1. PHARMACY LAWS

2. The most restrictive law will take precedence.
Pharmacy Laws
Federal law takes precedence over state law unless the state law is stricter than the federal law.
The most restrictive law will take precedence.

3. Pure Food and Drug At 1906
Enacted in 1906 to prohibit the interstate transportation or sale of adulterated and misbranded food and drugs.

4. TERMS
Adulteration: the mishandling of medication that can lead to contamination and cause injury or illness to the consumer.
Misbranding: deceptive or misleading labeling of a product that may lead the consumer to believe that the product will cure an illness (illegally labeled).

5. FOOD, DRUG AND COSMETIC ACT (FDCA 1938)
FDA was created under this act.
Required that all new drugs be filed with FDA.
Clearly defined adulteration and misbranding of drug and food products.

6. DURHAM-HUMPHREY ACT of 1951
Required all products to have adequate directions for use unless they contain the federal legend: “Caution: Federal law prohibits dispensing without prescription.”
It separated drugs into 2 categories:
Legend – requires a prescription
Nonlegend – OTC not requiring a prescription.
Allows verbal prescriptions over the telephone.
Allows refills to be called in from a physician’s office.

7. Kefauver-Harris Amendment of 1962
Requires that all medication on the market in the US be pure, safe and effective.

8. Comprehensive Drug Abuse Prevention and Control Act of 1970
The Drug Enforcement Agency (DEA) was created under this act.
Controlled substances were placed into one of five schedules.

9. Poison Prevention Packaging Act of 1970
Enacted to reduce the accidental poisoning in children.
Most OTC and legend drugs must be child-resistant.

10. Occupational Safety and Health Act (OSHA) of 1970
Ensures
Job safety and health standards for employees
Maintain a reporting system for job-related injuries and illness
Reduce hazards in the workplace
Conduct audits to guarantee compliance with act
It addressed air contaminants, flammable and combustible liquids, eye and skin protection, and hazard communication standards in the pharmacy.
Require usage of the MSDS.

11. Drug Listing Act of 1972
Created an 11-digit number to identify each drug.
This is the NDC (National Drug Code) number.
The first five digits identify the:
Manufacturer
The next four digits identify the:
Drug product
The final two digits represent the:
Package size and packaging

12. Orphan Drug Act of 1983
Orphan drugs are medications for rare diseases (<200,000 cases in the world).
The law provides tax incentives and exclusive licensing to develop and market orphan medications.

13. Drug Price Competition and Patent Term Restoration Act of 1984
Encouraged the creation of both generic and new medication.
Streamlined the process for generic drug approval and extended patent licenses.

14. Prescription Drug Marketing Act of 1987
Prohibits the reimportation of a drug into the United States by anyone except the manufacturer.
Prohibits the sale or distribution of samples to anyone other than those licensed to prescribe them.
Requires that all medications for animals are to be labeled with: “Caution: Federal law restricts this drug to use by or on an order of a licensed veterinarian.”

15. Anabolic Steroid Control Act of 1990
Created more strict penalties for the abuse of anabolic steroids and their misuse by athletes.

16. Omnibus Budget Reconciliation Act (OBRA) of 1987
Establishes Medicare and Medicaid Conditions of Participation (regulations for drug use and guidelines).
Requires manufacturers to provide the lowest prices to any customer or Medicaid patient.

17. FDA Safe Medical Devices Act of 1990
Requires that all medical devices be tracked and records be maintained for durable medical equipment, such as infusion pumps.

18. Americans with Disabilities Act (ADA) of 1990
Prevents discrimination against potential employees who may possess a disability.
The business must make reasonable accommodations for the employee.

19. Health Insurance Portability and Accountability Act (HIPAA)
There are two parts of HIPAA:
Protects health insurance coverage for workers and families when they change or lose their jobs.
Administrative Simplification – electronic transactions and required Health Information Privacy.