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1

Prescriptive Authority

-Limited authority to prescribe certain medications according to protocol
-NM Statutes allow vaccine and immunization prescribing and prescriber notification once received "dangerous drug therapy"

2

Prescriptive Authority Requires....

1. Completion of BoP approved training
2. Compliance with BoP protocol
3. Maintenance of authority through continuing education

-Meeting these requirements allows pharmacists to prescribe protocol formulary drugs under their license
-Retail setting is where this most commonly takes place

3

Prescribing Requirements

-Under each protocol, the pharmacist must generate a patient specific script with each drug
-Can be electronic or written
-Informed consent must be obtained and kept for 3 years
-Must notify physician or PCP of therapy prescribed

4

PhC

-Upon graduation from an accredited program and licensed as a pharmacist, may obtain additional licensure as PhC

5

Scope of Practice

-Integrated in a variety of settings
-Ambulatory care including family family, internal medicine clinic, anti-coagulation, pain
-Work with a collaborative practice agreement with a supervising physician (or multiple)

6

Collaborative Practice Agreement

-Signed by supervising physician, alternate physicians, and PhC to define scope of services allowed to be practiced by PhC
-Ranges from clinical appointments to changing/titrating doses, writing Rx, and monitoring therapies long-term
-Patient exams can include general overview, face-to-face discussions, and physical assessments of the whole body

7

PhC Process

Physical Assessment Course ==> Preceptorship ==> Protocol ==> Board Approval

8

Physical Assessment Course

-Board approved 60 hour course based on patient assessment and physical exams
-Offered to 4th year pharmacy students who have fulfilled required course work or NM Registered Pharmacists through NM Pharmacist Association
-Need passing score on standard exams through a series of OSCEs

9

Preceptorship

-With physician or practitioner with prescriptive authority to obtain 150 hours with patients, 300 patient contacts, documentation of time and patients
-Must obtain within 2 years prior to applicatino submission to the BoP

10

Protocol

-If practice site is determined or established, application to BoP must include protocol with cope with:
-Practice location(s)
-Primary supervising physician and alternates
-Policies when immediate physician will be notified
-Procedures outlining conditions to be treated, medication classes to titrate/prescribe, method of documentation, and emergency contacts
-PhC shall only perform those tasks listed on protocol
-Quality assessment process/program

11

Board Approval

-Need to submit in its entirety at least one month before next board meeting
-Once approved, PhC must register with accreditation board of supervising physician (Medical Board or Osteopathic Medical Board)

12

Renewal

-Must obtain 20 LIVE CE hours
-In addition to 30 hours (10 live) for RPh renewal