Federal Law: Dispensing Flashcards
Durham-Humphrey Amendment
establishes the criteria for distinguishing prescription drugs from OTC drugs
legally establishes oral Rxs and refills
What determines who may prescribe independently or in collaborative practice
Federal law leaves it up to states to decide
Prescription Drug Marketing Act of 1987
bans the sale, trade, or purchase of prescription drug samples
To prevent counterfeiting, what does PDMA prohibit
reimportation of prescription drugs
Who instituted a policy to allow certain medications to be imported from other countries
FDA
Drug Quality and Security Act of 2013
addresses issues with meningitis outbreak that killed over 60 patients
What are the 2 major sections of the drug quality and security act of 2013
Title I: compounding Quality Act
Title II: Drug Supply Chain Security Act
Title I: Compounding Quality Act
preserves and protects the practice of traditional pharmacy compounding in community pharmacies (made it legal to compound in community pharmacies)
Definition of compounding
taking 2 or more ingredients and combining them into a dosage form of a drug
Who can compound according to traditional pharmacy compounding (503A)
a licensed pharmacist in a licensed pharmacy or a licensed physician authorized by state law to prescribe drugs
Traditional compounding
compounding a sterile or nonsterile drug for a specific patient based on a prescription
Is it lawful to compound in anticipation of receiving prescriptions?
Yes, but only in limited quantities, Can only be dispensed with a valid prescription
Which USP chapters must compounds comply with?
USP 795: non-sterile
USP 797: sterile
USP 800: hazardous drugs
Is it lawful to use a bulk substance to compound?
Yes, if it complies with the standards of an applicable USP or NF monograph, if a monograph exists
What is the 503A Bulks List
a list being developed by the FDA that lists acceptable bulk drug substances which do not fall into the USP or NF monograph
What are outsourcing facilities?
facility that compounds sterile drugs (can also compound non-sterile drugs); registration is voluntary
What are outsourcing facilities allowed to do?
manufacture and send interstate shipments of larger quantities of compounded drugs without prescriptions being issued