680-X-2-.26 .01ER Emergency Prescription Refills.
(1) If a pharmacist received a request for a prescription refill, the original of which is maintained in the pharmacy files, and the pharmacist is unable to readily obtain refill authorization from the prescriber, the pharmacist may dispense a one-time emergency refill of up to a 72 hour supply of the prescribed medication, provided that:
(a) The prescription is not a medicinal agent listed in Schedule II appearing in Title 20 Chapter 2.
(b) The prescription is not a medicinal agent listed in Schedule III appearing in Title 20 Chapter 2.
(c) The medication is essential to the maintenance of life or the continuation of therapy in a chronic condition including but not limited to drugs listed in the following categories, according to the latest edition of Facts and Comparisons, U.S.P./N.F., P.D.R. or A.M.A. Drug evaluation:
1. Blood Modifiers
(i) Iron Products
(ii) Oral Iron
(II) Parenteral Iron
(III) Iron Combinations (with Vitamins, with Liver, with B12 and Intrinsic Factor)
(ii) Folic Acid
(I) Leucovorin Calcium
(iii) Vitamin B12
(I) Cyanocobalamin
(II) Hydroxocobalamin
(III) Liver Preparations
(iv) Vitamin K
(v) Recombinant Human Erythropoietin
(vi) Colony Stimulating Factors
(I) Filgrastim
(II) Sargramostim
(vii) Antiplatelet Agents
(I) Dipyridamole
(II) Ticlopidine
(vii) Anticoagulants
(I) Heparin
(II) Coumarin and Indandione Derivatives
(ix) Heparin Antagonist
(I) Protamine Sulfate
(x) Tissue Plasminogen Activator
(xi) Thrombolytic Enzymes
(xii) Hemorheologic Agent
(xiii) Antithrombin
(xiv) Antihemophilic Products
(I) Antihemophilic factor
(II) Anti-inhibitor coagulant complex
(III) Factor IX complex (Human)
(xv) Hemostatics
(I) Systemic
(II) Topical
(xvi) Plasma Protein Fractions
(xvii) Dextran Adjunct
(xviii) Plasma Expanders
(xix) Perfluorochemical Emulsion
(xx) Hemin
2. Hormones
(i) Sex Hormones
(I) Estrogens
(II) Progestins
(III) Estrogens and Progestins, Combined
(IV) Oral Contraceptives
(V) Levonorgestrel Implant
(VI) Intrauterine Progesterone
(VII) Androgens
(VIII) Anabolic Steroids
(IX) Estrogen and Androgen Combinations
(X) Ovulation Stimulants
(XI) Gonadotropins
(XII) Chorionic Gonadotropin
(XIII) Gonadotropin Releasing Hormones
(XIV) Danazol
(ii) Growth Hormone
(iii) Pituitary (Growth Hormone) Test
(iv) Octreotide Acetate
(v) Posterior Pituitary Hormones
(I) Vasopressin Derivatives
(II) Oxytocics
(vi) Uterine Relaxant
(vii) Abortifacients
(I) Prostaglandins
(II) Sodium Chloride
(viii) Adrenal Cortical Steroids
(I) Corticotropin (ACTH)
(II) Mineralocorticoids
(III) Glucocorticoids
(ix) Adrenal Steroid Inhibitors
(x) Pituitary Function Test
(xi) Antidiabetic Agents
(I) Insulin
(II) Sulfonylureas
(xii) Glucose Elevating Agents
(I) Glucagon
(II) Diazoxide
(III) Glucose
(xiii) Alglucerase
(xiv) Thyroid Drugs
(I) Thyroid Hormones
(II) Iodine Products
(III) Antithyroid Agents
(xv) Calcitonin
(xvi) Etidronate Disodium
(xvii) Gallium Nitrate
3. Diuretics and Cardiovasculars
(i) Diuretics
(I) Carbonic Anhydrase Inhibitors
(II) Thiazides and Related Diuretics
(III) Loop Diuretics
(IV) Potassium Sparing Diuretics
(V) Diuretics Combinations
(VI) Osmotic Diuretics
(VII) Nonprescription Diuretics
(ii) Cardiac Glycosides
(iii) Amrinone
(iv) Antianginal Agents
(I) Combinations
(v) Antiarrhythmic Agents
(vi) Calcium Channel Blocking Agents
(vii) Peripheral Vasodilators
(I) Combinations
(viii) Drugs used in shock
(ix) Beta-Adrenergic Blocking Agents
(x) Alpha-Beta Adrenergic Blocking Agents
(xi) Antihypertensives
(I) Antiadrenergic Agents
I. Centrally Acting
II. Peripherally Acting
(II) Vasodilators
(III) Angiotensin Converting Enzyme Inhibitors
(IV) Agents for Pheochromocytoma
(V) Agents for Hypertensive Emergencies
(VI) Miscellaneous Agents
(VII) Combinations
(xii) Potassium Removing Resins
(xiii) Cardioplegia Solution
(xiv) Salt Substitutes
(xv) Edentate Disodium
(xvi) Antihyperlipidemic Agents
4. Respiratory Drugs
(i) Bronchodilators
(I) Sympathomimetics
(II) Xanthine Derivatives
(ii) Respiratory Inhalant Products
(I) Corticosteroids
(II) Mucolytics
(III) Anticholinergics
(IV) Miscellaneous
(iii) Nasal Decongestants
(I) Combinations
(iv) Intranasal Steroids
(v) Alpha Proteinase Inhibitor
(vi) Lung Surfactants
(vii) Antihistamines
(I) Miscellaneous Preparations
(II) Combined Preparations
(viii) Antitussives
(I) Narcotic
(II) Nonnarcotic
(ix) Expectorants
(x) Respiratory Combination Products
(I) Antiasthmatic Combinations
I. Xanthine Combinations
A. Capsules and Tablets
B. Liquids
II. Xanthine Sympathomimetic Combinations
A. Capsules and Tablets
B. Liquids
(xi) Upper Respiratory Combinations
(I) Decongestant Combinations
(II) Pediatric Decongestant Combinations
(III) Antihistamine and Analgesic Combinations
(IV) Decongestants and Antihistamines
I. Sustained Release
II. Pediatric sustained release
III. Capsules and Tablets
IV. Liquids
V. Pediatric
(V) Decongestant, Antihistamine and Analgesic
I. Pediatric
(VI) Decongestant, Antihistamine and Anticholinergic
I. Sustained release
II. Miscellaneous
III. Pediatric
(VII) Cough Preparations
I. Antitussive combinations
A. Capsules and Tablets
B. Liquids
II. Expectorant Combinations
A. Capsules and Tablets
B. Liquids
III. Antitussive and Expectorants
A. Narcotic
B. Nonnarcotic
IV. Antitussive and Expectorant Combinations
A. With Decongestants
B. With Antihistamines
C. With Decongestants and Antihistamines
V. Pediatric
5. Central Nervous System Drugs
(i) CNS Stimulants
(I) Analeptics
(II) Amphetamines
(III) Anorexiants
(IV) Nonprescription Diet Aids
(ii) Analgesics
(I) Narcotic Agonist Analgesics
(II) Narcotic Anagenic Combinations
(III) Narcotic Agonist-Antagonist Analgesics
(IV) Central Analgesics
(V) Acetaminophen
(VI) Salicylates
(VII) Nonnarcotic Analgesic Combinations
(VIII) Nonsteroid Anti-Inflammatory Agents
(IX) Antirheumatic Agents
(X) Agents for Gout
(XI) Agents for Migraines
I. Combinations
(iii) Antiemetic/Antivertigo Agents
(I) Antidopaminergics
(II) Anticholinergics
(III) Miscellaneous
(IV) Combinations
(iv) Psychotherapeutic Drugs
(I) Antianxiety Agents
I. Benzodiazepines
II. Miscellaneous
(II) Antidepressants
I. Tricyclics
II. MAO Inhibitors
(III) Antipsychotic Agents
I. Phenothiazines
II. Thioxanthenes
(IV) Miscellaneous Psychotherapeutic Agents
I. Agents
(V) Sedative and Hypnotics
(VI) Nonbarbiturates
I. Benzodiazepines
(VII) Nonprescription Sleep Aids
(VIII) Barbiturates
(v) General Anesthetics
(I) Barbiturates
(II) Nonbarbiturates
(III) Gases
(IV) Volatile Liquids
(vi) Anticonvulsants
(I) Hydantoins
(II) Succinimides
(III) Oxazolidinediones
(IV) Benzodiazepines
(V) Miscellaneous
(vii) Muscle Relaxants
(I) Adjuncts to Anesthesia
I. Nondepolarizing Agents
II. Depolarizing Agents
(II) Skeletal
(III) Skeletal Combinations
(viii) Antiparkinson Agents
(I) Anticholinergics
6. Gastrointestinal Drugs
(i) Antacids
(I) Combinations
(ii) Sucralfate
(iii) Gastrointestinal Anticholinergics/Antispasmodics
(I) Combinations
(iv) Histamine H2 Antagonists
(v) Prostaglandins
(vii) GI Stimulants
(I) Metoclopramide
(II) Dexpanthenol
(viii) Digestive Enzymes
(ix) Gastric Acidifiers
(x) Choleretics
(xi) Hydrocholeretics
(I) Combinations
(xii) Miscellaneous Digestive Products
(xiii) Gallstone Solubilizing Agents
(I) Chenodiol
(II) Ursodiol
(III) Monoctanoin
(xiv) Laxatives
(I) Saline
(II) Stimulant
(III) Bulk
(IV) Emollient
(V) Fecal Softeners
(VI) Hyperosmolar Agents
(VII) Enemas
(VIII) C02 Releasing Suppositories
(IX) Bowel Evacuants
(X) Lactulose
(XI) Combinations
(xv) Antidiarrheals
(I) Diphenoxylate/Atropine
(II) Loperamide
(III) Bismuth Subsalicylate
(IV) Combinations
(xvi) Mesalamine
7. Antineoplastic Agents
(i) Chemotherapeutic Regimens
(ii) Alkylating Agents
(I) Nitrogen Mustards
I. Mechlorethamine HCI
II. Chlorambucil
III. Melphalan
IV. Cyclophosphamide
V. Uracil Mustard
(II) Nitrosoureas
I. Lomustine
II. Carmustine
III. Streptococci
(III) Thiotepa
(IV) Busulfan
(V) Pipobroman
(VI) Cisplatin
(iii) Antimetabolite
(I) Methotrexate
(II) Fluorouracil and Floxuridine
(III) Cytarabine
(IV) Mercaptopurine
(V) Thioguanine
(iv) Hormones
(I) Androgens
I. Testolactone
(II) Progestins
I. Megestrol Acetate
II. Medroxyprogesterone Acetate
(III) Estrogens
I. Diethylstilbestrol Diphosphate
II. Polyestradiol Phosphate
(IV) Estrogen/Nitrogen Mustard
I. Estramustine Phosphate
(V) Antiestrogen
I. Tamoxifen
(VI) Gonadotropin Hormone-Releasing Antigen
I. Leuprolide Acetate
(v) Antibiotics
(I) Bleomycin Sulfate
(II) Doxorubicin HCI
(III) Daunorubicin HCI
(IV) Mitoxantrone HCI
(V) Mitomycin
(VI) Dactinomycin
(VII) Plicamycin
(vi) Mitotic Inhibitors
(I) Etoposide
(II) Vincristine Sulfate
(III) Vinblastine Sulfate
(vii) Radiopharmaceuticals
(I) Solium Iodide I
(II) Sodium Phosphate P
(III) Chromic Phosphate P
(viii) Miscellaneous
(I) Interferon Alfa-2a
(II) Interferon Alfa-2b
(III) Hydroxyurea
(IV) Procarbazine HCI
(V) Dacarbazine
(VI) Mitotane
(VII) Asparaginase
(vix) NCI Investigational Agents
(d) The dispensing pharmacist creates a written prescription order containing all of the prescription information required by federal and state statutes, rules and regulations.
(e) The dispensing pharmacist notifies the prescriber orally or in writing of the emergency dispensing within seventy-two (72) hours after such dispensing.
(2) This rule is adopted jointly by the Board of Pharmacy and Board of Medical Examiners.
(3) Only during the State of Emergency as declared by the Governor of the State of Alabama relating to the COVID-19 virus, the Alabama Board of Pharmacy will authorize pharmacists to process emergency prescription refills for a 30-day supply of maintenance medications under the following requirements:
1) The pharmacist is unable to readily obtain refill authorization from the prescribes
2) The original prescription is maintained in the dispensing pharmacy's files.
3) The prescription is not a medicinal agent listed in Schedule II.
4) The medication is essential to the maintenance of life or the continuation of therapy in a chronic condition.
5) The dispensing pharmacist creates a written prescription order containing all of the prescription information required by federal and state statutes/ rules and regulations.
6) The dispensing pharmacist notifies the prescriber orally or in writing of the emergency dispensing within seventy-two (72) hours after such dispensing.
Author:Jerry Moore;Donna C. Yeatman, R.Ph. Executive Secretary
Statutory Authority:Code of Ala. 1975, §34-23-92.
History: Adopted: October 5, 1993; effective November 25, 1993.
Emergency Amendment March 23, 2020 effective until July 21, 2020
Emergency Amendment: Refiled April 21, 2021 Effective until August 26, 2021