Friday, January 31, 2014

Vermont Board of Pharmacy Draft of Minutes from January 22, 2014 Meeting

Any Compounding Pharmacy Doing Business in Virgnia Will Want to Review these Powerpoint Presentations of the Board of Pharmacy Regarding Compounding Laws in Virginia (including new rules)

Draft Minutes for Virginia Board of Pharmacy January 21 and 27, 2014 Meeting

TuesdayJanuary 21, 2014
9:30 a.m.
Special Conference Committee & Informal Conference Committee
Board Room 2
Draft Minutes
MondayJanuary 27, 2014
9:00 a.m.
Telephone Conference CallDraft Minutes

Update on Washington State Pharmacy Quality Assurance Commission (formerly Washington State Board of Pharmacy)New Rules--including compounding

No. 1161 Update on Pharmacy

Compounding Rule Development
House Bill 1800, which passed during the 2013 legislative

session, addresses resident and nonresident pharmacy compounding.

The new law also requires that compounded medicinal

products meet minimum compendia standards to protect the

health and safety of the public.

In May 2013, the process to develop drug compounding

administrative rules was started. Since then there have been

three public meetings held so that pharmacists, representatives

from pharmacies, and others could provide their thoughts and

recommendations on how the new rules should be shaped. Following

the public meetings, staff has looked at administrative

rules from other states and has begun to draft the compounding

rules. Given the complexity of drug compounding, work on the

draft rules will continue through winter with an opportunity for

public review anticipated during spring or early summer 2014.

When a draft is ready for review, comments and suggestions will

be accepted and encouraged. Interested parties may sign up for

updates at http://listserv.wa.gov/cgi-bin/wa?A0=PQAC-RULES.





No. 1162 Frequently Asked Questions

Question: Can a compounding pharmacy distribute compounded

controlled substance (CS) preparations in Schedules



II through V on an invoice to a prescriber for office use within

the confines of the facility?

Answer: No. Compounding a CS is, by definition, the act of

manufacturing (21 U.S.C. 802(15)). Manufacturing is an activity

that requires a separate Drug Enforcement Administration



(DEA) registration (21 822(a) (1)). A DEA-registered pharmacy

is exempted from having to register as a manufacturer only

when it compounds a CS pursuant to a valid patient specific

prescription, and then dispenses this compounded CS directly



to the ultimate user or a member of his or her household (21

U.S.C. §§ 802(10) and (27)).

Question: Is it within the scope of practice for naturopathic

physicians to prescribe for Vicodin®, Norco®, and other CS?

Answer: While naturopathic physicians can write prescriptions

for all legend drugs except Botox®, their authority to write



prescriptions for CS is limited. Authorized CS include Schedule

III through V codeine and testosterone. Naturopathic physicians

may not prescribe any other CS.

Question: Have Washington State laws changed regarding



the expiration dates of Schedule II prescriptions?

Answer: Yes. The 2013 Washington State Legislature passed



a law, effective July 29, 2013, that states all Schedule II prescriptions

expire six months from the date the prescription

is written. The same law eliminated the ability for patients to



purchase Schedule V codeine-containing cough preparations

without a prescription. Except when dispensed directly by a

practitioner, substances included in Schedule III through V must

be dispensed by prescription only.

Question: What are ancillary utilization plans?

Answer: An ancillary utilization plan is a document that



details the duties and responsibilities of pharmacy assistants and

pharmacy technicians specific to the practice of pharmacy in

the location where they work. Ancillary staff must work within

the scope of their credential. Duties are considered nondiscretionary

and must be under the direct supervision of a licensed

pharmacist.

All ancillary utilization plans must be approved by the Commission

and a copy of the approved plan must be accessible to

all pharmacy staff and made available for inspection by the

Commission. Ancillary utilization plans are reviewed as part of

an inspection for their relevancy, accuracy, and completeness.

Changes in the operation of a pharmacy that revises the functions

of the ancillary staff must be submitted to the Commission.

All ancillary staff must be duly credentialed and the pharmacy

must comply with the 3:1 pharmacy technician to pharmacist

ratios or seek an exception by the Commission. The standard

ratio includes certified technicians and technicians-in-training.
quoted from here

California Board of Pharmacy Fall 2013 Newsletter, the Script--Includiing a Discussion of State's Rule Changes

Third Question of the Day January 31, 2014 Isn't one way to enforce state laws relating to compounding pharmacies to impose higher or stiffer fines and penalties, which could increase revenue for states and allow for the hiring of more inspectors to enforce the state laws?


Second Question of the Day January 31, 2014 What percentage of compounding pharmacies where complying with state laws relating to compounding pharmacies prior to the DQSA? What percentage are now in compliance with state laws relating to compounding pharmacies? What percentage aren't sure if they are in compliance are not?


California Board of Pharmacy Disciplinary Action Against Jay Scott Drugs and North Highlands Pharmacy

Jay Scott Drugs, PHY 40912, Administrative Case AC 3482
Burbank, CA
Through a disciplinary action of the board, the license is revoked.
Decision effective 1/27/2014.
View the decision
North Highlands Pharmacy, PHY 39917, Administrative Case AC 3428
North Highlands, CA
Through a disciplinary action of the board, the license is voluntarily surrendered.
Decision effective 1/13/2014.
View the decision

California Board of Pharmacy Webcast of Meeting January 29-30, 2014

January 29-30, 2014
Webcast
Department of Consumer Affairs
1625 N. Market Blvd.
1st Floor Hearing Room
Sacramento, CA 95834
AgendaMeeting Materials

Arkansas Board of Pharmacy Public Hearing on Proposed Regulation Changes set for February 12, 2014

Public Hearing on Proposed Regulation Changes
Date 02/12/2014
Time 8:30 AM - 04:30 PM
Address 322 South Main Street
Suite 600
Little Rock, AR 72201
Location Suite 600
Event Contact John Kirtley
Event Phone 501-682-9010
Event Email asbp@arkansas.gov
Description PUBLIC NOTICE <br>On February 12, 2014 at 8:30 AM, the Arkansas State Board of Pharmacy will hold a public hearing at the Arkansas State Board of Pharmacy, 322 South Main, Suite 600, Little Rock, AR 72201.&nbsp; The following regulation changes will be considered: <br> <br>Regulation 01 – General Operations: <br> <br>Proposed changes will update the physical address of the Arkansas State Board of Pharmacy to, 322 South Main Street, Suite 600, Little Rock, AR. 72201. <br> <br>Regulation 02 – Pharmacists <br> <br>Proposed changes will clarify that the intern training requirements for pharmacist licensure by examination in Arkansas may be obtained as part of the school curriculum for the colleges of pharmacy under Board approved conditions. <br> <br>Regulation 04 – Pharmacy <br> <br>Proposed changes will update language regarding the electronic recording of legend or schedule III, IV, or V controlled substance prescriptions transferred from a retail pharmacy to a Central Fill pharmacy. Changes will also expand the protocol for methadone clinics to utilize additional drugs in research, clean up language regarding electronic prescribing and make technical corrections within the regulation. <br> <br>Regulation 05 – Long Term Care Facilities <br> <br>Proposed changes will add language to allow licensed in-patient hospice facilities to have emergency kits with a limited supply of prescription medications for use in emergencies. <br> <br>Regulation 07 – Drug Products/Prescriptions <br> <br>Proposed changes will allow pharmacists to electronically receive and document prescriptions in accordance with Arkansas Act 1331 of 2013 and as allowed by federal regulations.&nbsp; Proposed changes will also update language according to Arkansas Act 176 of 2013 to allow a pharmacist to manually enter information into the electronic tracking database when utilizing a Military ID to purchase Schedule V ephedrine, pseudoephedrine or phenylpropranolamine products and update language to clarify the option for a pharmacist to either enter verbal orders directly into the pharmacy’s electronic prescription system or promptly reduce the verbal order to writing.&nbsp; <br> <br> <br>Public comments will be accepted until the conclusion of the public hearing.&nbsp; A copy of the proposed regulation changes can be obtained through our website, <br>by calling (501) 682-0190, writing: <br>Arkansas State Board of Pharmacy <br>322 South Main Street, Suite 600 <br>Little Rock, AR 72201, <br>or by emailing the Board of Pharmacy at <a href="mailto:asbp@arkansas.gov">asbp@arkansas.gov</a>&nbsp;&nbsp; <br>
quoted from here (sorry about the way it is typed but it is straight from website this way)