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Concern keeps Plan B out of local pharmacies

While the emergency contraception prescription drug Plan B became available for over-the-counter purchase in the United States last month, not all pharmacies are carrying it.

An informal survey of independent pharmacies in Southeast Texas found Thursday that while several establishments will fill prescriptions for the drug, they aren't carrying it as an over-the-counter item.

The U.S. Food and Drug Administration approved Plan B -- which contains a high dose of a drug found in many regular birth control pills -- for sale to customers 18 and older without a prescription in August. Manufacturer Barr Pharmaceuticals Inc. began distribution of the over-the-counter form in November.

Doug McMakin, pharmacist at McMakin Pharmacy in Beaumont, has ordered the drug's prescription form. But he's not going to stock the over-the-counter version yet.

"I think it needs to be (prescribed) under the supervision of a doctor," said McMakin, citing concerns about possible side effects as well as a worry that the drug could lead to more teenagers having sex.

McMakin added, however, that he plans to consult local obstetrics and gynecology doctors about the drug's safety and could stock the over-the-counter version in the future.

Vincent Luparello, pharmacist and owner of the Corner Pharmacy, has no plans to stock the drug now because his customers haven't expressed a need or interest.

"I don't have anybody asking for it," Luparello said. "If I get people that start asking for it, I'll carry it."

The Right to Life of Southeast Texas would prefer pharmacists do not carry the drug, said Victor Soares, the organization's president. The drug can be harmful to a woman who takes it, he said, and could be used as a tool by sexual predators to prevent pregnancy and hide their activities.

"We don't support Plan B contraception at all," Soares said.

At the University of Texas Medical Branch-Regional Maternal Child Health Program in Beaumont, the prescription drug has been available for several years, ever since it first became available, said Weldene Baertl, UTMB regional director and a certified nurse-midwife. The prescription drug was approved by the FDA in 1999, according to the agency's Web site.

Since the clinic's pharmacy is not a retail pharmacy, the clinic cannot dispense the over-the-counter version of Plan B, Baertl said. But it can provide the prescription form to patients.

"People can't just come in and buy it," Baertl said. "But we certainly want people to know that it's available."

At Lovoi and Sons Pharmacies Inc. in Beaumont, pharmacist J.J. Lovoi said the family business hasn't made a decision yet about carrying the over-the-counter form of Plan B. The pharmacy has, however, a practice of filling doctor's prescriptions for the drug.

"If it's prescribed by the doctor, we would deem it's medically necessary," Lovoi said.

 

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