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Pharmacy Technician Update. NABP/AACP District Five 73 rd Annual Meeting Friday, August 6, 2010 Lloyd K. Jessen, Executive Director Iowa Board of Pharmacy. Definition of Pharmacy Technician NABP Model State Pharmacy Act.

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Pharmacy Technician Update


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    1. Pharmacy Technician Update NABP/AACP District Five 73rd Annual Meeting Friday, August 6, 2010 Lloyd K. Jessen, Executive Director Iowa Board of Pharmacy

    2. Definition of Pharmacy TechnicianNABP Model State Pharmacy Act • “Pharmacy Technician” means personnel registered with the Board who may, under the supervision of the pharmacist, assist in the pharmacy and perform such functions as: • (1) assisting in the Dispensing process; • (2) processing of medical coverage claims; • (3) stocking of medications; and • (4) cashiering

    3. Definition of Certified Pharmacy TechnicianNABP Model State Pharmacy Act • “Certified Pharmacy Technician” means personnel registered with the Board who have completed a certification program approved by the Board and may, under the supervision of a Pharmacist, perform certain activities involved in the Practice of Pharmacy, such as: • (1) receiving new Prescription Drug Orders; • (2) prescription transfer; • (3) compounding; and • (4) assisting in the Dispensing process

    4. NABP Model State Pharmacy Act • Section 105(n). Comment. • A Certified Pharmacy Technician is recognized, because of the completion of a board-approved certification program, as having knowledge and skills that qualify them to assist the pharmacist in the practice of pharmacy with limited patient care tasks that exceed routine dispensing or drug storage activities.

    5. NABP Model State Pharmacy Act • Section 308. Registration of Pharmacy Technicians. • (a) In order to be registered as a pharmacy technician in this State, an applicant shall:… • (5) have been documented by the pharmacist-in-charge of the pharmacy where the applicant is employed as having successfully completed a training program and having successfully completed an objective assessment mechanism prepared in accordance with any rules established by the Board.

    6. NABP Model State Pharmacy Act • Section 307. Registration of Certified Pharmacy Technicians. • (a) In order to be registered as a certified pharmacy technician in this State, an applicant shall:… • (4) have: (i) graduated from a pharmacy technician training program approved by the Board of Pharmacy;or(ii) been documented by the pharmacist-in-charge of the pharmacy where the applicant is employed as having successfully completed a training program and having successfully completed an objective assessment mechanism prepared in accordance with any rules established by the Board; • (5) have successfully passed an examination or examinations approved by the Board of Pharmacy;

    7. NABP Model State Pharmacy Act Section 307(b) and 308(b). Comment. The state may decide to perform a criminal background check on individuals seeking to register as certified pharmacy technicians or pharmacy technicians.

    8. NABP Model State Pharmacy Act • Section 2. Personnel. • A. Duties and responsibilities of the pharmacist-in-charge… (3) The pharmacist-in-charge shall be assisted by a sufficient number of pharmacists, certified pharmacy technicians, and pharmacy technicians as may be required to competently and safely provide pharmacy services….

    9. NABP Model State Pharmacy Act (b) The pharmacist-in-charge shall develop and implement writtenpolicies and proceduresto specify the duties to be performed by certified pharmacy technicians and pharmacy technicians. The duties and responsibilities of these personnel shall be consistent with their training and experience.

    10. NABP Model State Pharmacy Act These policies and procedures shall, at a minimum, specify that certified pharmacy technicians and pharmacy technicians are to be personally and directly supervised by a pharmacist stationed within the same work areawho has the ability to control and who is responsible for the activities of certified pharmacy technicians and pharmacy technicians...

    11. NABP Model State Pharmacy Act Such policies and procedures shall also specify that pharmacy technicians shall not be assigned duties that may be performed only by certified pharmacy technicians.

    12. NABP Resolution No. 106-7-10* Continued Efforts to Standardize Pharmacy Technican Education & Training Programs *Passed at the NABP 106th Annual Meeting, Anaheim, CA

    13. NABP Resolution No. 106-7-10 Whereas, new pharmacy technician education and training programs are being established in community colleges and trade schools across the country; andWhereas, no nationally recognized, uniform standards are currently in place in each state to guide the quality and appropriateness of the course curriculum of such programs; andWhereas, state boards of pharmacy have a responsibility to oversee the training and practice of pharmacy technicians in the interest of the public health and safety;THEREFORE BE IT RESOLVED that NABP continue to encourage states to adopt uniform standards for pharmacy technician education and training programs.

    14. NABP Task Force onPharmacy Technician Education and Training Programs* Eight Recommendations *Task Force met on October 6-7, 2009. Two members of District Five participated on the task force: Kevin Borcher (NE) and Earl McKinstry (SD).

    15. NABP Task Force onPharmacy Technician Education and Training Programs* Recommendation # 1: NABP should encourage boards of pharmacy to require as an element of pharmacy technician certification completion of an education and training program that meets minimum standardized guidelines.

    16. NABP Task Force onPharmacy Technician Education and Training Programs* Recommendation # 2: NABP should encourage boards of pharmacy to require as an element of pharmacy technician certification completion of an accredited education and training program by 2015.

    17. NABP Task Force onPharmacy Technician Education and Training Programs* Recommendation # 3: NABP should assist in developing a national accreditation system for pharmacy technician education and training programs that is based within the profession of pharmacy and utilizes a single accrediting agency by 2015.

    18. NABP Task Force onPharmacy Technician Education and Training Programs* Recommendation # 4: NABP should commission a standing committee to develop and maintain national standards for pharmacy practice to assist boards in defining the evolving roles of pharmacists and pharmacy technicians and technician education and training program standards. (Not implemented by Executive Committee)

    19. NABP Task Force onPharmacy Technician Education and Training Programs* Recommendation # 5: NABP should encourage ACPE and ASHP to work collaboratively to develop an accreditation system for pharmacy technician education and training programs that reflects all pharmacy practice settings and, if feasible, to consolidate the activities into one accrediting body, preferably ACPE.

    20. NABP Task Force onPharmacy Technician Education and Training Programs* Recommendation # 6: NABP should encourage PTCB to change the process by which it determines who is qualified to sit for its examination to include completion of an accredited pharmacy technician education and training program and high school diploma or GED verification.

    21. NABP Task Force onPharmacy Technician Education and Training Programs* Recommendation # 7: NABP should encourage PTCB to provide NABP with information on its certified pharmacy technicians so that NABP may enhance the pharmacy technician data contained in the NABP clearinghouse to provide the information necessary for the state boards of pharmacy to protect the public health.

    22. NABP Task Force onPharmacy Technician Education and Training Programs* Recommendation # 8: NABP should encourage ASHP to revise its current accreditation standards for pharmacy technician education and training programs to require accredited providers to inform potential program applicants of applicable state requirements for registration or licensure.

    23. 53 U.S. Jurisdictions • 50 U.S. States plus District of Columbia, Guam, and Puerto Rico • Source: NABP 2010 Summary of Pharmacy Law • Census data as of June 30, 2009 • Great variation in technician provisions among U. S. jurisdictions • State regulations are in a state of flux • Still little uniformity

    24. 43 Jurisdictions (81%) License, Register, or Certify Pharmacy Technicians & Guam & Puerto Rico

    25. 10 Jurisdictions (19%) Have No Pharmacy Technician Provisions* *Note: Ohio now defines “qualified” technicians & District of Columbia

    26. USARegulated vs. Unregulated • The 43 U.S. jurisdictions that regulate pharmacy technicians represent 75% of the U.S. population. • The 10 U.S. jurisdictions that do not regulate technicians represent 25% of the U.S. population

    27. # of Technicians in 39 U.S. States 317,410 (# of technicians unknown in Colorado, Delaware, District of Columbia, Florida, Georgia, Guam, Hawaii, Kentucky, Michigan, New York, Ohio, Pennsylvania, South Carolina and Wisconsin)

    28. Total # of Pharmacies in 39 U.S. States 54,693

    29. U.S. Average 6 pharmacy technicians per pharmacy

    30. Pharmacy TechnicianCertification Board • The Pharmacy Technician Certification Examination (PTCE) has been available since 1995. • 485,868 persons have sat for the PTCE • Overall passing rate has been 75% • Passing rate for January—March 2010 testing period was 74%.

    31. Pharmacy TechnicianCertification Board Total # of PTCB-certified pharmacy technicians in the U.S. (as of March 2010) 365,571

    32. Pharmacy TechnicianCertification Board Total # of Actively-certified PTCB technicians in the U.S. (as of March 31, 2010) 235,652

    33. Pharmacy TechnicianCertification Board # of PTCB technicians in the U.S. who have not maintained their certification 129,919 (36% of total)

    34. PTCB Techs in District Five

    35. ICPT Approved, Recognized or Accepted by 24 Boards of Pharmacy ICPT “approved” in: Alabama, Connecticut, Delaware, Idaho, Indiana, Iowa, Kansas, Kentucky, Maryland, Massachusetts, Minnesota, Montana, New Jersey, New Mexico, Oregon, Rhode Island, Tennessee, Utah, and Virginia. ICPT “recognized” in: Illinois, Nevada, New Hampshire, and Washington ICPT “accepted” in: Ohio ICPT = The Institute for the Certification of Pharmacy Technicians ExCPT = Exam for the Certification of Pharmacy Technicians ICPT is recognized by NCPA and NACDS.

    36. 2 States (Red) With No Tech Regs Recognize the PTCB

    37. # of PTCB Technicians in States With No Tech Regs Total = 43,729 • Colorado 4,383 • Delaware 742 • District of Columbia 202 • Georgia 6,738 • Hawaii 643 • Michigan 6,764 New York 5,673 • Pennsylvania 5,946 • Ohio 8,466 • Wisconsin 4,172

    38. 43 Jurisdictions License, Register, or Certify Pharmacy Technicians 3 4 29 5 2 Puerto Rico = Red Guam = Green Blue = CertifyRed = Certify & RegisterGreen = Register Gold = License Black = License & Register White = No Regs

    39. 8 U.S. Jurisdictions That Require Certification of Pharmacy Technicians & Puerto Rico

    40. 18 U.S. Jurisdictions That Don’t Require Technician Training & Dist. Of Columbia

    41. 17 U.S. Jurisdictions HaveNo R.Ph./Technician Ratios & Puerto Rico

    42. 10 U.S. Jurisdictions Allow Techs to Accept Called-in Rx from Prescriber & Dist. Of Columbia

    43. 10 U.S. States Allow Tech-Check-Tech in Institutional Setting coming

    44. 4 U.S. States Allow Tech-Check-Tech in Community Setting

    45. 17 U.S. States Require Continuing Ed for Technicians

    46. 19 U.S. States Require A Technician Examination

    47. Pharmacy Technicians in Iowa • # of registered techs since 1998: 15,538 • # of total current registered techs = 4,506 (29%) • # of cancelled/delinquent techs = 11,032 (71%)

    48. Pharmacy Technicians in Iowa • # of active PTCB-cert techs = 2,747 (61%) • # of active ICPT-cert techs = 723 (16%) • # of total active certified techs = 3,470 (77%) • # of uncertified technicians = 292 (7%) • # of technician trainees = 728 (16%)

    49. Pharmacies & Pharmacists in Iowa • # of current/active pharmacists = 3,292 • # of licensed pharmacies = 941 • Iowa average = 4.8 techs per pharmacy • Iowa average = 1.4 technicians per R.Ph.