When must an RPh dispense a brand name drug? - ✔✔-When the prescriber indicates that it is
"Medically Necessary"
-When the patient requests brand
RPh's responsibility if a patients requests a brand name drug - ✔✔-Pt must be informed of the price
difference
-Pt must be informed that the substitution can be refused
Who establishes the formulary of generic products? - ✔✔The Board of Pharmacy and Board of
Medicine.
-The generics must be determined to demonstrate clinically significant biological or therapeutic
inequivalence and which, if substituted, would pose a threat to the patient
Every community pharmacy must have a sign placed in a prominent spot with info about generics that
says... - ✔✔"Consult your pharmacist concerning the availability of a less expensive generically
equivalent drug and the requirements of Florida law."
Florida Board of Pharmacy Negative Drug Formulary - ✔✔1. Digitoxin
2. Conjugated Estrogen
3. Dicumarol
4. Chlorpromazine (solid dosage forms)
5. Theophylline (CR)
6. Pancrelipase (oral dosage forms)
What's the deal with expiration dates? - ✔✔The manufacturer, repackager, or other distributor of any
drug shall display the expiration date of each drug on a readable fashion on the container and on it's
packaging.
, What is the expiration date on the medication dispensed by a pharmacist? - ✔✔One year from the date
of dispensing or the product expiration date, whichever is earlier.
Who can do an rx transfer in the State of Florida? - ✔✔Must be done from pharmacist to pharmacist.
If a FL RPh calls an out-of-state pharmacy, the FL RPh is responsible for verifying that the person
providing the transfer is a licensed pharmacist.
Who can provide centralized filling services in FL? - ✔✔Pharmacies that have the same owner or a
written contract
How do emergency fills work? - ✔✔-Can dispense an emergency refill of up to 72H supply
-One time emergency refill of insulin for diabetes
Is there such thing as an emergency 30 day supply? - ✔✔Yes, in the state of Florida if:
-The Governor has proclaimed a state of emergency (Looking at you, hurricane season)
-The county is affected by the emergency
-The drug is not a CII
-Medication is a maintenance med (No, Xanax is not a maintenance med. Neither is Viagra.)
-The RPh uses their professional judgement to determine that the situation is actually an emergency
-The RPh writes up an order and notifies the prescriber within a reasonable time after dispensing.
In order to change an OTC drug to RX, the FDA must prove: - ✔✔-That the toxicity and method of use
require practitioner supervision
-Collateral measures necessary to use the drug require supervision (i.e. the drug postpones a visit to the
Dr because they think the problem is cured)
Which is stronger: Federal or State law? - ✔✔Depends. Whichever one is more strict.
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