64B16-27.210. General Terms and Conditions to Be Followed by a Pharmacist When Ordering and Dispensing Approved Medicinal Drug Products

Pursuant to the authority of the Formulary Committee in Section 465.186, F.S., a pharmacist may order the medicinal drug products listed in Rule 64B16-27.220, F.A.C., subject to the following terms and limitations:

(1) Injectable products shall not be ordered by the pharmacist.

(2) No oral medicinal drugs shall be ordered by a pharmacist for a pregnant patient or nursing mother.

(3) In any case of dispensing hereunder, the amount or quantity of drug dispensed shall not exceed a 34-day supply or standard course of treatment unless subject to the specific limitations in this rule. Patients shall be advised that they should seek the advice of an appropriate health care provider if their present condition, symptom, or complaint does not improve upon the completion of the drug regimen.

(4) The directions for use of all prescribed medicinal drugs shall not exceed the manufacturer’s recommended dosage.

(5) The pharmacist may only perform the acts of ordering and dispensing in a pharmacy which has been issued a permit by the Board of Pharmacy.

(6) The pharmacist shall create a prescription when ordering and dispensing medicinal drug products which shall be maintained in the prescription files of the pharmacy. The pharmacist shall place the trade or generic name and the quantity dispensed on the prescription label, in addition to all other label requirements.

(7) The pharmacist shall maintain patient profiles, separate from the prescription order, for all patients for whom the pharmacist orders and dispenses medicinal drug products and shall initial and date each profile entry. Such profiles shall be maintained at the pharmacy wherein the ordering and dispensing originated for a period of four (4) years.

(8) In the patient profiles, the pharmacist shall record as a minimum the following information if a medicinal drug product is ordered and dispensed.

(a) Patient’s chief complaint or condition in the patient’s own words.

(b) A statement regarding the patient’s medical history.

(c) A statement regarding the patient’s current complaint which may include, onset, duration and frequency of the problem.

(d) The medicinal drug product ordered and dispensed.

(e) The pharmacist ordering and dispensing the medicinal drug product shall initial the profile.

(f) The prescription number shall be recorded in the patient’s profile.

(9) A medicinal drug product may be ordered, and dispensed only by the pharmacist so ordering.

(10) Only legend medicinal drugs may be prescribed by a pharmacist. Over-the-counter drugs are exempt from the requirements of this rule and shall be recommended as over-the-counter products.

(11) Pharmacy interns and technicians may not be involved in the ordering of the medicinal drugs permitted in this rule.

Rulemaking Authority 465.186(2) FS. Law Implemented 465.022, 465.186 FS. History–New 5-1-86, Formerly 21S-18.002, 21S-27.210, 61F10-27.210, 59X-27.210, Amended 11-18-07, 3-18-15.