P1246990959KwFHC

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NEW MEXICO DEPARTMENT OF HEALTH TOBACCO USE
PREVENTION AND CONTROL (TUPAC) AND NEW MEXICO
PHARMACEUTICAL CARE FOUNDATION Nancy
Kirkpatrick, TUPAC Cessation Coordinator Denise
Cuellar, MBA, RPh
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Started pilot program with 2 pharmacies in
Grants, NM Training in Rx for Change Funding
for intervention and patches for 50 patients at
each of the 2 pharmacies plus f/u calls and
evaluation
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Contract with NMPhA allowed broader coverage 12
pharmacies participating with counseling,
pharmacotherapy, follow-up and evaluation 23
Pharmacists trained 8 ACPEs (CEUs)
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• Rx For Change Program
• Based on USPHS Treating Tobacco Use Dependence
  Clinical Practice Guideline
• Incorporates stages of behavior change
• System change
• Prescribing Guidelines
• Forms
• Evaluation

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• Steps for Implementation of Program
• Pharmacists notified and educated about program
  and invited to participate
• Training scheduled/held
• Billing procedures explained
• Brochure developed and mailed to local
  clinicians
• News release in local media outlets
• Flyers in bags with every purchase
• Pharmacies swarmed with tobacco users wanting to
  quit and needing help
• Quitline (1-800-QUIT NOW) for additional help

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As of January 1, 2005 Pharmacists in New Mexico
who have been through the Rx For Change
Intervention program, are granted prescribing
authority for Zyban as a cessation aid, and other
prescription nicotine replacement therapies,
independent of a physician.
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Successes Rx For Change added to UNM School
of Pharmacy curriculum for all students
Prescriptive authority for Zyban and all other
nicotine replacement therapies Program well
received by pharmacists and tobacco users
Rural populations served Coordination with
NMMRA program CEUs for training
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Barriers Limited Funding Large
geographical area mostly rural or frontier
Various languages
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Lessons learned Local pharmacists have
connection in community and an established
relationship with their customers
Financial support is big incentive for
counseling
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Contact Information Nancy Kirkpatrick
505-841-4555 Nancy.Kirkpatrick_at_doh.state.nm.us 625
Silver SW Albuquerque, NM 87102 Denise Cuellar
505-292-4704 Dcuellar_at_salud.unm.edu MSC09
5360 1 University of New Mexico Albuquerque, NM
87131-0001