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Board of Pharmacy Updates

Tuesday, October 17, 2017   (0 Comments)
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Updates from Recent of Pharmacy Meetings

At the August and October Board of Pharmacy meetings, the Board has been working on some new rules that will be holding their final hearing at the December 12-13 meeting. After a much debated discussion at the rules subcommittee of the Board, the committee made a recommendation to modify 64B16-27.410 -  Registered Pharmacy Technician to Pharmacist Ratio to add a new subsection 7 that describes that an Eight to One ( 8:1 ) Ratio could be utilized in a pharmacy that operates a limited duties call center in a physically separate area of the pharmacy at which medicinal drugs are neither stored or dispensed and those technicians have duties that are limited to those described in the new subsection. The original discussion at the rules committee was submitted as a 10:1 ratio but was compromised to the 8:1 ratio. There was additional language added to the rule for the 3:1 ratio that includes not only language about sterile compounding for 3:1 but also includes tasks related to prescription data entry in sterile compounding to be included in the 3:1 ratio.   

There was also much discussion about trying to update 64B16-27.830 - Standards of Practice Drug Therapy Management. This rule, which has been around for over 17 years, has language that allows a pharmacist to work collaboratively with a physician to provide drug therapy management through a Prescriber Care Plan. However, the rule is very specific and has been vague as to the interpretation of doing drug therapy management for a group of patients under a collaborative agreement from a physician. This rule was also discussed during the Rules Committee meeting on Monday, October 2nd, in discussion of making modifications/updates to this rule, it was felt that making changes through the rulemaking process would be more challenging than pursuing changes through legislation. During the Rules Committee there were further discussions of differences between collaborative practice agreements vs. statewide protocols vs. pharmacist prescriptive authority. Statewide protocols, i.e. naloxone, can be useful for public health related needs while collaborative practice agreements may be used for specific disease states or patient populations.  Florida currently allows for pharmacist prescriptive authority for a narrow formulary of medications and discussion was to potentially expand this list. (64B16-27220-Medicinal Drugs Which May Be Ordered By Pharmacists)  


During Hurricane Irma, it was shown that there could be additional improvements in providing emergency pharmacy services during this time of an emergency. Certain examples, such as how to provide for a temporary mobile pharmacy when power is out or how to allow certain out of state pharmacists to come into our state in an emergency to practice, was discussed. It was suggested to bring these additional questions to the attention of the Board of Pharmacy’s Executive Director, C. Erica White or the Board of Pharmacy General Counsel, David Flynn, so they may be brought up to the Governor’s office as to help remove obstacles for providing care during and after a hurricane.      


There will be a Multidisciplinary Work Group to be held on November 3rd at the Rosen Plaza Hotel in Orlando being coordinated by the Department of Health that will review current information on the opioid epidemic and to identify multidisciplinary strategies to address the epidemic. The Board of Pharmacy will be represented at this meeting and will be bringing recommendations to the meeting that has been discussed at the October Board of Pharmacy Controlled Substance Sub Committee. There has been a recommendation to add additional language to 64B16-27.831 Standards of Practice for Filling of Controlled Substances Prescriptions regarding limitations on quantity of opioids prescriptions as well as adding additional mandatory CE requirements for both prescribers and pharmacists.   


Another interesting discussion was held at the Board of Pharmacy Legislative Subcommittee where a proposal to have a new remote dispensing site pharmacy permit that would allow a pharmacy to be staffed by a registered pharmacy technician and supervised by an offsite Florida registered pharmacist through electronic supervision. This rule is being developed due to underserved areas not being able to provide access to pharmaceutical services. There also has been recent presentations to the Board of Pharmacy where the pharmaceutical industry would like to be able to place an automated kiosk in appropriate places to provide pharmaceutical services with electronic supervision by a Florida registered pharmacist offsite.  


At the October Board Meeting was the first Board meeting for the newest Board of Pharmacy member as appointed by Governor Scott, Blanca Rivera from Miami. Blanca currently works as the Executive Director of Pharmacy for the University of Miami Health Systems. We welcome another health system pharmacist to the Board of Pharmacy.    


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