Section 465.1895, Florida Statutes, provides that a pharmacist who tests or screens for and treats minor, nonchronic health conditions must meet the following requirements:
- Hold an active and unencumbered license to practice pharmacy in this state.
- Have completed an initial 20-hour course approved by the board, in consultation with the Board of Medicine and Board of Osteopathic Medicine.
- Maintain at least $250,000 of professional liability insurance coverage. However, a pharmacist who maintains professional liability insurance coverage pursuant to s. 465.1865 satisfies this requirement.
- Have established a system to maintain records of all patients receiving services within the framework of a written protocol for a period of 5 years from each patient’s most recent provision of service.
Written Protocol Information
Section 465.1895(5), Florida Statutes, requires a written protocol must include terms and conditions imposed by the supervising physician relating to testing and screening for and treatment of minor, chronic health conditions that are appropriate to the pharmacist’s training.
The written protocol must include, at a minimum, the following information:
- Specific categories of patients who the pharmacist is authorized to test or screen for and treat minor, nonchronic health conditions.
- The physician’s instructions for obtaining relevant patient medical history for the purpose of identifying disqualifying health conditions, adverse reactions, and contraindications to the approved course of treatment.
- The physician’s instructions for the treatment of minor, nonchronic health conditions based on the patient’s age, symptoms, and test results, including negative results.
- A process and schedule for the physician to review the pharmacist’s actions under the protocol.
- A process and schedule for the pharmacist to notify the physician of the patient’s condition, tests administered, test results, and course of treatment.
A pharmacist acting under a written protocol may not:
- Enter into a written protocol while acting as an employee without the written approval of the owner of the pharmacy.
The rules relating to the Test and Treat certification can be found here.
Within 5 business days of entering into a written protocol with a supervising physician, a pharmacist must submit a copy of the protocol to the board.
A pharmacist who enters into a written protocol and provides services under a test and treat certification must report a diagnosis or suspected existence of a disease of public health significance to the Department of Health pursuant to Section 381.0031, Florida Statutes. To review the reporting requirements please visit http://www.floridahealth.gov/diseases-and-conditions/index.html
A pharmacist providing services under this section must provide a patient with written information to advise the patient to seek follow up care from his or her primary care physician.
The Pharmacy in which a pharmacist’s tests and screens for and treats minor, nonchronic conditions must prominently display signage indicating that any patient receiving testing, screening, or treatment services is advised to seek follow up care from his or her primary care physician.
The following steps apply to individuals who possess a Florida Pharmacist license that is active and in good standing and wish to obtain the Test and Treat Certification:
- Apply for a Pharmacist Test and Treat Certification. Ensure that all fields are completed as instructed. An incomplete application shall expire after one (1) year. To apply, click here.
- Complete 20-hour approved Collaborative Practice Certification course. Please submit the certificate of completion for the course with your application. More information regarding approved course may be found on CE Broker.
- Submit a copy of a Written Protocol. Prior to providing or implementing patient care services under a written protocol, a Pharmacist shall submit the protocol to the Board Office through the online licensure account by clicking here or via US Mail. Please note that this agreement is not required at the time of certification; however, a pharmacist who enters into a written protocol must submit a copy within 5 business days.
- Obtain $250,000 of professional liability insurance. Please submit a copy of the professional liability insurance policy with your application.
Please allow 7-10 business days for initial review of new applications. All applications and document submissions are reviewed in the order they are received. After your application is reviewed, any deficiencies will be communicated to you in writing by our Board staff. To expedite processing, please submit all required supporting documentation with your application and the requisite fees. If you are having documentation submitted by another entity on your behalf, please verify the Board office’s mailing address to ensure delivery.
- Department of Health
Board of Pharmacy
4052 Bald Cypress Way Bin C-04
Tallahassee, FL 32399-3258
There is no application fee for the Test and Treat Certification.
Click on Chapter or Section Number to View
Chapter 465: Pharmacy
Chapter 456: Health Professions and Occupations: General Provisions
Chapter 120: Administrative Procedure Act
Chapter 499: Florida Drug and Cosmetic Act
Chapter 893: Drug Abuse Prevention and Control
Florida Administrative Code
Rules: Chapter 64B16: Board of Pharmacy