Over-the-Counter Antibiotics Will Require Veterinary Oversight (Rx) Beginning in June of 2023

Gustavo M. Schuenemann, DVM, MS, Ph.D., Professor, Dairy Cattle Health and Management, Veterinary Extension Specialist, Ohio State University Extension

Soon all medically important antibiotics will require a written Rx

By June of 2023, all medically important antibiotics currently available at most feed or farm supply stores will now require veterinary oversight (written Rx) to be used in animals, even if the animals are not intended for food production. Examples of affected antibiotics include injectable penicillin and oxytetracycline.  In addition, some retail suppliers who were able to sell these drugs/products in the past may no longer sell them after June of 2023.  This means that small and large animal veterinarians should be prepared for an increase in calls and visits from animal owners who previously may have purchased these drugs over the counter at their local farm supply store.  To continue using medically important antimicrobials, you may need to establish a veterinary-client-patient relationship (VCPR). Consult your veterinarian for more information.

What is a veterinarian-client-patient-relationship?

A veterinarian-client-patient-relationship (VCPR) is defined by the American Veterinary Medical Association as the basis for interaction among veterinarians, their clients, and their patients and is critical to the health of your animal(s). The practical explanation is that it is a formal relationship that you have with a veterinarian who serves as your primary contact for all veterinary services and is familiar with you, your livestock/animals, and your farm operation. This veterinarian is referred to as your Veterinarian of Record (VoR), and both the VoR and the client should sign a form to document this relationship.

What species are included?

From companion dogs and cats to backyard poultry, and from rabbits and show pigs to large livestock farms. The same restrictions will apply to all companion and farm animal species.

How do your health protocols measure up?

Health protocols are customized for individuals and farm-specific, and practicing veterinarians are often asked to develop and write protocols for individual farms, particularly health protocols. Injectable antimicrobials alone will not work as intended if animals are experiencing pain (drop feed and water intake) and/or dehydration. OSU Veterinary Extension is available to review your health protocols, but must submitted by a practicing veterinarian to Dr. Gustavo Schuenemann at schuenemann.5@osu.edu.

Resources:

  1. Over-the-Counter Antibiotics Will Require Veterinary Oversight (Rx) Beginning in June of 2023
  2. Veterinary Client-Patient Relationship
  3. Veterinary Feed Directive
  4. List of Approved New Animal Drug Applications Affected by GFI #263
  5. PowerPoint Presentation: Dr. Amber McCoig discussing FDA Guidance for Industry #263 and #256
  6. Antibiotic Stewardship for Beef and Dairy Cattle
  7. Antibiotic Stewardship for Poultry
  8. Antibiotic Stewardship Sheep and Goats