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July • August 2003 - Ontario College of Pharmacists

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DISCIPLINE<br />

DISCIPLINE<br />

Order<br />

1. A reprimand<br />

2. Specified terms, conditions and limitations on Mr.<br />

Friesen’s Certificate <strong>of</strong> Registration, and in particular,<br />

that he attend at and participate in the education<br />

program, “Confronting Medication Errors”, <strong>of</strong>fered by the<br />

<strong>Ontario</strong> <strong>Pharmacists</strong>’Association, including: “Module 1,<br />

Understanding the Issues and Dealing with Incidents” and<br />

“Module 2, Taking Action to Improve Patient Safety”<br />

3. One month’s suspension <strong>of</strong> Mr. Friesen’s Certificate <strong>of</strong><br />

Registration, the suspension to be remitted on condition<br />

that Mr. Friesen complete the remedial training exercise<br />

specified above<br />

4. Costs to the <strong>College</strong> in the amount <strong>of</strong> $2,500<br />

Charging an Excessive Fee<br />

CASE 4<br />

Member: Abe Kucyi, Toronto<br />

Hearing Date: April 24, <strong>2003</strong><br />

Mr. Kucyi was found to have:<br />

• Charged a fee that is excessive in relation to the service<br />

provided<br />

• Engaged in conduct or performed an act relevant to the<br />

practise <strong>of</strong> pharmacy that, having regard to all the circumstances,<br />

would reasonably be regarded by members as<br />

disgraceful, dishonourable or unpr<strong>of</strong>essional<br />

The following Agreed Statement <strong>of</strong> Fact formed the<br />

basis <strong>of</strong> Mr. Kucyi’s admission <strong>of</strong> pr<strong>of</strong>essional misconduct.<br />

The Facts<br />

Mr. Kucyi dispensed Lupron Depot Ampkits® (3.75 mg) to<br />

a patient on eight occasions and the total cost <strong>of</strong> each <strong>of</strong><br />

these transactions ranged between $431.84 and $461.09.<br />

Mr. Kucyi advised the <strong>College</strong> that for “about one<br />

year”, his pharmacy’s pricing policy was a dispensing fee <strong>of</strong><br />

$11.99 with a mark-up <strong>of</strong> 30 per cent, regardless <strong>of</strong> cost.<br />

Six <strong>of</strong> the eight dispensing fees charged to the<br />

complainant were $12.68, not $11.99. Moreover, for the<br />

seven transactions for which drug supplier invoices were<br />

produced for the <strong>College</strong> by Mr. Kucyi the “mark-ups”<br />

ranged from about 30 per cent to 47 per cent.<br />

Reasons<br />

In accepting the Joint Submission on Penalty, the<br />

committee considered the fact that Mr. Kucyi cooperated<br />

with the <strong>College</strong> and entered a plea <strong>of</strong> guilty, saving the<br />

time and expense <strong>of</strong> a lengthy hearing. The Committee also<br />

noted that Mr. Kucyi has a prior disciplinary record from<br />

<strong>August</strong> 26, 1999, which also involved overcharging for<br />

prescriptions.<br />

Order<br />

1. A reprimand<br />

2. One month’s suspension <strong>of</strong> Mr. Kucyi’s Certificate <strong>of</strong><br />

Registration<br />

3. Costs to the <strong>College</strong> in the amount <strong>of</strong> $6,000<br />

Insurance Fraud<br />

CASE 5<br />

Member: Harit Kumar Nathwani, Waterloo<br />

Hearing Date: April 24, <strong>2003</strong><br />

Mr. Nathwani was found to have:<br />

• Failed to maintain a standard <strong>of</strong> practice <strong>of</strong> the pr<strong>of</strong>ession<br />

• Failed to keep patient records as required<br />

• Falsified a record relating to his practice<br />

• Signed or issued in his pr<strong>of</strong>essional capacity, a document<br />

that he knew to contain a false or misleading statement<br />

• Submitted an account or charge for services that he knew<br />

was false or misleading<br />

• Breached the Drug and Pharmacies Regulation Act and<br />

continued on page 37<br />

Pharmacy Connection <strong>July</strong> • <strong>August</strong> <strong>2003</strong> 35

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