(a) Effective March 1, 2020, a pharmacist before dispensing
an opioid, benzodiazepine, barbiturate, or carisoprodol for a patient
shall consult the Texas Prescription Monitoring Program (PMP) database
to review the patient's controlled substance history. The dispensing
pharmacist of a prescription shall be responsible for the review of
the PMP database prior to dispensing the prescription, unless the
pharmacy has designated another pharmacist whose identity has been
recorded in the pharmacy's data processing system as responsible for
PMP review.
(b) The duty to consult the PMP database as described
in subsection (a) of this section does not apply in the following
circumstances:
(1) the prescribing individual practitioner is a veterinarian;
(2) it is clearly noted in the prescription record
that the patient has a diagnosis of cancer or sickle cell disease
or is in hospice care; or
(3) the pharmacist is unable to access the PMP after
making and documenting a good faith effort to do so.
(c) If a pharmacist uses pharmacy management systems
that integrate data from the PMP, a review of the pharmacy management
system with the integrated data shall be deemed compliant with the
review of the PMP database as required under §481.0764(a) of
the Texas Health and Safety Code and in subsection (a) of this section.
(d) Pharmacists and pharmacy technicians acting at
the direction of a pharmacist may only access information contained
in the PMP as authorized in §481.076 of Texas Controlled Substances
Act. A person who is authorized to access the PMP may only do so utilizing
that person's assigned identifier (i.e., login and password) and may
not use the assigned identifier of another person. Unauthorized access
of PMP information is a violation of Texas Controlled Substances Act,
the Texas Pharmacy Act, and board rules.
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Source Note: The provisions of this §315.15 adopted to be effective December 6, 2018, 43 TexReg 7788; amended to be effective June 20, 2019, 44 TexReg 2957; amended to be effective December 9, 2019, 44 TexReg 7548 |