Chapter LIII

A. For all regulations that apply to permitted charitable pharmacies concerning pharmacy practices not specifically stated in this Chapter, refer to Chapter 11. Notes La. Admin. Code tit. 46 , § LIII-2101 Promulgated by the Department of Health and Hospitals, Board of Pharmacy, L…

A. A charitable pharmacy permit shall be required to operate a pharmacy in the state to dispense free prescription drugs to qualified patients in Louisiana. This permit shall only be granted to an organization qualified as a charitable organization by the U.S. Internal Revenue Co…

A. A charitable pharmacy shall not sell, purchase, or trade prescription drug samples. B. A charitable pharmacy shall only possess and dispense prescription drug samples if the following conditions are satisfied: 1. the prescription drug samples are dispensed at no charge to qual…

A. In facilities licensed by the Department of Health and Hospitals where United States Pharmacopeia (USP) storage requirements can be assured, prescription drugs, except controlled dangerous substances, dispensed in unit dose or in individually sealed doses may be transferred to…

A. Louisiana pharmacy laws and regulations shall be applicable to regulate the practice of pharmacy for that portion of the nonresident pharmacy's Louisiana pharmacy practice or operation. Notes La. Admin. Code tit. 46 , § LIII-2309 Promulgated by the Department of Health and Hos…

A. The facilities and records of the nonresident pharmacy shall be subject to inspection by the board or its designated agent(s). Notes La. Admin. Code tit. 46 , § LIII-2311 Promulgated by the Department of Health and Hospitals, Board of Pharmacy, LR 14:708 (October 1988), effect…

A. Records shall be maintained for not less than two years. B. The pharmacy shall maintain records of drugs dispensed to Louisiana residents in such a manner so as to be identifiable, readily retrievable, and available upon request. Said records shall be made available for inspec…

A. The pharmacy shall maintain an incoming toll-free telephone number for use by Louisiana consumers during regular office hours. Readily available telephone counseling services shall be provided that are consistent with the reasonable standard of due care. This telephone number,…

A. Notice. Notice shall be afforded the board not less than 10 days prior to the anticipated closure date of a nonresident pharmacy. Said notice shall include the location of all transferred prescription files for Louisiana residents. B. Permit. The nonresident pharmacy permit ho…

A. Nonresident pharmacies soliciting, receiving, and dispensing and delivering prescription drugs and devices, including controlled dangerous substances as defined in 21 USC § 1 , et seq. and 21 CFR 1 et seq., or their successors, and delivered to residents in Louisiana constitut…

A. As used in this Chapter, the following terms shall have the meaning ascribed to them in this Section. Durable Medical Equipment (DME) -technologically sophisticated medical devices that may be used in a residence, including the following: a. oxygen and oxygen delivery system; …

A. The DME provider shall not furnish any legend device or medical gas to a patient without a prescription or medical order from a licensed practitioner with prescriptive authority. B. General Requirements 1. The provider shall establish a suitable facility to house the equipment…

A. The credentialing requirements of this Subchapter shall not apply to the following persons or entities unless such persons or entities have separate business entities engaged in the business of providing DME to patients at their home: 1. chiropractors; 2. dentists; 3. occupati…

A. For good cause shown, the board may issue a special event pharmacy permit when the scope, degree, or type of pharmacy practice or service to be provided is of a special, limited, or unusual nature as compared to a regular pharmacy service. The permit to be issued shall be base…

A. General Requirements 1. The special event pharmacy shall be of sufficient size and shall contain sufficient fixtures, equipment, and supplies commensurate with the scope of practice for that pharmacy, provided: a. the pharmacy shall be of sufficient size to allow for the safe …

A. As market forces continue to adversely impact community pharmacies, some pharmacies have or will close permanently. In certain parts of the state, such closures create critical access issues for citizens in need of pharmacy services. B. As the pharmacy workforce continues to e…

A. As used in this Subchapter, the following terms shall have the meaning ascribed to them in this Section. Central Pharmacy -a permitted pharmacy in Louisiana that supervises a telepharmacy dispensing site. Still Image Capture -a specific image captured electronically from a vid…

A. General Requirements 1. At the time of its opening, there shall be no other pharmacies licensed by the board within 15 miles (driving distance) of the location of the telepharmacy dispensing site. This mileage restriction shall not apply if a demonstration of need is presented…

A. The purpose of this Subchapter is to establish standards for the operation and regulation of remote processor pharmacies to be located within the state of Louisiana. Notes La. Admin. Code tit. 46 , § LIII-2431 Promulgated by the Department of Health and Hospitals, Board of Pha…

A. As used in this Subchapter, the following terms shall have the meaning ascribed to them in this Section. On-Site Pharmacy -a permitted pharmacy which utilizes remote processing services from a remote processor pharmacy. Remote Processing Services -the processing of a medical o…

A. Unless otherwise allowed by law, drugs dispensed on prescription to a patient shall not be accepted for return, exchange, or re-dispensing by any pharmacist or pharmacy after such drugs have been removed from the pharmacy premises where they were dispensed. B. When a patient o…

A. Authority and Limitations 1. A remote processor pharmacy permit shall authorize the permit holder to engage in remote processing services. 2. A remote processor pharmacy permit shall not authorize the procurement or possession of any prescription medications or any controlled …

A. Environmental Standards 1. The remote processor pharmacy shall be of sufficient size and shall contain sufficient fixtures, equipment, and supplies commensurate with the nature and scope of practice for that pharmacy. 2. The pharmacy shall be well-lighted, well ventilated and …

A. The board shall develop and configure a pharmacy permit designated as a marijuana pharmacy permit. B. The dispensing of marijuana for therapeutic purposes shall be limited to those pharmacies holding a marijuana pharmacy permit issued by the board , and only when that permit i…

A. Application for Initial Issuance of Permit 1. The board shall develop an application form suitable for the marijuana pharmacy permit. The board may revise that application form on its own initiative in order to collect the information it deems necessary to properly evaluate an…

A. No person may operate a marijuana pharmacy without a marijuana pharmacy permit issued by the board , and further, that permit shall be in active or restricted status. A pharmacist shall be on duty at all times during the regular open hours of the marijuana pharmacy . B. A mari…

A. Upon becoming aware of discrepancies identified during inventory, diversion, theft, loss, or unauthorized destruction of any marijuana, or of any loss or unauthorized alternation of records related to marijuana or patients, a pharmacy shall immediately notify: 1. appropriate l…

A. Environmental Standards 1. The prescription department shall be of sufficient size commensurate with the nature and scope of practice. The space occupied by the prescription department shall be restricted to authorized personnel only, as determined by the pharmacist -in-charge…

A. Prescription Drugs or Devices. A prescription drug or device is a medication or mechanism that may only be dispensed by a pharmacist on the order of a licensed practitioner and shall bear the "Rx Only" notation or any other designation of similar import required by law on the …

A. The pharmacist shall conduct, participate in, and support medical and pharmaceutical research appropriate to the goals, objectives, and resources of the facility. B. The pharmacist shall ensure the development of policies and procedures for the appropriate use of investigation…

A. Veterinary prescription drugs are prescription medications for animal use prescribed by a licensed veterinarian pursuant to a valid veterinarian-client-patient relationship and dispensed by a licensed pharmacist to the veterinarian's client, for a legitimate medical purpose, t…

A. In the interest of public health, safety, and welfare, the board may, from time to time, restrict the sale of certain devices to be dispensed only by a licensed pharmacist after a legitimate medical need has been demonstrated. A legitimate medical need includes the prevention …

A. Definitions. As used in this Chapter, the following terms shall have the meaning ascribed to them in this Section: Chart Order -a lawful order entered on the electronic or paper chart or medical record of an inpatient or resident of an institutional facility by a practitioner …

A. The receiving pharmacist is responsible for verification of the authenticity of the prescription. B. The dispensing pharmacist is responsible for the accuracy of the medications or devices dispensed. Notes La. Admin. Code tit. 46 , § LIII-2513 Promulgated by the Department of …

A. A prescription issued solely on the results of answers to an electronic questionnaire, in the absence of a documented patient evaluation including a physical examination, is issued outside the context of a valid physician-patient relationship, and is not a valid prescription. …

A. Prescription dispensing means the issuance, by a licensed pharmacist, of one or more doses of medication in a suitable container, properly labeled for subsequent administration, and shall consist of the following procedures or practices: 1. receiving and interpretation of the …

A. Prescription Refills 1. Limitations on Number of Refills a. The refilling of a prescription for a drug listed in Schedule II is prohibited. b. A prescription for a drug listed in Schedule III or IV may be refilled up to five times if so indicated at the time issued. c. A presc…

A. Using sound professional judgment, a pharmacist may refill adequate medication for a quantity not to exceed a 30-day supply when an emergency for medication has been adequately demonstrated and the prescribing practitioner is not available. The 30-day supply limitation shall n…

A. Prescription Transfer Requirements 1. Prescriptions for Controlled Dangerous Substances a. The transfer between pharmacies of a prescription or prescription information for controlled substances is permissible in conformance with 21 CFR Part 1306 . 2. Prescriptions for Drugs O…

A. A prescription for a drug other than a controlled dangerous substance listed in Schedules II through IV shall expire one year after the date written. B. A prescription for a controlled dangerous substance shall expire: 1. 90 days after the date of issue if the drug is listed i…

A. An appropriate label shall be affixed to a proper container, and shall bear the following minimum information: 1. pharmacy's name, address, and telephone number; 2. prescription number; 3. authorized prescriber's name; 4. patient's name; 5. date dispensed; 6. drug name and str…

A. Prepackaging is the preparation of medication in a unit-of-use container by a pharmacist in a pharmacy prior to the receipt of a prescription for ultimate prescription dispensing by a pharmacist in Louisiana. B. Labeling. The label on the prepackaged container shall contain th…

A. Purpose. The rules of this Subchapter describe the requirements of minimum current good compounding practices for the preparation of drug formulations by Louisiana-licensed pharmacists, pharmacy interns, pharmacy technicians, and pharmacy technician candidates for dispensing a…

A. As used in this Subchapter, the following terms shall have the meaning ascribed to them in this Section. Biological Safety Cabinet -a containment unit suitable for the preparation of low to moderate risk agents where there is a need for protection of the product, personnel, an…

A. Given the current public health emergency relative to the misuse and abuse of opioid derivatives, public health officials have strongly recommended the widespread availability of naloxone and other opioid antagonists to addicts and their caregivers as well as first responders …

A. Words not defined in this Chapter shall have their common usage and meaning as stated in the Merriam Webster's Collegiate Dictionary-Tenth Edition, as revised, and other similarly accepted reference texts. As used in this Chapter, the following terms shall have the meaning asc…

A. Classification 1. Controlled substances are specifically identified by reference, as provided in R.S. 40:961 et seq., or its successor, and 21 CFR §1308 et seq., or its successor. Schedules I, II, III, IV, and V shall, unless and until added to pursuant to R.S. 40:961 et seq.,…