Pharmacists to Prescribe?

Someone asked me if I thought pharmacists would be allowed to prescribe medication to patients. I’m not familiar with any legislation on this topic (although there well might be some).

My opinion is that the better model is that physicians are responsible for diagnosing and basically writing a prescription for the type of drug (e.g., statin). I think the pharmacist is in the best position to talk with the patient about which drug within that category they should use looking at drug-drug interactions, form of the medication, formulary status, costs, side-effects, and other things that usually result in a follow-up call to the physician. Given that 40% of scripts written today hit some type of edit as an exception, I can’t imagine pushing that responsibility to the physician.

One of the most creative scripts I saw at Express Scripts around this was a physician that had just written all the PPIs (e.g., Prilosec, Nexium, Protonix) on the script and said pick one. I don’t know if it was legal, but I thought it made the point that they didn’t want the call back.

No comments yet... Be the first to leave a reply!

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out /  Change )

Google photo

You are commenting using your Google account. Log Out /  Change )

Twitter picture

You are commenting using your Twitter account. Log Out /  Change )

Facebook photo

You are commenting using your Facebook account. Log Out /  Change )

Connecting to %s

%d bloggers like this: