1. Pharmacy 151 Introduction to Pharmacy Law Chapter 7 State Regulation of Pharmacy Practice

2. Objectives Identify the advantages and disadvantages of government regulation of professional practice Identify the advantages and disadvantages of government regulation of professional practice Describe the purpose of the state board of pharmacy Describe the purpose of the state board of pharmacy Recognize the functions of a state board of pharmacy Recognize the functions of a state board of pharmacy Discuss the grounds for disciplinary action against a licensed pharmacist Discuss the grounds for disciplinary action against a licensed pharmacist

3. Objectives (cont’d) Describe the process through which disciplinary action is taken against a licensed pharmacist Describe the process through which disciplinary action is taken against a licensed pharmacist Describe the state regulation of institutional pharmacy practice Describe the state regulation of institutional pharmacy practice Discuss state regulation of third-party prescription programs Discuss state regulation of third-party prescription programs Describe the movement toward regulating outcomes Describe the movement toward regulating outcomes

4. Objectives of licensure To increase the quality of health care To increase the quality of health care Reduce the cost of health care Reduce the cost of health care To inhibit the criminal abuse of drugs To inhibit the criminal abuse of drugs

5. Advantages and Disadvantages

6. State Board of Pharmacy Purpose: To protect the public health, safety, and welfare National Organization: National Association of Boards of Pharmacy (NABP) Licensing Grants licenses to pharmacists and pharmacies

7. Licensing of Pharmacists Graduation from an accredited pharmacy school Graduation from an accredited pharmacy school Completion of specified internship requirements Completion of specified internship requirements Attainment of a specified age Attainment of a specified age A passing score on the licensure exams A passing score on the licensure exams Demonstration of good moral character Demonstration of good moral character

8. Licensing Pharmacies Issued if standards relating to structure are meet (e.g., equipment), library, and assurance of pharmacist supervision Issued if standards relating to structure are meet (e.g., equipment), library, and assurance of pharmacist supervision Each location must have a license Each location must have a license

9. Actions Against a License Suspension Suspension Revocation Revocation Fines Fines Letters Letters

10. Institutional Practice Some practice acts do not regulate hospital pharmacy practice Some practice acts do not regulate hospital pharmacy practice Remember medication orders of inpatients are not prescriptions Filling prescriptions for outpatients and employees requires the hospital to obtain a pharmacy license or permit Majority of long-term facilities do not have a pharmacy and obtain the residents’ medications for local pharmacies

11. Third-Party Plans Prescription programs managed by PBMs Prescription programs managed by PBMs Problems Problems Inadequate professional fees Inadequate professional fees Inadequate reimbursement of product acquisition costs Inadequate reimbursement of product acquisition costs Unequal negotiating power Unequal negotiating power Unfair audits Unfair audits Insolvent plans Insolvent plans Slow payments Slow payments

12. Outcomes Regulation Health Care Quality Measures Health Care Quality Measures Structure Structure Process Process Outcomes Outcomes