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NICOLE M. STACK, PHARM.D., is Assistant Professor, Department of Pharmacy Practice, Albany College of Pharmacy, Albany, NY. ALAN J. ZILLICH, PHARMD., is Assistant Professor, Department of Pharmacy. Practice, Purdue University College of Pharmacy, West Lafayette, IN.

Address correspondence to Dr. Zillich at Purdue University, Pharmacy Programs—Indianapolis, W7555, Myers Building, 1001 West 10th Street, Indianapolis, IN 46202 (azillich{at}purdue.edu).

Purpose. Two programs in which pharmacists have an active role in the provision of tobacco-cessation education are described. Summary. An algorithm for tobacco- cessation education was created for use in an inpatient tobacco-cessation program. Patient education handouts were created, and the content of each handout varied by the patient’s level of readiness to make a quit attempt. Doctor of pharmacy students who were assigned to the general internal medicine clerkship rotation at the hospital provided tobacco-cessation education to patients. During monthly rotations, these students assess the smoking status of each patient, gauge the patient’s readiness to quit, and provide brief tobacco-cessation education to those who smoke. Patients who are willing to quit smoking are asked if they can be contacted by a representative of the health system’s tobacco-cessation program. This program includes a series of three group classes focusing on behavior modification and pharmacotherapy provided at a discounted price. An outpatient tobacco-cessation clinic was initiated to provide all patients of the network an opportunity to participate and have access to tobacco-cessation services. The clinic consists of group and individual classes using the principles and interventions highlighted in national clinical practice guidelines. All referred patients must attend an initial one-on-one visit with the clinical pharmacist before enrollment into the group class. During this visit, general medical information is collected, and the patient’s stage of change and willingness to set a quit date are determined. A medication review for drug–smoking interactions is conducted, individual goals are discussed, and a care plan is created. Conclusion. Tobacco-cessation services were implemented by pharmacists working in inpatient and outpatient settings. Index terms: Behavior therapy; Clinical pharmacists; Patient education; Pharmaceutical services; Protocols; Tobacco