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1

Apothecary Shops

Physicians normally compounded their OWN RX's or had apprentices do so

These meds were stocked in apothecary shops

FOund only in the LARGES CITIES:
Functioned to Stock & Service medicine chests for wealthy land owners + physicians

PATENT MEDICINES

2

PATENT MEDICINES

Popular as SECRET REMEDIES

had ALCOHOL + LAXATIVES

or Opiates

 

3

1800s -1900s

1800s = FIRST pharmacy schoolsmainly through apprenticeships

 

Mid-1800s = RIFT widened between medicine & pharmacy

 

Late 1800s / Late 1900s = MINIMAL LAWS / LOOSE REGULATIOSN
inferior ingredients / unscrupulous business practice

4

Landmark Flexner Report

1910

Medical Education + MEDICAL CIRRICULUM CHANGE

Physicians focused on other pactce activities

 

Druggists compromised and LIMITED their DIAGNOSING

 

Early 1900's pharmacist was more firmly established

5

Pure Food and Drug Act of 1906

one of 2 momentous legislations with respect to drugs in the early 20th century

PENALTIES for misbranding / adulteration of FOOD + DRUGS

Shortcomings in law resulted in poor enforcement

1937 - Elixir Sulfanilamide --> led to DEATHS so we needed drug safety BEFORE MARKETING

6

Food / Drug / Cosmetic ACT of 1938 = FDC ACT

one of 2 momentous legislations with respect to drugs in the early 20th century

1937 - Deaths from Elixer sulfanilamide -->  needed DRUG SAFETY BEFORE MARKETING

FDC ACT of 1938 legislated

SCIENTIFIC TESTING OF SAFETY
prohbited false therapeutic claims
 

EXPANDED authority for the US FDA

7

Pharmacy in the MID 1900s

1940s-1970s

Prohibition in 1920 -1933 --> pharmacies sold ALCOHOL

 

Increased Legislation & Regulation of RX Drugs

MASS MANUFACTURING --> reduction in compounding
Era of "count/poour/lick/stick"

 

1951 Durham Humphrey Amendment

8

1951 Durham Humphrey Amendment

amendement to the FDC ACT

created the

PRESCRIPTION DRUG CATEGORY

9

1969 Revision of APhA Code of Ethics

ELIMINITED THE:

 

Prohibition against sharing drug information with patient

 

in 1952 pharmacist was NOT supposed to discuss the therapeutic efefcts or compositions of a prescription to the patient

10

MedicAID is what # Title?

19

of Social Security act of 1965

BOTH STATE + FEDERAL

11

What TITLE is CHIP

Childrens health insuranec Program

Title 21 of the Balanced Budget Act of 1997

12

What TITLE is mediCARE?

Title 17

of the Social Security Act of 1965

ENTITLEMENT PROGRAM