फार्मासिस्ट जो प्रैक्टिस कर रहे हैँ या करना चाहते हैँ जाने कुछ रुल जो ppr 2015 का गजट फार्मेसी कौंसिल ऑफ इंडिया से जारी होने के बाद प्रभावी हो गए ह
Drug can dispence by pharmacists supervision/ presence so there no problems create for pharmacists . But all medicine bill should be signed & inspected by pharmacists.
Pharmacists can diagnose disease, treatment ,priscriber medicine ,drug councilling of patient ,stock & dispense medicine ,
सच्चाई यही है
फार्मासिस्ट रोगी की सेवा के लिए कुछ भी कर सकता है परिस्थिति अनुसार यूज करेँ अपने अधिकार फार्मासिस्ट
PHARMA CLINICS are Community Health Care setups outside the hospitals and medical homes, where qualified and registered / licensed Pharmacists providesClinical Pharmacy services to the patients on their individual consultations.
- Online (Computer Based Online Examination)
- Offline (Pen & Paper Based Examination)
www.clinicalpharmacy.in/pharma-clini
Pharmacists cannot open clinics to diagnose disease & prescribe medicine; clarifies PCI |
| Swati Rana, Mumbai Wednesday, October 21, 2015, 08:00 Hrs [IST] |
Clearing the doubts on pharmacists can open pharma clinics to treat common disease and prescribe medicine, Pharmacy Council of India (PCI) has recently notified that the pharmacists cannot open clinics to diagnose the disease and prescribe the medicines. PCI has clarified that there is no provision in the Pharmacy Practice Regulations (PPR), 2015 which allows the pharmacists to practice medicine. Under the said Regulations, the registered pharmacist is required to dispense medicines on the prescription of a registered medical practitioner and can counsel the patient or care giver on medicine to enhance or optimise drug therapy. The elements of patient counselling includes, name and description of the drugs;the dosage form, dose, route of administration, and duration of drug therapy; intended use of the drug and expected action; special directions and precautions for the drug; common severe side effects or adverse effects or interactions and therapeutic contraindications that may be encountered, including their avoidance, and the action required if they occur; techniques for self monitoring drug therapy; proper storage of the drugs; prescription refill information; action to be taken in the event of a missed dose and to ensure rational use of drugs. Dr. B Suresh, president of PCI informed that there are few groups of pharmacists who are claiming that they are doctors and there are various messages being circulated on social media, e-mails, WhatsApp etc. that pharmacists are empowered under PPR, 2015 to open pharma clinics to diagnose the disease and prescribe medicines. We would like to clarify that there are no such provision under PPR, 2015 which allows pharmacists to diagnose and prescribe medicine. PPR, 2015 only allows the pharmacists to practice pharmacy and not medicine, they can counsel the patient or care giver and dispense medicines on the prescription of a registered medical practitioner but cannot prescribe medicines to the patients He further adds, “Under no circumstances, the registered pharmacist is empowered under the Pharmacy Act, 1948 and PPR, 2015 to practice medicines or open clinics to provide medical care.” BUT, My query is : Can a registered pharmacist and pharmacotherapist (PHARM D) approved with Clinical Pharmacy Council give PHARMA CARE in his PHARMACY? Services like prior authorization and refill authorization for prescription drugs is permitted?
The short answer is **no, retail or community pharmacists (including PharmD graduates) cannot independently authorize refills or prior authorizations on their own.** However, the complete answer depends heavily on the **setting** they work in and the legal agreements they have with physicians. The role of a PharmD differs significantly across these two processes: ## 1. Refill Authorization A refill authorization means extending a prescription that has run out of refills or expired. * **Standard Retail Setting:** If a patient is out of refills, a retail PharmD **cannot** simply grant a new refill. Legally, they must send a refill request to the original prescriber (MD, DO, NP, PA) and wait for their approval. * **Collaborative Practice Agreements (CPAs):** In many countries (like the US, Canada, and increasingly in clinical settings globally), PharmD graduates working under a formal CPA or "delegated authority" with a physician **can** manage and authorize refills independently for chronic medications (like blood pressure or diabetes drugs) after reviewing the patient's recent lab results and health status. * **Emergency Fills:** Most regions allow pharmacists to grant a small "emergency supply" (usually 3 to 7 days) of maintenance medication if the doctor cannot be reached, to prevent the patient from missing doses. ## 2. Prior Authorization (PA) A prior authorization is an insurance company's requirement that a doctor justify why a specific, usually expensive medication is medically necessary before the insurance will agree to pay for it. * **Initiating the PA:** A retail pharmacist is usually the person who *discovers* the PA is needed (when the insurance claim rejects at the register). The pharmacist cannot complete or approve the PA themselves; they must forward the rejection to the doctor's office, as the insurance company requires clinical notes and diagnoses directly from the prescriber. * **PharmDs Working for Insurance/PBMs:** Many PharmD graduates work directly *for* health insurance companies or Pharmacy Benefit Managers (PBMs). In these roles, their exact job **is** to review, approve, or deny prior authorization requests submitted by physicians based on clinical guidelines. * **PharmDs in Clinical/Hospital Clinics:** PharmDs working directly within a doctor's office or clinic often handle the entire PA paperwork process on behalf of the physician, gathering clinical data to ensure it gets approved quickly. ## Summary of the PharmD Role | Task | Standard Retail PharmD | Clinical PharmD (Under CPA) | Managed Care PharmD (Insurance) | |---|---|---|---| | **Refill Authorization** | **No** (Must request from doctor) | **Yes** (For specific managed conditions) | **No** (Not applicable to role) | | **Prior Authorization** | **No** (Can only flag it and send to doctor) | **Yes** (Can submit clinical documentation) | **Yes** (They are the ones who approve/deny it) | A new development may occur: |


