Post-Roe Decision People Say Theyve Been Denied Necessary Medications USA TODAY
Post-Roe Decision People Say They’ve Been Denied Necessary Medications – USA TODAY https://bexarcountynewsonline.com/post-roe-decision-people-say-theyve-been-denied-necessary-medications-usa-today/
The nation’s two largest pharmacies, Walgreens and CVS, have updated their company policies to allow their pharmacists to deny medication to people who they think could be circumventing new abortion laws by causing a miscarriage.
In a case called Dobbs v. Jackson Women’s Health Organization, the Supreme Court in June overturned its 1973 decision establishing a constitutional right to abortion. The decision shifted the abortion debate to the states, some of which have passed laws – or are relying on earlier statutes – to ban the procedure.
But under policies like the type Walgreens and CVS have in place, and in the months since the Supreme Court decision overturning Roe v. Wade, people with no plans, ability or wish to be pregnant have been denied necessary medications by Walgreens pharmacists worried about breaking legal restrictions on abortion, say women’s advocacy groups like Global Healthy Living Foundation, a chronic illness association.
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Patients say they feel discriminated against and should be trusted when they say they are not pregnant and don’t plan to be. Pharmacies say they don’t want to break local laws.
Walgreens allows pharmacists to use their professional discretion when prescribing medication that could run contrary to local prohibitions on abortion, said Fraser Engerman, a spokesperson for Walgreens Boots Alliance, the owner of the pharmacy chain, which has over 9,000 drugstore locations in the U.S.,
“Our pharmacists are allowed to use professional judgment when determining the legality of a prescription based on state law,” he told USA TODAY. “If a pharmacist can’t determine the legality, they are required to contact the prescriber to verify the nature of the prescription,” Engerman said.
Engerman said that pharmacists have been applying even more scrutiny to possible miscarriage- or birth defect-inducing medications since the Dobbs decision by the Supreme Court in June.
Mike DeAngelis, executive director for corporate communications at CVS, said the company requires its pharmacists to confirm a medication will not be used to terminate a pregnancy before it will fill a drug.
He said that in some locations, CVS had its policy in place prior to Dobbs, like in Texas, where a restrictive law on abortions went into effect prior to the Supreme Court’s decision in June.
“That’s why we require pharmacists in these states to validate with the provider that the intended indication is not to terminate a pregnancy before they fill a prescription,” DeAngelis said. “To help ensure patients have quick and easy access to medications, providers are strongly encouraged to include their diagnosis on the prescriptions they write.”
The American Medical Association, American Pharmacists Association and several other pharmacy groups put out a statement in September urging state policymakers to examine their state abortion laws to ensure that access to necessary medication and patient care are protected.
But pharmacist denials have been affecting people who have no plans to become pregnant, and doctors and pharmacists have denied medications to teens because the drugs could harm hypothetical pregnancies, according to several women’s health and chronic disease advocacy groups, including the Global Healthy Living Foundation.
Walgreens, CVS already have policies denying birth control
Both Walgreens and the nation’s largest pharmacy, CVS, already have policies in place that allow pharmacists to deny customers birth control if it conflicts with their personal beliefs.
Under those guidelines, pharmacists can refuse to sell to customers condoms, birth control pills or other medications like Plan B, an oral emergency contraception medication that can be taken up to five days after unprotected sex to reduce the risk of pregnancy.
Those policies led to public and viral boycotts of both businesses earlier this year when frustrated customers took to social media to document their difficulty in filling birth control prescriptions or buying condoms.
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People denied medication in case they might become pregnant
The fallout from the Supreme Court’s decision has created vast uncertainty among medical providers in some states as legislatures pass more restrictive abortion laws. Details about what’s permitted and how those restrictions will be enforced are sometimes unclear.
A local TV station in Tucson, Arizona, reported that a 14-year-old girl was denied a refill of a rheumatoid arthritis (RA) drug she had been taking for years just two days after Arizona’s new abortion law took effect.
The drug, called methotrexate, can treat RA but is also used to end ectopic pregnancies, a potentially fatal condition where the fertilized egg lodges outside the uterus.
And a New York woman’s TikToks about being denied medication for painful cluster headaches because the drug could cause birth defects got more than 3 million views and tens of thousands of comments.
Concerns and stories of other medication denials have been reported to advocates from people with chronic conditions who fear not being able to get treatment simply because they have the ability to get pregnant.
Doctors and health advocates say the vagueness of many of the state laws banning abortion is leading prescribers and pharmacists to be overly cautious when it comes to any medication that can impact pregnancy.
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After the overturning of Roe, “we started getting emails, tweets, calls from patients saying, number one, ‘I’m hearing about this, is this going to happen to me? I’m really, really concerned,'” said Zoe Rothblatt, associate director of community outreach for Global Healthy Living Foundation.
She said the second most-common thing the organization heard was patients having to give extra verification for their diagnosis. “So they would show up to their pharmacy and the pharmacist would say, we can’t prescribe this, we can’t dispense this drug to you because it can be used for an abortion.”
The American College of Rheumatology issued a statement to policymakers about the need to preserve access to methotrexate, noting that the dosage for ending an ectopic pregnancy is much higher than what is prescribed for inflammatory diseases.
Tara Rule, 31, has Ehlers-Danlos Syndrome, an inherited disorder that affects connective tissues including skin and joints. Rule is on disability because of her medical conditions and has decided to never have children.
She said she has been prescribed medications that can impact pregnancy in the past, which is why she was shocked to be denied a drug that could help her, and tearfully took to TikTok to share her experience in September.
“I’ve been sick my whole life,” she says in one video and goes on to describe being denied an treatment for painful cluster headaches by a doctor at an upstate New York hospital. “Because I’m of childbearing age, I can’t get it.”
Annie Noblin of West Plains, Missouri, was diagnosed with rheumatoid arthritis in January and prescribed methotrexate.
The 40-year-old mother of one told USA TODAY that she didn’t have any trouble getting her refills until after the Dobbs decision.
She said a pharmacist told her, “We’re now required to make sure that your doctor is prescribing you this medication for what it says it’s prescribed for and not for having an abortion.”
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Noblin was furious. She’s not planning to have more kids, she said, but that’s none of the pharmacist’s business.
After getting verification from her doctor that the drug was for arthritis, the prescription was filled. But she said the next month when she went back, the computer prompted a pharmacy employee to ask her if she was pregnant.
“I feel like I should be trusted,” she said.
Teens are also being denied medication
Emma Thompson is the 14-year-old who was denied methotrexate for debilitating rheumatoid arthritis and osteoporosis, according to KOLD News 13.
The station reported she was also able to get her medication 24 hours after being denied. But her mother and doctor said they were angry that she had to jump through hoops to get a medication she’d been on for years.
Welcome to AZ. Today a pharmacist denied the MTX refill for my adolescent patient. She’s on 5 mg/wk to prevent AHCA Ab production. MTX denied purely because she’s a female, barely a teenager. Livid! No discussion, just a denial. Now to fight for what’s best for this pt.
— Deborah Jane Power (@bonespower) September 27, 2022
But pharmacies have been leery of providing medications that could run afoul of local laws.
“In certain cases, pharmacists may face criminal charges for dispensing medications for this purpose,” DeAngelis of CVS told USA TODAY.
Patients have also been forced to answer questions about their sex lives
Rule, the woman with Ehlers-Danlos Syndrome, said she went to see a new neurologist specifically because she started having cluster headaches again after about five years and wanted to know if there were any new treatments available.
She said the doctor told her a number of new medications could treat her condition. But he warned that her insurance might not cover them because they can cause birth defects.
LEGAL BATTLES:...