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| Helping pharmacy & health communities improve access to Emergency Contraception (EC) |
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EC PHARMACY UPDATEThere is currently no known activity promoting direct pharmacy access to EC.
CONTACTSCarmelo Cinqueonce
USEFUL LINKSSouth Carolina Board of Pharmacy South Carolina Pharmacy Association South Carolina Legislature Planned Parenthood of South Carolina
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. SOUTH CAROLINA Pharmacists practicing in any setting may implement protocols as authorized by the physician. There are no special requirements for the participating pharmacist, for the duration of the protocol, nor physician/pharmacist communication. The primary purpose of the authority is identifying potential and actual drug-related problems, resolving actual drug-related problems, and preventing potential drug-related problems. The scope of practice is outlined in protocol and includes interpretation, evaluation, and dispensing of prescription drug orders in the patient’s bests interest; “drug administration;” and “drug therapy management.” Medical orders and prescription drug orders are defined to include orders derived from collaborative pharmacy practice. There is no limitation on disease state management opportunity. Pharmacists practicing in any setting may administer immunizations or other drugs (such as contraceptives), via any route of administration, pursuant to a broad practitioner’s order. On its face, the statute does not appear to require that the order be patient-specific, but clarification on this point should be sought. Authority for immunization administration is granted in statutory language. Statutory authorization is within the Pharmacy Practice Act definitions for: administer, chart order, drug therapy management, pharmacy care, practice of pharmacy and prescription drug order. Regulations do not provide any further interpretation or impose additional requirements Statutory authority: S.C. Code Ann. § 40-43-30 Regulatory authority: 92 S.C. Code Ann. Regs 2
SOUTH CAROLINA STATUTE Title 40 - Professions and Occupations CHAPTER 43. PHARMACISTS SECTION 40-43-10. Short title; purpose of chapter; severability of provisions. This chapter may be cited as the “South Carolina Pharmacy Practice Act”. The purpose of this chapter is to promote, preserve, and protect the public health, safety, and welfare by and through the effective control and regulation of the practice of pharmacy; the licensure of pharmacists; the licensure, permitting, control, and regulation of all sites or persons, in or out of this State, that distribute, manufacture, possess, or sell drugs or devices within this State, as may be used in the diagnosis, treatment, and prevention of injury, illness, and disease of a patient or other individual. The practice of pharmacy shall center around the provision of pharmacy care services and assisting the patient to achieve optimal therapeutic outcomes. SECTION 40-43-30. Definitions. For purposes of this chapter: (1) “Administer” means the direct application of a drug or device pursuant to a lawful order of a practitioner to the body of a patient by injection, inhalation, ingestion, topical application, or any other means. … (5) “Chart order” means a lawful order from a practitioner for a drug or device for patients of a hospital or extended care facility, or such an order prepared by another person and signed by a practitioner either immediately or at another time, issued for a legitimate medical purpose within the practitioner's course of legitimate practice and including orders derived on behalf of a practitioner from a practitioner approved drug therapy management. … (18) “Drug therapy management” is that practice of pharmacy which involves the expertise of the pharmacist in a collaborative effort with the practitioner and other health care providers to ensure the highest quality health care services for patients. … (23) “Health care provider” includes a pharmacist who provides health care services within the pharmacist's scope of practice pursuant to state law and regulation. … (31) “Medical order” means a lawful order of a practitioner which may or may not include a prescription drug order. … (38) “Pharmacy care” is the direct provision of drug therapy and other pharmacy patient care services through which pharmacists, in cooperation with the patient and other health care providers, design, implement, monitor, and manage therapeutic plans for the purpose of improving a patient's quality of life. Objectives include cure of disease, elimination or reduction of a patient's symptomatology, arresting or slowing a disease process, or prevention of a disease or symptomatology. The process includes three primary functions:
… (44) “Practice of pharmacy” means the interpretation, evaluation, and dispensing of prescription drug orders in the patient's best interest; participation in drug and device selection, drug administration, prospective drug reviews, and drug or drug-related research; provision of patient counseling and the provision of those acts or services necessary to provide pharmacy care and drug therapy management; and responsibility for compounding and labeling of drugs and devices, (except labeling by a manufacturer, repackager, or distributor or nonprescription drugs and commercially packaged legend drugs and devices) proper and safe storage of drugs and devices and maintenance of proper records for them; or the offering or performing of those acts, services, operations, or transactions necessary in the conduct, operation, education, management, and control of pharmacy. (45) “Practitioner” means a physician, dentist, optometrist, podiatrist, veterinarian, or other health care provider authorized by law to diagnose and prescribe drugs and devices.
SOUTH CAROLINA REGULATIONS SOUTH CAROLINA BOARD OF PHARMACY REGULATIONS Chapter 99 - Department Of Labor, Licensing And Regulation Board Of Pharmacy 99-1 to 99-3. Repealed by State Register Volume 24, Issue No. 5, eff May 26, 2000
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