Pharmacist as a member of the

health care team

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 Seven/ten- star pharmacist
To be effective health care team members, pharmacists need skills
and attitudes enabling them to assume many different functions.

The concept of the “seven-star pharmacist” was

introduced by World Health Organization (WHO) and taken up by
International Pharmaceutical Federation (FIP) in 2000 in its policy
statement on Good Pharmacy Education Practice to cover these roles:

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2. Decision-maker.

The appropriate, efficacious, safe and cost-effective use of

resources (e.g., personnel, medicines, chemicals, equipment,
procedures, practices) should be the foundation of the
pharmacist’s work.

At the local and national levels, pharmacists play a role in setting

medicines policy. Achieving this goal requires the ability to
evaluate, synthesize data and information and decide upon the
most appropriate course of action.

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3. Communicator.

The pharmacist is in an ideal position to provide a link between prescriber

and patient, and to communicate information on health and medicines to
the public.

He or she must be knowledgeable and confident while interacting with

other health professionals and the public.

Communication involves verbal, non-verbal, listening and writing skills.

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 4. Manager
Pharmacists must be able to manage resources (human, physical and
financial) and information effectively; they must also be comfortable being
managed by others, whether by an employer or the manager/leader of a health
care team.

More and more, information and its related technology will provide
challenges as pharmacists assume greater responsibility for sharing
information about medicines and related products and ensuring their quality.

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5. Life-long-learner:

It is impossible to acquire in pharmacy school all the knowledge and

experience needed to pursue a life-long career as a pharmacist.

The concepts, principles and commitment to life-long learning must

begin while attending pharmacy school and must be supported
throughout the pharmacist’s career.

Pharmacists should learn how to keep their knowledge and skills up

to date.

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6. Teacher:

The pharmacist has a responsibility to assist with the education

and training of future generations of pharmacists and the public.

Participating as a teacher not only imparts knowledge to others,

it offers an opportunity for the practitioner to gain new
knowledge and to fine-tune existing skills.

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7. Leader:

In multidisciplinary (e.g., team) caring situations or in areas where other health

care providers are in short supply or non-existent the pharmacist is obligated
to assume a leadership position in the overall welfare of the patient and the
community.

Leadership involves compassion and empathy as well as vision and the ability
to make decisions, communicate, and manage effectively.

A pharmacist whose leadership role is to be recognized must have vision and

the ability to lead.

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8. Researcher:

The pharmacist must be able to use the evidence base (e.g., scientific, pharmacy
practice, health system) effectively in order to advise on the rational use of medicines
in the health care team.

By sharing and documenting experiences, the pharmacist can also contribute to the
evidence base with the goal of optimizing patient care and outcomes.

As a researcher, the pharmacist is able to increase the accessibility of unbiased health

and medicines-related information to the public and other health care professionals.
 9. Entrepreneur
-an entrepreneur is a person who organizes and operates a business or
businesses, taking on greater than normal financial risks in order to do s0.

The Pharmapreneur must possess and apply appropriate pharmaceutical sciences

knowledge, perform pharmacist-directed patient care, solve problems, and
continue to learn as the healthcare laws and policies change enhance patient
care by creating new outcomes improvements paradigms, innovate new
pharmacy business solutions that enhance the patient experience and strengthen
the business of community pharmacy
10. Agent for positive change - Analyzing what is known and unknown about
the contribution of the pharmacist as patient educator, physician consultant,
and agent to affect outcomes in ambulatory settings.

The need for pharmacist services is discussed, as the theoretical underpinnings

and quality of the scientific evidence to support their efficacy. It concludes with
a research and action agenda, calling for stronger research design in evaluating
pharmacists intervention.

The pharmacist must be the lead in creating change in Pharmacy practice to

improve patient care, pharmacy services and interprofessional collaboration
 Regulations of Pharmacy Practice

REPUBLIC ACT NO. 1 0 9 1 8

AN ACT REGULATING AND MODERNIZING THE PRACTICE OF PHARMACY IN THE

PHILIPPINES, REPEALING FOR THE PURPOSE REPUBLIC ACT NUMBERED
FIVE THOUSAND NINE HUNDRED TWENTY-ONE (R.A. NO. 5921), OTHERWISE
KNOWN AS THE PHARMACY LAW

This Act shall be known as the

"Philippine Pharmacy Act".

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Article 1 SEC . 2 . Statement of Policy .
The State recognizes the vital role of pharmacists in the delivery of quality
health care services through the provision of safe, effective , and quality
pharmaceutical products, pharmaceutical care, drug information, patient
medication counseling, and health promotion. The Pharmacists’
professional service shall therefore, be promoted as an indispensable
component of the total health care system to ensure the physical well-
being of the Filipino.

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Article I Section 4 RA 10918
Scope of the Practice of Pharmacy

A person is deemed to be practicing pharmacy, within the meaning of this Act,

when with or without a fee, salary, percentage or other
rewards, paid or given directly or indirectly, shall:

a) Prepare, compound or manufacture, preserve, store,

(

distribute, procure, sell, or dispense, or both, any pharmaceutical product or

its raw materials; or
b) Render services, such as clinical pharmacy services,
(

drug information services, regulatory services, pharmaceutical

marketing, medication management, or whenever the expertise and
technical knowledge of the pharmacist is required; or
c) Engage in teaching scientific, technical, or professional
(

pharmacy courses in a school or college of pharmacy; or

d) Dispense pharmaceutical products in situations

(

where supervision of dispensing of pharmaceutical products

is required; or

(e) Chemical, biological or microbiological analyses and

assay of pharmaceutical products, food / dietary supplements,
health supplements, and cosmetics; or
(h) Conduct or under take scientific research in all
aspects involving pharmaceutical products and health care; or

(i) Provide other services where pharmaceutical knowledge is

required.

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f) Physico-chemical analyses for medical devices used
(

in aid of administration of pharmaceutical products; or

g) Administration of adult vaccines as approved by the

(

Food and Drug Administration (FDA): Provided, That they

shall undergo the training on the safe administration of adult
vaccines and management of adverse event following
immunization (AEFI) for pharmacists and hold a certificate of
training issued by an institution duly accredited by the
Professional Regulation Commission (PRC): Provided, further.
That the safe administration of vaccines be part of the higher
education curriculum for pharmacists; or

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Exclusive functions of Pharmacy practice

a, b, c, d and I

Non – exclusive pharmacy practice

e, f, g and h

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RA No. 11525 – known as the Vaccination Program Act

Section 9. “ Licensed Pharmacists who are duly trained by the

DOH may administer Covid-19 vaccine that are registered with
the FDA or which possess an Emergency Use Authorization
(EUA)”.

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All pharmacists are expected to abide by current standards such as:
• the Philippine Practice Standards for Pharmacists,
• Good Laboratory Practice, Good Distribution Practice,
• Good Manufacturing Practice and Good Clinical Practice,
which are deemed vital in the performance of their roles and functions in
different practice areas

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 Professional Regulatory Board of Pharmacy (PRB)

• Under the control and supervision of Professional Regulation

Commission (PRC) and is composed of:
• A chairperson Appointed by the president of the Philippines
• 2 members
• One of the duties and responsibilities of the PRB of Pharmacy is
to prepare licensure examination examinations and submit the
results to the PRC.

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All applicants for registration for practice of Pharmacy shall be
required to pass a licensure examination.

Qualifications for the Licensure Examination for Pharmacy

1. A citizen of the Philippines

2. Of good moral character and reputation
3. A degree holder of Bachelor of Science in Pharmacy
4. Has completed internship program approved by the Board

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Scope of Examination

The Licensure Examination shall cover the following

subjects:
1. Inorganic Pharmaceutical Chemistry
2. Organic Pharmaceutical Chemistry
3. Qualitative and Quantitative Pharmaceutical Chemistry
4. Pharmacognosy and Plant Chemistry
5. Pharmaceutical Biochemistry
6. Microbilology
7. Physical pharmacy

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8. Biopharmaceutics
9. Pharmacology and toxicology
10. Manufacturing
11. Quality Assurance and Instrumentation
12. Pharmaceutical Calculation
13. Drug Delivery Systems
14. Hospital Pharmacy
15. Clinical Pharmacy
16. Dispensing & Medication counseling
17. Pharmaceutical Management
18. Public Health
19. Legal Pharmacy and Ethics

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Holding of Examination.

The Pharmacists‘ Licensure Examination shall be given two (2)

times a year in places and dates as the PRC may designate in the
Resolution providing for the master schedule of all licensure
examinations pursuant to Section 7(d) of Republic Act No. 8981.

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 Ratings in the Licensure Examination

In order to be registered and licensed as a pharmacist a candidate must

obtain a general weighted average of seventy five percent (75%) with
no rating lower than 50% in any of the subjects.

An applicant who failed in the licensure examination on the third time shall
not be allowed to take the next succeeding examinations without having
undertaken a refresher program in a duly accredited institution.

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Definition of terms

Accredited professional organization (APO) refers to the duly integrated and

accredited professional organization of registered and hcensed pharmacists, of which
there shall be only one (1), as prescribed under Section 41, Article V of this Act;

Adult vaccines refer to cervical cancer, flu (influenza), pneumococcal, other pre-
exposure prophylactic vaccines to be administered to patients aged eighteen (18)
years and above, and such other vaccines as may be defined by the Department of
Health (DOH) in an administrative issuance

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Definition of terms

Adulterated / Deteriorated pharmaceutical products refer to pharmaceutical products

unfit for human consumption, following the standards of quality or purity of which, are
as those stated in the United States Pharm acopeia/N ational Formulary and Philippine
Pharmacopeia

Biopharmaceuticals refer to pharmaceutical products that are used for therapeutic or

for in vivo diagnostic purposes, such as vaccines, sera, and drugs derived from life forms
using biotechnology. These include proteins, nucleic acids, or living microorganisms
where the virulence is reduced and are used for therapeutic or for in vivo diagnostic
purposes
Definition of terms

Brand name refers to the proprietary name given by the m anufacturer to

distinguish its product from those of competitors;

Compounding refers to the sum of processes performed by a pharmacist in drug

preparation including the calculations, mmng, assembhng, packaging, or labehng of a
drug: (i) as the result of a prescription or drug order by a physician, dentist, or
veterinarian; or (ii) for the purpose of, or in relation to, research, teaching, or
chemical analysis

Continuing professional development (CPD) refers to the inculcation of advanced

knowledge, skills, and ethical values in a post-licensure specialized or in an inter- or
multidisciplinary field of study for assimilation into professional practice, self-
directed research, and/or lifelong learning;
Definition of terms

Cosmetics refer to a substance or preparatio n intended to be placed in contact with

the various external parts of the human body or with the teeth and the mucous
membranes of the oral cavity, with a view exclusively or mainly to cleaning them,
perfuming them, changing their appearance and/or correcting body odor, and/or
protecting the body or keeping them in good condition,

Counterfeit pharmaceutical products refer to pharmaceutical products which do not

contain the amounts as claimed; with wrong ingredients; without active ingredients;
or with insufficient quantity of active ingredients, which result in the reduction of the
products' safety, efficacy, quality, strength, or purity. These also refer to products that
are deliberately and fraudulently mislabeled with respect to identity and/or source or
with fake packaging, and can apply to both branded and generic products,
Definition of terms

Dispensing refers to the sum of processes performed by a pharmacist from reading,

validating, and interpreting prescriptions; preparing; packaging; labeling; record
keeping: dose calculations; and counseling or giving information, in relation to the sale
or transfer of pharmaceutical products, with or without a prescription or medication
order
Drugs refer to pharmaceutical products that pertain to chemical compounds or
biological substances, other than food, intended for use in the treatment,
prevention, or diagnosis of disease in humans or animals

Expiration date refers to the end date when the manufacturer can guarantee th at a
product possesses its claimed potency, efficacy, quality, and safety; after which its
sale or distribution is prohibited
 Definition of terms
Health supplement refers to any product that is used to maintain, enhance and improve the
healthy function of the human body and contains one (1) or more or a combination of the
following: (1) herbal fatty adds, enzymes, probiotics, and other bioactive substances; and (2)
substances derived from natural sources, including animal, plant, mineral, and botanical
materials in the form of extracts, isolates, concentrates, metabolites, synthetic sources of
substances mentioned in (1) and (2). It is presented in dosage forms or in small unit doses such
as capsules, tablets, powder, liquids and it shall not include any sterile preparations (i.e.
injectibles, eyedrops);

Institutional pharmacies refer to pharm acies of institutions, organizations, and/or

corporations that provide a range of pharmaceutical services, given exclusively to
the employees and/or their qualified dependents

Internship program refers to a supervised practical experience that is required to be

completed for licensure as a registered pharmacist;
Definition of terms

Online pharmacy services refer to pharmaceutical services of a duly licensed

pharmaceutical outlet done over the internet;

Over-the-counter (OTC) medicines refer to medicines used for symptomatic rehef of minor ailments
and which may be dispensed without a prescription;

Pharmaceutical establishments refer to entities licensed by appropriate government agencies, and

which are involved in the manufacture, importation, exportation, repacking, and distribution of
pharmaceutical products to pharmaceutical outlets

Pharmacist refers to a health professional who has been registered and issued a vahd Certificate of
Registration (COR) and Professional Identification Card (PIC) by the PRC and the Professional Regulatory
Board of Pharmacy;
Definition of terms

Filling refers to the act of dispensing or providing medicines in accordance with a

prescription or medication order;

Food/Dietary supplements refer to processed food products intended to supplement

the diet that bears or contains one (1) or more of the following dietary ingredients:
vitamins, minerals, herbs, or other botanicals, amino acids, and dietary substances to
increase the total daily intake in amounts conforming to the latest Philippine-
recommended energy and nutrient intakes or internationally agreed minimum daily
requirements.

Generic name refers to the scientifically and internationally recognized name of

the active ingredients, as approved by the FDA pursuant to Repubhc Act No. 6675,
otherwise known as the "Generics Act of 1988"
Definition of terms

Philippine Practice Standards for Pharmacists refer to the established national

framework for quality standards and guidelines of the practice of pharmacy that
respond to the needs of the people who require the pharmacists' services to provide
optimal, evidence-based care as form ulated by the integrated APO and approved by
the Professional Regulatory’ Board of Pharmacy

Refresher program refers to a prescribed study program in an accredited school of

pharmacy

Telepharmacy services refer to pharmaceutical services of a duly Hcensed

pharmaceutical outlet done through the use of telephone, teleconferencing, or
facsimile
1. Caregiver.

Pharmacists provide caring services.

They must view their practice as integrated and continuous with
those of the health care system and other health professionals.

Services must be of the highest quality.

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Definition of terms

Pharmacist-only OTC medicines refer to over-the counter medicines classified by

appropriate government agencies to be obtained only from a licensed pharmacist, with
mandatory pharmacist's advice on their selection and proper use;

Pharmacy aides refer to persons who assist the pharmacists in the different aspects
of pharmacy operation based on established standard operating procedures and
processes, with very minimal degree of independence or decision making and
without direct interaction with patients;

Pharmacy assistants refer to persons who assist the pharmacists in different aspects
of pharmacy operation based on established standard operating procedures and
processes, with a minimum degree of independence or decision making and may
have supervised interaction with patients;