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OHIO STATE BOARD OF PHARMACY77 South High Street, Room 1702; Columbus, OH 43215-6126

-Equal Opportunity Employer and Service Provider-

TEL: 614/466-4143 E-MAIL: exec@bop.state.oh.us FAX: 614/752-4836TTY/TDD: Use the Ohio Relay Service: 1-800/750-0750 URL: http://www.pharmacy.ohio.gov

NOTICE OF OPPORTUNITY FOR HEARING

December 14, 2011

Laurie Elizabeth Littlejohn, R.Ph.164 Charterhouse CourtPowell, Ohio 43065

Re: Ohio Registered Pharmacist

License No. 03-3-15786

Dear Ms. Littlejohn:

YOU ARE HEREBY NOTIFIED that, in accordance with the provisions of Chapters 119. and4729. of the Ohio Revised Code, the Ohio State Board of Pharmacy will determine whetheror not to take action against your license. Prior to any such action, you are entitled to ahearing before the State Board of Pharmacy on the basis of the following allegations:

(1) Records of the State Board of Pharmacy indicate that you were originally licensedin the State of Ohio on December 4, 1984, pursuant to reciprocity, and are

currently licensed to practice pharmacy in the State of Ohio.

(2) You did, on or about May 14, 2010, prior to dispensing RX #6889550 for Orapred,fail to review the patient profile in order to conduct prospective drug utilizationreview, to wit: you failed to review the patient profile for over-utilization, incorrectdrug dosage and duration of drug treatment, and misuse. When conducting drugutilization review for RX #6889550, you failed to notice that the six-month oldpatient would receive a three-fold increase in intended dosage. The patient was toreceive 7.5 mg (one-half teaspoonful) twice daily for five days; however, the labelas dispensed indicated "take one and one-half teaspoonful (22.5 mg) by mouth twotimes a day for 5 days." The patient was harmed. Such conduct is in violation ofRule 4729-5-20 of the Ohio Administrative Code, and if proven constitutes being

guilty of unprofessional conduct in the practice of pharmacy and/or guilty ofwillfully violating a rule adopted by the Board under Chapter 4729. of the OhioRevised Code within the meaning of Section 4729.16 of the Ohio Revised Code.

For these reasons, the State Board of Pharmacy will determine whether to take actionpursuant to Section 4729.16 of the Ohio Revised Code.

YOU ARE HEREBY ADVISED that Section 4729.16 of the Ohio Revised Code states inpertinent part that:

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(A) The state board of pharmacy, after notice and hearing in accordancewith Chapter 119. of the Revised Code, may revoke, suspend, limit, place onprobation, or refuse to grant or renew an identification card, or may impose amonetary penalty or forfeiture not to exceed in severity any fine designated underthe Revised Code for a similar offense, or in the case of a violation of a section ofthe Revised Code that does not bear a penalty, a monetary penalty or forfeiture ofnot more than five hundred dollars, if the board finds a pharmacist or pharmacyintern:

(1) Guilty of a felony or gross immorality;

(2) Guilty of dishonesty or unprofessional conduct in the practice ofpharmacy;

(3) Addicted to or abusing liquor or drugs or impaired physically ormentally to such a degree as to render the pharmacist or pharmacy internunfit to practice pharmacy;

(4) Has been convicted of a misdemeanor related to, or committedin, the practice of pharmacy;

(5) Guilty of willfully violating, conspiring to violate, attempting toviolate, or aiding and abetting the violation of any of the provisions of thischapter, sections 3715.52 to 3715.72 of the Revised Code, Chapter 2925.or 3719. of the Revised Code, or any rule adopted by the board underthose provisions;

(6) Guilty of permitting anyone other than a pharmacist or pharmacyintern to practice pharmacy;

(7) Guilty of knowingly lending the pharmacists or pharmacyinterns name to an illegal practitioner of pharmacy or having professionalconnection with an illegal practitioner of pharmacy;

(8) Guilty of dividing or agreeing to divide remuneration made in thepractice of pharmacy with any other individual, including, but not limitedto, any licensed health professional authorized to prescribe drugs or anyowner, manager, or employee of a health care facility, residential carefacility, or nursing home;

(9) Has violated the terms of a consult agreement entered intopursuant to section 4729.39 of the Revised Code;

(10) Has committed fraud, misrepresentation, or deception inapplying for or securing a license or identification card issued by the board

under this chapter or under Chapter 3715. or 3719. of the Revised Code.

...(E) If, pursuant to an adjudication under Chapter 119. of the Revised Code,

the board has reasonable cause to believe that a pharmacist or pharmacy internis physically or mentally impaired, the board may require the pharmacist orpharmacy intern to submit to a physical or mental examination, or both.

YOU ARE FURTHER NOTIFIED, in accordance with the provisions of Chapters 119. and 4729.of the Ohio Revised Code, that you are entitled to a hearing before the Ohio State Board of

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Pharmacy, if you request such a hearing within thirty (30) days of the time of the mailing ofthis notice.

IF YOU DESIRE A HEARING, such request shall be mailed to the State Board of Pharmacy, 77South High Street, Room 1702, Columbus, Ohio 43215-6126. YOUR REQUEST MUST BE INWRITING, AND MUST BE RECEIVED IN THE OFFICE OF THE OHIO STATE BOARD OFPHARMACY ON OR PRIOR TO THE THIRTIETH (30TH) DAY FOLLOWING THE MAILING DATE OF

THIS NOTICE. You may appear at such hearing in person, by your attorney, or by suchother representative as is permitted to practice before the agency, or you may present yourposition, arguments or contentions in writing; and, at this hearing, you may also presentevidence and examine any witnesses appearing for and against you.

YOU ARE FURTHER ADVISED that if there is no request for such a hearing received by theBoard on or prior to the thirtieth (30th) day following the mailing of this notice, the OhioState Board of Pharmacy, upon consideration of the aforementioned allegations againstyou, may take action without such a hearing.

BY ORDER OF THE STATE BOARD OFPHARMACY

William T. Winsley, M.S., R.Ph.Executive Director

WTW:vf (D-111214-230)

Registered Mail / Return ReceiptRE 663 138 024 US

c: Tracy M. Nave, Assistant Attorney General