Oral medicinal drug products containing fluoride may be ordered by pharmacists for their patients who do not have fluoride supplement in their drinking water, pursuant to the following limitations:

1. (1) The fluoride content of drinking water does not exceed 0.5 ppm.
2. (2) Once a fluoride treatment has been initiated with one specific fluoride medicinal drug product it should not be interchanged with a product of a different manufacturer for the course of the treatment.

3. (3) If the fluoride content is less than 0.5 ppm then the following dosage schedule for oral usage shall be followed.

   1. (a) 1. For ages 0-6 months.

      a. Less than 0.3 ppm in water – no supplementation.

      b. 0.3 – 0.6 ppm in water – no supplementation.

      c. 0.6 ppm in water – no supplementation.

      2. For ages 6 months – 3 years.

      a. Less than 0.3 ppm in water – supplement with 0.25 mg. F/day.

      b. 0.3 – 0.6 ppm in water – no supplementation.

      c. 0.6 ppm in water – no supplementation.

      3. For ages 3-6 years.

      a. Less than 0.3 ppm in water – supplement with 0.5 mg. F/day.

      b. 0.3 – 0.6 ppm in water – supplement with 0.25 mg. F/day.

      c. 0.6 ppm in water – no supplementation.

      4. For ages 6-16 years.

      a. Less than 0.3 ppm in water – supplement with 1.00 mg. F/day.

      b. 0.3 – 0.6 ppm in water – supplement with 0.5 mg. F/day.

      c. 0.6 ppm in water – no supplementation.

   2. (b) No more than 264 mg. of sodium fluoride may be dispensed at any one time to a patient.
   3. (c) Notwithstanding the provisions of subsection 64B8-36.002(3), F.A.C., a pharmacist may continue a course of therapy with fluoride products until appropriate referral to another health care practitioner is indicated or in no event shall the course of therapy be more than one (1) year.

Rulemaking Authority 465.186(2) FS. Law Implemented 465.186 FS. History–New 5-1-86, Formerly 21M-39.004, 61F6-39.004, 59R-36.004, Amended 9-18-01.