Drugs that have to be dispensed in orginal bottle/packaging?

[trailerpark]

I'm looking for a good chart for retail that lists all the drugs that need to be dispensed in original bottle/packaging. I was browsing Pharmacist Letter and couldn't find a good list, just an article about why Pradaxa and other drugs need to stay in their original containers. Anyone have a good chart or resource that has what I'm looking for?

---

Members don't see this ad.

 

[zelman]

I'm looking for a good chart for retail that lists all the drugs that need to be dispensed in original bottle/packaging. I was browsing Pharmacist Letter and couldn't find a good list, just an article about why Pradaxa and other drugs need to stay in their original containers. Anyone have a good chart or resource that has what I'm looking for?

That info will be on the packaging itself. I would recommend that over relying on a potentially outdated list.

 

[Ackj]

As a tip, put tape over the product before you put the label on, just in case the patient never shows, doesn't need it, copay too high, etc. That way you can take their label off without ruining the original packaging.

 

[trailerpark]

I'm trying to find a list so I don't have to look at every bottle we have in the retail pharmacy to make the list for the staff. I'm surprised Pharmacist Letter didn't have one, but if anyone has a list, let me know.

 

[StellargalS]

I recognize you are looking for a general reference but this is just a critical friendly reminder worth mentioning re: dispensing in the original container. Viread hence Truvada/Atripla/Complera/Strilbid and Crixivan. Thanks

 

[nextyearrx]

Aggrenox !!

 

[zelman]

There are also plenty of medications that expire shortly after opening. So, while you can dispense liquid trileptal in any packaging you like (glass bottle, plastic bottle, bread bowl, etc) the remainder will expire 7 weeks later. If you do find a list, make sure you know what sorts of restrictions it is addressing, specifically.

 

[unichick512]

http://pharmacytechniciansletter.th...k=1&cs=&s=PTL&is=022012&vo=1&dd=270302&vodd=7

 

[zelman]

http://pharmacytechniciansletter.th...k=1&cs=&s=PTL&is=022012&vo=1&dd=270302&vodd=7

That list is a good starting point, but very incomplete. Liquid furosemide was missing, for example. Also, Mephyton should not be dispensed in original packaging. Giving people 100 tabs is going to end up creating problems with their warfarin therapy.

 

[npage148]

Pretty sure ventolin needs to be dispensed in the original container

 

[DelPharm]

Prasugrel. I believe it has a 30 day shelf life once opened

 

[StellargalS]

Aggrenox !!

True enough but, I can't figure out why. So much useless crap in the PI but never the good stuff.


http://dailymed.nlm.nih.gov/dailyme...8ab0b5-8377-404a-8f61-5c630bda5932#section-11

AGGRENOX capsules are supplied in unit-of-use bottles of 60 capsules (NDC 0597-0001-60).

Store at 25°C (77°F); excursions permitted to 15°-30°C (59°-86°F) [see USP Controlled Room Temperature]. Protect from excessive moisture.

 

[StellargalS]

PRADAXA 150 mg capsules have a light blue opaque cap imprinted with the Boehringer Ingelheim company symbol and a cream-colored opaque body imprinted with "R150". The color of the imprinting is black. The capsules are supplied in the packages listed:

• NDC 0597-0135-54 Unit of use bottle of 60 capsules
• NDC 0597-0135-60 Blister package containing 60 capsules (10 x 6 capsule blister cards)

Bottles

Store at 25°C (77°F); excursions permitted to 15°-30°C (59°-86°F). Once opened, the product must be used within 4 months. Keep the bottle tightly closed. Store in the original package to protect from moisture.

Blisters

Store at 25°C (77°F); excursions permitted to 15°-30°C (59°-86°F). Store in the original package to protect from moisture.

Keep out of the reach of children.



http://dailymed.nlm.nih.gov/dailyme...74e3cd-b06f-4145-b284-5fd6b84ff3c9#nlm34069-5

 

[Ackj]

True enough but, I can't figure out why. So much useless crap in the PI but never the good stuff.


http://dailymed.nlm.nih.gov/dailyme...8ab0b5-8377-404a-8f61-5c630bda5932#section-11

AGGRENOX capsules are supplied in unit-of-use bottles of 60 capsules (NDC 0597-0001-60).

Store at 25°C (77°F); excursions permitted to 15°-30°C (59°-86°F) [see USP Controlled Room Temperature]. Protect from excessive moisture.

Probably the moisture thing, there's a fancy desiccant in the cap.

 

[StellargalS]

I am underemployed this is good for me

16.2 Storage and Handling
Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP controlled room temperature].

Dispense and keep product in original container. Keep container closed and do not remove desiccant from bottle. Do not break the tablet.

Prasugrel. I believe it has a 30 day shelf life once opened

I didn't see the 30 day exp but I didn't scour.


http://dailymed.nlm.nih.gov/dailyme...e9c118-c44b-48d7-a142-9668ae3df0c6#nlm34069-5

 

[StellargalS]

Pretty sure ventolin needs to be dispensed in the original container

Yeah, that and NuLytley

 

[type b pharmD]

I'm looking for a good chart for retail that lists all the drugs that need to be dispensed in original bottle/packaging. I was browsing Pharmacist Letter and couldn't find a good list, just an article about why Pradaxa and other drugs need to stay in their original containers. Anyone have a good chart or resource that has what I'm looking for?

You dont really need a chart for this. 99% of your fills that need original packaging will be aggrenox, dabigatran, prasugrel, and the antivirals.. and of course nitro!

Other stuff will be so rare that youll read the printout or alerts or whatever on the fly anyway.

I have seen brilinta go either way depending on who im working with

 

[npage148]

Arthrotec and accutane

 

[type b pharmD]

Arthrotec and accutane

Yes but on drugs like these, it is fairly obvious from the box.

Giant, elaborately designed packaging that is clearly meant for the patient (ie chantix , accutane) .. you wouldnt think to repackage them in the first place.

(Not trying to dismiss you npage148, this is meant for OP)

 

[Ackj]

Imagine the mess it would be if you didn't dispense Natazia in the original container, just put them all in a vial? Good look taking the right pill on the right day.

 

[DelPharm]

I am underemployed this is good for me

16.2 Storage and Handling
Store at 25°C (77°F); excursions permitted to 15° to 30°C (59° to 86°F) [see USP controlled room temperature].

Dispense and keep product in original container. Keep container closed and do not remove desiccant from bottle. Do not break the tablet.


I didn't see the 30 day exp but I didn't scour.


http://dailymed.nlm.nih.gov/dailyme...e9c118-c44b-48d7-a142-9668ae3df0c6#nlm34069-5

I called the manufacturer as part of a project during a rotation, that's where I got the 30 days from(not sure if its correct). I was pretty pleased with how informative they were, might not be a bad idea to call them up if you have questions outside what's listed on he packaging.

 

[trailerpark]

Wow, all good info here. Anyone here or a tech you worked with ever repackage something that was supposed to be kept in its original container? How'd you handle it?

 

[npage148]

It her hands with a yard stick. The nuns were onto something in that respect

 

[StellargalS]

Wow, all good info here. Anyone here or a tech you worked with ever repackage something that was supposed to be kept in its original container? How'd you handle it?

Put it back in the original bottle with the desiccant, "confirm" unit-of-use qty dispensed with sharpie notation i.e. #30, label and consult for "reassurance of integrity." Back when Crixivan used to move we had to accommodate disp qty based on drug interactions that sometimes resulted in non-unit-of-use qty dispensed. This is how we "handled" it as well. Here we "changed" the unit-of-use qty dispensed with sharpie notation to reflect/acknowledge the difference. McGyver pharmacy practice. The HIV patient population that I have worked with over the years are cared for by a core group of excellent providers. Back when "cocktails" contained enough gelatin to serve the protein reqs for a meal people dragged their bottles to Dr appointments. Docs where accustomed to these notations and concurred on the practice. Right or wrong this is what we did. No longer relevant.

 

[zelman]

Wow, all good info here. Anyone here or a tech you worked with ever repackage something that was supposed to be kept in its original container? How'd you handle it?

Repackage, and educate the tech.

 

[HouTX]

cabergoline

 

[bananaface]

Effient and zarfirleukast can be added to the list.