# Expansion of pharmacy healthcare roles in Italy > Live situation record from CLSTR: https://clstr.news/situations/expansion-of-pharmacy-healthcare-roles-in-italy > Updated: 2026-09-20T16:55:35.000Z. Sources: 17. Developments: 5. The role of pharmacies in Italy is transitioning toward becoming comprehensive community health hubs. Initially, pharmacies began offering expanded services such as vital sign monitoring, rapid testing, nutritional counseling, and support for managing chronic therapies to improve medication adherence. This evolution has progressed into formal national initiatives. New organizational guidelines from Agenas and Federfarma aim to integrate pharmacies into the broader healthcare network through telemedicine services, including video visits, telemonitoring, and teleconsultation, with a particular focus on improving accessibility in rural areas. Additionally, new national standards have been established for personalized medication management, allowing pharmacists to assist patients by repackaging prescriptions into single-dose blister packs. Under the ‘Farmacia dei Servizi’ initiative, these services are now being implemented at scale. In the Campania region, specifically within Naples and its province, over 1,000 medical services were performed within days of the program’s launch. These include electrocardiograms (ECG), cardiac Holter monitoring, and blood pressure Holter monitoring, where results are validated remotely by physicians and shared with primary doctors. Riccardo Maria Iorio, President of Federfarma Napoli, noted that these services help “reduce the burden on local health authorities (ASL) and shorten waiting lists.” This transformation is increasingly framed as a response to Italy’s aging population and declining birth rates. Andrea Mandelli, President of the Federation of Italian Pharmacists' Orders (Fofi), has emphasized that the profession has moved “beyond simple medication dispensing” to include diagnostic support, such as vaccinations and blood glucose monitoring, and personalized services through galenic laboratories. Mandelli noted that synergy between pharmacists and doctors is vital to address demographic shifts and comply with Dm77 regulations to reduce physician bureaucracy. In the Lombardy region, the expansion of these roles continues with plans to include vaccinations against HPV and diphtheria, tetanus, and pertussis. ## Claims - The role of the pharmacist has evolved significantly in recent years. (corroborated by 2 sources) - Pharmacists are health professionals capable of providing services such as electrocardiograms, blood glucose monitoring, and vaccinations. (corroborated by 2 sources) - Collaboration between pharmacists and doctors is essential to address the needs of an aging population and declining birth rates. (corroborated by 2 sources) - Patients are often more willing to disclose information to pharmacists than to doctors due to fear of medical reactions. (single source) - Clinical pharmacists are increasingly involved in patient care by managing drug interactions and suggesting alternatives to doctors. (single source) ## Timeline ### 2026-09-20: Italy pharmacy sector addresses healthcare proximity and digital prescription mandates Italian pharmacy stakeholders are addressing two key issues: the evolving role of pharmacies as community health hubs and legal disputes regarding the mandatory use of electronic prescriptions for psychotropic- 2 sources. https://clstr.news/cluster/italy-pharmacy-sector-addresses-healthcare-proximity-and-digital-prescription-mandates ### 2026-09-17: Fofi President highlights evolving role of Italian pharmacists Italian pharmacists are evolving into integrated healthcare professionals, providing diagnostic services and clinical support to manage an aging population and improve patient care coordination. 12 sources. https://clstr.news/cluster/italian-pharmacists-evolve-into-integrated-healthcare-professionals ### 2026-09-16: Pharmacies in Italy expand healthcare services via telemedicine Pharmacies in Italy's Campania region have performed over 1,000 medical services, including ECGs and Holter monitoring, helping to reduce hospital waiting lists through telemedicine. 2 sources. https://clstr.news/cluster/pharmacies-in-italy-expand-healthcare-services-via-telemedicine ### 2026-09-11: Italy expands pharmacy roles through telemedicine and personalized medication services Italy is expanding pharmacy services through new telemedicine guidelines from Agenas and a national decree for personalized medication repackaging to support elderly and chronic patients. 2 sources. https://clstr.news/cluster/italy-expands-pharmacy-roles-through-telemedicine-and-personalized-medication-services ### 2026-08-17: Farmacia Elifani highlights the evolving role of pharmacies as community health centers Modern Italian pharmacies are expanding their roles from medication dispensing to community health hubs, offering vital sign monitoring, nutritional counseling, and preventative health services. 2 sources. https://clstr.news/cluster/farmacia-elifani-highlights-the-evolving-role-of-pharmacies-as-community-health-centers --- Cite as: Expansion of pharmacy healthcare roles in Italy. CLSTR, https://clstr.news/situations/expansion-of-pharmacy-healthcare-roles-in-italy