Friday, November 12, 2010

Washington Pharmacy Board Moves Ahead On Rule Change To Permit Facilitated Referrals

As previously reported, in July the Washington State Board of Pharmacy settled a lawsuit against it by agreeing to begin rule-making proceedings to amend a controversial rule that requires pharmacies to fill all prescriptions (including Plan B, the "morning after" contraceptive) even if doing so violates their religious beliefs. The rule as interpreted did permit a pharmacist with objections to have the prescription filled by a co-worker in the same store if another pharmacist was also on shift.  According to the Tacoma (WA) News Tribune, yesterday the Board of Pharmacy took the next step, voting 3-2 to ask the Board staff for recommendations on drafting a rule allowing facilitated referrals to other pharmacies for "time sensitive" medications that the pharmacy will not or cannot fill. Two of the Board members who had originally voted for settling the case now changed their minds after the Board received 5,359 comments in its rule making proceeding, 4,448 in opposition to any change. Several pro-choice groups had prepared form letters online that could be sent as comment letters. The Board majority that still supports the change says there is too much focus on Plan B. They say that small pharmacies are being driven out of business under the current rule that requires them to stock even high-cost specialty drugs. Supporters of the change agree that more than Plan B is at stake. They say there might be religious objections to furnishing life-saving HIV drugs as well, for example.