. Author manuscript; available in PMC: 2020 Aug 13.

Published in final edited form as: J Am Pharm Assoc (2003). 2020 Aug 13;60(6):963–968.e2. doi: 10.1016/j.japh.2020.07.019

Table 2:

Pharmacy-level associations with implementation

Key elements
Company protocol and administrative support (11/12) Mandated and subsidized training Essential for widespread implementation	“Probably about six months it was a voluntary thing while we were trying to get our protocol and things like that set up, and then towards the end, it became something that was mandatory for everyone to at least go through the training ”
Advertising the service (9/12) Awareness that pharmacists can furnish birth control is limited	‘We have a banner up above the Costco pharmacy, where we list what services we provide and what we’re currently featuring. So when we started rolling out with oral contraception, the banner went up on the wall. It’s also on the Costco website, I believe, but not in every state because not every state does it yet. ” ‘We have a couple of posters. And there’s something at the pickup window. There’s a little stand that says at the pharmacy offers birth control prescribing. ” ‘There’s a lot of customers who are not familiar with that or are unaware of it. ” “Around the pharmacy, there are a couple signs, letting patients know that we do furnish birth control without a doctor prescription. I believe there’s probably a marketing campaign as well online with our company. ”
Pharmacist engagement Increasing access to contraception (9/12) Improves adherence and eliminates care gaps Increasing access to care (5/12) Maintaining continuity of care Pharmacies are more accessible	“[When patients] are in-between insurance companies or in-between providers for whatever reason, there’s a break in the continuity of care. And so I stepped in to fill that break and then try to get them into the women’s clinic if they don’t already have a provider. Or, let’s say they’re transitioning, they’re a college student, then I make sure that they’ve got enough to get them to their new school or wherever they’re headed to and be that point of contact with the provider when they get to the new site. So I’m more of a bridge of service type of person. ” “The pharmacist is the most over-trained and underutilized healthcare professional we have and so being able to provide that extra, trying to try to track down doctors to get them to refill birth control is the most ridiculous thing because they’re trying to get patients to get in to see a doctor for something that is so readily available. ” “I still think it’s a good service that we can provide, it’s a lot quicker for the patient than to go to the doctor’s office”

Key elements

Company protocol and administrative support (11/12)

Mandated and subsidized training
Essential for widespread implementation

“Probably about six months it was a voluntary thing while we were trying to get our protocol and things like that set up, and then towards the end, it became something that was mandatory for everyone to at least go through the training ”

Advertising the service (9/12)

Awareness that pharmacists can furnish birth control is limited

‘We have a banner up above the Costco pharmacy, where we list what services we provide and what we’re currently featuring. So when we started rolling out with oral contraception, the banner went up on the wall. It’s also on the Costco website, I believe, but not in every state because not every state does it yet. ”
‘We have a couple of posters. And there’s something at the pickup window. There’s a little stand that says at the pharmacy offers birth control prescribing. ”
‘There’s a lot of customers who are not familiar with that or are unaware of it. ”
“Around the pharmacy, there are a couple signs, letting patients know that we do furnish birth control without a doctor prescription. I believe there’s probably a marketing campaign as well online with our company. ”

Pharmacist engagement
Increasing access to contraception (9/12)

Improves adherence and eliminates care gaps

Increasing access to care (5/12)

Maintaining continuity of care
Pharmacies are more accessible

“[When patients] are in-between insurance companies or in-between providers for whatever reason, there’s a break in the continuity of care. And so I stepped in to fill that break and then try to get them into the women’s clinic if they don’t already have a provider. Or, let’s say they’re transitioning, they’re a college student, then I make sure that they’ve got enough to get them to their new school or wherever they’re headed to and be that point of contact with the provider when they get to the new site. So I’m more of a bridge of service type of person. ”
“The pharmacist is the most over-trained and underutilized healthcare professional we have and so being able to provide that extra, trying to try to track down doctors to get them to refill birth control is the most ridiculous thing because they’re trying to get patients to get in to see a doctor for something that is so readily available. ”
“I still think it’s a good service that we can provide, it’s a lot quicker for the patient than to go to the doctor’s office”