Pharmacists refusing to fill orders for The Pill

Nurses Activism

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(Sorry in advance if not supposed to post articles...haven't been on the site in a while and can't find the rules about this.)

Thought you all would want to know about this.

-K.

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From http://story.news.yahoo.com/news?tmpl=story&cid=710&e=1&u=/usatoday/druggistsrefusetogiveoutpill

Druggists Refuse to Give Out Pill

By Charisse Jones, USA TODAY

For a year, Julee Lacey stopped in a CVS pharmacy near her home in a Fort Worth suburb to get refills of her birth-control pills. Then one day last March, the pharmacist refused to fill Lacey's prescription because she did not believe in birth control.

"I was shocked," says Lacey, 33, who was not able to get her prescription until the next day and missed taking one of her pills. "Their job is not to regulate what people take or do. It's just to fill the prescription that was ordered by my physician."

Some pharmacists, however, disagree and refuse on moral grounds to fill prescriptions for contraceptives. And states from Rhode Island to Washington have proposed laws that would protect such decisions.

Mississippi enacted a sweeping statute that went into effect in July that allows health care providers, including pharmacists, to not participate in procedures that go against their conscience. South Dakota and Arkansas already had laws that protect a pharmacist's right to refuse to dispense medicines. Ten other states considered similar bills this year.

The American Pharmacists Association, with 50,000 members, has a policy that says druggists can refuse to fill prescriptions if they object on moral grounds, but they must make arrangements so a patient can still get the pills. Yet some pharmacists have refused to hand the prescription to another druggist to fill.

In Madison, Wis., a pharmacist faces possible disciplinary action by the state pharmacy board for refusing to transfer a woman's prescription for birth-control pills to another druggist or to give the slip back to her. He would not refill it because of his religious views.

Some advocates for women's reproductive rights are worried that such actions by pharmacists and legislatures are gaining momentum.

The U.S. House of Representatives passed a provision in September that would block federal funds from local, state and federal authorities if they make health care workers perform, pay for or make referrals for abortions.

"We have always understood that the battles about abortion were just the tip of a larger ideological iceberg, and that it's really birth control that they're after also," says Gloria Feldt, president of Planned Parenthood (news - web sites) Federation of America.

"The explosion in the number of legislative initiatives and the number of individuals who are just saying, 'We're not going to fill that prescription for you because we don't believe in it' is astonishing," she said.

Pharmacists have moved to the front of the debate because of such drugs as the "morning-after" pill, which is emergency contraception that can prevent fertilization if taken within 120 hours of unprotected intercourse.

While some pharmacists cite religious reasons for opposing birth control, others believe life begins with fertilization and see hormonal contraceptives, and the morning-after pill in particular, as capable of causing an abortion.

"I refuse to dispense a drug with a significant mechanism to stop human life," says Karen Brauer, president of the 1,500-member Pharmacists for Life International. Brauer was fired in 1996 after she refused to refill a prescription for birth-control pills at a Kmart in the Cincinnati suburb of Delhi Township.

Lacey, of North Richland Hills, Texas, filed a complaint with the Texas Board of Pharmacy after her prescription was refused in March. In February, another Texas pharmacist at an Eckerd drug store in Denton wouldn't give contraceptives to a woman who was said to be a rape victim.

In the Madison case, pharmacist Neil Noesen, 30, after refusing to refill a birth-control prescription, did not transfer it to another pharmacist or return it to the woman. She was able to get her prescription refilled two days later at the same pharmacy, but she missed a pill because of the delay.

She filed a complaint after the incident occurred in the summer of 2002 in Menomonie, Wis. Christopher Klein, spokesman for Wisconsin's Department of Regulation and Licensing, says the issue is that Noesen didn't transfer or return the prescription. A hearing was held in October. The most severe punishment would be revoking Noesen's pharmacist license, but Klein says that is unlikely.

Susan Winckler, spokeswoman and staff counsel for the American Pharmacists Association, says it is rare that pharmacists refuse to fill a prescription for moral reasons. She says it is even less common for a pharmacist to refuse to provide a referral.

"The reality is every one of those instances is one too many," Winckler says. "Our policy supports stepping away but not obstructing."

In the 1970s, because of abortion and sterilization, some states adopted refusal clauses to allow certain health care professionals to opt out of providing those services. The issue re-emerged in the 1990s, says Adam Sonfield of the Alan Guttmacher Institute, which researches reproductive issues.

Sonfield says medical workers, insurers and employers increasingly want the right to refuse certain services because of medical developments, such as the "morning-after" pill, embryonic stem-cell research and assisted suicide.

"The more health care items you have that people feel are controversial, some people are going to object and want to opt out of being a part of that," he says.

In Wisconsin, a petition drive is underway to revive a proposed law that would protect pharmacists who refuse to prescribe drugs they believe could cause an abortion or be used for assisted suicide.

"It just recognizes that pharmacists should not be forced to choose between their consciences and their livelihoods," says Matt Sande of Pro-Life Wisconsin. "They should not be compelled to become parties to abortion."

Specializes in Public Health, DEI.

I'm having trouble understanding how a pharmacy like CVS is still employing this guy. Surely they have established guidelines as to what a pharmacist can and can't do. I once had a pharmacist refuse to fill a script for a med because he felt that the dosage was too high and said he wouldn't fill it till he spoke to my doctor. I elected to fill it elsewhere, but I did understand his right to make *that* refusal, and I'm sure the drugstore would have backed him up as well (although, the pharmacist at another store of the same chain filled it without batting an eyelash).

Specializes in Med-Surg, Geriatric, Behavioral Health.

If a pharmacist felt that strongly, the "professional" pharmacist would refer the customer to another pharmacist in house in order to fill the RX. If none present in house, the nearest pharmacist that would fill the RX. If this was not done, it smacks of unethical behavior. Whose to say that the viagra RX he filled last month did not cause the current unwanted pregnancy now before him. He needs to leave his personal judgements at the door when he comes to work...pure and simply. If it is a personal barrier for him...OK. I can respect THAT. However, he is unethical as a pharmacist if he places himself as that person's "judge and jury" in how that other person lives his/her life and withholds access.

I'm sorry but I don't get it...it's not their job to judge anyone..I'm sure we have all come across circumstances that we were not comfortable with, nor do we agree with..but it's not anyones place to force our opinions/beliefs on others..a pts health care is between them and their MD, and we have to honor their decisions no matter what we may think or feel. The only time I would refuse to give a med/tx is if I thought it may cause that pt harm. I mean, if you think about it..if a pharmacist refuses to fill birth control, what's next? no meds for std's because they think the pt is too 'friendly'..or AIDS meds because they think the pt is homosexual..and on and on....just because they fill the rx doesn't make them responsible for the outcome...pt/MD decision..not the pharmacist.

GOOD POINT! The one I really don't get is when the pharmacist refuses to fill it and then won't give the pt. the doctor's perscription back to be filled somewhere else. I think that is wrong and it's stealing!!! :angryfire

I'm having trouble understanding how a pharmacy like CVS is still employing this guy. Surely they have established guidelines as to what a pharmacist can and can't do. I once had a pharmacist refuse to fill a script for a med because he felt that the dosage was too high and said he wouldn't fill it till he spoke to my doctor. I elected to fill it elsewhere, but I did understand his right to make *that* refusal, and I'm sure the drugstore would have backed him up as well (although, the pharmacist at another store of the same chain filled it without batting an eyelash).

The pharmacist did the right thing by refusing to fill the script in your case if he felt the need to clarify the order.

GOOD POINT! The one I really don't get is when the pharmacist refuses to fill it and then won't give the pt. the doctor's perscription back to be filled somewhere else. I think that is wrong and it's stealing!!! :angryfire

I missed the part of the pharmacist not giving the script back. That is totally wrong.

Specializes in LTC,Hospice/palliative care,acute care.
So, what can nurses do about this?

What can citizens do about this?

..

First you can contact Planned Parenthood online-from there you can be kept abreast of current legislation and how to let your voices be heard.They have links to contact your senators and representatives.......Then you can e-mail CVS and after that you can e-mail the The American Pharmacists Association and your states Board of pharmacy..You can also volunteer for your local political party and when the next election rolls around le'ts hope we can stop the errosion of our rights......Any one else have any other ideas?

Specializes in LTC,Hospice/palliative care,acute care.
So, what can nurses do about this?

What can citizens do about this?

..

First you can contact Planned Parenthood online-from there you can be kept abreast of current legislation and how to let your voices be heard.They have links to contact your senators and representatives.......Then you can e-mail CVS and after that you can e-mail the The American Pharmacists Association and your states Board of pharmacy..You can also volunteer for your local political party and when the next election rolls around le'ts hope we can stop the errosion of our rights......Any one else have any other ideas?

What about people who take the bcp for non birth control reasons? Just because a pill was developed for a specific reason doesn't meant it is used for that reason alone. That's ridiculous.

I'm a dialysis patient... will I someday face the same thing if the pharmacist doesn't "believe" in dialysis?

I am taking the Pill to regulate an extremely irregular cycle-- thank God I have not run into anyone who refused to fill my prescription.

I had considered a pharmacist career, but realized I'd have had a hard time dispensing any medication that would cause abortion-- SO I DIDN'T CHOOSE THAT CAREER! I guess that makes me smarter than the pharmacists mentioned... wow, that makes me feel good! :D

Specializes in Med/Surg, Geriatrics.
Because it's not about the pharmacist's own personal beliefs; it's about the pharmacist wanting to dictate the patient's actions according to those beliefs.

Because it's not about the pharmacist minding his own business and doing his job; it's about judging the patient.

Because it's not about protecting the pharmacist from having to take part in something he doesn't believe in; it's about the pharmacist wanting to take away the patient's choice.

Because it's not about pharmacy policy; it's about political policy.

Because it's not about doing what's right; it's about doing what's "righteous."

And because it's not just a prescription; it's a witch hunt.

And it's ridiculous.

And it has to stop.

But it won't stop if we let it keep going.

:angryfire

I couldn't have said it any better myself.

Specializes in MICU, SICU, Neuro ICU, Trauma ICU,.

Our great god-fearing President Bush will just love this one. How long will it be before he tries to add this one to the Constitution???

Specializes in LTC,Hospice/palliative care,acute care.

Has anyone gone to Planned Parenthood web site and starting advocating for your rights? They make it very easy with from letters and links....

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