Mail Order Pharmacy
- Mail order pharmacy is used for maintenance therapy for such chronic conditions as depression, gastrointestinal disorders, heart disease, hypertension, and diabetes.
- Mail order pharmacies must follow federal and state requirements in processing prescriptions, but are not necessarily licensed in each state to which they send medications.
- Mail order pharmacies are generally large scale operations that are highly automated.
- Pharmacists review mail order prescriptions before and after filling.
Long Term Care
- Because of limited resources, most long term care facilities contract out dispensing and clinical pharmacy services.
Home Infusion
- Home care is supervised by a registered nurse who works with a physician, pharmacist, and others to administer a care plan that involves the patient or another caregiver.
- The fastest growing area of home health care is home infusion.
- Infusion pumps are available for specific therapies or multiple therapies, and include ambulatory pumps that can be worn by patients.
- In home infusion, the patient or caregiver is educated about the therapy: how to self administer, monitor, report problems, and so on.
- The primary therapies provided by home infusion services are: antibiotic therapy, parenteral nutrition, pain management, and chemotherapy.
- The same rules apply to preparing parenteral admixtures in the home setting as in the hospital.
Nuclear Pharmacy
- Nuclear pharmacies prepare radiopharmaceuticals that are used for diagnosis and treatment of disease.
- Nuclear pharmacies are typically located for easy access to hospitals and clinics where diagnostic testing is performed.
- Radiation safety is regulated on the federal level by the Nuclear Regulatory Commission (NRC) and the Department of Transportation (DOT).
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