MPA | Pharmacy News

It is clear that Pharmacists and pharmacy technicians (and other pharmacy personnel) fall under the healthcare workers portion of the Executive Order and are allowed to continue work in pharmacies and health-systems. MPA leadership and staff thanks each of you for what you are doing in your communities. Your efforts are critical in making sure that the health system is able to treat patients impacted by COVID-19 and those who have health care needs that were in place before the COVID-19 outbreak.

Since the emergency began, MPA has been receiving a variety of emails asking for clarification of different aspects of pharmacy practice or recommendations of what the State should do. In fact, one of MPA’s staff pharmacists has been reporting daily to the State Community Health Emergency Coordination Center as a resource to the state on pharmacy issues. MPA has also created the COVID-19 webpage to provide information that you can use in your practice.

Last week MPA reached out to the Governor with specific requests and followed-up again today with the Governor’s office. The following items were submitted to the Governor’s office and we are awaiting a response:

  1. Pharmacists in any county of the State of Michigan may dispense emergency refills (up to a sixty (60) day supply) of any non-controlled medication for residents of any county of Michigan.
  2. Pharmacists may temporarily operate a pharmacy in an area not designated on the pharmacy license.
  3. Pharmacists may dispense and administer drugs as needed to treat COVID-19 pursuant to protocols established by the Centers for Disease Control and Prevention (CDC) or the National Institute of Health (NIH) or determined to be appropriate by the MDHHS Chief Medical Officer or her designee to respond to the circumstances causing the emergency. The MDHHS CMO or the pharmacist will be listed as the prescriber.
  4. To preserve scarce hospital and acute setting resources, expand patient access to care through establishing a statewide collaborative practice agreement (CPA) with the Chief Medical Executive allowing pharmacists to provide point of care testing (POCT) to differentiate influenza, Strep or other infections from COVID-19. For those testing positive to influenza or Strep, to initiate treatment directed by the CPA.
  5.  Effective immediately, providers must certify on any new outpatient prescription related to the treatment of COVID-19 an appropriate indication. Providers who inappropriately prescribe hydroxychloroquine or other medications that are deemed effective to treat COVID-19 may face disciplinary sanctions. Community pharmacies should not honor prescriptions written after March 23, 2020 that do not have an appropriate indication noted on the prescription. It is within the pharmacist’s scope of practice to question and/or deny prescriptions they suspect are written for COVID-19 prophylaxis or for “just in case” reasons.

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