Minnesota Board of Pharmacy Approves Protocol for Pharmacist Prescribing of Self-administered Hormonal Contraceptives

Minnesota Board of Pharmacy Approves Protocol for Pharmacist Prescribing of Self-administered Hormonal Contraceptives
Brianna Ferrell, PharmD, Essentia Health

The Minnesota Board of Pharmacy approved a protocol in December 2020 that pharmacists must follow when independently prescribing self-administered hormonal contraceptives. The protocol was developed in accordance with Minn. Stats. §151.37, subd. 1, several professional agencies, the commissioner of health, and professional associations, including the Minnesota Board of Medical Practice. It contains pertinent definitions, general information, procedures, and the Minnesota Hormonal Contraceptive Self-Screening Questionnaire. Before a pharmacist is authorized to independently prescribe contraceptives under this protocol, they must first complete an approved training program that is accredited by the Accreditation Council for Pharmacy Education and provide proof of completion to the Board of Pharmacy. 

As a first step in this protocol, the pharmacist must determine the patient’s age and date of the most recent clinical visit with a physician, advanced practice registered nurse (APRN), or physician assistant (PA). If the patient is under the age of 18, the pharmacist may only utilize this protocol if the pharmacist confirms that the patient has previously been prescribed a contraceptive by a licensed physician, APRN, or PA. The patient then completes the Minnesota Hormonal Contraceptive Self-Screening Questionnaire at least once every 12 months. After reviewing the self-screening tool answers with the patient, the pharmacist then measures and records the patient’s seated blood pressure if combined hormonal contraceptives are requested or recommended. Next, the pharmacist completes the Minnesota Board of Pharmacy Standard Procedures Algorithm for Prescribing of Contraceptives and evaluates the health and history of the patient using the United States Medical Eligibility Criteria for Contraceptive Use developed by the Centers for Disease Control and Prevention. Finally, before prescribing, the pharmacist must ensure the patient is appropriately trained in the administration of the recommended contraceptive. Prior to dispensing, the pharmacist must perform appropriate counseling as required in Minn. Rules 6800.0910. In addition to verbal counseling, the pharmacist must supply a fact sheet and a written record to the patient about the prescribed contraceptive medication. Prescribing of a self-administered hormonal contraceptive cannot be delegated to any other person other than the pharmacist authorized under this protocol. A registered pharmacist intern may prepare a prescription for the contraceptive, but prior to processing and dispensing, the authorized pharmacist must review, approve, and sign the prescription. The pharmacist must generate a written or electronic prescription for any self-administered contraceptive prescribed and dispensed pursuant to Minn. Stats. §151.01, subd. 16a. The prescription must be kept on file for a minimum of two years. 

 

Reference:

  1. Minnesota Board of Pharmacy. Pharmacist prescribing protocol self-administered hormonal contraceptives. Updated December 24, 2020. Accessed February 4, 2021.