Misoprostol is also one part of a medication abortion, which accounts for more than half of abortions performed in the U.S. So when Texas pharmacists see a prescription for misoprostol come in, “there’s definitely hesitation,” said Ashley Garling, a clinical assistant professor at the University of Texas College of Pharmacy.
Garling practices at pharmacies associated with H-E-B, a Texas supermarket chain. In the months since the abortion ban took effect, she’s heard concerns from co-workers who worry they might be held liable for dispensing the medication if it were used for an illicit abortion.
Jamie has tried to send prescriptions for misoprostol to pharmacies that don’t require this extra step, which can obstruct timely care for a patient going through a miscarriage—an already physically and mentally taxing experience. But the extra demand on those pharmacies has made them more likely to be out of inventory.. But pharmacists and pharmacy technicians don’t always understand that the term does not mean elective abortion.
There are two Texas laws that could theoretically be used against a pharmacist who helps a patient terminate a pregnancy. The better-known one is S.B. 8, the ban on abortions performed after the onset of fetal cardiac activity. That regulation is enforced through the threat of private lawsuits: Anyone can now sue abortion providers or any of the patient’s “abettors” for $10,000 or more—plus attorneys’ fees—for participating in an abortion after the legal limit.
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