Transcript Slide 1

Pharmacy 151
Board of Pharmacy
Rules/Regulations
2.010-Operational Standards
Supervision
 No Pharmacist on Duty
 Facility Requirements
 Warehouses
 Owner Responsibility
 Rx Files (Manual vs. EDP); Refills; Three
File System…….

2.018-Prescription Requirements
Conformance with Two-line Blank or
Originate form Out of State
 Date, Assigned Unique Readily
Retrievable Identifier**
 Patient(s)
 Prescriber
 Prescriber Indication of Drug Name,
Dosage, Directions for Use, Actual Name
and Dosage…….

2.018-Prescription Requirements
Refills
 Quantity Dispensed and Pharmacist Initials
 Alterations to a Rx. Based on Prescriber
Contact
 Controlled Substance Information as
Required by Law
 Required on All Rx.---->Handwritten;
Telephone; Oral; Fax; Electronic

2.120-Transfer of Prescription
Information
Controlled Substances: 1 Transfer and
Must be Between Two Licensed
Pharmacists
 Pharmacies Sharing E.D.P. Database May
Transfer as long as Refills Available
 Records of Transferred Controlled
Substances Must Include Dates and
Locations of all Previous Refills…….

2.130-Drug Repackaging

Standards for Pre-packs
– Minimum USP Requirements
– Expiration Date: Manufacturers Expiration or
12 Months, Whichever is Less.**
– Labeling: Name and Strength of Drug, Name
of Manufacturer or Distributor, Expiration Date
and Assigned Lot Number
– Containers: Class “B” Minimum
37/75
2.190-Patient Counseling
Maintain and Review of Patient
Information
 Minimum Requirement--->Offer

– Any Pharmacy Employee
– Written Offer When Patient or Caregiver Not
Available
– “Offer” Required on All New and Refill Rx.
– Inpatients are Exempt
2.300-Record Confidentiality

Patient Care Records-->CONFIDENTIAL
– Rx., Rx. Orders, Patient Profiles,
– Must Maintain Adequate Security
– Records Released to: Patient, Prescriber or
Current Practitioner, Requests or
Subpoenas from a Lawful Court, Person
Authorized by Court Order, Patient
Authorized Access, Pharmacist/Pharmacist,
As Authorized Under HIPPA
– Board Rep.: Authority to Inspect and
3.011-Generic Formulary
For___________________Date_______
Address___________________________
Rx
______________
Substitution Permitted
_______________
Dispense As Written
3.011-Generic Formulary
Albuterol
Aerosol, Metered; Inhalation
AB
AB
AB
BN
AB
AB
Armstrong
0.09mg./INH
GenPharm
0.09mg./INH
Glaxo Smith Kline (Ventolin)
0.09mg./INH
Schering
0.09mg./INH
Ivax
0.09mg./INH
Pliva
0.09mg./INH
12/02
3.011-Generic Formulary

State of Missouri Negative Formulary
Albuterol Aerosol
Armstrong Pharm.
GenPharm
Glaxo Smith Kline
Ivax
Sidmak
Chlorpromazine HCL; Tablet
12/02
3.040-Return and Reuse of
Drugs

Accepted from Institutions Only
– Hospitals
– LTC Facilities
– Hospice Facilities

Assurance of Storage Requirements
– Manufacturer/USP
– Pharmacy Originally Dispensed Drug

Lot Number and Expiration Date
Traceable
3.040 Return and Re-Use of Drugs

Returns for Re-use Must:
– Original Manufacturer’s Packaging with TES
– Federal Registered Repackagers with T-ES*
– Licensed Pharmacy Products that are Unused with T-ES*
– Licensed Pharmacy Products where Unused Portion can be separated and Reused*
NO PRODUCTS CAN BE REPACKAGED*