title: Prescriber-pharmacist collaboration: re-engineering the partnership to optimize pain patient care.
abstract: The Walgreen Companies recently settled a Drug Enforcement Administration (DEA) administrative action and other investigations arising in connection with a controlled substance distribution facility in Florida and several of its retail pharmacies. These DEA enforcement actions upon a national chain pharmacy have resulted in a series of policies and professional practices that appear to functionally disrupt continuity of patient care. The policy issues transcend the professions and go to the core of our responsibilities to patients. It is unfortunate that regulations intended to prevent diversion also dramatically disrupt interprofessional relations. Based on public statements of professional organizations, unification on this issue seems possible. This presents an opportunity to revisit collaboration among prescribers and pharmacists in legislative and regulatory advocacy. A uniform definition of "legitimate medical purpose" is needed to maximize patient access to needed pharmacotherapy while remaining vigilant for diversion.
authors.forename: James H
authors.initials: JH
authors.lastname: Ruble
mesh_terms: D003157:Community Pharmacy Services / Q000458:organization & administration* / Q000592:standards; D003266:Continuity of Patient Care / Q000458:organization & administration; D061891:Controlled Substances / Q000008:administration & dosage; D003299:Cooperative Behavior; D004335:Drug and Narcotic Control / Q000331:legislation & jurisprudence; D005431:Florida; D006077:Government Agencies; D006297:Health Services Accessibility; D006801:Humans; D007400:Interprofessional Relations; D016134:Organizational Policy; D059408:Pain Management / Q000379:methods*; D005791:Patient Care / Q000379:methods / Q000592:standards; D010595:Pharmacists / Q000458:organization & administration* / Q000592:standards; D010820:Physicians / Q000458:organization & administration*; D064226:Prescription Drug Diversion / Q000517:prevention & control
chemical_list: D061891:Controlled Substances