Pharmacists have started prescribing abortion pills instead of just dispensing them, a move meant to increase abortion access by utilizing their prescribing authority in most states.
While the program is currently only a pilot in Washington State, it is expected to be implemented in other states where abortion is legal.
Michael Hogue, CEO of the American Pharmacists Association, stated that nearly 40 states allow pharmacists to prescribe medications, making it practical to have easily accessible healthcare providers offering safe access to medications that might otherwise be challenging to obtain.
Supporters of abortion rights view pharmacist prescribing as a means to enhance access in the face of increasing challenges from anti-abortion groups.
The regulation of pharmacists falls under state jurisdiction, giving them the ability to prescribe medications without federal interference. However, opponents of abortion are critical of pharmacists prescribing abortion pills, deeming it unsafe and irresponsible.
Data shows that medication abortion is a common and safe method used in the majority of abortion cases in the U.S.
The regulations surrounding pharmacist-prescribed medications vary by state, with some states imposing specific limitations. Washington State has more lenient regulations, requiring only doctor approval of the prescribing protocol and training.
During the COVID-19 pandemic, access to healthcare providers was limited, leading patients to rely on pharmacists for prescriptions. Lawsuits and potential federal regulations may impact pharmacist prescribing in the future.
Dr. Beth Rivin, leading the Pharmacist Abortion Access Project, highlighted the need for increased access to abortion care, especially for marginalized communities.
The Pharmacist Abortion Access Project reported that during a pilot program in Washington State, pharmacists prescribed abortion pills to 43 patients via telehealth screening, showcasing positive outcomes and patient satisfaction.
Future plans include expanding pharmacist prescribing to allow in-person visits in Washington pharmacies.
The F.D.A.’s recent policy change allowing pharmacies to dispense mifepristone, in addition to the efforts of major pharmacy chains, signals a shift in abortion medication distribution.
While some critics oppose pharmacist prescribing of abortion pills, proponents argue for increased access and affordability for patients.
Dr. Nouhavandi, president of Honeybee Health and co-director of the project, emphasized the importance of thorough patient consultation forms to ensure pharmacist comfort and patient safety.
Dr. Downing, co-director of the project, noted the success of the pilot program and the potential for pharmacist prescribing to be expanded to other states, emphasizing the importance of access to legal abortion services.