State of Illinois
90th General Assembly
Legislation

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90_SB0694enr

      225 ILCS 85/3             from Ch. 111, par. 4123
          Amends the Pharmacy Practice Act of 1987  to  expand  the
      definition  of  "prescription"  to  include  orders for drugs
      issued by therapeutically certified optometrists.
                                                    LRB9000082DPccA
SB694 Enrolled                                LRB9000082DPccA
 1        AN ACT to amend the Pharmacy  Practice  Act  of  1987  by
 2    changing Section 3.
 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:
 5        Section 5.  The Pharmacy Practice Act of 1987 is  amended
 6    by changing Section 3 as follows:
 7        (225 ILCS 85/3) (from Ch. 111, par. 4123)
 8        (Text of Section before amendment by P.A. 89-507)
 9        Sec. 3. Definitions.  For the purpose of this Act, except
10    where otherwise limited therein:
11        (a)  "Pharmacy"  or  "Drugstore" means and includes every
12    store, or shop, pharmacy department, or  other  place  where:
13    (l)  pharmaceutical  care is provided by a pharmacist; or (2)
14    drugs, medicines,  or  poisons  are  dispensed,  or  sold  or
15    offered  for sale at retail; or displayed for sale at retail;
16    or  (3)  where   prescriptions   of   physicians,   dentists,
17    veterinarians, or other persons authorized to prescribe drugs
18    within  the  limits of their licenses are compounded, filled,
19    or dispensed; or (4) which has upon it  or  displayed  within
20    it,  or  affixed  to  or  used  in connection with it, a sign
21    bearing  the  word   or   words   "Pharmacist",   "Druggist",
22    "Pharmacy",   "Apothecary",  "Drugstore",  "Medicine  Store",
23    "Prescriptions", "Drugs", "Medicines", or any word  or  words
24    of  similar or like import, either in the English language or
25    any  other  language;  or  (5)   where   the   characteristic
26    prescription sign (Rx) or similar design is exhibited; or (6)
27    any  store, or shop, or other place with respect to which any
28    of the above words, objects, signs or designs are used in any
29    advertisement.
30        (b)  "Drugs" means and includes (l)  articles  recognized
31    in   the   official   United   States  Pharmacopoeia/National
SB694 Enrolled              -2-               LRB9000082DPccA
 1    Formulary (USP/NF),  or  any  supplement  thereto  and  being
 2    intended  for  and  having  for their main use the diagnosis,
 3    cure, mitigation, treatment or prevention of disease  in  man
 4    or  other  animals, as approved by the United States Food and
 5    Drug Administration, but does not include  devices  or  their
 6    components, parts, or accessories; and (2) all other articles
 7    intended  for  and  having  for their main use the diagnosis,
 8    cure, mitigation, treatment or prevention of disease  in  man
 9    or  other  animals, as approved by the United States Food and
10    Drug Administration, but does not include  devices  or  their
11    components,  parts,  or  accessories; and (3) articles (other
12    than food) having for their main use and intended  to  affect
13    the  structure  or  any  function of the body of man or other
14    animals; and (4) articles  having  for  their  main  use  and
15    intended  for use as a component or any articles specified in
16    clause (l), (2) or (3); but does not include devices or their
17    components, parts or accessories.
18        (c)  "Medicines" means and includes  all  drugs  intended
19    for  human  or  veterinary  use approved by the United States
20    Food and Drug Administration.
21        (d)  "Practice  of  pharmacy"  means  the  provision   of
22    pharmaceutical care to patients which may include, but is not
23    limited  to,  (1)  patient counseling, (2) interpretation and
24    assisting in the  monitoring  of  appropriate  drug  use  and
25    prospective    drug   utilization   review,   (3)   providing
26    information  on  the  therapeutic  values,  reactions,   drug
27    interactions,  side  effects,  uses, selection of medications
28    and  medical  devices,  and  outcome  of  drug  therapy,  (4)
29    participation  in  drug  selection,  drug  monitoring,   drug
30    utilization      review,      evaluation,     administration,
31    interpretation, and applying pharmacokinetic  and  laboratory
32    data  to  design  safe  and  effective drug regimens and drug
33    research (clinical and scientific)  when  applicable  in  the
34    pharmacist's  professional  judgment, and (6) compounding and
SB694 Enrolled              -3-               LRB9000082DPccA
 1    dispensing of drugs and medical devices.
 2        (e)  "Prescription" means  and  includes  any  order  for
 3    drugs  or  medical devices, issued by a physician licensed to
 4    practice medicine in all its branches, dentist, veterinarian,
 5    or  podiatrist,  or  therapeutically  certified  optometrist,
 6    containing the following: (l) Name of the patient;  (2)  date
 7    when prescription was given; (3) name and strength of drug or
 8    description   of  the  medical  device  prescribed;  and  (4)
 9    quantity, (5) directions  for  use,  (6)  prescriber's  name,
10    address and signature, and (7) DEA number where required, for
11    controlled  substances.  DEA numbers shall not be required on
12    inpatient drug orders.
13        (f)  "Person"  means  and  includes  a  natural   person,
14    copartnership, association, or corporation.
15        (g)  "Department"  means  the  Department of Professional
16    Regulation.
17        (h)  "Board of Pharmacy" or "Board" means the State Board
18    of Pharmacy of the Department of Professional Regulation.
19        (i)  "Director"  means  the  Director   of   Professional
20    Regulation.
21        (j)  "Drug product selection" means the interchange for a
22    prescribed  pharmaceutical product in accordance with Section
23    25 of this Act and Section 3.14 of the  Illinois  Food,  Drug
24    and Cosmetic Act.
25        (k)  "Inpatient  drug  order" means an order issued by an
26    authorized prescriber for a resident or patient of a facility
27    licensed under the Nursing Home  Care  Act  or  the  Hospital
28    Licensing  Act,  or  "An  Act in relation to the founding and
29    operation of the University  of  Illinois  Hospital  and  the
30    conduct  of  University  of  Illinois  health care programs",
31    approved July 3, 1931, as amended, or  a  facility  which  is
32    operated by the Department of Mental Health and Developmental
33    Disabilities or the Department of Corrections.
34        (l)  "Pharmacist in charge" means the licensed pharmacist
SB694 Enrolled              -4-               LRB9000082DPccA
 1    whose  name  appears on a pharmacy license who is responsible
 2    for all aspects of the operation related to the  practice  of
 3    pharmacy.
 4        (m)  "Dispense"  means  the delivery of drugs and medical
 5    devices, in accordance with applicable State and federal laws
 6    and  regulations,   to   the   patient   or   the   patient's
 7    representative   authorized   to   receive   these  products,
 8    including the compounding, packaging, and labeling  necessary
 9    for delivery, and any recommending or advising concerning the
10    contents and therapeutic values and uses thereof.
11        (n)  "Mail-order  pharmacy"  means  a  pharmacy  that  is
12    located in a state of the United States, other than Illinois,
13    that  delivers,  dispenses or distributes, through the United
14    States Postal Service or other common  carrier,  to  Illinois
15    residents, any substance which requires a prescription.
16        (o)  "Compounding"   means   the   preparation,   mixing,
17    assembling,  packaging,  or  labeling  of  a  drug or medical
18    device: (1) as the result of  a  practitioner's  prescription
19    drug  order  or  initiative  that  is dispensed pursuant to a
20    prescription in the course of professional practice;  or  (2)
21    for  the  purpose  of, or incident to, research, teaching, or
22    chemical  analysis  and  not  for  sale   or   dispensing   a
23    prescriber's  order;  or  (3)  the  preparation  of  drugs or
24    medical devices in anticipation of prescription  drug  orders
25    based on routine, regularly observed prescribing patterns.
26        (p)  "Confidential    information"   means   information,
27    maintained  by  the  pharmacist  in  the  patient's  records,
28    released only (i) to the patient or, as the patient  directs,
29    to  other  practitioners and other pharmacists or (ii) to any
30    other person or governmental  agency  authorized  by  law  to
31    receive the information.
32        (q)  "Prospective   drug  review"  or  "drug  utilization
33    evaluation" means a review of  the  screening  for  potential
34    drug   therapy   problems  due  to  therapeutic  duplication,
SB694 Enrolled              -5-               LRB9000082DPccA
 1    drug-disease   contraindications,   drug-drug    interactions
 2    (including   serious  interactions  with  nonprescription  or
 3    over-the-counter drugs), incorrect drug dosage or duration of
 4    drug treatment, drug-allergy interactions, and clinical abuse
 5    or misuse.
 6        (r)  "Patient counseling"  means  the  offer  to  counsel
 7    shall  be made by the pharmacist or the pharmacist's designee
 8    in a face-to-face communication with the patient, unless,  in
 9    the  professional  judgment  of  the pharmacists it is deemed
10    inappropriate or unnecessary. In such instances, it would  be
11    permissible  for the offer to counsel to be made in a written
12    communication, by telephone or in a manner determined by  the
13    pharmacist to be appropriate.
14        (s)  "Patient  profiles" or "patient drug therapy record"
15    means the obtaining, recording, and  maintenance  of  patient
16    information.
17        (t)  "Pharmaceutical  care"  includes, but is not limited
18    to, the act of monitoring drug use  and  other  patient  care
19    services  intended  to  achieve  outcomes  that  improve  the
20    patient's  quality  of life but shall not include the sale of
21    over-the-counter drugs by a seller of goods and services  who
22    does not dispense prescription drugs.
23        (u)  "Medical  device"  means  an  instrument, apparatus,
24    implement, machine, contrivance, implant, in  vitro  reagent,
25    or  other similar or related article, including any component
26    part or accessory, required under federal  law  to  bear  the
27    label  "Caution: Federal law requires dispensing by or on the
28    order of a physician". A seller of goods  and  services  who,
29    only  for  the  purpose  of  retail  sales, compounds, sells,
30    rents, or  leases  medical  devices  shall  not,  by  reasons
31    thereof, be required to be a licensed pharmacy.
32    (Source: P.A. 89-202, eff. 7-21-95.)
33        (Text of Section after amendment by P.A. 89-507)
34        Sec. 3. Definitions.  For the purpose of this Act, except
SB694 Enrolled              -6-               LRB9000082DPccA
 1    where otherwise limited therein:
 2        (a)  "Pharmacy"  or  "Drugstore" means and includes every
 3    store, or shop, pharmacy department, or  other  place  where:
 4    (l)  pharmaceutical  care is provided by a pharmacist; or (2)
 5    drugs, medicines,  or  poisons  are  dispensed,  or  sold  or
 6    offered  for sale at retail; or displayed for sale at retail;
 7    or  (3)  where   prescriptions   of   physicians,   dentists,
 8    veterinarians, or other persons authorized to prescribe drugs
 9    within  the  limits of their licenses are compounded, filled,
10    or dispensed; or (4) which has upon it  or  displayed  within
11    it,  or  affixed  to  or  used  in connection with it, a sign
12    bearing  the  word   or   words   "Pharmacist",   "Druggist",
13    "Pharmacy",   "Apothecary",  "Drugstore",  "Medicine  Store",
14    "Prescriptions", "Drugs", "Medicines", or any word  or  words
15    of  similar or like import, either in the English language or
16    any  other  language;  or  (5)   where   the   characteristic
17    prescription sign (Rx) or similar design is exhibited; or (6)
18    any  store, or shop, or other place with respect to which any
19    of the above words, objects, signs or designs are used in any
20    advertisement.
21        (b)  "Drugs" means and includes (l)  articles  recognized
22    in   the   official   United   States  Pharmacopoeia/National
23    Formulary (USP/NF),  or  any  supplement  thereto  and  being
24    intended  for  and  having  for their main use the diagnosis,
25    cure, mitigation, treatment or prevention of disease  in  man
26    or  other  animals, as approved by the United States Food and
27    Drug Administration, but does not include  devices  or  their
28    components, parts, or accessories; and (2) all other articles
29    intended  for  and  having  for their main use the diagnosis,
30    cure, mitigation, treatment or prevention of disease  in  man
31    or  other  animals, as approved by the United States Food and
32    Drug Administration, but does not include  devices  or  their
33    components,  parts,  or  accessories; and (3) articles (other
34    than food) having for their main use and intended  to  affect
SB694 Enrolled              -7-               LRB9000082DPccA
 1    the  structure  or  any  function of the body of man or other
 2    animals; and (4) articles  having  for  their  main  use  and
 3    intended  for use as a component or any articles specified in
 4    clause (l), (2) or (3); but does not include devices or their
 5    components, parts or accessories.
 6        (c)  "Medicines" means and includes  all  drugs  intended
 7    for  human  or  veterinary  use approved by the United States
 8    Food and Drug Administration.
 9        (d)  "Practice  of  pharmacy"  means  the  provision   of
10    pharmaceutical care to patients which may include, but is not
11    limited  to,  (1)  patient counseling, (2) interpretation and
12    assisting in the  monitoring  of  appropriate  drug  use  and
13    prospective    drug   utilization   review,   (3)   providing
14    information  on  the  therapeutic  values,  reactions,   drug
15    interactions,  side  effects,  uses, selection of medications
16    and  medical  devices,  and  outcome  of  drug  therapy,  (4)
17    participation  in  drug  selection,  drug  monitoring,   drug
18    utilization      review,      evaluation,     administration,
19    interpretation, and applying pharmacokinetic  and  laboratory
20    data  to  design  safe  and  effective drug regimens and drug
21    research (clinical and scientific)  when  applicable  in  the
22    pharmacist's  professional  judgment, and (6) compounding and
23    dispensing of drugs and medical devices.
24        (e)  "Prescription" means  and  includes  any  order  for
25    drugs  or  medical devices, issued by a physician licensed to
26    practice medicine in all its branches, dentist, veterinarian,
27    or  podiatrist,  or  therapeutically  certified  optometrist,
28    containing the following: (l) Name of the patient;  (2)  date
29    when prescription was given; (3) name and strength of drug or
30    description   of  the  medical  device  prescribed;  and  (4)
31    quantity, (5) directions  for  use,  (6)  prescriber's  name,
32    address and signature, and (7) DEA number where required, for
33    controlled  substances.  DEA numbers shall not be required on
34    inpatient drug orders.
SB694 Enrolled              -8-               LRB9000082DPccA
 1        (f)  "Person"  means  and  includes  a  natural   person,
 2    copartnership, association, or corporation.
 3        (g)  "Department"  means  the  Department of Professional
 4    Regulation.
 5        (h)  "Board of Pharmacy" or "Board" means the State Board
 6    of Pharmacy of the Department of Professional Regulation.
 7        (i)  "Director"  means  the  Director   of   Professional
 8    Regulation.
 9        (j)  "Drug product selection" means the interchange for a
10    prescribed  pharmaceutical product in accordance with Section
11    25 of this Act and Section 3.14 of the  Illinois  Food,  Drug
12    and Cosmetic Act.
13        (k)  "Inpatient  drug  order" means an order issued by an
14    authorized prescriber for a resident or patient of a facility
15    licensed under the Nursing Home  Care  Act  or  the  Hospital
16    Licensing  Act,  or  "An  Act in relation to the founding and
17    operation of the University  of  Illinois  Hospital  and  the
18    conduct  of  University  of  Illinois  health care programs",
19    approved July 3, 1931, as amended, or  a  facility  which  is
20    operated by the Department of Human Services (as successor to
21    the   Department   of   Mental   Health   and   Developmental
22    Disabilities) or the Department of Corrections.
23        (l)  "Pharmacist in charge" means the licensed pharmacist
24    whose  name  appears on a pharmacy license who is responsible
25    for all aspects of the operation related to the  practice  of
26    pharmacy.
27        (m)  "Dispense"  means  the delivery of drugs and medical
28    devices, in accordance with applicable State and federal laws
29    and  regulations,   to   the   patient   or   the   patient's
30    representative   authorized   to   receive   these  products,
31    including the compounding, packaging, and labeling  necessary
32    for delivery, and any recommending or advising concerning the
33    contents and therapeutic values and uses thereof.
34        (n)  "Mail-order  pharmacy"  means  a  pharmacy  that  is
SB694 Enrolled              -9-               LRB9000082DPccA
 1    located in a state of the United States, other than Illinois,
 2    that  delivers,  dispenses or distributes, through the United
 3    States Postal Service or other common  carrier,  to  Illinois
 4    residents, any substance which requires a prescription.
 5        (o)  "Compounding"   means   the   preparation,   mixing,
 6    assembling,  packaging,  or  labeling  of  a  drug or medical
 7    device: (1) as the result of  a  practitioner's  prescription
 8    drug  order  or  initiative  that  is dispensed pursuant to a
 9    prescription in the course of professional practice;  or  (2)
10    for  the  purpose  of, or incident to, research, teaching, or
11    chemical  analysis  and  not  for  sale   or   dispensing   a
12    prescriber's  order;  or  (3)  the  preparation  of  drugs or
13    medical devices in anticipation of prescription  drug  orders
14    based on routine, regularly observed prescribing patterns.
15        (p)  "Confidential    information"   means   information,
16    maintained  by  the  pharmacist  in  the  patient's  records,
17    released only (i) to the patient or, as the patient  directs,
18    to  other  practitioners and other pharmacists or (ii) to any
19    other person or governmental  agency  authorized  by  law  to
20    receive the information.
21        (q)  "Prospective   drug  review"  or  "drug  utilization
22    evaluation" means a review of  the  screening  for  potential
23    drug   therapy   problems  due  to  therapeutic  duplication,
24    drug-disease   contraindications,   drug-drug    interactions
25    (including   serious  interactions  with  nonprescription  or
26    over-the-counter drugs), incorrect drug dosage or duration of
27    drug treatment, drug-allergy interactions, and clinical abuse
28    or misuse.
29        (r)  "Patient counseling"  means  the  offer  to  counsel
30    shall  be made by the pharmacist or the pharmacist's designee
31    in a face-to-face communication with the patient, unless,  in
32    the  professional  judgment  of  the pharmacists it is deemed
33    inappropriate or unnecessary. In such instances, it would  be
34    permissible  for the offer to counsel to be made in a written
SB694 Enrolled              -10-              LRB9000082DPccA
 1    communication, by telephone or in a manner determined by  the
 2    pharmacist to be appropriate.
 3        (s)  "Patient  profiles" or "patient drug therapy record"
 4    means the obtaining, recording, and  maintenance  of  patient
 5    information.
 6        (t)  "Pharmaceutical  care"  includes, but is not limited
 7    to, the act of monitoring drug use  and  other  patient  care
 8    services  intended  to  achieve  outcomes  that  improve  the
 9    patient's  quality  of life but shall not include the sale of
10    over-the-counter drugs by a seller of goods and services  who
11    does not dispense prescription drugs.
12        (u)  "Medical  device"  means  an  instrument, apparatus,
13    implement, machine, contrivance, implant, in  vitro  reagent,
14    or  other similar or related article, including any component
15    part or accessory, required under federal  law  to  bear  the
16    label  "Caution: Federal law requires dispensing by or on the
17    order of a physician". A seller of goods  and  services  who,
18    only  for  the  purpose  of  retail  sales, compounds, sells,
19    rents, or  leases  medical  devices  shall  not,  by  reasons
20    thereof, be required to be a licensed pharmacy.
21    (Source: P.A. 89-202, eff. 7-21-95; 89-507, eff. 7-1-97.)
22        Section  95.   No  acceleration or delay.  Where this Act
23    makes changes in a statute that is represented in this Act by
24    text that is not yet or no longer in effect (for  example,  a
25    Section  represented  by  multiple versions), the use of that
26    text does not accelerate or delay the taking  effect  of  (i)
27    the  changes made by this Act or (ii) provisions derived from
28    any other Public Act.

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