MPJE

MPJE Worksheet
Instructions: This is meant to be a guide that covers as many possible MPJE topics as possible. For some of the links in this document
referring to the Georgia Code (O.C.G.A.), you will first need to access this link prior to opening those links. The official GA SOS website
refers to LexisNexis, and without first opening the link from the SOS website (or above) you will be asked for a login. This document State Georgia
does not serve as an archive or storage of the actual law, so always refer to the OCGA or state rules and regulations where applicable.

The Board of Pharmacy

Who are the Board Members? 7 pharmacist members; 1 consumer member (§ 26-4-21(a) and (b))
Is the Board a Separate Entity or Under
Separate Entity
Another Organization/Department?
Who Chairs the Board? The president of the Board of Pharmacy is the chair. (2020 Meeting Minutes)
How Are Board Members Selected?
Appointed by the governor (§ 26-4-22(a))
Appointment/Election?
How Long do Board Members Serve? 5 years or until their successors are appointed and qualified (§ 26-4-22(a))
The board shall meet at least annually to organize and elect a president and a vice president from its
members. (§ 26-4-24)
How Often Does the Board Convene? The board shall meet on a regular basis to transact its business. The board shall meet at such
additional times as it may determine. Such additional meetings may be called by the president of the
board or by at least two-thirds of the members of the board. (§ 26-4-26(a))
All board meetings and hearings shall be open to the public. The board may, in its discretion and
Who Can Attend Meetings? according to law, conduct any portion of its meeting in executive session closed to the public. (§ 26-4-
26(d))

Licensure Requirements
The Pharmacist
New Transfer/Reciprocity Foreign Graduate
Applicants must be 18 years of age
or older and a U.S. citizen or
qualified alien. (page 3) and be of
good moral character (§ 26-4-
42(3))
Applicants must reciprocate from
the first state in which he/she was
Applicants must be 18 years of age
Applicants must be 18 years of age or licensed by examination. That
or older and a U.S. citizen or
older and a U.S. citizen or qualified state’s license must be current and
Who Can Apply? qualified alien. (page 3) and be of
alien (page 3) and be of good moral in good standing. Applicants who
good moral character (§ 26-4-
character (§ 26-4-41(3)) graduated from a foreign school of
41(3))
pharmacy and who are licensed in
a state that did not require the
FPGEC Certification must complete
the FPGEC Certification prior to
obtaining licensure in GA. (Georgia
Reciprocity Licensure
Requirements)
Reciprocity GA Application -
Submit to BOP: $500 (page 1)
Application Fee? $250 (page 1) $250 (page 1)
Reciprocity Applications - MPJE -
Submit to NABP: $470 (page 1)
30 hours ( § 26-4-45)
# of CE Hours for Renewal?
More Information: GA R&R: Rule 480-3-.03
Special CE Requirements (e.g.
Pharmacists seeking drug therapy modification certification must annually successfully complete a CE program
live, compounding, preceptor,
regarding modification of drug therapy and approved by the board (§ 26-4-50(3))
HIV, MTM, vaccinations,
Specialty Pharmacy: 10 hours in each specialty area every renewal period (GA R&R: Rule 480-12-.03(3))
opioid, medication safety)?
1500 (Q1) and GA R&R: Rule 480-
2-.03
Minimum Intern Hours? 1500 (Q1) and GA R&R: Rule 480-2-.03 Not Applicable Foreign graduate intern hours must
be from a pharmacy in the U.S.
(page 1)

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 Graduated and received a
professional undergraduate degree
from a college or school of
Graduated and received a professional pharmacy (graduates from a
Current licensure as a pharmacist
Degree/Education Required? undergraduate degree from a college or school/college of pharmacy
in another state in good standing
school of pharmacy (§ 26-4-41(4)) located in another country must
complete all requirements of the
FPGEC administered by the NABP)
(§ 26-4-41(4))
GA Practical and MPJE
The GA BOP reciprocates with all
GA Practical, MPJE, and NAPLEX
states. Applicants licensed in CA
(Q4) and GA R&R: Rule 480-2-.04
after 2004 may apply by
GA Practical, MPJE, and NAPLEX (Q4) +
Examinations Required? reciprocity; however, applicants
and GA R&R: Rule 480-2-.04(1) FPGEE, TOEFL, and Test of Spoken
licensed prior to 2004 must sit for
English (Q2) and GA R&R: Rule 480-
the complete pharmacy
2-.03(3))
examination (NAPLEX, MPJE, and
GA Practical).
Proof of graduation from an ACPE
approved school or college of
Pharmacy (Q1) and GA R&R: Rule 480- FPGEC Certificate (page 1)
Documents (Transcript/Drug Applicant must consent to a
2-.02(1) Applicant must consent to a
Test/Background Check)? background check (page 1)
background check (page 1)
Applicant must consent to a
background check (page 1)
Reinstatement Process? Dependent upon how recently licensee has engaged in active practice: Board Policies (3A, 3B, and 4)
• Unprofessional conduct
• Inability to practice with reasonable skill, competence, and safety (including that due to mental or physical
incapacity)
Probation Reasons/Process? • Felonies/drug law violations
• Misrepresentation of material fact upon license issuance or renewal
• False use of title
• Having license suspended, revoked, or annulled by this state or another (More information in § 26-4-60)
Renewal Period? All licenses will expire on December 31st of every even numbered year. (Q11) and GA R&R: Rule 480-3-.01
Pharmacy Intern
New Foreign Graduate
License/Registration Required? License required (§ 26-4-46)
Applicants must be 18 years of age or older
Applicants must be 18 years of age or older
and a U.S. citizen or qualified alien (page 3)
and a U.S. citizen or qualified alien (page 3)
Applicants shall:
Applicants shall:
• be of good moral character
Who Can Apply? • be of good moral character
• be a student currently enrolled in an
• be a student who is currently enrolled in an
approved school/college of pharmacy
approved school or college of pharmacy
• Meet all requirements of the FPGEC (§ 26-
(§ 26-4-46(a)(3) and (b)(1))
4-46(a)(3) and (b)(1) and (3))
Application Fee? $25 (page 1)
1500 (Q1) and GA R&R: Rule 480-2-.03
Hours Required? 1500 (Q1) and GA R&R: Rule 480-2-.03 Foreign graduate intern hours must be from a
pharmacy in the U.S. (page 1)
Current Enrollment/Good Standing Required? Current enrollment (§ 26-4-46(b)(1)) and good standing (§ 26-4-47(b)) required
Preceptor Required? Yes (§ 26-4-41(c)(2))
Renewal Period? Licenses are valid for up to 5 years (§ 26-4-47(a))
Pharmacy Technician
New
License/Registration Required? Registration required (§ 26-4-28(7)(A))
Must be at least 17 years old and currently enrolled in high school or have high school
Who Can Apply?
diploma/GED/postsecondary education/college degree (GA R&R: 480-15-.02(b))
# of CE Hours for Renewal?
Special CE Requirements (e.g. compounding, CE not required (Q10) and GA R&R: Rule 480-3-.03
live, HIV, opioid, medication safety)?
Application Fee? $100 (page 1)

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Requirements? Examination, PTCB, Education? Georgia does not require technicians to become PTCB certified
Drug Test? Background Check? Fingerprint background check required for all applicants
The certificate of registration, once issued, may be valid for no more than 2 years and shall be
renewable biennially (§ 26-4-28(7)(A))
Renewal Period?
Must renew registration before June 30th of odd-numbered years (Q9) and GA R&R: Rule 480-
15-.02(e)

The Pharmacy
The Physical Space
Powers, Duties, and Authority of the Board: (15) The inspection of any licensed person at all reasonable hours
for the purpose of determining if any provisions of the laws governing the legal distribution of drugs or devices
or the practice of pharmacy are being violated.
(19) Restricting the inspection or examination of records or access to any area licensed and under the control of
Specific Requirements on Who
any registrant, which has been issued a permit by the board, to members of the board, agents for the Georgia
Can Access the Pharmacy?
Drugs and Narcotics Agency, the U.S. DEA, the Georgia Department of Medical Assistance, or other federal
Without Pharmacist? BOP?
agencies or agencies of this state otherwise entitled to such inspections or examinations by law, subpoena, or
Police?
court order. Also see (19) for information on who may not conduct inspections. (§ 26-4-28(a))
Inspections by GDNA - Controlled Substances and Dangerous Drugs: GA R&R: Rule 480-10-.01
Licensed healthcare professionals designated by OTP Clinic Pharmacy Director may access pharmacy in certain
instances when pharmacist is absent (GA R&R: Rule 480-18-.04(4))
Retail Pharmacies: 150 sq ft (GA R&R: Rule 480-10-.04)
Hospitals: 10 sq ft/bed (GA R&R: Rule 480-13-.05(1))
Minimum Square Footage? OTP Clinic Pharmacies: 150 sq ft (GA R&R: Rule 480-18-.05(1))
Retail Pharmacies Providing Home Health Care Services: 150 sq ft (GA R&R: Rule 480-21-.04(a))
Nuclear Pharmacies: 600 sq ft (GA R&R: Rule 480-25-.07(2))
Minimum Counter Space? Not Specified
Counseling Area
Not Specified
Requirements?
Retail Pharmacies may only close for more than 3 hours/day and more than 1.5 hours at a time if they are
Security System Requirements permanently enclosed with a partition from floor to ceiling. Pharmacies utilizing only electronic security
systems may not do so. GA R&R: Rule 480-10-.16
Facilities used for wholesale drug distribution (GA R&R: Rule 480-7-.03(7)(b)(4)) and listed chemical wholesale
Specifications on Alarms?
distributors (GA R&R: Rule 480-7A-.08(2)) must have alarm systems to detect entry after hours
Connectivity
(Phone/Fax/Internet Not Specified
Required)?
CIII-V hard copies must be stored in a separate file or must be readily retrievable (GA R&R: Rule 480-22-.07(5))
Separate Storage for
CII hard copies must be stored in a separate file and any electronic records must be immediately retrievable for
Prescription Hard Copies by
GDNA (GA R&R: Rule 480-22-.04(7)(a and b))
Control? Drugs by Control?
Practitioners may use a 3-file or 2-file system: (GA R&R: Rule 480-28-.04(5)(c))
Drugs - Prescription department in retail pharmacies must be closed and locked in absence of pharmacist (GA
R&R: Rule 480-10-.02(4)(b)(2))
Must Storage Area Be Locked Hospitals (GA R&R: Rule 480-13-.05(5) and (6)) and Outpatient Clinic Pharmacies (GA R&R: Rule 480-33-.05(5)
for Hard Copies? Drugs? and (6)): Drug storage cabinets and unit dose carts at nursing stations must be locked when nursing personnel
not in attendance. For CIIs, a room with limited access capable of showing forced entry or metal safe/cabinet
preferred
Must Storage Area Be On Site
Not Specified
for Hard Copies? Drugs?
Signage
Sign Requirement for
Not Specified
Counseling?
Sign Requirement for Hours? Not Specified
Sign Requirement for PIC
Not Specified
Change?
Sign Requirement for Not specified
Closures? Board must be notified immediately (GA R&R: Rule 480-10-.20(2)(a))
Retail Pharmacies: “Prescription Department Closed” sign required when pharmacist is absent (GA R&R: Rule
480-10-.02(4)(a)(3))
Pharmacies that utilize central filling services must have sign in originating pharmacy (GA R&R: Rule 480-
Other Signage Requirements?
10A-.08(1)(b))
Collection Receptacles: Sign must state non-controlled and schedules II-V may be accepted (GA R&R: Rule 480-
50-.02(2))

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 Board Notification
Time to Notify Board of
Immediately (GA R&R: Rule 480-10-.20(2)(b))
Changes to Ownership?
Time to Notify Board of
Immediately (GA R&R: Rule 480-10-.20(2)(d))
Changes to PIC?
Time to Notify Board of
Immediately (GA R&R: Rule 480-10-.20(2)(b))
Changes to Address?
Time to Notify Board of
Not specified
Changes to Hours?
Equipment
Type of Prescription Balance Compounding of sterile parenteral preparations: Class I or II electronic balance (GA R&R: Rule 480-
Required? 11-.04(3)(b)(8))
Compounding: GA R&R: Rule 480-11-.04(2), (3)(b), (4), and (5)
Hospitals: GA R&R: Rule 480-13-.05(2-4)
Other Equipment Required? OTP Clinic Pharmacies: GA R&R: Rule 480-18-.05(2)
Retail Pharmacies Providing Home Health Care Services: GA R&R: Rule 480-21-.04(b-d)
Nuclear Pharmacies: GA R&R: Rule 480-25-.08 and GA R&R: Rule 480-25-.10
Selling drugs in vending machines prohibited; remote automated medication system excluded (§ 26-4-89)
Special Rules on Automated Remote Automated Medication Systems (RAMS): No more than a 30 days supply of each medication may be
Dispensing Cabinets? stocked in a RAMS at one time and all drugs must be inventoried at least every 30 days. See minimum
requirements for use here: GA R&R: Rule 480-37-.03
Access
Must RPh Be On-Site for
Retail Pharmacies - Yes (GA R&R: Rule 480-10-.02(4))
Access to Pharmacy?
After Hours Dispensing
Hospitals - Yes, authorized personnel may access night cabinets. Drugs must be inventoried at least weekly. (GA
Allowed? Requirements (i.e.
R&R: Rule 480-13-.04(7))
Dispensing Cabinet?
Emergency Access to Hospitals - One designated nursing supervisor (RN or LPN) per shift may access pharmacy and remove drugs
Pharmacy Procedures? (GA R&R: Rule 480-13-.04(8))
Mail Order
Mail Allowed? (In-State to Out,
Yes (GA R&R: Rule 480-48)
Out-of-State to In)
License Required for Mail to Pharmacy license required (GA R&R: Rule 480-48-.01(e)). Pharmacists do not need to be licensed in Georgia to
Other States? mail medications into the state.
Ownership Requirements
What Are the Fees for A
$500 (page 2)
Pharmacy License?
Who Can Apply? Retail Pharmacies: Anyone - must submit application and pay fee (GA R&R: Rule 480-10-.06(1))
Must be RPh to Own
No, but every pharmacy must have a PIC (§ 26-4-110(d))
Pharmacy?
If the licensed person is a pharmacy located in this state, that portion of the facility to which such license
Additional Requirements for
applies shall be operated only under the direct supervision of a pharmacist licensed to practice in this state. (§
Ownership?
26-4-111(d))
Pharmacy licenses issued by the board pursuant to this chapter shall not be transferable or assignable. (§ 26-4-
Rules on Sales/Transfers
111(c))
Application/Fees Required? Yes (GA R&R: Rule 480-10-.06(1)(c)(2))
How Long for Notification
Board of pharmacy must be notified immediately ( GA R&R: Rule 480-10-.20(2)(b))
Period?
Signage Requirements? Not specified
Staffing Requirements
RPh-Tech Ratio? Different by 1:3 - 1 technician must be certified or appropriately trained by employer (GA R&R: Rule 480-15-.03(e))
Setting? Hospital pharmacies may submit request to board for increased ratio (GA R&R: Rule 480-15-.03(g))
RPh-Intern Ratio? Different by If 1 technician is certified, pharmacist my also supervise 1 intern, 1 extern, and 1 pharmacy observer (GA R&R:
Setting? Rule 480-15-.03(f))
RPh-Staff (Clerk/Delivery
Driver/Cashier) Ratio? Not Specified
Different by Setting?

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 Compounding
Is Facility Licensure Required for
General Compounding? Sterile Not Specified
Compounding?
Restrictions on Compounding Office use prohibited (except veterinarians). Must have patient-specific order for controlled substances. GA
Without Prescription? R&R: Rule 480-11-.02(1)(d) and (2)(g)
Reconstitution of FDA-approved sterile injectable products: 24 hours (GA R&R: Rule 480-11-.02(7)(a))
Stability of Compounded
Retail Pharmacies Providing Home Health Care Services: Anything exceeding 10 days must have
Product?
stability/sterility data (GA R&R: Rule 480-21-.08(e))
Special volume requirements not specified
Special Volume Requirements?
Manufacturer license required if compounds distributed to veterinarians for office administration or
Manufacturer License Required?
emergency dispensing exceed 5% of compounds in a calendar year (GA R&R: Rule 480-11-.02(1)(d))
Yes - Certifications no less than every 6 months (GA R&R: Rule 480-11-.09(1)(a))
Certifications/Licensure
Retail Pharmacies Providing Home Health Care Services - Hood certifications at least every 6 months (GA
Required?
R&R: Rule 480-21-.08(a))
Special Requirements for Patent Patient-specific prescription required for CII-Vs (GA R&R: Rule 480-11-.02(2)(g))
Drugs? Controlled Drugs? OTC? Patent and nonprescription drugs not specified
Anticipatory compounding allowed (GA R&R: Rule 480-11-.02(1)(c))
Dispensing Without Prescription
Veterinarians should request compounds for emergency dispensing in the same manner as ordering from a
Allowed? Which Drugs?
wholesaler, not through the use of prescriptions ( GA R&R: Rule 480-11-.02(2))

Behind the Counter

Can Legend Drugs (e.g. Codeine, Opium
Yes (GA R&R: Rule 480-19-.01(b) and (c)), unless product contains Legend or Warning or Rx only
Tinctures) Be Dispensed Without Prescription?
indication (GA R&R: Rule 480-19-.02)
Which Ones? Logging Requirements?
Which Drugs Are Required to Be Behind the
Not specified - See rule regarding syringes
Counter?
Dispensing Requirements (Maximum
Exempted non-PSE C-Vs: 4 oz or 32 dosage units/48 hours ( GA R&R: Rule 480-19-.01(b) and (c))
Allowed/Logging)?
Can Syringes Be Dispensed Without Prescription requirement not specified - must be kept behind counter and sold for a legitimate
Prescription? Logging Requirement? medical purpose (O.C.G.A. § 16-13-32(c) and GA R&R: Rule 480-10-.13)
Limits: 3.6 g/24 hours or 9 g/30 days (GA R&R: Rule 480-19-.03(b))
What are the Rules Around Pseudoephedrine?
Recordkeeping Requirements: GA R&R: Rule 480-19-.03(b)(2-4) and GA R&R: Rule 480-19-.04
Limits?
Exceptions: GA R&R: Rule 480-19-.05

Drug Administration
Can Pharmacists Administer
Yes - Influenza, pneumococcal disease, shingles, and meningitis under protocol; other vaccines pursuant to
Immunizations? Which Ones Can
individual prescriptions ( O.C.G.A. § 43-34-26.1(a)(8))
They Administer?
Can Pharmacists Administer
Medications? Which Ones Can Not Specified
They Administer?
Is a Collaborative Practice
Vaccines: Protocol required (GA R&R: Rule 360-34-.03)
Agreement/Other Required?
Facility Requirements? Private
Vaccines: Private space required (O.C.G.A. § 43-34-26.1(d)(9))
Space/Partition?
Vaccine protocols may not permit pharmacists to administer influenza to patient < 13 YO or pneumococcal to
Other Requirements? Patient
patient < 18 YO without individual prescription from physician; may not permit pharmacist to administer live
Age Limit?
attenuated virus vaccines to patient < 13 YO or meningitis to patient < 18 YO ( O.C.G.A. § 43-34-26.1(q))
EPI: Pharmacist protections not specified, but spelled out for physicians: O.C.G.A. § 43-34-26.1(n)
Are There Laws/Protections for
When acting in good faith may dispense opioid antagonist to persons at risk or wanting to assist person at
Emergencies (e.g. Anaphylaxis,
risk of overdose and may administer to person believed to be experiencing an overdose O.C.G.A. § 26-4-
Overdose)? Drugs Covered?
116.2(b), (c), and (e)

Pharmacists’ Rights
Can Pharmacists Refuse to Fill a Valid Prescription (e.g. Birth
Control, Narcotics)? In What Circumstances? Yes - Not considered unprofessional conduct to refuse to fill any
Requirements for Refusal? prescription based on professional judgement or ethical/moral beliefs
(GA R&R: Rule 480-5-.03(n))
Religious Objection? Objections to providing abortion-related services: O.C.G.A. § 16-12-142(b)
What Actions Can Be Taken Against RPh License for Refusal to Fill?
Appeals Process on Actions? Not Specified

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 Other Settings
Long-Term Care
Who Can Dispense/Administer
Dispense - Vendor pharmacist; Administer - Not Specified (GA R&R: Rule 480-24-.04)
Medication?
Who Can Access Dispensing
Not Specified
Units? Special Requirements?
Who Can Access Medications
Not Specified
Without Pharmacy Staff?
Requirements on IV Labeling for Not Specified
Dispensing Unit General Labeling Requirements: GA R&R: Rule 480-24-.04(2)
• Brand and/or generic name
• Strength
Requirements on Unit Dose
• Lot Number
Labeling for Dispensing Unit
• Expiration Date (If exceeding 72 hours, must follow requirements of GA R&R: Rule 480-24-.04(2) (GA
R&R: Rule 480-24-.04(3(b and c))
Requirements on Multi- Total quantity of drugs may not exceed 34 day supply and must be appropriately labeled. See GA R&R: Rule
Dose/Repackaging 480-9 for more information.
Hospice Emergency Drug Kits (GA R&R: Rule 480-24-.07(3)) and Crisis Stabilization Unit (CSU) Emergency
Drug Kits (GA R&R: Rule 480-24-.08(3)) must be stored to ensure limited access and access without
Requirements on Storage of
authorization must be easily determined
Controlled Medication?
CIIs - Hospitals: A room with limited access capable of showing forced entry or metal safe/cabinet preferred
(GA R&R: Rule 480-13-.05(6))
Who can Access Controlled
Not Specified
Medications?
Hospice Emergency Drug Kits: A valid, signed prescription from a practitioner must be supplied within 72
Emergency Dispensing
hours of a drug being taken from the kit. Kits must be inventoried once a month by a pharmacist from the
Requirements?
provider pharmacy. For more information, see: GA R&R: Rule 480-24-.07
Record Keeping Requirements? Must be kept for 2 years in a readily retrievable manner (GA R&R: Rule 480-24-.04(6)(c))
Nuclear
Applicants must be a licensed pharmacist in the state of GA and meet minimum requirements/be licensed to
RPh Special Requirements? possess and use radioactive materials for medical use (§ 26-4-173). PIC of nuclear pharmacy must obtain a
Nuclear Pharmacy Operators Permit (§ 26-4-174(a)).
License required (§ 26-4-172)
Nuclear pharmacies shall have adequate space, commensurate with the scope of services provided and, as
required by rules and regulations promulgated by the board pursuant to implementation of this article, shall
meet minimal space requirements established for all pharmacies in the state. The nuclear pharmacy area
Facility Special Requirements? shall be separate from the pharmacy areas for non radiopharmaceuticals and shall be secured from
unauthorized personnel. (§ 26-4-174(b))
Nuclear pharmacies shall meet all requirements for items and articles of equipment as required through
rules and regulations of the board. Nuclear pharmacies shall also have equipment required for the safe
handling and storage of radioactive materials, as established by rules of the department. (§ 26-4-175)
Remote
Hospitals: Yes - Pharmacist must be licensed in GA and be employed by a pharmacy licensed in GA or one
Special Licensure Requirements? that holds a GA nonresident pharmacy permit (GA R&R: Rule 480-13-.01(g))
Additional Remote Order Entry Rules (GA R&R: Rule 480-13-.04 (1-6))
Must Pharmacy Be Located at
SNFs and Hospice: No (O.C.G.A. § 16-13-41(i))
Dispensing Site?
Telework? From Out of State? Out of state permitted (GA R&R: Rule 480-13-.01(g))
Must Pharmacist Have an In-State
Yes (GA R&R: Rule 480-13-.01(g))
License?
Central Fill Allowed? Yes (GA R&R: Chapter 480-10A)
Medical Offices
Which Type of Providers Can
Receive/Store Medications? ”Practitioners” as defined in O.C.G.A. § 26-4-130(a)(2) can store and receive medications for dispensing
Administer?
State license and DEA number required for ordering samples (GA R&R: Rule 480-22-.14(2)). All sample
records must be maintained for 2 years.
Restrictions on Drug Samples?
Must notify GA Composite Medical Board in writing of intent to become a dispensing physician (Become a
Dispensing Physician | Georgia Composite Medical Board)

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 Yes. Prescribers are not required to be licensed (b), but must comply with all recordkeeping requirements
applicable to pharmacists (c) and those records must be available for inspection by the board (d) (§ 26-4-
Can Prescribers
130).
Prepare/Dispense Prescriptions?
Must notify GA Composite Medical Board in writing of intent to become a dispensing physician (Become a
Controlled? Sterile Compounding?
Dispensing Physician | Georgia Composite Medical Board)
Sterile compounding not specified
Requirements on
Same as requirements for pharmacists/pharmacies
Preparation/Storage/Logging?
Drug Sources? Can Pharmacies Office use prohibited (except veterinarians) (GA R&R: Rule 480-11-.02(1)(d))
Supply Offices? Office use of controlled substances not allowed (GA R&R: Rule 480-22-.02(2))
Miscellaneous
Correctional Facilities Dispensing Prison clinic pharmacies must be licensed as such and have a director of pharmacy in charge of operations.
Rules See GA R&R: Chapter 480-8 for rules.
Veterinary/Animal Dispensing
Compounding and emergency dispensing: GA R&R: Rule 480-11-.02(1)(d)(1) and (2)
Rules
Emergency Room: Drugs may be dispensed in sufficient quantities until such time as medication can be
Emergency Room/Urgent Care
obtained from a retail pharmacy. Must be dispensed by practitioner (not nurse/other unauthorized
Dispensing Rules
personnel) and be labeled as required in GA R&R: Rule 480-13-.06(3)(b) (GA R&R: Rule 480-13-.06(11)
Other Facilities & Dispensing
Opioid Treatment Program Clinic Pharmacies: GA R&R: Rule 480-18
Rules
International Drug Sources Rules Not Specified
Every PBM providing services or benefits in this state which constitutes the practice of pharmacy as defined
in Code Section 26-4-4 shall be licensed to practice as a pharmacy in this state and shall comply with those
PBM Rules provisions of Code Section 26-4-110, except subsections (h), (i), and (j) thereof. As a condition for licensing,
every PBM shall permit the board or agents or employees thereof to inspect the premises of such PBM
whether those premises are located within or outside this state. (§ 26-4-110.1(b))
Dangerous drugs and controlled substances shall only be issued to medical director of an emergency
service provider from pharmacy licensed in the state with a signed contract/agreement between the provider
and issuing pharmacy that is filed with state board and Department of Public Health, and can only have one
pharmacy per county serviced by provider. Pharmacist from contract pharmacy to inspect drugs and
compliance with policies and procedures at least annually and maintain records for at least 2 years. Manual
Emergency Service Providers of policies and procedures for handling/storage/labeling/record keeping must be written, approved and
signed by medical director of provider and pharmacist in charge of contract pharmacy. Written record of all
drugs issued to provider must be maintained and can be reviewed by Agency of the Georgia Drugs and
Narcotics Agency, and record of all drugs used must be provided to issuing pharmacy within 72 hours of
use. Outdated, expired, unused, or unusable drugs to be returned to issuing pharmacy for proper disposition.
(§ 26-4-116)

Records
Patient Records
Can Records be Held Digitally?
A patient record shall be maintained for a period of not less than two years from the date of the last entry in the
Requirements for Printed Copy?
profile record. This record may be a hard copy of a computerized form. (§ 26-4-83(d))
Other Requirements?
How Long do Controlled
Prescriptions Need to Be Held? 2 years (GA R&R: Rule 480-27-.05(a))
CII? CIII to V?
How Long do Legend 2 years (GA R&R: Rule 480-27-.05(a))
Prescriptions Need to Be Held? Other recordkeeping requirements for automated electronic data processing systems: GA R&R: Rule 480-27-.05
Information contained in the patient medication record or profile shall be considered confidential information
as defined in this title. Confidential information may be released to the patient or the patient's authorized
representative, the prescriber or other licensed health care practitioners then caring for the patient, another
Who Can Request or Receive
licensed pharmacist, the board or its representative, or any other person duly authorized to receive such
Records (Family, Others)? Any
information. In accordance with Code Section 24-12-1, confidential information may be released to others only
Restrictions? POA?
on the written release of the patient, court order, or subpoena. (§ 26-4-80(d))
Additional Rules: GA R&R: Rule 480-16-.07
PDMP: O.C.G.A. § 16-13-60(c)
Reporting
Requirements for Drug
Not Specified
Monitoring Programs?
Requirements for Reporting Voluntary reporting for suspected fraudulent prescriptions (Diversion Alerts | Georgia Drugs and Narcotics
Suspected Fraud/Abuse? Agency)

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 Retail Pharmacies - Significant ADR occurrence requires immediate notification to the Board (GA R&R: Rule
Requirements for Reporting 480-10-.20(2)(j))
ADRs? Hospitals: Suspected ADRs must be reported to ordering practitioner, pharmacy, and appropriate hospital
committee; ADR must be entered into patient’s medical record (GA R&R: Rule 480-13-.06(8))
Requirements for Reporting
Not Specified
Licensure Violations?
Requirements for Reporting
Not Specified
Privacy Violations?
Patient Profile
A pharmacist shall review the patient record and each prescription drug order presented for dispensing for the
purposes of promoting therapeutic appropriateness by identifying:
• Overutilization or underutilization;
• Therapeutic duplications;
• Drug-disease contraindications;
What Must RPh Review on
• Drug-drug interactions;
Patient Profile Prior to
• Incorrect drug dosage, dosage form, or duration of drug therapy;
Dispensing? REMS
Requirements? • Drug-allergy interactions; and
• Clinical abuse or misuse (§ 26-4-84(b))
Patient Profile Requirements: GA R&R: Rule 480-27-.09
Hospital Patient Profile Requirements: GA R&R: Rule 480-13-.06(d)
Retail Pharmacies Providing Home Health Care Services Patient Profile Requirements: GA R&R: Rule 480-
21-.05(e)
Specific Requirements for
Must check drug-drug interactions (§ 26-4-84(b)(4))
Checking
Dispensers encouraged, but not required to, obtain information from PDMP (O.C.G.A. § 16-13-63)
PDMP/Interactions/Indication?

Notes on Laws & Requirements

FD&C
Federal Food, Drug, and
Established FDA
Cosmetic Act
Durham-Humphrey
OTC vs. Rx
Amendment
Kefauver Harris
Thalidomide
Amendment
PPPA
Poison Prevention
Child-resistant packaging requirement
Packaging Act (PPPA)
HIPAA
Health Insurance
Portability and Privacy of identifiable health information and security of electronic PHI
Accountability Act
HITECH
Health Information
Technology for Economic Electronic health record implementation
and Clinical Health Act
Adulterated vs. Misbranded
Drugs that are in whole or in part filthy, putrid, or decomposed, and those that are represented as drugs listed in an
Adulterated official compendium but whose strength differs from or quality/purity falls below standard
(O.C.G.A. § 26-3-7)
Labeling is false or misleading or does not contain the requirements described in this part
Misbranded
(O.C.G.A. § 26-3-8)
Recalls
Class I Recall is a situation in which there is a reasonable probability that the use of, or exposure to, a violative
FDA Class I Recall
product will cause serious adverse health consequences or death.
Class II Recall is a situation in which use of, or exposure to, a violative product may cause temporary or
FDA Class II Recall medically reversible adverse health consequences or where the probability of serious adverse health
consequences is remote.
Class III Recall is a situation in which use of, or exposure to, a violative product is not likely to cause adverse health
FDA Class III Recall
consequences.

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 Other Recalls Additional Reading
Definitions/References
Red Book Drug Pricing
Orange Book Therapeutic Equivalence
Yellow Book International Travel Vaccines
Green Book Animal Drug Products
Pink Book Vaccine-Preventable Diseases
Purple Book Biological Products
USP 795 Nonsterile Compounding
USP 797 Sterile Compounding
USP 800 Hazardous Drug Handling

The Prescription
Required Fields
Retail Pharmacies:
• Full name and address of patient
• Name and address of prescriber (DEA number if CS)
• Date of issuance
• Name, strength (if needed), dosage form, and quantity of drug
• Directions for use
• Refills (if any)
What Are the Required Elements for a • Prescriber’s signature (if written)
Valid Prescription (ex. Name, DOB, • Prescription number (GA R&R: Rule 480-10-.15)
Address, Etc.)? Additional information required:
• Controlled Substances: GA R&R: Rule 480-22-.03; CIIs - GA R&R: Rule 480-22-.04, O.C.G.A. § 16-
13-41(b); CIII - Vs - O.C.G.A. § 16-13-41(d)(2)
• PAs and APRNs: GA R&R: Rule 480-22-.12
• Electronic and Faxed Prescriptions: GA R&R: Rule 480-27-.04(5)
• Dangerous Drugs: O.C.G.A. § 16-13-74
• Hospitals (Prescription Drug Orders): GA R&R: Rule 480-13-.06(5)
• Retail Pharmacies Providing Home Health Care Services: GA R&R: Rule 480-21-.05(d)
After speaking directly with the practitioner, may add quantity or strength if not included (CIIs) (GA
What can RPh Correct/Change/Add to
R&R: Rule 480-22-.04(8))
Prescription (Legend/Controlled)?
Other schedules not specified
What can non-RPh Pharmacy Staff
Correct/Change/Add to a Prescription Interns could take corrections/clarifications based on GA R&R: Rule 480-15-.03
(Legend/Controlled)?
(a) A pharmacist may substitute a drug with the same generic name in the same strength, quantity,
dose, and dosage form as the prescribed brand name drug product which is, in the pharmacist's
reasonable professional opinion, pharmaceutically equivalent.
What Type of Substitutions Are Allowed?
(g) A practitioner of the healing arts may instruct the pharmacist not to substitute a generic name
(Generic, Orange Book Equivalence,
drug in lieu of a brand name drug by including the words "brand necessary" in the body of the
Therapeutic Substitution, Etc.)
prescription. When a prescription is a hard copy prescription drug order, such indication of brand
necessary must be in the practitioner's own handwriting and shall not be printed, applied by rubber
stamp, or any such similar means. (§ 26-4-81(a) and (g))
Neither PAs nor APRNs may write for CIIs without co-signature of supervising physician; APRNs may
not write for drugs intended to cause an abortion without co-signature of supervising physician (GA
R&R: Rule 480-22-.12(1) and (2))
Optometrists may not treat systemic diseases. They may prescribe CIIIs and CIVs, but not CIIs
(except oral hydrocodone) or CVs. Consultation with patient’s physician required for therapy > 72
hours (or 48 hours for oral hydrocodone). For topical products used for glaucoma:
• Beta-blockers - Patient must be referred to physician if they have certain conditions ((E)(i)) or no
physical exam in the last year
Special Restrictions on Drugs/Refills? • Patient must be referred to ophthalmologist if not responding after 60 days of therapy or is
diagnosed with closed angle glaucoma
• Oral corticosteroids - Physical exam in last year required; optometrist may not prescribe > 14
days (O.C.G.A. § 43-30-1(D) and (E))
Ophthalmic topical products may be refilled without authorization from a practitioner to provide
uninterrupted therapy as long as the original prescription has valid refills, refills occur at 70% or
greater of predicted days of use, and refills are purchased through retail or mail order pharmacies (GA
R&R: Rule 480-22-.15)
Emergency Refills: (§ 26-4-80(j))

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 A pharmacist licensed by the board may dispense up to a 72 hour supply of a prescribed medication
in the event the pharmacist is unable to contact the practitioner to obtain refill authorization, provided
that:
• The prescription is not for a controlled substance;
• In the pharmacist's professional judgment, the interruption of therapy might reasonably produce
undesirable health consequences or may cause physical or mental discomfort;
• The dispensing pharmacist notifies the practitioner or his or her agent of the dispensing within 7
working days after the prescription is refilled pursuant to this subsection;
• The pharmacist properly records the dispensing as a separate nonrefillable prescription. Said
document shall be filed as is required of all other prescription records. This document shall be
serially numbered and contain all information required of other prescriptions. In addition it shall
contain the number of the prescription from which it was refilled;
• The pharmacist shall record on the patient's record and on the new document the circumstances
which warrant such dispensing; and
• The pharmacist does not employ this provision regularly for the same patient on the same
medication.
All hard copy CIIs must be on security paper. Electronic visual image prescriptions must be printed on
Special Requirements for Prescription security paper with wording that the signature was electronically generated. (GA R&R: Rule 480-
Pads? 27-.02(4))
Security Paper Definition and Requirements: GA R&R: Rule 480-27-.01(v)
Fax Prescriptions
Not Specified
Requirements for Type of Fax Machine? See Use of Facsimile Machine to Transmit or Receive Prescription Drug Order: GA R&R: Rule 480-
27-.04
No (GA R&R: Rule 480-27-.04(5)(a))
Can Patients Fax Their Prescription?
Faxing from outside practice not specified
Prescribers from Outside Their Practice?
Controlled substance prescriptions may not be e-mail prescriptions (GA R&R: Rule 480-27-.04(5)(f)(2))
CIIs: Original written prescription must be presented to pharmacist before actual dispensing unless
for a terminally ill patient, patient in hospice or LTCF, or for products compounded for direct
What Controlled Schedules are Allowed? administration to a patient by parenteral, IV, IM, SQ, or intraspinal infusion (GA R&R: Rule 480-
22-.04(1)(a), (4)(b), (5)(c), (6)(c), and (9))
CIII-Vs: Facsimile serves as original (GA R&R: Rule 480-22-.07(1)(b))
Electronic Rx
Electronic prescription drug orders shall either be an electronic visual image of a prescription drug
order or an electronic data prescription drug order and shall meet the requirements set forth in
regulations promulgated by the board. (§ 26-4-80(c))
Requirements for Electronic Prescribing?
Electronically transmitted prescription drug orders shall be transmitted by the practitioner to the
pharmacy of the patient's choice with no intervening person or intermediary having access to the
prescription drug order. (§ 26-4-80(c)(1))
Must use recognized encrypted technology and secure servers that can maintain confidentiality (GA
Requirements for R&R: Rule 480-27-.02(5))
Certification/Technology? Must not restrict providers from sending prescriptions for certain drugs or patients from choosing the
pharmacy to which the prescription is sent (GA R&R: Rule 480-27-.10(2))
Prescription drug orders transmitted by facsimile or computer shall include:
• In the case of a prescription drug order for a dangerous drug, the complete name and address of
the practitioner;
• In the case of a prescription drug order for a controlled substance, the complete name, address,
and DEA registration number of the practitioner;
• The telephone number of the practitioner for verbal confirmation;
Required Fields on Electronic
• The name and address of the patient;
Prescriptions?
• The time and date of the transmission;
• The full name of the person transmitting the order; and
• The signature of the practitioner in a manner as defined in regulations promulgated by the board
or, in the case of a controlled substances prescription, in accordance with 21 C.F.R. 1301.22; (§
26-4-80(c)(2))
Also see: GA R&R: Rule 480-27-.02(1)
What Control Schedules Are Allowed? CII-V (GA R&R: Rule 480-22-.03(3) and GA R&R: Rule 480-22-.04(1)(b))
Can RPh Make Changes to Electronic
Not Specified
Prescriptions?
Can Electronic Prescriptions Be
Not Specified
Transmitted Across State Lines?
Phone Rx
What Information Must Be Provided? See required elements for a valid prescription above

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 In addition, the receiving pharmacist must record the name of the person transmitting the order, date,
time, and location of origin of transmission for oral prescriptions transmitted by someone other than
the practitioner (not required for certain institutions) (O.C.G.A. § 26-4-80(i))
Who Can Phone in Prescriptions No one other than the practitioner or an agent authorized by the practitioner shall transmit such
(Prescriber, Staff, Receptionist)? prescriptions in any manner. (§ 26-4-80(i))
Can Interns Receive New Prescriptions
Via Phone/Voicemail? Refills?
Can Technicians Receive New
Prescriptions Via Phone/Voicemail? Only licensed pharmacists and pharmacy interns/externs can accept oral prescriptions of any nature
Refills? (GA R&R: Rule 480-10-.09)
Can Clerks/Cashiers/Others Receive
New Prescriptions Via
Phone/Voicemail? Refills?
Transfer Rx
In addition to required prescription data, must be recorded on the hard copy prescription:
• Transfering:
o “VOID” written on face of prescription
o Name and telephone number of pharmacy where order was transferred
o Name of pharmacist or intern/extern who received information
o Date order was transferred (GA R&R: Rule 480-10-.10(1)(b))
• Receiving:
o Name of pharmacist or intern/extern who received information
o Name and telephone number of transferring pharmacy and name of pharmacist and
intern/extern who provided information
o Date order was received (GA R&R: Rule 480-10-.10(1)(a))
What Information Must Be Provided?
For CIII-Vs:
• Transfering: Must also include address and DEA number of pharmacy where order was
transferred and name of transferring pharmacist (GA R&R: Rule 480-22-.11(2)(a))
• Receiving:
○ “TRANSFER” written on face of prescription and all information required to be on a
prescription drug order, to include: (GA R&R: Rule 480-22-.11(2)(b-f))
Electronic prescription transfers must be communicated directly between two licensed pharmacists
or interns/externs and satisfy the same requirements as a manual transfer. Pharmacies utilizing a
common electronic file or database are not required to record this information on the original hard
copy prescription, but one must be generated and maintained appropriately (GA R&R: Rule 480-27-.07
and GA R&R: Rule 480-27-.08)
Can Interns Transfer Prescriptions? Yes (GA R&R: Rule 480-10-.10(1))
Can Technicians Transfer Prescriptions? No (GA R&R: Rule 480-10-.10(1))
CIII-Vs 1 time only (unless pharmacies share a real-time electronic database; then may transfer as
How Many Fills Can Be Transferred? many times as there are authorized refills, up to 5 times in 6 months (GA R&R: Rule 480-22-.11(1)(a));
CIIs may not be transferred (GA R&R: Rule 480-22-.11(1))
Any Specific Rules for Out-Of-State? Not Specified
Packaging
• name and address of the pharmacy
• prescription number
• name of the prescriber
• name of the patient
• directions for taking the medication
• date of the filling or refilling of the prescription
• initials or identifying code of the dispensing pharmacist
• any other information which is necessary, required, or, in the pharmacist's professional judgment,
appropriate (§ 26-4-80(k)(1))
Information Required on Label? (List the If a pharmacist substitutes a generic drug product for a brand name prescribed drug product when
Data Elements) dispensing a prescribed medication, the brand name and the generic name of the drug product, with
an explanation of "generic for (insert name of brand name prescribed drug product)" or similar
language to indicate substitution has occurred, must appear on the prescription label and be affixed
to the container or an auxiliary label, unless the prescribing practitioner indicated that the name of the
drug may not appear upon the prescription label. Does not apply to medication dispensed for in-
patient hospital services or to medications in specialty packaging for dosing purposes as defined by
the board. (§ 26-4-81(d)(2))
Other required information based on drug type/setting:
• Dangerous drugs: Expiration date; prescription number, directions for use, and initials of
dispensing pharmacist not required (O.C.G.A. § 16-13-73)

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 • Controlled Substances: Telephone number of pharmacy, expiration date, and cautionary
statements (GA R&R: Rule 480-22-.10)
• Hospitals:
○ Use outside hospital: Telephone number of pharmacy and name and strength of drug (GA
R&R: Rule 480-13-.06(3))
○ Use inside hospital: Name of drug, strength, lot number, and expiration date at a minimum
○ Drugs added to parenteral solutions: Name and amount of drug added, date and time of
addition, expiration date, and identity of person adding drug (other elements not required)
Also see: OTP Clinic Pharmacies: GA R&R: Rule 480-18-.06(3), Retail Pharmacies Providing Home
Health Care Services: GA R&R: Rule 480-21-.05(f), and Nuclear Pharmacies: GA R&R: Rule 480-25-.09
Drugs to be kept in original container as dispensed and labeled by pharmacist unless they fall under
Original Container Requirements 16-13-35 or 16-13-72 or are using canisters for remote automated medication systems. (O.C.G.A. §
16-13-75)
OTC Label Requirements Not specified
Child Safety Cap Requirements Not specified
Multiple drugs in single-dosing containers: No longer than 1 year from date of preparation (GA R&R:
Rule 480-9-.02(g))
BUD should be included on label of compounded drug preparations and determined in compliance
Expiration/By-Use Date?
with USP-NF standards (GA R&R: Rule 480-11-.02(1)(c), (1)(e), (2)(d)(8), 2(e)(3), and (3))
Excess compounded preparations must also be labeled with appropriate BUD (GA R&R: Rule 480-
11-.06)
Prescriber
Special Authority or Restrictions by Type
of Provider? (Dentists, Optometrists, See Special Restrictions on Drugs/Refills Section
Etc.)
Counseling
(b) Upon receipt of a prescription drug order and following a review of the patient's record, the
pharmacist or the pharmacy intern operating under the direct supervision of the pharmacist shall
personally offer to discuss matters which will enhance or optimize drug therapy with each patient or
caregiver of such a patient. Such discussion shall be in person, whenever practicable, or by telephone
and shall include appropriate elements of patient counseling, based on the professional judgment of
the pharmacist.
Requirements for Counseling
(c) Additional forms of patient information may be used to supplement verbal patient counseling
when appropriate or available.
(d) counseling NOT required for certain patient populations
(e) A pharmacist shall not be required to counsel a patient or the caregiver of the patient when the
patient or the caregiver of the patient refuses such consultation or counseling. (§ 26-4-85(b), (c), (d),
and (e))
Including but not limited to the following:
• name and description of the drug;
• dosage form, dose, route of administration and duration of therapy;
• intended use of the drug and expected action or result;
• any special directions or precautions for preparation, administration, or use by the patient;
• common severe side effects or adverse effects or interactions and therapeutic contraindications
that may be encountered, including their avoidance, and the action required if such side effect,
Required Topics to Cover
adverse effect, interaction, or therapeutic contraindication occurs;
• techniques for self-monitoring of drug therapy;
• proper storage of the drug;
• prescription refill information;
• action to be taken in the event of a missed dose; and
• comments of the pharmacist relevant to the patient's drug therapy, including any other
information peculiar to the specific patient or drug (§ 26-4-85(b)(1-10))
Disposal/Donation
CS doses prepared for administration and not given and discontinued doses taken from a drug
delivery device must be destroyed by a pharmacist or nurse and one witness. Non-CS drugs may be
re-used if pharmacist can ensure integrity of medication. If pharmacist cannot ensure integrity, drugs
Special Disposal Requirements?
can be separated and stored securely before being destroyed by a pharmacist and other designated
practitioner or sent to a reverse distributor for destruction. Inventory must be kept for 2 years. GA
R&R: Rule 480-13-.06(4)
Collection receptacles may be used at DEA registered locations during hours of operation to collect
non-CS drugs and CII-Vs. Must be lockable, sturdy, and securely fixed with tamper-evident and tear-
Patient Waste/Disposal?
resistant numbered liner. Must give GDNA 30 days notice of intention to serve as an authorized
collector. (GA R&R: Rule 480-50)

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 In accordance with the rules and regulations promulgated pursuant to Code § 26-4-192 the resident of
a healthcare facility, or the representative or guardian of a resident, may donate unused prescription
drugs, other than prescription drugs defined as controlled substances, for dispensation to medically
Donations?
indigent persons. (§ 26-4-193)
Pharmacists and other healthcare professionals immune from liability when dispensing donated
drugs subject to this part: § 26-4-194
Drug Take-Back Days? Not Specified
Are Returns Allowed? No (GA R&R: Rule 480-16-.03), except:
• LTCFs: Drugs originally dispensed by that pharmacist/pharmacy, still in manufacturer’s
packaging and integrity maintained, with a minimum of 6 months remaining on expiration date
Can Returns be Dispensed? may be reused (GA R&R: Rule 480-10-.17)
• Hospitals: Non-CS drugs may be re-used if pharmacist can ensure integrity of medication (GA
R&R: Rule 480-13-.06(4))

Controlled Substances
Note: Review List of Drugs by Schedule at https://www.deadiversion.usdoj.gov/schedules/orangebook/c_cs_alpha.pdf
Prescriptions
Every hard copy CII must be printed on security paper (GA R&R: Rule 480-27-.02(4)(a)) and O.C.G.A. § 26-4-80.1)
"Security paper" means a prescription pad or paper that has been approved by the board for use and contains
the following characteristics:
• One or more industry recognized features designed to prevent unauthorized copying of a completed or
Special Prescription Pad blank prescription form;
Requirements? • One or more industry recognized features designed to prevent the erasure or modification of information
written on the prescription form by the practitioner; and
• One or more industry recognized features designed to prevent the use of counterfeit prescription forms.
Where security paper is in the form of a prescription pad, each pad shall bear an identifying lot number, and
each piece of paper in the pad shall be numbered sequentially beginning with the number one. (§ 26-4-4(38.5))
Drugs scheduled under GA CSA but not under Federal CSA are required to be handled by the pharmacy in the
State Specific Restrictions?
same manner as other CS drugs (GA R&R: Rule 480-22-.13)
Out-of-State or Out-of-Country
Allowed? Restrictions by Not Specified
Control Schedule?
Separate Registration Yes - All prescribers must have and use his/her own unique DEA registration number to authorize controlled
Required for Prescribing? substance prescriptions (Prescribers | Georgia Drugs and Narcotics Agency(6))
Separate Registration
Yes O.C.G.A. § 16-13-35(a)
Required for Dispensing?
Each prescriber with a DEA number (except veterinarians (O.C.G.A. § 16-13-65) should enroll to become a PDMP
PDMP Requirements? user (O.C.G.A. § 16-13-57(c)(1))
Information to include for Schedule II-V drugs: O.C.G.A. § 16-13-59
Faxed and electronic CIIs given directly to patient must meet security paper requirements in O.C.G.A. § 26-4-
Rules on Phone, Fax or
80.1. All faxed and electronic CIIs must meet requirements of O.C.G.A. § 26-4-80 and regulations of US DEA in
Electronic?
21 C.F.R. 1306
State-Specific Control
I-V (O.C.G.A. § 16-13-24(a))
Schedules (e.g. Schedule VI)?
How Long Is the Prescription CIIs: Not Specified
Valid? CIII-Vs: 6 months (GA R&R: Rule 480-22-.08(1))
NTPs - Take-home doses of methadone limited to single dose/week for first 90 days of treatment, 2
doses/week for second 90 days, 3 doses/week for third 90 days, 6-day supply for remainder of first year, 2-week
Days Supply Restrictions?
supply after 1 year continuous treatment, and 1-month supply after 2 years continuous treatment with 1
visit/month (GA R&R: Rule 111-8-53-.15(c))
CIIs: No (GA R&R: Rule 480-22-.05)
Refills Allowed?
CIII-Vs: 5 refills within 6 months from date of issuance allowed (GA R&R: Rule 480-22-.08(1))
Fill-By Dates Allowed? Yes (Prescribers | Georgia Drugs and Narcotics Agency(5))
Postdating Allowed? No (Prescribers | Georgia Drugs and Narcotics Agency(5))
CIIs: Remaining portion must be filled within 72 hours of first partial filling (or 60 days for LTCF and terminally ill
Partial Fills Allowed? patients) (GA R&R: Rule 480-22-.06)
CIII-Vs: Filled in same manner as a refill (GA R&R: Rule 480-22-.09)
CIIs: Oral authorization from prescribing practitioner must be immediately reduced to writing by pharmacist or
intern/extern and followed up with hard copy within 7 days (GA R&R: Rule 480-22-.04(3))
CIII-Vs: Prescription must have refills remaining; pharmacist must make good faith effort to document need for
Emergency Fill Requirements?
emergency refill and notify patient and practitioner of early refill (GUIDANCE FROM THE GEORGIA BOARD OF
PHARMACY RELATING TO DISPENSING ADDRESSED IN THE GOVERNOR'S EXECUTIVE ORDER ON MARCH 20,
20 (page 2))
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 DEA
What are the Licensure
Form 224 (224a for renewal), $731
Requirements?
Who Must Apply? All prescribers (Prescribers | Georgia Drugs and Narcotics Agency(6))
Application Requirements? Good moral standing, background check, licensure, Form 224
When Does the DEA No. Have
Prescribers who are registered for a DATA 2000 waiver (for prescribing or dispensing buprenorphine)
an ‘X’?
Two letters followed by seven numbers.
• First letter:
o A, B, F is a full practitioner. X is a full practitioner with buprenorphine privileges.
o M is a mid-level practitioner
• Second letter: First letter of prescriber’s last name
How Do You Validate a DEA
• Math
Number?
o Step one: 1st, 3rd, and 5th number are added together.
o Step two: 2nd, 4th, and 6th number are added together and multiplied by two.
o Step three: Add the products from step one and two together
o The 7th number of the DEA number should be equal to the last digit of the number obtained in step
three
What Is Required for
CSOS
Electronic Use?
Renewal Cost? Frequency? $731 every 3 years
License Update Process? DEA 224a
The DEA allows reinstatement of an expired registration for one calendar month after the expiration date. If the
Reinstatement Process? expiration date is not renewed within that calendar month, an application for a new DEA registration will be
required.
• 222 form-ordering controlled substances
When to Use DEA Forms?
• 106 form- theft or loss of controlled substances
(222, 41, 106)
• 41 form- expiration of controlled substances
Required Information on
DEA 222 Form must remain on file for two years
Invoices?
Overdose/Dependence
Rules on Naloxone Naloxone immunity for prescribers, pharmacists and first responders under Georgia’s Amnesty Law (Emergency
Administration Help for Opioid Overdoses | Georgia Department of Public Health)
Rules on Suboxone
Not Specified
Administration

Prescribing Authority (Mark/Note If Allowed to Prescribe)

Type of Provider Schedule I Schedule II Schedule III Schedule IV Schedule V Legend/OTC Methadone
Physician X X X X X X X

Dentist X X X X X X
X (Oral hydrocodone
Optometrist only)
X X X

Podiatrist X X X X X X

Veterinarian X X X X X X

Psychologist
Psychiatrist X X X X X
Need co-signature of Need co-signature of
Physician Assistant delegating physician
X X X X
delegating physician
X (Need co-signature of
Need co-signature of Need co-signature of
Nurse Practitioner delegating physician
X X X delegating physician for drugs
delegating physician
intended to cause abortion)
Registered Nurse
Chiropractor
X (Need co-signature of
Need co-signature of Need co-signature of
Midwife delegating physician
X X X delegating physician for drugs
delegating physician
intended to cause abortion)
Physical Therapist
Pharmacist
Other ()

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 Mid-Level Practitioners Authorization by State
Special Notes on
GA R&R: Rule 480-22-.12(2)(e) (PAs and APRNs (NPs and Midwives)); O.C.G.A. § 43-30-1(D) and (E) (Optometrists);
Prescribing Authority
Schedule I (FAQs Regarding NPs and Protocol Agreements)
(e.g. Classes Allowed
GA R&R: Rule 480-22-.08(1) (Schedules III-V); GA R&R: Rule 480-22-.05 (CII Refills), GA R&R: Rule 480-22-.12(2)(e) (PAs
by Provider Type)
and APRNs)

Refills/Length of Validity (By Control Schedule)

Schedule Schedule I Schedule II Schedule III Schedule IV Schedule V Legend/OTC Methadone
# of Refills Allowed None 5 5 5 Not Specified None
Prescriptions issued by PAs and APRNs -
12 months (unless oral contraceptives,
hormone replacement, or prenatal
How Long is Rx Valid Not Specified 6 months 6 months 6 months vitamins issued by APRN, then 24 months) Not Specified

Prescriptions from other prescribers not

specified

Medical Marijuana
Pharmacist must match physician orders with Medical Registration Form copy. Pharmacist must maintain
Dispensing Requirements ledger on each patient and review them monthly. Physical inventory of all THC/marijuana and reports to PQR
board must also be done monthly. (GA R&R: Rule 360-12-.05(2)(a))
Controlled Substances Therapeutic Research Program: Cancer patients with chemotherapy-induced side effects
Special Requirements and glaucoma patients not responding to conventional controlled substances may be certified by a physician to
the PQR board (GA R&R: Rule 360-12)

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