Legal Implications of Dispensed Medications & Written Prescriptions


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Dispensing medications and submitting prescriptions to pharmacies (via facsimile, telephone, or written prescriptions provided to clients) is an integral part of any veterinary practice. Veterinarians must understand the laws and regulations surrounding prescription medications to ensure compliance with the Drug Enforcement Administration (DEA) and state boards of pharmacy. This quiz reviews common scenarios for dispensing and submitting prescriptions for noncontrolled and controlled substances.

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References and author information Show
References
  1. Manner of issuance of prescriptions, 21 CFR § 1306.05 (2010). 
  2. Rannazzisi JT, Caverly MW. Drug Enforcement Administration Practitioner’s Manual. United States Department of Justice Drug Enforcement Administration; 2006:7. 
  3. Refilling prescriptions, 21 CFR § 1306.12 (2007). 
  4. Requirement of prescription, 21 CFR § 1306.11 (2010). 
  5. Veterinary Medicine Mobility Act of 2014, HR 1528, 13th Cong, Pub L No. 113–143 (2014). 
  6. Veterinarian-client-patient relationship requirement. In: Model Veterinary Practice Act. American Veterinary Medical Association. https://www.avma.org/KB/Policies/Pages/Model-Veterinary-Practice-Act.aspx#vcpr-requirement. Published July 2017. Accessed August 26, 2017. 
  7. Definitions. In: Model Veterinary Practice Act. American Veterinary Medical Association. https://www.avma.org/KB/Policies/Pages/Model-Veterinary-Practice-Act.aspx#definitions. Published July 2017. Accessed August 26, 2017. 
  8. VCPR requirement for prescriptions and other treatments. American Veterinary Medical Association. https://www.avma.org/Advocacy/StateAndLocal/Documents/VCPR_state_chart.pdf. Updated March 2017. Accessed March 13, 2017. 
  9. National provider identifier standard (NPI). Centers for Medicare & Medicaid Services. https://www.cms.gov/Regulations-and-Guidance/Administrative-Simplification/NationalProvIdentStand. Updated March 6, 2015. Accessed August 23, 2017.  
  10. Veterinarians not eligible for NPIs, CMS clarifies. National Association of Boards of Pharmacy. https://nabp.pharmacy/veterinarians-not-eligible-for-npis-cms-clarifies. Published August 14, 2013. Accessed March 13, 2017.
  11. Prescriptions: questions and answers. United States Department of Justice Drug Enforcement Administration. https://www.deadiversion.usdoj.gov/faq/prescriptions.htm#rx-5. Accessed March 13, 2017.
  12. Fairness to Pet Owners Act of 2017, HR 623, 115th Cong § 3 (2017).
  13. Guidelines for veterinary prescription drugs. American Veterinary Medical Association. https://www.avma.org/KB/Policies/Pages/Guidelines-for-Veterinary-Prescription-Drugs.aspx. Accessed March 13, 2017.
  14. Extralabel drug use in animals, 21 CFR § 530.13 (2012).
Author

Emily Sorah

PhD, PharmD, FSVHP North Carolina State University College of Veterinary Medicine

Emily Sorah, PhD, PharmD, FSVHP, earned her doctorate degree in pharmacy from East Tennessee State University’s Gatton College of Pharmacy in 2014 and subsequently completed a clinical veterinary pharmacy residency program at North Carolina State College of Veterinary Medicine in 2015. Since that time, Dr. Sorah has held a staff pharmacist position at North Carolina State Veterinary Hospital Pharmacy and teaches a veterinary pharmacotherapy elective course at Campbell University College of Pharmacy. She is a fellow and currently serving as member-at-large for the Society of Veterinary Hospital Pharmacists.

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