Thursday, December 11, 2014

Question of the Day and Observation of the Day December 11, 2014 Is there about to be a show down between doctors and pharmacists and the blurry lines dividing where one profession crosses over into the other?

I have now heard a commercial about 10 times in two days on the radio for a very prominent local clinic that is now advertising that you don't need to go anywhere else for your needs. Not only can you see the doctor as you always have at the clinic but guess what they now also have their very own in house compounding pharmacy.  So once the doctor decides you need a compounded medication it can be made right there.  This is no the type of clinic or office building with multiple doctors with a pharmacy located in the office building as I have seen in the past.  This clinic owns the compounding pharmacy.  Does this also solve some office use issues with the two being in the same building?

I also was shocked about six months ago when I went to mine own doctor, and the doctor said would you like us just to fill your prescription here for you so you won't have to make an extra trip to the drug store.  I stood and watched as the nurse who had just taken care of me was over behind the nurse's station filling a prescription for someone else.  There was no pharmacists counting the pills, checking the label, and printing instructions, it was a R.N.

I know some states have passed physician dispensing laws and some have rejected them.  I know these are two different fact patterns. But what at are the readers thoughts on this.  Sure it is nice to do one-stop shopping.  What about the blurring of the lines that has been happening for some time especially with pharmacists getting into wellness, reviewing lab results and then "consulting" with the patient about what compounded hormones for example they may need.  Are pharmacists  holding in house seminars on wellness such as sleep, weight loss, carb carvings, etc. So now how are pharmacists feeling about doctors shifting into what has traditionally been their area.  Are colleges and universities going to start cross training both professions or possibly offering more dual degree options?    Are we going to see a lot more of this dual practice by doctors in the future?  Will this have a noticeable impact on compounding pharmacies if doctors start owning the pharmacies in house? What legal issues are there?  What practical issues are there? ( I am sure there are a lot of great articles, law reviews and materials on this issue--feel free to post them in the comment section).

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