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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. Existing regulations would allow pharmacist initiation of EC. A group of key stakeholders was assembled to address pharmacy access to EC, including the Tennessee Pharmacists Association, Planned Parenthood Tennessee, and pharmacy district managers. Because of the FDA’s decision to reject OTC status for Plan B, the group will re-convene and determine how to move forward. Each year, the Pharmacists Association with the College of Pharmacy provides an overview of EC and issues raised from medical communities, including the lack of stock in pharmacies. It is difficult to get EC by prescription at a pharmacy because there is a lack of demand and knowledge. There is a need to improve professional & consumer awareness. The Planned Parenthood Board of Directors recently formed a public affairs committee that is informally assessing the need for EC activities. Initial activities will focus on increasing EC awareness. State-funded family planning programs provide EC. Protocols recommend advanced provision. The state does not disseminate EC outreach materials and there is no contraceptive equity legislation. A large pharmacy chain in Tennessee, Wal-Mart is reported not to stock EC. Please Note: This state has an optimal environment for EC protocols between pharmacists and physicians. To learn more click here.
CONTACTSBaeteena M. Black Barry Chase Keri Adams
USEFUL LINKSTennessee Board of Pharmacy Tennessee Pharmacists Association The Tennessee General Assembly Tennessee Department of Health Memphis Planned Parenthood Planned Parenthood of Middle and East Tennessee
PROTOCOL ENVIRONMENTOptimal Environment: No Revision to Authority Necessary Existing statutes and regulations would accommodate pharmacists’ initiation of emergency contraception, generally under a collaborative practice agreement (protocol) with a prescriber. 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. TENNESSEE Pharmacists practicing in any setting may implement collaborative agreements for drug therapy management. There are no additional requirements. The scope of practice is outlined within the protocol, with no statutory limitations. Pharmacists in any practice setting may also administer “drugs, dietary supplements and devices” via any route of delivery. Authority for administration is granted in statutory definitions of “administer” and “practice of pharmacy.” Under Tennessee practice, medications are administered under a standing order or collaborative drug therapy management protocol. The Board has unofficial guidance for using this authority, including requirements for education, standing orders, etc. Statutory authority: Provided in the Practice Act definitions. Tenn. Code Ann. § 63-10-402, § 63-10-404 Regulatory authority: Provided in the definitions of medication order, patient counseling, pharmaceutical care, and pharmaceutical care.. Tenn. Comp. R. & Reg. 1140-3-.01
TENNESSEE STATUTE TENNESSEE PHARMACY PRACTICE ACT CHAPTER 10 Pharmacy PART 1 Board of Pharmacy Act 63-10-101. 63-10-404 - Definitions. As used in parts 4-6 of this chapter unless context otherwise requires: (1) “Administer” means the direct application of a drug to a patient or research subject by injection, inhalation, ingestion, topical application or by any other means; … (19) “Medical order” means a lawful order of a prescriber for a specific patient that may or may not include a prescription order; such orders subject to rules and regulations as may be promulgated from time to time by the respective boards which license the persons who are authorized to prescribe drugs; … (31)
(34) “Prescription order” means and includes any order, communicated through written, verbal, or electronic means by a physician, certified physician assistant, nurse authorized pursuant to § 63-6-204, who is rendering service under the supervision, control, and responsibility of a licensed physician, and who meets the requirements pursuant to § 63-7-207(14), dentist, veterinarian, optometrist authorized pursuant to § 63-8-102(12), or other allied medical practitioner, for any drug, device or treatment. Nothing in this chapter shall prohibit the verbal communication of a direct order for a prescription from a physician to a pharmacist by a registered nurse or physician's assistant pursuant to § 63-6-204;
TENNESSEE REGULATIONS TENNESSEE BOARD OF PHARMACY REGULATIONS CHAPTER 1140-1 Introductory Rules, Licensing and Registration Requirements, Fees and Health Department Dispensing 1140-1-.01 -Definitions. * * * (17) “Medication order” means a prescription order for any prescription drug or device or related material issued by an authorized prescriber to authorized healthcare personnel in an institutional facility or institutional pharmacy practice site. … (20) “Patient counseling” means communication by the pharmacist of information to the patient or caregiver in order to improve therapeutic outcome. (21) “Pharmaceutical care” is the responsible provision of drug therapy through, among other things, pharmacists identifying potential and actual drug-related problems and resolving and preventing drug-related problems, for the purpose of achieving definite outcomes that improve a patient’s quality of life. The outcomes include but are not limited to cure of a disease, elimination or reduction of a patient’s symptomatology, arresting or slowing of a disease process and the preventing of a disease or symptomatology. CHAPTER 1140-3 Standards of Practice 1140-3-.01 Responsibilities for Pharmaceutical Care. (1) Patient counseling
(3) Drug Regimen Review.
(4) Implementation of Pharmaceutical Care.
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