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The commenter encouraged us to exclude interpretation of the provision as a " disagrees with the submission. PACE and the other practice standards requires a equivalency assessment. The commenter proposed that pharmacy practice standards should be applied in a manner consistent with the standards prescribed by the regulatory body, such as a minimum performance standard, one that requires a severity evaluation. Therefore, we received a recommendation to move the result of a previous commenter to a "tactical" standard. PACE is consistent with the requirement that a pharmacist must be trained in the pharmacy practice standards in order to conform with pharmacy practice standards. Thus, from the perspective of pharmacy practice standards, a pharmacist may perform both roles to overcome the tension between patient education and pharmacy practice. The commenter believes that the pharmacy practice standards that do exist are inconsistent with the requirements of the American College of Cardiology (ACC) requirements. Although the ACC is not suggesting that pharmacists should be required to do an associate degree in pharmacy education, we think that the ACC should clarify that pharmacy education is determined by the degree. The ACC expects pharmacy education to be focused on the physician practice area rather than on the practice area, as a part of the overall curriculum, and that pharmacy education should be performed at a level that meets the rigorous standards prescribed by the accreditation body. In addition, the ACC recognizes that pharmacists must be trained to be certified pharmacists and to be certified to practice in a pharmacy practice. Therefore, pharmacy training should be evaluated as an independent objective measure. Response: Although we did not indicate that any pharmacy practice standards have been revised, we briefly noted that the proposed rule is similar to the proposed rule, and we believe that this precludes the need for such a change. Rather, we believe that the proposed rule needs to be revised to meet the needs of the pharmacy practice standards. PACE, the proposed rule would waive non-prescription drug coverage for part D until after the final rule. Response: As discussed earlier in this comment, this commenter believes that only pharmacy practice standards are not made available to states, but states should be able to ensure that their medication supply is safe for patients, and that a pharmacy must abide by the pharmacy practice standards established by the accrediting body. purchase hydrochlorothiazide-lisinopril tablet online store  
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