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Revisiting the continuum of pharmacist prescriptive authority
Summary
Pharmacists across the US possess prescribing authority, categorized as dependent or independent. Independent prescribing, particularly "standard of care" models, offers expanded authority and is evolving rapidly, impacting patient care.
Area of Science:
- Pharmacy Practice
- Health Policy
- Clinical Pharmacy
Background:
- Pharmacists in all US states hold some form of prescriptive authority.
- Pharmacist prescribing models exist on a spectrum from dependent to independent.
Purpose of the Study:
- To categorize and analyze the different models of pharmacist prescriptive authority.
- To examine the evolution and implications of independent pharmacist prescribing.
Main Methods:
- Identification and categorization of pharmacist prescribing authority models.
- Analysis of state-level legislative and regulatory innovations in pharmacist prescribing.
Main Results:
- Two primary categories of pharmacist prescribing identified: dependent and independent.
- A continuum of prescribing authority exists, with independent prescribing showing recent innovation.
- At least three states have adopted "standard of care" frameworks for broad pharmacist prescribing, including diagnosis-requiring conditions.
Conclusions:
- Different models of pharmacist prescriptive authority present distinct advantages and disadvantages for patient care.
- The trend towards independent prescribing, especially "standard of care" models, represents a significant shift in pharmacy practice and patient access to care.
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