR Philip Minnick 07/12/2004 Change from Assistant Chief to Chief
Pharmacist Lame Deer, MT

RADM Richard Church 07/06/2004 Change from CIR to Dir. Office of Program
Support, Rockville, MD

LT Stacey Smith 07/01/2004 Change from Resident to Senior Pharmacist at
Claremore, OK

LCDR Clint Hinman 07/01/2004 Change from Assistant Chief to Chief
Pharmacist at Chinle, AZ

LCDR Karen Kistler 07/01/2004 Change from Staff Pharmacist to Senior
Pharmacist at Kotzebue, AK

CAPT Laverne Tsosie 04/01/2004 Change from Staff Pharmacist to Senior
Pharmacist at Shiprock, NM

***Call To Active Duty (as a Pharmacist)***

[*Number range CHAPTER*NAME]{.underline} [DATE]{.underline}
[ACTION]{.underline}

LT Chikanele Onyegam 10/24/2004 Call to duty at Fort Defiance, AZ (Staff
Pharmacist

LT Rachel Louis 10/12/2004 Call to duty at Polacca, AZ (Senior
Pharmacist)

LT Ben Peacock 09/16/2004 Call to duty at Crownpoint, NM (Staff
Pharmacist)

LT Aleta Bosley 09/12/2004 Call to duty at Gallup, NM (Senior
Pharmacist)

LT Chandima Deegala 09/08/2004 Call to duty at Shiprock, NM (Staff
Pharmacist)

LT Thang La 09/01/2004 Call to duty at Zuni, NM (Staff Pharmacist)

LT Peter Laluk 08/23/2004 Call to duty at Tucson, AZ (Staff Pharmacist)

LTJG Stacey Thomas 08/01/2004 Call to duty at Browning, MT (Pharmacist)

LT Mandy Parker (McCoy)07/28/2004 Call to duty at Kayenta, AZ (Staff
Pharmacist)

LCDR Carla Evans 07/26/2004 Call to duty at Tahlequah, OK (Staff
Pharmacist)

LT Allison Paynter 07/19/2004 Call to duty at Shiprock, NM (Staff
Pharmacist)

LCDR Linda Samson 07/19/2004 Call to duty at Tuba City, AZ (Staff
Pharmacist)

LT Daniel Riding 07/12/2004 Call to duty at Albuquerque, NM (Resident)

LT Joanna Ferraro 07/11/2004 Call to duty at Cass Lake, MN (Staff
Pharmacist)

LT Cleveland Brown IV 07/08/2004 Call to duty at Fort Defiance, AZ
(Staff Pharmacist)

LT Cynthia Dziowgo 07/04/2004 Call to duty at Fort Totten, ND (Chief
Pharmacist)

LT Zaki Gad 07/02/2004 Call to duty at Red Lake, MN (Senior Pharmacist)

LT Anthony Stenno 07/01/2004 Call to duty at Chinle, AZ (Resident)

LT Mary Brewer 07/01/2004 Call to duty at Red Lake, MN (Staff
Pharmacist)

LT Kendra McConnell 07/01/2004 Call to duty at Talihina, OK (Pharmacist)

LT Kristen Scoggin 07/01/2004 Call to duty at Broken Bow, OK
(Pharmacist)

LT Raymond Carter 07/01/2004 Call to duty at Zuni, NM (Senior
Pharmacist)

LT Courtney Suggs 06/30/2004 Call to duty at Whiteriver, AZ (Resident)

LT Carrie Edsitty-Hick 06/30/2004 Call to duty at Gallup, NM (Resident)

CDR Emily Warner 06/30/2004 Call to duty at Kayenta, AZ (Short Tour
relieved 7/30/04)

LT Amy Albertson 06/27/2004 Call to duty at Claremore, OK (Resident)

LT Jennifer Essary 06/27/2004 Call to duty at Shiprock, NM (Resident)

LT Carla Guzic 06/27/2004 Call to duty at Tahlequah, OK (Resident)

LT Katie Malone (Johnson)06/26/2004 Call to duty at Warm Springs, OR
(Resident)

LT Heather Huentelman 06/25/2004 Call to duty at Phoenix, AZ (Resident)

LT Amy Dedea 06/25/2004 Call to duty at Gallup, NM (Resident)

LT Kyle Sheffer 06/25/2004 Call to duty at Cherokee, NC (Resident)

LT Laurelle Cascio 06/25/2004 Call to duty at Santa Fe, NM (Resident)

LT John Carothers 06/22/2004 Call to duty at Anchorage, AK (Resident)

LT Nicole Bruxvoort 06/17/2004 Call to duty at Chinle, AZ (Staff
Pharmacist)

LT Alison Hargadon 06/15/2004 Call to duty at Gallup, NM (SR Pharmacist)

LT Cedric Guyton 06/08/2004 Call to duty at Whiteriver, AZ (Senior
Pharmacist)

CAPT Arthur Lipman 06/06/2004 Call to duty at Phoenix, AZ (Short Tour
relieved 6/6/04)

LT Kris Hunley 06/03/2004 Call to duty at Talihina, OK (Pharmacist)

LT Christopher Holmes 06/03/2004 Call to duty at Talihina, OK
(Pharmacist)

LT Randi Lanier 06/02/2004 Call to duty at Talihina, OK (Pharmacist)

***Call To Active Duty (as a COSTEP)***

[*Number range CHAPTER*NAME]{.underline} [DATE]{.underline}
[ACTION]{.underline}

ENS David Yoon 08/01/2004 Call to duty at Mt Pleasant, MI (JRCOSTEP
relieved 8/31/04)

ENS Dorrie Happ 06/21/2004 Call to duty at Crownpoint, NM (JRCOSTEP
relieved 9/3/04)

ENS Oliver Stanescu 06/11/2004 Call to duty at Rapid City, SD (JRCOSTEP
relieved 8/9/04)

ENS Rebecca Owens 06/05/2004 Call to duty at San Fidel, NM (JRCOSTEP
relieved 7/30/04)

ENS Angela Oldacre 06/04/2004 Call to duty at Fort Washakie, WY
(JRCOSTEP relieved 8/14/04)

ENS John Clark 06/04/2004 Call to duty at Lawrence Kansas (JRCOSTEP
relieved 8/20/04)

ENS Trixia Camacho 06/03/2004 Call to duty at Tuba City, AZ (JRCOSTEP
relieved 8/10/04)

ENS William Vincent 06/03/2004 Call to duty at Tuba City, AZ (JRCOSTEP
relieved 8/10/04)

ENS Lisa Brennan 06/03/2004 Call to duty at Pine Ridge, SD (JRCOSTEP
relieved 8/3/04)

ENS Melissa Beery 06/03/2004 Call to duty at Zuni, NM (JRCOSTEP relieved
7/30/04)

ENS Nick Thomas 06/03/2004 Call to duty at Fort Yates, ND (JRCOSTEP
relieved 8/6/04)

ENS Lance Belohlavek 06/01/2004 Call to duty at McLaughlin, SD (JRCOSTEP
relieved 8/20/04)

ENS Brian Barnett 06/01/2004 Call to duty at Lawton, OK (JRCOSTEP
relieved 8/4/04)

ENS Rebecca McNeal 06/01/2004 Call to duty at Anchorage, AK (JRCOSTEP
relieved 7/30/04)

ENS Karen Liang 06/01/2004 Call to duty at Cass Lake, MN (JRCOSTEP
relieved 8/13/04)

ENS Davy To 06/01/2004 Call to duty at Fort Yates, ND (JRCOSTEP relieved
8/20/04)

***Appointment to Regular Corps***

[*Number range CHAPTER*NAME]{.underline} [DATE]{.underline}
[ACTION]{.underline}

LCDR Lisa Olson 05/01/2004 Appointed to Regular Corps (Phoenix, AZ)

LCDR Jennifer Post 04/27/2004 Appointed to Regular Corps (Phoenix, AZ)

***Other Personnel Actions***

[*Number range CHAPTER*NAME]{.underline} [DATE]{.underline}
[ACTION]{.underline}

LT Mandy McCoy 09/01/2004 Name change from Mandy McCoy to Mandy Parker
(Kayenta, AZ)

CAPT Terrance Green 07/01/2004 Extension of Recall from Retirement to
6/30/05

**Awards**

***IHS Pharmacist of the Year Awards***

This is the annual call for nominations for the Indian Health Service
Pharmacist of the Year Awards. Please take the time to nominate a
deserving pharmacist for this outstanding honor.

There are two awards:

IHS Junior Pharmacist of the Year

This award recognizes outstanding contributions by a Junior IHS
pharmacist. Nominees must be an O-4 (or lower) or a GS-9/11 with less
than 12 years of service in the IHS.

IHS Senior Pharmacist of the Year

This award recognizes outstanding contributions by a Senior IHS
pharmacist. Nominees must be an O-5 (or higher) or a GS-11 (or higher)
with more than 12 years service in the IHS.

Criteria and nomination forms for these awards are available at the IHS
Pharmacy Intranet site at <http://home.pharmacy.ihs.gov/>. The
nomination consists of a completed cover sheet and a narrative statement
addressing the award criteria (no more than two typewritten pages). One
original and 5 copies of the entire nomination should be forwarded to:
CAPT Robert Pittman, Principal Pharmacy Consultant, Indian Health
Service, 801 Thompson Avenue, Room 319, Rockville, MD 20852, Phone:
301-443-1190, Fax: 301-594-6213, Email: rpittman@na.ihs.gov

Nominations should be received not later than February 1, 2005. Awards
will be presented at the Southwest Regional Pharmacy Continuing
Education meeting.

***PHS Commissioned Corps Awards***

[*Number range CHAPTER*NAME]{.underline} [AWARD]{.underline}
[AWARDED]{.underline}

CAPT Nicholas Provost Outstanding Service Medal 04/2004

CAPT Leland Stern Outstanding Service Medal 01/2004

LCDR Bradley Bishop Commendation Medal 05/2004

CDR James Bresette Commendation Medal 05/2004

LT Patrick Bolte Achievement Medal 09/2004

CDR Heidi Brainerd Achievement Medal 06/2004

LCDR Mary Byrne Achievement Medal 06/2004

CDR Carmen Clelland Achievement Medal 08/2004

CDR John Coleman Achievement Medal 06/2004

LCDR Deborah Cookson Achievement Medal 05/2004

LCDR Wilbert Darwin, Jr Achievement Medal 02/2004

LCDR Larron Dolance Achievement Medal 08/2004

CDR Richard Erickson II Achievement Medal 06/2004

LT Dean Goroski Achievement Medal 08/2004

CDR Dana Hall Achievement Medal 01/2004

[*Number range CHAPTER*NAME]{.underline} [AWARD]{.underline}
[AWARDED]{.underline}

LCDR Dianna Hatfield Achievement Medal 09/2004

LCDR Gary Hobbs Achievement Medal 01/2004

LT Shera Hogan Achievement Medal 03/2004

LCDR Michael Lee Achievement Medal 09/2004

LCDR John McGilvray Achievement Medal 08/2004

LCDR Timothy Murray Achievement Medal 06/2004

LT Romina Patel Achievement Medal 08/2004

CAPT Gary Reeves Achievement Medal 06/2004

CDR Brian Schilling Achievement Medal 08/2004

LCDR Sandra Shipp Achievement Medal 09/2004

LT Cristen Smithmyer Achievement Medal 10/2004

LCDR Brandon Taylor Achievement Medal 03/2004

CAPT William Wilson Achievement Medal 08/2004

LCDR Mike Beiergrohslein PHS Citation 06/2004

LT Patrick Bolte PHS Citation 04/2004

CDR James Farrell PHS Citation 06/2004

CAPT Gary Givens PHS Citation 06/2004

*[Number range CHAPTER]{.underline}*LCDR Steven Gray PHS Citation
06/2004

LCDR Jeffrey Haug PHS Citation 06/2004

LCDR Robert Hayes PHS Citation 09/2004

CAPT Douglas Herring PHS Citation 06/2004

LT Eric James PHS Citation 06/2004

LT Gena Jorgenson PHS Citation 01/2004

LT Sarah Kimbrough PHS Citation 06/2004

LT Christina Mead PHS Citation 06/2004

LCDR John McGilvray PHS Citation 04/2004

LCDR Sarah Ryan PHS Citation 06/2004

LCDR Gary Soderlund PHS Citation 06/2004

LCDR James Strunk PHS Citation 06/2004

LT Judith Thompson PHS Citation 06/2004

LT Christopher Whitehead PHS Citation 08/2004

LCDR Charla Young PHS Citation 06/2004

LCDR Cynthia Aguiar Unit Commendation 05/2004

CDR Heidi Brainerd Unit Commendation 05/2004

LT Kevin Denny Unit Commendation 09/2004

LCDR Michael Eddy Unit Commendation 09/2004

CAPT Vance Gese Unit Commendation 09/2004

LCDR Eugene Hampton, Jr. Unit Commendation 09/2004

CDR Janette Harrell Unit Commendation 05/2004

LCDR Holly McGrath Unit Commendation 09/2004

LCDR Timothy Murray Unit Commendation 03/2004

CDR Caroline Newhouse Unit Commendation 09/2004

LT Romina Patel Unit Commendation 09/2004

LCDR Kathleen Payne Unit Commendation 09/2004

LT Eric Skan Unit Commendation 09/2004

CAPT Thomas Troshynski Unit Commendation 09/2004

LCDR Thomas Pomilla Hazardous Duty Award 02/2004

CAPT James Butler Special Assignment Award 03/2004

CDR John Coleman Special Assignment Award 03/2004

CAPT David Kuhl Special Assignment Award 03/2004

[*Number range CHAPTER*NAME]{.underline} [AWARD]{.underline}
[AWARDED]{.underline}

CAPT Jon Nidiffer Special Assignment Award 03/2004

CAPT David Taylor Special Assignment Award 03/2004

LT John Bearden Isolated Hardship Award 02/2004

LT Ngozi Dike Isolated Hardship Award 09/2004

LT Terry Harrison Isolated Hardship Award 02/2004

LT Sarah Kimbrough Isolated Hardship Award 02/2004

LCDR Karen Kistler Isolated Hardship Award 02/2004

LT Latona Olic Isolated Hardship Award 02/2004

LCDR Jane Russell Isolated Hardship Award 02/2004

LT Nathalie Seoldo Isolated Hardship Award 09/2004

LT Helen Teklay Isolated Hardship Award 07/2004

LT Kristi Turney Isolated Hardship Award 05/2004

CDR Gloria Weir Isolated Hardship Award 09/2004

LT Lelia Willams Isolated Hardship Award 02/2004

CDR Kimberly Zietlow Isolated Hardship Award 05/2004

LCDR Bradley Bishop National Emergency Preparedness Award 02/2004

CDR Mark Feltner National Emergency Preparedness Award 05/2004

LCDR Eun Jeon National Emergency Preparedness Award 02/2004

CDR Annie Reiner National Emergency Preparedness Award 02/2004

LT Eric Skan National Emergency Preparedness Award 02/2004

CDR Earl D. Ward, Jr. National Emergency Preparedness Award 02/2004

CAPT Thomas Blumenberg Field Medical Readiness Badge 02/2004

CDR James Bresette Field Medical Readiness Badge 05/2004

CDR Annie Reiner Field Medical Readiness Badge 02/2004

***Other Awards***

[*Number range CHAPTER*NAME]{.underline} [DATE]{.underline}
[AWARD]{.underline}

Carolyn Johnson 2004 Area Director's Award (Portland Area)

Michele Gemelas 2004 Portland Area Service Unit Employee of the Year

Warm Springs Service Unit 2004 Exceptional Leadership in Health and
Wellness Initiatives