Pharmacists struggle to stop sales of drug used to make meth
10/30/2013 - The Charleston Gazette. By Eric Eyre.
CHARLESTON - Longtime Kanawha County pharmacist Donn Neurman says it's easy to spot criminals who buy cold medications to make illegal methamphetamine, but not so easy to stop them.
The criminals typically call pharmacies, asking whether they carry Sudafed 12 Hour and Sudafed 24 Hour, nasal decongestants that contain the main ingredient used to manufacture meth in clandestine labs. A short time later, the callers show up at the store with four or five people in tow.
"I can look toward the register, over the counter, and I know they're going to ask for it," said Neurman, a Rite Aid pharmacist who used to own The Medicine Shop in Kanawha City. "It is that obvious."
Neurman sometimes questions customers: Do they have a stuffy nose? Do they have a chronic condition, such as high-blood pressure, that could worsen if they take Sudafed?
But most times, Neurman said, he and other pharmacists are too busy to confront customers whom they suspect are buying the cold medicine with plans to cook meth.
"We have the ability to challenge them, but it is very, very difficult," Neurman told a Kanawha County substance abuse task force that's studying the county's meth lab problem. "It's very difficult to block a sale."
Neurman said he has worked as a "floating pharmacist" in 37 stores in the Kanawha Valley since selling The Medicine Shop in 2006. Pharmacists and pharmacy technicians constantly grapple with how to handle suspicious customers who buy medications that contain pseudoephedrine, a key meth-making ingredient, he said.
"It's the worst thing I have ever seen in all my years of pharmacy practice," said Nuerman, who has worked as a pharmacist for more than 30 years. "There's no match."
Neurman said West Virginia's new pseudoephedrine tracking system -- called NPLEX -- has helped block sales of the cold medication to people who try to exceed monthly and yearly limits under state law.
"It's the first thing we're praying for, that it will make the decision [to stop a sale] for us," he said.
Neurman said Rite Aid pharmacies display some pseudoephedrine products, but not the "long-lasting" 12-hour and 24-hour versions. The pharmacies keep the nasal decongestant behind the counter, and people must sign a log and show an ID to buy pseudoephedrine.
"At least at Rite Aid, everybody is carded," he said.
Neurman, who also serves on the task force, recommended legislation that would require a prescription for Sudafed 12 Hour and 24 Hour, Claritin-D 24 Hour and Allegra-D 24 Hour. Other medications that contain pseudoephedrine in lower concentrations, such as Sudafed 4 Hour, should continue to be made available without a prescription, he said.
He suggested that pharmacies be required to post large signs that alert people that they could face fines and criminal penalties if they misuse pseudoephedrine.
Kanawha County law enforcement agencies have seized more than 100 meth labs this year, a record number.
Bridget Lambert, a task force member who works for the West Virginia Retailers Association, Lambert predicted pseudoephedrine, as a prescription drug, would be continue to be diverted to make meth.
Lambert suggested that West Virginia set up a "meth offender registry" that would block people from purchasing the cold medication if they're convicted of meth-related crimes.
* The task force heard from Dr. Brad Henry about the county's prescription drug problem.
Henry said many teenagers obtain prescription pills illegally at area schools.
"If you ask, they'll tell you it's easier to get a pill than a beer," he said.
* David Potters, executive director of the state Board of Pharmacy, criticized House health committee Chairman Don Perdue, D-Wayne, for not moving a bill earlier this year that would have put tighter restrictions on the painkiller hydrocodone.
Last week, Perdue praised the U.S. Food and Drug Administration for proposing tougher rules on hydrocodone prescription refills. Perdue, who did not attend the task force meeting, acknowledged Tuesday that he opposed the West Virginia bill, saying he wanted to wait for the federal government to pass hydrocodone restrictions that cover all states.
* Task force members voted unanimously to support a bill that would allow police and firefighters to administer a drug -- called Naloxone or Narcan -- that counters the effects of pain-pill overdoses. West Virginia has the highest drug overdose rate in the nation.