Pharmacists and Prescriptive Authority

Question 1

Prescriptive Authority

Answer 1

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

Question 2

Prescriptive Authority Requires….

Answer 2

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

Question 3

Prescribing Requirements

Answer 3

• 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

Question 4

PhC

Answer 4

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

Question 5

Scope of Practice

Answer 5

• 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)

Question 6

Collaborative Practice Agreement

Answer 6

• 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

Question 7

PhC Process

Answer 7

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

Question 8

Physical Assessment Course

Answer 8

• 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

Question 9

Preceptorship

Answer 9

• 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

Question 10

Protocol

Answer 10

• 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

Question 11

Board Approval

Answer 11

• 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)

Question 12

Renewal

Answer 12

• Must obtain 20 LIVE CE hours

- In addition to 30 hours (10 live) for RPh renewal