Is flagyl sold over the counter, so you can't have a pharmacy run by felon. The federal government says that selling over-the-counter drugs is in the public interest. But current state of affairs also has created the possibility that federal government can target the state-licensed distribution of a drug, fact that, in the eyes of some pharmacists and pharmacists' unions, has the makings of a federal government crackdown. The Pharmacy Board of Massachusetts (BBPM) is currently trying to decide what do about the ban on selling over- flagyl oral over the counter the-counter drugs to individuals. Advertisement The current regulation, which goes into effect on August 1, says that patients could only purchase over-the-counter drugs from a pharmacy that is "the same licensee as the physician" and "is also licensed as an Rx pharmacy to dispense medication" under state law. It also Flagyl er $0.39 - pills Per pill says that patients "shall not buy or otherwise obtain medications from any other person or entity, than by the use of licensed pharmacy." Get Talking Points in flagyl over the counter equivalent your inbox: An afternoon recap of the day's most important business news, delivered weekdays. Sign Up Thank you for signing up! Sign up more newsletters here These provisions of the law are largely unenforced, as the state does not enforce its prescription drug laws. Nevertheless, the BBPM is currently working on what it will do about this. If it decides to pursue more stringent regulations that target the state- and federally-licensed distribution of marijuana, it would not be a surprise. "They have said [over-the-counter] sales will be allowed in order to reduce the amount of opioids in community," says George Lister, a pharmacy licensing attorney at the law firm Grafton, Brown, & Root, who represents both licensed pharmacies and pharmacists. "It's a very common sense decision to make that helps reduce the volume of opioid crisis." The decision raises issues for those who are licensed to dispense the drugs because government requires to be dispensed from a specific source. Pharmacists, too, could face questions from the state and federal government about these activities. "The question is whether the distribution of over- the-counter drugs by a pharmacist or distributer would be covered by a state license," says Nancy Leggio, a pharmacist in Springfield, who was president of the Pharmacy Board from 2005 to 2012 and is now an adjunct professor at the UMass School of Pharmacy. "The answer is that it unlikely, based upon common sense. It will be considered by the board if state determines that it is appropriate," Leggio says. The current regulation also has implications for some state employees, such as employees of health centers. Their job could become more complicated if they run afoul of the law. "I'd be very concerned if I were employed by a health center that sold over-the-counter medications and my state license was not valid," says Dr. James D. Brown, who heads the Department of Mental Health & Addictions Services at the Massachusetts Treatment Access and Home (MATHA) program, in Boston. "I'd be troubled." Brown, who is also a professor at UMass Medical School and an assistant professor at Harvard Medical School, says that MATHA has concerns about what the state might consider a reasonable practice, like dispensing over-the-counter drugs for some patients who do not have a prescription. "The more the number of opioid prescriptions goes down, the less effective medications will be for people who do not take them as prescribed," he says. "Mental health systems will be forced to look more severely at the prescribing of these medications." The state has already started looking into such concerns from other organizations, most notably the Massachusetts Patient Advocacy Alliance, an group that advises the governor and lawmakers about public health issues and has pushed the state to enact drug screening and treatment measures. If the federal government deems this behavior a violation of federal law and generic cialis canada online pharmacy sends a letter to MATHA on the matter, organization has asked its members to discuss how they address it on the state level, according to Brown. "If they send a letter to MATHA saying they have an issue with your practice, you'll have to decide whether or not comply," he says. "You have to look in the mirror and ask yourself: Are you complying with the law, rules of state, medical board's policies, and the policies of your physicians?" Leggio would not speak directly about enforcement actions she might get from federal and state officials if the law is enforced. "We're in an interesting situation and what I would hope is a positive position to bring about changes that are in the best interests of patients as well the physicians," she says. This story was updated on July 22 to clarify that.
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