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Contemporary Specialty Pharmacy Issues and Challenges in the Therapeutic Management of Multiple Sclerosis

A PowerPak P3 Forum Pharmacist-Provider-Patient Perspectives

This educational activity is sponsored by Postgraduate Healthcare Education, LLC (PHE) and supported by educational grants from Biogen and Novartis.


Jacquelyn L. Bainbridge, PharmD, FCCP
Professor, Clinical Pharmacy & Department of Neurology
University of Colorado Anschutz Medical Campus
Skaggs School of Pharmacy
Aurora, CO

Augusto Miravalle, MD FAAN
Clinical Associate Professor of Neurology
Liaison for Neurology, Fort Collins Branch
University of Colorado, Denver School of Medicine
Aurora, CO

Barbara Curiel, MD
MS Patient


Drs. Bainbridge has disclosed that she has received grant/research support from Greenwich Bioscience and the Colorado Department of Public Health & Environment.

Dr. Miravalle has disclosed that he has received grant/research support, served as a consultant, clinical investigator and on the speaker’s bureau for Alexion, EMD Serono, Novartis, and Genzyme; and served on the speaker’s bureau for Genentech.

Barbara Curiel has disclosed that she has no actual or potential conflicts of interest in relation to this program.

The clinical/legal reviewer, Michele Faulkner, PharmD has no actual or potential conflicts of interest in relation to this program.

Susanne Batesko, RN, BSN, Robin Soboti, RPh, and Susan R. Grady, MSN, RN-BC, as well as the planners, managers, and other individuals, not previously disclosed, who are in a position to control the content of Postgraduate Healthcare Education (PHE) continuing education activities hereby state that they have no relevant conflicts of interest and no financial relationships or relationships to products or devices during the past 12 months to disclose in relation to this activity. PHE is committed to providing participants with a quality learning experience and to improve clinical outcomes without promoting the financial interests of a proprietary business.


acpePostgraduate Healthcare Education, LLC is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
UAN: 0430-0000-20-077-H01-P
Credits: 1.5 hours (0.15 ceu)

Type of Activity: Application 
Media: Internet

Fee Information: There is no fee for this educational activity.
Estimated time to complete activity: 90 minutes


August 14, 2020


August 14, 2021


This accredited activity has been designed for specialty pharmacists.


During the period August 14, 2020 to August 14, 2021 participants must 1) read the learning objectives and faculty disclosures; 2) view the educational activity; and 3) complete the posttest and evaluation form directly after the activity within a maximum of 60 days of participating in the activity. To answer the questions, click on your selected choice for each answer then proceed to the next question. Once completed, click on the Grade Exam button at the bottom of the page. Your posttest will automatically be graded. If you successfully complete the posttest (score of 70% or higher), your statement of participation will be made available immediately. Click on the View Statement of Participation link and print the statement for your records. If you receive a score lower than 70%, you will receive a message notifying you that you did not pass the posttest. You will have 2 opportunities to pass the posttest. To receive Credit, you must provide your date of birth and NABP number. All Credit information will be uploaded into CPE monitor within 30 days.


To provide specialty pharmacists with enhanced knowledge and skills to address key challenges involved in the management of multiple sclerosis disease-modifying therapies thus leading to optimal outcomes.


At the conclusion of the continuing pharmacy education activities, the learner will be able to:

  • Identify and develop strategies to overcome potential barriers that affect timely distribution of MS disease-modifying therapies (DMTs) to the patient through specialty pharmacies
  • Discuss clinical practice guidelines, newer therapies, and other issues that guide therapeutic decision-making in MS
  • Plan approaches to optimally manage key financial procedures in the administration of MS DMTs
  • Formulate effective strategies for counseling patients on MS specialty therapies in the atmosphere of shared decision making

Additional References

» Slide (PDF)


Please ensure the computer system you plan to use meets the following minimum requirements:

  • Operating System: Windows 98 or higher & Macintosh 2.2 or higher
  • Internet Browser (Mac &/Windows): Internet Explorer 6.0 or higher, Google Chrome, Safari 5.0.6 or higher, Firefox 3.0.3 or higher & Opera 5 or higher
  • Broadband Internet connection: Cable, High-speed DSL & any other medium that is internet accessible
  • Monitor Screen Resolution: 320 x 480 or higher
  • Media Viewing Requirements: Adobe Reader, Microsoft PowerPoint, Flash Player & HTML5

Disclosure of Unlabeled Use and Disclaimer

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of Postgraduate Healthcare Education, LLC, Biogen or Novartis. Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patients' conditions, and possible contraindications on dangers in use, (review of any applicable manufacturer's product information) and comparison with recommendations of other authorities.

The author, sponsor, and publisher of this continuing education activity have made all reasonable efforts to ensure that all information contained herein is accurate in accordance with the latest available scientific knowledge at the time of acceptance for publication. However, because information regarding drugs (their administration, dosages, contraindications, adverse reactions, interactions, special warnings, precautions, etc.) is subject to constant change, the reader is advised to check the manufacturer's package insert for information concerning recommended dosages and potential problems and cautions prior to dispensing or administering the drug. Special precautions should be taken when a drug is new, or highly toxic, or is unfamiliar to the dispenser or administrant. This educational activity may contain discussion of published and/or investigational uses of agents that are not approved by the U.S. Food and Drug Administration (FDA). Neither the publisher nor sponsor promotes the use of any agent outside of approved labeling. Statements made in this activity have not been evaluated by the FDA.