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The LAC: Pharmacists. Chapter 25. SubChapter A 2501 Prescription Drugs and Devices Wording from the Food Drug and Cosmetic Act Note what dispensing is Misbranding is Adulterated is Can you possess these? Expired drugs are kept where? Recalled drugs What class is which
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Chapter 25 • SubChapter A • 2501 Prescription Drugs and Devices • Wording from the Food Drug and Cosmetic Act • Note what dispensing is • Misbranding is • Adulterated is • Can you possess these? • Expired drugs are kept where? • Recalled drugs • What class is which • 2503 Drug Returns • Once they leave, they are not yours • Well, this is not completely true. Read On.
Chapter 25, A • 2505 Investigational Drugs • So these are research only drugs • 2507 Veterinary Prescription Drugs • Labeling • Storage • 2509 Prescription Devices • Syringes • So an embalmer can sell syringes? • Storage • Couple of folks mentioned exchange programs
Chapter 25, B • 2511 Prescriptions • Written Prescriptions • Size Matters • Note what goes on it • Midlevel must have MD info on script • Max orders per script • Equilivalent Drug Product Interchanges • Note rule for medicaid/medicare • If DAW is checked, don’t ask don’t tell • Issue with ins charges for new generics • Oral Prescriptions • Note in this section it does not mention technicians? • Electronic Prescriptions • This definition presents an issue in Chap 27 • Fax outside of pharmacy?
Chapter 25, B • 2513 Prescription Receipt and Verification • Oral – Remember the tech could write the oral Rx down… • Electronic – Does note require a hard copy, here.. • 2515. Prescriptions Based upon Electronic Questionnaires • Naughty, Naughty pharmacist/physicians • 2517 Prescription dispensing • What are the six things?
Chapter 25, B • 2519 Prescription Refills • Note the requirement for a new RX number • Note rules for controls • 2521 Emergency Refills • ‘Practitioner is not available’ • 2523 Transfer of Prescription Information • Controlled Substances • Transfers only once • Well, unless you share a real, time database • What information do you need!!! • Non-Controlled Substances
Chapter 25, B • 2525 Prescription Expiration • Script expires after 1 year • Unless controlled six months • 2527 Prescription Labeling • Yeah, know these • 2529 Pharmacy Prepackaging • Note what goes on the label here!
Chapter 25, C • SubChapter C: Compounding of Drugs • 2531 Purpose and Scope • 2533 Definitions
Chapter 25, C • 2535. General Standards • Duplicate products • Written procedures • Beyond use date • Anticipated Use Products • Labeling • 2537 Requirements for Compounding of Sterile Products • Note the use of ‘pharmacist in charge’ more on that in Chap 11 • Note CE requirement
Chapter 25, C • 2537 Requirements for Compounding of Sterile Products, more
Questions • This slide reserved for future use!