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Advanced Roles of Community-Based Pharmacy Practitioners

April 19, 2023


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This podcast will explore the recent advancements in community pharmacy practice in the northwest and their implementation into practice. Discussions will include independent prescribing, test-treat protocols, preventative health services, disease state management, and the medical billing necessary to sustain these services.


RoskoZachary Rosko, PharmD, BCPS serves as the director of pharmacy and care teams at Neighborhood Health Center, a FQHC system in Portland, OR. In this role, he established and grew an integrated clinical pharmacy program, sustained from medical billing for non-dispensing services, and launched the FQHC's first community pharmacy. As a consultant, he has assisted many other community pharmacy and institutional practices in implementing clinical services or medical billing and teaches pharmacists how to code and bill for non-dispensing services provided under a medical benefit.

Andrew Hibbard, PharmD, BCACP, BCGP

SeignemartinBrandy Seignemartin, PharmD graduated from Washington State University and completed an executive fellowship at the Washington State Pharmacy Association. Seignemartin serves as the executive director for the Alaska Pharmacists Association and clinical assistant professor in the UAA/ISU PharmD Program. She coordinates courses on the complexities of the healthcare system, performs research in pharmacy policy and regulatory models, and is a consultant to the National Alliance of State Pharmacy Association on state-based policy projects.

MarchettiNicki Chopski, PharmD earned her PharmD from Idaho State University, College of Pharmacy in 1997. In 2007 as a hospital pharmacist, Nicki was appointed to the Idaho Board of Pharmacy, serving for 12 years before becoming executive director in 2019. She is currently the bureau chief of health professions for the Idaho Division of Occupational and Professional Licenses. She serves as the executive officer for the Boards of Medicine, Nursing and Pharmacy.

MarchettiDebbie Marchetti, PharmD holds a position with ISU’s College of Pharmacy which includes coordinating and directing the PGY1 Community Pharmacy Residency program as well as didactic and experiential teaching within the Doctor of Pharmacy curriculum. Debbie is currently working to implement over 25 prescriptive protocols she has developed for pharmacist delivery of direct patient care. She is also focused on post-diagnostic education and monitoring, and incorporation of an EHR/pharmacist billing platform for implementation within our rural ISU Pharmacist Clinic.

WadsworthThomas Wadsworth, PharmD, BCPS is an associate professor and executive associate dean at Idaho State University College of Pharmacy with expertise in community, clinical, and academic pharmacy practice and research. He completed his PharmD from Idaho State University in 2002 and an ASHP accredited Primary Care Pharmacy Specialty Residency at the Boise VA Medical Center. With 21 years of experience, he is board certified in pharmacotherapy and has extensive experience as a primary care pharmacist and independent pharmacy owner. He is a principal investigator in the SETMuPP demonstration project.

The information presented during the podcast reflects solely the opinions of the presenter. The information and materials are not, and are not intended as, a comprehensive source of drug information on this topic. The contents of the podcast have not been reviewed by ASHP, and should neither be interpreted as the official policies of ASHP, nor an endorsement of any product(s), nor should they be considered as a substitute for the professional judgment of the pharmacist or physician.