laws
Drug Listing Act (1972)
Amends the Federal food, drug and cosmetic act
Prevents unfair or deceptive packages and labeling
Provides FDA with accurate list of all drugs manufactured, prepared, compounded or processed by drug establishment
Orphan Drug Act (1983)
Encouraged drug companies to develop drugs for rare diseases by providing research assistance grants and cost incentives to manufacturers
Diseases like aids, cancer or genetic
Comprehensive Drug Abuse Prevention and Control Act (1970)
Controlled Substance act
Formed the DEA
Enforces laws concerning controlled substances and distribution
Came from growing concern of use and abuse of amphetamines/barbiturates and other addictive agents
Health Insurance Portability Act and Accountability act
HIPAA
Federal act for protecting patient rights and establishing national standards for electronic healthcare communications and ensuring the security of health data
Confidentiality and Disclosure
Privacy Rights
Food and Drug Administration (1862)
Consists of chemist, physicians, veterinarians, lawyers, pharmacists, and microbiologists
Investigates the adulteration and misbranding of agricultural goods used for food and drugs
Harvey Wiley (1902)
Chief chemist changed FDA by established scientific authority by researching effects of chemical preservatives used in production of food and drugs
Focused research on: exposing potential hazards in products, paved the way for government regulation
In 1902, 13 children and 9 babies died after they were injected with a tainted batch of tetanus diphtheria antitoxins
Pure food and drug acts (1906)
The act stopped the sale of inaccurately labeled drugs, so you know exactly what you are getting
All manufacturers were required to have truthful information on the label prior to selling
Drugs had to meet the standards of strength, quality, and purity
Harrison Narcotic Act (1906)
Require practitioner registration, documentation regarding prescriptions and dispensing and implementation of restrictions regarding the importation, sale, and distribution of opium, cocoa leaves, and any derivative products
Could no longer purchase opium without a prescription and therefore harder to get for nonmedical purposes
Federal Food, Drug, and Cosmetic Act (1938)
Important concepts of this act were adulteration, misbranding and providing the legal status for the FDA. All addictive substances were required to be labeled
Manufacturers had to prove to the FDA that a drug was safe for use before marketing it
In 1937, a drug company advertised a sulfanilamide elixir for children. It was untested and more than 100 people died, chemical makeup was similar to antifreeze\
Durham-Humphrey Amendment (1951)
Made the initial distinction between legend drugs and OTC medications that do not require a physician's order
Required “caution: federal law prohibits dispensing without a prescription”
Kefauver-Harris Drug Amendment (1962)
Ensured safety and effectiveness of all new medications in the US Market. Needed to provide safety
Individual note of approval
FDA had the authority to approve a manufacturers marketing application before drug was available
Prevented sale of sedative thalidomide
Poison prevention Packaging act (1970)
Required manufacturers and pharmacies to place all medications in container with childproof caps or packaging
Include OTC and prescription medications, exception include physician request for non-childproof caps for patients; certain legend medications, hospitalized patients or specific patient request
Estimated 1.4 childhood death are prevented annually due to childproof caps
Drug Supply Chain Security Act
Amends Federal food, drug and cosmetic act
Prevents unfair or deceptive packaging
Introduced National Drug code (NDC) and provides FDA with accurate list of all drugs
Omnibus Budget Reconciliation Act (OBRA 87’)
Addressed problems regarding quality healthcare for the elderly and set requirements for facilities participating medicare and medicaid programs
Increasing number of elderly entering nursing homes, set standard care practices
Pharmacist musts offer consults
MEDICAID | MEDICARE |
Federal and state operated insurance program that covers health care costs and drugs for low income children, adults, elderly and those with disability | Federal and state managed insurance program that covers health care costs and Rx drugs for people older than 65, persons younger than 65 with long term disabilities and people with end-stage renal disease |
Anabolic Steroids Acts (1990)
Classified anabolic steroids as Class 3 controlled substances
Because of anabolic steroids are misused by athletes, this act helps enforce regulations on abuse
Drug addictions treatment acts (Data 2000) (2000)
Permit physicians to prescribe controlled substances (pre-approved by DEA) to individuals suffering from opioid addiction for detoxifications treatments
Certain controlled substances can reduce craving for opioids and prevents withdrawal symptoms
Patients must be in a treatment program, physicians must complete a trainer course and be certified by DEA, and can only treat 30 patients at once. After one year they can apply to treat up to 100 patients.
Medicare modernization Act (2003)
Provides a drug discount card to beneficiaries with low incomes who require pharmacy company assistance for abstaining medication
Allows dual coverage with Medicare and Medicaid
Part A (hospital) | Part B (medical) | Part C (Rx) |
Hospital stays, hospice, skilled nursing facility | Covers doctors visits, durable medical equipment (DME), clinical research, preventative service | Voluntary, helps with Rx coverage (shots and vaccines included) |
Combat Methamphetamine Act (2005)
Was a response to the diversion and misuse of pseudoephedrine (PSE) to make meth
Only a licensed pharmacist or technician may dispense, sell or distribute
Purchase limits: 3.6 grams daily, 9 grams monthly (2-3 boxes)
Must keep locked
Patient Protections and Affordable Care (Obamacare) (2010)
Makes preventative care more accessible and affordable for many Americans
Require insurance companies to cover all applicants with new minimum standards, including individuals with preexisting conditions.