Ohio Administrative Code|Rule 4729:2-3-06 | Dispensing of epinephrine autoinjectors by pharmacy interns.

                                                
(A) A pharmacy intern under the direct
		  supervision of a pharmacist may dispense epinephrine autoinjector without a
		  prescription to either of the following in accordance with an approved protocol
		  specified in paragraph (B) of rule 4729:1-3-06 of the Administrative
		  Code:
(1) An individual who
			 there is reason to believe is experiencing or at risk of experiencing
			 anaphylaxis if the pharmacy affiliated with the pharmacist has a record of
			 previously dispensing epinephrine to the individual in accordance with a
			 prescription issued by a licensed health professional authorized to prescribe
			 drugs;
(2) An individual acting
			 on behalf of a qualified entity, as defined in section 3728.01 of the Revised
			 Code.
(B)  
(1) A pharmacy intern
			 under the direct supervision of a pharmacist who dispenses an epinephrine
			 autoinjector pursuant to this rule shall instruct the individual to whom the
			 epinephrine autoinjector is dispensed, either verbally or in writing, to summon
			 emergency services as soon as practicable either before or after administering
			 epinephrine.
(2) A pharmacy intern who
			 dispenses an epinephrine autoinjector to an individual identified in paragraph
			 (A) of this rule shall provide notification of the dispensing to the
			 individual's primary care provider, if known, or to the prescriber who
			 issued the individual the initial prescription for an epinephrine autoinjector.
			 Notification shall be conducted using one of the following methods that is
			 capable of confirming delivery of the required notification:
(a) Electronic mail;
(b) Interoperable electronic medical records
				system;
(c) Facsimile;
(d) Electronic prescribing system;
(e) Electronic pharmacy record system;
(f) Documented verbal communication;
(g) Any other method of notification that might reasonably
				be expected to allow for the confirmed transmission of the required
				notification.
(C) When a pharmacy intern dispenses an
		  epinephrine autoinjector pursuant to this rule, the pharmacy intern shall
		  provide to the person receiving the device instruction on the proper method of
		  administering epinephrine with the device.
(D) A terminal distributor of dangerous
		  drugs shall ensure that all pharmacy interns that dispense epinephrine
		  autoinjectors pursuant to this rule are trained on the use of epinephrine and
		  can meet the training requirements listed in paragraphs (B) and (C) of this
		  rule.
(E) This rule does not affect the
		  authority of a pharmacy intern to contact a prescriber to obtain a new oral
		  prescription for an epinephrine autoinjector in accordance with the applicable
		  provisions of division 4729:5 of the Administrative Code.