Implementation of pharmacist-led services for sexual and gender minorities: A multisite descriptive report.

This article examines the implementation of pharmacist-led clinical services tailored to sexual and gender minority (SGM) populations across three U.S. states—California, Mississippi, and Florida—highlighting variations in services, legislative environments, and pharmacist scope of practice. Services provided by clinical pharmacists include management of gender-affirming hormone therapy (GAHT), HIV antiretroviral (ARV) medication adherence and preexposure/postexposure prophylaxis (PrEP/PEP) counseling, chronic disease management, mental health support, and sexual health care. The study underscores the impact of differing state laws and regulatory barriers on service delivery and advocates for culturally humble, collaborative approaches involving pharmacists, healthcare systems, academic institutions, and community organizations to improve health outcomes and reduce disparities in SGM populations. It also emphasizes the importance of legislative harmonization and expanded pharmacist scope of practice to enhance access to affirming, patient-centered care.