Wednesday, June 4, 2014

2014 Rules Revisions, Wyoming Pharmacy Act

2014 Rules Revisions, Wyoming Pharmacy Act



Governor Matthew Mead signed two sets of rules revisions

in 2014. The Wyoming State Board of Pharmacy members and

staff reviewed all 17 chapters of rules and regulations under the

Wyoming Pharmacy Act and all eight chapters under the Wyoming

Controlled Substances Act. Spelling, grammar, numbering, and formatting

were corrected throughout, and many other revisions were

suggested and debated. A public comment period of 45 days was

announced and a public hearing was held on November 5, 2013, in

Casper, WY. Many comments were received. Three chapters were

tabled until February 2014, and then the rulemaking notice went

forward. A summary of revisions to the rules under the Wyoming

Pharmacy Act are as follows:

Chapter 1, Board Practice, has updated procedures for complaints,

investigations, and hearings.

Chapter 2, General Practice, has updated definitions, including

for medication therapy management, which now includes Clinical

Laboratory Improvement Amendments-waived testing. Wyoming

will accept reciprocity from pharmacists licensed in California after

January 1, 2004. Access to the Board’s website will suffice rather

than binders for Newsletters or the “Orange Book.” Three feet is



the minimum separation between patients at a pharmacy window.

Notifications are now required for changes in ownership (21 days),

changes in pharmacist-in-charge (PIC) (seven days), changes in a

pharmacy address (30 days), and change in employment or address

(15 days). A PIC can be absent from a pharmacy for up to 30 days

for illness, vacation, etc, without requiring a change in PIC. Shipments



are to be checked for contamination or counterfeiting, and

items are to be quarantined for recalls. If a pharmacist is not on

site at a retail pharmacy, a sign is to be posted. Interns may transfer

non-controlled substance prescriptions out and in if a pharmacist

is on the other end of the transaction. A pharmacy technician (but

not a technician-in-training) may transfer non-controlled prescriptions



out to a pharmacist. The prescription label shall include the

purpose for use, where appropriate. Changes to the requirements

for emergency drug boxes in long-term care are listed in Section

25. Under collaborative practice, a pharmacist can now make

agreements with practitioners other than physicians.

Chapter 3 clarifies definitions and intern hour requirements.

Chapter 4 updates the Code of Ethics. Chapter 5, Poisons, was

repealed in 2011. The chapter 6 title was changed to Continuing

Professional Education and clarifies auditing of earned hours using

the National Association of Boards of Pharmacy® CPE Monitor®



program.

Chapter 7, Computers, was repealed in 2011. Chapter 8, Manufacturers

and Distributors, was reviewed but not revised. Chapter

9, Counseling and DUR, has updated language, and duplicate

requirements were eliminated.

Chapter 10, Technicians, was a hot topic, and the final version

was tabled until February 2014. The sections have been rearranged

and the “grace period” for license renewal has been changed to

10 days following notification. The ratio of pharmacy technicians

and/or technicians-in-training to pharmacists remains at 3:1, not

counting enrollees in an American Society of Health-System

Pharmacists-accredited training program during required experiential



training hours.

Chapter 11, Dangerous Drugs, was repealed. Chapter 12, Institutional



Practice, has several revisions, including how to destroy

used transdermal controlled substance (CS) patches. Chapter 13

has a new title, Non-Sterile Compounding, and adds a Master

Compounding Record requirement. Chapter 14, Telepharmacy,

was not revised. Chapter 15, Long Term Care, clarifies the roles

of the provider pharmacy and consultant pharmacist.

Chapter 16, Immunizations, was extensively revised due to

changes in the statute, and articles appeared in previous Newsletters.



Pharmacists can administer influenza vaccine to minors aged

seven to 17 and to adults 18 years and over, as listed. Private space

is described and must be in place by July 20, 2014. All administered

vaccines must be reported to the state registry. Chapter 17, Sterile

Compounding, was not revised.

All current rules and statutes are posted on the Board website

at http://pharmacyboard.state.wy.us.
quoted from here

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