Journal
ANNALS OF PHARMACOTHERAPY
Volume 52, Issue 7, Pages 700-703Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/1060028018763883
Keywords
pharmacy; scope of practice; permissionless innovation; prescriptive authority; adaptation services
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Prescription adaptation services refers to the ability of a pharmacist to autonomously adapt an existing prescription when the action is intended to optimize the therapeutic outcome. Adaptation services typically fall into 2 categories: (1) renewals and (2) changes. Renewals ensure continuity of care for patients and may be emergency renewals (typically 72 hours) or continuation-of-therapy renewals (typically 90 or more days). Changes include therapeutic substitutions or changes to quantity, formulation, route of administration, dose/interval, and completing missing information. With an appropriate framework in place, adaptation services can safely optimize medication therapy outcomes while promoting efficiencies.
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