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OK Vol. 25, No. 4 Page 1 4545 N Lincoln Blvd, Suite 112 • Oklahoma City, OK 73105-3413 October 2012 Published to promote compliance of pharmacy and drug law News Oklahoma State Board of Pharmacy Continued on page 4 Board Welcomes New Board Member James Spoon, DPh, of Sand Springs, OK, has been appointed for a five-year term beginning July 1, 2012 and ending June 30, 2017. Dr Spoon previously served on the Oklahoma State Board of Pharmacy from 2001 to 2011 and replaces Board member Bill Osborn who served two consecutive five-year terms. Dr Spoon is the owner of several pharmacies in the Tulsa, OK, area. He is a past president of the Oklahoma Pharmacists Association, Pharmacy Providers of Oklahoma, and the Sand Springs Public School System. Dr Spoon earned his bachelor’s degree in pharmacy from South-western Oklahoma State University College of Pharmacy and a doctor of pharmacy degree from the University of Oklahoma College of Pharmacy. From the Inspector’s Desk ♦♦ 12.22. Drug Diversion Prevention & Detection Plan: The Board requires pharmacies and other registrants to have a writ-ten drug diversion prevention and detection plan. Each plan should be tailored to your individual needs and be followed. Hydrocodone and alprazolam are the most highly diverted and abused drugs in the nation and Oklahoma ranks among the highest in the nation. Pharmacists should treat these drugs accordingly. Instead of inventorying them once a year as required minimally by the law, the Board recommends that these products be either (1) placed on a perpetual inventory or (2) audited for their use on a weekly or monthly basis by comparing purchases and dispensing records against current inventory to ensure that there is no diversion taking place. Many times in the past, situations have occurred whereby up to $10,000 of inventory has been diverted before the pharmacy became aware that any drugs were missing. It only came to their attention after the technician was stopped while driving and several bottles of 500-count hydrocodone or alprazolam were found in the technician’s car. The Board will be holding the pharmacy and pharmacists accountable when safeguards against diversion were not in place. Our profession has been granted the obligation to safeguard our nation’s drug supply. We must strive to be one of the solutions to prevent prescrip-tion drug abuse. ♦♦ 12.23. Theft and Loss Procedures: Any time there is a theft or loss of controlled substances by a registrant, it must be reported on Drug Enforcement Administration (DEA) Form 106. Rules require that one copy must be submitted to the DEA and one copy to the Oklahoma Bureau of Narcotics and Dangerous Drugs (OBNDD). The Board also requests that a copy be submitted to the Board of Pharmacy. A link to the electronic DEA Form 106 may be found on the Board’s Web site on the “Related Links” page (www.ok.gov/OSBP/ Related_Links/index.html). You will need four copies: one copy each to the DEA, OBNDD, and Board of Pharmacy, and one copy for your pharmacy’s records. ♦♦ 12.24. Accurate DEA Numbers: Be sure that you are submit-ting accurate DEA numbers to the Prescription Monitoring Program on controlled prescriptions. The Board is still seeing DEA numbers such as ER5555555. You also must be sure to submit the correct prescriber. If a mid-level practitioner has prescribed a controlled substance, then his or her name must appear on the label and not his or her supervising physician. The Board is checking for this during its routine inspections. ♦♦ 12.25. Veterinary Issues: The Board has had several com-plaints recently from veterinarians. If your pharmacy is filling prescriptions for animals, it is important to understand the unique needs of veterinarian clients. For example, insulin for animals is often dosed 40 units per ml and needs U-40 syringes rather than U-100 syringes. These are available from the veterinarian if your pharmacy is unable to obtain them. Hydrocodone for dogs cannot be substituted with hydrocodone w/acetaminophen because acetaminophen is toxic to canines. Do not make changes to veterinary prescriptions without contacting the prescriber. ♦♦ 12.26. Tramadol Classified as Schedule IV: Effective No-vember 1, 2012, tramadol and all tramadol-containing products will be classified as Schedule IV in the state of Oklahoma. Pharmacies are required to take an inventory of their tramadol products on November 1, and keep it with their annual con-trolled dangerous substances (CDS) inventory. Make sure that
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Title | OK102012 1 |
Full text | OK Vol. 25, No. 4 Page 1 4545 N Lincoln Blvd, Suite 112 • Oklahoma City, OK 73105-3413 October 2012 Published to promote compliance of pharmacy and drug law News Oklahoma State Board of Pharmacy Continued on page 4 Board Welcomes New Board Member James Spoon, DPh, of Sand Springs, OK, has been appointed for a five-year term beginning July 1, 2012 and ending June 30, 2017. Dr Spoon previously served on the Oklahoma State Board of Pharmacy from 2001 to 2011 and replaces Board member Bill Osborn who served two consecutive five-year terms. Dr Spoon is the owner of several pharmacies in the Tulsa, OK, area. He is a past president of the Oklahoma Pharmacists Association, Pharmacy Providers of Oklahoma, and the Sand Springs Public School System. Dr Spoon earned his bachelor’s degree in pharmacy from South-western Oklahoma State University College of Pharmacy and a doctor of pharmacy degree from the University of Oklahoma College of Pharmacy. From the Inspector’s Desk ♦♦ 12.22. Drug Diversion Prevention & Detection Plan: The Board requires pharmacies and other registrants to have a writ-ten drug diversion prevention and detection plan. Each plan should be tailored to your individual needs and be followed. Hydrocodone and alprazolam are the most highly diverted and abused drugs in the nation and Oklahoma ranks among the highest in the nation. Pharmacists should treat these drugs accordingly. Instead of inventorying them once a year as required minimally by the law, the Board recommends that these products be either (1) placed on a perpetual inventory or (2) audited for their use on a weekly or monthly basis by comparing purchases and dispensing records against current inventory to ensure that there is no diversion taking place. Many times in the past, situations have occurred whereby up to $10,000 of inventory has been diverted before the pharmacy became aware that any drugs were missing. It only came to their attention after the technician was stopped while driving and several bottles of 500-count hydrocodone or alprazolam were found in the technician’s car. The Board will be holding the pharmacy and pharmacists accountable when safeguards against diversion were not in place. Our profession has been granted the obligation to safeguard our nation’s drug supply. We must strive to be one of the solutions to prevent prescrip-tion drug abuse. ♦♦ 12.23. Theft and Loss Procedures: Any time there is a theft or loss of controlled substances by a registrant, it must be reported on Drug Enforcement Administration (DEA) Form 106. Rules require that one copy must be submitted to the DEA and one copy to the Oklahoma Bureau of Narcotics and Dangerous Drugs (OBNDD). The Board also requests that a copy be submitted to the Board of Pharmacy. A link to the electronic DEA Form 106 may be found on the Board’s Web site on the “Related Links” page (www.ok.gov/OSBP/ Related_Links/index.html). You will need four copies: one copy each to the DEA, OBNDD, and Board of Pharmacy, and one copy for your pharmacy’s records. ♦♦ 12.24. Accurate DEA Numbers: Be sure that you are submit-ting accurate DEA numbers to the Prescription Monitoring Program on controlled prescriptions. The Board is still seeing DEA numbers such as ER5555555. You also must be sure to submit the correct prescriber. If a mid-level practitioner has prescribed a controlled substance, then his or her name must appear on the label and not his or her supervising physician. The Board is checking for this during its routine inspections. ♦♦ 12.25. Veterinary Issues: The Board has had several com-plaints recently from veterinarians. If your pharmacy is filling prescriptions for animals, it is important to understand the unique needs of veterinarian clients. For example, insulin for animals is often dosed 40 units per ml and needs U-40 syringes rather than U-100 syringes. These are available from the veterinarian if your pharmacy is unable to obtain them. Hydrocodone for dogs cannot be substituted with hydrocodone w/acetaminophen because acetaminophen is toxic to canines. Do not make changes to veterinary prescriptions without contacting the prescriber. ♦♦ 12.26. Tramadol Classified as Schedule IV: Effective No-vember 1, 2012, tramadol and all tramadol-containing products will be classified as Schedule IV in the state of Oklahoma. Pharmacies are required to take an inventory of their tramadol products on November 1, and keep it with their annual con-trolled dangerous substances (CDS) inventory. Make sure that |
Date created | 2012-10-19 |
Date modified | 2012-10-19 |