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1	 	 	 	 	 	 	 	 	 	      October 2016 • www.gbuahn.org
3rdQuarter
October2016
western new york’s #1 health home
Women who get regular exercise (physical activity) may have a lower risk of breast cancer than women who are inactive.
Although not all studies show this benefit, when the evidence is looked at as a whole, regular exercise appears to lower
breast cancer risk by about 10 to 20 percent. This benefit is seen most clearly in postmenopausal women.
Exercise and Reducing Your Breast Cancer Risk
How much physical activity is needed to
reduce breast cancer risk?
The American Cancer Society recommends 150 minutes
(2.5 hours) of physical activity a week to lower overall
cancer risk. However, you don’t need to have an intense
exercise routine to lower your risk of breast cancer.
Activity equal to walking 30 minutes a day may lower
risk by about three percent.
How can physical activity affect breast
cancer risk?
Exercise can help with weight control. Being lean lowers
the risk of breast cancer after menopause.
Physical activity may lower estrogen levels in women,
which can also protect against breast cancer. It may also
boost the body’s immune system so that it can help kill
or slow the growth of cancer cells.
Physical activity and survival after breast
cancer treatment
Some studies suggest being active lowers the risk of:
•Breast cancer recurrence
•Breast cancer-specific mortality (death from breast
cancer)
•Overall mortality (death from any cause, not necessarily
breast cancer)
Breast cancer survivors do not need intense exercise to
get a survival benefit. A pooled analysis that combined
data from over 13,000 breast cancer survivors found
that those who got roughly three or more hours a week
of moderate paced walking had a 30 percent lower
risk of death (from any cause) compared to less active
survivors. The American Cancer Society recommends
150 minutes (2.5 hours) a week of physical activity for cancer
survivors. One study found that breast cancer survivors who
got this recommended 150 minutes of exercise a week had a 25
percent lower risk of breast cancer mortality and a 27 percent
lower risk overall mortality than those who got less exercise.
Tips to increase physical activity
Being active is good for your health, but it can be hard to find
time to exercise. Do any activities you enjoy that get you mov-
ing (for example, dancing or gardening).
If you can, the following tips may help you become more
active:
•Use stairs rather than an elevator.
•Walk or bike instead of driving.
•Park farther away from a store.
•Take your pet for a walk.
•Exercise at lunch or take an exercise break to stretch or take a
quick walk.
•Plan active vacations.
•Wear a device every day and increase your daily steps.
•Join a recreational sports team.
•Use a stationary bicycle or treadmill while watching TV.
2	 	 	 	 	 	 	 	 	 	    October 2016 • www.gbuahn.org 	 October 2016 • www.gbuahn.org											3
The Diet Detective: Fall into Healthy Eating Habits
Get screened
•Talk with a health care provider about which screening tests
are right for you if you are at higher risk
•Have a mammogram every year starting at age 40 if you are
at average risk
•Have a clinical breast exam at least every three years starting
at age 20, and every year starting at age 40
•Sign up for your screening reminder at komen.org/reminder
Make healthy lifestyle choices
•Maintain a healthy weight
•Add exercise into your routine
•Limit alcohol intake
•Limit menopausal hormone therapy (postmenopausal hor-
mone use)
•Breastfeed, if you can
Courtesy of komen.org
Know your risk
•Talk to both sides of your family to learn about your
family health history
•Talk to a health care provider about your risk of breast
cancer
Know what is normal for you and see a health care
provider if you notice any of these breast changes:
•Lump, hard knot or thickening inside the breast or
underarm area
•Swelling, warmth, redness or darkening of the breast
•Change in the size or shape of the breast
•Dimpling or puckering of the skin
•Itchy, scaly sore or rash on the nipple
•Pulling in of your nipple or other parts of the breast
•Nipple discharge that starts suddenly
•New pain in one spot that doesn’t go away
Susan G. Komen’s breast self-awareness messages
Exercise and Reducing Your Breast Cancer Risk (cont’d.)
The U.S. Department of Agriculture’s website www.choosemyplate.gov has free tools to help you set weight and
activity goals for healthy living. For example, their tool Supertracker can help you plan, track and analyze your
diet and exercise.
Preventing the Flu:
Good Health Habits Can Help Stop Germs
The single best way to prevent seasonal flu is to get vaccinated each year, but good health habits like covering your cough
and washing your hands often can help stop the spread of germs and prevent respiratory illnesses like the flu. There also are
flu antiviral drugs that can be used to treat and prevent flu.
1. Avoid close contact.
Avoid close contact with people who are sick. When you
are sick, keep your distance from others to protect them
from getting sick too.
2. Stay home when you are sick.
If possible, stay home from work, school, and errands
when you are sick. This will help prevent spreading your
illness to others.
3. Cover your mouth and nose.
Cover your mouth and nose with a tissue when coughing
or sneezing. It may prevent those around you from getting
sick.
4. Clean your hands.
Washing your hands often will help protect you from
germs. If soap and water are not available, use an alcohol-
based hand rub.
5. Avoid touching your eyes, nose or mouth.
Germs are often spread when a person touches something
that is contaminated with germs and then touches his or her
eyes, nose, or mouth.
6. Practice other good health habits.
Clean and disinfect frequently touched surfaces at home,
work or school, especially when someone is ill. Get plenty of
sleep, be physically active, manage your stress, drink plenty
of fluids, and eat nutritious food.
Courtesy of cdc.gov
It’s that time of year when it starts to get dark early,
the days get cooler--in other words, it’s the fall. And
something else happens as well--we start eating more.
People show a marked seasonal rhythm with increased
total caloric consumption, especially from carbohydrates,
in the fall, associated with an increase in meal size and a
greater rate of eating.
We have a tendency to eat about 200 calories more
per day during the fall. What does that translate to in
terms of potential weight gain? As much as three to four
pounds a year. We tend to blame much of this fall weight
gain on the holidays; however, there are other causes.
Why We Eat More
Why do we eat more in the fall? More than likely, it’s biological--putting on weight in preparation for the potential
winter famine our ancestors faced. “It all makes sense--the fall harvest, storing up for the long winter months,” explains
de Castro. Historically, we have a tendency to eat when food is plentiful, because we never knew when our next meal
was going to be available.
Kurt Krauchi, a scientist at the Psychiatric University Clinic in Basel, Switzerland, studied patients with seasonal
affective disorder (a type of mood disorder that is caused by lack of light). He found that they ate more carbohydrates,
particularly sweets but also starch-rich foods, during their depression in winter, and that their intake could be reduced
with light therapy.
“There seems to be a relationship between light and depression, which leads to consumption of additional
carbohydrates,” says Krauchi. De Castro, however, found an increase in fall eating independent of decreased light and/
or depression.
Tips For a Healthy Fall
Perhaps we eat more simply because bathing suit season is over, and we can start hiding excess calories beneath our winter
clothes. Whatever the reason, it's important to realize that fall foods can actually be healthier than foods of other seasons.
They are typically packed with great nutrients, such as fiber, protein, beta carotene and vitamin C. Here are a few tips to
keep the fall tasty and healthy:
•Soups are great for you if they're not made with cream or cheese. Just watch serving sizes--we tend to eat whatever's in our
bowls.
•Stews can be hearty and fattening. Use loads of fresh vegetables, and go light on the meat and potatoes.
•Avoid unconscious eating while watching TV. Never bring the whole bag or bowl of anything to the couch or coffee table--
pre-measure it in the kitchen beforehand. When it comes to chips, make sure they’re baked, not fried.
•For pizza, watch the toppings--they can double the calories.
•Celebrate the fall harvest in other ways besides making pies. Apples are low in calories when they’re off the tree, not in a
pie.
•If it’ has to be pie, try making pumpkin pie with artificial sweetener, egg whites and low-fat milk. And of course, just have
one piece. Keep in mind that pumpkin seeds have about 300 calories per 1/4 cup.
•Turkey is healthy, as long as you keep it lean and white.
•Get out and enjoy the fall weather. The air is cooler, the leaves are turning and the countryside becomes more scenic. It’s
the perfect time to go outdoors and do something: Take walks on the beach or by the lake; go to the zoo; or ride a bike.
•Keep in mind that once we set the clocks back, it gets darker earlier, so there are fewer outdoor options for physical
activities in the evening. Make adjustments by joining a gym, planning evening walks at the mall or becoming an early
riser.
Courtesy of active.com
Get out and enjoy the fall weather.
4	 	 	 	 	 	 	 	 	 	      October 2016 • www.gbuahn.org 	 October 2016 • www.gbuahn.org											5
9waystouseanavocadopit
Youcandomorethancompostthepitsfromavocados.Muchmore.
By Robin Shreeves
I have several avocado pits drying on my windowsill right now. I made a big batch of guacamole last weekend (here’s
my guacamole recipe if you’re interested), and decided to research if the pits had any uses. I found several ways the
seeds from this fruit can be used. I’m drying them for use in #4 below, but I thought I’d share all of the ideas I found
while I was researching.
1. Make dye
Use both the skins and the pit to
create a natural pink-hued dye
for fabric. You’d think it would
turn out green, but no, it turns
out pink. The shade of pink
depends on the fabric you use.
2. Save your guacamole
Keep your guacamole from going
brown by putting an avocado pit
in the dip. Other anti-browning
suggestions including sprinkling
guacamole with lemon juice or
wrapping it tightly in foil.
3. Whip up a facemask
Dry the pits, grind them up,
and put them in a homemade
facemask as an exfoliator.
Blend a seed with your choice
of ingredients: olive oil and a
banana, avocado and lemon
juice, or any ready-made facial
scrub. The avocado seed helps
the mask slough off dead skin.
4. Eat it
You can grind up avocado pits
in a smoothie. It contains several
nutrients including calcium,
magnesium and potassium. To
make things easier, try splitting
the pit with a heavy knife and
cutting it up in pieces, then
blending it while it’s still wet. It’s
easier to mix and make it easier
on your blender.
7. Grow an avocado plant
Start with three toothpicks, a
glass of water, some sunlight and
one avocado pit, says Sustainable
America. You should see the
roots and stem start to sprout in
just a few weeks.
8. Be creative
A chef who goes by the name of
Triclaw says he goes through so
many avocados in his restaurant
that he felt bad tossing the seeds.
He started carving them and
said they were like dry clay. He’s
made faces, snails and all sorts of
interesting shapes. Or carve the
pits and make them into jewelry.
9. Wash your hair
Get clean with some homemade
avocado shampoo. This
easy shampoo recipe from
Breadwithhoney.com uses three
dried and grated avocado pits,
six cups of water and just a few
ounces of your regular shampoo.
The shampoo supposedly
thickens and softens hair.
This story was originally written
in September 2014 but has
been updated with additional
information.
Courtesy of mnn.com
5. Make tea
Put chunks of avocado pit inside a tea
infuser, put the infuser in a mug, and
pour boiling water over it. Avocado
seeds can be bitter, says EatThis, so you
may need to add a little bit of honey or
other sweetener.
6. Make mole sauce
Grate the pit and use it to whip up
some tasty mole sauce. This recipe
from Pam’s Tactical Kitchen call for just
1 tablespoon and points out that the
grated pit will turn orange.
Ingredients
1 c. quinoa
extra-virgin olive oil
2 large boneless skinless chicken breasts, cut into 2”
pieces
kosher salt
Freshly ground black pepper
1 tbsp. butter
2 garlic cloves, minced
1 medium onion, chopped
1/2 c. heavy cream
1 c. low-sodium chicken stock
2 c. shredded Cheddar
8 oz. baby spinach, chopped
2 tbsp. chopped parsley
Directions
1.In a medium pot cook quinoa according to package directions.
2. Meanwhile in a large sauté pan, warm a drizzle of olive oil over medium-high heat. Season chicken with salt
and pepper; sear chicken on both sides until golden brown. Transfer to a plate.
3. Return pan to medium heat. Add butter and sauté garlic and onions until softened. Add cream and chicken
stock; bring to a boil and simmer until slightly reduced, about 2 to 3 minutes. Stir in 1 cup cheese and
spinach. Fold in quinoa and chicken. Top with remaining cheese. Cover pan and simmer until warmed through
and cheese is bubbling, about 3 to 4 minutes.
4. Garnish with parsley and serve immediately.
Courtesy of delish.com
Try a healthier, stovetop spin on chicken-and-rice.
Creamy Cheddar Quinoa with Chicken and Spinach
Delivery
Medication Counseling
Health Alliance Health Coaching
Drug and Syringe Disposal Sites
Compounding (flavor, formulations, etc.)
Personalized Medication Record
Refill Reminders
Medication Adherence Packaging/
Customized Pillboxes
Poison Prevention
Coupons and Discount Programs
Medication Reviews/Reconciliation
Medication Therapy Management
Free Pharmacy Services Available to Members
Email or Lync Jessica Isaac, PharmD for further details...
393 Delaware Avenue
Buffalo, NY 14202
Do you know someone who receives
Medicaid and who could use extra
help coordinating their health care
social service needs? If so, please
visit www.gbuahn.org or call us at
(716) 247-5282 for more
information.

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October 2016 newsletter_PDF

  • 1. 1 October 2016 • www.gbuahn.org 3rdQuarter October2016 western new york’s #1 health home Women who get regular exercise (physical activity) may have a lower risk of breast cancer than women who are inactive. Although not all studies show this benefit, when the evidence is looked at as a whole, regular exercise appears to lower breast cancer risk by about 10 to 20 percent. This benefit is seen most clearly in postmenopausal women. Exercise and Reducing Your Breast Cancer Risk How much physical activity is needed to reduce breast cancer risk? The American Cancer Society recommends 150 minutes (2.5 hours) of physical activity a week to lower overall cancer risk. However, you don’t need to have an intense exercise routine to lower your risk of breast cancer. Activity equal to walking 30 minutes a day may lower risk by about three percent. How can physical activity affect breast cancer risk? Exercise can help with weight control. Being lean lowers the risk of breast cancer after menopause. Physical activity may lower estrogen levels in women, which can also protect against breast cancer. It may also boost the body’s immune system so that it can help kill or slow the growth of cancer cells. Physical activity and survival after breast cancer treatment Some studies suggest being active lowers the risk of: •Breast cancer recurrence •Breast cancer-specific mortality (death from breast cancer) •Overall mortality (death from any cause, not necessarily breast cancer) Breast cancer survivors do not need intense exercise to get a survival benefit. A pooled analysis that combined data from over 13,000 breast cancer survivors found that those who got roughly three or more hours a week of moderate paced walking had a 30 percent lower risk of death (from any cause) compared to less active survivors. The American Cancer Society recommends 150 minutes (2.5 hours) a week of physical activity for cancer survivors. One study found that breast cancer survivors who got this recommended 150 minutes of exercise a week had a 25 percent lower risk of breast cancer mortality and a 27 percent lower risk overall mortality than those who got less exercise. Tips to increase physical activity Being active is good for your health, but it can be hard to find time to exercise. Do any activities you enjoy that get you mov- ing (for example, dancing or gardening). If you can, the following tips may help you become more active: •Use stairs rather than an elevator. •Walk or bike instead of driving. •Park farther away from a store. •Take your pet for a walk. •Exercise at lunch or take an exercise break to stretch or take a quick walk. •Plan active vacations. •Wear a device every day and increase your daily steps. •Join a recreational sports team. •Use a stationary bicycle or treadmill while watching TV.
  • 2. 2 October 2016 • www.gbuahn.org October 2016 • www.gbuahn.org 3 The Diet Detective: Fall into Healthy Eating Habits Get screened •Talk with a health care provider about which screening tests are right for you if you are at higher risk •Have a mammogram every year starting at age 40 if you are at average risk •Have a clinical breast exam at least every three years starting at age 20, and every year starting at age 40 •Sign up for your screening reminder at komen.org/reminder Make healthy lifestyle choices •Maintain a healthy weight •Add exercise into your routine •Limit alcohol intake •Limit menopausal hormone therapy (postmenopausal hor- mone use) •Breastfeed, if you can Courtesy of komen.org Know your risk •Talk to both sides of your family to learn about your family health history •Talk to a health care provider about your risk of breast cancer Know what is normal for you and see a health care provider if you notice any of these breast changes: •Lump, hard knot or thickening inside the breast or underarm area •Swelling, warmth, redness or darkening of the breast •Change in the size or shape of the breast •Dimpling or puckering of the skin •Itchy, scaly sore or rash on the nipple •Pulling in of your nipple or other parts of the breast •Nipple discharge that starts suddenly •New pain in one spot that doesn’t go away Susan G. Komen’s breast self-awareness messages Exercise and Reducing Your Breast Cancer Risk (cont’d.) The U.S. Department of Agriculture’s website www.choosemyplate.gov has free tools to help you set weight and activity goals for healthy living. For example, their tool Supertracker can help you plan, track and analyze your diet and exercise. Preventing the Flu: Good Health Habits Can Help Stop Germs The single best way to prevent seasonal flu is to get vaccinated each year, but good health habits like covering your cough and washing your hands often can help stop the spread of germs and prevent respiratory illnesses like the flu. There also are flu antiviral drugs that can be used to treat and prevent flu. 1. Avoid close contact. Avoid close contact with people who are sick. When you are sick, keep your distance from others to protect them from getting sick too. 2. Stay home when you are sick. If possible, stay home from work, school, and errands when you are sick. This will help prevent spreading your illness to others. 3. Cover your mouth and nose. Cover your mouth and nose with a tissue when coughing or sneezing. It may prevent those around you from getting sick. 4. Clean your hands. Washing your hands often will help protect you from germs. If soap and water are not available, use an alcohol- based hand rub. 5. Avoid touching your eyes, nose or mouth. Germs are often spread when a person touches something that is contaminated with germs and then touches his or her eyes, nose, or mouth. 6. Practice other good health habits. Clean and disinfect frequently touched surfaces at home, work or school, especially when someone is ill. Get plenty of sleep, be physically active, manage your stress, drink plenty of fluids, and eat nutritious food. Courtesy of cdc.gov It’s that time of year when it starts to get dark early, the days get cooler--in other words, it’s the fall. And something else happens as well--we start eating more. People show a marked seasonal rhythm with increased total caloric consumption, especially from carbohydrates, in the fall, associated with an increase in meal size and a greater rate of eating. We have a tendency to eat about 200 calories more per day during the fall. What does that translate to in terms of potential weight gain? As much as three to four pounds a year. We tend to blame much of this fall weight gain on the holidays; however, there are other causes. Why We Eat More Why do we eat more in the fall? More than likely, it’s biological--putting on weight in preparation for the potential winter famine our ancestors faced. “It all makes sense--the fall harvest, storing up for the long winter months,” explains de Castro. Historically, we have a tendency to eat when food is plentiful, because we never knew when our next meal was going to be available. Kurt Krauchi, a scientist at the Psychiatric University Clinic in Basel, Switzerland, studied patients with seasonal affective disorder (a type of mood disorder that is caused by lack of light). He found that they ate more carbohydrates, particularly sweets but also starch-rich foods, during their depression in winter, and that their intake could be reduced with light therapy. “There seems to be a relationship between light and depression, which leads to consumption of additional carbohydrates,” says Krauchi. De Castro, however, found an increase in fall eating independent of decreased light and/ or depression. Tips For a Healthy Fall Perhaps we eat more simply because bathing suit season is over, and we can start hiding excess calories beneath our winter clothes. Whatever the reason, it's important to realize that fall foods can actually be healthier than foods of other seasons. They are typically packed with great nutrients, such as fiber, protein, beta carotene and vitamin C. Here are a few tips to keep the fall tasty and healthy: •Soups are great for you if they're not made with cream or cheese. Just watch serving sizes--we tend to eat whatever's in our bowls. •Stews can be hearty and fattening. Use loads of fresh vegetables, and go light on the meat and potatoes. •Avoid unconscious eating while watching TV. Never bring the whole bag or bowl of anything to the couch or coffee table-- pre-measure it in the kitchen beforehand. When it comes to chips, make sure they’re baked, not fried. •For pizza, watch the toppings--they can double the calories. •Celebrate the fall harvest in other ways besides making pies. Apples are low in calories when they’re off the tree, not in a pie. •If it’ has to be pie, try making pumpkin pie with artificial sweetener, egg whites and low-fat milk. And of course, just have one piece. Keep in mind that pumpkin seeds have about 300 calories per 1/4 cup. •Turkey is healthy, as long as you keep it lean and white. •Get out and enjoy the fall weather. The air is cooler, the leaves are turning and the countryside becomes more scenic. It’s the perfect time to go outdoors and do something: Take walks on the beach or by the lake; go to the zoo; or ride a bike. •Keep in mind that once we set the clocks back, it gets darker earlier, so there are fewer outdoor options for physical activities in the evening. Make adjustments by joining a gym, planning evening walks at the mall or becoming an early riser. Courtesy of active.com Get out and enjoy the fall weather.
  • 3. 4 October 2016 • www.gbuahn.org October 2016 • www.gbuahn.org 5 9waystouseanavocadopit Youcandomorethancompostthepitsfromavocados.Muchmore. By Robin Shreeves I have several avocado pits drying on my windowsill right now. I made a big batch of guacamole last weekend (here’s my guacamole recipe if you’re interested), and decided to research if the pits had any uses. I found several ways the seeds from this fruit can be used. I’m drying them for use in #4 below, but I thought I’d share all of the ideas I found while I was researching. 1. Make dye Use both the skins and the pit to create a natural pink-hued dye for fabric. You’d think it would turn out green, but no, it turns out pink. The shade of pink depends on the fabric you use. 2. Save your guacamole Keep your guacamole from going brown by putting an avocado pit in the dip. Other anti-browning suggestions including sprinkling guacamole with lemon juice or wrapping it tightly in foil. 3. Whip up a facemask Dry the pits, grind them up, and put them in a homemade facemask as an exfoliator. Blend a seed with your choice of ingredients: olive oil and a banana, avocado and lemon juice, or any ready-made facial scrub. The avocado seed helps the mask slough off dead skin. 4. Eat it You can grind up avocado pits in a smoothie. It contains several nutrients including calcium, magnesium and potassium. To make things easier, try splitting the pit with a heavy knife and cutting it up in pieces, then blending it while it’s still wet. It’s easier to mix and make it easier on your blender. 7. Grow an avocado plant Start with three toothpicks, a glass of water, some sunlight and one avocado pit, says Sustainable America. You should see the roots and stem start to sprout in just a few weeks. 8. Be creative A chef who goes by the name of Triclaw says he goes through so many avocados in his restaurant that he felt bad tossing the seeds. He started carving them and said they were like dry clay. He’s made faces, snails and all sorts of interesting shapes. Or carve the pits and make them into jewelry. 9. Wash your hair Get clean with some homemade avocado shampoo. This easy shampoo recipe from Breadwithhoney.com uses three dried and grated avocado pits, six cups of water and just a few ounces of your regular shampoo. The shampoo supposedly thickens and softens hair. This story was originally written in September 2014 but has been updated with additional information. Courtesy of mnn.com 5. Make tea Put chunks of avocado pit inside a tea infuser, put the infuser in a mug, and pour boiling water over it. Avocado seeds can be bitter, says EatThis, so you may need to add a little bit of honey or other sweetener. 6. Make mole sauce Grate the pit and use it to whip up some tasty mole sauce. This recipe from Pam’s Tactical Kitchen call for just 1 tablespoon and points out that the grated pit will turn orange. Ingredients 1 c. quinoa extra-virgin olive oil 2 large boneless skinless chicken breasts, cut into 2” pieces kosher salt Freshly ground black pepper 1 tbsp. butter 2 garlic cloves, minced 1 medium onion, chopped 1/2 c. heavy cream 1 c. low-sodium chicken stock 2 c. shredded Cheddar 8 oz. baby spinach, chopped 2 tbsp. chopped parsley Directions 1.In a medium pot cook quinoa according to package directions. 2. Meanwhile in a large sauté pan, warm a drizzle of olive oil over medium-high heat. Season chicken with salt and pepper; sear chicken on both sides until golden brown. Transfer to a plate. 3. Return pan to medium heat. Add butter and sauté garlic and onions until softened. Add cream and chicken stock; bring to a boil and simmer until slightly reduced, about 2 to 3 minutes. Stir in 1 cup cheese and spinach. Fold in quinoa and chicken. Top with remaining cheese. Cover pan and simmer until warmed through and cheese is bubbling, about 3 to 4 minutes. 4. Garnish with parsley and serve immediately. Courtesy of delish.com Try a healthier, stovetop spin on chicken-and-rice. Creamy Cheddar Quinoa with Chicken and Spinach Delivery Medication Counseling Health Alliance Health Coaching Drug and Syringe Disposal Sites Compounding (flavor, formulations, etc.) Personalized Medication Record Refill Reminders Medication Adherence Packaging/ Customized Pillboxes Poison Prevention Coupons and Discount Programs Medication Reviews/Reconciliation Medication Therapy Management Free Pharmacy Services Available to Members Email or Lync Jessica Isaac, PharmD for further details...
  • 4. 393 Delaware Avenue Buffalo, NY 14202 Do you know someone who receives Medicaid and who could use extra help coordinating their health care social service needs? If so, please visit www.gbuahn.org or call us at (716) 247-5282 for more information.