Pharmacy Milestones in the Philippines
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Questions and Answers

Before 1521, how were health remedies primarily addressed in the Philippines?

  • Through registered pharmacists from Spain.
  • In a similar manner to underdeveloped countries, using herbs, incantations, and animal parts. (correct)
  • Through a well-established system of public hospitals and clinics.
  • Using advanced medical technologies imported from Europe.

What roles did 'mediquillos', 'curanderos', and 'herbolarios' play in healthcare during the Spanish regime in the Philippines?

  • They were Spanish military doctors who provided care to native populations.
  • They formed the main workforce of formally trained pharmacists in urban centers.
  • They were government officials responsible for regulating the distribution of medicines.
  • They were recognized native groups who attended to the sick, with 'herbolarios' specifically using herbs. (correct)

Why were the botiquines controversial during the Spanish regime?

  • They were operated by unqualified persons who could only dispense, not compound, simple medicines, leading to abuse without oversight. (correct)
  • They were exclusively for the Spanish elite and denied access to the native population.
  • They exclusively dispensed prescriptions compounded by registered pharmacists.
  • They were heavily taxed, making medicines unaffordable for most of the population.

Before 1871, who primarily managed and operated drugstores in the Philippines?

<p>Pharmacists born and educated in countries like Spain and Germany. (A)</p> Signup and view all the answers

What was the significance of the title 'Farmaceutico de segunda clase' during the Spanish regime?

<p>It was a license granted to applicants after practical training and examination. (A)</p> Signup and view all the answers

What is the historical importance of Dr. Lorenzo Negrao's Pharmacy in Escolta, Manila, established in 1830?

<p>It marked the beginning of the formal practice of pharmacy in the Philippines. (A)</p> Signup and view all the answers

What event occurred in 1871 that significantly impacted pharmaceutical education in the Philippines?

<p>The University of Santo Tomas began offering Bachelor of Science in Pharmacy and Licentiate in Pharmacy programs. (C)</p> Signup and view all the answers

What was the 'Escuela de Practicantes de Medicina y Farmacia', established in 1879, designed to provide?

<p>A four-semester course with a general examination, plus drugstore practice for a Practitioner in Pharmacy diploma. (B)</p> Signup and view all the answers

How did Spanish and German pharmacists contribute differently to pharmacy in the Philippines during the Spanish regime?

<p>Spanish pharmacists established drugstores, while German pharmacists controlled the supply of pharmaceutical materials. (B)</p> Signup and view all the answers

What requirement was implemented after 1871 for foreign pharmacists seeking to practice in the Philippines?

<p>They had to pass an examination from the University of Santo Tomas and follow local regulations. (D)</p> Signup and view all the answers

What actions are associated with Catholic missionaries, specifically Dominicans and Franciscans, regarding pharmacy in the Philippines?

<p>Dominicans founded the faculty (college) of pharmacy at the University of Santo Tomas; Franciscans managed hospitals. (D)</p> Signup and view all the answers

What was the significance of 'Colegio Medico-Farmaceutico de Filipinas Incorporada (CMFFI)' founded on 8 June 1899?

<p>It was an organization of pharmacists and physicians, marking a move towards professionalizing healthcare. (D)</p> Signup and view all the answers

Who is regarded as the 'Father of Philippine Pharmacy' and what role did he have within the Colegio Medico-Farmaceutico de Filipinas (CMFFI)?

<p>Leon Maria Guerrero; President (B)</p> Signup and view all the answers

What was the main objective of 'Act No. 597' enacted in 1903 during the American colonial period?

<p>To regulate the practice of pharmacy in the Philippine Islands. (B)</p> Signup and view all the answers

Why was the 'Escuela de Farmacia del Liceo de Manila' established in 1904?

<p>To meet the increasing demand for pharmacy education after the success of private review classes. (C)</p> Signup and view all the answers

What was the purpose of the 'Revista Filipina de Medicina y Farmacia' first published in 1910?

<p>It was the official publication of the Colegio Medico-Farmaceutico de Filipinas Inc. (C)</p> Signup and view all the answers

What law, enacted on 10 March 1917, became known as the Pharmacy Law in the Philippines?

<p>Chapter 30 of Act No. 2711, Revised Administrative Code. (B)</p> Signup and view all the answers

What is the significance of August 29, 1920, in the history of pharmacy in the Philippines?

<p>The founding date of the Philippine Pharmacists Association (PPhA). (C)</p> Signup and view all the answers

When was the first celebration of Pharmacy Week successfully held in the Philippines?

<p>October 11-17, 1931. (B)</p> Signup and view all the answers

What prompted the renaming of the Manila College of Pharmacy and Liberal Arts in 1945?

<p>The reopening of the school with a broader academic focus after World War II. (B)</p> Signup and view all the answers

Which product was launched in 1945 and became a well known beauty product in the Philippines?

<p>Eskinol Medicated Facial Lotion. (D)</p> Signup and view all the answers

What significant event in the Philippine pharmaceutical industry is associated with Jose Y. Campos and Mariano K. Tan in 1945?

<p>The founding of United Drug Co. Inc. (now Unilab). (B)</p> Signup and view all the answers

What was the original inspiration behind naming the Mercury Drug store located in Bambang?

<p>It was named after the Roman God and bearer of the caduceus, symbolizing medicine. (A)</p> Signup and view all the answers

What key decision was made by the PPhA board on December 16, 1945, regarding organizational structure?

<p>To form provincial and city chapters, recognizing the Manila society as the first. (A)</p> Signup and view all the answers

What role did Professor Jose P. B. Gallardo play in the formation of hospital pharmacist associations in the Philippines around 1961-1962?

<p>He proposed and organized the merger of private and government hospital pharmacist associations. (D)</p> Signup and view all the answers

What is the significance of Republic Act No. 3720, enacted in 1963?

<p>It created the Bureau of Food and Drug and is also known as the 'Food, Drug and Cosmetic Act'. (B)</p> Signup and view all the answers

What international role did Professor Jose P. B. Gallardo from the Philippines fulfill in 1964?

<p>President of the Federation of Asian Pharmaceutical Associations (FAPA). (C)</p> Signup and view all the answers

What are the areas covered by 'Republic Act No. 5921', or the Pharmacy Act, signed into law in 1969?

<p>Standardization and regulation of pharmaceutical education, examination, and practice. (B)</p> Signup and view all the answers

What was the effect of Presidential Decree No. 1363 on Filipinos' participation in pharmacy?

<p>It allowed all Filipinos equal opportunities in the pharmacy profession and medicine sales. (A)</p> Signup and view all the answers

When was Republic Act No. 6675, also known as the Generics Act, enacted?

<p>September 13, 1988. (D)</p> Signup and view all the answers

What milestone in pharmacy is associated with the year 2000?

<p>Enactment of PRC Modernization Act. (D)</p> Signup and view all the answers

Under whose leadership was the Philippine Pharmacists Association Building constructed?

<p>Lourdes T. Echauz. (C)</p> Signup and view all the answers

Which law was enacted on January 23, 2002, to combat the increasing problems of illegal drug use?

<p>Republic Act No. 9165. (A)</p> Signup and view all the answers

Which professional organization was founded in 2004 for pharmacists?

<p>Institutional Pharmacists Association of the Philippines. (B)</p> Signup and view all the answers

What change did the Philippine Pharmaceutical Association undergo in 2008, reflecting its primary focus?

<p>Renaming to Philippine Pharmacists Association. (A)</p> Signup and view all the answers

Which milestone event related to pharmacy education occurred in 2009?

<p>The Southwestern University College of Pharmacy organized the First White Coat Ceremony. (C)</p> Signup and view all the answers

What government Act about food and drugs was enacted on August 18, 2009?

<p>Republic Act No. 9711. (A)</p> Signup and view all the answers

What is the significance of Republic Act No. 10912, implemented in 2016, for professionals in the Philippines?

<p>Mandating and strengthening Continuing Professional Development for regulated professions. (D)</p> Signup and view all the answers

What key aspect of pharmacy practice did Republic Act No. 10918, also known as the Philippine Pharmacy Act, address upon its implementation in 2016?

<p>Regulation and modernization of pharmacy practice. (D)</p> Signup and view all the answers

Flashcards

Health remedies before 1521

Pre-1521 health remedies involved sacrificial offerings, incantations, herbs, and animal entrails.

Who were the mediquillos?

Native people recognized by the Spaniards working as healers

Who were the curanderos?

Native people recognized by the Spaniards working as healers

Who were the herbolarios?

Native people recognized by the Spaniards working as healers

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Mediquillos and Curanderos: Roles

Local 'physician-pharmacists' that attended to the sick in towns and barrios

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What were botiquines?

Establishments dispensing simple medicines but NOT compounding prescriptions.

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Pharmacy before 1871

Practice of pharmacy primarily by pharmacists from Spain and Germany.

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Filipino pharmaceutical knowledge

Filipinos who gained pharmaceutical knowledge through drugstore experience.

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Farmaceutico de segunda clase

Licenses granted to applicants after practical training and examination.

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Who is Dr. Lorenzo Negrao

Spanish citizen who established Dr. Negrao's Pharmacy in Escolta, Manila.

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Name Some early drugstores.

Botica Boie, Botica Zobel, and Botica Antiqua de Ramirez.

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Name some drugstores during the later part of the 19th century.

Botica de Binondo, Botica Ampuero, Botica de San Fernando

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University of Santo Tomas (1871)

University that offered the B.S. Pharmacy course in 1871.

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Don Leon Ma. Guerrero

First Filipino to study pharmacy, graduated in a class of six.

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Escuela de Practicantes de Medicina y Farmacia

School opened by UST in 1879, offering a four-semester program.

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Who were the 'peninsularis'

Two groups applying for pharmacy admission

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What did Germany control?

Two groups applying for pharmacy admission

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Who were the practicantes?

They were not allowed to practice during the Spanish Regime

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Catholic Missionaries Contribution

Established many hospitals and contributed significantly to healthcare.

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Fr. Fernando Sta. Maria, O.P.

He wrote the book "Medicinas Caseras" documenting medicinal plants.

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Fr. Manuel Blanco, O.S.A

Authored "Flora de Filipinas", documenting Philippine flora.

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Colegio Medico-Farmaceutico de Filipinas

Founded in 1899 by pharmacists/physicians; led by Don Mariano Viscencio del Rosario.

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Dr. Leon Maria Guerrero's role

Elected as CMFFI President in 1901, a registered pharmacist.

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Act No. 597 (1903)

Regulated pharmacy practice in the Philippines

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Liceo de Manila's review class

Established Escuela de Farmacia in 1904 due to review class success.

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Revista Filipina de Medicina y Farmacia

Official organ of the Colegio Medico-Farmaceutico de Filipinas Inc., published in 1910.

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Pharmacy Law (1917)

Enacted on March 10, 1917, regulating pharmacy.

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Philippine Pharmacists Association (PPhA)

Founded on August 29, 1920, by Rafael E. Carrion.

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Journal of the Philippine Pharmaceutical Association

Published in September 1928, PPhA's publication.

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Pharmacy Week

Successfully held on October 11-17, 1931.

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Farmacia Oro

Established in 1934, known for skin and hair products.

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Filemon Tanchoco and Purificacion Gallego-Tanchoco Role

Reopened in 1945; renamed Manila College of Pharmacy and Liberal Arts.

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Eskinol Medicated Facial Lotion

Launched in 1945.

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United Drug Co. Inc. (Unilab)

Founded by Jose Y. Campos and Mariano K. Tan in 1945 (now Unilab).

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When was mercury drug store.

Mariano Que founded the first branch in Bambang inspired by a Roman God.

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Manila Pharmaceutical Society

First chapter of PPhA after WWII in 1945

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PPMA formed

Philippine Pharmaceutical Manufacturers Association, September 30, 1950

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What was Southern drug before it's name

A Chinese herbal pharmacy

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When national pharmacy day

Was declared as national pharmacy week President Elpidio R. Quirino.

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Study Notes

Milestones in Pharmacy - Philippines

  • Learning objective is to understand the history, evolution, and milestones of pharmacy worldwide, including the Philippines.

Before 1521

  • Health remedies were administered similarly to underdeveloped countries before the Spanish arrival in 1521.
  • Cures were sought through sacrificial offerings, incantations, herbs, and animal parts with varying success.

Spanish Regime

  • The Spaniards recognized three native groups working with the sick.
  • The groups were mediquillos (small medics), curanderos (curers), and herbolarios (herb curers).
  • Few Spanish army and navy physicians and pharmacists could tend to the natives.
  • European physicians were assigned to the Cabezeras of provinces.
  • Mediquillos and curanderos served the sick in towns and barrios as "physician-pharmacists".
  • Unqualified individuals could open botiquines, dispensing simple medicine without compounding.
  • The privilege to dispense medicine was commonly abused, but there were not personnel to provide adequate health care to all.
  • Before 1871, the practice of pharmacy was done by foreign pharmacists from Spain and Germany.
  • Foreign pharmacists settled in the country, and set up their own drugstores.
  • No Filipino had formal pharmacy education abroad before this time.
  • Some Filipinos gained pharmaceutical knowledge through drugstore experience under foreign pharmacists.
  • The government granted licenses to applicants as Farmaceutico de segunda clase after training and examination.

1830

  • Dr. Lorenzo Negrao, a Spanish citizen, founded Dr. Negrao's Pharmacy in Escolta, Manila.
  • The opening of the pharmacy marked the beginning of formal pharmacy practice in the Philippines.

Early Drugstores

  • Early drugstores included:
    • Botica Boie
    • Botica Zobel
    • Botica Antiqua de Ramirez.

Drugstores in the Later 19th Century

  • The following drugstores opened:
    • Botica de Binondo
    • Botica Ampuero
    • Botica de San Fernando
    • Botica de Quiapo y Arevalo
    • Botica de Rama y Perez
    • Botica de Leon
    • Botica Alandy in Tayabas

1871

  • The University of Santo Tomas began offering Bachelor of Science in Pharmacy and Licentiate in Pharmacy.
  • Don Leon Ma. Guerrero was the first Filipino to study pharmacy.
  • Guerrero was in the first graduating class and one of six graduates; five of the graduates in the class were Spanish.

1879

  • The University of Santo Tomas opened "Escuela de Practicantes de Medicina y Farmacia" in 1879
  • The course consisted of four semesters and a general examination.
  • Three semesters of drugstore practice were required for the "Practitioner in Pharmacy" diploma.

Spanish Regime Continued

  • Practicantes, mediquillos, and herbolarios were not allowed to practice where Escuela de Practicantes de Medicina y Farmacia were established
  • After 1871, foreign pharmacists practicing in the Philippines had to pass an exam from the University of Santo Tomas and follow its rules.
  • Two pharmacist groups applied for admission which included Spain- "peninsularis" and Germany which controlled medicine and chemical sales, plus lab equipment made in Hamburg
  • Many Germans were already in practice due to the Governor-General of the Philippines giving special permission before implementing new rules.
  • The Governor General gained the right to admit pharmacy graduates from other countries on 10 October 1879.
  • Pharmacy graduates had to present credentials and six years of practice or pass an examination.
  • Permits to practice were only temporary.

Contribution of Catholic MIssionaries

  • Dominicans were a part of the University of Santo Tomas Faculty (College) of Pharmacy.
  • Franciscans worked with Hospital de San Juan De Dios and Hospital de San Lazaro.
  • Fr. Fernando Sta. Maria, O.P., studied plants for medical use and authored Medicinas Caseras.
  • Fr. Manuel Blanco, O.S.A., authored Flora de Filipinas.
  • Fr Blas de la Madre de Dios, a Franciscan, first created a written record of findings on plants

1899

  • Colegio Medico-Farmaceutico de Filipinas Incorporada (CMFFI) was established 8 June 1899.
  • Don Mariano Viscencio del Rosario and Dr. Trinidad Pardo de Tavera led the pharmacists and physicians' group.

1901

  • Dr. Leon Maria Guerrero, the first registered pharmacist and Father of Philippine Pharmacy, was elected President of CMFFI.

1903

  • Act No. 597, regulating pharmacy practice in the Philippine Islands, enacted.

1903

  • Liceo de Manila organized a review class.
  • The success of the review led to the establishment of Escuela de Farmacia del Liceo de Manila in 1904.

1910

  • Revista Filipina de Medicina y Farmacia*, the official publication of Colegio Medico-Farmaceutico de Filipinas Inc., published first issue.

1917

  • Chapter 30 of Act No. 2711, Revised Administrative Code, known as Pharmacy Law, went into effect 10 March 1917.

1920

  • Philippine Pharmacists Association, PPhA, was founded 29 August 1920.
  • Rafael E. Carrion was the first PPhA President.

1928

  • Journal of the Philippine Pharmaceutical Association was published in September 1928.

1931

  • Celebrated the first Pharmacy Week, October 11-17.

1934

  • Farmacia Oro was established, becoming one of the country's oldest skin and hair product providers.

1945

  • Atty. Filemon Tanchoco and Purificacion Gallego-Tanchoco reopened the school with a new wing, the College of Liberal Arts using bamboo and pine from crates for furniture.
  • The school was renamed Manila College of Pharmacy and Liberal Arts with Dr. Alfredo Guerrero as dean.

1945

  • Eskinol Medicated Facial Lotion launched into the market.

1945

  • Jose Y. Campos and Mariano K. Tan founded United Drug Co. Inc. (now Unilab).

1945

  • Mariano Que founded Mercury Drug, naming the Bambang store after the Roman God and bearer of the caduceus.

1945

  • On December 16, PPhA decided on re-organization after World War II led by the new Board to form provincial and city chapters.
  • Manila Pharmaceutical Society recognized as the Association's first chapter.
  • Today, the PPhA has 83 provincial and city chapters.

1950

  • The Philippine Pharmaceutical Manufacturers Association (PPMA) was founded on 30 September 1950.

1950

  • Tomas Dy-Makao opened Southern Drug, a Chinese herbal pharmacy, in Naga in 1937.
  • Southern Drug offered Western medicine.
  • It expanded to the rest of Bicol

1950

  • President Elpidio R. Quirino declared the second week of December every year as national pharmacy week.
  • Proclamation No. 219 s.1950 was signed 11 November 1950.

1953

  • The Philippine National Pharmacy Hymn with lyrics by Ernesto Epistola and music by Angel Peña composed
  • The piece won first prize at PPhA's national hymn composition contest.

1957

  • The PPhA became a member of the Federacion Internationale Pharmaceutique (FIP), also known as the International Pharmaceutical Federation.

1961

  • Professor Jose P. B. Gallardo suggested the formation of a Private Hospital Pharmacists Association.
  • Gallardo proposed merging with the Government Hospital Pharmacists Association, (GHPA) to form a national hospital pharmacists similar to the American Society of Hospital Pharmacists.

1962

  • The Private Hospital Pharmacists Association (PHPA) was established initiated by Ms. Mariya M. Paguyo of the Far Eastern University Hospital as first President
  • The PHPA later merged with GHPA to form The Philippine Society of Hospital Pharmacists (PSHP).

1963

  • Republic Act No. 3720, the "Food, Drug and Cosmetic Act," was passed into law 22 June 1963.
  • Created the Bureau of Food and Drug to carry out RA 3720.

1964

  • The First General Assembly of the Federation of Asian Pharmaceutical Associations (FAPA) was commenced in Manila, Philippines, on 22-23 April 1964 under the leadership of the Philippine Pharmaceutical Association.
  • Professor Jose P. B. Gallardo of the Philippines served as the first President of FAPA.

1969

  • Republic Act No. 5921, the Pharmacy Act, was signed into law 21 June 1969.
  • The Pharmacy Act was enacted to:
    • Standardize pharmaceutical education
    • Regulate examination for registration of pharmacy schools
    • Supervise, control, and regulate the practice of pharmacy in the Philippines.

1972

  • Republic Act No. 6425, the "Dangerous Drugs Act" went into effect 30 March 1972.
  • The drug problem was in its early stages, with 20,000 drug users and marijuana as the top choice among users in the Philippines.

1973

  • Professional Regulation Commission created under Presidential Decree N. 223 by President Ferdinand E. Marcos.

1975

  • The Philippine Pharmaceutical Association accredited by the Professional Regulation Commission as the Accredited Professional Organization (APO) specifically for pharmacists.

1975

  • The Philippine Association of Colleges of Pharmacy was established.

1978

  • Presidential Decree No. 1363 amended the Pharmacy Act.
  • The decree ensured equal opportunity for FIlipinos regarding pharmacy profession, and in the sale of medicines.

1986

  • The Philippine Association of Pharmacists in the Pharmaceutical Industry, PAPPI, was established.

1988

  • Republic Act No. 6675, Generics Acts of 1988, enacted 13 September 1988.

1993

  • The Community Pharmacists Association of the Philippines was founded 10 December 1993.
  • CPAP became the PPhA's fifth official affiliate during Dr. Lourdes T. Echauz's administration.

1994

  • The PPhA was the first recipient of the Professional Regulation Commission's Outstanding Accredited Professional Organization of the year.

1995

  • Republic Act No. 7876, "The Senior Citizens Center Act of the Philippines," approved 14 February 1995.

1996

  • Republic Act No. 8203, "Special Law on Counterfeit Drugs," approved 5 September 1996.
  • The Act aims to protect human and animal health through provision against counterfeit drugs.

2000

  • Republic Act No. 8981, PRC Modernization Act, enacted 5 December 2000.

2001

  • The Philippine Pharmacists Association Building was built under the leadership of Dr. Lourdes T. Echauz.
  • The building was inaugurated on 25 January 2001.

2002

  • Republic Act No. 9165, "Comprehensive Dangerous Drugs Act of 2002," enacted 23 January 2002.

2004

  • The Institutional Pharmacists Association of the Philippines, IPAP, established.

2007

  • The Generics Pharmacy opened its first franchise in Pasay.

2008

  • Philippine Pharmaceutical Association changed to Philippine Pharmacists Association.
  • The renaming emphasized the association is an organization of pharmacists across the country.
  • Republic Act No. 9502, "Universally Accessible Cheaper and Quality Medicines Act of 2008," enacted 6 June 2008.

2009

  • Southwestern University College of Pharmacy, under the leadership of Dean Marilou Basa, organized the first White Coat Ceremony in the Philippines.
  • The Republic Act No. 9711, “Food and Drug Administration Act of 2009,” was enacted 18 August 2009.

2010

  • Young Pharmacists Group, YPG, Philippines established.

2011

  • During the time of Hon. Jennifer M. Flores as Chairman of the Professional Regulatory Board of Pharmacy.
  • The First Stakeholders Meeting was organized in Manila and was attended by chain drugstore presidents/vice presidents/leaders, Philippine Pharmacists Association and affiliate organizations, and other pharmacy associations.
  • Stakeholders Meetings took place in Cebu and Davao.
  • The Professional Regulatory Board of Pharmacy reminded the stakeholder of the roles of the Professional Regulatory Board of Pharmacy.

2015

  • The Philippine Pharmacists Association received the 2015 PRC Outstanding Accredited Professional Organization award at Manila Hotel on 18 June 2015.

2016

  • Republic Act No.10912, Continuing Professional Development Act of 2016, became law 21 July 2016.
  • The Act mandates/strengthens the Continuing Professional Development Program for all regulated professions at the Professional Regulation Commission.

2016

  • Republic Act No. 10918, Philippine Pharmacy Act, lapsed into law 21 July 2016.
  • The Act regulates and modernizes the practice of Pharmacy in the Philippines.

2016-2018

  • The Philippine Pharmacists Association collaborated with ABS-CBN/DZMM to conduct medical missions across the Philippines.

2017

  • An Alignment Meeting including the Professional Regulatory Board of Pharmacy, the Food and Drug Administration, and the Philippine Pharmacists Association took place on 3 August.

2019

  • The Philippine Pharmacists Association received the Silver Anvil Award for Public Relations Programs on a Sustained Basis Public Health.
  • The Public Relations Society of the Philippines presented the award at the Marriott Grand Ballroom, Pasay City 30 January 2019.

2019

  • The PPhA Family Fiesta Run in Manila area was held at Camp Aguinaldo on 1 September.

2019

  • Philippine Pharmacists Association Centennial Bowling Tournament hosted by the Community Pharmacists Association of the Philippines.
  • The Overall Chairman was Jennifer M. Flores.
  • 3 December 2019, the Tournament was held Paeng's Eastwood Bowl and Billiard Room, Affiliate organizations and Luzon participated in the PPhA chapter tournament.

2019

  • The Philippine Pharmacists Association accredited on 5 November as the Integrated Association of Pharmacists.

2020

  • This was the centennial year for the Philippine Pharmacists Association

2021

  • Philippine Pharmacists Association, Inc (PPhA) accredited the training provider to conduct the "Immunizing Pharmacist Certification Program

2021

  • 284 certified immunizing pharmacists listed
  • 400 personnel currently undergoing training
  • As of 17 August

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Description

Explore key milestones in pharmacy's evolution worldwide, with a focus on the Philippines. Learn about health remedies before 1521 and the roles of mediquillos, curanderos, and herbolarios during the Spanish regime. Discover the origins of pharmacy practice in the Philippines.

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