13

• 11 by governer (7 pharmacists, 4 not)
• 2 by comitee of state senate & speaker 
• 6/13 are non-pharmacists

4 year terms, Max 2 terms

• Topical anti-allergy
• Topical anti-inflammatory (Steroids)
• Topical antiglaucoma agents (<2/PT)
• PO antibiotics
• Topical/PO antivirals
• Codeine (72h)
   

• Schedule 3-5 under MD supervision
• Must have a furnishing number (NDF)
• Can prescribe EP for anaphylaxis
• May prescrive Synthroid

• 30 hours/2 years
• renew month of birthday
• Record kept for 4 years

• After 3 years.  Must retake board exam

License will become inactive

can re-instate by paying, and proving CE hours

Max 2

must be W/I 50 miles apart

Management may have interim PIC for max 120 days

before identifying new perminant PIC

• 1500 hours (900 in pharmacy)

4x

then will need 16 units of remedial classes

1 pharmacist to 1 tech

2 techs per additional pharmacist

Clerk C3

max 5 refills.  120D

• MD for emergency C2
• Dr.'s employee for everything else

Receiving must record name/initials of sender

(nothing else if other info readily available)

• New: Pharmacist or intern
• Authorize refills: Clerk

• Must have electronic signiture
• C2 ok

• No

• C III ok
• record name/initials of party transmitting

• C III OK
• Must be on secure paper

• No

• Only if same patient
• max 30 DS
• auxilery label read "store in cool dry area"

Maximum expiration date?

• Compounded Rx

• BUD Max 6 months

Maximum expiration date 

• Sterile injections compounded in hospital

• 72H

• Non-controled
• # of ordered drugs must be indicated by prescriber

• Max 30 minutes.  Can leave store
• Refills can be sold
• Intern considered outsider 

• Obtain DEA#
• Report monthly to DEA if >100 Controls or >5K dosage units

• Date, Location, Participants
• Pertinant data, Patient contact
• Findings/Determination
• Reccomended changes

• Only new prescriptions (unless PT refuse)

• How to use
• Importance of complying with directions
• How to store
• ADR/SE

Can you loan on controls?

• CIII "reasonable quantity"

• Behind counter
• >17, show ID
• $10.00 admin fee

• OTC
• No age restriction

• Prescriber signiture
• Name & Address of PT
• Name of drug and #
• Directions
• Date
• Name, address, phone # of prescriber
• Prescriber license #

• name & address of pharmacy
• Rx #
• Name of PT
• Name of prescriber
• Date of issue
• Drug name, strength, #
• Expiration date
• initials
• color, shape, code of tablet

• Date dispensed
• initials of dispensing pharmacist
• # (if different from original)
• If generic (Manufacture name/trade name)
• Party authorizinf refills

No

but can fill ahead of time and dispense when get original

• CIII
• May only be transfered by Intern/pharmacist

Rx transfer

(Sending Pharmacy)

• Name/address of receiving pharmacy
• Name of receiving pharmacist
• Mark Rx as void

Rx transfer

(Receiving pharmacy)

• Name, address of sending pharmacy
• Name of sending pharmacist
• Rx # from sending pharmacy
• Remaining refills
• Date sent, date original, date last refill
• Indicate it is a transfered Rx

• 1 time only (applies to chains too)
• document DEA of receiving/sending pharmacy

• No log book required
• Need Rx unless you know the PT "furnisher"

• Performed by PIC Q2Y (Odd numberd years)
• New survey must be completes W/I 30D if change in PIC/pharmacy location
• Keep on file for 3 years. 

• Date made
• Who made
• Supervising pharmacist
• lot # and quantity prepared
• manufacturer's name

• 3 years
• If requested by board.  Send to them W/I 3 business days

• Registered pharmacist may keep key on person
• 24H hospital, a nurse may have key in locked area
• Can be transfered between pharmacists through intermediary if sealed container (envelop) and stored in locked compartment

• Inpatient
• Outpatient
• Sterile compounding

Permits issues QY

Temporary permit good for 6M

• Inform board W/I 30D
• transfer drugs to another pharmacy W/I 10D

• Pharmacist/Intern

• Permit issued by board & DEA
• Only stock C III
• Consultant pharmacist (visit Q3M)
• Regular clinic can dispense 
• Surgical clinic dispense only 72H supply

• Non controlled may be stored after 1 year
• Controlled: after 2 years

Must be able to produce request to board W/I 48H

Need waiver

• Can provide drug in different dosage form

• Prescriber writes do not substitute

or

• Checks off a box with initials

(if E-prescribing check is fine, no need for initials)

• Max 90DS
• PT must have filled 30DS in the past before
• No need to call Dr.

Ephedrine Sale

• Daily
• Monthly

• 3.6g
• 9g

(purchasing 60mg don't need to sign logbook)

Iodine limitation

• 1%
• 2%

• Not OTC if 8oz
• Not OTC if 1oz

Temperature

• Refrigerate
• Room temp

• 2.2 - 7.7 C
• 15 - 30 C

• Call the Dr.
• Note the correction/adendum
• Document call
• Fill

(If no sign/date: return Rx to Dr. to fix)

But DEA says can't exhange anything

• Emergencies only
• Dr. Must send security form W/I 7D
• If don't receive: report in writing to DEA W/I 6D

• Terminally ill patient
• (11159.2 exemption)
• Return Rx to prescriber for correction W/I 3D

• Yes, Must fill remainder W/I 72H

• Contact Dr. for aproval of lesser amount
• Indicate approval on Rx
• Patient forfits remainder

• Max 5 RF over 6M period from written date
• Refills can't excede a 120 day period

• Cross out unused lines
• If error made.  Void form

222 form

Form 1: Brown Top

• Suplier sends to DEA at the end of the month

222 form

Form 3: Blue Bottom

• Retained by receiver

2 years

Records: 3 years

• Security form
• Phone call in emergencies. (Get form in 7D)
• Regular form for terminally ill (11159.2)
• E-prescribing
• By 222 form between pharmacies

• Yes.  Usually ~ 3D supply 
• Must inform prescriber

Document on back of form

1. Σ odds (not last number)
2. 2X ∑ evens
3. Combine digits.  Last digit matches last. 

Q2Y

C II: Acurate

C III: Estimated (open bottles > 1000: acurate)

Form 41

three copies to be sent to DEA

DEA regional directer will tell you site