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Indiana Board of Pharmacy Bans Four Compounds Used in Synthetic Drugs

The Indiana Board of Pharmacy has issued an emergency rule to ban four additional types of compounds used to create synthetic drugs commonly known as “spice” and “K2.” According to the rule, any compound that contains any of the chemicals or compounds derived from them, including salts, isomers, and salts of isomers, are now classified as Schedule I substances.

The four chemicals are:

  • APDB (EMA, 4-Desoxy-MDA, and (2-Aminopropyl)-2,3-dihydrobenzofuran),
  • THJ-2201 (AM2201 indazole analog, Fluoropentyl-JWH-018 indazole, and 5-Fluoro-THJ-018),
  • AM2201 benzimidazole analog (FUBIMINA, FTHJ, and (1-(5-fluoropentyl)-1H-benzo[d]imidazol-2-yl)(naphthalen-1-yl)methanone), and
  • MN-25 (7-methoxy-1-(2-morpholinoethyl)-N-((1S,2S,4R)-1,3,3-trimethylbicyclo[2.2.1]heptan-2-yl)-1H-indole-3-carboxamide and UR-12).

Under a 2012 state law, the Board has authority to ban such compounds through emergency rulemaking until the General Assembly can reconvene, indicates the Post-Tribune. According to the Post-Tribune, this is the sixth time the Board has used their authority to ban such chemicals.

Will Minnesota Be the First State?

The Minnesota Board of Pharmacy considered a proposal at its June 11, 2014 meeting to prohibit its licensees from compounding drugs to be used by corrections facilities for lethal injections. Rather than taking immediate action, the Board postponed any formal decisions until September to allow each side time to make its case.

Minnesota abolished capital punishment more than a century ago and does not supply execution drugs to  death penalty states, the Associated Press (AP) says. But the pharmacy board’s executive director, Cody Wiberg, told AP after Wednesday’s meeting, “Just because we don’t have a death penalty and you might get a more sympathetic ear than a state like Texas, it does not mean it will be an easy row to hoe.”

Only a small number of Minnesota pharmacies are licensed to make the sterile preparations that are used for injected drugs. One of them is The Apothecary Compounding Pharmacy in Sartell. Owner and IACP member Steve Anderson told the AP he does not think he would make drugs for a lethal injection. “I would have a problem compounding medications for that use. Just my Christian background. It probably wouldn’t be something that I would agree to anyway,” Anderson said.

Pennsylvania Legislation Would License Out-of-State Pharmacies

Although almost every state passed legislation to license and regulate out-of-state pharmacies in the early 1990's, Pennsylvania and Massachusetts still do not. Despite being the center of the NECC tragedy, the Massachusetts legislature has yet to move forward with any meaningful legislation to strengthen their Board of Pharmacy's oversight of compounding pharmacy practice. The Pennsylvania legislature, however, is considering House Bill 1822, which will require nonresident pharmacies to register with the Board of Pharmacy every two years. Additionally, it would also require any non-resident pharmacy permit holder to report to the Board within 30 days any disciplinary action taken by the licensing agency in the pharmacy's home state.  

Pennsylvania Representative Rob Kauffman who introduced the legislation in late 2013 said, "The 89th Legislative District, which I represent, has a number of residents who have their prescriptions filled by pharmacies in Maryland," Kauffman said in a news release. "The problem arises when a Pennsylvania resident has an issue with an out-of-state pharmacy not registered with the commonwealth, thereby leaving the state with no opportunity to take disciplinary action. My legislation will ensure that, like 48 other states, Pennsylvania will require registration of out-of-state pharmacies wishing to conduct business with Pennsylvania residents."

The legislation still needs to be passed by the House and then submitted to the Pennsylvania Senate for review and approval before this will become effective. After that, the Pennsylvania Board will need to draft regulations and set up the system by which non-resident pharmacies will register.  


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