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Florida Administrative Code (Last Updated: April 18, 2024) |
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64. Department of Health |
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64B8. Board of Medicine |
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64B8-36. Prescriptions Of Certain Medicinal Drugs By Pharmacists |
1A Pharmacist may order and dispense from the following formulary 11within the pharmacists professional judgment, 16subject to the stated conditions21.
22(1) Oral analgesics for mild to moderate pain30. 31The pharmacist may order these drugs for minor pain and menstrual cramps for patients with no history of peptic ulcer disease. 52The prescription shall be limited to a six (6) day supply for one treatment. 66If appropriate, the prescription shall be labeled to be taken with food or milk.
80(a) M82agnesium salicylate/phenyltoloxamine citrate85.
86(b) Acetylsalicylic 88acid (Zero order release, long acting tablets)95.
96(c) Choline 98salicylate and magnesium salicylate102.
103(d) Naproxen 105sodium106.
107(e) Naproxen.
109(f) Ibuprofen.
111(2) Urinary analgesics114. 115Phenzaopyridine, 116not exceeding a two (2) day supply. 123The 124prescriptions shall be labeled 128about 129the tendency to discolor urine134. If appropriate, the prescription 139shall be labeled to be taken after meals.
147(3) Otic analgesics150. 151Antipyrine 1525.4%, benzocaine 1.4%, glycerin, 156if clinical signs and symptoms 161of tympanic membrane perforation do not exist. The product 170shall be labeled for use in the ear only.
179(4) Anti-nausea preparations182.
183(a) 184Meclizine up to 25 mg., except for a patient currently using a central nervous system (CNS) depressant. The prescription shall be labeled to advise of drowsiness and caution against concomitant use with alcohol or other depressants.
220(b) 221Scopolamine not exceeding 1.5 mg. per dermal patch. Patient 230shall 231be warned 233to seek appropriate medical attention if eye pain, redness or decreased vision develops.
246(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 271a patient 273above (6) years of age278.
279(a) 280Antihistamines. 281The 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. 313An antihistamine shall be labeled to advise the patient of drowsiness and caution against the concomitant use with alcohol or other depressants.
3351. 336Diphenhydramine.
3372. 338Carbinoxamine.
3393. 340Pyrilamine.
3414. 342Dexchlorpheniramine.
3435. 344Brompheniramine.
345(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.
3801. 381Phenylephrine.
3822. 383Azatadine.
384(3856386) Topical antifungal/antibacterials389.
390(a) 391Iodochlorhydroxyquin with 0.5% Hydrocortisone (not exceeding 20 grams)399.
400(b) 401Haloprogin 1%403.
404(c) 405Clotrimazole topical cream and lotion410.
411(d) Erythromycin t414opical415.
416(7) Topical anti-inflammatory419. 420The pharmacist shall warn the patient that hydrocortisone should not be used on bacterial infections, viral infections, fungal infections, or by patients with impaired circulation. 445The prescription shall be labeled to advise the patient to avoid contact with eyes, mucous membranes or broken skin. 464Preparations 465containing 466hydrocortisone not exceeding 2.5%.
470(8) 471Otic antifungal/antibacterial473. 474A475cetic acid 2% in aluminum acetate solution, which shall be labeled for use in ears only.
491(4929493) Keratolytics495. S497alicylic 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.
542(10543) Vitamins with fluoride547. 548(This does not include vitamins with folic acid in excess of 0.9 mg.)
561(11562) Medicinal drug shampoos containing Lindane568. 569The pharmacist shall572:
573(a) L575imit the order to the treatment of head lice only;
585(b) Order no more than four (4) ounces per person; and
596(c) Pro598vide the patient with the appropriate instructions and precautions for use.
609(16102611) Ophthalmics: Naphazoline 0.1% ophthalmic solution.
617(13618) Histamine H2 antagonists622. 623The pharmacist shall advise the patient to seek medical attention if symptoms persist longer than 14 days while using the medication or if stools darken or contain blood.
651(a) Cimetidine.
653(b) Famotidin655e656.
657(c) Ranitidine HCL.
660(14) Acne products. 663Benzoyl Peroxide. 665The prescription shall be labeled to advise the patient to avoid use on the eye, eyelid, or mucous membranes.
684(16855686) Topical Antiviral689.
690(a) Acyclovir ointment may be ordered for the treatment of herpes simplex infections of the lips.
706(b) Penciclovir.
708Specific Authority 710465.186(2) FS. 712Law Implemented 714465.186 FS. 716History–New 5-1-86, Formerly 21M-39.003, 61F6-39.003, 59R-36.003, Amended 8-19-99, 72412-25-07725.
