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Italy Clears Pharmacies to Run First-Line Lab Tests With Results Linked to Health Records

Regional pilots will test offerings, data exchange, reimbursement before wider adoption.

Overview

  • An implementing decree now authorizes pharmacies to perform certified first‑instance exams, including blood tests for hormones, renal and liver function, cardiac markers, inflammatory markers, and rapid PSA and colorectal screenings.
  • Reports issued by pharmacies are valid for clinical use and will be transmitted to ASL and regional platforms and filed in the national electronic health record.
  • Pharmacists must complete training recognized by the Health Ministry, and pharmacies need reserved spaces and certified equipment that meet safety and quality standards.
  • Regional governments will define the menu of permitted tests and reimbursement or cost‑sharing rules, with pilot projects expected in Lombardy, Emilia‑Romagna and Lazio in the coming months.
  • Federfarma estimates roughly 500 million lab analyses are performed annually in Italy and projects at least 15% could shift to pharmacies, reducing wait times and easing pressure on hospitals.