July ⢠August 2003 - Ontario College of Pharmacists
July ⢠August 2003 - Ontario College of Pharmacists
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