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BOARD OF PHARMACY

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  • Must meet at least once a year, usually every month for 3 days.

  • 9 members:

    • 8 licensed pharmacists.

    • 1 public member who must be at least 60 y/o.

    • All members appointed by governor.

    • Maximum of 2 terms of 4 years each.

  • Drug Database (OARRS) (Ohio Automated Rx Reporting System)

    • This is the state’s PMP (Prescription Monitoring Program).

    • This is a mechanism for creating a database of controlled drug prescriptions dispensed and distributions.

    • To oversee abuse of controlled drugs.

    • Under purview of Board.

    • All prescriptions for C-IIs, C-IIIs, C-IVs, C-Vs, carisoprodol, and tramadol products must be reported. (Actually tramadol became a controlled substance in Ohio in August, 2014.)

    • All nonresident pharmacies must report.

    • All in state pharmacies must report.

    • Wholesalers licensed to distribute dangerous drugs must report.

    • All in-state prescribers must report (except veterinarians).

    • Daily reports from pharmacies (drugs dispensed or “zero report”).

    • Wholesalers must report on days 1–15 monthly.

    • See Board’s website for reporting procedures.

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CONTROLLED SUBSTANCES

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  • Manufacturers must obtain license from state Board of Pharmacy (Board). Renewal annual (last day of June each year).

  • Pharmacies, distributors, and wholesalers must obtain license from Board. Renewal annual (last day of June each year).

  • Licenses can be denied to individuals who have been convicted of a drug-related abuse situation in the last 5 years, or to any individual who is drug dependant.

  • Pharmacists may dispense controlled substances pursuant to a valid prescription.

  • Prescription orders must be maintained in pharmacy for 3 years.

  • C-II prescriptions must be written.

  • Emergency oral prescriptions for C-IIs are allowed as long as federal guidelines are maintained. (See the Federal Law Chapter in this publication).

  • No refills for C-IIs.

  • C-IIIs, C-IVs, and C-Vs—5 refills within 6 months of writing prescription order.

  • Authorized prescribers, who have a DEA registration may:

    • Prescribe C-IIs, C-IIIs, C-IVs, and C-Vs.

    • Dispense C-IIs, C-IIIs, C-IVs, and C-Vs directly to patients.

  • Clinical nurse specialists, certified nurse midwives, or certified nurse practitioners may prescribe. Nurse practitioners may prescribe C-II opiates, sedatives, hypnotics, and stimulants, but NOT from convenience clinics.

  • Licensed physician assistants (PAs) may prescribe (may not dispense) if they have authority from the physician’s collaborating authority agreement. May prescribe C-II opiates, sedatives, hypnotics, and stimulants.

  • Prescribers must maintain records of prescriptions and controlled drugs dispensed. Records must be kept for 2 years.

  • See statutes for list of examples within each Schedule.

  • Board may change a drug’s Schedule; add a drug to a schedule; delete a drug from a Schedule.

  • Methadone may be used for narcotic addiction; must be dispensed at a licensed facility.

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Partial Dispensing of C-IIs

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  • For terminal patients or those in LTCFs (long-term care facility):

    • Licensed pharmacist must confirm patient’s status or location.

    • Licensed pharmacist must document and record:

      • Dispensing data.

      • Quantity dispensed.

      • Remaining # authorized for dispensing.

      • Prescription #.

      • Initials of licensed pharmacist.

    • The total amount must be provided (dispensed) at least 60 days from prescription issuance date.

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