64B16-27.220. Medicinal Drugs Which May Be Ordered by Pharmacists  


Effective on Sunday, November 18, 2007
  • 1A Pharmacist may order and dispense from the following formulary, 11within their professional judgment, 15s16ubject to the stated conditions.

    21(1) Oral analgesics for mild to moderate pain29. 30The pharmacist may order these drugs for minor pain and menstrual cramps for patients with no history of peptic ulcer disease. The prescription shall be limited to a six (6) day supply for one treatment. If appropriate, the prescription shall be labeled to be taken with food or milk.

    79(a) 80M81agnesium salicylate/phenyltoloxamine citrate84.

    85(b) 86A87cetylsalicylic acid (Zero order release, long acting tablets)95.

    96(c) C98holine salicylate and magnesium salicylate103.

    104(d) N106aproxen sodium108.

    109(e) 110N111aproxen112.

    113(f) I115buprofen.

    116(2) Urinary analgesics119. 120P121henazopyridine, not exceeding a two (2) day supply. 129The 130prescriptions shall be labeled 134about 135the tendency to discolor urine140. If appropriate, the prescription 145shall be labeled to be taken after meals.

    153(3) Otic analgesics156. 157A158ntipyrine 5.4%, benzocaine 1.4%, glycerin, 163if clinical signs or symptions of tympanic membrane perforation do not exist. The product 177shall be labeled for use in the ear only.

    186(4) Anti-nausea preparations189.

    190(a) 191Me192clizine 193up to 25 mg., except for a patient currently using a central nervous system (CNS) depressant. The prescription shall be labeled to advise the patient of drowsiness and to caution against concomitant use with alcohol or other depressants.

    231(b) 232Scopolamine not exceeding 1.5 mg. per dermal patch. Patient 241shall 242be warned 244to seek appropriate medical attention if eye pain, redness or decreased vision develops.

    257(5) Antihistamines and decongestants. The following, including their salts, either as a single ingredient product or in combination, including nasal decongestants, may be ordered for 282a 283patient above 6 years of age289.

    290(a) Antihistamines. The pharmacist shall warn the patient that an antihistamine should not be used by patients with bronchial asthma or other lower respiratory symptoms, glaucoma, cardiovascular disorders, hypertension, prostate conditions and urinary retention. An antihistamine shall be labeled to advise the patient of drowsiness and caution against the concomitant use with alcohol or other depressants.

    3461. 347Diphenhydramine.

    3482. 349Carbinoxamine.

    3503. 351Pyrilamine.

    3524. 353Dexchlorpheniramine.

    3545. 355Brompheniramine.

    356(b) Decongestants. The pharmacist shall not order an oral decongestant for use by a patient with coronary artery disease, angina, hyperthyroidism, diabetes, glaucoma, prostate conditions, hypertension, or a patient currently using a monoamine oxidase inhibitor.

    3911. 392Phenylephrine.

    3932. 394Azatadine.

    395(3966397) Topical antifungal/antibacterials400. 401The pharmacist shall warn the patient that any of the products should not be used near deep or puncture wounds and contact with eyes or mucous membranes should be avoided. Iodochlorhydroxyquin preparations shall be labeled with staining potential.

    439(a) 440Iodochlorhydroxyquin with 0.5% Hydrocortisone (not exceeding 20 grams)448.

    449(b) 450Haloprogin 1%452.

    453(c) 454Clotrimazole topical cream and lotion.

    459(d) Erythromycin topical.

    462(4637464) Topical anti-inflammatory467. 468The pharmacist shall warn the patient that hydrocortisone should not be used on bacterial infections, viral infections, fungal infections, or by patients with impaired circulation. The prescription shall be labeled to advise the patient to avoid contact with eyes, mucous membranes or broken skin. Preparations 513containing hydrocortisone not exceeding 2.5%.

    518(5198520) Otic antifungal/antibacterial523. 524A525cetic acid 2% in aluminum acetate solution which shall be labeled for use in ears only.

    541(5429543) Keratolytics545. S547alicylic acid 16.7% and lactic acid 16.7% in flexible collodion, to be applied to warts, except for patients under two (2) years of age, and those with diabetes or impaired circulation. Prescriptions shall be labeled to avoid contact with normal skin, eyes and mucous membranes.

    592(15930594) Vitamins with fluoride598. 599(This does not include vitamins with folic acid in excess of 0.9 mg.)

    612(16131614) Medicinal drug shampoos containing Lindane620. 621The pharmacist shall624:

    625(a) L627imit the order to the treatment of head lice only;

    637(b) Order no more than four (4) ounces per person; and

    648(c) P650rovide the patient with the appropriate instructions and precautions for use.

    661(16622663) Ophthalmics665. 666Naphazoline 0.1% ophthalmic solution.

    670(16713672) Histamine H2 antagonists676. The p679h680a681r682rmacist shall advise the patient to seek medical attention if symptom persist longer than 14 days while using the medication or if stools darken or contain blood.

    709(a) Cimetidine.

    711(b) Famotidine.

    713(c) Ranitidine HC1.

    716(14) Acne products. Benzoyl Peroxide. The prescription shall be labeled to advise the patient to avoi732d use on the eye, eyelid, or mu740cous membranes.

    742(17435744) Topical Antiviral747.

    748(a) Acyclovir ointment may be ordered for the treatment of herpes simplex infections of the lips.

    764(b) Penciclovir.

    766Specific Authority 768465.186(2) FS. 770Law Implemented 772465.186 FS. 774History–New 5-1-86, Amended 10-7-90, Formerly 21S-18.003, Amended 7-30-91, Formerly 21S-27.220, 61F10-27.220, Amended 3-12-97, Formerly 59X-27789.220, Amended 6-15-98, 11-30-99, 11-18-07.

     

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