Pharmacy 151 Introduction to Pharmacy Law Chapter 7

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Pharmacy 151 Introduction to Pharmacy Law Chapter 7 State Regulation of Pharmacy Practice

Pharmacy 151 Introduction to Pharmacy Law Chapter 7 State Regulation of Pharmacy Practice

Objectives n n Identify the advantages and disadvantages of government regulation of professional practice

Objectives n n Identify the advantages and disadvantages of government regulation of professional practice Describe the purpose of the state board of pharmacy Recognize the functions of a state board of pharmacy Discuss the grounds for disciplinary action against a licensed pharmacist

Objectives (cont’d) n n Describe the process through which disciplinary action is taken against

Objectives (cont’d) n n Describe the process through which disciplinary action is taken against a licensed pharmacist Describe the state regulation of institutional pharmacy practice Discuss state regulation of third-party prescription programs Describe the movement toward regulating outcomes

Objectives of licensure n n n To increase the quality of health care Reduce

Objectives of licensure n n n To increase the quality of health care Reduce the cost of health care To inhibit the criminal abuse of drugs

Advantages and Disadvantages

Advantages and Disadvantages

State Board of Pharmacy Purpose: To protect the public health, safety, and welfare National

State Board of Pharmacy Purpose: To protect the public health, safety, and welfare National Organization: National Association of Boards of Pharmacy (NABP) Licensing Grants licenses to pharmacists and pharmacies

Licensing of Pharmacists n n n Graduation from an accredited pharmacy school Completion of

Licensing of Pharmacists n n n Graduation from an accredited pharmacy school Completion of specified internship requirements Attainment of a specified age A passing score on the licensure exams Demonstration of good moral character

Licensing Pharmacies n n Issued if standards relating to structure are meet (e. g.

Licensing Pharmacies n n Issued if standards relating to structure are meet (e. g. , equipment), library, and assurance of pharmacist supervision Each location must have a license

Actions Against a License n n Suspension Revocation Fines Letters

Actions Against a License n n Suspension Revocation Fines Letters

Institutional Practice Some practice acts do not regulate hospital pharmacy practice Remember medication orders

Institutional Practice Some practice acts do not regulate hospital pharmacy practice Remember medication orders of inpatients are not prescriptions Filling prescriptions for outpatients and employees requires the hospital to obtain a pharmacy license or permit Majority of long-term facilities do not have a pharmacy and obtain the residents’ medications for local pharmacies n

Third-Party Plans n n Prescription programs managed by PBMs Problems n n n Inadequate

Third-Party Plans n n Prescription programs managed by PBMs Problems n n n Inadequate professional fees Inadequate reimbursement of product acquisition costs Unequal negotiating power Unfair audits Insolvent plans Slow payments

Outcomes Regulation n Health Care Quality Measures Structure n Process n Outcomes n

Outcomes Regulation n Health Care Quality Measures Structure n Process n Outcomes n