1. Rely on your Independent Pharmacist
David Smith PharmD
A & O Clinic Pharmacy
A & O Specialty Pharmacy
Salinas, CA 93901

2. Synchronization of Medications
Works similar to setting up a medical appointment.
All medications will be filled once on a monthly basis or 3 month basis.
Pharmacy communicates with Patients one week prior to refilling medications.
Pharmacy staff prepares medications.
Patients pick up all refill medications on an assigned date.

3. Medication Therapy Management (MTM)
Pharmacy will set up an appointment for patients to meet with the pharmacist.
Prior to meeting, the pharmacist reviews records and refills of a patients adherence to taking medications on a regular basis.
During the meeting the pharmacist will listen to concerns a patient has about their drug therapy.

4. Medication Therapy Management (MTM)
Discuss side effects
Drug interactions
Review Vitamins and Supplements, including Herbal supplements
Review Over the Counter Drugs (OTCs)
Talk about adherence problems

5. Immunizations
All immunizations are reported to a central state data base for medical and pharmacy access.
Flu vaccine ( quadravalent and HD for 65 years and older)
Shingles Vaccine (Shingrix: two shot series)
Pneumonia Vaccine: Prevnar: two shot series
Tetnus, Diptheria and Pertussis: Tdap

6. Nutritional Supplements
B-Complex Vitamin (methylated B vitamins)
Vitamin D 2,000 Units to 10,000 Units daily. 50,000 Units weekly. Blood Level: 30 to 70.
Fish Oils 1125 EPA/ 875 DHA (Fish Oil should not smell fish
CoQ mg (Ubiquinol)
Magnesium Glycinate 200 to 500mg
Probiotics

7. Nutritional Supplements
Vitamin C
Vitamin A and E
Minerals: Zinc, Selenium, Chromium
Digestive Enzyme
Liver Detox supplements
Protein Powders
Alpha Lipoic Acid
Hair, Skin and Nails

8. Diseases to consider when taking Over the Counter Drugs (OTCs)
Asthma
Bleeding disorders
Clotting disorders
Diabetes
Enlarged prostate gland
Epilepsy
Glaucoma
Heart disease
High blood pressure
Immune system problems
Kidney problems
Liver problems
Parkinson’s disease
Psychiatric problems
Thyroid disease

9. OTC Drugs
Pain relievers: Aspirin, Ibuprofen, Naproxen and Acetaminophen.
Decongestants: Pseudoephedrine (Sudafed)
Antihistamines: Diphenhydramine (Benadryl) Chlorpheniramine, Certrizine (Zyrtec), fexofenadine (Allegra), Loratadine (Clariten)
Acid Blockers: Ranitidine (Zantac), Famotidine (Pepcid), Omeprazole (Prilosec), Esomeprazole (Nexium) (PPIs)

10. OTC Drugs
Decongestant Sprays: Phenylephrine, Oxymetazoline, Saline Nasal Sprays
Steroid Nasal Sprays: Nasacort, Rhinocort, (Fluticasone) Flonase
Laxatives and Stool softners
Anti-diarrials: Loperamide (Imodium) and PeptoBismol
Probiotics (Floragen and VSL)