Behind-the-Counter (BTC) Drugs

Definition and Importance

• BTC Drugs: Non-prescription medications requiring special handling, kept behind the pharmacy counter.
• Purpose: Protect consumers from potential misuse, dependency, and addiction.
• Regulatory guidelines in place to manage addictive substances.

Characteristics of BTC Drugs

• Non-prescription but potentially misusable.
• Limited quantities sold or require pharmacist approval.

Examples of BTC Drugs

• Cough Syrups: Containing guaifenesin and codeine; classified as Schedule V medications with purchase limitations.
• Emergency Contraceptives: Requirements include purchaser being at least 17 years old with valid ID; records must be maintained.
• Ephedrine, Pseudoephedrine, Phenylpropanolamine: Included due to methamphetamine compounding concerns.

Methamphetamine Concerns

• Methamphetamine: Classified as Schedule II for high abuse potential.
• Products like pseudoephedrine are regulated to prevent illegal drug manufacturing.

Regulations and Requirements

• Combat Methamphetamine Epidemic Act of 2005: Enforces regulations on BTC drug sales.
  • Requirements: Customer ID, documentation of purchaser info (name, address, date, time, quantity).
  • Records: Retention for at least 2 years.
• Purchase Limits: No more than 3.6 grams per day or 9 grams per month of raw active ingredient.
• Packaging: Non-liquid forms must be in 2-unit blister packs or unit dosage packets if blister packs are unfeasible.

Role of Pharmacy Technicians

• Adhere to regulations to prevent misuse.
• Ensure customer safety by staying informed on laws and guidelines.
• Maintain accurate records of BTC sales.

Summary

• Understanding BTC drugs is critical for pharmacy technicians.
• Stay updated on regulatory changes and maintain compliance.
• Ensure proper handling to safeguard consumer health and adhere to legal obligations.