4/7/2016 2:01 pm
Date / Time filed with the Register of Regulations
VA.R. Document Number: R____-______
Virginia Register Publication Information

Transmittal Sheet: Response to Petition for Rulemaking
Initial Agency Notice
Agency Decision
Promulgating Board: Board of Pharmacy
Regulatory Coordinator: Elaine J. Yeatts


Agency Contact: Elaine Yeatts

Agency Regulatory Coordinator


Contact Address: Department of Health Professions

9960 Mayland Drive

Henrico, VA 23233
Chapter Affected:
18 vac 110 - 20: Regulations Governing the Practice of Pharmacy
Statutory Authority: State: Chapters 33 and 34 of Title 54.1

Date Petition Received 12/28/2015
Petitioner Angela Gilley
 Petitioner's Request
Within a Hospital or free-standing Emergency Department setting, the medical staff may approve guidelines that are clinically accepted as the standard of care, or are approved by the Medical Staff of the hospital through the typical approval process (such as the Pharmacy and Therapeutics Committee), which allow pharmacists to change, discontinue, adjust, monitor, order pertinent labs, and make subsequent adjustments to medications as applicable to the approved guideline without requiring a physician order to implement the guideline.  In addition, a practitioner may write an order for \"pharmacy to dose" a medication which allows the pharmacist to dose, monitor, order pertinent labs, and make subsequent adjustments to any medication specified in the order based on the pharmacist's clinical judgment.
 Agency Plan
In accordance with Virginia law, the petition has been filed with the Register of Regulations and will be published on January 25, 2016.  Comment on the petition may be sent by email, regular mail or posted on the Virginia Regulatory Townhall at www.townhall.virginia.gov; comment will be requested until February 24, 2016.  Following receipt of all comments on the petition to amend regulations, the Board will decide whether to make any changes to the regulatory language in Regulations Governing the Practice of Pharmacy.  It will also be reviewed by the Assistant Attorney General who can advise the Board on whether the request requires a change in the Code of Virginia. This matter will be on the Board's agenda for its meeting scheduled for March 25, 2016.
Publication Date 01/25/2016  (comment period will also begin on this date)
Comment End Date 02/24/2016
 Agency Decision
Take no action
Agency Response Date 04/07/2016
 Agency Decision Text
At its meeting on March 25th, the Board considered the petition; there were no public comments received in support or in opposition.  Following a lengthy discussion, the Board concluded that it needed additional information and research and some legal advice from its board counsel.  For that purpose, the petition was denied, but the matter was referred to the Regulation Committee of the Board for further consideration.  While the Board does not intend to initiate rulemaking at this time, the Committee will further review the issue which will include a discussion of the statute relating to collaborative practice.