WASHINGTON PHARMACY LAW: A USER’S GUIDE

© 2004, William E. Fassett

Revised 2/10/04

Chapter 4 (Part 1). Providing Drugs and Medical Devices to Patients

 

  1. Federal Regulation of Food, Cosmetics, Drugs, and Devices
    1. The Food and Drug Administration is responsible for regulating foods, drugs, cosmetics, and medical devices in the United States, under authority of the Food, Drug and Cosmetic Act (FDCA – 21 USC Chapter 9).

                                                               i.      The FDA web site provides several articles on the History of the FDA and the food and drug laws.

                                                             ii.      The Pure Food and Drug Act, also known as the Wiley Law, was passed in 1906, as the first comprehensive federal statute to assure purity and truthful labeling for foods and drugs.

                                                            iii.      Growing problems with modern chemicals, and limits on the applicability of the Wiley Law, led to the passage in 1938 of the FDCA, which has been amended several times since then. A major impetus to the passage of the FDCA was an influential book by Ruth DeForest Lamb, “The American Chamber of Horrors.” A precipitating event was the marketing of “Sulfanilamide Elixir” by the S.E. Massengill Company, which contained diethylene glycol as the solvent – 107 deaths occurred before the FDA could get the product removed from the market.

1.      The FDCA improved on the Wiley Law in three ways:

a.       Required proof of safety before marketing drugs

b.      Required pre-marketing approval of “new drugs” by the FDA.

c.       All drugs marketed after 1938 in the US are “new drugs.” Drugs marketed prior to 1938 are not covered by the FDCA, unless changes are made in their formulation or labeling.  Examples of these “old drugs” include some dosage forms of phenobarbital and various narcotic drugs. The FDA is developing a proposed Compliance Policy Guide on Marketing Unapproved Drugs that will allow the agency to take a closer look at pre-1938 drugs and possibly remove them from the market, or require manufacturers to bring market only dosage forms that have met FDCA requirements.

                                                           iv.      Prior to 1951, pharmacists could dispense any drug – except narcotics – without a prescription. As a matter of professional ethics and courtesy, however, most pharmacists required prescriptions for many drugs, although refill procedures were somewhat lax. After 1951, however, the Durham-Humphrey Amendments created a new class of drugs that could not be dispensed without a prescription. These have become called “legend drugs,” because they were required to bear a “legend” on their label: “Caution: Federal Law prohibits dispensing without prescription.”

1.      All existing drugs could be sold over the counter (OTC), without prescription.

2.      New drugs that could not bear adequate labeling for safe use by the consumer would now be able to be marketed if information was provided to the physician, and these required a prescription.

3.      The law allowed for oral prescriptions, and for refills.

                                                             v.      In 1962, additional amendments, the Kefauver-Harris Amendments, were passed, triggered by problems with thalidomide, a drug which had not actually been marketed in the US, but which caused birth defects (phocomelia) in many babies born in Europe and Canada. The 1962 amendments required:

1.      Proof of efficacy (effectiveness) as well as safety prior to marketing.

a.       All drugs marketed between 1938 and 1962 had to be reviewed for efficacy, in a long-lasting effort by FDA known as the Drug Efficacy Study Implementation (DESI). Many marketed drugs – especially combination products – were removed from the market by this process (e.g., combinations of meprobamate and conjugated estrogen, combinations of antibiotics with antihistamines).

2.      Established regulations called Good Manufacturing Practices (GMPs) requiring significant monitoring of manufacturers’ facilities and processes

3.      Moved control of advertising for Rx drugs from the Federal Trade Commission to the FDA

4.      Improved procedures and requirements for obtaining informed consent during clinical trials of new drugs.

                                                           vi.      Other amendments since 1976 have largely affected marketing, patent rights, and promotion of generic drugs. These include:

1.      Orphan Drug Act of 1983, extending patent protection and giving tax relief to companies that develop needed drugs without significant market potential. One such drug, however, was AZT (zidovudine).

2.      Waxman-Hatch Amendment of 1984, which streamlined processes for approval of generic drugs, and gave extended terms of patents for certain drugs.

3.      Prescription Drug Marketing Act of 1987, which controls distribution of legend drug samples, reselling of drugs by hospitals, and requires state licensing of drug wholesalers.

                                                          vii.      FDAMA. The Food and Drug Administration Modernization Act of 1997 created significant changes in the FDCA, predominantly affecting manufacturers. A major section dealt with pharmacy compounding, but was invalidated by the US Supreme Court in Thompson v. Western States Medical Center, 238 F.3d 1090 (2002)

                                                        viii.      Rx-to-OTC Switches

1.      Most modern new drugs begin their marketed lives as legend drugs. However, after some time on the market, their general safety and usefulness for the lay public may become better known, and manufacturers may seek to have them moved to OTC status. This process is known as an Rx to OTC switch.

    1. Drug Development in the US. The development of new drugs in the United States follows a multistage process. A free educational seminar on this process is available from the FDA’s Center for Drug Evaluation and Research (CDER), at CDERLearn.

                                                               i.      Preclinical testing, in vitro and in animals.

                                                             ii.      Filing with the FDA of a Notice of Investigational New Drug (IND)

1.      This allows the drug to shipped in interstate commerce for purposes of testing

                                                            iii.      Clinical testing

1.      Phase I – a small number of healthy volunteers to determine pharmacodynamic and pharmacokinetic properties

2.      Phase II – a limited number of patients who have the target disease, to determine efficacy and dose-response.

3.      Phase III – large-scale clinical trials in patients with the disease. At least two clinical trials must be conducted that are double-blinded and placebo-controlled.

                                                           iv.      Filing of a New Drug Application (NDA). This filing describes the drug, the results of preclinical and clinical trials, sets forth the proposed labeling, a Risk Management Plan, and describes manufacturing and testing processes. If the NDA is approved, the drug may be marketed.

                                                             v.      Post-marketing surveillance (also called Phase IV). The manufacturer must maintain records and file annual reports which include summaries of adverse reactions and problems discovered after marketing. Significant problems must be reported promptly, which may lead to revisions in the labeling.

                                                           vi.      Supplemental NDAs are filed when the manufacturer seeks additional indications or changes in the labeling or production of the drug.

                                                          vii.      Abbreviated NDAs are filed by manufacturers who wish to market generic versions of approved drugs after patent rights expire. (See drug product selection section.)

                                                        viii.      New products are classified by the FDA using a rating scheme, which is indicated in information announcing the drug’s approval. A number indicates the chemical type and a letter (P or S) indicates the therapeutic potential. The FDA considers 1P (New Chemical Entity that is a Therapeutic Advance) the most important kind of new drug:

1.      Chemical Type (1-6)

a.       1 = New Chemical Entity (NCE), a novel chemical agent

b.      2 = New salt or ester of a previously approved drug

c.       3 = New formulation of previously approved drug(s)

d.      4 = New combination of previously approved drugs

e.       5 = Duplicate of another product

f.        6 = Previously marketed by the same firm

2.      Therapeutic Potential (P or S)

a.       P = Therapeutic advance

                                                                                                                                       i.      No other effective drugs for the indication

                                                                                                                                     ii.      More effective or safe than other drugs for the indication

                                                                                                                                    iii.      Other important advantages compared to other drugs

b.      S = Similar to other drugs on the market for the condition

  1. Foods.
    1. Under the FDCA, “food” means

                                                               i.      articles used for food or drink for man or other animals,

                                                             ii.      chewing gum, and

                                                            iii.      articles used for components of any such article.(21 USC § 321(f))

    1. The FDA regulates labeling of foods, and has powers to seize foods that are adulterated or misbranded. Foods do not require premarketing approval, although certain food additives (colorings, preservatives, etc., do).
  1. Cosmetics.
    1. Cosmetics are defined under the FDCA to include

                                                               i.      articles intended to be rubbed, poured, sprinkled, or sprayed on, introduced into, or otherwise applied to the human body or any part thereof for cleansing, beautifying, promoting attractiveness, or altering the appearance, and

                                                             ii.      articles intended for use as a component of any such articles; except that such term shall not include soap. (21 USC § 321(i))

    1. FDA control over cosmetics is primarily restricted to assuring safety. The FDA does not regulate claims made for cosmetics.
  1. Devices.
    1. The FDCA defines devices as follows:
      The term ''device'' … means an instrument, apparatus, implement, machine, contrivance, implant, in vitro reagent, or other similar or related article, including any component, part, or accessory, which is -

                                                               i.      recognized in the official National Formulary, or the United States Pharmacopeia, or any supplement to them,

                                                             ii.      intended for use in the diagnosis of disease or other conditions, or in the cure, mitigation, treatment, or prevention of disease, in man or other animals, or

                                                            iii.      intended to affect the structure or any function of the body of man or other animals, and which does not achieve its primary intended purposes through chemical action within or on the body of man or other animals and which is not dependent upon being metabolized for the achievement of its primary intended purposes. (21 USC § 321(h))

    1. Significant authority over medical devices was granted to the FDA in 1976, with the passage of the Medical Device Amendments. The publicity concerning deaths and injuries from the Dalkon Shield intrauterine device is considered one of the factors leading to the passage of these amendments. The problems with the Dalkon Shield led to the bankruptcy of the A.H. Robins Co., formerly one of America’s most respected drug firms, and the outcomes of the second largest class action lawsuit (after asbestos) in American history are still unfolding. The Device Amendments modified the FDCA to provide:

                                                               i.      Classification of devices

1.      Class I – Common and simple devices needing to conform to general standards (e.g., tongue depressors, bandages, neck braces)

2.      Class II – Devices needing to meet specific performance standards (e.g., thermometers)

3.      Class III – Devices that pose risk of injury if not properly used or produced, that require pre-market approval (e.g., defibrillators, pacemakers, IUDs)

                                                             ii.      Restricted Devices. Some devices require a prescription or order of a prescriber to sell or dispense. These are labeled “Caution: Federal law restricts this device to sale by or on the order of a physician.”

  1. Non-prescription (OTC) drugs.
    1. The FDCA defines a drug in 21 USC § 321 (g) as follows:

21 USC § 321:

(g) (1)
The term ''drug'' means
(A)
articles recognized in the official United States Pharmacopoeia, official Homoeopathic Pharmacopoeia of the United States, or official National Formulary, or any supplement to any of them; and
(B)
articles intended for use in the diagnosis, cure, mitigation, treatment, or prevention of disease in man or other animals; and
(C)
articles (other than food) intended to affect the structure or any function of the body of man or other animals; and
(D)
articles intended for use as a component of any article specified in clause (A), (B), or (C). A food or dietary supplement for which a claim, subject to sections 343(r)(1)(B) and 343(r)(3) of this title or sections 343(r)(1)(B) and 343(r)(5)(D) of this title, is made in accordance with the requirements of section 343(r) of this title is not a drug solely because the label or the labeling contains such a claim. A food, dietary ingredient, or dietary supplement for which a truthful and not misleading statement is made in accordance with section 343(r)(6) of this title is not a drug under clause (C) solely because the label or the labeling contains such a statement.

    1. A drug is adulterated if it contains any added deleterious substances, has been stored improperly, or is packaged in such a way as to allow deterioration. (21 USC § 351)

                                                               i.      Any article listed in the official compendium (i.e., the USP/NF) must conform to compendial standards for purity, quality, strength, and appropriate assays.

                                                             ii.      Drugs must be stored in accordance with USP standards, and any special requirements specified on the manufacturer’s label.

                                                            iii.      The USP defines the following temperature ranges for storing drugs:

1.      Controlled room temperature

2.      Cool place

3.      Cold place

                                                           iv.      Pharmacies must maintain their drug storage areas within a controlled range, which requires air conditioning in most areas of the US.

                                                             v.      Refrigerators or freezers used to store drugs may not be used to store food or non-drug products.

    1. A drug is misbranded if its labeling is incomplete or misleading. Repackaging an OTC drug without supplying all the information contained on the original bottle is a form of misbranding. (21 USC § 352)

                                                               i.      The “label” of a drug is the actual label affixed to the bottle or box containing the medication. The “labeling” includes the label, and any other printed or written material accompanying the drug. Labeling also includes statements made by the manufacture or seller in promotional materials, advertisements, or other communications to patients or health professionals.

                                                             ii.      OTC drugs must bear adequate directions so that lay persons can use the product safely and effectively. If a product cannot be labeled in such a way that the consumer can use it just by reading the label, it will be restricted to sale by prescription.

                                                            iii.      Specific elements are required by the FDCA on the labels of OTC drugs. The “7-point label” must contain:

1.      Name of Product

2.      Name and address of manufacturer, packager, distributor

3.      Net contents

4.      Active ingredients and quantity of certain other ingredients

5.      Name of any habit forming drug

6.      Cautions and warnings

7.      Adequate directions for use

                                                           iv.      The FDA has recently developed new regulations that have changed the look of OTC drug labels and require the same format for all labels.

    1. Selected OTC products must be packaged in “special packaging,” otherwise known as child-resistant containers (CRCs), as required by the Poison Prevention Packaging Act (15 USC §§ 1471-1474). Regulations implementing the act are developed by the Consumer Product Safety Commission, which publishes “Poison Prevention Packaging: A Text for Pharmacists and Physicians.” Rules for non-prescription drugs are contained in 16 CFR § 1700.14:

                                                               i.      Covered OTC products include

1.      Aspirin

2.      Acetaminophen

3.      NSAIDs

4.      Iron preparations > 250 mg elemental iron per package

5.      Diphenhydramine > 66 mg per package

6.      Lidocaine and Dibucaine

7.      Minoxidil

8.      Methyl salicylate

9.      Ethylene glycol

10.  Methyl alcohol

11.  Hydrocarbons and solvents

12.  NaOH, KOH

                                                             ii.      For OTC drugs, each manufacturer must make at least one package size with a CRC. A manufacturer may make one size only that is intended for households without small children. It must bear the caution “This Package for Households without Young Children.”

                                                            iii.      Washington law requires pharmacists who dispense any of the above-listed OTC drugs on prescription to use a CRC. (RCW 18.64.246 and WAC 246-869-230) These regulations can be read to require CRCs on all prescriptions in which OTC drugs are dispensed, even if the CPSC has not listed the product, but in at least one state court case the judge ruled to the contrary.

    1. Problems with product tampering have led to requirements in the Federal Anti-Tampering Act. Most OTC drugs, devices, and cosmetics require the following elements (dentifrices, dermatologicals, lozenges, and insulin are exempted):

                                                               i.      An indicator of tampering or barrier to entry, that

                                                             ii.      If breached or missing provides visible evidence of tampering

                                                            iii.      A label statement must describe the barrier or indicator

    1. Recalls of OTC products are handled in the same manner as for legend drugs (see below).
    2. Sellers are responsible for any false, misleading, or unapproved claims they or their employees make concerning OTC products that are not consistent with the approved labeling.

                                                               i.      Pharmacists are allowed to make recommendations to customers about the hazards and benefits of medications, consistent with their knowledge, training, experience, and good judgment.

                                                             ii.      Specific assurances (“this is perfectly safe for your baby”) may create a warranty of fitness for a particular purchase that can lead to liability to the consumer if the product does not perform as stated or is harmful.

  1. Dietary Supplements. Dietary supplements are regulated by the Dietary Supplement Health and Education Act of 1994 (DSHEA). The Act was passed to allow certain health-related claims to be made for dietary supplements without violating the FDCA or causing the supplements to be regulated as if they were drugs.
    1. Dietary supplements are defined under the DSHEA as articles containing one or more of the following

                                                               i.      Vitamin

                                                             ii.      Mineral

                                                            iii.      Herb or other botanical

                                                           iv.      Amino acid

    1. To be considered dietary supplements, a product must be

                                                               i.      Intended to supplement the diet by increasing total dietary intake, or

                                                             ii.      A concentrate, extract, metabolite, constituent or combination of the above.

    1. The dietary supplement must also be

                                                               i.      Intended for ingestion

                                                             ii.      Not represented for use as a conventional food or sole item of a meal or diet

                                                            iii.      Labeled as a dietary supplement

    1. If the article meets all of the above requirements, it is deemed to be a food, and is regulated by the FDA as a food, subject to some specific labeling requirements.
    2. Allowable labeling for a dietary supplement can

                                                               i.      Claim benefit related to a classic nutritional deficiency disease (e.g., scurvy, beri-beri)

                                                             ii.      Describe the role of a nutrient intended to affect the structure or function of the body

                                                            iii.      Characterize the mechanism of action

                                                           iv.      Describe general well-being gained from consuming a nutrient

                                                             v.      Must state that the FDA has not evaluated any labeling claims

    1. The FDA can take action against false statements, adulterated or misbranded products, or remove from market products that are shown to be harmful (e.g., ephedra)
    2. Sellers of dietary supplements may not juxtapose non-complying material (books, advertisements, etc.) with dietary supplements in such a way as to make health claims not allowed in the labeling

                                                               i.      Sellers may sell or display articles, books, and abstracts of peer-reviewed scientific publications.

1.      These must be reprinted in their entirety

2.      Must be presented with other publications to present a balanced view

3.      Must be physically separate from the product

                                                             ii.      Sellers may not apply information to the product by sticker, shelf-talker, etc., that would make claims not allowed in labeling

  1. Legend Drugs
    1. Regulated under §502 of the US Food, Drug, and Cosmetic Act (FDCA –  21 USC Subpart 9). Formerly, were required to bear the legend, “Caution: Federal Law prohibits dispensing without a prescription.” Now may merely bear the “Rx” symbol.
    2. As with OTC drugs, a legend drug is misbranded if its labeling is incomplete or misleading. Dispensing a legend drug pursuant to a prescription without a prescription label is a form of misbranding.

                                                               i.      The “label” of a legend drug is the actual label affixed to the bottle or box containing the medication. The “labeling” includes the label, and any other printed or written material accompanying the drug. Labeling also includes statements made by the manufacture in promotional materials, advertisements, or other communications to patients or health professionals.

                                                             ii.      The FDCA and state law requires the following on the label of a prescription dispensed by a pharmacist to a patient:

Elements required on a prescription label dispensed to a patient

 

FDCA

RCW 18.64.246

Name and address of the pharmacy

ü

ü

A serial number

ü

ü

Name of prescriber

ü

ü

Name of patient, if on the prescription

ü

 

Name of patient

 

ü

Directions for use, if on the prescription

ü

 

Complete directions for use

 

ü

“As directed” prohibited.

(WAC 246-875-020(1)(h))

Date of filling or refilling

ü

ü

Name and strength of drug

 

ü*

Quantity dispensed

 

ü*
WAC 246-869-210(2)

An expiration date. Often called a “use before” or “discard after” date

 

ü
(See factors required in WAC 246-869-210(1))

The statement, “Warning: State or Federal law prohibits transfer of this drug to any person other than the person for whom it was prescribed”

 

ü
WAC 246-869-210(3)

Identity of pharmacist responsible for dispensing.

 

ü**

Supplemented by additional oral or written written information as required by regulation. Includes auxiliary labels.

 

ü
WAC 246-869-210(4);
See WAC 246-869-220

* May be omitted if prescriber requests.
** May be omitted if tracked in the patient record system.

    1. Labeling of a prescription drug includes prescribing information, which is often called the package insert. The law does not prohibit the patient from receiving the package insert. Many products also contain additional patient information leaflets, or patient package inserts, which are intended to be included with the dispensed prescription. Failure to dispense a patient package insert, unless specifically directed to withhold it by the prescriber, is considered misbranding. Two specific parts of the CFR deal with patient package inserts for oral contraceptives and with estrogens and progestins.

                                                               i.      Oral contraceptive inserts consist of a complete insert and a brief insert. Both must be dispensed to ambulatory patients each time the drug is dispensed. In hospitals, these must be provided to the patient at the first dispensing, and once every 30 days.

                                                             ii.      Estrogens and progestins also require a single patient information leaflet be dispensed with each prescription and each refill. In hospitals, these must be provided to the patient with first use of the drug, and every 30 days.

    1. Manufacturers must place an expiration date on the containers of legend drugs, as well as a lot number. If the expiration date is specified in the form of a month, day, and year, the drug may not be dispensed after that date. If the date is specified as a month and year only, then the drug is considered expired after the last day of the month indicated. Pharmacists should not dispense a quantity of drug that cannot be used by the patient prior to the expiration date.
    2. Washington regulations (WAC 246-869-210(1)) specify that in determining a Use Before (or “Discard After”) date to place on a dispensed prescription, the pharmacist must consider several factors, including (a) the nature of the drug; (b) the container in which it was packaged by the manufacturer and the expiration date thereon; (c) the characteristics of the patient’s container, if the drug is repackaged for dispensing; (d) the expected conditions to which the article may be exposed; (e) the expected length of time of the course of therapy; and (f) other relevant factors. It is permissible to dispense medications in the manufacturer’s original container, and the expiration date and lot number may be left visible to the patient. Many states impose a one-year limit on the Use Before date, but there is no such limit in Washington. Many computer systems used by retail pharmacies default to a one-year Use Before date. Care should be taken to override this default if the actual manufacturer’s date is earlier than one year from the date dispensed.
    3. Prescribers who dispense drugs must package and label the prescriptions in accordance with the same standards that are required for pharmacists. (RCW 69.41.050) The label must contain the name of the patient, name, strength of the drug, the date, the name of the prescriber, and complete directions for use. The name and directions may be omitted on the basis of a considered judgment by the prescriber. Sample packages need to contain the name of the prescriber and the name of the patient (very seldom actually done, however). Nurses may not dispense, so if a prescriber dispenses a drug he or she must do it personally. Prescribers may not dispense drugs for other prescribers. Prescribers are equally subject to the USP requirements for storage and dispensing containers, for to store or dispense drugs in violation of compendial standards is to subject the drugs to adulteration under the FDCA.
  1. Elements of a Prescription. All of the following conditions must be present to authorize a pharmacist to dispense a legend drug in WA. (RCW 69.41.040)
    1. Written for a specific patient. Each prescription should be written for a specific, named patient. In order to fulfill the obligations to prevent adverse drug reactions and conduct drug use review, the pharmacist must be able to match the prescription order with a particular patient’s profile. Some patients have requested that they be allowed to use a code name to shield their identity (e.g., HIV-positive patients), but the Board of Pharmacy rejected the request. HIPAA requirements should be sufficient to assure confidentiality to those patients. Sometimes prescriptions are written for all the members of a family, or are written for one spouse who has insurance to provide drug for the uninsured spouse. These are challenges for the pharmacist, and these prescriptions are technically invalid.
    2. Written by Authorized Prescribers (RCW 69.41.030)

                                                               i.      All states allow physicians, podiatrists, dentists, and veterinarians to prescribe legend and controlled substances. Other practitioners may or may not have prescriptive authority for one or more classes of drugs

                                                             ii.      Most states honor prescriptions from out of state physicians, podiatrists, dentists, and veterinarians.

1.      Washington allows full or partial prescriptive authority to a variety of practitioners. Click here for a table that summarizes prescriptive authority and scope of practice in WA. This table also includes academic and other abbreviations commonly used by professionals who practice in health care settings.

2.      Practitioners – out of state prescriptions are acceptable. WA allows the following prescribers who are licensed in any state, or in British Columbia, to issue prescriptions for legend drugs that are valid in WA. (Note: Canadian prescribers cannot issue CSAs.)

a.       Physicians (MD) and Osteopathic Physicians (DO)

b.      Dentists (DMD, DDS)

c.       Podiatrists (PodD, DPM)

d.      Veterinarians (DVM)

3.      “Mid-level” practitioners – out of state prescriptions are not allowed from these practitioners.

a.       Physician’s Assistants (PA, PA-C)

b.      Nurse Practitioners (ARNP) (includes Nurse Midwives)

c.       Nurse Anesthetists (CRNA)

d.      Optometrists (OD)

e.       Naturopaths (ND)

f.        Midwives (very limited)

g.       Pharmacists (R.Ph., Pharm.D.) under collaborative practice agreements

    1. Issued in the Due Course of Medical Practice (RCW 69.41.040)

                                                               i.      Must be prescribed in the context of a bona fide prescriber-patient relationship. Prior to issuing a prescription, for example, the prescriber must have conducted an appropriate examination and maintained proper records, and made a professional judgment.

1.      Prescriptions that are “sold” to patients are not valid. For example, Internet prescribing seldom involves a bona fide patient-prescriber encounter. Likewise, prescription “mills” where patients pay to have prescriptions written (often for CSAs) do not produce valid prescriptions that a pharmacist can lawfully dispense.

                                                             ii.      Must be within the scope and authority of the prescriber. A podiatrist cannot prescribe medications for congestive heart failure, even though ankle edema is a result of CHF. A dentist cannot normally prescribe birth control pills. Likewise, some practitioners, such as optometrists, are not able to prescribe Schedule II drugs in most states. Veterinarians cannot prescribe drugs for humans, and MDs cannot prescribe drugs for cats or dogs. A pharmacist who knows, or should know, that a particular prescription is not within the scope or authority of the issuing prescriber has a corresponding responsibility not to fill the prescription. The pharmacist must be aware, however, of current trends in use of drugs by the various practitioners who normally prescribe for his or her clients. If in doubt, ask the prescriber to fill you in on how they intend the drug to be used, so you can help the client understand its use better.

    1. Issued for a Legitimate Medical Purpose

                                                               i.      Drugs used for non-medical purposes include stimulants for “recreational use” or androgens for weight training. This could include Ipecac used by persons with eating disorders. Non-legitimate drug use is a greater problem with controlled substances than with legend drugs. Nevertheless, if a pharmacist knows or should know that the drug is being used for a non-medical purpose, he or she is not authorized to dispense the product.

                                                             ii.      Specific statutory prohibitions exist against prescribing, administering, or dispensing “steroids,” or any form of autotransfusion, for the purpose of manipulating hormones to increase muscle mass, strength, or weight, or to enhance athletic ability unless medically necessary (e.g., runner’s anemia). Steroids include

1.      “Anabolic steroids”

2.      “Androgens”

3.      “Human growth hormone” (RCW 69.41.300-310)

    1. Written prescriptions in Washington must be “legible”

                                                               i.      RCW 69.41.010(11) defines a “legible prescription” as “capable of being read and understood by the pharmacist filling the prescription or the nurse or other practitioner implementing the medication order.”

                                                             ii.      RCW 69.14.120 requires prescriptions to be legible.

                                                            iii.      Pharmacists who fill illegible prescriptions without verifying the prescription are liable for damages caused to their patients.

    1. Other elements that must be on the prescription or available to the pharmacist include

                                                               i.      Date written

                                                             ii.      The patient’s address must be on the prescription or available in patient medication record, a record book, or hospital or clinic record. (WAC 246-869-100(2)(a))

                                                            iii.      Directions for use. Washington does not allow a prescription for an outpatient prescription to bear “UD” (ut dictum – as directed) instructions. Thus the prescription must contain complete directions. If not, the pharmacist must ascertain the directions from the prescriber.

1.      Some products are clearly labeled on the container, such as birth control pills. In these cases, UD should be interpreted to read “as directed on the container.”

2.      Some directions are for complicated doses. The prescriber may have given a written schedule to the patient, such as in step-down dosing of prednisone. In such a case, the pharmacist needs to know what those instructions were, to determine compliance. The pharmacist should make a copy of the instructions and attach them to the original prescription, and use them to estimate a days’ supply. The directions would then be interpreted as “Take according to written sheet provided by physician.” If appropriate, a “not to exceed” limit should be specified on the label.

3.      Sometimes the patient is given the drug, and told to confirm the dosage with the prescriber, or will take differing doses in accordance with monitoring of therapy, as in treatment with Coumadin®. In such cases, the directions should be interpreted as “take on a [daily] basis per consultation with [physician].” Maximum dosing should be specified if appropriate.

                                                           iv.      Instructions regarding generic substitution. This is automatic with two-line prescription blanks, but the information needs to be gathered specifically on telephoned orders, and recorded on the face of the prescription by the pharmacist. (RCW 69.41.120).

1.      Prescriptions written by generic name (or telephoned by generic name) do not come under the requirements of the substitution law.

                                                             v.      The pharmacist must place a serial number, the date of dispensing, and the initials of the responsible pharmacist on the face of the prescription. (WAC 246-869-100(2)(c)).

                                                           vi.      In all cases where product interchange has occurred (see below), the pharmacist must record the identity of the actual drug dispensed on the prescription and in the patient record. (RCW 69.41.120) This is most easily and clearly done by recording the National Drug Code (NDC) of the product dispensed.

    1. Telephoned or oral prescriptions. Pharmacists may receive oral or telephoned prescriptions for legend drugs. It is a long-standing practice for pharmacists to reduce the oral prescription to written form, and to store the file copy with other written prescriptions. This practice is not specifically mentioned in rules for legend drugs, but it is explicitly required for controlled substances. (RCW 69.50.308(2)(d), 21 CFR § 1306.21(a))
    2. Facsimile transmission (FAX). In general, FAXes of legend drugs are treated as if they were telephoned orders. The Board of Pharmacy has specified the following requirements for FAXes for legend drugs (WAC 246-869-095):

                                                               i.      Must contain the date, time, and telephone number and location of the transmitting FAX machine.

                                                             ii.      The pharmacist is responsible for assuring that the FAX will be legible for two years (i.e., not printed on thermal paper).

                                                            iii.      The pharmacist is responsible for verifying that each FAX is valid and shall verify the authenticity of the prescription with the prescriber if there is a question.

                                                           iv.      There cannot be an exclusive agreement concerning FAXed orders between the pharmacy and the prescriber.
(Additional requirements have been established for FAXes of controlled substances in Schedule II.)

    1. Electronic prescriptions.

                                                               i.      The law allows for electronic transmission of prescriptions, (RCW 69.41.055) and permits the Board to adopt specific rules. The law requires the following:

1.      Transmission is directly from the prescriber to a pharmacy of the patient’s choice, with no intervening person having access to the information. (This prohibits orders being transmitted through an insurance company.)

2.      The Board must approve the systems for sending and receiving the information.

3.      The information must include an “explicit opportunity” for prescribers to communicate preferences regarding generic substitution.

4.      Confidentiality and security of the information must be assured.

a.       The pharmacist in charge (responsible pharmacy manager) shall establish or verify procedures and policies to ensure integrity and confidentiality of the prescription information.

b.      All managers, employees, and agents of the pharmacy must read, sign, and comply with the established procedures

5.      The pharmacist must exercise professional judgment regarding the accuracy, validity and authenticity of the drug orders transmitted electronically.

                                                             ii.      The Board publishes a list of approved systems on its website.

  1. Drug Product Selection
    1. The pharmacist is required to dispense the product and strength called for in the prescription. The Board may discipline a pharmacist or intern who has “compounded, dispensed, or caused the compounding or dispensing of any drug or device which contains more or less than the equivalent quantity of ingredient or ingredients specified by the person who prescribed such drug or device.” (RCW 18.64.160(5))

                                                               i.      When a drug is prescribed by its official or “generic” name (e.g., Ibuprofen tablets 800 mg), the prescriber has left it to the pharmacist to determine the particular manufacturer or source of the product, secundum artem (“according to the art” of the apothecary).

                                                             ii.      When a drug is prescribed by brand name (e.g., Motrin tablets 800 mg), it is understood that the prescriber intends a particular product from a particular manufacturer.

    1. Most states allow generic substitution, and many provide for therapeutic substitution. These two activities fall in the category of drug product selection, sometimes called product interchange. When allowed, product interchange does not expose pharmacists to charges of misfilling prescriptions.
    2. Brand versus Generic Drugs
      All “new drugs” marketed in the US must be subject to an approved New Drug Application (NDA) approved by the FDA The NDA is approved following testing of a proposed new drug in animals, then in clinical trials in humans. Following initial animal testing, the manufacturer files a “Notice of Proposed Investigational New Drug,” or an “IND” with the FDA, so as to be able to ship the experimental drug in interstate commerce for testing. Phase I clinical trials are conducted in healthy volunteers to determine approximate dosage and gross toxicity. Phase II clinical trials are conducted with a small number of volunteers who have the target disease to confirm the drug’s effect on the disease, and to further identify possible toxicities. Phase III clinical trials are large-scale trials in patients with the target disease and are conducted in a randomized, double-blind fashion. Following Phase III, the NDA is filed and, if approved by the FDA, the drug can then be marketed. Clinical trials conducted following marketing are included in “Post-marketing Surveillance,” and are said to be in Phase IV.
      The manufacturer who is first granted an NDA is said to be the “innovator” of the drug, and generally has patent rights granting it exclusive privileges to sell the drug for a defined period of time (typically 17 years from the date the patent is filed). Since it may take seven to ten years to develop a patented “New Chemical Entity” (NCE) after a patent is obtained, the marketing exclusivity may last for as little as seven years after the NDA is approved. Certain provisions of the Prescription Drug Marketing Act (PDMA) and the Orphan Drug and Patent Right Extension Act allow for extension of market exclusivity.
      When, as a result of Phase IV experience, a manufacturer wishes to change information in the package insert (e.g., new indications, changed directions, additional warnings, etc.), a Supplemental New Drug Application (SNDA) is filed with the FDA.
      All approved new drugs are given a non-proprietary name, which in the US is officially called the United States Adopted Name (USAN), approved by the USAN Commission, a division of the Department of Commerce. The manufacturer’s label of all approved drugs must include the USAN, and the manufacturer may also market the drug under a proprietary, or trade name. Trade names are the property of the manufacturer who coins them, subject to filing with the Patent Office. The trade name may be either “registered” as indicated by the ® symbol, or “trademarked,” as indicated by the ™ symbol. The manufacturer’s label must present the non-proprietary name in letters at least half as high as the trade name. Pharmacists labeling prescription containers may always use the nonproprietary name, and may also use the trade name as long as the product in the container is made by the manufacturer who owns the trade name.
      The manufacturer is required by copyright law to enforce its rights to a trade name by challenging in court any inappropriate use of the trade name by others. From time to time, drug companies have filed lawsuits against pharmacists who used their trade names on packages of drugs containing a generic product, challenging phrases such as “Ibuprofen – same as Motrin” or “Ibuprofen – generic Motrin.” Some pharmacy law experts recommend the following language on prescription labels to avoid trademark infringement suits: “Ibuprofen – substituted for Motrin.”
      After the patent rights expire on a particular drug product, other manufacturers may market generic products that are the same chemical entity as indicated in the NDA, provided they meet requirements for bioavailability and bioequivalence. Primarily, the generic equivalent must provide the same pharmacokinetic parameters, Cp, Tp and AUC, as the innovator’s product, as demonstrated by in vivo testing. The generic manufacturer does not need to repeat the innovator’s Phase I through Phase III testing, but only the more limited proof of bioavailability and bioequivalence. These are documented in an Abbreviated New Drug Application (ANDA). After the FDA approves the ANDA, the generic manufacturer may distribute the product under its non-proprietary (“generic”) name, and/or may develop a brand name of its own for the product.
    3. Generic Substitution
      Virtually all states provide for “generic substitution,” whereby the pharmacist may or must dispense the generic drug, even when the prescriber prescribes the product by its trade name. The purpose of all these laws is to provide savings to consumers, or to third party payors (such as state Medicaid programs). Many states, including Washington, require that all or a significant part of the savings arising from generic substitution be passed on to the purchaser. Generally, the pharmacist must have some evidence that the generic product is an approved drug product that has been found bioequivalent to the innovator’s product. In Washington (RCW 69.41.100-180), the pharmacist may use any information he or she considers reliable. Other states specify one or more of several resources or lists that the pharmacist can or must consult.

                                                               i.      Pharmacist’s Reference Sources
In all states, a prescription written by generic (nonproprietary) name permits the pharmacist to choose the source of the product, whether it is bioequivalent to a brand name drug or not.

1.      Orange Book
The “Orange Book” is officially entitled “Approved Drug Products with Therapeutic Equivalents,” and is published by the FDA. The only products listed are drugs with NDAs and/or ANDAs. Old drugs (including digitalis, Phenobarbital, etc.), which were marketed prior to 1938, do not have NDAs and are not included in the Orange Book. Drugs that are considered therapeutically equivalent are given an “A” rating; those that are not are rated “B.” A second letter is appended to indicate the basis for the rating, and all generically equivalent products are rated “AB.” In every case, the rating of a generic drug is related to a specific innovator’s product. In some cases, two innovator’s products have the same chemical ingredient, but are not, themselves, bioequivalent. This is most often the case with sustained-release preparations that use different formulations to achieve their release characteristics. For example, Adalat CC™ and Procardia XL™ each contain nifedipine HCl. However, they use different formulations, and are not interchangeable as generics. Procardia XL was marketed first, and is given a three-symbol rating: AB1; Adalat CC is rated AB2. Generic nifedipine formulations that are interchangeable with Procardia XL are rated AB1, and those that can be substituted for Adalat CC are rated AB2.

2.      Positive Formularies
Some states do not allow the pharmacist to substitute any equivalent generic, but require the pharmacist to choose from drugs on a specific list. This list is often called a “positive formulary.” Some states specify the Orange Book as their positive formulary, while others have a special commission that develops the list. Washington allows the pharmacist to choose from sources in addition to the Orange Book, so would not be said to use a positive formulary. However, the Orange Book is referred to in WAC 246-899-030(b) as a “board approved reference for a positive formulary of therapeutically equivalent products within the limits stated in that publication.” (Revised 2/10/04)

3.      Negative Formularies
A few states have lists of drugs that cannot be substituted. Many of these lists include so-called “narrow therapeutic index drugs,” such as levothyroxine, warfarin, digoxin, and furosemide. The drugs placed on these lists are often placed there as a result of a political process in which manufacturers and physicians have lobbied to limit generic substitution. Illinois is an example of a state that uses a negative formulary, and also requires each pharmacy to develop its own “positive formulary” that is made available to the public. Washington does not specifically preclude generic substitution by use of a negative formulary.

                                                             ii.      “DAW” instructions and special prescription blanks.
Most states allow prescribers to prevent generic substitution on a per-prescription basis. Some will allow the prescriber to indicate “Dispense As Written” or “DAW” in writing on the prescription. Others allow a check-box (þ DAW). Washington, like several other states, requires a two-line prescription blank, with one signature line indicating “Substitution Permitted” and the other indicating “Dispense As Written.” In Washington, manufacturer’s successfully lobbied to have the DAW line be on the right hand side of the blank, reasoning that many right-handed physicians would, by force of habit, preferentially sign that line. Under Washington law, a prescription that is written by a Washington prescriber is not valid unless it is written on a two-line prescription blank. In Washington, pharmacists are required to obtain and record specific instructions regarding substitution when receiving telephoned prescriptions, and to indicate this on the permanent record (WAC 246-899-020 (a))

1.      Dealing with out-of-state prescriptions.
According to the statute, Washington pharmacists may substitute the generic product on an out-of-state prescription written by brand name unless “otherwise instructed by the prescriber through the use of the words ‘dispense as written’, words of similar meaning, or some other indication.” However, the Board has qualified this requirement in WAC 246-899-050. If the practitioner has not clearly provided instructions regarding substitution, the pharmacist may substitute a generic only if the pharmacist has determined substitution is permitted by one of the following means:

a.       The pharmacist has personal knowledge of the rules in the state of origin; or

b.      The pharmacist has obtained authorization from the prescriber; or

c.       The pharmacist obtains current information on the rules in the other state from

                                                                                                                                       i.      The Washington Board of Pharmacy

                                                                                                                                     ii.      The Board of Pharmacy in the other state

                                                                                                                                    iii.      Some other reliable professional means. [rev. 2/10/04]

                                                            iii.      Generic substitution is required in Washington.
Washington does not allow the pharmacist to dispense a brand name if substitution is permitted except when:

1.      The pharmacy does not have a generic product in stock which is, in the pharmacist’s professional judgment, bioequivalent to the drug prescribed; or

2.      The patient or the patient’s agent requests the branded product, and the product is not being paid for by public funds.

                                                           iv.      Savings must be passed on to purchaser in Washington.
Washington law requires that 60% of savings resulting from generic substitution be passed on to the consumer. The calculation should be made as follows:

 

Savings

=

Actual Acquisition Cost of Brand Name Drug

Actual Acquisition Cost of Generic Drug

 

Maximum Price

=

Normal Price of Brand Name Drug

(Savings ´ 0.6)

 

Example:  Your pharmacy’s normal cash price for a brand-name drug is $85.00 for 90 tablets. The Average Wholesale Price (AWP) for this product is $83.00 per 100. Your Actual Acquisition Price (AAC) from the wholesaler is AWP less 18% for this drug. Your AAC for the generic equivalent is $41.00 per 100. What is the maximum price you can charge the patient for 90 tablets under WA law?

    Savings = ($83 ´ 90/100 ´ 0.82) – ($41 ´ 90/100) =  $24.35

    Max. Price = $85.00 – ($24.35 ´ 0.6) =  $70.39

 

Margin on brand name drug:  $23.75 ¸ $85.00 ´ 100% = 27.9%.

Margin on generic drug:  $33.49 ¸ $70.39 ´ 100% = 47.5% (assuming competition will allow you to charge the maximum allowed price).

 

                                                             v.      Notice to Public. RCW 69.41.160 requires the following notice to be displayed to the public in every pharmacy: “Under Washington law, an equivalent but less expensive drug may in some cases be substituted for the drug prescribed by your doctor. Such substitution, however, may only be made with the consent of your doctor. Please consult your pharmacist or physician for more information.”

                                                           vi.      Pharmacists are protected by RCW 69.41.170 from being coerced by employers to dispense a particular generic drug or to substitute a generic drug for another drug.

    1. Therapeutic Substitution
      Therapeutic substitution involves dispensing a drug in the same therapeutic class as the brand prescribed, but not of the same chemical entity. A common example would be use of atorvastatin (Lipitor™) when the prescription was issued for simvastatin (Zocor™) Therapeutic substitution could also include dispensing of a generic equivalent that is not of the same dosage form or delivery system as the drug prescribed, such as using Adalat CC™ in place of Procardia XL™. The key element is that the control of the patient’s symptoms is equivalent once adjustments have been made for dosage and/or dosing intervals. It is normally assumed that therapeutic interchanges are made in such a way as to avoid additional adverse effects. Therapeutic interchange is often performed to provide the “drug of choice,” as in dispensing amoxicillin when ampicillin has been prescribed (to improve absorption and avoid GI effects). The driving force behind most therapeutic interchange, however, is to achieve drug cost savings.
      Washington law allows therapeutic substitution whenever the pharmacist has obtained “prior authorization” from the prescriber, and not explicit about how this authorization must be obtained, in contrast to the rules regarding generic substitution.

                                                               i.      With prior authorization (Washington requires documentation to be available in the pharmacy records – WAC 246-899-030(3) [rev. 2/10/04]

                                                             ii.      Specific authorization

                                                            iii.      Via Collaborative Practice Agreement

                                                           iv.      In accordance with the Therapeutic Interchange Program and Preferred Drug List (WA)

1.      The 2003 Legislature passed SB 6088, which creates a Preferred Drug List (PDL) for use in all state-funded drug programs, including Medicaid and the Uniform Medical Plan (UMP) for state employees. The Washington Health Care Authority (HCA) administers the program, which is entitled Rx Washington.

2.      The current Preferred Drug List is updated frequently on the Rx Washington web site.

3.      The Pharmacy & Therapeutics Committee that determines the PDL is composed of 10 members (4 physicians, 4 pharmacists, 1 PA, 1 ARNP). Currently three of the 10 members are on the WSU faculty: Angelo Ballasiotes, PharmD; Jason Iltz, PharmD; John White, PharmD, PA.

4.      A Therapeutic Interchange Program (TIP) is established by the legislation. Currently (2/04) the agencies project that this program will go into effect on May 1, 2004. After that time, pharmacists dispensing prescriptions that are paid for by a state program are authorized and required to perform therapeutic substitution using drugs on the PDL, where a non-preferred drug has been ordered.

a.       Eligible prescriptions must be have been written by an “endorsing practitioner.”

                                                                                                                                       i.      HCA maintains a database to identify endorsing practitioners

                                                                                                                                     ii.      Prescriptions written by non-endorsing practitioners

1.      Will be filled at Tier-3 rates for UMP beneficiaries

2.      Will be subject to prior authorization for other state plans

3.      May be substituted via prior authorization

                                                                                                                                    iii.      The endorsing practitioner may indicate “DAW” – the drug will NOT be subject to prior authorization, but will be subject to Tier-3 pricing for UMP recipients.

1.      This “DAW” does not relate to generic substitution, which is indicated by a signature on a two-line blank.

                                                                                                                                   iv.      A UMP recipient may request DAW, and pay the Tier-3 price, if the drug is covered.

b.      Substitutions are to be made from within the same therapeutic class.

c.       Refills of certain types of drugs are not subject to substitution

                                                                                                                                       i.      Antipsychotics

                                                                                                                                     ii.      Antidepressants

                                                                                                                                    iii.      Chemotherapy

                                                                                                                                   iv.      Antiretroviral

                                                                                                                                     v.      Immunosuppressive

d.      When a substitution is made, the pharmacist shall notify the prescriber of the specific drug and dose dispensed (can be by FAX, etc.)

5.      A new paragraph is added at the end of RCW 69.41.150:
(3) A pharmacist who substitutes a preferred drug for a nonpreferred drug pursuant to section 5 of this act assumes no greater liability for substituting the preferred drug than would be incurred in filling a prescription for the preferred drug when prescribed by name.

  1. Refilling and partial filling of prescriptions, and other deviations from quantity requirements.
    1. Generally, when the patient’s interests require, pharmacists are allowed to dispense less than the prescribed quantity of medication, as long as each dosage form is of the correct strength. There are special requirements for partial filling of controlled substances, but for legend drugs, it is generally sufficient for pharmacists merely to track the quantities dispensed. Partial filling often occurs when

                                                               i.      For financial reasons (including insurance coverage) the patient doesn’t want to purchase the full amount. A prescription written for levothyroxine 100 mcg, #90, can be filled for any quantity less than 90, e.g., 30 tablets. It may be refilled in quantities of 30 until a total of 90 have been dispensed.

                                                             ii.      When the patient has not received the drug before and is unsure whether he or she will tolerate it or if it will meet the patient’s needs.

                                                            iii.      When the pharmacy does not have sufficient medication in stock.

1.      Handling of out-of-stock creates problems when third parties (especially government payors) are to be billed for the drug. These parties do not want to pay for unused drug or drug that is not delivered to patients. When partial fills have been made with the expectation that patients will pick up the remainder, and the third party is billed for the full amount due to transaction requirements, the third party will feel defrauded if the patient forgets to pick up the drug. The US government sued a major chain over this issue and the settlement was in the millions of dollars.

a.       If possible, 3rd parties should not be billed until the full quantity has been dispensed.

2.      The pharmacy cannot legally reuse drugs that have been sold to a patient, even if the patient “abandons” the drug by not returning. Most states, including Washington, have “abandoned property” statutes that require that the abandoned property belong to the state.

3.      If the pharmacy wants to deliver or mail the remainder of the product to the patient, that may raise problems of making drugs available to children or others without the knowledge of the patient that the drug was to be mailed.

a.       If possible, obtain the patient’s written permission to mail the remainder of the drug to their home in the event that they have not picked up the drug in a certain length of time.

                                                           iv.      It is a long-standing standard of practice that the pharmacist may dispense more than the amount specified in the prescription when refills have been allowed, and the patient’s interests warrant it. For example, the physician prescribes Lipitor 10 mg, #30, and labels the prescription “Refill PRN.” It is known and obvious that if the patient tolerates the initial prescription, he or she will be continuing to take the drug chronically. If the insurance allows a 90-day supply, the patient will want to obtain the drug in the larger quantities on refills. Using good judgment, the pharmacist may reasonably refill the Lipitor in quantities of 90, without consulting the physician. If no refills were allowed, however, this would not be possible. Generally, controlled substance prescriptions cannot be refilled in larger amounts than specified on the original prescription.

1.      Judgment is important. Just because a drug is not a controlled substance does not justify refilling in larger quantities than originally specified. For example, a patient with a history of attempted suicide may be placed on tricyclic antidepressants in quantities of 10 to 30 tablets per refill. Even if additional refills are allowed, the pharmacist must be cognizant of the reality that dispensing 100 tablets at a single time provides the patient with the opportunity of taking a fatal overdose.

    1. Pharmacists may also reasonably deviate from the prescription by providing alternate strengths if the patient’s interests require.

                                                               i.      A prescription written for prednisone 10 mg tablets #50, ½ tablet daily, may be filled with prednisone 5 mg #100, provided the label directions correctly specify one tablet instead of ½ tablet as the dose. The patient must clearly understand what has been done, and it is a good practice to notify the prescriber.

                                                             ii.      A prescription written for levothyroxine 225 mcg cannot be dispensed as such because no manufacture makes a 225-mcg tablet. The pharmacist may wish to verify the dose to be sure an error was not made, but otherwise has the choice of dispensing the prescription as follows:

1.      Levothryoxine 113 mcg, with directions of 2 tablets per dose.

2.      Levothyroxine 200 mcg, 1 tablet per dose, plus
Levothryoxine 25 mcg, 1 tablet per dose, as two separate prescriptions.

In either situation, it is advisable to notify the prescriber what was actually dispensed.

    1. Refills may be authorized by the prescriber at the time the prescription is written. The prescriber may indicate refills in a number of ways:

                                                               i.      May be refilled X times. In this case, the pharmacist may refill the drug up to X times, in the same quantity as the original.

                                                             ii.      May be refilled through a certain date. In this case the pharmacist may refill the drug as often as needed until the date shown.

                                                            iii.      May be refilled “PRN.” In Washington, PRN is defined by the Board to indicate authorization for up to one year from the date the prescription was written. No prescription in Washington may be refilled beyond one year from the date written. (WAC 246-869-100(2)(d))

                                                           iv.      Refills may be authorized by the prescriber after the prescription is written, typically upon a call from the pharmacist. The Board requires pharmacies to treat a refill authorization occurring more than a year after the prescription is written as a new prescription, with a new prescription number.

    1. In all cases of refills, the pharmacist must issue refills and quantities that are consistent with the directions on the prescription. The pharmacist is responsible for noting and dealing with both overuse and under use.
    2. When a refill is time-limited, the pharmacist may dispense the full original quantity at any time prior to the expiration date of the authorization.
    3. Transfers of prescriptions between pharmacies.

                                                               i.      “Copies.” The original of every prescription must be retained in the pharmacy. Sometimes patients will request a “copy” of their prescription for informational purposes. Such copies may be made, but must be clearly labeled as such. (WAC 246-869-100(e)).

1.      Prescriptions may be photocopied and provided to the patient or others to whom the patient has authorized, stamped with “COPY”.

2.      Pharmacists may hand copy the prescription on the pharmacy’s prescription form, indicating a COPY.

a.       It was the practice of pharmacists in past years to include pricing information on the prescription, often in coded fashion. One popular code was called the NARD Code, developed by the National Association of Retail Druggists, now known as NCPA. This code used the word “PHARMOCIST’ where each letter represented the digits, 1-2-3-4-5-6-7-8-9-0, respectively. The letters NA preceded the code and it was followed by RD. For example, “NA-PHM-RD” would indicate a price of $1.25. This practice is uncommon now, in part because of challenges to its use as a means of price fixing among competitors.

3.      These copies are not valid for filling, so the pharmacist receiving such a copy must contact the prescriber and obtain a new oral prescription.

                                                             ii.      Pharmacies are allowed under WAC 246-869-090 to transfer prescriptions, along with available refills, to another pharmacy. It is important for the pharmacist or intern involved in the process to follow the steps listed in the regulation. In Washington, pharmacists or interns may transfer and receive transferred prescriptions.

1.      The originating pharmacist (“transferor pharmacist”) must perform the following steps:

a.       Record that the prescription has been transferred in the medication record system.

b.      Record in the medication record system the

                                                                                                                                       i.      Name and address of the pharmacy to which it has been transferred

                                                                                                                                     ii.      The name of the pharmacist (or intern) that received the information.

1.      Note: a person’s “name” for the purposes of drug and practice laws is the full name that the person normally would use to conduct business. Thus, simply recording the first name of the other pharmacist is not appropriate.

c.       In addition, for controlled substances (schedule III, IV, and V), the originating pharmacist must follow the procedures specified in 21 CFR § 1306.25,* which include the following:

                                                                                                                                       i.      Locate the original hard copy of the transferred prescription.

                                                                                                                                     ii.      Write the word “VOID” on the face of the prescription

                                                                                                                                    iii.      Record the name, address, and DEA number of the pharmacy receiving the information on the reverse of the original prescription, along with the name of the pharmacist receiving the information.
*Note: in the July 2003 version of WAC 246-869-090 (2)(e), the citation to the CFR incorrectly indicates “21 CFR 1300.26” instead of “21 CFR 1300.25”.

2.      The receiving pharmacist treats the prescription as an oral prescription, and must perform the following steps:

a.       Reduce the prescription to writing on a prescription blank, including patient name, address, doctor’s name and address, and other information required to be on the prescription.

b.      Write the word “TRANSFER” on the face of the prescription.

c.       Also record the following:

                                                                                                                                       i.      The date the prescription was originally written (cannot be refilled for a year after that.)

1.      When processing a transferred prescription, it is important to override the current date in the computer, and record the original date written

                                                                                                                                     ii.      Number of refills remaining

                                                                                                                                    iii.      Date of last refill

                                                                                                                                   iv.      The name and address of the transferring pharmacy, and the serial number of the original prescription at that pharmacy

                                                                                                                                     v.      The name of the transferring (transferor) pharmacist.

d.      For controlled substances, the receiving pharmacist must also record the following:

                                                                                                                                       i.      Number of original refills allowed on the prescription

                                                                                                                                     ii.      Dates (and locations) of all previous refills

                                                                                                                                    iii.      Number of valid refills remaining

                                                                                                                                   iv.      DEA number of transferring pharmacy

                                                                                                                                     v.      Name, address, serial number and DEA number of pharmacy at which prescription was originally filled (if different from transferring pharmacy).

3.      Legend drugs may be transferred, and re-transferred as often as needed until all refills are used. If a patient has had a prescription transferred to another pharmacy, and now wants to have it refilled at the original pharmacy, the original pharmacy must contact the other pharmacy and receive the prescription back as a transferred prescription. At this point, it should be given a new prescription number.

4.      According to DEA rules, controlled substances may be transferred on a “one-time” basis, unless the transferring pharmacies share a common electronic database.

5.      Pharmacies with a common electronic database may track refills for non-controlled substances at any outlet in this common database, without going through the prescription transfer process. Many chains (e.g., Rite-Aid and Walgreens) have these databases.

  1. Packaging
    1. USP containers. All drugs that are repackaged for dispensing to patients must meet USP requirements. Multi-dose containers of solid dosage forms must meet USP requirements for “tight” containers that are sealed to be air- and water-resistant, and must be either opaque or light-resistant. The USP also provides recommendations for materials used in unit-dose or “Bingo Card” packaging.
    2. Child-resistant containers. Prescription drugs are included among “household substances” that must be packaged in “special packaging” as specified in the Poison Prevention Packaging Act (PPPA, 21 USC xxxx). These containers are commonly-called Child-Resistant Containers (CRCs). The PPPA is implemented by rules promulgated by the Consumer Products Safety Commission (CPSC).

                                                               i.      All prescriptions for ORAL dosage forms of legend drugs in WA must be dispensed in CRCs, except for drug products exempted by the CPSC. Exempted products are listed in 16 USC § 1700.14, and include:

1.      Nitroglycerine sublingual tablets

2.      Sublingual and chewable isosorbide tablets £ 10 mg

3.      NaF £ 110 mg per package (tablets and liquids, must be £ 0.5% elemental fluoride w/w or w/v)

a.       Exercise: how many tablets of Chewable Vitamins with Flouride containing 0.5 mg of fluoride ion per tablet may be dispensed in a non-CRC? (Hint: 1 mg F- is contained in 2.21 mg of NaF.)

4.      Cholestyramine and colestipol powder

5.      Oral cortisteroids

a.       Prednisone containing £ 105 mg per package

b.      Betamethasone containing £ 12.6 mg per package

c.       Methylprednisolone containing £ 84 mg per package

6.      Mebendazole £ 600 mg per package

7.      K+ supplements £ 50 mEq/dose

8.      Erythromycin ethylsuccinate, measured as erythromycin equivalent

a.       Granules for suspension and suspensions containing £ 8 g

b.      Tablets containing £ 16 g per package

9.      Aerosols for inhalation

10.  Pancrelipase

11.  Hormone products

a.       Oral contraceptives in memory aid packages

b.      Methylprogesterone acetate tablets

c.       Conjugated estrogens in mnemonic packages containing £ 32 mg per package

d.      Norethindrone acetate in mnemonic packages containing £ 50 mg per package

e.       Hormone Replacement Therapy Products relying solely on one or more estrogens or progestogens for activity.

12.  Sacrosidase (sucrase) in glycerol and water.

                                                             ii.      Pharmacists may dispense legend drugs in non-CRCs if:

1.      The patient or the patient’s agent requests. Such a request may be a “blanket” request that all drugs dispensed to the patient be in non-CRCs.

2.      The prescriber requests it on the prescription at the time it is written. Prescribers may not issue “blanket” requests, either for all drugs dispensed to a particular patient, or for all of his or her patients.

                                                            iii.      Under federal law, requests for non-CRC containers may be oral or in writing. Washington incorporates the federal rules into its pharmacy regulations, but requires requests for non-CRC containers be:

1.      In writing, by the patient or the patient’s agent, or in writing by the prescriber; and

2.      An indication that a non-CRC has been requested must be made in the patient medication record system.
The date of the request should be included in the documentation kept in the pharmacy. At various times, Washington Board of Pharmacy investigators have insisted that such requests be renewed after some “reasonable” length of time, such a one year. This is a good practice, but it is NOT required by current Washington pharmacy regulations.

                                                           iv.      Legal liability for use of non-CRCs.
If a pharmacist dispenses a covered drug in a non-CRC, and a child is injured as a result of gaining access to the drug, the child, his or her guardian, or the child’s estate (in case the child dies), may file a lawsuit against the pharmacist for damages. In an Iowa case (Baas v. Hoye, 766 F.2d 1190), the pharmacist was found liable for the death of a child who ingested Tedral SA (containing theophylline) prescribed for her father that was dispensed in a non-CRC.  The pharmacy argued that the father had requested a non-CRC on the prescription, but didn’t have a written record to substantiate this, and the parents claimed otherwise. Normally, being able to document that the parent or guardian of the child authorized the use of the non-CRC will serve as a defense against liability. However, most childhood poisonings from legend drugs now occur as a result of children obtaining access to grandparents’ drugs. Because grandparents are not normally the legal guardians of their grandchildren, their request for non-CRCs may not provide an adequate defense. Pharmacists should consider including statements covering the following elements in the form used by patients to request a non-CRC.

1.      CRCs are required by law unless specifically requested otherwise by the patient.

2.      The purpose of these regulations is to prevent childhood poisoning from prescription drugs.

3.      As few as one or two tablets of some drugs may be fatal to young children.

4.      The number one source of childhood poisoning by prescription drugs is non-CRC containers stored at a grandparent’s house or in a grandparent’s purse or bag.

5.      Over 90% of elderly persons can successfully open non-CRCs if shown how. The pharmacy is willing to provide demonstrations and instructions to the patient on how to open a CRC. There are alternative CRCs that can be used by patients with arthritis or lack of hand strength, and the pharmacy is willing to obtain and provide these at cost to the patient.

6.      The patient agrees that it is his or her responsibility to keep medications out of children’s reach, especially when using a non-CRC container.

7.      Having read and understood the above, the patient nevertheless requests that non-CRCs be used on his or her prescription, and agrees to indemnify and hold harmless the pharmacy for any injuries that might occur to a child as a result of the patient’s request to use non-CRCs.

  1. Recalls. The FDA may seize actual packages of drugs that are adulterated or misbranded. To preclude seizure, manufacturers may “voluntarily” recall adulterated or misbranded drugs. (Note: the FDA may initiate a recall of non-complying infant formulas or for medical devices.)
    1. Any drug for which a recall is announced must be assumed to be either misbranded or adulterated, and thus may not be sold or dispensed without violating the FDCA.
    2. Levels of Recalls. Recalls may extend to one of the following levels (in increasing order of severity):

                                                               i.      Wholesaler level

                                                             ii.      Retail level

                                                            iii.      Consumer level

    1. When the FDA approves a voluntary recall, it determines and publishes a classification of the recall to indicate its severity.

                                                               i.      Class I – there likelihood of injury or death from the use of the product; may include a public warning

                                                             ii.      Class II – health problems, if any, are expected to be temporary or reversible

                                                            iii.      Class III – use of the product is NOT likely to cause health problems

                                                           iv.      Market withdrawal – minor health risk or minor FDA violation