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Implementation of pharmacy access to hormonal contraception.

Lindsay E Dale, Victoria Trujillo, Alexandra Herman

Journal of the American Pharmacists Association : Japha

|October 27, 2023

Summary

Pharmacists can now prescribe hormonal contraception in many states, improving access. Key implementation steps include developing clear rules, education, and reimbursement, with billing mechanisms being most critical for success.

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Area of Science:

Public Health
Health Services Research
Pharmacy Practice

Background:

States are increasingly authorizing pharmacists to prescribe hormonal contraception to reduce access barriers.
Understanding the state-level implementation of this policy is crucial for effective rollout.

Purpose of the Study:

To identify state-level implementation steps for pharmacist prescribing of hormonal contraception.
To explore challenges and facilitators encountered during this process.

Main Methods:

Qualitative study involving interviews with 18 key stakeholders across ten states.
Analysis using directed qualitative analysis and the Consolidated Framework for Implementation Research.

Main Results:

Four key implementation steps were identified: rule development, education, reimbursement, and expansion.
Facilitators included stakeholder involvement and supportive pharmacy culture.
Challenges involved complex billing, funding, and competing priorities.

Conclusions:

Developing robust reimbursement and billing mechanisms is the most critical step for states implementing pharmacist prescribing of hormonal contraception.
Focusing on facilitators can guide states in successful implementation to enhance contraceptive access.