OUR LADY OF FATIMA UNIVERSITY

College of Pharmacy

Introduction to Institutional
Pharmacy Practice
Part 1

Experiential Pharmacy Practice in Institutional

Pharmacy (INPI 411)
 UNIT OUTCOMES

At the end of this unit, the students are expected to:

◉ Define Institutional Pharmacy
◉ Understand the Purpose and function of IPAP
◉ Understand the onsite clinic, services and onsite
pharmacy

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 UNIT OUTLINE

◉ Institutional Pharmacy
○ According to IPAP
○ Purpose
○ Onsite clinic and services
○ Onsite Pharmacy

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 CHECKLIST

◉ Read the available learning references before the

discussion.
◉ Search for the meaning of the following terminologies.
◉ Listen and participate in the board discussion.

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 TERMINOLOGIES

Institutional pharmacies are refers to pharmacies of

institutions, organization and/or corporations that
provide a range of pharmaceutical service, given
exclusively to the employee and/or their qualified
dependents.

- RA 10918

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 TERMINOLOGIES

◉ Institutional Pharmacy practices includes the

provision of distributional and clinical pharmacy
services at a broad range of institutional settings
including hospitals, long-term care, hospice,
correctional facilities and others.

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 Industrial Pharmacist Association of the Philippines
Inc. (IPAP)

Industrial Pharmacists Association

of the Philippines (IPAP), inc. A
group of pharmacists in an
occupational setting. It is an
Occupational Health Pharmacy
(OHPh), a practice of pharmacy
in the institutional, corporate,
company or industrial setting.
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 Occupational Health Pharmacy

Occupational Health Pharmacy,

a requirement for private and
government company or
institution's medical clinic
handling, storing and dispensing
of ethical or prescription products
for their employees and/or
dependents whether free,
subsidized or sold
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 Function

Primary function or role of a

pharmacist as a member of the
occupational health team is to
follow both the company and
Food and Drugs Administration
(FDA)'s guidelines in the
procurement of medicines from a
reputable and licensed distributors.
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 Pharmacist in Industry

◉ Pharmacists in the occupational health or industrial

pharmacies of private or government company
secures License to Operate (LTO) from the FDA.
◉ They may be part of the payroll or organizational or
"plantilla" system/chart of the company they work
for either as regular or contractual employee or as
an outsourced third party pharmacy service
provider.
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 Purpose

◉ This is an area in the pharmacy profession where

pharmacists can improve the health of the
company's employees which is the building block
of our nation.

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 Labor Code of the Philippines

Book four: Health, safety and social welfare benefits

Title: Medical, dental and occupational safety

Qualification of health personnel in industry: training in

industrial medicine and occupational safety and health.

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 Labor Code of the Philippines

The Department of Labor and

Employment shall be solely
responsible for the
administration and enforcement
of occupational safety and
health laws, regulations and
standards in all establishments
and workplaces wherever they
may be located.
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 AO 2020-0017

Subject: Revised guidelines on Unified licensing

requirements and producers of the FDA repealing AO
2016-0003

RA 11223 Universal health care law and RA 9711.

“Engaged in business and operation involving in health
products and to issue product market authorization on all
health product ..
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 AO 2020-0017

All establishment whether public or private, engaged in

business or operations on health product shall first secure
LTO issued by FDA.

Shall have a qualified person (registered pharmacist)

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 Managed care Pharmacy : Goal

◉ Prevention of disease
◉ Focus on wellness and enhanced quality of life
◉ Improved clinical outcomes
◉ Quality and accessibility of health care
◉ The right therapy at the right time for the right
member

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 Manage care pharmacy

◉ Managed Care Pharmacy is the practice of

developing and applying evidence‐based medication
use strategies that enhance member and population
health outcomes while optimizing health care
resources

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 Role of Pharmacists in Managed Care Organizations

Plan benefit design

◉ Pharmacists collaborate with other healthcare
professionals to design effective benefit structures
that serve a population’s* needs:
○ Formulary
○ Plan Design
○ Pharmacy network
○ Utilization management
○ Member cost share
○ Use of generic drugs 19
 Role of Pharmacists in Managed Care Organizations

Pharmacy and Therapeutics Committee (P&T)

◉ P&T committee may include:
○ Pharmacists, physicians and other providers, administrators,
quality improvement managers and member advocates
◉ Formularies are designed to optimize patient care and therapy
management
○ Evidence based medicine
○ Updated list of drugs available
○ Reflect judgment of the medical and pharmacy staff
○ Encouraging providers to prescribe cost effective
treatments
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 Role of Pharmacists in Managed Care Organizations

Utilization Management Tools

◉ Prior Authorization (PA or “Prior Auth.”)
○ Approval process to encourage proper use of medications. Right Drug Right
Patient
◉ Step Therapy
○ Use of a product required before an alternative can be chosen
◉ Age
○ Check for member age to ensure safe use
◉ Gender
○ Check for gender to ensure appropriate use
◉ Quantity Limit (QL)
○ Align approval with FDA approved dosin
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 Role of Pharmacists in Managed Care Organizations

Clinical Program Development

To enhance patient care, particularly for those with chronic conditions,
pharmacists design clinical programs to:
◉ Use evidence‐based research data to create disease‐ management
and medication therapy management programs
◉ Encourage appropriate prescribing and proper use of medications
◉ Promote use of cost effective therapies to benefit both patients and
payers
◉ Improve health and quality of life for population under their care
◉ Using data to identify adherence and non‐adherence
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 Role of Pharmacists in Managed Care Organizations

Outreach Opportunities
Pharmacists design and use communication protocols to
facilitate exchange of necessary information:
• Notify prescribers of drug safety alerts and prior
authorization requirements, and best practices •
Educate members on their disease state and
medications
• Provide pharmacies information regarding benefit
parameters
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 Role of Pharmacists in Managed Care Organizations

Member Safety Opportunities

Drug Utilization Review (DUR) programs identify potential
prescription‐related problems:
◉ Drug/drug interactions
○ Duplication of therapy
○ Known allergies
○ Under‐ or overdosing
○ Potentially inappropriate therapy
◉ Fraud and Abuse Programs
○ Review key drug classes
○ Monitor for patterns of inappropriate use
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 Role of Pharmacists in Managed Care Organizations

Pharmacy network management

Managed Care Organizations (MCOs) provide broad‐based
networks of participating pharmacies and manage their services to
ensure quality.
May own or contract with:
• Retail Pharmacies
• Mail Order Pharmacies
• Specialty Pharmacies
• Managed Care Organization Operated Pharmacies
– In‐house pharmacies owned by the managed care
organization 25
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 Onsite clinics

◉ a setting where an employer offers one or more

medical and wellness services, delivered by licensed
providers, to all or a designated portion of its active
population and other eligible individuals.

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 Objective of onsite clinic

◉ It is commonly part of the health

benefit options that an employer
offers to its workers.
◉ The objective is to provide easy
access and immediate attention, at
little or no cost, for a host of
services and products that an
employee would normally have to
leave the worksite to obtain. 28
 Benefits of an Onsite clinic

• Offering convenient access to health care services

will reduce lost productivity that results from a
worker taking 3-4 hours to leave the worksite, travel,
wait for and see health care providers and to obtain
drugs and services
• Making first aid and acute services available at the
worksite will reduce the use and cost of hospital
emergency rooms – the highest cost setting for
obtaining medical services – for non-emergency
conditions 29
 Benefits of an Onsite clinic

◉ Providing low or no cost resources and treatment

will increase use of preventive and wellness services
and programs, lessening the severity of common
illnesses, augmenting management of chronic
conditions that require regular checkups, improving
medication compliance and patient outcomes overall
◉ Investing in well-being of employees with workplace
‘health and wellness’ benefits can help attract and
retain employees – clinics are often viewed as the
most popular benefit by 30workers
 Benefits of an Onsite clinic

◉ Delivering medical, pharmacy and therapy services at

the worksite will reduce overaIl costs, as there will be
no required revenue margins placed on top of the
services or products provided to patients at the clinic

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 Benefits of an Onsite clinic

◉ Delivering medical, pharmacy and therapy services at

the worksite will reduce overaIl costs, as there will be
no required revenue margins placed on top of the
services or products provided to patients at the clinic

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 Onsite Pharmacy

◉ An onsite pharmacy is a pharmacy at or near the

workplace. There are a number of benefits to this
approach. Offering direct pharmacy
services provides more opportunities to interact
regularly with employees and build relationships over
time, which in many cases leads to better healthcare
and enhanced outcomes while creating a superior
patient experience.
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 Onsite Pharmacy

A dedicated pharmacy can help

employers impact medication
compliance. Pharmacists have
access to claims data that can
show which conditions are most
prevalent in the employer
population and then proactively
intervene to address potential
complications associated with
not taking a medication.
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Institutional Pharmacy in the Philippines
 References:

◉ Labor code of the Philippines:

https://www.ilo.org/dyn/travail/docs/1132/Labor%20Code%20of
%20the%20Philippines%20-%20DOLE.pdf
◉ Manage care pharmacy
www.amcp.org
◉ Onsite clinic
https://www.nawhc.org/What-is-an-Onsite-Clinic
◉ Onsite Pharmacy
https://www.premisehealth.com/resources/blog/what-are-the-
benefits-of-an-onsite-pharmacy/
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 Thanks!

ANY QUESTIONS?

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