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Peter Goldstein, staff pharmacist at Jones Drug Store in Northport. Photo by Julianne Mosher

Amazon says it can save people money on their medications, but local pharmacy owners say there’s a big problem with that: There won’t be that human element customers get from a pharmacist behind the counter if they order from behind a computer screen. 

This week the online retailer announced new pharmacy offerings to help customers purchase their prescription medications through Amazon Pharmacy — a new store on the website that provides an entire pharmacy transaction through an Amazon account. 

Mike Nastro, owner of Fairview Pharmacy in Port Jefferson Station. Photo by Julianne Mosher

“People like their community pharmacy,” said Mike Nastro, owner of Fairview Pharmacy & Homecare Supply in Port Jefferson Station. “I take care of the specialty patient populations that require intimate service — hopefully that will sustain me.”

Amazon Pharmacy states that by using a secure pharmacy profile, customers can add their insurance information, manage prescriptions and choose payment options before checking out. Amazon Prime members will receive unlimited, free two-day delivery on orders through the online shop.

But this announcement isn’t new, according to Nastro.

“They’ve been talking about this for a while,” he said. “It’s going to hurt the industry a lot. It may hurt the chains more initially, but it’ll hurt the entire brick-and-mortar industry.”

Two years ago, Amazon purchased PillPack, an online pharmacy startup, in a $753 million acquisition. 

“As more and more people look to complete everyday errands from home, pharmacy is an important and needed addition to the Amazon online store,” Doug Herrington, senior vice president of North America Consumer at Amazon, said in a statement. “PillPack has provided exceptional pharmacy service for individuals with chronic health conditions for over six years. Now, we’re expanding our pharmacy offering to Amazon.com, which will help more customers save time, save money, simplify their lives and feel healthier.”

Local pharmacies might be in danger with Amazon’s new pharmacy service. Photo by Julianne Mosher

Nastro said that there are many benefits with personal pharmacy service like privacy and face-to-face communication.

“We keep people out of the hospital by intervening, and by knowing the person and seeing what medications they’re on,” he said. “It’s an important role, and if that’s obliterated it will have an adverse effect on the medical industry.”

Peter Goldstein, a staff pharmacist at Jones Drug Store in Northport, said in the 30-plus years he’s been in the industry, Amazon will not be able to help patients like he and his colleagues do.

“I will put my service against any mail order or Amazon any day,” he said. “We know the patients, especially in the community. We know their family history and there’s so much that goes into it, that quite frankly people will miss. What will you do if your insulin gets sent to the wrong site?”

Goldstein noted something like storing medications at the required room temperature is an issue if it ends up sitting in a mailbox. 

“It’s personal touches that we take for granted,” he said. 

And one of those personal touches is quick delivery that Nastro’s store has been doing all along.

“We’re not there in two days,” he said. “We’re there in two hours.”

Michael DeAngelis, owner of Village Chemists of Setauket, said his family has owned their store since 1960. DeAngelis and his father saw the changes in pharmaceutical care throughout the years although this is a whole new level. 

Michael DeAngelis, owner of Village Chemists of Setauket. Photo by Julianne Mosher

“We managed to survive Genovese, Eckerd, Rite Aid and now Walgreens,” he said. “[Those stores] even sent people here to solve a problem or order something they couldn’t get.”

While COVID-19 has conditioned people to stay indoors more, DeAngelis said contacting a pharmacy store is a different experience.

“If you call the Village Chemists, you will not get a machine that makes you listen to an endless menu,” he said. “You will get a human being who will be more than happy to answer any of your questions.”

These local pharmacists want people to know they are here for them and will be, despite the larger competition coming their way.

“Community pharmacists are really your advocate,” Nastro said. “With Amazon, what you’re not going to have is that personal service. It’s not just buying goods — we both have medication — there’s a service that comes with that medication and that service keeps people out of the hospital. It keeps people alive.”

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A demonstration is done at King Kullen in Patchogue, showing how to use the drug take-back dropbox added through the Department of Environmental Conservation’s pilot program that started last year. File photo from Adrianne Esposito

By Desirée Keegan

New York is taking another step toward ridding our community and our homes of dangerous drugs.

The state Assembly passed the Drug Take Back Act June 20 following the Senate’s passage of the bill the night before, which will establish a statewide program to provide free, safe pharmaceutical disposal
for unused or expired medications.

Pharmaceutical manufacturers, rather than the taxpayers, will foot the entire bill for implementing the program. Chain pharmacies will be required to provide free drug take-back sites, while other authorized collectors, like independent pharmacies and local lawenforcement, will have the option to participate.

“This landmark law makes New York a national leader in addressing the opioid crisis and protecting our waters from pharmaceutical pollution,” said Adrienne Esposito, executive director of Citizens Campaign for the Environment, applauding state Sen. Kemp Hannon (R-Garden City) and Assemblywoman Aileen Gunther (D-Middletown). “[They] have stood up for clean water, public health and New York taxpayers over the special interests of the multibillion-dollar pharmaceutical industry.

This drug take-back legislation is the best in the nation and we believe it will be adopted by other states. The cost to the pharmaceutical industry will be negligible — communities that have passed similar laws estimated a cost of just a couple pennies per prescription.”

This legislation ensures all New Yorkers will have convenient access to safe drug disposal options. Making safe disposal options accessible to the public will reduce what officials described as the harmful
and antiquated practice of flushing unwanted drugs. Drugs that are flushed are polluting waters from the Great Lakes to Long Island Sound, threatening aquatic life, water quality and drinking water.

“A lack of options to safely dispose of unused drugs is contributing to the national drug abuse epidemic that is now the leading cause of injury and death in the U.S., ahead of car accidents,” said Andrew Radin, chair of the New York Product Stewardship Council and recycling director for Onondaga County Resource Recovery Agency. “Deaths from drug overdoses and chronic drug abuse in New York state have increased 71 percent between 2010 and 2015.”

More than 2,000 people in New York die annually from opioid overdose, and 70 percent of people that abuse prescription drugs get them from friends and family, according to the Citizens Campaign for the Environment.

“The Drug Take Back Act will save lives by stopping prescription drug abuse at its source,” Radin said.

A coalition of environmental, public health and product stewardship organizations praised Gov. Andrew Cuomo (D) and the state Department of Environmental Conservation for a recently released report, called “The Feasibility of Creating and Implementing a Statewide Pharmaceutical Stewardship Program in New York State,” which called for the disposal program to be funded by the pharmaceutical industry. Cuomo asked for the report when he vetoed what he called a poorly crafted disposal bill that passed the legislature last year.

“Safe drug disposal options will help save lives by getting leftover prescription drugs out of household medicine cabinets, where they are often stockpiled and abused,” Esposito said. “We now look forward to seeing the governor sign this critical bill into law.”

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A demonstration is done at the King Kullen in Patchogue, showing how to use the drug take-back drop box. Photo from Adrianne Esposito

By Kevin Redding

With the recent launch of the first statewide pharmaceutical take-back initiative, New York residents are encouraged to be more careful, and environmentally friendly, when it comes to getting rid of their old and unwanted medications.

On Dec. 28, the New York State Department of Environmental Conservation announced that 80 retail pharmacies, hospitals and long-term care facilities across the state will be the first to participate in its $2 million pilot pharmaceutical take-back program, and encouraged more to get on board.

This program allows residents to safely dispose any unused and potentially harmful pills into a drop box at these locations beginning in April, when the boxes are slated for installation.

Once collected, the drugs will be weighed, tracked and incinerated.

The free, volunteer public service, funded by the state Environmental Protection Fund, is modeled after a successful safe disposal program started at King Kullen in 2014 — which, in the past three years, has safely disposed more than 7,600 pounds of pharmaceutical drugs — and aims to improve the region’s drinking water, which has become increasingly contaminated by people flushing medications down the toilet and pouring them down the sink.

Flushed pharmaceutical drugs have been found in state lakes, rivers and streams, negatively affecting the waterways and the wildlife that inhabit them.

Roughly 40 percent of groundwater samples have trace amounts of pharmaceutical drugs, with the most common being antibiotics and anticonvulsants, according to Adrienne Esposito, executive director of Citizens
Campaign for the Environment.

“Prescription drugs should come from our pharmacists — not from our faucets,” said Esposito, whose Farmingdale-based organization founded the King Kullen program and lobbied the state to provide funding in its budget in 2016 for the DEC to create the pilot program. “Pharmaceutical drugs are considered an ‘emerging contaminant’ in our drinking water and the flushing of unwanted drugs is one contributor to this growing problem. Safe disposal programs [like this] are critical in combating this health risk. The goal really is to provide people with an easy, safe and convenient option to dispose of their drugs. We can get ahead of this problem now rather than wait until it becomes a bigger problem later.”

The pilot program is currently open and is accepting applications, according to the DEC website, which also outlines that the $2 million  will be used to cover the full cost of purchasing U.S. Drug Enforcement Administration-compliant medication drop boxes, as well as the cost of pickup, transport and destruction of collected waste pharmaceuticals for a two-year period.

Esposito said the program also serves to prevent accidental exposure or intentional misuse of prescription drugs.

“This is a service that all pharmacies should be providing their customers,” she said. “Not only does it protect the environment, it will keep drugs out of the hands of people who shouldn’t have them.”

While there aren’t many participants so far in Suffolk  — among six volunteers are Huntington’s Country Village Chemists, St. James Rehabilitation & Healthcare Center and Stony Brook Student Health Services — many local pharmacy owners said they were interested in enrolling, while others have already been offering something similar.

At Heritage Chemists Pharmacy & Boutique in Mount Sinai, owner Frank Bosio said he offered a take-back box for more than two years, but funding ended.

“It was a great program and the community loved it,” said Bosio with interest in enrolling in the new pilot program. “I definitely want to get on board with this.”

Manager of Echo Pharmacy in Miller Place, Beth Mango, said her store has a disposal box system in place that complies with Drug Enforcement Administration requirements.

“We had a lot of customers asking us what they could do with their old medications,” Mango said. “We wanted to do something for the community. We’re trying to save our Earth for our children and for future generations — this is one way we know is safe.”

Esposito made clear that most disposal systems outside of the launched program aren’t authorized by the DEC or other agencies, and hopes the list for this particular effort will grow.

Retail pharmacies, hospitals and long-term care facilities can enroll to participate in the pilot pharmaceutical take-back program on the DEC’s website at www.dec.ny.gov/.

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Christina Loeffler, the co-owner of Rely RX Pharmacy & Medical Supplies in St. James, works at one of the few non-major pharmacies in the county participating in the program to give low to no cost Narcan to those with prescription health insurance coverage. Photo by Kyle Barr

By Kyle Barr

The opioid crisis on Long Island has left devastation in its wake, and as opioid-related deaths rise every year, New York State has created an additional, more affordable way to combat it. To deal with the rash of overdoses as a result of addiction, New York State made it easier for people with prescription insurance to afford Naloxone, a common overdose reversal medication.

On Aug. 7, New York Gov. Andrew Cuomo (D) announced starting Aug. 9 that people with prescription health insurance coverage would be able to receive Naloxone, which is commonly referred to as Narcan, for a copay of up to $40. New York is the first state to offer the drug for such a low cost in pharmacies.

Narcan kit are now available for low to no cost at many New York pharmacies. File photo by Rohma Abbas

“The vast majority of folks who have health insurance with prescription coverage will be able to receive Naloxone through this program for free,” said Ben Rosen, a spokesperson for the New York State Department of Health.

Before the change, the average shelf cost of Narcan, which is administered nasally, was $125 without prescription with an average national copay of $10. People on Medicaid and Medicare paid between $1 and $3, Rosen said.

This action on part of the state comes at a critical time. Over 300 people from Suffolk County died from opioid-related deaths in 2016, according to county medical examiner records. On Aug. 10, President Donald Trump (R) declared the opioid issue a national emergency, meaning that there is now more pressure on Congress to pass legislation to deal with the crisis, as well as a push to supply more funds to states, police departments and health services to help deal with the problem.

The drug is available in over 3,000 pharmacies across New York and well over 100 pharmacies in Suffolk County. This includes all major pharmacies like CVS Health, Walgreens and Rite Aid, but also includes a few local pharmacies that already participate in the state Aids Drug Assistance Program and Elderly Pharmaceutical Insurance Coverage and Medicaid, according to Kathy Febraio, the executive director of the Pharmacists Society of the State of New York, a not-for-profit pharmacists advocacy group.

The program is only available for people who either have Medicare, Medicaid or health insurance with prescription coverage. Otherwise, officials said that those who lack insurance who need access can get it through a number of free Narcan training courses.

“We think that anything that can have an affect on this crisis is a good thing,” Febraio said. “This will certainly help. We need anything that will get Naloxone into the hands of those who need it.”

While Suffolk County Legislator and Presiding Officer DuWayne Gregory (D-Amityville) likes the idea of additional access to Narcan, he is skeptical about whether those who get it know how to properly administer it.

Narcan kits are now available for low to no cost at many New York pharmacies, like at Rely RX Pharmacy & Medical Supplies in St. James. Photo by Kyle Barr

“You don’t need a PHD to know how to use it, but there is some training that would help people be more comfortable, such as how to properly use it in an emergency situation and how to store it so that it is accessible while making sure children can’t get their hands on it,” he said. “Unfortunately the epidemic is so wide spread. Everyone knows someone who is affected.”

Christina Loeffler, the co-owner of Rely RX Pharmacy & Medical Supplies in St. James, one of the few non-major pharmacies in the county participating in the program, said though the business has not yet received many calls for Narcan, the state requires pharmacists to demonstrate how to use it.

“You have to counsel the patient and show them how to use it,” she said. “We were showed videos, we were given kits to practice on before we were certified to do it. I feel like it’s a good thing that they’re doing it.”

The county currently provides numerous Narcan training courses for locals, where they receive training and free supplies of the life-saving drug. Suffolk County Legislator Sarah Anker (D-Mount Sinai) said that she will be co-hosting a free Narcan training course Oct. 5 at Rocky Point High School with support from the North Shore Youth Council.

“They absolutely need to be trained,” she said. “Narcan is almost a miracle drug — it brings people back from death. However, people need to know what they’re doing so that it is administered correctly.”

Check on the New York State Department of Health website’s opioid overdose directories section for a full list of participating pharmacies.

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