Oklahoma News: From the Inspectors

Published in the October 2007 Oklahoma State Board of Pharmacy Newsletter

  • Physician Assistant (PA) Law Change: Effective July 1, 2007, the Oklahoma Board of Medical Licensure and Supervision amended the rules for PA prescriptive and dispensing authority. Prescriptions for non-controlled medications are limited to a 30-day supply with two (2) refills of an agent prescribed for a new diagnosis. For patients with an established diagnosis, up to a 90-day supply with refills up to one year can be written and signed, or called into a pharmacy by a PA. Prescriptions for Schedules III, IV, and V controlled medications are limited to a 30-day supply with no refills. In order for a PA to prescribe a controlled substance in an out-patient setting, the PA must be currently registered with the Drug Enforcement Administration and Oklahoma Bureau of Narcotics and Dangerous Drugs.
  • Labeling individual doses to long-term care facilities: When sending individual dosage units (such as compounded topical products in syringes) to nursing homes, please make sure that each unit is labeled as to drug, strength, lot number, and expiration date. We do not expect each individual syringe to have complete patient labeling, but if it gets separated from the main container, the nursing home has no way of knowing what the product is.
  • Tamper-Resistant Prescription Pads: A new federal law requires written prescriptions for Medicaid prescriptions to be written on tamper-resistant prescription pads beginning October 1, 2007. This requirement does not apply to prescriptions that are electronically transmitted or ordered over the phone. It also does not apply to prescriptions for patients in nursing homes, intermediate care facilities for the mentally retarded, or other institutional settings. For more details as to what constitutes tamper resistant, please go to the Oklahoma Health Care Authority’s Web site at www.okhca.org.