State Boards of Pharmacy: Your Information Resource Presenter name

State Boards of Pharmacy: Your Information Resource Presenter name and title

What Is NABP? The National Association of Boards of Pharmacy (NABP ) supports its member boards of pharmacy to protect public health Founded in 1904, NABP aims to ensure the public’s health and safety through: Pharmacist license transfer and competence assessment programs Digital Pharmacy, Drug Distributor, and DMEPOS accreditation programs

What Is NABP? NABP Mission Statement NABP’s member boards of pharmacy are grouped into eight districts 50 United States, the District of Columbia, Guam, Puerto Rico, the US Virgin Islands, the Bahamas, and all 10 Canadian provinces NABP is the independent, international, and impartial association that assists its member boards and jurisdictions for the purpose of protecting the public health. NABP is governed by its Executive Committee Officers and members elected during Annual Meeting

What is NABP? Vision Statement NABP Mission Statement NABP is the independent, international, and impartial association that assists its member boards and jurisdictions for the purpose of protecting the public health. Innovating and collaborating today for a safer public health tomorrow.

Boards of Pharmacy What Do They Do? “Board of Pharmacy” or “Board” means the governmental regulatory body empowered to regulate pharmaceutical practices including granting and disciplining licenses of individuals and companies. The boards of pharmacy protect the public health by enforcing legal standards established for pharmacy practice. This pledge to uphold health and safety regulations is the basis for all board pursuits. The Model State Pharmacy Act and Model Rules of the National Association of Boards of Pharmacy (Model Act) at https://nabp.pharmacy/publicationsreports/resource-documents/model-pharmacy-act-rules

Boards of Pharmacy Board Staff Executive director and associate executive director Compliance officers ̶ Average number 7 o High 55! (CA) o Low 1 (AK, DE, GU, ME, RI, WI) Legal/general counsel Various administrative support staff NABP 2020 Survey of Pharmacy Law

Board Educational Functions For Pharmacists and Pharmacy Technicians Boards provide information regarding: ̶ Process for initial and renewal of licensure ̶ New laws and rules ̶ Continuing pharmacy education ̶ Emergency preparedness

Board Educational Functions For Patients Boards provide information regarding: ̶ The services pharmacists and pharmacies are required to provide ̶ Procedures to comment on issues of concern ̶ Filing a complaint ̶ Verifying current licensure ̶ Board meeting agendas

Boards addressing the opioid epidemic

The Opioid Epidemic by the Numbers US Department of Health and Human Services, at https://www.hhs.gov/op ioids/about-theepidemic/index.html, current as of October 2019

Deaths per 100,000 population Overdose Death Rates Involving Opioids, by Type, US, 2000-2017

Boards Addressing the Opioid Epidemic Many States Require PMP Review Prescription Monitoring Programs (PMPs) Statewide electronic databases that collect and distribute data about the prescribing and dispensing of federally controlled substances and other drugs of concern as designated by the individual states/boards. At least 26 states require a PMP review prior to prescribing or dispensing certain controlled substances. NABP 2020 Survey of Pharmacy Law

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Boards Addressing the Opioid Epidemic Most States Have Joined InterConnect NABP PMP InterConnect facilitates the transfer of PMP data across state lines. Allows participating state PMPs across the US to be linked Provides a more effective means of combating drug diversion and drug abuse nationwide At least 47 state PMPs are currently live on PMP InterConnect. Over 254 million transactions per month are happening now. pmpinterconnect.com

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Boards Addressing the Opioid Epidemic The South Dakota Board of Pharmacy served on the Prescription Opioid Abuse Advisory Committee to review opioid use data for the state and to develop strategies for preventing prescription opioid misuse and abuse. The project resulted in the “Avoid Opioid” public education campaign and the avoidopioidsd.com website.

Boards Addressing the Opioid Epidemic Naloxone Availability Saves Lives Naloxone Medication that rapidly reverses an opioid overdose Opioid antagonist – binds to opioid receptors and can reverse and block effects of opioids Quickly restores normal respiration when breathing has slowed or stopped due to overdosing with heroin or prescription opioid pain medications Increasing access to naloxone to patients at risk of overdose can help reduce opioid overdoses and deaths.

State Laws Increase Access to Naloxone via Pharmacies Many states have laws allowing pharmacists to dispense naloxone without a prescription. While naloxone dispensing has increased in recent years, not everyone who may need naloxone receives it. Prescribing and dispensing vary widely across the US despite consistent state laws and recommendations. Dispensing naloxone in areas hardest hit by the opioid overdose epidemic can increase overdose reversals and help to link overdose survivors into treatment. Source: Centers for Disease Control and Prevention

State Laws Increase Access to Naloxone via Pharmacies Three Formulations of Naloxone Are Available: Injectable (commonly used by paramedics, emergency room doctors, and other specially trained first responders) Autoinjectable (EVZIO is a prefilled device that makes it easy for families or emergency personnel to inject naloxone quickly into the outer thigh) Prepackaged nasal spray (NARCAN Nasal Spray is a prefilled, needle-free device and is sprayed into one nostril while patients lie on their back. National Institute on Drug Abuse Partnership for Drug-Free Kids

Board Action With Naloxone

Board Action With Naloxone The Arkansas State Board of Pharmacy naloxone protocol allows pharmacists to initiate a prescription for naloxone for any at-risk patient or his or her family member, friend, or other person who is in a position to assist that patient. Also includes first responders, teachers and school nurses.

Board Action With Naloxone This is the actual Arkansas Naloxone Protocol developed from the legislation

Boards Addressing the Opioid Epidemic A Parent’s Perspective: Joe Adams Developed by the North Carolina Board of Pharmacy https://youtu.be/VwuMXrFA-hk

Board Action With Naloxone In Ohio, a pharmacist or pharmacy intern under the direct supervision of a pharmacist is authorized to dispense naloxone without a prescription.

Board Action With Naloxone Oregon passed legislation that allows pharmacists to prescribe naloxone. Here is the explanatory page from the board’s website.

Boards Addressing the Opioid Epidemic Red Flags Video 34 boards taped introductions Developed in collaboration with the Anti-Diversion Industry Working Group https://www.youtube.com/watch?v XRbnnbqdKz4&feature youtu.be

Proper drug disposal and take-back programs

Boards Addressing the Opioid Epidemic by Fostering Reduced Access Educating consumers about: Proper drug disposal Drug take-back programs

Boards Educating Patients About Proper Drug Disposal The California State Board of Pharmacy website provides this search tool to help patients find a drug take-back service near them.

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