Highlights on the Self-Administered Hormonal Contraception Protocol for Pharmacists Approved by the California State Board of Pharmacy

April 08, 2016

UCSC pharmacists are NOT furnishing prescriptions for self-administered hormonal contraception since UCSC Student Health Services already has a robust system which quickly provides visits for contraception.

As of 4/8/16, pharmacists who have taken the required continuing education can furnish self-administered hormonal contraception to patients who request it by following the CA State Board of Pharmacy protocol. Self-administered hormonal contraception includes the following products: oral tablets, transdermal patches, vaginal ring and depot injection. The protocol requires a mandated self-screening tool for the patient, pharmacist review of the self-screening tool, measurement and documentation of patient's seated blood pressure if combined hormonal contraceptives are requested or considered, patient training in administration of the recommended medication, counseling and information on the product including: dosage, effectiveness, potential side effects, safety, the importance of receiving recommended preventive health screenings and that self-administered hormonal contraception does not protect against sexually transmitted infections. The documentation needs to go into a medical record and those records need to be sent to the patient's primary care provider (PCP), if the patient has one. If the patient does not have a PCP, then the pharmacist will provide the patient with a written record of the drug/s or device/s furnished and advise the patient to consult an appropriate health care professional of the patient's choice.

The self-screening tool needs to be completed annually or whenever the patient indicates a major health change.

The pharmacist will provide the patient with the recommended medication and current, consumer friendly birth control guides and a copy of an administration-specific fact sheet. The pharmacist will answer any questions the patient may have regarding self-administered hormonal contraception. The pharmacist will refer the patient for appropriate follow-up care to the patient's primary care provider or if no PCP to nearby clinics.