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| Helping pharmacy & health communities improve access to Emergency Contraception (EC) |
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EC PHARMACY UPDATEUpcoming EC Presentation with CEs for Pharmacists: New Orleans, 12/9/03, Oops! Accidents Can Happen The Louisiana Pharmacists Association does not have an emergency contraception program or committee. No activity is planned. An informal survey conducted in early 2002 indicated that few pharmacies in Louisiana offer EC, and access is limited in rural areas in particular. To address this barrier, all state family planning clinic clients are proactively offered information on EC and a package of Plan B. The State Health Department has included EC on their formulary. Planned Parenthood in partnership with the Health Department trained state pharmacists as well as medical directors for public health on EC and access.
CONTACTSPhyllis Perron Francoise Kendall
USEFUL LINKSLouisiana Board of Pharmacy Louisiana State Legislature Planned Parenthood of Louisiana and the Mississippi Delta Louisiana Office of Public Health
PROTOCOL ENVIRONMENTPossible Environment: Revision to Existing Authority Required This state permits collaborative practice agreements or a similar agreement between physicians and pharmacists. However, some modification of existing statutes and/or regulations is required to allow pharmacists to initiate EC for the general community. Pharmacist initiation of EC would require:
PHARMACY PRACTICE ACTPharmacy Practice Act Regulatory and Statutory Authority Note: The text presented below has been prepared by the American Pharmacists Association for the Pharmacy Access Partnership and reflects legislation or regulation promulgated as of June 15, 2003. LOUISIANA Pharmacists practicing in any setting may provide disease-specific drug therapy under patient-specific collaborative drug therapy management agreements with a physician or other prescriber that adhere to established guidelines jointly developed and approved by the State Board of Medical Examiners and the Louisiana Board of Pharmacy. Community pharmacists do not have the authority to administer drugs or immunizations, but any other drug therapy management may be outlined in the protocol (except drug substitution without the prescriber’s consent). As of June 15, 2003, those guidelines had not yet been promulgated by the relevant regulatory boards. Statutory authority: Provided in definition of “Collaborative Drug Therapy Management” and related terms La. Rev. Stat. Ann. § 37:1164 Regulatory authority: Collaborative practice provided for in La. Admin. Code Title 46 §§ 903, 909 and 913, and hospital drug administration authority provided in La. Admin. Code Title 46, §2519
LOUISIANA STATUTES TITLE 37 - LOUISIANA PHARMACY PRACTICE ACT (Louisiana Revised Statutes, Sections 1161 through 1250) CHAPTER 14. PHARMACY PART A. GENERAL PROVISIONS §1164. Definitions As used in this Chapter, the following terms have the meaning ascribed to them by this Section: (37) “Pharmacy collaborative drug therapy management” means that practice whereby a pharmacist or pharmacists have, on a voluntary basis, agreed to manage the disease-specific drug therapy of a patient under written protocol, working in conjunction with a physician licensed to practice medicine by the Louisiana State Board of Medical Examiners or a practitioner with prescriptive authority. Pharmacy collaborative drug therapy management does not include the substitution by the pharmacist of a product that is not an equivalent drug product to the product originally prescribed by the physician or practitioner without the explicit consent of the physician or practitioner. Any pharmacy collaborative drug therapy management protocol shall adhere to rules and regulations approved by and jointly promulgated by the Louisiana State Board of Medical Examiners and the board. (38) “Pharmacy primary care” means bringing health care as close as possible to where people live and work and may constitute a portal of entry into the continuing health care process in an effort to enhance optimum therapeutic outcomes. (41) “Practice of pharmacy” or “practice of the profession of pharmacy” means and includes the compounding, filling, dispensing, exchanging, giving, offering for sale, or selling, drugs, medicines, or poisons, pursuant to prescriptions or orders of physicians, dentists, veterinarians, or other licensed practitioners, or any other act, service operation or transaction incidental to or forming a part of any of the foregoing acts, requiring, involving or employing the science or art of any branch of the pharmacy profession, study or training. (42) “Practitioner” means an individual currently licensed, registered, or otherwise authorized by the appropriate licensing board to prescribe and administer drugs in the course of professional practice. (44) “Prescription” or “prescription drug order” means an order from a practitioner authorized by law to prescribe for a drug or device that is patient specific and is communicated by any means to a pharmacist in a permitted pharmacy, and is to be preserved on file as required by law or regulation.
LOUISIANA REGULATIONS Louisiana Administrative Code Title 46 Professional and Occupational Standards Part LIII. Pharmacist LR 46:9 Chapter 9. Pharmacy Practice §903. Definition Practice of Pharmacy or Practice of the Profession of Pharmacy--the compounding, filling, dispensing, exchanging, giving, offering for sale, or selling drugs, medicines, or poisons, pursuant to prescriptions or orders of physicians, dentists, veterinarians, or other licensed practitioners, or any other act, services operation or transaction incidental to or forming a part of any of the foregoing statements, requiring, involving or employing the science or art of any branch of the pharmacy profession, study or training. (R.S. 37:1222) §907. Pharmacy Primary Care Pharmacy primary care is bringing health care as close as possible to where people live and work and may constitute a portal of entry into the continuing health care process in an effort to enhance optimum therapeutic outcomes. Frequently, pharmacy primary care is the initial level of contact of individuals, the family, and the community with the health care delivery system, which may ensure total pharmacy care. §909. Pharmacy Collaborative Practice Pharmacy collaborative practice is that practice whereby a pharmacist has agreed to work in conjunction with one or more physicians licensed to practice medicine under written protocol. Any collaborative practice protocol shall adhere to established guidelines which have been approved and jointly promulgated by the Louisiana State Board of Medical Examiners and the Louisiana Board of Pharmacy. HISTORICAL NOTE: Promulgated by the Department of Health and Hospitals, Board of Pharmacy, LR 14:708 (October 1988), amended LR 17:779 (August 1991), repromulgated LR 19:1025 (August 1993), amended LR 23:1308 (October 1997). §911. Practice of Pharmacy by Louisiana Licensed Pharmacists The practice of pharmacy in the state of Louisiana shall be limited to pharmacist licensed by the Louisiana Board of Pharmacy and holding a current renewal. Nothing in this Chapter or these regulations shall prevent any exceptions as listed in R.S. 37:1204. §913. Pharmacy Practices A. The stocking, storing, compounding and dispensing of legend drug medications shall be performed in a Louisiana permitted pharmacy or licensed facility. The practice of pharmacy is not limited to the physical facility. The practice of pharmacy may include any and all or a combination of the following listed practices although not necessarily limited to those listed as follows:
§919. Clinical Pharmacy Practice Clinical pharmacy practice is that division of pharmacy primarily associated with patient care with particular emphasis on drug regimen selection and treatment. Clinical pharmacy as a part of total pharmacist care may be extended to other classifications. §943. Collaborative Pharmacy Practice For collaborative pharmacy practice requirements see §909 of this Chapter. AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1178. CHAPTER 25. HOSPITAL PHARMACY § 2519. Drug Administration
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