PTCB Certified Pharmacy Technician (PTCE)Federal RequirementsHard

A pharmacy technician is reviewing an order for a new medication. The label indicates 'Rx Only'. This designation signifies that the drug is considered safe and effective only when used under the supervision of a licensed practitioner. Which federal act established this distinction between prescription and non-prescription drugs?

  1. ADurham-Humphrey Amendment of 1951
  2. BKefauver-Harris Amendment of 1962
  3. CPure Food and Drug Act of 1906
  4. DFood, Drug, and Cosmetic Act of 1938
Show answer & explanation

Correct answer: A. Durham-Humphrey Amendment of 1951

The Durham-Humphrey Amendment of 1951 explicitly defined prescription drugs as those requiring medical supervision for safe use and established the 'Rx Only' label.

Why the other options are wrong

  • B. The Kefauver-Harris Amendment required drugs to be proven effective as well as safe, in response to the thalidomide tragedy.
  • C. The Pure Food and Drug Act focused on preventing misbranding and adulteration, not Rx vs. OTC distinction.
  • D. The Food, Drug, and Cosmetic Act required drugs to be proven safe before marketing, but didn't formally separate Rx from OTC.

Durham-Humphrey Amendment

A 1951 amendment to the Food, Drug, and Cosmetic Act that legally established the distinction between prescription (legend) drugs and over-the-counter (OTC) drugs.

  • Defined drugs that require a prescription.
  • Mandated the 'Rx Only' or 'Caution: Federal law prohibits dispensing without a prescription' label.
  • Authorized verbal prescriptions and prescription refills.

Memory trick: Food & Drug Acts: Pure, Cosmetic, Durham-Humphrey, Kefauver.

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