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NAME: JHUNLAINE KATE G.

MENDOZA

ACTIVITY

PERSPECTIVES IN PHARMACY: MORAL AND LEGAL OBLIGATIONS

QUESTIONSTO PONDER

Scenario 1

Mr. Batil, a social drinker, uses the same drug store to fill all his prescriptions including pain medication. The
pharmacist, Mr.Patong, is aware of his daily alcohol use and his employment as a salesman who travels daily.
Mr. Batil has threatened to take his business elsewhere if the pharmacist informs the physician of his habits.

1. Does the pharmacist have any ethical responsibility for informing the physician of the alcohol intake of
the patient?

A pharmacist promotes the good of every patient in a caring, compassionate and, confidential
manner. A pharmacist places concern for the well-being of the patient at the center of professional
practice. In the scenario stated above, the pharmacist is ethically responsible in informing the
physician of the alcohol intake of Mr Batil. Mr. Batil, as a patient should’ve cooperate with agreed on
treatment plans with his physician and comply to it. Since he is still taking medications, and drinks
alcohol daily, the alcohol interactions with his medicines may cause serious problem later on.

2. Ethically, can the pharmacist or the allied health professional reveal this information if he or she is a
personal friend of the patient and has been asked by the patient not to tell the physician?

If the pharmacist is a friend of Mr. Batil I believed that a pharmacist is ethically responsible and
firm to his duties and responsibilities as a health professional in taking care and providing for the
betterment of the health and well-being of his or her patient. He or she maybe is a friend of Mr. Batil
and asked this pharmacist to keep his alcohol intake or information but there is an exemption in
situations like this where a health service may use or share your health information without your
consent, and this is when the person or patient’s health and safety are seriously threatened. We as
health practitioners have the responsibility to ensure safety of life and health and that shouldn’t be on
a second thought.

3. Which would be more important, friendship or the professional knowledge of a possible drug
overdosage? Justify

As a health professional, we stand to fight for what is right and that is to do the responsibilities,
the oath we took, take care of our patients and help them with their health concerns. What is more
important is the knowledge of a possible drug overdosage rather than friendship, because drug
overdose may lead to death and complications either accidental or intentional. The friendship may be
over or the trust have had been broke, but at the end of the day, when you know to yourself that you
have done your part especially in saving ones health or life as a part of the health care team, is a
great and proudest feeling we may feel as a person in the allied health profession.
4. How would you handle a situation in which a patient asks you not to tell the physician?

If I am a trusted friend of that patient and he told me everything about his conditions or non-
compliance of prescribed medications and told me not to tell his physician. The greatest thing I could
do for him would be, give him advice, persuade him to do the right thing. Tell him the importance of
telling the truth to his doctor. Because having an honest relationship with your medical providers is
crucial to help protect your overall health and well-being, and the doctor needs to know the full truth
about your lifestyle and experiences to provide the best care for you. Those little lies you think aren’t a
big deal can actually impact your doctor’s ability to care for you, and why being honest is always the
best idea.

Scenario 2

The specialist orders ibuprofen (an anti-inflammatory agent that breaks down into aspirin-like
compound) for arthritis for a patient who is also being treated by a family physician. The patient has
not given full medical history (including a list of medications) to the specialist. When the patient fills the
prescription, the pharmacist checks the medication profile and finds that the medication ordered by the
specialist would have adverse effects if taken with anticoagulants (for preventing blood clotting) on a
daily basis. As a member of the health care team, the pharmacist calls the office of the specialist and
discusses the problem with the allied health professional.

5. What are the responsibilities of the allied health professional?

Allied health professional cover a broad spectrum of medical positions that are intended to
assist physicians, nurses and specialist in providing the best care for patients. These professionals
generally make sure that patients receive adequate attention and access to treatment options. In the
scenario above, the allied health professional has the responsibility to inform, ask, and consult the
specialist about the patient medical records and the adverse effect of the prescribed drugs to the
patient’s health as reported by the pharmacist. The allied health professional’s duty is to discuss, and
give the correct information to the pharmacist about the patient’s condition or its medical record since
he or she is also the primary source of data. Since pharmacists are very knowledgeable about drugs
and have the basic duty to check prescription from the prescriber before dispensing the medication to
patients and ensure that the patients don’t receive the wrong drugs or take an incorrect dose of
medicine. And the patient’s physician also has the responsibility to send or transfer the full medical
record of the patient to the specialist, it is imperative for the treating physician or the specialist to
properly document the management of the patient under his care.

6. What steps does he/ she need to take to be sure that the patient will provide a list of all medications to
all physicians who care for that patient?
A patient must bring the list of all of his/her medications to all medical appointment as chances
are patients may attempt to recount all of his/her medications and forgot one or two or perhaps gave
an inaccurate dosage to the physician. It’s a common situation that both healthcare providers and
patients frequently encounter and it is one that becoming increasingly problematic. If a patient visits for
check-up an allied health professional should check his or her previous medical records; Evaluate or
perform health assessment to the patient; consult the physician or prescriber about the medications
given to this patient to avoid medication duplications; medication dosage errors and medications
interactions, this happens when a patient takes at least two separate medications from the same class
whether OTC or prescription. If the physician is unaware of this he may unknowingly write another
similar or the same prescription of drug.

7. What dangers can arise if there is not a team effort among the physician, pharmacist, and allied health
professional?

Healthcare is a team effort. Each health care provider is like a member of the team with a
special role. Some team member are doctors, pharmacist, allied health professionals who help
diagnose disease. Other are experts who treat disease or care for patients’ physical and emotional
needs. Doctors, or physicians, are key members of the healthcare team. When patients need medical
care, they first go to primary care doctors, they focus on preventive health care. This includes regular
check-ups, disease screening tests, immunizations and health counseling. Pharmacists give patients
medicine that are prescribed, or recommended by a doctor. They tell patients how to use medicines
and answer questions about side effects. Sometimes pharmacists help doctors choose which
medicines to give patients and let doctors know if combinations of medicines may interact and harm
patients. Allied health professional play roles in assessing and evaluating a patients’ need, keeping the
physician and others informed of the patients’ progress.

An effective teamwork of the health care team is now globally recognized as an essential tool
for constructing a more effective and patient-centered health care delivery system, It can immediately
and positively affect patients’ safety and outcome. Health and wellness of patient’s is the common
goal, when there is no teamwork among these health professionals, there would be an increase
number of medical errors and dissatisfaction among patients. When there is no proper communication
between health professional and patients, consequences may occur.

8. How could this problem have been avoided?

Problems are an avoidable rather we find solution to solve this matter. Communication is very
important as misinformation might happen, honest relationship between healthcare providers and
patient, Compliance to medical treatment or medications to avoid complications and know the duties
and responsibilities of each and everyone in the health care team to have an effective and successful
tasks in providing healthcare services to people and patients

Scenario 3

You have just been hired as the allied health professional for a physician, Dr. Pacquiaoan. You do not
know the patients or their medical histories. Marcos Ramos walks in without an appointment, stating
that he has lost the prescription for a narcotic pain reliever that he was given a week ago. He states
that he has looked everywhere for it and wants the prescription rewritten. After asking, Dr. Pacquiaoan
about the situation, you find that Mr. Ramos is a potential drug abuser. Dr. Pacquiaoan writes a
prescription for another pain reliever but not the narcotic Mr. Ramos desires. When you present the
prescription to him he becomes hostile and demands the narcotic.

9. What is your next decision?

Narcotics are also called opioid pain relievers. They are only used for pain that is severe and is
not helped by other types of painkillers. When used carefully and under a health care provider’s direct
care, these drugs can be effective at reducing pain. As an allied health professional, responsible for
taking care of patients, I will tell the physician that Mr. Ramos is a potential drug abuser and if the
patient becomes aggressive, I will calmly explain to Mr. Ramos that this new written prescription is a
same pain reliever drug as the older prescription he claimed to be lost though it is not the same
narcotic drug.

10. Should you copy the prescription that Mr. Ramos refuses?

No, because the physician’s resolution will be followed and if he is a potential drug abuser and
something bad happens to the patients’ health, the person that’ll be blame would be the physician or
the allied health professional. Since Dr. Pacquiaoan write a different prescription and medication which
has the same effect as the one she prescribed originally, Mr. Ramos’ concern is fully entertained by
the doctor and has no reason to be aggressive in the first place.

11. Should you document the refusal? Why or why not?

When Mr. Ramos demands the old prescription for narcotic drugs and becomes hostile, It will be
reasonable to document his refusal, because what if he hurts the other patients and the physician and
claim later on that the healthcare team hurt him, somewhat we have an evidence to show what really
happen inside the office and what caused the aggressive behavior of the patient. If not they may ask
the assistance of the security officer about this matter.

Scenario 4.

Mr. Ramos goes to the drugstore with a prescription for a narcotic. He has been “doctor-shopping” and
has filled a prescription for the same medication less than a week ago from another physician. The
pharmacist calls to tell you that he is suspicious of drug abuse and that Mr. Ramos may be forging
prescriptions from other physicians.

12. What would you do with this information?

The pharmacist is required to exercise sound professional judgement when making a


determination about the legitimacy of a controlled substance prescription. The proper prescribing of
controlled substances is the responsibility of the prescribing practitioner however, pharmacists have a
corresponding responsibility. In practice, this means ensuring that controlled substances such as
narcotics are only dispensed pursuant to a valid prescription issued for a legitimate medical purpose
by a practitioner acting in the usual course of his professional practice

In the scenario stated above the pharmacist observed and is suspicious of drug abuse and that
Mr. Ramos is doctor-shopping, the pharmacist is responsible in informing first the physician of her
suspicions before dispensing the controlled substance to Mr. Ramos . Since the law does not require to
dispense a prescription of doubtful, questionable or suspicious origin.

13. Who needs to be made aware of the suspicions?

The attending physician of the patient needs to be aware about the doctor-shopping and
suspicious drug abuse of the patient under his health care . To help doctors prevent this situations , the
prescription drug monitoring programs (PDMPs) help or require doctors and pharmacist to record each
prescription filled in a government database , allowing health care professionals to identify individuals
who are engaging in doctor-shopping behaviors.

14. Why is it important to pass along information provided by the pharmacist?

Health care providers need to be able to assess patient needs and communicate clearly. It is
important to pass along information given by the pharmacist to prevent adverse interactions, medication
overuse and errors and promote medication safety of patients.

Additional Questions for Research.

1. What are the origins of the medications used in folk medicine? Is folk medicine alive and well in the
twenty-first century in Cagayan and Cordillera? If so, how does it affect medical care in
Tuguegarao City, Cagayan, Philippines?

Folk medicines or traditional medicine consist of healing practices and ideas, knowledge, skill
based on the theories, beliefs, and experiences, indigenous to different cultures whether explicable
or no, it is used in the maintenance of health as well as in the prevention, improvement or
treatment of physical illness.
Folk medicine originated from primitive man’s reactions or attitudes to natural events. Folk
medicine in the region of Cordillera are kinda still alive and executed . But people nowadays are
significantly intelligent and cognizant. As to my observations, people no longer consult quack or
healers rather they consult licensed health professionals, pharmacist, clinics and hospitals for
check-ups, medical tests, proper medical care and medication prescription to help alleviate their
conditions or illness and improve a healthy lifestyle.

2. What are some of the drugs used in China and ancient Greece that are used therapeutically
today?

Drugs used in China and that are therapeutically used today: Founders of Chinese medicine are
Shen Nung, Pien Chiao, Chang Chung Ching, Hua To. The Chinese Book on roots and grasses
“Pen T’sao” written by Emperor Shen Nung circa 2500 BC, treats 365 drugs( dried plants of
medicinal plants) many of which are used even now a days such as the following: Rhei rhisoma,
camphor, Theae folium, Podophyllum, the great yellow gentian, ginseng, jimson weed, cinnamon
bark and ephedra.
Drugs used in Ancient Greece and that are used therapeutically today, Aspirin- it is prescribed
to prevent secondary heart attacks and strokes and has shown promise for reducing the risk of
certain type of cancers. Morphine- morphine remains one of the most commonly used opioid
analgesic for controlling severe pain.

3. Why is it important for the allied health professional to have a working knowledge of
pharmacology?

Pharmacology is the study of drugs and their uses , it draws information from many scientific
disciplines. An allied health professional must continue to learn about new medications as they are
released and keep current on new uses for older drugs. Basically, physicians, prescribe,
pharmacist dispense, and allied health professionals, depending on state law, may administer
medication and be a liaison to other health care professionals . Therefor the physician, pharmacist,
and allied health professional must cooperate in a system of checks and balances to ensure
patient safety. Allied health professionals must have a working knowledge of all medications used
at the site of employment, including new drugs and new applications of established drugs.

4. What role have wars played in the advancement of pharmacology?

The twentieth century has witnessed an unprecedented advancement of biomedical sciences.


After World War II, life-saving pharmaceutical innovation has materialized primarily through
systematic research, and has consisted of a series of thematic developments that have been
tightly-linked not only to the contemporary technological advances . For instance, the American
Civil War brought about the significant use of anesthesia which had only been discovered in 1846.
The use of anesthesia enabled significant advances in surgical capabilities that continue to the
modern day. A little-known outcome from WWI was the development of chemotherapy for cancer
treatment. The use of poison gases demonstrated that synthetic molecules killed normal cells. It
took some time, but eventually molecules were produced that could kill cancer cells more than
normal cells to the benefit of patients with cancer. World War II saw the expanded use of
antibiotics as very significant advance. Sulfa drugs, discovered in 1935, and penicillin , developed
in 1939, have led the way to the obvious world-wide benefit we have today from any number of
effective antibiotics. Advance in burn care also occurred during the Vietnam war. The use of
antiseptic and antibiotic impregnated dressings helped reduce dangerous infections.

5. Who may call prescriptions for Schedule II medications in to a pharmacy? If there are special
restrictions, what are these?

Schedule II drugs are the highest level of misuse potential medications that may be prescribed
by a clinician these drugs traditionally were allowed to be filled by paper prescription; however, a
prescription for a Schedule II medication may be phoned into the pharmacy in an emergency
situation. The prescriber must follow-up the phone prescription with a written prescription to the
pharmacy with 7 days. Prescriptions for Schedule II substances cannot be refilled; a new
prescription must be written every time. Under federal law, oral (“call in”) prescription for Schedule
II controlled substances are allowable only in emergency situations, and significant restrictions
apply to faxed prescription.

6. You are an allied health professional responsible for ordering prescription pads for the use of
physicians. Why is it important to leave the Philippine Drug Enforcement Agency (PDEA/ S-
license) number to be completed when the prescription is written?
As an allied health professional, I am responsible for ordering prescription pads for the use of
physician, when ordering or after ordering prescription pads, S-License number are left to the
PDEA for the monitoring of licensed selling, procure, acquire, dealing in or with specified
dangerous drugs preparation in any form by the physician and to prevent the illegal used of this
substances.
7. What is meant by drug’s strength?

Medicine is a compound or preparation used for the treatment or prevention of disease ,


especially a drug or drugs taken by mouth, whereas the strength of a medicine or drug’s strength is
the amount of active ingredient that is the drug that it contains. Strengths are usually quantified as
milligrams (mg), micrograms (mcg), or gram (g). The strength of a medicine does not have
anything to do with the size of a tablet, capsule, or the amount of liquid.

8. How do you describe “the war on drugs” of the Duterte administration?

Since taking office President Rodrigo Roa Duterte has carried out a “war on drugs” meant a
government-led initiative that aims to stop illegal drug use, distribution and trade by dramatically
increasing prison sentences for both drug dealers and users. As a new administration took over
the country of the Philippines, eradication of drugs resulted to extrajudicial killings. During
presidency campaigns, President Duterte has been very vocal about his promise in making the
Philippines a drug-free nation. The war on drugs became bloody as thousands of people has been
killed, wealthy illegal drug Lords where haunted and shoot, drug addicts and users where
imprisoned and undergone rehabilitation programs. Duterte’s presidency is mixed with change,
continuity and regression. Through his campaign in hunting this drug syndicate, the number of
related crimes in our nation lessened.

9. Do you believe that drugs are all that bad for the society? And what message can you give to our
youth?

Yes, If they are scientifically studied or processed, some drugs turn to be a medicinal drug or
medicine intended for the purpose of alleviate or cure of diseases, however if this drugs where
abused by humans, may cause great danger to the well-being, mental, social and physical health
of an individual and to the society. Not only is it illegal to carry many of these but an individual
under the influence can encourage them to commit other crimes.
To my fellow youth, I want you to always remember that there are people who still values or
loves you no matter how you felt inside you, the monster inside you who kept telling you’re not
good enough. It’s okay to be sad, or feel lonely at times. But never ever engage yourself with
things that’ll destroy you, your family and your future. As millennials now a days, become social
climber, always follows the trend though not all but some. Today’s youth are also significantly
intelligent and more socially responsible.
Like for instance peer pressure’s, in groups where they invite you to drinks alcohols or even
take drugs, that’s why we should also be aware of who we befriend. Rather, we should focus on
building and invest on ourselves and study hard, be with people that’ll help you to become a better
person because at the end of the day we are aiming for a successful future even though there are
a lot of distractions and peer pressure, but when we learn to control our self , when we learn to
love our self, we’ll be able to know the right weapon in order to win life and not engage in illicit
behaviors. And I still believe that the youth is the hope of the nation.

10. What was the role of the Philippine Drug Enforcement Agency?

The Philippine Drug Enforcement Agency (PDEA) is the lead agency in the fight against illegal
drugs. PDEA is responsible for efficient law enforcement of all provisions on any dangerous drugs
and precursors and essential chemicals. The agency is tasked with the enforcement of the penal
and regulatory provisions of Republic Act No. 9165 (R.A 9165), otherwise known as the
Comprehensive Dangerous Drugs Act of 2002. PDEA is the implementing arm of the Dangerous
Drugs Board (DDB). The DDB is the policy-making and strategy-formulating body in the planning
and formulation of policies and programs on drug prevention and control.

11. What is the role of the Philippine National Police in reducing drug use?

The Philippine National Police Narcotic Group (NARGRP0, a national support unit of the
Philippine National Police, is the lead agency of the PNP tasked with enforcement of Republic Act
6425 otherwise known as the Dangerous Drug Law of 1972 and all the laws relative to the
protection of the citizenry against dangerous drugs and prohibited substances. The role of the PNP
in reducing drugs use includes; to detect (dangerous) drugs traffickers, pushers and users, to
investigate (dangerous) drugs cases and arrest/prosecute violators of the drug laws. To conduct
drug prevention education and public information, assist the government in the treatment and
rehabilitation program for drug users or dependents and enforce other laws relative to general
police duties and law enforcement.

12. What is meant by drug quality?

Drug quality. A product that is fit for use can be defined as one, that meets its established
quality attributes and standards and has been manufactured with Current Good Manufacturing
Practice (CGMP) regulations. Quality drug ensure that better end results in terms of health are
achieved. Product quality includes strength and purity of the drug substance , the manufacturing
process of the drug and the monitoring of the manufacturing operations.

13. What are the Food and Drug Administration standards to ensure purity of medications and quality
control?

Food and Drug Administration FDA’s requirements for approval of new and generic drugs and
biologics are among the highest standards across the globe. Prior to FDA approval, the
manufacture must prove the product is safe, effective, and high quality. FDA laboratories generally
test drugs to standards set by the USP, a scientific organization that sets standards for the identity,
strength, quality, and purity of medicines manufactured, distributed, and consumed worldwide.
These are known as monograph standards. Typically, the monograph standards are:

•Identity- is it the right drug as indicated on the label?

•Assay- how much drug is there and is it content with the labeled amount?

•Impurities- are there process impurities or degradation impurities?


•Dissolution- does the active ingredient dissolve out of the dosage unit so that the drug is available
for the body to absorb?

To help ensure the safe and efficacy of drugs sold in the Philippines, FDA tests selected drugs in
FDA laboratories. This includes active pharmaceutical ingredients used to make the product and
the finished drug product sold to consumers.

14. Describe PNP Chief Bato De la Rosa’s icon in reducing criminality in drug-related events?

Ronald dela Rosa also known as “Bato” is retired police general and is currently serving as
Senator of the Philippines. Bato is the top cop, who has been ordered to purge the crime-ridden
ranks of the country’s police force. The Duterte’s administration war on drugs has created a great
impact to the economy and life of its citizen. Through this campaign all the illegal drug dealers,
wealthy luxurious drug lords, users, and illegal factories or laboratories where shut down, send to
jail and were killed in the leadership of former Police General Bato dela Rosa. We can say that
Bato dela Rosa’s leadership on the war on drugs, lessen the criminality, theft, rape and built fear to
this illegal drug users to voluntary surrender to the police and willingness to undergo rehabilitation
process. This creates a second chance to people who were willing to changed their life for the
better and forget the vices of taking illegal drugs.

15. Describe the Comprehensive Drug Prevention Law in the Philippines?

Comprehensive Dangerous Drugs Act of 2002 (Republic Act R.A. No. 9165). Under this Act the
Dangerous Drug Board (DDB) remains as the policy-making and strategy- formulating body in
planning and formulation of policies and program on drug prevention and control. It also created
the Philippine Drug Enforcement Agency (PDEA) Under the Office of the President, which serves
as the implementing arm of the DDB. The PDEA is responsible for the enforcement of all the
provisions on any dangerous drugs. The Comprehensive Dangerous Drugs Act is the policy of the
State to safeguard the integrity of its territory and well-being of its citizenry particularly the youth,
from harmful effects of dangerous drugs on their physical and mental well-being, and to defend the
same against acts or omissions detrimental to their development and preservation. Under the law,
anyone guilty with importation or sale of dangerous drugs, with the manufacture of illegal drug, or
with the operation of a drug den can be punished with life imprisonment to death and a fine from
500,000 to 10,000,000.

16. Manufacturing representatives present drug samples of new medications, as well as samples of
old medicines with new uses. The samples are prescription items. How do you as an allied health
professional handle sample? How can the drug representative add to your knowledge about
medications? How do you destroy expired samples? Why should the office refuse samples that will
not be provided to patients?

Some allied health care providers work collaboratively with other providers including
physicians, dentists and pharmacists and medical representatives. They may play roles in
evaluating and assessing a patient’s needs keeping the physician and others informed of the
patient’s progress and caring the patient. Pharmaceutical marketing is a specialized field where
medical representatives or drug representatives form its skeleton. Drug representatives increase
sales by influencing physicians or allied health professionals, they sometimes deliver lectures in
medical work places. This medical-representatives keep up with the latest clinical data supplied in
the company and interpreting, presenting and discussing these data with health care providers
during their periodic visits. The proper way to destroy or dispose expired drug samples, disposal
of large amounts of drugs can cause drug pollution and negatively impact the environment.
Organizations might choose to dispose of large amounts of drugs by returning them to the
manufacturer, putting them in landfills, using Incineration, or dumping the drugs into sewers.
Refusal of samples that will not be provided to patients lessens the payable charge of patients
and prevent the expiration or unused of drugs which are stocked supply.

17. How should prescription pads be handled in the physician’s office? What specific steps should be
used to secure prescription pads in the physician’s office?

The risk for drug diversion, prescription pad theft, and doctor shopping is on the rise. For this
reason, physician’s prescription pad should be secured. Prescription pad abuse in physician’s can
be avoided with these tips: Ensure security of prescription pads and RX paper, unrestricted
access to areas in a physician’s office poses a potential threat- deter staff from leaving
prescription pads on desks, countertops, or in exam rooms, lock prescription paper used for
printing in a secure area at all times. Store any prescription pads in locked drawers or cabinets at
all times and all prescription pads locked up at night. Use tamper resistant prescription pads to
prevent copying; Use gel pens when writing prescriptions, most gel pens use ink with color
pigments that quickly absorb into the fibers of any paper. Due to this, washing away old
prescriptions with chemical solvent proves ineffective; Conduct regular inventory of prescription
pads, create a written or verbal statement regarding monitoring of prescription pad inventory
within your practice; Utilize electronic prescribing of controlled substance software, electronic
prescribing of controlled substances eliminates the use of prescription pads while ensuring that
the exact prescription you wrote makes it directly to the pharmacy without alteration, diversion, or
the opportunity for the DEA number to be compromised.

18. What are orphan drugs? What role do they have in the medication process?

Orphan drugs are medicinal products intended for diagnosis, prevention or treatment of life-
threatening or very serious diseases or disorders that are rare. These drugs are called “orphan”
because under normal market conditions the pharmaceutical industry has little interest in
developing and marketing products intended for only a small number of patients. A medicinal
product designated as an orphan drug is one that has been developed specifically to treat a
rare medical condition referred to as “orphan medicine”.

19. What makes a drug-controlled substance?

A controlled substance- is generally a drug or chemical whose manufacture, possession, or


use is regulated by a government, such as illicitly used drugs or prescription medications that are
designated by law. The control applies to the way the substance is made, used, handled, stored,
and distributed. The five classes of controlled drugs are narcotics, depressants, stimulants,
hallucinogens and anabolic steroids. Controlled substances with known medical use, such as
morphine, Valium, and Ritalin, are available only by prescription from a licensed medical
professional.

20. What are the requirements in applying for s-3 License from PDEA?
s-3 (Retailer) License- to sell, procure, acquire, deal in or with specified drugs preparations in
any form; or, drug preparations containing controlled chemical for retail, except drug preparation
containing Norephedrine/ Phenylpropanolamine at doses 25 mg or below ( OTC drugs, per
BFAD AO 163, s. 2000). Covers activities granted to S-1 Licensed Holders.

Requirement in applying for S-3 License:

a. TIN Card/ Latest ITR (Head of Office & Authorized Pharmacist)

b. NBI Clearance (Head of Office & Authorized Pharmacist)

c. *Letter of Authorization, PDEA format

d. *Notarized Joint Affidavit, PDEA format

e. PRC ID Card (Authorized Pharmacist)

f. PTR (Authorized Pharmacist)

g. TIN Card/ Latest ITS (Company)

h. DTI/SEC/CDA Certificate

i. General Information Sheet- GIS (corporations only)

j. Business’s/ Mayor’s Permit

k. FDA or DOH-CHD LTO Certificate

l. BOC Accreditation Certificate (importer/exporter only)

m. *Projection For forthcoming year (importer/manufacturer only)

n. Certificate of Product Registration -CPR (importer/manufacturer/exporter only)

o. Picture of DDPs/ Box Label/ Package Insert (importer/ manufacturer/ exporter only)

p. Company profile

q. Organizational structure, certified correct and current by Human Resource (HR) Officer of
company with pictures of head and authorized pharmacist

r. Location/ Vicinity Map

s. Floor Plan/ Layout to highlight controlled drug storage area

t. Picture of Drug Establishment (façade)

u. Picture of controlled drug storage area.

v. Proof of ownership/ Lease of Contract

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