1. Didactic Series
Role of Community Pharmacists in Getting to Zero Campaigns
Kirsten Balano, PharmD, AAHIVP
University of California, San Francisco
July 26, 2018

2. Learning Objectives
Identify where on HIV Care Cascade pharmacists can play a role.
Describe expanding roles of community pharmacists in health prevention.
Counsel patients on how best to choose community pharmacy services.

3. Poll Question
Think about the last time you used a community pharmacy – what was the main reason you chose the pharmacy you did?
Location
Hours
Expertise of Pharmacist
Non-judgmental approach of pharmacy staff
Other reason

5. HIV Care Continuum

7. Chat pod discussion
In the Chat Pod, type some of the other services you have seen provided at a community pharmacy other than dispensing prescriptions.

11. Prevention in Pharmacies

12. HIV PrEP Services in Pharmacies
One-stop shop
Standing order for medications, HIV testing, labs, STI and pregnancy testing
Training of staff for testing
Phlebotomy
On-going monitoring and support
Adherence monitoring
HIV and STI lab ordering
Insurance and PAP know-how

14. Linkage and Retention to Care

15. Pharmacy coordination project
2017: 4 HIV ACCESS primary care sites serving 860 patients in Alameda County, CA
Communication process with single points of contact
Tracked missed refills & expedited dispensing
Viral load suppression rates increased
from 86% in Dec to 91% in Dec. 2017
Image: PIxaBay CC0 license

18. Treatment as Prevention

19. 340B Pharmacy Contracts
Allow discounted acquisition cost of meds for uninsured patients.
Significant source of revenue for covered entities (i.e. FQHC, Ryan White Clinics)
Revenue used to support safe and effective medication use and access
Compliance issues are critical and complicated

21. 2017 California ADAP Pharmacy Survey (n=57)
23% have staff trained to furnish OCP
34% have staff trained to furnish naloxone
59% have HIV specialty pharmacist on staff
20% dispense naloxone without a prescription
42% offer immunization services
71% dispensed PrEP
53% furnish Non-Prescription Syringes
84% offer MTM services

22. What will it take?

23. Poll Question How do you usually ask patients about their pharmacy?
Where do you want your prescription sent?
Tell me about your satisfaction with your current pharmacy?
What services does your pharmacy offer?
I make recommendations for what pharmacy is best for people living with HIV.
I have never discussed pharmacy with patients.

24. Considerations in Choosing Community Pharmacy
Convenience: Hours, Location
Services: Delivery, Languages spoken, text reminders, automatic refills, mediset/blister pack packaging.
Expertise: HIV experience, counseling services/area, Prior Authorizations/TAR
Communication: Single point of contact accessible for linkage & retention in care.