(Iowa Capital Dispatch) – Several Iowa pharmacies have been cited by the state recently for dispensing incorrect medications, including one instance in which a patient might have died. The Hy-Vee Pharmacy located at 1501 First Ave. East in Newton, was recently charged by the Iowa Board of Pharmacy with dispensing the incorrect prescription to a customer.

The board alleges that on Jan. 14, 2024, the pharmacy mistakenly dispensed 30 milliliters of morphine concentrate to a patient with incorrect directions on the label, which the board says resulted “in a substantial overdose and possibly early death.” No other information on the case has been made public by the board. The board has imposed a $5,000 civil penalty against the pharmacy and ordered that the entire professional staff at the pharmacy undergo training on medication errors and patient safety.

The Hy-Vee Pharmacy located at 1501 First Ave. East in Newton was recently sanctioned by the Iowa Board of Pharmacy. (Photo via Google Earth)

Other cases recently addressed by the board include:

— A Hy-Vee Pharmacy at 2827 Hamilton Boulevard in Sioux City, which was charged with dispensing an  incorrect prescription to a customer. The board imposed a $2,000 civil penalty, and the entire professional staff was ordered to undergo training on medication errors and patient safety.

— A Hy-Vee Pharmacy at 351 NE Gateway Drive in Grimes, which was charged by the board with dispensing the incorrect prescription to a patient on May 29, 2023. The board imposed a $2,500 civil penalty and the entire professional staff was ordered to undergo training on medication errors and patient safety.

— A CVS Pharmacy at 14201 Hickman Road in Urbandale, which was charged by the board with dispensing the incorrect prescription to a customer. The board imposed a $5,000 civil penalty on the store.

— Monroe Community Pharmacy, located at 112 E Washington St. in Monroe, which was charged by the board with failing to reconcile its actual inventory of narcotics with its documented supply, failing to maintain complete and accurate pharmacy records, failing to have adequate policies in place with regard to narcotics, and failing to train pharmacy technicians at a telepharmacy site.

The board fined Monroe Community Pharmacy $3,500 and placed the pharmacy’s license on probation for three years. In addition, the board ordered that the pharmacy staff complete educational training on narcotic theft.

In a separate but related case, Douglas Niedermann, who was the Iowa-licensed pharmacist in charge at the Monroe pharmacy, was charged by the board with failing to audit and reconcile the inventory, and with failing to maintain complete and accurate pharmacy records. The board imposed a $500 civil penalty on Niedermann for the violations and ordered him to complete complete-education courses on controlled substances and theft of narcotics.

— A CVS Pharmacy at 3414 8^th St. SW in Altoona, which was charged by the board with failing to complete Drug Enforcement Agency records as to the loss of controlled substances, committing an act that would render its Controlled Substances Act registration “inconsistent with the public interest,” and with failing to submit a form to the DEA within 14 days of the theft or loss of controlled substances. The board imposed a civil penalty of $5,000 and placed the business’ pharmacy license and its Controlled Substances Act registration on probation for two years.

— DCA Pharmacy of Franklin, Tennessee, which was charged by the board with sending prescriptions into Iowa for two full years without an active Iowa license. Between January 2022 and January 2024, DCA PhIn addition, DCA was also accused of shipping compounded progesterone capsules into Iowa, despite its inability to show any of the required evidence of a clinically significant difference between the compounded medication and that which was available otherwise. The board imposed a $5,000 penalty against the company.

(Additional information can be found HERE)