Prescription drug

“ EXCEPTIONS- The Secretary may establish exceptions that permit a PDP sponsor offering a prescription drug plan to exclude from its formulary a particular covered part D drug in a category or class that is otherwise required to be included in the formulary under subclause (I) (or to otherwise limit access to such a drug, including through prior authorization or utilization management) . ”

“ It is a remarkable fact, and one which is attested by every medical man, that the action of a drug may be made effective or ineffective according to the manner in which it is prescribed. There are certain subordinate drugs which prepare the way, as it were, for the action of a principal drug, and the proportion between the ingredients of a prescription is of vital importance in relation to the effect produced. ”

“ There’s the combination for safety, results and satisfaction.—Rose Drug Co., St. Joseph, Mo.
Recovery Is Doubtful if the quality of the Drugs and Medicines given a patient is not above doubt.
We spare no effort in obtaining the purest and most reliable goods. Efficiency is dependent upon freshness in almost all Drugs, and all Prescriptions are compounded from Drugs which have not deteriorated through age.
Accuracy is the strong feature of our Prescription Department.—The White Cross Pharmacy, Rutland, Vt. ”

“ Regular update of prescription drug pricing standard.—If the PDP sponsor of a prescription drug plan uses a standard for reimbursement of pharmacies based on the cost of a drug, each contract entered into with such sponsor under this part with respect to the plan shall provide that the sponsor shall update such standard not less frequently than once every 7 days, beginning with an initial update on January 1 of each year, to accurately reflect the market price of acquiring the drug. ”

“ Such term does not include a pharmacy that dispenses prescription medications to patients primarily through the mail, nursing home pharmacies, long-term care facility pharmacies, hospital pharmacies, clinics, charitable or not-for-profit pharmacies, government pharmacies, or pharmacy benefit managers. ”

“ These must account for their sales to the retail drug stores, and the amounts must tally. The drug stores can only sell narcotic drugs on a physician's prescription, and the prescriptions are kept on file, and the quantity sold must correspond to the quantity called for by these prescriptions, as well as to the amount obtained from the wholesale drug house. In prescribing narcotics, the physician is obliged to write his prescription in triplicate—one copy for his own protection, one copy for the local druggist, and one copy to be filed with the health department. ”

“ Prescriptions may be filled but once, and no copy may be given, except to an officer of the law, and the drug must be delivered in a container labeled with the serial number of the prescription, with the date when filled and the name of the person for whose use the medicine is intended, the name of the physician, and the name and address of the dispenser. ”

“ With some 500 inhabitants in our settlement with quite a number of cases, some of them very serious, there has never been a physician called to prescribe one single prescription to any of these people, and I have an idea that if we were to look at them to-day we would find them equally healthy with those of the adjacent town where there are several physicians with two drug stores to draw their supplies from. ”

“ A patient comes to the city for the purpose of consulting some experienced physician for a certain complaint. Probably he gets a prescription, with instructions to go to a certain respectable druggist or apothecary in town to have the [Pg 73] necessary medicines put up. Of course a respectable physician knows of a reliable apothecary. The patient, in nine cases out of ten, desires to retain the prescription, and often does so. He goes to another drug store, more convenient, for a second quantity of the same ”

“ Because one particular drug or medicine benefits a certain person should not be considered as evidence that it will aid another. The habit of borrowing prescriptions is dangerous. The intelligent physician writes a prescription, which will benefit his patient, and the same prescription would be of no benefit, and might be of positive injury, to another. Many of the testimonials given to patent medicines are genuine and are written by honest persons. ”

“ An act relating to pharmacy; requiring the removal of specified drugs from the negative formulary for generic and brand-name drugs established in s. 465.025 (6) , F.S.; providing that the act does not amend existing law relating to a physician's authority to prohibit generic drug substitution by writing "medically necessary" on the prescription; providing an effective date. ”

“ Requests to dispense incompatible or over-dosage prescriptions and prescriptions may be dispensed only after the prescribing physician makes corrections or re-signs the order.
⁠Drug distributors shall indicate the origin of the Chinese medicinal materials to be sold.
⁠Legally qualified pharmacists or other pharmaceutical professionals shall be responsible for the drug management, prescription examination and dispensing, and guidance of rational use of drugs. ”

“ Manufacturers Of Prescription Drugs.—Manufacturers of prescription drugs shall submit to the Secretary of Health and Human Services, the Secretary of Labor, and the Secretary of the Treasury appropriate data as necessary for the Secretaries to obtain information needed to provide the reports under sections 203 and 204. ”

“ A physician, dentist, veterinarian or practitioner authorized to prescribe any dangerous drug shall issue the prescription therefor in one (1) original and two (2) duplicate copies. The original, after the prescription has been filled, shall be retained by the pharmacist for a period of one (1) year from the date of sale or delivery of such drug. One (1) copy shall be retained by the buyer or by the person to whom the drug is delivered until such drug is consumed, while the second copy shall be retained by the person issuing the prescription. ”

“ It is unnecessary to multiply examples in proof of the numerous errors into which a physician must unavoidably fall, who presumes to compose prescriptions without a knowledge of the chemical habitudes of the different substances which he combines. The file of every apothecary would furnish a volume of instances, where the ingredients of the prescription are fighting together in the dark, or at least are so adverse to each other, as to constitute a most incongruous and chaotic mass. ”

“ Manifestly the phrases 'to a patient' and 'in the course of his professional practice only' are intended to confine the immunity of a registered physician, in dispensing the narcoticdrugs mentioned in the act, strictly within the appropriate bounds of a physician's professional practice, and not to extend it to include a sale to a dealer or a distribution intended to cater to the appetite or satisfy the craving of one addicted to the use of the drug. ”

“ The assertion that an ex­tem­por­aneous compound prescription even if identical in composition with the Chichester pill is often inert, is absurd and a reprehensible attack by suggestion of the ideal that the physician shall write his prescription to meet the individual needs of his patient and that the pharmacist shall compound the prescriptions of the physician as they are required. ”

“ An act touching the sale of spirituous liquors or prescriptions by druggists, provides that no druggist shall sell more than at one time on the same prescription; nor shall the druggist or apothecary give any prescriptions for the sale of spirituous liquors to any person, unless such druggist or apothecary shall be a practicing physician, or in actual attendance on such patient. ”

“ When the pharmacist puts up an ordinary, nonproprietary prescription, the patient gets no clue from the package as to the nature of the prescription employed. But when an original bottle of Neurosine is dispensed, even though the pharmacist puts his own prescription label on it, the patient sees the difference at once and knows just why the usual prescription bottle was not employed. He also knows that he can get the medicine with its original wrapper or label by merely showing the bottle to the druggist, for the words “Neurosine” and “Dios Chemical Co.” are blown in the glass. ”

“ The term `filling new prescriptions for controlled substances in schedule III, IV, or V' means filling a prescription for an individual for a controlled substance in schedule III, IV, or V, if-- ` (A) the pharmacy dispensing that prescription has previously dispensed to the patient a controlled substance other than by means of the Internet and pursuant to the valid prescription of a practitioner that meets the applicable requirements of subsections (b) and (c) of section 309 (in this paragraph referred to as the `original prescription') ”

“ In addition, such physicians have been accepting the statements of laymen, not only as to the composition of the nostrums, but as to their use. In every state the practice of pharmacy is regulated by law: before assuming the responsibility of compounding medicines a druggist must have studied and passed an examination in pharmacy. Public safety demands and the law requires it. There are some doctors, however, who will allow laymen who are not chemists, pharmacists or physicians to formulate and compound a prescription and tell them what it is good for and how to use it. ”

“ They are equally unanimous in prescribing the remedy, by which this happy effect is to be produced. The prescription is no sooner made known, however, than a number of persons interpose, and, without denying the reality or danger of the disorder, assure the patient that the prescription will be poison to his constitution, and forbid him, under pain of certain death, to make use of it. Might not the patient reasonably demand, before he ventured to follow this advice, that the authors of it should at least agree among themselves on some other remedy to be substituted? ”

“ The physician should know what he is prescribing. It is an insult to offer him any other class of preparations. When prescribing he should prescribe under a term comprehending the formula of the drug, or under his own cipher. Where the nature of the preparation is such that he cannot do this, the doctor had better look elsewhere for a remedy.
Again we say, if you cannot make a satisfactory division arrangement with a competent pharmacist who will protect your prescriptions, and treat them as confidential, dispense your own remedies. ”

“ By the adoption of the Pure Food and Drugs Act both the responsibility and the obligation of the pharmacist are increased and added importance must attach to his position. He should take as much pride in his ability to pronounce upon the quality of an article guaranteed by the manufacturer, or in making a preparation which he himself guarantees, as he has heretofore taken in his ability to decide upon the compatibility, or to question the dosage, of a prescription. He must stand between the manufacturer and the physician as he has stood between the physician and the public. ”

“ It is extremely hazardous for a second or third person to change the doses of a physician's medicine, either by the omission or addition of an ingredient. It would be safer—very much safer—to omit every thing, and leave the disease wholly to nature. The true course, however, in all cases, is to follow the prescription of the physician, to the best of our abilities, or else dismiss him. ”

“ The bad work that people make in dosing themselves with patent medicines, without a physician's prescription is not unfrequently punctuated with a sudden death from overdosing with antipyrin, sulphonal, or some other coal-tar preparation. ”

“ The enactment of the 1938 Federal Food, Drug, and Cosmetic Act illustrates the expansion of the definition of drug. One of the changes contemplated in S. 2800, an early version of the Act, [7] defined 'drug' to include
' (1) all substances and preparations recognized in the United States Pharmacopoeia, Homoeopathic Pharmacopoeia of the United States, or National Formulary or supplements thereto; and (2) all substances, preparations, and devices intended for use in the cure, mitigation, treatment, or prevention of disease in man or other animals ”

“ We do not hesitate to enact laws to prohibit druggists and others from selling other well-known poisons to people without the prescription of a physician, for fear they may possibly be used by the purchasers to harm either themselves or others ”

“ As indicated in the Council’s report, Gray’s Glycerine Tonic Comp.—and what an absurd name!—is simply a mixture of ordinary drugs, requiring no skill whatever in compounding. If there is a physician living who cannot write a prescription offhand as good as this formula, that physician should either go back to a medical school or change his vocation. There is, and can be, no excuse for prescribing such a ready-made mixture, for every cross-roads drugstore has the ingredients and any pharmacist worthy of the name could compound it. ”

“ The laboratory attempts to be to the members of the American Medical Association what the prescription pharmacist is, or should be, to the prescribing physician—a storehouse of chemical and pharmaceutical information. In the belief that an insufficient familiarity with the chemistry and pharmacy of drugs constitutes the chief reason for the extensive use of unscientific, worthless or fraudulent proprietary remedies, this service is rendered by the laboratory as a contribution to the cause of rational therapy. ”