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APhA Policy Manual

2015

Browse policies organized by category. Select a category to view the related policy statements.

15 categories • 45 policies

Advertising for Pharmacies

1 Policies
Transfer Incentives

APhA advocates the elimination of coupons, rebates, discounts, and other incentives provided to patients that promote the transfer of prescriptions between competitors.

Alcohol and Tobacco

1 Policies
Discontinuation of the Sale of Tobacco Products in Pharmacies and Facilities That Include Pharmacies

  1. APhA urges pharmacies and facilities that include pharmacies to discontinue the sale of tobacco products.
  2. APhA urges the federal government and state governments to limit participation in government-funded prescription programs to pharmacies that do not sell tobacco products.
  3. APhA urges state boards of pharmacy to discontinue issuing and renewing licenses to pharmacies that sell tobacco products and to pharmacies that are in facilities that sell tobacco products.
  4. APhA urges colleges of pharmacy to only use pharmacies that do not sell tobacco products as experience sites for their students.
  5. APhA urges the Accreditation Council for Pharmacy Education (ACPE) to adopt the position that college-administered pharmacy experience programs should only use pharmacies that do not sell tobacco products.
  6. APhA urges pharmacists and student pharmacists who are seeking employment opportunities to first consider positions in pharmacies that do not sell tobacco products.

Consumer

1 Policies
Consumer Organizations

APhA, as well as state and local pharmacy organizations, shall continue to establish liaisons with the growing number of consumer groups, attend their meetings, and seek to be included on their programs.

Federal Programs

1 Policies
Tablet Splitting

APhA opposes mandatory tablet splitting.

Identification of Drug and Manufacturer

2 Policies
National Drug Code: Uniform Identification Numbers

APhA supports modification of the National Drug Code system to provide uniform identification numbers for the same drug entity, dosage form, strength, and quantity in addition to a manufacturer’s identification number.

Internships/Externships and Residencies

2 Policies
Introductory Pharmacy Practice Experience

APhA supports a collaborative effort amongst relevant parties' (e.g., professional pharmacy organizations, deans, faculty, preceptors, and student pharmacists) to develop and implement a nationally defined set of competencies to assess the successful completion of introductory pharmacy practice experiences (IPPEs). APhA believes that these competencies should reflect the professional knowledge, attitudes, and skills necessary for entry into advanced pharmacy practice experiences (APPEs).

Discontinuation of the Sale of Tobacco Products in Pharmacies and Facilities That Include Pharmacies

  1. APhA urges pharmacies and facilities that include pharmacies to discontinue the sale of tobacco products.
  2. APhA urges the federal government and state governments to limit participation in government-funded prescription programs to pharmacies that do not sell tobacco products.
  3. APhA urges state boards of pharmacy to discontinue issuing and renewing licenses to pharmacies that sell tobacco products and to pharmacies that are in facilities that sell tobacco products.
  4. APhA urges colleges of pharmacy to only use pharmacies that do not sell tobacco products as experience sites for their students.
  5. APhA urges the Accreditation Council for Pharmacy Education (ACPE) to adopt the position that college-administered pharmacy experience programs should only use pharmacies that do not sell tobacco products.
  6. APhA urges pharmacists and student pharmacists who are seeking employment opportunities to first consider positions in pharmacies that do not sell tobacco products.

Investigational New Drugs

2 Policies
Therapeutic Orphans

APhA supports the adoption of policies in the new drug application (NDA) process that, beyond the pre-market clinical testing, would result in post-marketing, clinical testing of the drug for important new clinical uses or population groups. Post-marketing studies may also be preferable for other indications where circumstances may require a lengthy gathering of data due to limitations in numbers of clinical cases, and for which initial marketing approval for the major indication(s) or population groups should not be delayed.

Reimbursement of Pharmacy Services Associated with Drugs Undergoing Assessment

  1. APhA recognizes that investigational new drugs (IND) play a significant role in the delivery of innovative drug therapy approaches and as adjunctive aids in various diagnostics testing modalities.
  2. APhA supports coverage by government and other third-party payers for pharmacy services associated with the use of drugs undergoing assessment.

Licensure and Registration of Personnel

1 Policies
Reciprocity

APhA supports systems of reciprocity that recognize a current license issued by any state and eliminate the requirement for pharmacists to maintain active practice licenses in the states of initial licensure.

Licensure, Registration and Inspection of Facilities

3 Policies
Controlled Substances Regulation and Patient Care

  1. APhA encourages the Drug Enforcement Administration (DEA) and other regulatory agencies to recognize pharmacists as partners that are committed to ensuring that patients in legitimate need of controlled substances are able to receive the medications.
  2. APhA supports efforts to modernize and harmonize state and federal controlled substance laws.
  3. APhA urges DEA and other regulatory agencies to balance patient care and regulatory issues when developing, interpreting, and enforcing laws and regulations.
  4. APhA encourages DEA and other regulatory agencies to recognize the changes occurring in health care delivery and to establish a transparent and inclusive process for the timely updating of laws and regulations.
  5. APhA encourages the U.S. Department of Justice to collaborate with professional organizations to identify and reduce (a) the burdens on health care providers, (b) the cost of health care delivery, and (c) the barriers to patient care in the establishment and enforcement of controlled substance laws.

Discontinuation of the Sale of Tobacco Products in Pharmacies and Facilities That Include Pharmacies

  1. APhA urges pharmacies and facilities that include pharmacies to discontinue the sale of tobacco products.
  2. APhA urges the federal government and state governments to limit participation in government-funded prescription programs to pharmacies that do not sell tobacco products.
  3. APhA urges state boards of pharmacy to discontinue issuing and renewing licenses to pharmacies that sell tobacco products and to pharmacies that are in facilities that sell tobacco products.
  4. APhA urges colleges of pharmacy to only use pharmacies that do not sell tobacco products as experience sites for their students.
  5. APhA urges the Accreditation Council for Pharmacy Education (ACPE) to adopt the position that college-administered pharmacy experience programs should only use pharmacies that do not sell tobacco products.
  6. APhA urges pharmacists and student pharmacists who are seeking employment opportunities to first consider positions in pharmacies that do not sell tobacco products.

Licensing Boards: Inspection of Pharmacies

  1. APhA supports that all non-criminal inspections of pharmacies shall be under the direct control of each state board of pharmacy.
  2. APhA recommends that state boards of pharmacy require that all pharmacy inspectors be licensed pharmacists who regularly update their knowledge of pharmacy practice.
  3. APhA encourages NABP to develop and maintain uniform guidelines and standards for non-criminal inspections of pharmacies.

Pharmacy Law and Practice Acts

1 Policies
Controlled Substances Regulation and Patient Care

  1. APhA encourages the Drug Enforcement Administration (DEA) and other regulatory agencies to recognize pharmacists as partners that are committed to ensuring that patients in legitimate need of controlled substances are able to receive the medications.
  2. APhA supports efforts to modernize and harmonize state and federal controlled substance laws.
  3. APhA urges DEA and other regulatory agencies to balance patient care and regulatory issues when developing, interpreting, and enforcing laws and regulations.
  4. APhA encourages DEA and other regulatory agencies to recognize the changes occurring in health care delivery and to establish a transparent and inclusive process for the timely updating of laws and regulations.
  5. APhA encourages the U.S. Department of Justice to collaborate with professional organizations to identify and reduce (a) the burdens on health care providers, (b) the cost of health care delivery, and (c) the barriers to patient care in the establishment and enforcement of controlled substance laws.

Pharmacy School Curriculum

2 Policies
Introductory Pharmacy Practice Experience

APhA supports a collaborative effort amongst relevant parties' (e.g., professional pharmacy organizations, deans, faculty, preceptors, and student pharmacists) to develop and implement a nationally defined set of competencies to assess the successful completion of introductory pharmacy practice experiences (IPPEs). APhA believes that these competencies should reflect the professional knowledge, attitudes, and skills necessary for entry into advanced pharmacy practice experiences (APPEs).

Discontinuation of the Sale of Tobacco Products in Pharmacies and Facilities That Include Pharmacies

  1. APhA urges pharmacies and facilities that include pharmacies to discontinue the sale of tobacco products.
  2. APhA urges the federal government and state governments to limit participation in government-funded prescription programs to pharmacies that do not sell tobacco products.
  3. APhA urges state boards of pharmacy to discontinue issuing and renewing licenses to pharmacies that sell tobacco products and to pharmacies that are in facilities that sell tobacco products.
  4. APhA urges colleges of pharmacy to only use pharmacies that do not sell tobacco products as experience sites for their students.
  5. APhA urges the Accreditation Council for Pharmacy Education (ACPE) to adopt the position that college-administered pharmacy experience programs should only use pharmacies that do not sell tobacco products.
  6. APhA urges pharmacists and student pharmacists who are seeking employment opportunities to first consider positions in pharmacies that do not sell tobacco products.

Physicians

1 Policies
Antimicrobial Stewardship

  1. APhA supports the role of pharmacy personnel in antimicrobial stewardship in all practice settings.
  2. APhA supports pharmacy personnel working in collaboration with others to lead the development and implementation of antimicrobial stewardship programs and initiatives.
  3. APhA supports pharmacists advising prescribers and educating patients on the appropriate use of antimicrobials.

Public Health

1 Policies
Community Health Councils

APhA encourages pharmacists’ active participation in health care organizations within their communities to assist in the public health efforts of community health and foster better community understanding of the profession of pharmacy.

State Drug Laws and Legalization Issues

2 Policies
Controlled Substances Regulation and Patient Care

  1. APhA encourages the Drug Enforcement Administration (DEA) and other regulatory agencies to recognize pharmacists as partners that are committed to ensuring that patients in legitimate need of controlled substances are able to receive the medications.
  2. APhA supports efforts to modernize and harmonize state and federal controlled substance laws.
  3. APhA urges DEA and other regulatory agencies to balance patient care and regulatory issues when developing, interpreting, and enforcing laws and regulations.
  4. APhA encourages DEA and other regulatory agencies to recognize the changes occurring in health care delivery and to establish a transparent and inclusive process for the timely updating of laws and regulations.
  5. APhA encourages the U.S. Department of Justice to collaborate with professional organizations to identify and reduce (a) the burdens on health care providers, (b) the cost of health care delivery, and (c) the barriers to patient care in the establishment and enforcement of controlled substance laws.

Discontinuation of the Sale of Tobacco Products in Pharmacies and Facilities That Include Pharmacies

  1. APhA urges pharmacies and facilities that include pharmacies to discontinue the sale of tobacco products.
  2. APhA urges the federal government and state governments to limit participation in government-funded prescription programs to pharmacies that do not sell tobacco products.
  3. APhA urges state boards of pharmacy to discontinue issuing and renewing licenses to pharmacies that sell tobacco products and to pharmacies that are in facilities that sell tobacco products.
  4. APhA urges colleges of pharmacy to only use pharmacies that do not sell tobacco products as experience sites for their students.
  5. APhA urges the Accreditation Council for Pharmacy Education (ACPE) to adopt the position that college-administered pharmacy experience programs should only use pharmacies that do not sell tobacco products.
  6. APhA urges pharmacists and student pharmacists who are seeking employment opportunities to first consider positions in pharmacies that do not sell tobacco products.

Automation and Technical Assistance

APhA supports the use of automation for prescription preparation and supports technical and personnel assistance for performing administrative duties and facilitating pharmacists’ provision of pharmaceutical care.

The Use of Controlled Substances in the Treatment of Intractable Pain

  1. APhA supports the continued classification of heroin as a Schedule I controlled substance.
  2. APhA supports research by qualified investigators under the Investigational New Drug (IND) process to explore the potential medicinal uses of Schedule I controlled substances and their analogues.
  3. APhA supports comprehensive education to maximize the proper use of approved analgesic drugs for treating patients with chronic pain.
  4. APhA recognizes that pharmacists receiving controlled substance prescription orders used for analgesia have a responsibility to ensure that the medication has been prescribed for a legitimate medical use and that patients achieve the intended therapeutic outcomes
  5. APhA advocates that pharmacists play an important role on the patient care team providing pain control and management.

Transfer Incentives

APhA advocates the elimination of coupons, rebates, discounts, and other incentives provided to patients that promote the transfer of prescriptions between competitors.

Pharmacist Participation in Executions

The American Pharmacists Association discourages pharmacist participation in executions on the basis that such activities are fundamentally contrary to the role of pharmacists as providers of health care.

Ethics and Technology

APhA, in recognition of pharmacists’ professional and ethical responsibility to society, endorses the consideration of ethical principles in the design, conduct, and application of scientific research.

Controlled Substances Regulation and Patient Care

  1. APhA encourages the Drug Enforcement Administration (DEA) and other regulatory agencies to recognize pharmacists as partners that are committed to ensuring that patients in legitimate need of controlled substances are able to receive the medications.
  2. APhA supports efforts to modernize and harmonize state and federal controlled substance laws.
  3. APhA urges DEA and other regulatory agencies to balance patient care and regulatory issues when developing, interpreting, and enforcing laws and regulations.
  4. APhA encourages DEA and other regulatory agencies to recognize the changes occurring in health care delivery and to establish a transparent and inclusive process for the timely updating of laws and regulations.
  5. APhA encourages the U.S. Department of Justice to collaborate with professional organizations to identify and reduce (a) the burdens on health care providers, (b) the cost of health care delivery, and (c) the barriers to patient care in the establishment and enforcement of controlled substance laws.

Discontinuation of the Sale of Tobacco Products in Pharmacies and Facilities That Include Pharmacies

  1. APhA urges pharmacies and facilities that include pharmacies to discontinue the sale of tobacco products.
  2. APhA urges the federal government and state governments to limit participation in government-funded prescription programs to pharmacies that do not sell tobacco products.
  3. APhA urges state boards of pharmacy to discontinue issuing and renewing licenses to pharmacies that sell tobacco products and to pharmacies that are in facilities that sell tobacco products.
  4. APhA urges colleges of pharmacy to only use pharmacies that do not sell tobacco products as experience sites for their students.
  5. APhA urges the Accreditation Council for Pharmacy Education (ACPE) to adopt the position that college-administered pharmacy experience programs should only use pharmacies that do not sell tobacco products.
  6. APhA urges pharmacists and student pharmacists who are seeking employment opportunities to first consider positions in pharmacies that do not sell tobacco products.

Small Business Set-Asides

APhA encourages all federal agencies (such as the Office of Personnel Management) to eliminate inconsistencies in federal contracts that in any way affect community pharmacies operating as small businesses.

Needed Drugs of Limited Commercial Value (Orphan Drugs)

  1. APhA supports incentives to manufacturers, private foundations, academic and public institutions, and others for the development, manufacture, and distribution of needed drugs (including biological) and drug dosage forms of limited commercial value.
  2. APhA supports the federal government bearing the responsibility to make orphan drugs and drug dosage forms available when incentives alone fail to achieve the availability of needed drugs (including biologicals) of limited commercial value.

Transfer Incentives

APhA advocates the elimination of coupons, rebates, discounts, and other incentives provided to patients that promote the transfer of prescriptions between competitors.

Innovative Approaches to Combating Pharmacy Crime

  1. APhA encourages federal government agencies to provide mechanisms for supporting experimental, drug dependence, treatment programs based on principles of maintenance and/or detoxification.
  2. APhA encourages pharmaceutical associations to work with state legislators in an effort to provide mandatory imprisonment for the theft of controlled substances and the restriction of bail for such crimes.

Antimicrobial Stewardship

  1. APhA supports the role of pharmacy personnel in antimicrobial stewardship in all practice settings.
  2. APhA supports pharmacy personnel working in collaboration with others to lead the development and implementation of antimicrobial stewardship programs and initiatives.
  3. APhA supports pharmacists advising prescribers and educating patients on the appropriate use of antimicrobials.

Pharmacists' Role in Promoting Medication Adherence

  1. APhA supports pharmacy personnel leading the process of assessing and improving patient medication adherence in collaboration with the health care team.
  2. APhA advocates for pharmacy personnel taking leadership roles in working with administrators, health care professionals, payers, patients and other stakeholders to design processes, systems, and technology that promote interoperability and care coordination across settings to improve medication adherence.
  3. APhA advocates for the profession of pharmacy to continually study, evaluate, and disseminate evidence-based methods to improve medication adherence.
  4. APhA advocates for raising awareness about the issue of medication non-adherence and the importance of engaging patients in their treatment.
  5. APhA supports education of the public, employee benefit managers, third-party payers, and other health care decision makers regarding the value and cost-effectiveness of the role of the pharmacist in improving medication adherence.

Controlled Substances Regulation and Patient Care

  1. APhA encourages the Drug Enforcement Administration (DEA) and other regulatory agencies to recognize pharmacists as partners that are committed to ensuring that patients in legitimate need of controlled substances are able to receive the medications.
  2. APhA supports efforts to modernize and harmonize state and federal controlled substance laws.
  3. APhA urges DEA and other regulatory agencies to balance patient care and regulatory issues when developing, interpreting, and enforcing laws and regulations.
  4. APhA encourages DEA and other regulatory agencies to recognize the changes occurring in health care delivery and to establish a transparent and inclusive process for the timely updating of laws and regulations.
  5. APhA encourages the U.S. Department of Justice to collaborate with professional organizations to identify and reduce (a) the burdens on health care providers, (b) the cost of health care delivery, and (c) the barriers to patient care in the establishment and enforcement of controlled substance laws.

Development of the Cost Effectiveness of Clinical Pharmacy Services

APhA encourages development and maintenance of programs, tools, and data useful in assessing the cost effective nature and benefits of patient-oriented services within all areas of pharmacy practice.

Drug Information

APhA supports the profession of pharmacy having the primary responsibility to foster the development of an organized system for the accumulation and dissemination of drug information and knowledge.

Drug Use Control by Pharmacists for All Prescription Drugs

  1. APhA supports the authority and responsibility of pharmacists in the management and control of all approved and investigational drug products.
  2. APhA encourages corporate, government, and health-care organizations to recognize and utilize the unique expertise of the pharmacist in the management and control of all approved and investigational drug products.

Automation and Technical Assistance

APhA supports the use of automation for prescription preparation and supports technical and personnel assistance for performing administrative duties and facilitating pharmacists’ provision of pharmaceutical care.

Automation and Technical Assistance

APhA supports the use of automation for prescription preparation and supports technical and personnel assistance for performing administrative duties and facilitating pharmacists’ provision of pharmaceutical care.

Poison Control, Information, and Treatment: Pharmacists’ Responsibilities

APhA recommends that pharmacists take a more active role in poison prevention and establishing poison information, poison treatment, and poison control centers where none exists.

Poison Control, Information, and Treatment: Pharmacists’ Responsibility

  1. APhA encourages pharmacists to familiarize themselves with the available resources on poisons and toxicology.
  2. APhA encourages pharmacists to become familiar with the poison control, information and treatment center in their localities.

Post-marketing Surveillance

  1. APhA supports and encourages the active participation of pharmacists in initiating, organizing, and maintaining post-marketing surveillance programs including, but not limited to, adverse drug reaction reporting and drug product problem reporting for drugs and other health care products.
  2. APhA recognizes post-marketing surveillance as a process that systematically and comprehensively monitors the patterns of use and the harmful or beneficial effects (whether expected or unexpected) of prescription and non-prescription drugs and other health care products as they are used in the general population. The ultimate purpose of post-marketing surveillance is to develop and systematically disseminate information that can be used to provide safe and cost-effective drug therapy.
  3. APhA supports the development of educational programs to foster the active involvement of pharmacy practitioners and students in post-marketing surveillance programs.
  4. APhA encourages public and private collaboration in the funding and development of post-marketing surveillance methodologies and programs.
  5. APhA encourages FDA and the pharmaceutical industry to actively involve pharmacists in spontaneous adverse reaction reporting systems and to provide appropriate and timely feedback on collected data.

Multiple Copy Prescription Order Programs

  1. APhA opposes federally mandated, multiple copy, prescription order programs.
  2. APhA supports the right of individual states to develop programs to prevent drug abuse and drug diversion.

Access and Contribution to Health Records

  1. APhA urges the integration of pharmacy-based patient data into patient health records to facilitate the delivery of integrated care.
  2. APhA recognizes pharmacists’ need for patient health care data and information and supports their access and contribution to patient health records.
  3. APhA supports public policies that protect the patient’s privacy yet preserve access to personal health data for research when the patient has consented to such research or when the patient’s identity is protected.
  4. APhA encourages interdisciplinary discussion regarding accountability and oversight for appropriate use of health information.

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