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BRP Pharmaceuticals .pdf



Original filename: BRP Pharmaceuticals.pdf
Title: Emerging Paradigms: Physician Dispensing
Author: MMumger

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EMERGING PARADIGMS: PHYSICIAN
DISPENSING
Mark A. Munger, Pharm.D., F.C.C.P., F.A.C.C.
Professor, Pharmacotherapy
Adjunct Professor, Internal Medicine
University of Utah

NABP 110th Annual Meeting 05/20/14 Phoenix, AZ Munger MA et al. Pharmacotherapy 2014

1

PRESENTER DISCLOSURE INFORMATION
I will not discuss off-label use or investigational use in my presentation.
I have no financial relationships to disclose.
Employee of: None
Consultant for: None
Stockholder in: None
Research support from: Utah Legislature and Department of Commerce
Honoraria from: None
NABP 110th Annual Meeting 05/20/14 Phoenix, AZ Munger MA et al. Pharmacotherapy 2014

2

SELF-ASSESSMENT QUESTIONS
Physician dispensing in the United
States is:

Physicians perceive drug
dispensing as:

A. Rare

A. Reducing the drug cost to my patients

B. Practiced daily or weekly

B. Reducing the cost of healthcare

C. Commonplace across all practice
settings

C. Improving drug adherence
D. All of the above

D. Under the direction of the Board of
Pharmacy in most states
NABP 110th Annual Meeting 05/20/14 Phoenix, AZ Munger MA et al. Pharmacotherapy 2014

3

SELF-ASSESSMENT QUESTIONS
Physician perception of the highest
burden of pharmacy practice rules on
dispensing practice is:
A. Labeling the prescription bottle
B.

Keeping a medication profile system

C. Drug stock labeling and inventory
control
D. Maintaining prescription and drug
record keeping
NABP 110th Annual Meeting 05/20/14 Phoenix, AZ Munger MA et al. Pharmacotherapy 2014

4

UTAH PHYSICIAN DISPENSING LEGISLATION
2010 Legislative Session: SB 88 exempted physicians and clinics from pharmacist
and pharmacy licensure if dispensing a cosmetic drug or injectable weight loss drug.

2011 Legislative Session: SB 128 exempted prescribing practitioners from pharmacist
and pharmacy licensure if dispensing a cosmetic drug or injectable weight loss drug.
Prescribing practitioner: licensed physicians, APRNs, PA, and optometrists.

NABP 110th Annual Meeting 05/20/14 Phoenix, AZ Munger MA et al. Pharmacotherapy 2014

5

UTAH PHYSICIAN DISPENSING LEGISLATION
2012 Legislative Session: SB 161 permitted prescribing practitioners to dispense
certain oncology drugs without a license provided they meet established
requirements.
Required that prescribing practitioners qualifying for a drug dispensing exemption
relating to oncology drugs, selling contact lenses, or cosmetic or injectable weight loss
drugs notify the Division (DOPL) in writing of their intent to dispense a drug
Excluded Schedule I, II, and III drugs from the drugs that oncologists could dispense
Required the Division (DOPL) to conduct a study evaluating:
National compilation of state dispensing laws; and
Current research on non-pharmacist dispensing and patient safety
NABP 110th Annual Meeting 05/20/14 Phoenix, AZ Munger MA et al. Pharmacotherapy 2014

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RESEARCH SERIES ON HEALTHCARE
PRACTITIONER DISPENSING 2012
Mark A. Munger, Pharm.D., Michael Feehan, Ph.D., Emily Rumanek, M.A., M.B.A.,
Lynsie Ranker, B.S., Kristen Vincent, Sc.B., Scott Silverstein, Pharm.D., and Jim
Ruble, Pharm.D., J.D.
Collaborative Study Team (University of Utah Health Sciences Center and
Observant, LLC. Boston, MA.)
Funding: State of Utah Legislature and Department of Commerce Grant-in-Aid
NABP 110th Annual Meeting 05/20/14 Phoenix, AZ Munger MA et al. Pharmacotherapy 2014

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RESEARCH SERIES: THREE INDEPENDENT STUDIES
I. Healthcare Practitioner Prescribing in 50 State Statutes and Rules
A. Lexus Nexus: Academic Universe
1. Search Terms: Physician, dispens*, Practitioner
B. State Websites for Boards of Pharmacy
C. National Association Boards of Pharmacy Survey of Pharmacy Law 2012

II. Healthcare Practitioner Dispensing of Prescription and OTC Products
A. 379 healthcare practitioners completed a 15-minute online survey in September and October 2012.
B. Nurse practitioners, optometrists, oncologists, dermatologists, and plastic or reconstructive surgeons were selected due
to state of Utah statues.
C. Respondents were recruited by email from an pre-registered (“opt-in”) online panel to participate in market research
studies.

III.Consumer Perceptions of the Dispensing of Prescription and OTC Products by Healthcare
Practitioners
A. A total of 999 adult consumers in the USA completed a 15-minute online survey in October 2012.
B. All respondents had been dispensed a prescription and/or an OTC product, by a healthcare practitioner in the past 12
months.
C. Participants were recruited by email from an online panel of consumers pre-registered (“opt-in”) to participate in
market research studies

Non-Pharmacist Dispensing in the US
Allowed (44 States)
Restricted (6 States)
MA– no specific law authorizing
MT – dispensing prohibited; some exceptions
NJ – dispensing allowed; but limited to 7-day supply
NY – dispensing allowed; limited to 72 hour supply
TX – dispensing not allowed; 72 hour immediate need
UT – dispensing limited to cosmetic drugs

NABP 110th Annual Meeting 05/20/14 Phoenix, AZ
Munger MA et al. Pharmacotherapy 2014

9


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