Expanding Pharmacist Services

Here is a list of resources to help you begin implementing pharmacist care services into your practice. A summary of the services and requirements for pharmacists can be found here. Details for each of the authorized services is located below. If you need additional information please contact the CPhA Center for Advocacy at 916-779-1400.

Hormonal Contraception

All California licensed pharmacists may furnish self-administered hormonal contraceptives (the pill, patch, vaginal ring, and Depo injection) pursuant to the pharmacists performing the following:

  • Prior to engaging in this service, receives a minimum of 1 hour of continuing education in hormonal contraception. CPhA offers an approved web-based continuing education program here.
  • Follows this statewide protocol.
  • Follows all other regulations as required in CA Code of Regulations, Section 1746.1

Nicotine Replacement Therapy (Smoking Cessation)

All California licensed pharmacists may furnish prescription nicotine replacement products and devices for smoking cessation pursuant to the pharmacist performing the following:

  • Prior to engaging in this service, receives a minimum of 2 hours of continuing education in smoking cessation and nicotine replacement therapy. CPhA will be offering an approved web-based continuing education program soon in 2016!
  • Follow this statewide protocol.
  • Follows all other regulations as required in CA Code of Regulations, Section 1746.2

Naloxone Hydrochloride

All California licensed pharmacists may furnish Naloxone hydrochloride pursuant to the pharmacists performing the following:

  • Prior to engaging in this service, receives a minimum of 2 hours of continuing education in Naloxone hydrochloride. CPhA offers an approved web-based continuing education program here.
  • Follows this statewide protocol.
  • Follows all other regulations as required in CA Code of Regulations, Section 1746.3

Travel Medications

All California licensed pharmacists may furnish travel medications recommended by the CDC for conditions not requiring a diagnosis pursuant to the following:

  • Completes a minimum 10-hour certificate program focused on travel medicine. CPhA offers approved travel medicine Certificate Programs throughout the year; find the schedule here.
  • Completes the CDC Yellow Fever Vaccine course and has a current Basic Life Support certificate.
  • Follows the regulations as required in CA Code of Regulations, Section 1746.5

Immunizations

All California licensed pharmacists may now independently initiate and administer all immunizations to patients three years of age and older pursuant to the following:

  • Completes an immunization certificate program. CPhA offers approved immunization Certificate Programs throughout the year; find the schedule here.
  • Completes a minimum of 1 hour of continuing education in immunizations every two years. CPhA offers an approved immunization update program here.
  • Follows all other regulations as required in CA Code of Regulations, Section 1746.4

Ordering & Interpreting Tests

All California licensed pharmacists may order and interpret tests for the purpose of monitoring and managing the efficacy and toxicity of drug therapies pursuant to the following:

Administer Drugs and Biologics

All California licensed pharmacists may administer drugs and biologics by injection when ordered by a prescriber.

  • Expands pharmacist’s authority to administer drugs and biologics by injection (was previously limited to oral and topical), as described in CA Business & Professions Code, Section 4052.1(a)3

Access to Patient Records

As outlined throughout CA Business & Professions Code, Section 4052, all California licensed pharmacists may participate in multidisciplinary review of patient progress, including appropriate access to medical records for the services they may provide to patients or as part of a notification to another health care provider/prescriber.

Advanced Practice Pharmacist

SB 493 also created an Advanced Practice Pharmacist (APP) license category. APP pharmacists have a broader scope of practice than all California licensed pharmacists.

APP licensed pharmacists may perform the following pursuant to CA Business & Professions Code, Section 4052.6(a)1-4

  • Perform patient assessments;
  • Order and interpret all drug therapy-related tests;
  • Refer patients to other healthcare providers; and
  • Participate in the evaluation and management of diseases and health conditions in collaboration with other healthcare providers.

Additionally, APP licensed pharmacists may also initiate, adjust/modify, and discontinue drug therapy pursuant to an order by a patient’s treating prescriber and in accordance with established protocols as required in CA Business & Professions Code, Sections 4052.6(a)5 and 4052.2(a)4.

A California licensed pharmacist seeking to obtain an APP license must complete any two of the following three criteria as required in CA Business & Professions Code, Section 4052.6.

  • Earn certification in a relevant area of practice;
  • Complete a postgraduate residency program;
  • Have provided clinical services to patients for one year under a collaborative practice agreement or protocol with a physician, APP pharmacist, CDTM pharmacist, or health system.

Specific to earning a certification in a relevant area of practice, a pharmacist may meet this criteria through multiple methods, pursuant to CA Code of Regulations Section 1730.1 or Section 1730.2, which includes a certificate program in Advanced Practice Pharmacy practice.

CPhA offers approved APP Certificate Programs throughout the year; find the schedule of offerings here.