[NPInfo] pharmacist and injections

[Elsa DeHart]

I am currently working in public health.  We can't provide adult 
vaccines other than pneumonia, tetnus and flu. Our grocery store 
pharmacy offers adult Hep A, B, Twinrix, shingles, HPV - about a dozen 
vaccines.  When I was trying to get one of my nursing students a 
vaccination for school we called all over and the clinics in town were 
all charging in the neighborhood of $250.00 because she had to see 
someone first and then purchase the vaccine and then have it 
administered.  The pharmacy could provide it for $80.00.  I see it as a 
great benefit to those without insurance who need a vaccination.  HPV 
vaccine is 169.99.  We see lots of people who have lost records or are 
immigrants without records and have to re-do vaccines.  Sometimes 
someone will have a local reaction to tetnus given too closely but other 
than that we rarely see any side effects so I don't believe it is a 
safety issue in that respect.  Our pharmacy does request that people 
make an "appointment" and during flu season a nurse or two is hired for 
several days.
Elsa
Thiem wrote:
> Maybe I have missed something in the previous posts then.  I don't recall the second paragraph scenario being the set-up.  I thought that the original post questioned whether or not pharmacists should be able to offer and give influenza vaccine.  And possibly if they would have good technique and follow-up.   I saw nothing of incentive being offered or taken.
>
> Laura
>
> --- On Sun, 8/24/08, Margienp at aol.com <Margienp at aol.com> wrote:
> From: Margienp at aol.com <Margienp at aol.com>
> Subject: Re: [NPInfo] pharmacist and injections
> To: npinfo at nurse.net
> Date: Sunday, August 24, 2008, 3:24 PM
>
>  
>  
>
>
> Da yes your second paragraph, is what I am referring to.In a message dated  
> 8/24/2008 8:34:56 A.M. Eastern Daylight Time, ljthiem at yahoo.com writes:
>
> So am I  violating Stark laws when I purchase/advertise/administrate flu 
> vaccine in my  own office which I own?  I don't see the difference. 
> It's a  
> service/medication.  I am not receiving any kickback from any  pharmaceutical 
> company or other provider for providing this service.   
>
> Now let's say that I didn't order flu vaccine because the pharmacist 
> told me 
> that they were going to order vaccine and that they would pay ME $x  for 
> every person that I referred to them for vaccination--that is a kickback  and
> that 
> is a violation of Stark law.  Or, in reverse, I order the  vaccine and I pay 
> the pharmacy $x for their referrals.   Kickback=violation.
>
> See the difference?  
>
> Laura
>
> ---  On Sun, 8/24/08, Margienp at aol.com <Margienp at aol.com> wrote:
> From:  Margienp at aol.com <Margienp at aol.com>
> Subject: Re: [NPInfo] pharmacist  and injections
> To: npinfo at nurse.net
> Date: Sunday, August 24, 2008, 7:02  AM
>
>
>  
> Be kinder  than necessary, everyone you meet is fighting some kind of  battle.
>
>
>
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