![]() In California, pharmacists generally have a duty to dispense prescription drugs and devices, but they may refuse to dispense a drug or device, including a contraceptive, on ethical, moral, or religious grounds. Colorado, Florida, Idaho, Illinois, Maine, Tennessee, and Washington have enacted refusal clauses, but they do not explicitly refer to pharmacists. Other states have enacted legislation that requires pharmacies to fill any lawful prescription for birth control, or the pharmacy boards have issued guidance indicating that pharmacists may not refuse to dispense on moral grounds.įor example, in Arizona, Arkansas, Georgia, Idaho, Mississippi, and South Dakota, legislation or regulations permit a pharmacist to refuse to dispense emergency-contraception medication. In several states, pharmacy boards have issued guidance that permits a pharmacist to refuse to dispense medication so long as the patient’s access to the medication is protected by “facilitated referrals” for the filling of the prescription. ![]() In some states, legislation has granted pharmacists the right to refuse to dispense drugs related to contraception on moral grounds. Recent developments indicate that there are at least two evolving trends. Emergency contraception is distinguished from mifepristone, which is sometimes referred to as nonsurgical abortion or RU-486. Much of the debate pertains to the dispensing of emergency contraception, which is used to prevent a pregnancy and is described by NCLS as a general term for a number of types of birth-control pills to be used within 72 hours of unprotected intercourse. According to the National Conference of State Legislatures (NCLS), the movement resulted in the conscience clause, which allows pharmacists the right to refuse to provide certain services based upon a violation of personal beliefs or values. This issue expanded as pharmacists refused to dispense emergency contraception and other birth-control medications. Wade, certain states enacted legislation designed to allow physicians and other direct providers of healthcare to refuse to perform or assist in an abortion and hospitals to refuse to allow abortions on their premises. Constitution extended to a woman’s decision to have an abortion balanced with the State’s interests in preserving and protecting the health of the pregnant woman and in protecting the potentiality of human life. 2 In that decision, the Court ruled that a right to privacy under the Due Process Clause of the Fourteenth Amendment to the U.S. Healthcare provider refusal clauses (or conscience clauses) were enacted following the U.S. Ultimately, the patient received the medication from another pharmacy within the chain drugstore, which apologized to the patient. Those policies allow a pharmacist to decline filling prescriptions when the practitioner has moral objections to the prescription, but require the pharmacist to refer the prescription to another pharmacist or manager in a timely manner. ![]() ![]() The media also reported that the chain drugstore where the pharmacist worked had issued corporate policies addressing the above circumstances. As further reported, the pharmacist would not dispense the drug to the patient, who had learned that her baby’s development had stopped. The medication is also prescribed as a standard treatment during miscarriages to help speed the process of expelling nonviable tissue, as an alternative to surgery. According to the reporting, the patient was prescribed misoprostol, a medication used in medical abortion. In late June 2018, the media reported that a pharmacist in Arizona declined to fill a prescription for a female patient based upon personal objections.
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