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90_SB0694eng 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 Engrossed 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 Engrossed -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 Engrossed -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, 5orpodiatrist, 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 Engrossed -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 Engrossed -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 Engrossed -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 Engrossed -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, 27orpodiatrist, 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 Engrossed -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 Engrossed -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 Engrossed -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.