The changing veterinary pharmacy landscape presents both opportunities and challenges to veterinarians and veterinary practices. This page provides an overview of the pharmacy issues that are relevant to veterinary medicine, including the rules and practices related to the sales, dispensing, and compounding of drugs, chemicals, medicines, and/or prescriptions.
Reduce Prescription Errors
Clearly written prescriptions help prevent misunderstandings and misinterpretations that can harm patient health. Our downloadable prescription-writing best practices poster helps train and remind your staff.
When the decision has been made to treat an animal with a prescription drug, veterinarians are ethically bound to have a Veterinarian-Client-Patient Relationship (VCPR) in place in order to prescribe medication for the patient and to provide a prescription when requested. In addition, many states require that a prescription be provided upon client request, and the majority of states prohibit veterinarians from prescribing animal medications outside of a VCPR.
Many pet and livestock owners prefer to have their prescriptions filled online, yet the Food and Drug Administration (FDA) cautions owners in its “Purchasing Pet Drugs Online: Buyer Beware” resource that it has found companies that sell unsafe medications and/or conduct unlawful pharmacy practices (such as dispensing prescription medications without a prescription).
Likewise, FDA's Know Your Source page indicates there is a growth of rogue drug distributors. FDA urges healthcare professionals to verify that their distributors are licensed by their state.AVMA resources:
Client Requests for Prescriptions (AVMA policy) Prescriptions and Pharmacies FAQ for veterinarians
Compounded medications are vital resources for veterinarians, yet many veterinarians might unknowingly be compounding outside the law.
AVMA resources:CompoundingCompounding 101 (video)Compounding webinar ((AVMA member login required)
The use and prescribing of controlled substances is subject to regulation by the Drug Enforcement Administration (DEA) and state controlled substance authorities. AVMA resources (member login required):Do You Need a DEA Registration? (pdf)Veterinary Practitioners’ Guide to DEA Recordkeeping Requirements Veterinary Medicine Mobility Act: FAQs for Veterinarians
Conflicts have occurred when some pharmacies inappropriately required DEA numbers for prescriptions that were not controlled substances. The DEA says it strongly opposes the use of a DEA registration number for any purpose other than for transactions of controlled substances. Use of DEA registration numbers as identification is not appropriate, according to the DEA. National Provider Information (NPI) numbers, which were developed for use associated with human healthcare, are not for veterinary use. According to the federal government, businesses cannot insist on NPI numbers from veterinarians. Veterinarians who need to deactivate their NPI number can do so by submitting an NPI Update Form.When asked for an NPI number, or for a DEA registration number for non-controlled substance prescriptions, veterinarians instead can provide their state license number. Although a pharmacy might find it convenient to use NPI and DEA numbers, ultimately, it’s a veterinarian’s state veterinary medical license that authorizes the prescribing of drugs for their patients.
The electronic submission of prescriptions, or E-prescribing, is commonplace in the human medical field and is likely to affect veterinary practice in the coming years. Most current e-prescribing software only works well for human medicine, but AVMA is working with nationwide e-prescribing standard-setting bodies so that future software versions will be more useable for veterinary medicine.
The AVMA has a number of resources intended to educate pet owners about obtaining and safely using medications: Your Pet Prescription Choices (PDF client handout; member login required)Online Pharmacies Your Pet’s MedicationsPrescriptions and Pharmacies FAQ for Pet OwnersNSAID safety client handout (PDF, member login required)
Additionally, the Oregon Veterinary Medical Association has developed a helpful message for clients on pet prescriptions (PDF).