1. Chapter 23 Out of State Pharmacies Jeffery D. Evans, Pharm.D. Associate Professor of Clinical and Administrative Sciences University of Louisiana, College of Pharmacy

2. Chapter 23 Out-of-State Pharmacy Purpose – To regulate pharmacies that provide services to LA Citizens – Generate income Impact on pharmacy practice – ‘Regulates’ out of state pharmacies too protect the public – Sometimes gets pharmacists a cool trip*

3. Why Regulate and who to regulate? (2301 – 2303) Why – Because the PPA requires it Who – Pharmacies providing services (drugs or pharmacy information) – Those who provide services through the internet. – Must have a license in other state – Must have someone and some place in LA – Pharmacists must be licensed in the state they practice

4. Requirements of OOS pharmacies (2305 – 2307) Requirements – Apply and pay fees – Have a PIC licensed in LA Pharmacist-in-Charge – Must be licensed in LA and in home state – Other PIC rules apply from Chap 11

5. Regulation of the OOS pharmacy (2309 – 2313) The portion of the pharmacy that supplies LA is inspectable by the LA BOP And that portion must follow ALL LA laws Records kept for two years (at least)

6. Counseling and Closing (2315 – 2319) To provide the required counseling – Toll-free number Must have adequate lines Must be on every bottle – Must provide consistent, adequate care Closing – 10 days notice – Must notify board of where LA patients can transfer from Jurisdiction – All OOS that solicit, receive, dispensing and delivering drugs or devices

7. Summary of Chapter 23 Out of state pharmacies look like LA pharmacies Need a LA PIC Give a toll free number – And put it on every bottle