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. 2020 Aug 11;135(5):547–554. doi: 10.1177/0033354920941184

Table.

Potential roles for pharmacistsa in Ending the HIV Epidemic: A Plan for Americab

Strategy Potential role
Diagnose all people with HIV as soon as possible
  • Pharmacies serve as HIV testing venues through partnerships with health departments and community-based organizations (CBOs).

  • Pharmacists perform HIV testing through collaborations with local or state health departments, CBOs, and/or clinics.

Treat people with ART rapidly and effectively to reach sustained viral suppression
  • Pharmacists improve adherence to treatment among people with HIV through medication adherence counseling, reminder tools, adherence packaging for medications, synchronized prescription refills, linkage to medication, and cost-savings programs.

  • Pharmacists proactively identify people with HIV in need of adherence support through routine review of prescription refill histories.

  • Pharmacists conduct medication therapy management to improve adherence and viral suppression among people with HIV.

Prevent new HIV transmissions by using proven interventions, including preexposure prophylaxis (PrEP) and syringe services programs
  • Pharmacists provide PrEP services for people at high risk of HIV through collaborative practice agreements with medical providers.a

  • Pharmacists support access to sterile syringes and injection equipment through nonprescription syringe sales and education on safe disposal of injection equipment.a

  • Pharmacists assist with linkage to substance use disorder treatment, testing and linkage to care, and treatment for HIV and hepatitis C.

Respond quickly to potential HIV outbreaks to get needed prevention and treatment services to people who need them
  • Pharmacists provide rapid access to antiretroviral therapy for people diagnosed with HIV.

  • Pharmacists provide PrEP and nonoccupational postexposure prophylaxis services for people at risk of acquiring HIV.a

  • Pharmacies serve as testing sites in areas where transmission clusters are detected.

  • Pharmacists and pharmacies serve as sources for sterile injection equipment in collaboration with health departments.a

Abbreviation: ART, antiretroviral treatment.

aPharmacists’ scope of practice is determined by state legislatures and regulated by boards and agencies. Services are provided within the boundaries and standards set by these agencies.

b“Ending the HIV Epidemic: A Plan for America” is a US Department of Health and Human Services initiative to reduce new HIV infections by at least 75% by 2025 and by 90% by 2030.13