Customer Service Is Our Priority

New Hours_Web Blog

Beginning May 3, 2014, Apple Valley Pharmacy will offer new Saturday hours: 9am – 3pm.

Weekday hours will remain the same. Monday – Friday: 9am – 7pm.

We Make It Easy To Fill Prescriptions:
· Refill prescriptions via phone, web & facebook
· Download Rx2 Go App onto your smartphone
· FREE local delivery or shipping
· Accept most insurances including CVS Caremark

Free Colorectal Cancer Screening Kits & 4 Ways To Lower Your Cancer Odds

Free Colorectal Cancer Screening Kits Available At Apple Valley Pharmacy Through April 14, 2014!

Colorectal screening kits are simple to use and could save your life! There are a limited number of kits available, so get yours now. As a Good Neighbor Pharmacy member, Apple Valley Pharmacy is part of a select group of independent pharmacies that are able to offer these invaluable kits to customers for simple home testing. Visit Apple Valley Pharmacy and ask for your own complimentary screening kit before April 14, 2014.


Your life has probably been touched by cancer in some way. You’ve known someone who’s had it; maybe you have; or you know of people who’ve died from it. So what can you as a woman do to lower your cancer risks?

A new study found that postmenopausal women who followed the American Cancer Society’s (ACS) “Nutrition and Physical Activity Cancer Prevention Guidelines” had significantly lower overall risks of developing or dying from cancer compared to women who didn’t adhere to the recommendations.

Asian, African-American and Hispanic women benefitted most from following the guidelines.

Eat well and move every day.

Cynthia Thomson, PhD, RD, professor of public health at the Mel and Enid Zuckerman College of Public Health at the University of Arizona in Tucson, and colleagues applied the ACS guidelines to evaluate their association with cancer outcomes in the Women’s Health Initiative Observational Study (WHI-OS) of postmenopausal women.

“The message is simple and clear: If you want to reduce your risk for cancer, even later in life, eat a healthy diet, be active daily, avoid or limit alcohol, and don’t smoke,” Dr. Thomson said in a statement.

The ACS guidelines encompass four modifiable behaviors:

  1. Maintain a healthy weight throughout life. It’s never too late to reach that goal!
  2. Engage in moderate to vigorous exercise for at least 30 minutes five days a week.
  3. Eat a healthy diet that includes at least five servings of vegetables and fruits, whole grains and limited consumption of red and processed meats.
  4. Limit alcohol consumption to one drink per day, if you drink at all.

Dr. Thomson’s team looked at how well women in the WHI-OS followed these recommendations. That study involved 93,676 women between the ages of 50 and 79 at the time of enrollment. Participants completed detailed questionnaires about their health habits, diet, medical history and demographics (age, ethnicity, etc.). Their weight and height were measured at clinics to determine their BMI (body mass index). The women also reported their height and weight at the age of 18.

The researchers scored each woman according to her adherence to the guidelines. Behaviors that were consistent with the recommendations were scored with a one or two. Behaviors that did not follow the guidelines were scored with a zero. The highest possible score was an eight.

The participants were followed for nearly 8.5 years, and during this period, 8,632 cancers were diagnosed (13 percent of participants) and 2,356 deaths due to cancer were recorded. Most of the cancer-related deaths were the result of invasive breast cancer. A total of 7,106 (10.8 percent) women died from all causes during the follow-up period.

Dr. Thomson and team discovered that compared to women with the lowest scores (zero to two), women with the highest scores (seven or eight) had:

  • 17 percent lower risk of developing any form of cancer
  • 22 percent lower odds of breast cancer
  • 52 percent lower risk of colorectal cancer
  • 27 percent lower chance of dying from any cause
  • 61 percent lower risk of dying from colorectal cancer
  • 33 percent lower risk of breast cancer death

According to the researchers, “Associations with lower cancer incidence and mortality were generally strongest among Asian, black, and Hispanic women and weakest among non-Hispanic whites.”

“Our results suggest that healthy lifestyle behaviors recommended for nutrition and physical activity behavior may be associated with lower risk of cancer and death in postmenopausal women. The lower cancer incidence and all-cause mortality risk showed in Hispanic and black postmenopausal women, in relation to nutrition and physical activity behaviors, warrant further study,” the authors concluded.

“The article is a good reminder that most of the effective cancer prevention recommendations are not controversial: maintain a good body weight, stay active, don’t smoke and avoid or  limit alcohol,” said Deborah Gordon, MD, an integrative physician at Madrona Homeopathy in Ashland, Oregon.

The nutrition and preventive medicine expert continued, “Another recommendation that shouldn’t be controversial is the idea that good balance of excitement and relaxation reduces cancer-promoting stress and the recognition that good social involvement also mitigates risk. So my final word would be, yes, it’s a good idea for your health to go for a walk outside in the sun with your friends! ”

This study was published January 7 in Cancer Prevention Research, a journal of the American Association for Cancer Research (AACR).

The WHI program is funded by the National Heart, Lung, and Blood Institute; the National Institutes of Health; and the U.S. Department of Health and Human Services.

Heart Healthy Tips. American Heart Month.

Pump It Up

Keep your most important muscle in shape! Last month was the time to kick into gear the “New Year, New You” mantra. We hit the gym to trim & tone the muscles that are easily seen. But don’t forget the most important muscle — the Heart! Without a healthy heart, your quads and biceps just don’t weigh in as a relevant concern!

February is American Heart Month 
Heart disease kills an estimated 630,000 Americans each year, making it  the leading cause of death for both men and women. In the United States, the most common type of heart disease is coronary artery disease (CAD), which can lead to a heart attack. You can greatly reduce your risk for CAD through lifestyle changes and, in some cases, medication and supplements.



Heart Healthy Tips:

  • Adopt a healthy eating pattern — don’t skip meals and balance your plate with 1/4 lean protein, 1/4 healthy carbs, 1/4 veggies and 1/4 fruit.
  • Strong in heart — official guidelines suggest 5 days of moderate aerobic activity for 30 – 60 minutes lowers blood pressure and cholesterol.
  • Manage stress — meditation, yoga, walking…whatever it takes, managing stress with relaxation techniques can decrease blood pressure.

In the event a patient with heart disease is prescribed a variety of medications to treat unrelated diseases and illnesses, compounded medications are often safe and successful for patients with heart disease:

  • Pain Creams – transdermal pain creams are minimally absorbed into the blood stream, allowing pain to be treated locally without concern of serious side effects and drug interactions commonly associated with oral pain regimens; (consult your pharmacist for possible interactions);
  • Scars – patients who have undergone heart surgery * may be interested in applying a compounded scar gel formulated with a proprietary recipe. *scar gels are also excellent for all surgical scars, new & old scars, burn scars, stretch marks, acne scars, keloids and diaper rash;
  • BioIdentical Hormone Replacement Therapy (BHRT) – the KEEPS study revealed that women receiving Bioidentical Hormone Replacement Therapy had a significantly reduced risk of heart failure;
  • Pill Packaging – patients taking multiple medications will benefit from the monthly pill packaging service; or from combining multiple medications into one dosage form through compounding.

Keeping nutritionally balanced by adding a dietary supplement to your daily health maintenance protocol can also assist in supporting a healthy cardiovascular system. Consider adding Omega 3 to your vitamin regimen. Omega Max provides omega-3 fats that are critical for supporting healthy cardiovascular and neurological function, as well as promoting a normal, healthy inflammatory response, as well as supporting healthy skin and a healthy inflammatory response.

Unfortunately, the typical American diet is deficient in essential and other important fatty acids due to the consumption of heavily processed and refined foods. These foods are severely lacking in essential fatty acids. Consuming a supplement like Omega Max helps ensure you receive adequate amounts of these important nutrients.

Omega Max, containing no sugar, salt, dairy, yeast, wheat, gluten, corn, soy, preservatives, artificial colors or flavors, may be a useful dietary supplement for those who are not meeting their daily requirement of essential fatty acids or wish to increase their intake of the essential fatty acids. Ask one of  the Apple Valley Pharmacy pharmacists which vitamins and supplements they recommend to maintain a healthy heart.

Take the Thyroid Neck Check for a healthy thyroid.

January is Thyroid Awareness Month, helping raise public awareness of the many people — including the estimated 59 million Americans — with thyroid conditions.

If your thyroid isn’t working properly, neither are you.  Take the Neck Check:

Neck Check Thyroid


Thyroid 1Hold the mirror in your hand focusing on the lower front area of your neck, above the collarbones and below the voice box (larynx). Your thyroid gland is located in this area of your neck.

Thyroid 2While focusing on this area in the mirror, tip your head back.

Thyroid 3Take a drink of water and swallow.

Thyroid 4As you swallow, look at your neck. Check for an bulges or protrusions in this area when you swallow.

Reminder: Don’t confuse the Adam’s apple with the thyroid gland. The thyroid gland is located further down on your neck, closer to the collarbone. You may want to repeat this process several times

Thyroid 5If you do see any bulges or protrusions in this area, see your physician. You may have an enlarged thyroid gland or a thyroid nodule that should be checked to determine whether further evaluation is needed.

Thyroid Awareness Neck Check





















The Thyroid Neck Check available courtesy of

Apple Valley Participates In CVS/Caremark Network


Filling prescriptions at Apple Valley is easy and may save you money. As a participating pharmacy, we can easily access information about your prescription benefit program and the appropriate payment. CVS Caremark members will not need to file any claim forms when filling prescriptions at Apple Valley Pharmacy.

In most cases, you will pay more for your prescription if you use a pharmacy outside the CVS Caremark network. You will be asked to pay the full cost of the prescription price at the pharmacy. Then you will need to submit a paper claim form, along with the original prescription receipt, to CVS Caremark for reimbursement of covered expenses.

Accept Insurance


Why should I use Apple Valley Pharmacy for my prescriptions?

Most all insurance plans are accepted at Apple Valley Pharmacy. Apple Valley provides a convenient and cost-effective way for you to order up to a 90-day supply of maintenance or maintenance medication. We offer a variety of fulfillment methods including personal drop off/pick up service; direct delivery to your home with free standard shipping; or complimentary local delivery to your residence or business. By using our mail program you minimize trips to the pharmacy while saving money on your prescriptions.

How long does it take for my prescriptions to arrive by mail?

Unlike filling your prescriptions directly through the CVS Caremark Mail Service Program – which takes approximately 10 to 14 calendar days to fill after Caremark receives your order – Apple Valley Pharmacy fills your prescription within (24) hours and has the order ready to send for free using standard delivery — and you can expect to receive the order within 3 days of placement! Or you could use our convenient and quick drop off/pick up service and have your medication within the same day!

How do I switch my prescription from a non-participating retail pharmacy to Apple Valley Pharmacy?

Tell one of the Apple Valley Pharmacy pharmacists where your prescription is currently on file. The pharmacist will contact the pharmacy and make the transfer for you.

Apple Valley Pharmacy is your local resource for filling retail and compounded medications.

Warwick Compounding Pharmacy Makes Medicine For You

Westchester Business Logo

November 4, 2013 — Westchester County Business Journal:  

Apple Valley Pharmacy_Compounding_Lab

A high school assignment to write an essay on a career opened the eyes of a young Warwick student to opportunities in the pharmacy field. Today, AnnMarie Slagle Cloutier is a Doctor of Pharmacy, a compounding pharmacist and owner of Apple Valley Pharmacy in her hometown of Warwick.

Recalling the essay assignment at Warwick Valley High School, she said that back then there were very few women employed in the field. That did not deter her from going on to earn a B.S. degree in pharmacy at Northeastern University and a doctorate in pharmacy at the University of Rhode Island. After college, she received training at the Professional Compounding Centers of America.

Then came clinical experience at Massachusetts General Hospital in Boston, Solvay Pharmaceuticals in Georgia, St. Anthony Community Hospital in Warwick, Empire Blue Cross/Blue Shield and ReDi Pharmacy.

Compounding, she explains, is the art and science of preparing customized medications to suit specific needs of a particular patient.

And some of those patients are animals, running the gamut from dogs and cats to rabbits and reptiles. Earning a Fellowship in Veterinary Pharmacy Practice through the American College of Veterinary Pharmacists, Cloutier said, “Medicating animals can present problems. They may refuse to swallow pills or may even eat right around one disguised in food. Dosages may also be tricky.”

She says that compounding allows veterinarians to prescribe specific flavors, treats and dosages for individual animals.

“From time to time a manufacturer may discontinue a veterinary medicine if it is not needed in the vast quantities necessary to make mass production cost-effective,” she said.

Hormone therapy is also provided by the Warwick pharmacy, whose owner notes that the most satisfying project in her career was seeing a pregnant woman through a dangerous pregnancy with the aid of hormones.

The pharmacy is also equipped to administer vaccinations. “All the vaccines we provide are without preservatives,” Cloutier said.

In regard to prescription drugs, she said, “Some people hoard antibiotics ‘just in case,’ which is a bad idea, as certain antibiotics change their chemical structure, becoming toxic.”

“Just like food, medicines have a shelf life, and there are expiration dates placed on the package for a good reason.”

The pharmacy, which Cloutier bought 2½ years ago, has nine employees. The store also offers a variety of personal and gift items. Her success in promoting these items was recognized when she was invited to speak at this fall’s 11th annual convention and trade exposition of the National Community Pharmacists Association in Orlando. Her talk was devoted to marketing outreach to promote front end (nonpharmaceutical) products.

Right now, Cloutier is joining with other compounding pharmacists in a fight against legislation to severely limit access to personalized compounded medication. According to Cloutier, this legislation resulted from misconduct of a New England-based compounding organization. Claiming the legislation’s passage in Albany would result in throwing the baby out with the bath water, compounding pharmacists are urging clients to go to the web site to learn how they can protect their rights to personalized medicine.

Cloutier resides in Warwick with her husband, David, an electro-mechanical engineer, and their three children: Benjamin, Juliette and Genevieve. Rounding out the family circle, Cloutier said, is a 20-year-old cat too lethargic to disturb the resident goldfish.

Challenging Careers focuses on the exciting and unusual business lives of Hudson Valley residents. Comments or suggestions may be emailed to Catherine Portman-Laux at

Apple Valley Pharmacy on WTBQ Radio

“The Hudson Valley Health Connection”

The Hudson Valley Health Connection, with hosts AnnMarie Cloutier, PharmD and owner of Apple Valley Pharmacy, and Barbara Wilhelmy, RN and owner of 1 Call Care Management.

Call in to ask AnnMarie questions about specific prescriptions, the benefits of compounding medications, flu shots/immunizations & breastfeeding supplies; or to ask Barbara about how you & your loved ones can benefit from coordinated care solutions for seniors & the disabled and how to improve their health and overall quality of life.

Tune in every Monday from 11 – 11:30am on WTBQ 93.5 FM or 1110AM or listen to the live stream on


Top 10 Supplements Series…#1: Multivitamin & #2: CoQ10

#1. Multivitamin (with minerals)

Multivitamins are a good foundation to any dietary supplement program. They include

basic amounts of the most important key nutrients your body needs to perform its

chemical reactions to function on a daily basis.

The problem with modern day diets is they are often lacking in quality nutrition. Plus,

the soil in which our food is grown has been depleted and often overrun with chemical

application, further robbing produce of its natural nutrients. A study of 3 million people

revealed that less than 1% of the participants got enough essential vitamins from diet


The role of a multivitamin is to support a healthy diet by providing additional nutrients

to fill the occasional gap. That’s why you must take a multivitamin; it also helps prevent

heart disease, breast cancer and colon cancer.


• Look for 100% of the daily value of the 12 essential vitamins and minerals-

including vitamins B and C, and small amounts of E and zinc.

– Taking a B-Complex which contains the B family of vitamins and more

vitamin C than a multivitamin is an option for those who feel they need

more of these 2 important vitamins which combat stress.

• Each ingredient need only be 100% of the RDA. Mega doses are not necessary.

• Iron is not necessary – Only women who are menstruating need a multivitamin with

iron. If you are post-menopausal or a male, you do not need a multivitamin that

contains iron.

• Take half in the morning and half at night to maximize absorption. You use a

multivitamin’s various components during the chemical reactions that occur

throughout your body. So, maintaining constant levels assures a steady supply of

these vital nutrients

Find a multivitamin specific for your age and gender. Also if you have special

dietary needs you will want to take those into consideration when selecting a


Let us offer you assistance in choosing a multivitamin and establishing a great

foundation to a healthier you and your top 10 supplement habit !

#2 CoQ10 (ubiquinone)

CoQ10 is essential for energy production in most every part of your body. As you age,

your CoQ10 levels plummet drastically leading to a nutrient deficiency disorder.

CoQ10is a substance similar to a vitamin that is found in every cell of your body.

That’s why its scientific name is “ubiquinone” — for ubiquitous, meaning found everywhere.

Millions of people suffer daily from a collection of vague symptoms that interfere with

their enjoyment of life. These symptoms typically include low energy, cloudy thinking,

muscle pain and joint discomfort. Unfortunately and perhaps even more frequently,

many just chalk their “mystery” symptoms up to getting older and accept their state of



High levels of CoQ10 in your body are essential for two reasons…

Reason #1: CoQ10 increases the mitochondrial energy that your heart, brain, kidneys and

skeletal muscles desperately need to function at healthy, youthful levels.

Reason #2: CoQ10 is one of nature’s most potent antioxidants to fight back against

harmful, youth-robbing free radicals.


Medications That Decrease CoQ10 – Be sure to supplement with CoQ10 if taking any

of the following medications:

• Statins for cholesterol, including atorvastatin (Lipitor), lovastatin (Mevacor),

pravastatin Pravachol), and simvastatin (Zocor)

• Fibric acid derivatives for cholesterol, including gemfibrozil (Lopid)

• Beta-blockers for high blood pressure, such as atenolol (Tenormin), labetolol

(Normodyne), metoprolol (Lopressor or Toprol), and propranolol (Inderal)

• Tricyclic antidepressant medications, including amitriptyline (Elavil), doxepin

(Sinequan), Imipramine (Tofranil)


CoQ10 may lower blood sugar, so people with diabetes should talk with their health care

provider before taking it to avoid the risk of low blood sugar.


Be sure to let your Apple Valley Pharmacist know if you are on any medications

before taking CoQ10 so we can screen for drug interactions.


Legislation has been proposed that could create an environment that would unduly restrict access to personalized (also known as compounded) medications, even when they provide the best treatment options for patients, including both people and animals, as determined by their physicians.You can make a difference if you act right now and oppose Senate bill S.959. Legislators need to hear from those who would be affected by any policy or law that doesn’t reflect the importance of personalized medicine.

URGENT UPDATE: The Senate is now set to vote
on bill S.959 the week of JULY 29th.

We’re asking all pharmacists, patients and practitioners to call their Congressional representatives TODAY and let them know that you oppose the bill. Here is suggested text for your conversation:

  • Introduce yourself and provide details
    • I am a Pharmacist/patient/practitioner/pet owner located in (City, State)
    • I have X number of employees and X number of patients who have been using compounds for X years
    • I have a condition which Is helped by compounding medications
  • I am aware that Senate Bill 959 is about to be up for vote in the Senate
  • I am extremely concerned that this bill will limit Patient access to needed medications
  • I am asking (Senator) to oppose this bill

Its imperative that you ACT TODAY and help make sure the millions of people that rely on compounded medications each year can continue to do so.

Click here for a list of Senators sorted by State.
Senators in yellow are on the Health Education Labor and Pensions (HELP) committee.



SPEAK OUT! Protect your right to personalized medicine.

The Senate will soon vote on a bill that could seriously restrict your access to the personalized, compounded medications you depend on. The bill has implications for everyone, but it especially affects medications for:

• Autism Spectrum Disorder

• Hormone Replacement Therapy

• Pets

• Pain

You can make a difference.

1. Go to:

■  Get informed about the issue.

■  Send an email to legislators from this website. It’s easy – we’ve provided language you can

customize to tell your personal story.

2. Spread the Word

■  Tell family and friends to go to to send emails to legislators.