Comparison of pharmacy practice scope by state?

[futuredruggist]

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Does anyone know of a place to find pharmacy law compared state by state? For example, states where pharmacists can

a) prescribe under protocol with physicians,
b) provide immunizations
c) Medicare Part D reimbursement for medication consultation

In particular, I want to know the differences between pharmacy law in CA, WA, NY, and MD. Any help is appreciated.

 

[sdn1977]

I've actually been thinking about your question...but the holiday stuff is getting in the way!

I'll get back to you a bit later ok?????

 

[VanduchiPharmD]

More than likely there is not a place that has that specific info, you may actually have to crack open a few law books. Usually their law info is online and you can just search the law code for some specific phrases and it should pop right up.

 

[TotalKayOs]

i can tell you as a resident of NY that pharmacists can not do immunizations, prescribe or be reimbursement for medication consultation. of course this does not count if one is practicing in the VA system where it's considered federal and the scope of practise if wider. NY basically sucks for pharmacists. We can not run anti-coag clinics or anything. NY is a dispensing state only.

 

[sdn1977]

Does anyone know of a place to find pharmacy law compared state by state? For example, states where pharmacists can

a) prescribe under protocol with physicians,
b) provide immunizations
c) Medicare Part D reimbursement for medication consultation

In particular, I want to know the differences between pharmacy law in CA, WA, NY, and MD. Any help is appreciated.

Ok...back for a bit. I don't think you'll find comprehensive info in any one place. ASHP & APhA journals will have most of the reviews of each of the "noteworthy" states - the ones which have led the group in each area.

Prescriptive rights under collaborative practice protocols will be determined state by state - you'll have to search by states in their laws.

Immunizations will be included in these "expanded duties" collaborative practice agreements.

Medicare Part D medication management reimbursement is found under the Medicare Part D regulations & is federally mandated in all states. However, very few states have made a statewide effort to mandate or even make these programs easy to implement.

Try searching the ASHP & APhA websites as well as Medscape Pharmacists which may point you to a good review. You'll want to use the keyword "collaborative practice agreement".

In CA we are as different from the NY experience as one can get. We can & do all those things you have referred to. I don't know about MD, but I know WA is extremely progressive as well as NC (altho they are very backward about only hiring PharmD's as hospital pharmacists, but that is just a word of mouth thing - not a mandate from what I understand).

Good luck!

 

[bananaface]

for a check out go2ec.org They have a section that outlines the state of protocol potentials from state to state. I think they have some timeline stuff there too.

 

[ph4ever]

i can tell you as a resident of NY that pharmacists can not do immunizations, prescribe or be reimbursement for medication consultation. of course this does not count if one is practicing in the VA system where it's considered federal and the scope of practise if wider. NY basically sucks for pharmacists. We can not run anti-coag clinics or anything. NY is a dispensing state only.

I agree with TotalKayOs NY sucks for pharmacists. Pharmacists cannot prescribe or immunize. That is why students of our school go to Albany every year to try to persuade lawmakers to change laws for NY pharmacists.
As for reimbursement for medication consultation for Medicaid, TotalKayOs is wrong. Pharmacists in NY can get reimbursed. The schedule is the following: 45 min initial consultation - $80, additional 15 min of consultation or any follow up 15min consultation - $20. This went into the effect in April 2006. Unfortunately majority of pharmacists do not know about this. Also it is hard for me to imagine a 45 min consultation in the retail pharmacy.

 

[meg]

National Association of Boards of Pharmacy? http://www.nabp.net/