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APhA Policy Manual

2022

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

12 categories • 38 policies

Community Awareness and Education

1 Policies
Use of Social Media

  1. APhA encourages the use of social media in ways that advance patient care and uphold pharmacists as trusted and accessible health care providers.
  2. APhA supports the use of social media as a mechanism for the delivery of patient-specific care in a platform that allows for appropriate patient and provider protections and access to necessary health care information.
  3. APhA supports the inclusion of social media education, including but not limited to appropriate use and professionalism, as a component of pharmacy education and continuing professional development.
  4. APhA affirms that the patient’s right to privacy and confidentiality shall not be compromised through the use of social media.
  5. APhA urges pharmacists, pharmacy technicians and student pharmacists to self-monitor their social media presence for professionalism and that posted clinical information is accurate and appropriate.
  6. APhA advocates for continued development and utilization of social media by pharmacists and other health care professionals during public health emergencies.

Degree/Designation

1 Policies
Doctor of Pharmacy Attainment through Non-traditional Mechanisms

  1. APhA encourages schools and colleges of pharmacy to consider, in their strategic planning process, offering non-traditional, post-baccalaureate Doctor of Pharmacy degree programs. Issues to be considered in such planning should include at least the following: (a) entry requirements, (b) educational and financial resources, and (c) competency evaluation for course credit.
  2. APhA recommends that non-traditional Doctor of Pharmacy degree programs have competency outcomes for graduates equal to those in traditional programs.

Federal Programs

1 Policies
Government-Financed Reimbursement

  1. APhA supports only those government-operated or -financed, third-party prescription programs which ensures that participating pharmacists receive individualized, equitable compensation for professional services and reimbursement for products provided under the program.
  2. APhA regards equitable compensation under any government-operated or -financed, third party prescription programs as requiring payments equivalent to a participating pharmacist’s prevailing charges to the self-paying public for comparable services and products, plus additional, documented, direct and indirect costs which are generated by participation in the program.
  3. APhA supports those government-operated or -financed, third-party prescription programs which base compensation for professional services on professional fees and reimbursement for products provided on actual cost, with the provision of a specific exception to this policy in those instances when equity in professional compensation cannot otherwise be attained.

General Health Care Organizations

1 Policies
Addressing American Medical Association’s Policy Related to Pharmacists Scope of Practice

  1. APhA opposes policies, practices, and statements by the American Medical Association (AMA) and other professional organizations that impede interprofessional care, patient access to pharmacist-provided care, and health equity.
  2. APhA calls on the American Medical Association (AMA) to rescind its policies opposing expanded scopes of practice for pharmacists.
  3. APhA adamantly supports the continuation and expansion of collaborative patient care models among pharmacists, physicians, and other healthcare professionals to improve patient access to care, health equity, and health outcomes.

Immunizations

1 Policies
Proactive Immunization Assessment and Immunization Information Systems

  1. APhA supports mandatory requirements for ALL immunization providers to report pertinent immunization data into Immunization Information Systems (IIS).
  2. APhA calls for government entities to fund enrollment and engagement of all immunization providers in Immunization Information Systems (IIS). This engagement should support lifetime tracking of immunizations for patients.
  3. APhA calls for a National Immunization Information System (IIS) to receive and report vaccination data from all registries for the purpose of providing health care professionals, patients, and their caregivers with accurate and timely information to assist in clinical decision-making.
  4. APhA advocates that all appropriate health care personnel involved in the patient care process have timely access to Immunization Information Systems (IIS) and other pertinent data sources to support proactive patient assessment and delivery of immunization services while maintaining confidentiality.
  5. APhA urges pharmacy management system vendors to include functionality that uses established and adopted electronic health record standards for the bidirectional exchange of data with Immunization Information Systems (IIS).

Other Public Health Issues

2 Policies
The Role and Contributions of the Pharmacist in Public Health

The American Pharmacist Association (APhA) encourages collaboration with the American Public Health Association (APHA) and other public health organizations to increase pharmacists’ participation in initiatives designed to meet global, national, regional, state, local, and community health goals.

WHO Policy on Infectious Diseases

  1. APhA supports the World Health Organization’s (WHO's) requirements for accurate and expeditious reporting of infectious diseases from all countries, including unrestricted sharing of infectious substance samples with WHO.
  2. APhA supports access to affordable vaccines in all countries.

Pharmacy Law and Practice Acts

1 Policies
Standards of Care Regulatory Model for State Pharmacy Practice Acts

  1. APhA requests that state boards of pharmacy and legislative bodies regulate pharmacy practice using a standard of care regulatory model similar to other health professions’ regulatory models, thereby allowing pharmacists to practice at the level consistent with their individual education, training, experience, and practice setting.
  2. To support implementation of a standard of care regulatory model, APhA reaffirms 2002 policy that encourages states to provide pharmacy boards with the following: (a) adequate resources; (b) independent authority, including autonomy from other agencies; and (c) assistance in meeting their mission to protect the public health and safety of consumers.
  3. APhA encourages NABP as well as state and national pharmacy associations to support and collaborate with state boards of pharmacy in adopting and implementing a standard of care regulatory model.
  4. APhA and other pharmacy stakeholders should provide educational programs, information, and resources regarding the standard of care regulatory model and its impact on pharmacy practice.

Pharmacy School Curriculum

1 Policies
Use of Social Media

  1. APhA encourages the use of social media in ways that advance patient care and uphold pharmacists as trusted and accessible health care providers.
  2. APhA supports the use of social media as a mechanism for the delivery of patient-specific care in a platform that allows for appropriate patient and provider protections and access to necessary health care information.
  3. APhA supports the inclusion of social media education, including but not limited to appropriate use and professionalism, as a component of pharmacy education and continuing professional development.
  4. APhA affirms that the patient’s right to privacy and confidentiality shall not be compromised through the use of social media.
  5. APhA urges pharmacists, pharmacy technicians and student pharmacists to self-monitor their social media presence for professionalism and that posted clinical information is accurate and appropriate.
  6. APhA advocates for continued development and utilization of social media by pharmacists and other health care professionals during public health emergencies.

Professional Fees

1 Policies
Billing and Documentation of Medication Therapy Management (MTM) Services

  1. APhA encourages the development and use of a system for billing of medication therapy management (MTM) services that: (a) includes a standardized data set for transmission of billing claims, (b) utilizes a standardized process that is consistent with claim billing by other health care providers, and (c) utilizes a billing platform that is accepted by the Centers for Medicare and Medicaid Services (CMS) and is compliant with the Health Insurance Portability and Accountability Act (HIPAA).
  2. APhA supports the pharmacist’s or pharmacy’s choice of a documentation system that allows for transmission of any MTM billing claim and interfaces with the billing platform used by the insurer or payer.
  3. APhA encourages pharmacists to use the American Medical Association (AMA) Current Procedural Terminology (CPT) codes for billing of MTM services.
  4. APhA supports efforts to further develop CPT codes for billing of pharmacists’ services, through the work of the Pharmacist Services Technical Advisory Coalition (PSTAC) and Pharmacy e-HIT Collaborative.

Public Health

1 Policies
Role and Contributions of the Pharmacist in Public Health

The American Pharmacist Association (APhA) encourages collaboration with the American Public Health Association (APHA) and other public health organizations to increase pharmacists’ participation in initiatives designed to meet global, national, regional, state, local, and community health goals.

Working Conditions

1 Policies
Sexual Harassment in the Workplace

  1. APhA supports the principle that all work environments and educational settings be free of sexual harassment.
  2. APhA recommends all pharmacy practice environments and educational settings have a written policy on sexual harassment prevention and grievance procedures.
  3. APhA recommends that every owner/employer in facilities where pharmacists work institute a sexual harassment awareness education and training program for all employees.
  4. APhA supports the wide distribution of the model guidelines contained within “APhA Model Policy on Sexual Harassment Prevention and Grievance Procedures” – Appendix D, APhA Policy and Procedures Manual.

Proactive Immunization Assessment and Immunization Information Systems

  1. APhA supports mandatory requirements for ALL immunization providers to report pertinent immunization data into Immunization Information Systems (IIS).
  2. APhA calls for government entities to fund enrollment and engagement of all immunization providers in Immunization Information Systems (IIS). This engagement should support lifetime tracking of immunizations for patients.
  3. APhA calls for a National Immunization Information System (IIS) to receive and report vaccination data from all registries for the purpose of providing health care professionals, patients, and their caregivers with accurate and timely information to assist in clinical decision-making.
  4. APhA advocates that all appropriate health care personnel involved in the patient care process have timely access to Immunization Information Systems (IIS) and other pertinent data sources to support proactive patient assessment and delivery of immunization services while maintaining confidentiality.
  5. APhA urges pharmacy management system vendors to include functionality that uses established and adopted electronic health record standards for the bidirectional exchange of data with Immunization Information Systems (IIS).

Use of Social Media

  1. APhA encourages the use of social media in ways that advance patient care and uphold pharmacists as trusted and accessible health care providers.
  2. APhA supports the use of social media as a mechanism for the delivery of patient-specific care in a platform that allows for appropriate patient and provider protections and access to necessary health care information.
  3. APhA supports the inclusion of social media education, including but not limited to appropriate use and professionalism, as a component of pharmacy education and continuing professional development.
  4. APhA affirms that the patient’s right to privacy and confidentiality shall not be compromised through the use of social media.
  5. APhA urges pharmacists, pharmacy technicians and student pharmacists to self-monitor their social media presence for professionalism and that posted clinical information is accurate and appropriate.
  6. APhA advocates for continued development and utilization of social media by pharmacists and other health care professionals during public health emergencies.

Controlled Substances and Other Medications with the Potential for Abuse and Use of Opioid Reversal Agents

  1. APhA supports education for pharmacists and student pharmacists to address issues of pain management, palliative care, appropriate use of opioid reversal agents in opioid-associated emergencies, drug diversion, and substance use disorders.
  2. APhA supports recognition of pharmacists as the health care providers who must exercise professional judgment in the assessment of a patient’s conditions to fulfill corresponding responsibility for the use of controlled substances and other medications with the potential for misuse and/or diversion.
  3. APhA supports pharmacists’ access to and use of prescription monitoring programs to identify and prevent drug misuse and/or diversion.
  4. APhA supports the development and implementation of state and federal laws, regulations, and policies that permit pharmacists to independently prescribe opioid reversal agents to prevent deaths due to opioid-associated emergencies.
  5. APhA supports the pharmacist's role in selecting appropriate therapy and dosing and initiating and providing education about the proper use of opioid reversal agents to prevent deaths due to opioid-associated emergencies.

Pharmacists Prescribing Authority and Increasing Access to Medications for Opioid Use Disorders

APhA advocates for pharmacists’ independent prescriptive authority of medications indicated for opioid use disorders (MOUDs) and other substance use disorders to expand patient access to treatment.

Pharmaceutical Pricing

APhA supports a system of equal opportunity with the same terms, conditions, and prices available for all pharmacies.

Controlled Substances and Other Medications with the Potential for Abuse and Use of Opioid Reversal Agents

  1. APhA supports education for pharmacists and student pharmacists to address issues of pain management, palliative care, appropriate use of opioid reversal agents in opioid-associated emergencies, drug diversion, and substance use disorders.
  2. APhA supports recognition of pharmacists as the health care providers who must exercise professional judgment in the assessment of a patient’s conditions to fulfill corresponding responsibility for the use of controlled substances and other medications with the potential for misuse and/or diversion.
  3. APhA supports pharmacists’ access to and use of prescription monitoring programs to identify and prevent drug misuse and/or diversion.
  4. APhA supports the development and implementation of state and federal laws, regulations, and policies that permit pharmacists to independently prescribe opioid reversal agents to prevent deaths due to opioid-associated emergencies.
  5. APhA supports the pharmacist's role in selecting appropriate therapy and dosing and initiating and providing education about the proper use of opioid reversal agents to prevent deaths due to opioid-associated emergencies.

Access and Reimbursement for Diabetes Education, Support, and Prevention Services

  1. APhA supports the expansion of patient access to diabetes education, support, and prevention, including but not limited to the National Diabetes Prevention Program or DSMES.
  2. APhA calls upon public and private payers to expand reimbursement for pharmacist-based services as providers of diabetes education, support, and prevention regardless of practice setting.
  3. APhA advocates for campaigns focused on increased community wellness awareness and health benefits for diabetes education, support, and prevention.

Recruitment of a Diverse Population into Pharmacy

  1. APhA supports a vigorous long-term program for the recruitment of a diverse population of student pharmacists into the pharmacy profession.
  2. APhA encourages the development and regular updating of comprehensive recruitment materials, directed toward diversity and inclusion, that address such issues as pharmacy career opportunities, financial aid, and educational prerequisites, and that highlight professional diverse role models.
  3. APhA encourages national, state, and local association; schools; students; and industry to create a network of pharmacists who would serve as role models for a diverse population of student pharmacists.
  4. APhA supports the development of guidelines that assist schools of pharmacy in implementing diversity, equity, inclusion, and belonging initiatives into student pharmacist recruitment programs.

Use of Social Media

  1. APhA encourages the use of social media in ways that advance patient care and uphold pharmacists as trusted and accessible health care providers.
  2. APhA supports the use of social media as a mechanism for the delivery of patient-specific care in a platform that allows for appropriate patient and provider protections and access to necessary health care information.
  3. APhA supports the inclusion of social media education, including but not limited to appropriate use and professionalism, as a component of pharmacy education and continuing professional development.
  4. APhA affirms that the patient’s right to privacy and confidentiality shall not be compromised through the use of social media.
  5. APhA urges pharmacists, pharmacy technicians and student pharmacists to self-monitor their social media presence for professionalism and that posted clinical information is accurate and appropriate.
  6. APhA advocates for continued development and utilization of social media by pharmacists and other health care professionals during public health emergencies.

Cultural Health Beliefs and Medication Use

  1. APhA supports culturally sensitive outreach efforts to increase mutual understanding of the risks and other issues of using prescription medications without a prescription order or using unapproved products.
  2. APhA supports expanding culturally competent health care services in all communities.

Cultural Competence

  1. Recognizing the diverse patient population served by our profession and the impact of cultural diversity on patient safety and medication use outcomes, APhA encourages pharmacists to continually strive to achieve and develop cultural awareness, sensitivity, and cultural competence.
  2. APhA shall facilitate access to resources that assist pharmacists and student pharmacists in achieving and maintaining cultural competence relevant to their practice.

Billing and Documentation of Medication Therapy Management (MTM) Services

  1. APhA encourages the development and use of a system for billing of medication therapy management (MTM) services that: (a) includes a standardized data set for transmission of billing claims, (b) utilizes a standardized process that is consistent with claim billing by other health care providers, and (c) utilizes a billing platform that is accepted by the Centers for Medicare and Medicaid Services (CMS) and is compliant with the Health Insurance Portability and Accountability Act (HIPAA).
  2. APhA supports the pharmacist’s or pharmacy’s choice of a documentation system that allows for transmission of any MTM billing claim and interfaces with the billing platform used by the insurer or payer.
  3. APhA encourages pharmacists to use the American Medical Association (AMA) Current Procedural Terminology (CPT) codes for billing of MTM services.
  4. APhA supports efforts to further develop CPT codes for billing of pharmacists’ services, through the work of the Pharmacist Services Technical Advisory Coalition (PSTAC) and Pharmacy e-HIT Collaborative.

The Role and Contributions of the Pharmacist in Public Health

The American Pharmacist Association (APhA) encourages collaboration with the American Public Health Association (APHA) and other public health organizations to increase pharmacists’ participation in initiatives designed to meet global, national, regional, state, local, and community health goals.

Controlled Substances and Other Medications with the Potential for Abuse and Use of Opioid Reversal Agents

  1. APhA supports education for pharmacists and student pharmacists to address issues of pain management, palliative care, appropriate use of opioid reversal agents in opioid-associated emergencies, drug diversion, and substance use disorders.
  2. APhA supports recognition of pharmacists as the health care providers who must exercise professional judgment in the assessment of a patient’s conditions to fulfill corresponding responsibility for the use of controlled substances and other medications with the potential for misuse and/or diversion.
  3. APhA supports pharmacists’ access to and use of prescription monitoring programs to identify and prevent drug misuse and/or diversion.
  4. APhA supports the development and implementation of state and federal laws, regulations, and policies that permit pharmacists to independently prescribe opioid reversal agents to prevent deaths due to opioid-associated emergencies.
  5. APhA supports the pharmacist's role in selecting appropriate therapy and dosing and initiating and providing education about the proper use of opioid reversal agents to prevent deaths due to opioid-associated emergencies.

Billing and Documentation of Medication Therapy Management (MTM) Services

  1. APhA encourages the development and use of a system for billing of medication therapy management (MTM) services that: (a) includes a standardized data set for transmission of billing claims, (b) utilizes a standardized process that is consistent with claim billing by other health care providers, and (c) utilizes a billing platform that is accepted by the Centers for Medicare and Medicaid Services (CMS) and is compliant with the Health Insurance Portability and Accountability Act (HIPAA).
  2. APhA supports the pharmacist’s or pharmacy’s choice of a documentation system that allows for transmission of any MTM billing claim and interfaces with the billing platform used by the insurer or payer.
  3. APhA encourages pharmacists to use the American Medical Association (AMA) Current Procedural Terminology (CPT) codes for billing of MTM services.
  4. APhA supports efforts to further develop CPT codes for billing of pharmacists’ services, through the work of the Pharmacist Services Technical Advisory Coalition (PSTAC) and Pharmacy e-HIT Collaborative.

Proactive Immunization Assessment and Immunization Information Systems

  1. APhA supports mandatory requirements for ALL immunization providers to report pertinent immunization data into Immunization Information Systems (IIS).
  2. APhA calls for government entities to fund enrollment and engagement of all immunization providers in Immunization Information Systems (IIS). This engagement should support lifetime tracking of immunizations for patients.
  3. APhA calls for a National Immunization Information System (IIS) to receive and report vaccination data from all registries for the purpose of providing health care professionals, patients, and their caregivers with accurate and timely information to assist in clinical decision-making.
  4. APhA advocates that all appropriate health care personnel involved in the patient care process have timely access to Immunization Information Systems (IIS) and other pertinent data sources to support proactive patient assessment and delivery of immunization services while maintaining confidentiality.
  5. APhA urges pharmacy management system vendors to include functionality that uses established and adopted electronic health record standards for the bidirectional exchange of data with Immunization Information Systems (IIS).

Standards of Care Regulatory Model for State Pharmacy Practice Acts

  1. APhA requests that state boards of pharmacy and legislative bodies regulate pharmacy practice using a standard of care regulatory model similar to other health professions’ regulatory models, thereby allowing pharmacists to practice at the level consistent with their individual education, training, experience, and practice setting.
  2. To support implementation of a standard of care regulatory model, APhA reaffirms 2002 policy that encourages states to provide pharmacy boards with the following: (a) adequate resources; (b) independent authority, including autonomy from other agencies; and (c) assistance in meeting their mission to protect the public health and safety of consumers.
  3. APhA encourages NABP as well as state and national pharmacy associations to support and collaborate with state boards of pharmacy in adopting and implementing a standard of care regulatory model.
  4. APhA and other pharmacy stakeholders should provide educational programs, information, and resources regarding the standard of care regulatory model and its impact on pharmacy practice.

Use of Social Media

  1. APhA encourages the use of social media in ways that advance patient care and uphold pharmacists as trusted and accessible health care providers.
  2. APhA supports the use of social media as a mechanism for the delivery of patient-specific care in a platform that allows for appropriate patient and provider protections and access to necessary health care information.
  3. APhA supports the inclusion of social media education, including but not limited to appropriate use and professionalism, as a component of pharmacy education and continuing professional development.
  4. APhA affirms that the patient’s right to privacy and confidentiality shall not be compromised through the use of social media.
  5. APhA urges pharmacists, pharmacy technicians and student pharmacists to self-monitor their social media presence for professionalism and that posted clinical information is accurate and appropriate.
  6. APhA advocates for continued development and utilization of social media by pharmacists and other health care professionals during public health emergencies.

Mission of Pharmacy

APhA affirms that the mission of pharmacy is to serve society as the profession responsible for the appropriate use of medications, devices, and services to achieve optimal therapeutic outcomes.

Stocking a Complete Inventory of Pharmaceutical Product

APhA supports the rights and responsibilities of individual pharmacists to determine their inventory and dispensing practices based on patient need, practice economics, practice security, and professional judgment.

Billing and Documentation of Medication Therapy Management (MTM) Services

  1. APhA encourages the development and use of a system for billing of medication therapy management (MTM) services that: (a) includes a standardized data set for transmission of billing claims, (b) utilizes a standardized process that is consistent with claim billing by other health care providers, and (c) utilizes a billing platform that is accepted by the Centers for Medicare and Medicaid Services (CMS) and is compliant with the Health Insurance Portability and Accountability Act (HIPAA).
  2. APhA supports the pharmacist’s or pharmacy’s choice of a documentation system that allows for transmission of any MTM billing claim and interfaces with the billing platform used by the insurer or payer.
  3. APhA encourages pharmacists to use the American Medical Association (AMA) Current Procedural Terminology (CPT) codes for billing of MTM services.
  4. APhA supports efforts to further develop CPT codes for billing of pharmacists’ services, through the work of the Pharmacist Services Technical Advisory Coalition (PSTAC) and Pharmacy e-HIT Collaborative.

Proactive Immunization Assessment and Immunization Information Systems

  1. APhA supports mandatory requirements for ALL immunization providers to report pertinent immunization data into Immunization Information Systems (IIS).
  2. APhA calls for government entities to fund enrollment and engagement of all immunization providers in Immunization Information Systems (IIS). This engagement should support lifetime tracking of immunizations for patients.
  3. APhA calls for a National Immunization Information System (IIS) to receive and report vaccination data from all registries for the purpose of providing health care professionals, patients, and their caregivers with accurate and timely information to assist in clinical decision-making.
  4. APhA advocates that all appropriate health care personnel involved in the patient care process have timely access to Immunization Information Systems (IIS) and other pertinent data sources to support proactive patient assessment and delivery of immunization services while maintaining confidentiality.
  5. APhA urges pharmacy management system vendors to include functionality that uses established and adopted electronic health record standards for the bidirectional exchange of data with Immunization Information Systems (IIS).

Access and Reimbursement for Diabetes Education, Support, and Prevention Services

  1. APhA supports the expansion of patient access to diabetes education, support, and prevention, including but not limited to the National Diabetes Prevention Program or DSMES.
  2. APhA calls upon public and private payers to expand reimbursement for pharmacist-based services as providers of diabetes education, support, and prevention regardless of practice setting.
  3. APhA advocates for campaigns focused on increased community wellness awareness and health benefits for diabetes education, support, and prevention.

Direct and Indirect Remuneration Fees

APhA opposes retroactive direct and indirect remuneration (DIR) fees and supports initiatives to prohibit such fees on pharmacies.

Federal Funding to Evaluate the Impact of Health Care Policies

  1. APhA supports the study of economic, scientific, and social issues related to health care, particularly pharmaceutical services.
  2. APhA urges the federal government to establish funding mechanisms for objective research to assess the impact of public policy on the health care system, particularly pharmaceutical services.
  3. APhA urges that all federally-funded research addressing public policy pertaining to pharmaceutical services incorporate input from the pharmacy profession.

Proactive Immunization Assessment and Immunization Information Systems

  1. APhA supports mandatory requirements for ALL immunization providers to report pertinent immunization data into Immunization Information Systems (IIS).
  2. APhA calls for government entities to fund enrollment and engagement of all immunization providers in Immunization Information Systems (IIS). This engagement should support lifetime tracking of immunizations for patients.
  3. APhA calls for a National Immunization Information System (IIS) to receive and report vaccination data from all registries for the purpose of providing health care professionals, patients, and their caregivers with accurate and timely information to assist in clinical decision-making.
  4. APhA advocates that all appropriate health care personnel involved in the patient care process have timely access to Immunization Information Systems (IIS) and other pertinent data sources to support proactive patient assessment and delivery of immunization services while maintaining confidentiality.
  5. APhA urges pharmacy management system vendors to include functionality that uses established and adopted electronic health record standards for the bidirectional exchange of data with Immunization Information Systems (IIS).

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