SEPTEMBER 2015 NEWSLETTER RENEWAL OF PHARMACIST LICENSES AND CS REGISTRATIONS: Notices to renew your license to practice pharmacy and personal controlled substance registration have been mailed. Your current pharmacist license and controlled substance registration will expire December 31, 2015, and must be renewed prior to January 1, 2016. THERE IS NO GRACE PERIOD. To complete the process, you must: Submit the completed renewal applications; and Enclose a check or money order in the amount of $155.00 ($105.00 for the pharmacist license and $50.00 for the controlled substance registration) made payable to the Mississippi Board of Pharmacy; and You must have completed TEN (10) hours of pharmacy continuing education (CE) which has been approved by the American Council on Pharmaceutical Education (ACPE) or programs that have been approved by the Board. All CE hours must have been obtained between the period January 1, 2015 and December 31, 2015. You ARE NOT required to submit copies of continuing education certificates or provide proof of completion with your renewal but you are subject to audit by Compliance Agents. Please refer to ARTICLE IV, paragraphs 4., 5., and 6., of the Pharmacy Practice Regulations for continuing education requirements. Any Pharmacist License not renewed by January 15th may be subject to disciplinary action by the Board. Please return the completed applications for pharmacist license and controlled substance renewal along with the fees together in the enclosed envelope. Your completed renewal packet MUST BE POSTMARKED no later than December 31, 2015. Renewal packets received after that date will be returned to you and a late renewal fee in the amount of $50.00 for Pharmacist Licenses and an additional $50.00 for the Controlled Substance Registration will be assessed. The late fee must be paid prior to processing your renewal. Failure to renew your license and registration in a timely manner could place you and/or your employer at risk and may result in action by the Board against your license and registration as well as potential consequences with third party payors. Renewal applications received during the latter part of December may not be processed until after January 1, 2016, due to the volume of applications received. Renewal packets with insufficient postage will be returned to you. RENEWAL OF IN-STATE PHARMACY PERMITS AND CONTROLLED SUBSTANCE REGISTRATIONS: Your current pharmacy permit and controlled substance registration, if one is required for your business operation, will expire December 31, 2015, and must be renewed prior to January 1, 2016. To complete the process, you must: Submit the completed renewal applications; and Enclose a check or money order in the amount of $350.00 ($300.00 for the pharmacy permit and $50.00 for the controlled substance registration) made payable to the Mississippi Board of Pharmacy. Please return the completed applications for permit and controlled substance renewal along with the fees together in the enclosed envelope. Your completed renewal packet MUST BE POSTMARKED no later than December 31, 2015. Renewal packets received after that date will be returned to you and a late renewal fee in the amount of $50.00 for Pharmacy Permits and an additional $50.00 for the Controlled Substance Registration will be assessed. The late fee must be paid prior to processing your renewal. Failure to renew your pharmacy permit and controlled substance registration in a timely manner could result in action by the Board against your permit and registration as well as potential consequences with third party payors. Renewal applications received during the latter part of December may not be processed until after January 1, 2016, due to the volume of applications received. Renewal packets with insufficient postage will be returned to you. LOSSES OF CONTROLLED SUBSTANCES Pharmacists continue to fail to notify the Board of a loss or SUSPECTED loss of controlled substances, whether from burglary, armed robbery, employee theft, customer pilferage, etc. ARTICLE XXV, INVENTORY REQUIREMENTS FOR CONTROLLED SUBSTANCES, paragraph 1., requires that if a facility has a loss or suspected loss of controlled substances, such incident shall be reported directly to the Board IMMEDIATELY upon discovery. After contacting the Board, the Pharmacist will be instructed regarding inventory requirements and any further reporting requirements if necessary. In addition, if you have a burglary or attempted burglary, please contact Mississippi Bureau of Narcotics Lt. John Harless IMMEDIATELY at 601-466-5471. Lt. Harless will receive calls regarding burglaries 24/7. If you have suspicions of theft by a pharmacy employee, do not terminate employees without first contacting our office for assistance. Such terminations complicate investigations that may be conducted by the Board and/or other law enforcement agencies and will likely result in disciplinary action by the Board. Do not attempt to handle drug diversion problems internally or be discouraged by your employer from reporting suspicious activity. Your obligation to report losses to the Board overrides your employer’s wishes. Hydrocodone and alprazolam continue to be the most diverted and abused controlled substances. The person who signs the application for a pharmacy permit or the renewal of a pharmacy permit shall be the Pharmacist-In-Charge for that facility and as such is responsible for all activities subject to regulation by the Board. The Pharmacist-in-Charge may be held responsible for any losses of controlled substances from the facility. USP 795 AND 797 COMPLIANCE The Board, in its May 21, 2015 meeting, voted to adopt provisions of USP 795 and USP 797 and established January 1, 2017, as the deadline for compliance with provisions of each. DESTRUCTION OF WASTE IN INSTITUTIONAL FACILITIES On November 13, 2014, Compliance Agents voiced concerns to the Board that controlled substance waste in institutional facilities is being returned to the pharmacy for destruction. After discussion, it is the opinion of the Board that destruction of waste should be carried out at a time and location, when possible, proximal to the administration of the medication by a licensed individual who administered the medication with a witness to the destruction by a second licensed individual. After consideration of safety and diversion issues, the Board recommended adoption of this policy effective immediately with intent of adoption and incorporation into the Pharmacy Practice Regulations at the earliest possible time. PRESCRIPTION MONITORING PROGRAM The Board, in its March 26, 2015 meeting, considered and approved a request from Prescription Monitoring Program Administrator, Dana Crenshaw, that pharmacies be required to utilize ASAP version 4.2 for reporting of all dispensing information to the Program. Use of this version will increase accuracy in reporting to the system. Pharmacist should contact their software suppliers and utilize this version for reporting by December 31, 2015. The Board further approved Ms. Crenshaw’s request that all Mississippi Licensed Pharmacists be required to register to utilize the Prescription Monitoring Program by December 31, 2015. Please contact Ms. Crenshaw at 601-899-0138 for further information. IDENTIFICATION OF PHARMACY TECHNICIANS ARTICLE VIII, RESPONSIBILITY OF PHARMACIST/PHARMACIST CARE, paragraph 1., C., (6), of the Pharmacy Practice Regulations requires that Pharmacy Technicians in the dispensing area be readily identifiable. The supervising Pharmacist may be subject to disciplinary action by the Board for failing to assure that all Pharmacy Technicians are identified. In addition, Pharmacy Technicians may also be individually subject to disciplinary action by the Board for failure to wear a name tag while on duty identifying him or her as such.