Current through all regulations passed and filed through September 16, 2024
(A)
A pharmacy intern under the direct supervision of a
pharmacist may dispense epinephrine autoinjector without a prescription to
either of the following in accordance with an approved protocol specified in
paragraph (B) of rule
4729:1-3-06 of the
Administrative Code:
(1)
An individual who there is reason to believe is
experiencing or at risk of experiencing anaphylaxis if the pharmacy affiliated
with the pharmacist has a record of previously dispensing epinephrine to the
individual in accordance with a prescription issued by a licensed health
professional authorized to prescribe drugs;
(2)
An individual
acting on behalf of a qualified entity, as defined in section
3728.01 of the Revised
Code.
(B)
(1)
A pharmacy intern
under the direct supervision of a pharmacist who dispenses an epinephrine
autoinjector pursuant to this rule shall instruct the individual to whom the
epinephrine autoinjector is dispensed, either verbally or in writing, to summon
emergency services as soon as practicable either before or after administering
epinephrine.
(2)
A pharmacy intern who dispenses an epinephrine
autoinjector to an individual identified in paragraph (A) of this rule shall
provide notification of the dispensing to the individual's primary care
provider, if known, or to the prescriber who issued the individual the initial
prescription for an epinephrine autoinjector. Notification shall be conducted
using one of the following methods that is capable of confirming delivery of
the required notification:
(a)
Electronic mail;
(b)
Interoperable
electronic medical records system;
(c)
Facsimile;
(d)
Electronic
prescribing system;
(e)
Electronic pharmacy record system;
(f)
Documented verbal
communication;
(g)
Any other method of notification that might reasonably
be expected to allow for the confirmed transmission of the required
notification.
(C)
When a pharmacy
intern dispenses an epinephrine autoinjector pursuant to this rule, the
pharmacy intern shall provide to the person receiving the device instruction on
the proper method of administering epinephrine with the device.
(D)
A terminal
distributor of dangerous drugs shall ensure that all pharmacy interns that
dispense epinephrine autoinjectors pursuant to this rule are trained on the use
of epinephrine and can meet the training requirements listed in paragraphs (B)
and (C) of this rule.
(E)
This rule does not affect the authority of a pharmacy
intern to contact a prescriber to obtain a new oral prescription for an
epinephrine autoinjector in accordance with the applicable provisions of
division 4729:5 of the Administrative Code.
