Pennsylvania Code › Title 49 - PROFESSIONAL AND VOCATIONAL STANDARDS › Part I - DEPARTMENT OF STATE › Subpart A - PROFESSIONAL AND OCCUPATIONAL AFFAIRS › Chapter 27 - STATE BOARD OF PHARMACY › MANAGEMENT OF DRUG THERAPY › Section 27.302 - Collaborative agreement for management of drug therapy in a non-institutional setting

Current through Register Vol. 54, No. 28, July 13, 2024
(a) Before
					 practicing the management of drug therapy in a non-institutional setting, a
					 pharmacist shall enter into a written collaborative agreement with a physician
					 authorizing the management of drug therapy for diseases or for conditions or
					 symptoms of diseases.
(b) The
					 collaborative agreement must be between a physician and a pharmacist.
(c) A pharmacist may not provide economic or
					 other incentives, inducements or benefits to a physician for the purpose of
					 entering into a collaborative agreement for the management of drug
					 therapy.
(d) A pharmacist who is
					 employed by a physician under a collaborative agreement for the purpose of
					 management of drug therapy may not engage in retail dispensing while in the
					 health care practice or within the context of employment.
(e) Participation in a collaborative
					 agreement authorizing the management of drug therapy is voluntary. A physician
					 or pharmacist is not required to participate.
(f) The collaborative agreement must contain:
(1) A statement identifying the physician
					 responsible for authorizing the management of drug therapy.
(2) A statement identifying the pharmacist
					 authorized to perform the management of drug therapy.
(3) A statement requiring that regimens for
					 the management of drug therapy be initiated by a physician for patients
					 referred to a pharmacist for management of drug therapy.
(4) A statement identifying the types of
					 decisions regarding the management of drug therapy that the pharmacist is
					 authorized to make within the physician's scope of practice and types of
					 management of drug therapy authorized.
(5) A statement identifying the terms under
					 which a pharmacist providing the management of drug therapy is permitted to:
					 adjust the drug regimen, the drug strength and the frequency of administration
					 or the route of administration; administer drugs; order laboratory tests; and
					 order and perform other diagnostic tests necessary in the management of drug
					 therapy without prior written or oral consent by the collaborating physician.
					 This paragraph does not provide prescriptive authority to a
					 pharmacist.
(6) A statement of the
					 functions and tasks the pharmacist shall follow in the course of exercising
					 management of drug therapy, including the method for documenting decisions made
					 and a plan for communication or feedback to the authorizing physician
					 concerning specific decisions made. Documentation of each intervention shall
					 occur as soon as practicable, but no later than 72 hours after the
					 intervention, and be recorded in the pharmacist's records.
(7) A statement that requires notification to
					 the authorizing physician of changes in dose, duration or frequency of
					 medication prescribed as soon as practicable but no longer than 72 hours after
					 the change.
(8) A provision for
					 implementation of the collaborative agreement when a physician or pharmacist
					 who is a party to the agreement is temporarily unavailable to participate in
					 its implementation.
(9) A provision
					 for notification of the role of the pharmacist by a physician to each referred
					 patient the management of whose drug therapy may be affected by the
					 collaborative agreement and providing an opportunity for the patient to refuse
					 management of drug therapy by a pharmacist.
(10) The signatures of the physicians and
					 pharmacists who are entering into the collaborative agreement and the dates
					 signed.
(11) A statement allowing
					 for the termination of the collaborative agreement at the request of a party to
					 it at any time.