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This document is an attestation by a pharmacist confirming their review of the Louisiana Statewide protocol for dispensing and administering HIV prevention medications as per Act 711 of 2024.
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How to fill out pharmacist attestation of review

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How to fill out pharmacist attestation of review

01
Obtain the pharmacist attestation form from your pharmacy's management or regulatory body.
02
Read the instructions carefully to understand the requirements for completion.
03
Fill in your personal information, including your name, pharmacy license number, and contact details.
04
Indicate the specific medications or prescriptions you are reviewing.
05
Provide a detailed account of your review process, including your evaluation of the patient's medication therapy, potential drug interactions, and overall safety.
06
Sign and date the attestation to confirm that the information provided is accurate and complete.
07
Submit the completed form to the appropriate authority or retain it as required.

Who needs pharmacist attestation of review?

01
Pharmacists involved in medication review or consultation.
02
Healthcare providers who need to verify that a pharmacist has reviewed a patient's medications.
03
Patients who are receiving medications and require documentation of pharmacist involvement.
04
Regulatory bodies requiring documentation of pharmacist reviews for compliance purposes.
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Pharmacist attestation of review is a formal certification by a pharmacist that they have reviewed a patient's medication therapy to ensure safety, efficacy, and compliance with relevant guidelines.
Pharmacists involved in the medication management process, particularly in settings like hospitals, clinics, or pharmacies that participate in medication therapy management programs, are required to file this attestation.
To fill out pharmacist attestation of review, the pharmacist should provide their details, the patient's information, specify the medications reviewed, document any recommendations or observations, and sign the form to confirm the review.
The purpose of pharmacist attestation of review is to ensure that a thorough review of a patient's medication regimen has been conducted, to enhance medication safety and effectiveness, and to fulfill legal and regulatory requirements.
The information that must be reported includes the patient's name, date of review, medications assessed, any clinical findings, recommendations made, and the pharmacist's signature and credentials.
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