Btc medical europe

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For example, for a pharmacist's transformed role, it is clear that there also needs to be a mechanism for reimbursement, which does not exist now. If a pharmacist takes time to evaluate and counsel a patient beyond today's standards, how will the pharmacist be paid for that service?

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Currently, there is no mechanism on either the public or private side. Reimbursement would need to address not only the time of the pharmacist, but the increased liability that is being assumed in the role of prescriber. Reimbursement is also a factor when it comes to the patient.

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How will BTC drugs be reimbursed, if at all? Currently most OTC drugs are not reimbursed, though they may be covered by a patient's flexible payment system through their employer to use pretax dollars for purchase. Most Rx drugs are reimbursed by public and private plans.

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And if products are not reimbursed, how does that affect the increased patient access that is one of the primary goals of a BTC system? Where would BTC drugs fit into the reimbursement scheme?

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There are a myriad of other issues as well, including that most pharmacies are not equipped to provide examinations, blood draws, and room for private, confidential counseling and record-keeping, and would need to be revamped to accommodate a new role for the pharmacist as an evaluator and prescriber. Finally, although many younger pharmacists may be trained in patient evaluation, many older pharmacists might not be.

To bring pharmacists into a new role, there must be a new standard of training and licensing that would require time and money to construct. Although BTC may continue to be an aspiration for some, it became clear in the course of the FDA meeting that any movement to transform the current 2-tier system to a 3-tier system would require significant commitment on the part of many stakeholders to put into place the mechanisms and safeguards that ensure that the existence of a BTC status would in fact reach the goals set for it—to increase patient access and to reduce costs.

National Center for Biotechnology Information , U. Am Health Drug Benefits.

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Mark Senak , JD. Mark Senak Sr. Author information Copyright and License information Disclaimer. Mark Senak, Sr. This article has been cited by other articles in PMC. Support Center Support Center. This request is free of charge. You can ask this to the following address: secretariat uems.

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