Arkansas Administrative Code
Agency 070 - Board of Pharmacy
Rule 070.00.93-001 - Amendment 9 - Section D, Charitable Clinic Permit; Reg. 32; 36 Non-Equivalent Drug Product List; Reg. 48; 54. Pharmacists Assistants
Current through Register Vol. 49, No. 9, September, 2024
AMENDMENT
9. Section D. Charitable Clinic Permit
By specific Board of Pharmacy action, the Board may authorize charitable clinic permit pharmacies to dispense certain prescription "legend" drugs.
These drugs are limited to birth control medications, drugs to treat tuberculosis, and Metronidazole, Doxycycline Erythromycin to be used only in the sexually transmitted disease treatment program.
Packaged and labeled prescription drugs shall be initialed by the pharmacist to assure accuracy and appropriateness. A licensed nurse may issue these pre-dispensed prescription drugs, by placing the patients name, date of issue and prescription number on the label at the time of issue to patients on order of the physician. The prescription number as placed on the label of the dispensed prescription drug is to be placed with the physician's order in the patients medical record. The pharmacist shall monitor patients medical records to assure that medication profiles and prescription orders are maintained and utilized.
Since the pharmacist is not present when the patient receives the medication, the pharmacists shall develop protocol to assure that the patient is monitored and counseled by the physician or nurse consistent with the requirements of Board of Pharmacy Regulation #48.
AMENDMENT
Regulation 32
36. NON-EQUIVALENT DRUG PRODUCT LIST
If a product is listed on the Arkansas Non-Equivalent Drug Product List and the FDA approves a competitive product as bioequivalent and publishes the products with an "A" rating in the FDA's Approved Drug Products with Therapeutic Equivalence Evaluations (The Orange Book) Arkansas pharmacists may substitute that product consistent with law until this list is revised. Conversely, if the change is from an "A" rating to a "B" rating, the pharmacist may not substitute without the consent of the prescribing physician if the pharmacist is aware of the "B" rating.
A prescription written for any brand name drug listed can only be changed with consent of the prescribing physician. If written generically, once the pharmacist has selected a manufacturers product the physician shall be notified if another company's product is used.
Leucovorin Calcium Tablets
Levothyroxine Tablets
Phenytoin Sodium Tablets and Capsules
Quinidine Gluconate Oral
Theophylline Capsules Controlled Release and Tablets
Warfarin Sodium Tablets
Add significant interations to our list in Board Regulation 48
* Floxin with Theophylline
* Terfenadine with Erythromycin
* Terfenadine with Ketoconazole and Etraconazole
* Astemizole with Erythromycin
* Astemizole with Itraconazole, Ketoconazole
* Gemfibrozil with Simvastatin or Pravastatin
54. Pharmacists Assistants