Reasons for Placement on “Not Recommended” List
While NABP criteria for legitimately operating pharmacies include compliance with all pharmacy laws and practice standards, most rogue Internet drug outlets are easy to spot. The sites on our Not Recommended list are those with serious and blatant violations posing a significant danger to patient health. Internet drug outlets listed on the NABP Web site as Not Recommended appear to be out of compliance with one or more of the following criteria:
1. Pharmacy location. The pharmacy is not domiciled in the United States.
2. Validity of prescription. The pharmacy dispenses or offers to dispense prescription drugs without receipt of a valid prescription, as defined below, issued by a person authorized to prescribe under state law and, as applicable, federal law. The pharmacy distributes or offers to distribute prescriptions or prescription drugs solely on the basis of an online questionnaire or consultation without a pre-existing patient-prescriber relationship that has included a face-to-face physical examination, except as explicitly permitted under state telemedicine laws or regulations.
- Definition. A valid prescription is one issued pursuant to a legitimate patient-prescriber relationship, which requires the following to have been established: a) The patient has a legitimate medical complaint; b) A face-to-face physical examination adequate to establish the legitimacy of the medical complaint has been performed by the prescribing practitioner, or through a telemedicine practice approved by the appropriate practitioner board; and c) A logical connection exists between the medical complaint, the medical history, and the physical examination and the drug prescribed.
3. Legal compliance. The pharmacy does not comply with all provisions of federal and state law, including but not limited to the Federal Food, Drug, and Cosmetic Act and the Federal Controlled Substances Act (including the provisions of the Ryan Haight Online Pharmacy Consumer Protection Act, upon the effective date). The pharmacy dispenses or offers to dispense medications that have not been approved by the US Food and Drug Administration (FDA).
4. Web site transparency. The pharmacy engages in practices or extends offers on its Web site that may deceive or defraud patients as to any material detail regarding the pharmacy, pharmacy staff, prescription drugs, or financial transactions.
5. Affiliated Web sites. The pharmacy, Web site, pharmacy staff, domain name registrants, or any person or entity that exercises control over, or participates in, the pharmacy business is affiliated with or controls another Web site that violates these standards.
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Copyright ©2010 by National Association of Boards of Pharmacy®. The information appearing on this Web site is intended to provide information about the activities, programs, and services of the National Association of Boards of Pharmacy. This information is advisory only and the visitor to this Web site assumes sole responsibility for any decisions made based upon its content. NABP disclaims all warranties regarding such information, whether expressed or implied, including, but not limited to, any warranty as to the quality, accuracy, or suitability of this information for any particular purpose.
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This web page was last updated
03/15/2010 13:37:59
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