GREATER MIAMI VALLEY EMERGENCY
MEDICAL SERVICES COUNCIL, INC.
P.O. Box 2307
Dayton, OH 45401-2307
Voice: 937.586.3703
Fax: 937.586.3699
E-Mail: gmvemsc@gmvemsc.meinet.com
September 22, 2007
2008 DRUG LICENSE RENEWAL INFORMATION
You should be receiving your 2008 drug license renewal information from the state.
REMEMBER - Once you receive your renewal license, please send a copy of your department
drug license(s) to Council. If you have renewed your DEA Lic you must also send a copy to the
EMS Council. This is a requirement of your continued participation in the DBEP!
Failure to comply with the requirements may result in the removal of drug bags and
suspension from participation in the Drug Bag Exchange Program.
*Make sure you send the state your EMS Information and list of personnel even if there are no
corrections or changes to be made.
Changes to the drug list are as follows:
1. Zofran/Ondansetron will be replacing Phenergan/Promethazine – Promethazine will still be
left on the license so it is covered until the bags are updated in early 2008.
2.Changes in Option #2
a. Albuterol inhaler will be moved to Option #2 as it is no longer in the drug bag – if a
dept opts to purchase and secure on their medic they should choose option #2 and
indicate it is for the Albuterol inhaler.
b. Nitroglycerin 50mg/10ml added to optional for departments who may have IV pumps
and opt to purchase the nitro drip vials. If a department should choose this option they
will select option #2 and indicate the nitro drip option.
c. Hydroxocobalamin/Cyanokit has been added to Option #2. Some departmtents have
expressed an interest in purchasing hydroxocobalamin for treating cyanide poisoning. If
a department should choose this option they will select option #2 and indicate
hydroxocobalamin.
Any medications selected in option #2 must have a notarized letter from their Medical Advisor
indicating their approval.
*** a notarized letter from your Medical Advisor must be submitted this year for the 2008 license **
Because there has been an addition of Zofran/Ondansetron and a change in the
nausea/vomiting protocol to reflect this drug, all departments will need to have a notarized
letter of approval by their Medical Advisor (see suggested letter below) even if they don’t
change their options as noted below.
*Make sure you check the contents of your current drug license. If you selected Option #1 last
year then your new drug lic will only reflect the contents of the GMVEMSC Drug bag, which
includes the HazMat drugs aslisted in option #1. If you selected #2, it includes additional
optional WMD/HazMat drugs, Albuterol Inhaler, Nitro drip, or hydroxocobalamin; you will
indicate which drug in the Option#2 list you are selecting. If you selected option #3, it includes
the Etomidate.

When you select option #2 and/or #3, it also includes the drugs in Option #1.
If your department does not currently have Options #2 or #3 and now decides to use either or
both of these options in 2008, the Medical Director for your department must include in their
notarized letter to the State Pharmacy Board indicating his/her approval of the protocol and
which option they are approving. A copy of that letter and license MUST be sent to the
GMVEMSC. This is an example of what you need to send:
A notarized letter, on department letterhead, from your medical advisor approving use of the
2008 Standing orders.


Address to:
Ohio State of Board of Pharmacy
c/o William McMillen RPh, Licensing Administrator
77 S. High St., Room 1702
Columbus, OH 43215-6126
Recommended language is as follows:
I approve of this department’s use of the following option:
Option#1 all drugs listed in the GMVEMSC drug bag
Option2 __________________________________________
(state which drug(s)s you are using in option 2
Option#3
These have been properly trained and follow the GMVEMSC protocol.
An original copy of the protocol is on file with your office for both Adult and Pediatric
patients.
If your department does utilize the optional HazMat/WMD meds, Albuterol Inhaler, Nitro drip,
hydroxocobalamin and/or Etomidate in the protocol, then your department is responsible to
purchase, store, inventory, and dispose of these medications properly. These medications
MUST be stored separately from the GMVEMSC drug bag.
You will note in section VI of the renewal information letter that it discusses Special situation
drugs (i.e. WMD prophylaxis, vaccines) which may be requested by the Medical Director by
including a signed, notarized statement above the list of requested drugs.” The HazMat/WMD
prophylaxis meds listed in option in #1 & #2 do not require this since the protocol is already
written. If your Medical Director should require a special situation drug other than that already
listed in Option #1 or #2, then they need to follow the directions as noted in the State Pharmacy
renewal letter.
Fax or mail copies of your drug licenses to Council as well as your DEA license if you
have not already done so. Council Fax # is: 937.586.3699.
Thank you,
Brian Kuntz
Brian Kuntz, RN, NREMT-P
EMS Coordinator
Drug Box Co-Chairperson
License Option #1
Departments who carry and store the complete drug box on their units.
GREATER MIAMI VALLEY EMS COUNCIL
Drug Box Exchange Program
AUTHORIZED DRUG LIST FOR 2008 STANDING ORDERS
Effective: January, 2008
Revised: September 19, 2007
DRUG CODE
BRAND NAME
GENERIC NAME
ALS DRUG BAG COMPART MENT FOR EMTP ACCESS
ONLY
0469823412 (1)
Adenocard
Adenosine
0469823414 (2)
Adenocard
Adenosine
11704-104-01(1)
Atropen pedi
Atropine Sulfate
11704-105-01(1)
Atropen pedi
Atropine Sulfate
0074491133 (3)
Atropine
Atropine
Atropine
63323-0234-20 (1) Atropine
DOSAGE FORM
UNIT
6mg/2ml
12mg/4ml
0.5mg/0.7ml
1mg/0.7ml
1mg/ 10 ml
8mg/vial
preject
preject
Auto Inject
Auto Inject
preject
vial
0.4mg/ml10ml
4950268560 (1)
Atrovent
6332331110 (1)
55390005810 (4)
0641149535 (1)
0074492133 (8)
Calcium Chloride
Cordarone
Phenergan
Epinephrine
Ipratropium Bromide
Inhal.
Calcium Chloride
Amiodarone
Promethazine
Epinephrine
0074780902 (1)
Intropin
Dopamine
0186063601 (1)
049-4903-34 (4)
0338-0409-02 (1)
0186033036 (1)
1001902802 (2)
6505011749919 (2)
Lasix
Lidocaine
Lidocaine
Lidocaine
Versed
Mark I kit
Each Kit Contains:
AtroPen
Pralidoxime
Chloride Auto Inj.
Furosemide
Lidocaine
Lidocaine
Lidocaine
Midazolam
Nerve Agent
Antidote kit
Atropine Sulfate
Pralidoxime
Chloride
6505009269083 (1)
6505011253248 (1)
Sol. 2.5 ml
0.5mg
4.46 meq/10 cc
150mg/3ml
25 mg/1 ml
1:10,000
1mg/10ml
400mg/250ml
D5W
100mg/10ml
100mg/5ml
1GM/250ml D5W
2 % jelly
10mg/2ml
btl
2mg/0.7ml
600mg/2ml
Auto inject
Auto inject
vial
vial
amp
preject
premix bag
preject
preject
premix bag
tube
vial
0065-0741-12 (1)
0548-1052-00 (2)
0517501901 (1)
Tetracaine
Opthalmic
Sodium Bicarb
Sodium Thiosulfate
6332330201 (2)
0781-3057-14
Vasopressin
Zofran
Tetracaine
Opthalmic
Sodium Bicarbonate
Sodium Thiosulfate
25%
Vasopressin
Ondansetron
ALS DRUG BAG COMPARTMENT FOR EMT-P, EMT-I
ACCESS ONLY
0071425940 (1)
Benadryl
Diphenhydramine
0074789801 (1)
Dextrose
Dextrose
0074490233 (2)
Dextrose
Dextrose
0002145001 (2)
Glucagon
Glucagon
0517113001 (1)
Epinephrine
Epinephrine
00641016825 (2)
Morphine
Morphine Sulfate
0590036813 (2)
Narcan
Naloxone
0085020901 (4)
Proventil
Albuterol Inhal.
Soln.
63323-186-10 (1)
Sodium Chloride
Sodium Chl.for inj.
0409-1273-32 (1) Valium
Diazepam
BLS DRUG BAG COMPARTMENT FOR EMT-P, EMT-I, EMTB ACCESS ONLY
37205046768 (4)
Chewable Baby
Chewable ASA
Aspirin
0268030101 (1)
EpiPen
EpiPen
0268030201 (1)
EpiPen Jr.
EpiPen Jr.
0071057013 (1)
Nitrostat
Nitroglycerin
0.5% 1ml
dropper
8.4% 50meq/50ml preject
12.5g/50ml
vial
20 mg/ml
4mg/ml
vial
Vial
50mg/ml
25% 2.5Gm/10ml
50% 25GM/50ml
1 u (1mg)/diluent
1:1,000 30 ml
5 mg
2mg/2ml
2.5mg/3 ml
vial
preject
preject
vial
m/d vial
vial
syringe
btl
0.9% 10 ml
10mg/2ml
vial
vial
81 mg
tablet
0.3 mg 1:1000
0.15 mg 1:2000
0.4mg tab #25
autoinjector
autoinjector
btl
GREATER MIAMI VALLEY EMS COUNCIL
Drug Box Exchange Program
AUTHORIZED DRUG LIST FOR 2008 STANDING
ORDERS
OPTION #2: EMT-P ACCESS ONLY
PARAMEDICS ADMINISTERING THESE DRUGS MUST HAVE SIGNED PERMISSION OF
THEIR
MEDICAL DIRECTOR ON FILE WITH THE GREATER MIAMI VALLEY EMERGENCY MEDICAL
SERVICES COUNCIL
5107952220
Vibramycin
Doxycycline
100 mg
tab/capsules
11098050701
Cyanide Kit
Cyanide Kit
package
0517501901
049502-0550
395080704
670033071
7168371012
0000744104
46037406
26851348
010926 020
Contains: (1) Amyl Nitrite pearl
(1) Sodium Nitrite 300 mg Ampule
(1) Sodium Thiosulfate 50 ml 25% soln
Cyanokit
Hydroxocobalamin
Epsom Salts
Magnesium Sulfate 4 lb
Maalox
12 oz
Mylanta
12 oz
Nitroglycerin drip
Nitroglycerin drip
50mg/10ml
2-PAM
Pralidoxime
1000 mg
Cipro
Ciprofloxacin
500 mg
Nitrous Oxide
Nitrous Oxide
For EMT-B, I, or P administration
0173046300 (1)
Ventolin
Albuterol
6.8 gram
OPTION #3 SEDATE TO INTUBATE PROTOCOL
Only personnel with the training below may perform SEDATE TO INTUBATE
PROTOCOL.
package
btl
btl
vial
vial
tablet
gas
inhaler
The Department must have:
1) Participation in a Standardized Training Program
2) Department Medical Director
approval
3) Department Administration approval and agreement to purchase and maintain the approved
drugs.
4) A Performance Improvement Program specific to Sedate To Intubate, in addition to any other
PI/QI program.
5) Training/equipment and supplies necessary for use of Pertrach or other approved device, in
addition
to needle cricothyrotomy or endotracheal intubation.
6) End tidal CO2/capnography.
7) Pulse Oximetry.
8) Program for and proof of annual refresher training and skills testing.
Drugs in this section are to be used only when the above conditions are met.
74806001
Amidate
Etomidate
40 mg/20 ml
Syringe