In which states can pharmacists administer Botox and/or Juvederm?

[Lexington2012]

From what I understand, a pharmacist can administer Botox and Juvederm in Virginia and South Carolina. Are there any other states that allow this?

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[rph3664]

ADMINISTER it? Are you $%^&ing kidding?

At my old job, we had a patient who got Botox and ended up spending a couple days in the ICU on a ventilator (IDK why they got the Botox). The pharmacist who was working when this person was admitted made a few phone calls, and got some antidote flown in from a city a few hours' drive away.

I don't even like pharmacists doing vaccines, let alone something like this.

 

[Lexington2012]

Are you against an expansion of practice?

Even nurses are administering botox these days.

 

[kwakster928]

We have no business in administering meds.

 

[Lexington2012]

We have no business in administering meds.

Do you feel the same way about vaccines? If you go back to messages on this board in the early 2000's you will see quite a few posts saying we have no business being immunizers.

 

[gwarm01]

Do you feel the same way about vaccines? If you go back to messages on this board in the early 2000's you will see quite a few posts saying we have no business being immunizers.

There is a world of difference between administering a vaccine compared to Botox. Vaccines are very low risk and simple to administer.

I can understand why pharmacists were apprehensive to giving vaccines before it became common. It's a profession that was not trained or expected to administer medication, and someone who had spent years in community practice would probably be very uncomfortable with the notion of giving an injection to anyone.

In general I would consider administration of medication to be outside of our scope of practice. It doesn't mean that a pharmacist couldn't be trained to do it, but what is the need? There are more than enough RNs to go around, and the expertise of a pharmacist lies in the cerebral side of medication usage. I support vaccination as an aspect of pharmacy practice due to the public health benefits. It's safe and easy to administer, and the convenience of going to your local pharmacy with ensure more people get their vaccinations. However, once you start venturing into the world of Botox I start to question why a pharmacist would be involved outside of order verification and dispensing. Maybe it's because I'm old fashioned, after all, I'm the type who would prefer to see an MD for any serious medical issues (perfectly happy with a nurse practitioner for routine problems and appreciate their willingness to accept my recommendations for my own treatment). If I were to receive Botox for any reason, I sure as hell would not accept a pharmacist administering it to me.

I'm for it-- if it creates jobs and is done well

Sent from my ONE A2005 using Tapatalk

I'm all about creating jobs and making money, but it's hard to envision a scenario where a pharmacist would be administering Botox. Maybe if laws were passed to make pharmacists mid-level medical practitioners with extended privileges due to our top-level medication knowledge. Could you imagine the outrage on the nursing side?

You know what... yes. Let's do it!

 

[isensestress]

This is absolutely crazy if true. I did a quick google search and didn't find anything?

As a person that has received botox injections for over 5 years I would NEVER let anyone just give me botox. Excessive dosing will cause drooping, not to mention it can seriously harm you if administered incorrectly. The worst experience I had was having a dentist administering botox back when I was in college and had to use groupon. The botox didn't last very long.

Secondly, we were never really trained in facial anatomy. For a pharmacist to administer botox, I would assume there will have to be extensive training and additional CEs, and IMO wouldn't be worth the time or training. Botox also doesn't last long once its opened, so I can't see a pharmacy just stocking it regularly as it is expensive. You also need specific supplies to perform the administration.

 

[kwakster928]

I can support administering Vaccines just for the public health purposes, even that I feel we are overreaching.

Any notion of expanding our scope of practice in the area of medication administration is ludicrous.

 

[Sine Cura]

In a retail setting, no. Lack of monitoring and follow-up.

In a clinic setting, why?

 

[kwakster928]

In a retail setting, no. Lack of monitoring and follow-up.

In a clinic setting, why?

Why would a hospital or a clinic pay a pharmacist and his/her salary administering medications when

1. a RN can do it much better and cheaper and trained in medication administration.
2. a CRNP/or a PA-C and easily feel this role and even they are more qualified than we would ever be.
3. Botox? Are you kidding me? Are we derm/plastic MD now?

Joke..

/thread closed.

 

[Humble Sloth]

As a person that has received botox injections for over 5 years

having a dentist administering botox back when I was in college

Grossssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssssss

 

[CynicalIntern]

Are you talking about Botox for cosmetic use? Because that's not even available for pharmacist acquisiton at a pharmacy. It's shipped directly to office. The Botox brand that is available in dermatologists office is a separate drug that is shipped directly to them.

If you're talking about the Botox that you can find in Cardinal/Amerisource/whatever that gets used for spasticity, then there is nothing stopping you from administering it once you have a valid prescription, the same way that if a patient asks you to give them a B12 injection there's no federal statute saying you can't do it (unless state laws say otherwise) - but that's not really an expansion in scope, and honestly the odds of you seeing a Botox prescription in your life is probably less than 5%

 

[TheStruggleIsReal]

Why would a hospital or a clinic pay a pharmacist and his/her salary administering medications when

1. a RN can do it much better and cheaper and trained in medication administration.
2. a CRNP/or a PA-C and easily feel this role and even they are more qualified than we would ever be.
3. Botox? Are you kidding me? Are we derm/plastic MD now?

Joke..

/thread closed.

 

[Igra]

Everyone gets nervous when scopes of practice are expanded but we adapt and move on, I know tons of pharmacists on both sides of the fence about technicians giving vaccines but like... let's be honest, giving a vaccine is ezpz lemon squeezy, it took all of like 4 hours to really train us to give vaccines

 

[RXDOC1986]

Do you feel the same way about vaccines? If you go back to messages on this board in the early 2000's you will see quite a few posts saying we have no business being immunizers.

While we are at it, how about blood transfusions, liposuction, taxidermy, tattoos. I am all in for expanding our profession.

 

[Rouelle]

Well I guess I missed this thread the first time around in 2016. But those who state that pharmacists have no business administering meds should re-read the definition of the practice of pharmacy. Pharmacists in my state have, since the inception of our state board of pharmacy, had the ability to administer medications pursuant to a valid medication order. That included administering vaccines (without a collaborative practice agreement) when presented with a prescription for that vaccine.

That said, I would not administer cosmetic Botox, recommend any pharmacist to do so, or recommend any patient to have it done by a pharmacist.

 

[Lexington2012]

Well I guess I missed this thread the first time around in 2016. But those who state that pharmacists have no business administering meds should re-read the definition of the practice of pharmacy. Pharmacists in my state have, since the inception of our state board of pharmacy, had the ability to administer medications pursuant to a valid medication order. That included administering vaccines (without a collaborative practice agreement) when presented with a prescription for that vaccine.

That said, I would not administer cosmetic Botox, recommend any pharmacist to do so, or recommend any patient to have it done by a pharmacist.

It is routinely done by pharmacists in other countries, such as the UK. They don't have doctorate degrees, either.

 

[BidingMyTime]

We have no business in administering meds.

Technically we do, when we give vaccinations. And go back 20 years or so, and there was serious talk about having hospital pharmacists directly deliver oral medicines to the patients, and even possibly plug in IV bolus meds directly to an existing IV line. I was glad that idea never went anywhere. But I can see how both of those are part of pharmacy--no different handing oral medicines to a patient in a hospital, then handing them to a retail patient.....and plugging in an IV bolus to an already existing IV line, it really is along the same line.

However, injecting botox is a a far different skill, and not at all comparable to giving a IM or SQ injection in the arm. I can't imagine a pharmacist doing this. I can't even imagine a NP doing this (although I know they do.)

 

[bbrown486]

I think this is the problem with pharmacy. Reading some of your comments it is pretty obvious you introverts are more than happy practicing in your tiny little box. The fact that some of you were against giving vaccinations is honestly appalling. Please just retire so the next generation can actually move the practice of pharmacy forward instead of confined in a state-regulated box.

 

[rph3664]

Having dealt with a patient who ended up in the ICU after getting Botox administered by a physician, I couldn't imagine a non-physician, even a PA-C or CRNA, doing this.

 

[CetiAlphaFive]

I think this is the problem with pharmacy. Reading some of your comments it is pretty obvious you introverts are more than happy practicing in your tiny little box. The fact that some of you were against giving vaccinations is honestly appalling. Please just retire so the next generation can actually move the practice of pharmacy forward instead of confined in a state-regulated box.

 

[WVUPharm2007]

I have to pay a neurologist to inject it into my wife's chin for her trigeminal neuralgia. I'd love to be able to just take her to a CVS to have it done.

 

[Chrish]

There have been horror stories of botched botox injections and fillers. Somethings should be left to a specialist.