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So far Michael Angeloni has created 903 blog entries.

Tennessee

The Department of Mental Health and Substance Abuse Services issued a final rule to repeal and readopt regulations under RRT 0940-06-01 to update standards on controlled substances. The rule includes the schedules of controlled substances and lists of certain non-narcotic substances, chemical preparations, prescription products, anabolic steroids, and cannabis products that are excluded from the schedules. The rule is effective on December 30, 2020.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-10-23T10:06:37-04:00October 23, 2020|Tennessee|

Texas

State Senator Dr. Dawn Buckingham (R) toured an HEB pharmacy in her district this week where she observed first-hand why the pharmacy technician ratio needs to be increased and witnessed how pharmacies are stepping up to fill gaps in health care by administering more immunizations. Dr. Buckingham expressed appreciation for NACDS’ support for her reelection campaign.

Also in Texas. The Health and Human Services Commission Department of State Health Care Services (DSHS) issued detailed guidance on how to become a COVD-19 Vaccinator in Texas. Pharmacists can register by visiting the following website. https://enrolltexasiz.dshs.texas.gov/eregister1.asp

Lastly in Texas.  On Tuesday, November 3, 2020, at 9 am CST, the Board of Pharmacy will meet virtually to discuss the final adoption of proposed rules expanding pharmacy technician duties and increasing ratios. Please visit the links below for the agenda, live stream, and for information on how to provide oral comments during the meeting for which pre-registration must be completed by 5 pm CST October 31, 2020.

For more information, contact NACDS’ Mary Staples at 817-442-1155.

2023-10-10T09:03:32-04:00October 23, 2020|Texas|

Wisconsin

In response to the potential expiration of several pharmacy efficiency executive orders that are set to expire on October 29, 2020, NACDS submitted comments to the Pharmacy Examining Board (PEB) in advance of its October 22 meeting urging the PEB to make several business efficiency waivers permanent rather than letting them expire. NACDS’ letter to the PEB can be found here.

Also in Wisconsin, the Department of Health Services is proposing to amend its SeniorCare waiver to include coverage of certain vaccinations. NACDS will support the proposal and encourages member companies operating in Wisconsin to submit similar support by the DHS deadline of November 2, 2020.

For more information, contact NACDS’ Joel Kurzman at 847-905-0555.

2020-10-23T10:03:29-04:00October 23, 2020|Wisconsin|

Alabama

The Department of Public Health issued a final rule amending regulations under AAC 420-7-2 to add tianeptine to the Schedule II list of controlled substances. The rule also removes Epidiolex® from the list of Schedule V controlled substances. The Department also issued a notice announcing the addition of the seizure medication Cenobamate to Schedule V of the Controlled Substances List attached to regulations under AAC 420-7-2.

Also in Alabama. The Board of Medical Examiners has issued a proposed rule adopting regulations under AAC 540-X-26 to establish requirements for collaborative pharmacy practice. The rule would set forth requirements for the collaborative drug therapy management agreement, eligibility, limitations, physician standards, reporting, and renewal. A hearing is scheduled for November 2, 2020, in Montgomery. The final date for written comments to the state is November 4, 2020.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-10-16T09:25:32-04:00October 16, 2020|Alabama|

California

Concerned about confidentiality of the Maximum Allowable Ingredient Cost (MAIC) data collected on the quarterly surveys, NACDS and the California Retailers Association (CRA) sought reassurances from the Department of Health Care Services (DHCS) that all survey data will be kept confidential. DHCS provided the below response and requested that the following statement be shared with members.

All invoice information collected through this survey and subsequent surveys will remain confidential. Access to information collected is limited to Mercer employees working on the MAIC program. Mercer will not release or otherwise make public any information that names and/or discloses the business, financial, personnel, or other information provided by pharmacies in the course of completing this survey and subsequent surveys. Mercer will perform the following steps to secure the confidentiality of the information before sharing with either Magellan or DHCS:

  1. Mercer will store and evaluate all invoice information collected on a secure network path, where only Mercer employees working on the MAIC program will be able to access the information.
  2. Mercer will supply to Magellan the results of the statistical analysis, the MAIC rate for each drug grouping level (e.g. aripiprazole 10mg tablet) for Medi-Cal pharmacy claim processing. Mercer will not share survey data with Magellan outside of the MAIC rates calculated.

Also in California. On October 22, 2020, the Board of Pharmacy’s Licensing Committee will hold a virtual meeting that will focus primarily on pharmacy technician immunization administration and expanding the authority for pharmacists to order and administer CLIA-waived tests. NACDS and the California Retailers Association (CRA) submitted a joint letter in advance. Meeting materials can be found here. Members can also log on to the state website for observation and public comments.

Also in California. To encourage greater access to Medication-Assisted Treatment (MAT), the Board adopted a policy statement supporting pharmacists providing direct care and assisting medical providers in caring for patients with opioid addiction. The Board also developed a sample collaborative practice agreement for pharmacists to provide MAT to patients with opioid use disorder (OUD) in collaboration with a medical care provider. According to the Board, pharmacists can use the sample agreement to provide MAT in collaboration with a practitioner who has a DATA 2000 waiver authorizing the practitioner to prescribe medications used to wean patients from opioids.

Also in California. In an effort to prepare for the 2021 legislative session in priority states, NACDS held two separate conference calls with our in-state partners, the California Retailers Association (CRA) and the California Pharmacists Association (CPhA), to discuss NACDS’ policy priorities, identified by member surveys, for both the Reimbursement and Scope of Business Campaigns. Both CRA and CPhA expressed support for working with NACDS to achieve improved reimbursement policies for pharmacies operating in the state and expressed interest in learning more about our scope expansion ideas and business efficiencies. NACDS will continue collaborating with both partners as we move into the 2021 legislative session.

Lastly in California. The Division of Workers’ Compensation (DWC) scheduled its next public meeting of the Pharmacy and Therapeutics (P&T) Committee on October 21, 2020, at 12:30 PM via video/audio conference. The primary focus of this meeting will be to discuss the Medical Treatment Utilization Schedule (MTUS) drug formulary. Members can register for this meeting here. The meeting agenda and related materials can be found on the DWC P&T Committee webpage.

For more information, contact NACDS’ Mary Staples at 817-442-1155.

2020-10-16T09:24:17-04:00October 16, 2020|California|

Florida

The Board of Pharmacy issued a notice announcing Emergency Order DOH No. 20-014 that allows licensed pharmacists and registered pharmacy interns to order and administer vaccinations approved by the FDA and in accordance with the Centers for Disease Control and Prevention’s Advisory Committee on Immunization Practices (ACIP) immunization schedules to adults and children under 18 years, in response to the coronavirus (COVID-19) outbreak. The order also specifies that pharmacists are required to report all patient vaccination details to Florida SHOTS.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-10-16T09:21:48-04:00October 16, 2020|Florida|

Louisiana

Despite efforts by NACDS, the Louisiana Alliance of Retail Pharmacy (LARP), chain pharmacy lobbyists, and quick responses from  our Louisiana pharmacists via  the RxIMPACT Alerts, SB 51 failed to garner 20 votes after it was amended on the Senate floor to apply only to COVID vaccines. SB 51, sponsored by Senator Regina Ashford Barrow (D), would have lowered the age for pharmacists to provide childhood vaccinations without prescription order to 3 and order. NACDS will continue to work on this issue in the upcoming legislative session in efforts to align with the authority granted under the HHS PREP Act declaration.

Also in Louisiana. SB 63, also sponsored by Sen. Barrow, encountered strong opposition from the medical community at the Senate Health and Welfare Committee. SB 63 would have allowed pharmacies that do screenings using CLIA-waived tests to provide treatment based on positive test results. The bill would have provided treatment or therapy for HIV, which includes an HIV Pre-Exposure Prophylaxis, also known as PrEP, or an HIV Post-Exposure Prophylaxis, also known as PEP. Due to such strong opposition, the bill was pulled, and discussions focused on convening a study committee to work out differences in the interim.

Also in Louisiana. The Board of Pharmacy announced changes to several proposed rules. A public hearing will be held and comments on the following rules are due by October 26, 2020.

  1. Notice – a proposed rule that would amend regulations under LAC 46:LIII, Chapter 12, to revise automated medication system registration eligibility criteria and add detention and correctional facilities operated by state or local governments as locations. The rule also would revise credentialing procedures, modify pharmacist-in-charge responsibilities, and require the retrospective review of medications removed from a non-profile driven system. In addition, the rule would adopt documentation requirements. The changes will also revise the requirements for stocking and restocking and specify that a pharmacy with an automated medication system on-site does not need to register the system. A hearing is scheduled for October 26, 2020, in Baton Rouge.
  2. Notice – a proposed rule that would amend regulations under LAC 46:LIII, Chapter 29, to add several drugs to the definition of “drugs of concern.” The rule also would add recordkeeping requirements for prescription transactions and revise provisions on authorized access privileges, access registration procedures, and methods of access. In addition, the rule would extend the automatic registration procedures to include dispensers. The changes would also remove seven of nine drugs originally proposed and retain the drugs promethazine when present in oral liquid formulations and gabapentin.

For more information, contact NACDS’ Mary Staples at 817-442-1155.

2020-10-16T09:20:14-04:00October 16, 2020|Louisiana|

Mississippi

The Division of Medicaid posted a final rule that would amend regulations under Title 23, Part 214, Chapter 2, to update the participation and enrollment requirement for pharmacists providing disease management services. The file rule is effective on November 1, 2020.

For more information, contact NACDS’ Leigh Knotts at 803-243-7207.

2020-10-16T09:17:10-04:00October 16, 2020|Mississippi|

NABP/AACP

On October 13 NACDS participated in the NABP/AACP virtual District 6, 7, & 8 meeting, which included participants from Alaska, Arizona, Arkansas, California, Colorado, Hawaii, Idaho, Kansas, Louisiana, Missouri, Montana, Nevada, New Mexico, Oklahoma, Oregon, Texas, Utah, Washington, and Wyoming. Of note, the meeting heard resolutions from Districts 6 & District 7. District 6 requested NABP to convene a “Workplace Safety and Well-Being Task Force” to develop suggested guidelines and objective tools that may be used by Boards of Pharmacy in their “oversight endeavors.” District 7 requested NABP to establish a Task Force to encourage and support member boards to transition to a “just culture” regulatory approach to errors through a systematic approach. Lastly, NABP recommended the Executive Committee to convene a committee to inventory all waivered provisions enacted during the public health emergency and advise which waivers could safely remain in effect and be incorporated into the NABP Model Act and Rules.

2020-10-16T09:30:59-04:00October 16, 2020|NABP/AACP|
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