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Pharmacy-Based Travel Health Services: State Approaches to Prescriptive Authority
Alex J Adams1, Allison Dering-Anderson2
1Idaho State Board of Pharmacy, Meridian, ID, USA.
Summary
Pharmacists are increasingly authorized to prescribe travel medications autonomously. This review examines state laws enabling pharmacists to prescribe for international and domestic travel, focusing on key regulatory elements.
Area of Science:
- Pharmacy Practice
- Travel Medicine
- Public Health Policy
Background:
- Pharmacists have a long history of providing travel health services.
- The scope of pharmacist practice is expanding to include autonomous prescribing of travel medications.
- Recent legislative changes in several US states reflect this growing trend.
Purpose of the Study:
- To review and analyze state laws that permit pharmacists to autonomously prescribe travel medications.
- To identify core elements within these laws, such as educational requirements, patient assessment protocols, provider notification procedures, and documentation standards.
- To understand the evolving role of pharmacists in ensuring traveler health and preventing travel-related illnesses.
Main Methods:
- A comprehensive review of state statutes and regulations pertaining to pharmacist prescribing for travel health.
- Analysis of laws in California, Idaho, and New Mexico for international travel prescribing.
- Examination of specific provisions in Idaho and Florida for domestic travel prescribing (e.g., motion sickness, Lyme disease prophylaxis).
Main Results:
- Three states (California, Idaho, New Mexico) permit autonomous prescribing for international travel, guided by CDC recommendations.
- Idaho and Florida have specific provisions for pharmacists to prescribe medications for domestic travel needs.
- Key legal components across these states include mandatory education, patient assessment, provider notification, and detailed documentation requirements.
Conclusions:
- State laws are evolving to grant pharmacists greater autonomy in prescribing travel medications.
- Standardized core elements in these laws aim to ensure safe and effective patient care.
- Pharmacists are positioned to play a more significant role in comprehensive travel health management.
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