Full course description
Comprehensive Contraceptive Education:
Dear Utah Pharmacist,
On March 27, 2019, the executive director of the Utah Department of Health signed a statewide standing order allowing pharmacists to dispense contraceptive pills, patch, or ring to women ages 18 or older. Through this standing order, any woman can walk into a participating pharmacy and purchase hormonal contraception without needing a prescription. Women will be able to receive birth control pills, contraceptive patches, or vaginal rings from participating pharmacists after they complete a health history form, have their blood pressure taken, and talk with the pharmacist about which contraceptive method will work best for them. Patients will still be responsible for covering the cost of their medications and the consultation with the pharmacist; either by utilizing insurance coverage or paying out of their pocket. Women will be required to provide proof of a visit with their women’s health care provider every two years. To see a copy of the standing order click here.
The Utah Statewide Standing Order authorizes the pharmacist or pharmacist intern to provide the following dosage forms of self-administered hormonal contraceptives:
- Oral hormonal contraceptive
- Hormonal vaginal ring; and
- Hormonal contraceptive patch.
Please note that DMPA is not included in this list of authorized of self-administered hormonal contraceptives. Module 6 of this course discusses DMPA therapy.
Please refer to the Hormonal Contraceptive Resources
Women in the United States have had access to highly effective hormonal contraception in the form of an oral pill for decades. However, they have always needed to see their doctor or women’s health provider in order to get a prescription for it, causing what many believe to be an unnecessary hurdle.
The American Congress of Obstetricians and Gynecologists (ACOG) have issued a formal statement that self-administered hormonal contraception should be made more accessible by removing this barrier. This is because the benefit of preventing unintended pregnancies by improving access to hormonal contraception outweighs the small risks associated with serious adverse events. Allowing pharmacists to provide hormonal contraception directly to women is one way to increase access now.
This is an exciting time for the profession of pharmacy because of the position and accessibility that many pharmacists can provide towards helping to improve access to hormonal contraception. Some states have now passed laws that allow women to obtain self-administered hormonal contraception directly from their pharmacist, and it’s possible that more states will follow. While pharmacists are knowledgeable in being able to counsel women on the side effects and what to expect, before now they have never been in the role of starting or continuing a woman on any form of hormonal contraception. It is good to have a foundational knowledge on hormonal contraception, but prescribing it requires a deeper understanding of how to practice seeing patients and in making clinical decisions.
This training program has received significant support and guidance from several OBGYN members of ACOG, and is specifically designed to give pharmacists the tools needed to be confident and successful in prescribing and monitoring self-administered hormonal contraception.
Accreditation Council for Pharmacy Education Information:
This program has been planned and implemented in accordance with the policies of the Accreditation Council for Pharmacy Education through the sponsorship of OSU College of Pharmacy. The OSU College of Pharmacy is approved by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. Upon completion of this activity, participants will receive a Statement of Completion, and a Statement of Credit shall be uploaded to CPE Monitor. Completion requires 1) Registration for the course 2) Completion of all modules 3) Passing a final exam with 80% or higher and 4) Completion of the program evaluation.
At the completion of this activity, the participant will be able to:
1) Work with an individual woman to choose the best and most effective contraceptive method for her.
2) Build a strong knowledge base for hormonal contraceptives including the mechanism of action, doses, types, use, benefits, and risks.
3) Effectively counsel patients on the importance of adherence, missed pills, interactions, and side effects of combined hormonal contraceptives.
4) Recognize the purpose of the self-assessment questionnaire, and how it relates to the US Medical Eligible Criteria guidelines published by the CDC.
5) Assess an individual woman's risk when compared to the benefits of combined hormonal contraceptions in order to determine whether or not she should be referred to her women's health provider.
6) Utilize tools that will aid in how to incorporate a service that provides hormonal contraception to women at a community pharmacy or ambulatory care site.
7) Compare DMPA to other "self-administered" hormonal contraceptive methods including the oral pill, the transdermal patch, and the vaginal ring.
8) Evaluate the risks associated with DMPA, and other progestin-only methods, for a given patient in order to determine her eligibility for use.
Target Audience: Pharmacists liscensed in Utah
Activity Type: Application
Activity Release Date: 01/01/2022
Activity Expiration Date: 01/01/2025
Faculty/Contributors: Lorinda Anderson, Pharm.D., BCPS; Mark Ledi, PhD, BPharm; Adriane N. Irwin, MS, PharmD, BCACP
Declarations: None of the contributors, designers, or peer reviewers for this course have any financial relationships with ineligible companies to disclose
About the Course:
The guidelines for contraceptive use put out by the CDC have an app that can be downloaded for use. You can find it by searching "US MEC US SPR" in iTunes or Google Play, or by clicking on this link and scrolling down: US MEC App, the guidelines for contraceptive use put out by the CDC.
An NABP e-Profile ID and NPI number must be provided to register. If you need help credentialing please contact the OSU College of Pharmacy.
If you have any questions regarding the course, please contact OSU College of Pharmacy.
The following browsers are supported for enrollment and completion of this course. If you are completing the course on a phone or tablet, it is recommended to utlize the Canvas app available in the Apple or Google app store.
- Chrome 102 and 103
- Firefox 100 and 101 (*extended releases are not supported)
- Edge 101 and 102
- Respondus Lockdown Browser (supporting the latest system requirements)
- Safari 14 and 15 (Macintosh only)
For further information, to check if your browser is supported, or to upgrade your browser, please click here.
If you've already completed one of our ACPE accredited state courses and need certification in an additional state(s), please click here to complete the form request.