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TPA Pharmacy Practice Initiatives

TPA has three major initiatives to create opportunities for pharmacists to provide and be paid for patient care services:

TPA Brings Major Changes to the Landscape of Pharmacy in Texas,
Through the “Saving Lives” Initiative!

  • HB 1550 - the new law allowing pharmacists to administer epinephrine, took effect on January 1st. The new law received tremendous media attention not only around the state but nationwide. Dr. Elly Baker, a pharmacist in East Texas, was the first reported instance of pharmacist using the new law to save a life. Since that time more and more pharmacists are becoming aware of the new law and using it to save lives.
  • HB 1462 - allowed authorized medical personnel to prescribe the opioid antagonist Naloxone either directly to a third-party patient (not necessarily the end-user) or through a standing order and pharmacists to dispense to a third-party.
  • Utilizing the newly enacted law, TPA created a physician-signed standing order—in essence, a statewide prescription
  • Pharmacists may dispense an opioid antagonist to any patient they believe has a need for the medication. This first of its kind statewide standing order in Texas represents a significant shift in the role pharmacists can play in providing much needed care to their patients.


Innovative Practice Development

  • Pharmacist Services Referral Network
  • Service Delivery Networks
  • Community Based – local pharmacists
    • Services to be contracted with local self-insured employers, hospitals, other payers
    • Pharmacists will be paid to resolve patients’ medication problems. Approximately 40% of all drug therapy problems are adherence related. Who better than a pharmacist to solve these?
    • Patients can obtain their prescriptions from any pharmacy. Services are independent from where the medication is purchased. Pharmacists will be paid to make sure the medication works and medication therapy problems are minimized
    • Creates a virtual network of pharmacists that provide consistent, targeted solutions with a primary focus on medication reconciliation and adherence Support technology being developed now.

Vaccination Network

Quick Links

Saving Lives Initiative


Innovative Practice Development Initiative


Effective Practice Environment Initiative


Enhanced Services Network

(Rxpert ESN®)


Northeast Texas Hypertension Adherence Program (NETHAP)


Medicaid MTM Pilot (Archive)






















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Pharmacy-Based Immunization Delivery

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