STATE-BY-STATE PRESCRIBING LAWS - AAFP

Transcription

STATE-BY-STATE PRESCRIBING LAWSALABAMAALASKAARIZONATitle 20 Food, Drugsand Cosmetics.Chapter 2 ControlledSubstances.Section 58 Dispensing of controlled substances in Schedule II; maintenance of records andinventories by registered pharmacies. (e) A prescription for a controlled substance included inSchedule III or IV shall not be filled or refilled more than six months after the date thereof or berefilled more than five times, unless renewed by the practitioner.Alaska AdministrativeCode. Chapter 52Board of Pharmacy.Article 5 Pharmacy Practice Standards. Section 470 Refills. (b) A pharmacist may not dispense arefill of a prescription drug order for a noncontrolled substance after one year from the date ofissue of the original prescription drug order. Article 9 Disciplinary Guidelines. Section 920 Disciplinary Guidelines. (a) (11) Refilling aprescription drug order for a period of time in excess of one year from the date of issue of thatprescription drug order constitutes engaging in unprofessional conduct and is a basis for theimposition of disciplinary sanctions.Title 36 Public Healthand Safety. Article 3Regulation ofManufacture,Distribution andDispensing ofControlledSubstances36-2525. Prescription orders; labels. (H) A prescription for a controlled substance included inschedule III or IV shall not be filled or refilled more than six months after the date on which theprescription order was issued. A prescription order authorized to be refilled shall not be refilledmore than five times. Additional quantities may only be authorized by the prescribing medicalpractitioner through issuance of a new prescription order that shall be treated by the pharmacistas a new and separate prescription order. (J) 3. No more than one hundred dosage units of any single active ingredient ephedrinepreparation may be sold, offered for sale, bartered, or given away to any one person in any onethirty-day itle 32 - Professionsand Occupations.Chapter 18Pharmacy. Article 3Regulation.32-1968. Dispensing prescription-only drug; prescription orders; refills; labels; misbranding;dispensing soft contact lenses.B. A prescription order shall not be refilled if it is either:1. Ordered by the prescriber not to be refilled.2. More than one year since it was originally ordered.

ARKANSASTitle 5 CriminalOffenses. Chapter 64ControlledSubstances.Subchapter 3Uniform ControlledSubstances Act —Regulation ofDistribution.5-64-212. Substances in Schedule V. (b) The Schedule V classification does not apply to: (3) (A) Aproduct that is dispensed pursuant to a valid prescription that is not restricted to five (5) refillswithin a six (6) month period. 5-64-308 Written Prescriptions. (b) (3) No prescription for a Schedule II substance may be refilled.(c) (2) A prescription for a controlled substance included in Schedule III or Schedule IV shall not befilled or refilled more than six (6) months after the date of the prescription or be refilled more thanfive (5) times, unless renewed by the -------Title 20 Public Healthand Welfare.Chapter 64 Alcoholand Drug Abuse.Subchapter 3Arkansas Drug AbuseControl Act.20-64-206. Sales by apothecaries. (1) An apothecary, in good faith, may sell and dispense narcoticdrugs to any person upon a written prescription or an oral prescription. The prescription must notbe refilled. 20-64-314 Depressant and stimulant drugs—Limitations on filling of prescriptions. Noprescription for any depressant or stimulant drug may be filled or refilled more than six (6) monthsafter the date on which the prescription was issued, and no prescription which is authorized to berefilled may be refilled more than five (5) kansas State Boardof PharmacyRegulations.Regulation 7 DrugProducts /Prescriptions07-00-0005—Maintenance and Retention of Drug Records. At least every 12 months allprescriptions for legend drugs which are not controlled substances when refilled must be verifiedby the prescribing practitioner, a new prescription written, and a new prescription numberassigned to the prescription.

Health and SafetyCodeSection 11200. (a) No person shall dispense or refill a controlled substance prescription more thansix months after the date thereof.(b) No prescription for a Schedule III or IV substance may be refilled more than five times and inan amount, for all refills of that prescription taken together, exceeding a 120-day supply.(c) No prescription for a Schedule II substance may be --CALIFORNIABusiness andProfessions Code----------------------California Code ofRegulations Title 16Professional andVocationalRegulations. Division17 California StateBoard of Pharmacy.Section 4063. No prescription for any dangerous drug or dangerous device may be refilledexcept upon authorization of the prescriber. No prescription for any dangerous drug that is acontrolled substance may be designated refillable as ---------------------------Article 2 Pharmacies. § 1717 Pharmacy Practice. A pharmacist may dispense and refill aprescription for non-liquid oral products in a clean multiple-drug patient medication package(patient med pak), provided: (2) no more than a one-month supply is dispensed at one time Article 10.1 Home Dialysis Drugs and Devices. § 1787. Authorization to Distribute Dialysis Drugsand Devices. c) Orders are refillable during a six-month interval as ordered by the prescriber.

Title 18 Professionsand Occupations.Article 18 UniformControlledSubstances Act of1992.18-18-308. Prescriptions. (4) A prescription for a substance included in schedule III, IV, or Vmay not be filled or refilled more than six months after the date thereof or be refilled more thanfive times. 18-18-414. Unlawful acts - licenses - penalties. (1) The following acts are unlawful: (e) To refill anyschedule III, IV, or V controlled substance more than six months after the date on which suchprescription was issued or more than five ORADOTitle 12 Professionsand Occupations.Article 22Pharmaceuticals andPharmacists.2-22-125. Unprofessional conduct - grounds for discipline. (1) The board may suspend, revoke,refuse to renew, or otherwise discipline any license or registration issued by it, after a hearing heldin accordance with the provisions of this section, upon proof that the licensee or registrant:(i) Has dispensed a schedule III, IV, or V controlled substance order more than six months after thedate of issue of the ------------------------------------------------3 CCR 719-1Pharmacy Rules andRegulationsCONNECTICUTTitle 21a ConsumerProtection. Chapter420 b. DependencyProducing Drugs.DISPENSING 3.00.10 Limitations. No order shall be dispensed or refilled after one year from thedate of issue by the practitioner.Sec. 21a-249. Prescription requirements. (h) A prescription for a controlled substance included inschedule III or IV shall not be filled or refilled more than six months after the date thereof or berefilled more than five times, unless renewed by the practitioner.

DELAWARETITLE 16 Health andSafety, Chapter 47Uniform ControlledSubstances Act,Subchapter III.Regulation ofManufacture,Distribution andDispensing areProfessionalRegulations – 2500Board of Pharmacy.Title 24 RegulatedProfessions andOccupations.§ 4739. Prescriptions. (c) A prescription for a controlled substance included in Schedule III or IVshall not be filled or refilled more than 6 months after the date thereof or be refilled more than 5times, unless renewed by the ---------------------------------4.8 Expiration of Prescription. 4.8.1 Prescriptions for controlled substances in Schedules II and IIIwill become void unless dispensed within seven (7) days of the original date of the prescription orunless the original prescriber authorizes the prescription past the seven (7) day period. Suchprescriptions cannot be written nor dispensed for more than 100 dosage units or a 31 day supplywhatever is the greater at one time.4.8.2 Schedule II prescriptions for terminally ill or LTCF patients, shall be valid for a period not toexceed 60 days from the issue date. 5.0 Dispensing 5.5 Refills beyond one year of the date of the original prescription shall not bedispensed without further authorization of the prescriber.

DISTRICT OFCOLUMBIADivision VIII. GeneralLaws. Title 48. Foodsand Drugs. (Refs &Annos) Subtitle III.Illegal Drugs.Chapter 9.ControlledSubstances. (Refs &Annos) Unit A.ControlledSubstances Act.Subchapter III.Regulation ofManufacture,Distribution, andDispensing.----------------------Title 22 Public Healthand Medicine.Chapter 13Prescriptions andDistributions.§ 48-903.08 (c) A prescription for a controlled substance included in Schedule III or IV shall not befilled or refilled more than 6 months after the date thereof or be refilled more than 5 times, unlessrenewed by the ---------------------------------1306 Prescriptions for Controlled Substances Listed in Schedule II.1306.2 A prescription for a controlled substance listed in Schedule II shall not be filled ifsubmitted more than thirty (30) days after the date on which the prescription was issued.1306.3 A prescription for a controlled substance listed in Schedule II shall not be refilled.1308 Labeling of Substances Listed in Schedule II.1308.3 (a) Not more than a seven (7) day supply of the controlled substance listed inSchedule II is dispensed at one time. 1310 Refilling of Prescriptions Listed in Schedules III, IV OR V.1310.1 A prescription for a controlled substance listed in Schedule III or IV may not be filled orrefilled more than six (6) months after the date on which the prescription was issued.1310.2 A prescription authorized to be refilled may not be refilled more than five (5) times.1310.7 Additional quantities of prescription controlled substances listed in Schedule III, IV or V,beyond the five (5) refill, six (6) month limitation, shall only be authorized by a prescribingpractitioner through the issuance of a new and separate prescription.1325 Issuance of Non-Controlled Substances.1325.9 The total amount dispensed under one prescription order for a non-controlled substance,including refills, shall be limited to a one (1) year supply.

Title XLVICRIMES. Chapter 893Drug AbusePrevention inistrative Code64 Department ofHealth. Division64B16 Board ofPharmacy. Chapter27 PharmacyPractice.Title 16 Crimes andOffenses. Chapter 13ControlledSubstances. Article 2Regulation --Georgia Rules andRegulations. Chapter480 State Board ofPharmacy. Section 22Requirements of aPrescription DrugOrder.893.04 Pharmacist and practitioner. 1. (f) A prescription for a controlled substance listed inSchedule II may not be refilled.(g) A prescription for a controlled substance listed in Schedule III, Schedule IV, or Schedule V maynot be filled or refilled more than five times within a period of 6 months after the date on whichthe prescription was written unless the prescription is renewed by a practitioner. 2. (e) A pharmacist may not dispense more than a 30-day supply of a controlled substance listed inSchedule III upon an oral prescription issued in this --------------------------64B16-27.211 Prescription Refills. No prescription may be filled or refilled in excess of one (1) yearfrom the date of the original prescription was written. No prescription for a controlled substancelisted in Schedule II may be refilled. No prescription for a controlled substance listed in SchedulesIII, IV, or V may be filled or refilled more than five (5) times within a period of six (6) months afterthe date on which the prescription was written.§ 16-13-41. Prescriptions (c) No prescription for a Schedule II substance may be refilled.(d)(1)A prescription for a controlled substance included in Schedule III, IV, or V shall not be filledor refilled more than six months after the date on which such prescription was issued or be refilledmore than five --------------------------480-22-.05 Refilling of a Schedule II (C-II) Controlled Substance Prescription Drug Order.The refilling of a prescription for a schedule II (C-II) controlled substance is prohibited. 480-22-.08 Refilling of Schedule III, IV, and V (C-III, IV, V) Controlled Substance Prescription DrugOrders.(1) No prescription drug order for a C-III, IV, or V controlled substance shall be filled or refilledmore than six (6) months after the date on which such prescription drug order was issued by theprescribing practitioner and no such prescription drug order may be authorized to be refilled forthe quantity prescribed more than five (5) times.

§329-38 Prescriptions. (a)(2)(F) No prescription for a controlled substance in schedule II may berefilled. (e)(7) Prescriptions for all schedule III, IV, and V controlled substances may not be filled or refilledmore than three months after the date of the prescription or be refilled more than two times afterthe date of the prescription, unless the prescription is renewed by the practitioner.Volume 6 HRS 328-16 Drugs limited to dispensing on prescription. (c)(7) If the number of refills authorized bythe practitioner is indicated using the terms "as needed" or "prn", the prescription may be refilledup to twelve months from the date the original prescription was written. After the twelve-monthperiod, the "as needed" or "prn" prescription may be refilled for a subsequent three-monthperiod; provided:(A) The prescription is refilled only once during the three-month period;(B) The refill does not exceed a thirty-day supply of the drug;(C) The refill does not provide any amount of the drug fifteen months beyond the date theoriginal prescription was written; and(D) In the case of medical oxygen, the duration of therapy indicated on a certificate of medicalnecessity shall supersede any limitations or restrictions on refilling.Volume 6 HRS 0328HAWAII----------------------Hawaii Admin Rules.Title 23 Departmentof Public Safety.Subtitle 3 -----------------------------------Chapter 200 Regulation of Controlled Substances. § 23-200-16. (d) A written memorandum of atelephone oral prescription shall not be filled or refilled more than 3 months after the date onwhich such prescription was issued and no such prescription be refilled more than 2 times.

Title 37 Food, Drugs,and Oil. Chapter 27Uniform ControlledSubstances. ArticleIII.----------------------IDAHOIdaho AdministrativeCode. Agency 27 –State Board ofPharmacy. Title 01.Chapter 01 Rules ofthe Idaho StateBoard of Pharmacy.37-2722.Prescriptions. (b) No prescription for a schedule II substance may be refilled.(c) Prescriptions for controlled substance included in schedule III or IV, shall not be filled orrefilled more than six (6) months after the date thereof or be refilled more than five (5) times,unless renewed by the ---------------------------------162. Prescription Expiration. All prescription orders expire fifteen (15) months after date of issue. 443. Refilling Prescriptions. The refilling of a prescription for a controlled substance listed inSchedule II is prohibited. 447. Refilling of Prescription. No prescription for a controlled substance listed in Schedule III or IVshall be filled or refilled more than six (6) months after the date on which the prescription wasissued, and no such prescription authorized to be refilled may be refilled more than five (5) times. 458. Expiration Date: Schedule II Prescription Drug Order. No Schedule II prescription drug ordershall be filled more than ninety (90) days after the date the order was written.

Chapter 720 CriminalOffenses. 570 IllinoisControlledSubstances Act. ive Code.Title 68 Professionsand Occupations.Chapter VIIDepartment ofFinancial andProfessionalRegulation.Subchapter b:Professions andOccupations. Part1330 PharmacyPractice Act.----------------------Administrative Code.Title 77 PublicHealth. Chapter XDepartment ofHuman Services.Subchapter eControlledSubstances Activities.Part 2080 ElectronicPrescriptionMonitoring Program.Sec. 312. Requirements for dispensing controlled substances. (a) A prescription for a Schedule IIcontrolled substance shall not be filled more than 90 days after the date of issuance. A writtenprescription for Schedule III, IV or V controlled substances shall not be filled or refilled more than6 months after the date thereof or refilled more than 5 times unless renewed, in writing, by theprescriber.(b) The facsimile copy of the prescription or oral prescription and the written memorandumthereof shall not be filled or refilled more than 6 months after the date thereof or be refilled morethan 5 times, unless renewed, in writing, by the -------------------------------Section 1330.91 Division I Pharmacies. b) Recordkeeping Requirements for Filling Prescriptions.No prescription may be filled or refilled for a period in excess of one year from the date of theoriginal issuance of the prescription by the prescriber.Section 1330.92 Division II Pharmacies. b) Recordkeeping Requirements for Filling Prescriptions. 5)No prescription may be filled or refilled for a period in excess of one year from the date of theoriginal issuance of the prescription or order by the prescriber.Section 1330.93 Division III Pharmacies. b) Recordkeeping Requirements for Filling Prescriptions.2) No prescription may be filled or refilled for a period in excess of one year from the date of theoriginal issuance of the prescription by the prescriber.Section 1330.95 Division V Pharmacies. b) Recordkeeping Requirements for Filling Prescriptions.1) No prescription may be filled or refilled for a period in excess of one year from the date of theoriginal issuance of the prescription by the -------------------------------Section 2080.70 Schedule II, III, IV and V Drug Prescription Requirements.b) A prescription for a Schedule II, III, IV or V drug shall:9) Not allow a Schedule II prescription to be filled more than seven days after the date of issue;10) Contain only one Schedule II drug prescription order per prescription blank;11) Limit the maximum time allowed for a Schedule III, IV or V prescription to be filled at sixmonths with a maximum of five refills; and12) Allow more than one prescription order per prescription blank for a Schedule III, IV or V drug.

Title 25 Professionsand Occupations.Article 26Pharmacists,Pharmacies, DrugStores. Chapter 13Regulation ofPharmacists andPharmacies. Creationof Board.-----------------------INDIANATitle 35 Criminal Lawand Procedure.Article 48 ControlledSubstances. Chapter3 Registration tive Code.Title 856 IndianaBoard of Pharmacy.Article 2 ControlledSubstances. Rule 6.Issuance, Filling andFiling Prescriptions.IC 25-26-13-25 (c) A prescription for any drug, the label of which bears either the legend,"Caution: Federal law prohibits dispensing without prescription" or "Rx Only

prescription drug order constitutes engaging in unprofessional conduct and is a basis for the imposition of disciplinary sancti