MEDICATION ERRORS by Levone

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									Electronic Monitoring System for Pseudoephedrine, Ephedrine, or Phenylpropanolamine

Educational Purposes Only
 This presentation does not constitute legal advice. Issues of pharmacy law are fact specific. As such, specific questions should be referred to your legal counsel.  The opinions expressed are those of the presenter and should be confirmed and/or researched by those utilizing them in their pharmacy practice.

Disclosure Statement
I declare that neither I nor any immediate family member have a current affiliation or financial arrangement with any potential sponsor and/or organization(s) that may have a direct interest in the subject matter of the above stated continued education program.

OUTLINE
   HISTORY ISSUES AND NEEDS RESULTS

HISTORY
 SB 63 (2005)
1. Requirement for products to be behind pharmacy counter except liquid or gel-caps. 2. Requirements for purchaser. 3. Requirements for written logbooks.

HISTORY (continued)
 SB 88 (2007)
1. Electronic recordkeeping mechanism may be required. 2. Exemption allowed 3. Cost of establishing and maintaining the mechanism are borne by the Commonwealth of Kentucky.

History (continued)
 Regulation
1. 906 KAR 1:160 Monitoring system for products containing ephedrine, pseudoephedrine, or phenylpropanolamine. 2. Requires electronic reporting. 3. Effective June 1, 2008.

History (continued)
 Important: Agencies from the State of Kentucky along with professional pharmacy organizations worked together on these Bills and Regulations

Issues/Needs
 Time Commitment-Before
1. Write in logbook. 2. Would have to review logbook to see if over purchases. 3. Requirement to keep two years. 4. Time spent with law enforcement when comes in to inspect written logbook. 5. Time to copy information.

Issues/Needs (continued)
 Time Commitment-June 1, 2008
1. Electronic input-faster. 2. No longer need to review written logbook to see if individual over limit. 3. Requirement to keep written logbook two years, now only keep signature log two years (example in binder). 4. Law enforcement will need to spend little if any time in pharmacy and little if any copying.

Issues/Needs (continued)
 Cost-Before
1. Cost of written logbooks. 2. Cost of pharmacist, pharmacy technician, or pharmacist intern spent reviewing written logbooks or working with law enforcement.

Issues/Needs (continued)
 Cost-June 1, 2008
1. No cost-a pharmacy can print off signature log from the website. 2. A pharmacist, pharmacy technician, pharmacist intern will have more time to spend helping the patients that come into the pharmacy for their medications.

Issues/Needs (continued)
 Safety-Before
1. Pharmacist, pharmacy technician, or pharmacist intern would have to review previous entries to determine if purchaser is over the limit.

Issues/Needs (continued)
 Safety-June 1, 2008
1. A pharmacist, pharmacy technician, or pharmacist intern enters the information in electronically and notifies you if the purchaser is over the limit. Benefit to a patient that you know so that you can tell them that another family member needs to come in and make the purchase.

Results
 Curtail purchasers from going pharmacy to pharmacy to obtain these products (both in-state and out-of-state individuals)  Curtail meth labs.  Pharmacies beginning to carry less, if any, of these products. Others available.  Still able to purchase liquids and gel-caps from non-pharmacy in Kentucky, only requirement is written logbook and behind the counter.

CONTACT INFORMATION
MICHAEL BURLESON, R.Ph. EXECUTIVE DIRECTOR KENTUCKY BOARD OF PHARMACY SPINDLETOP ADMINSITRATION BLDG STE 302 2624 RESEARCH PARK DRIVE LEXINGTON KY 40511 859-246-2820; 859-246-2823 FAX WEBSITE: pharmacy.ky.gov EMAIL: pharmacy.board@ky.gov


								
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