| (iii) only pharmacy technicians and pharmacy technician
trainees who have been properly trained on the use of an automated
pharmacy dispensing system and can demonstrate comprehensive knowledge
of the written policies and procedures for the operation of the system
may be allowed access to the system.
(C) Pharmacy technicians and pharmacy technician trainees
may perform only nonjudgmental technical duties associated with the
preparation and distribution of prescription drugs, as follows:
(i) initiating and receiving refill authorization requests;
(ii) entering prescription data into a data processing
system;
(iii) taking a stock bottle from the shelf for a prescription;
(iv) preparing and packaging prescription drug orders
(i.e., counting tablets/capsules, measuring liquids and placing them
in the prescription container);
(v) affixing prescription labels and auxiliary labels
to the prescription container;
(vi) reconstituting medications;
(vii) prepackaging and labeling prepackaged drugs;
(viii) loading bulk unlabeled drugs into an automated
dispensing system provided a pharmacist verifies that the system is
properly loaded prior to use;
(ix) loading prepackaged containers previously verified
by a pharmacist or manufacturer's unit of use packages into an automated
dispensing system in accordance with §291.33(i)(2)(D)(III) of
this subchapter;
(x) compounding non-sterile prescription drug orders;
and
(xi) compounding bulk non-sterile preparations.
(D) In addition to the duties listed above in subparagraph
(C) of this paragraph, pharmacy technicians may perform the following
nonjudgmental technical duties associated with the preparation and
distribution of prescription drugs:
(i) receiving oral prescription drug orders for dangerous
drugs and reducing these orders to writing, either manually or electronically;
(ii) transferring or receiving a transfer of original
prescription information for a dangerous drug on behalf of a patient;
and
(iii) contacting a prescriber for information regarding
an existing prescription for a dangerous drug.
(3) Ratio of on-site pharmacists to pharmacy technicians
and pharmacy technician trainees.
(A) Except as provided in subparagraph (B) of this
paragraph, the ratio of on-site pharmacists to pharmacy technicians
and pharmacy technician trainees may be 1:6, provided the pharmacist
is on-site and a maximum of three of the six are pharmacy technician
trainees. The ratio of pharmacists to pharmacy technician trainees
may not exceed 1:3.
(B) As specified in §568.006 of the Act, a Class
A pharmacy may have a ratio of on-site pharmacists to pharmacy technicians/pharmacy
technician trainees of 1:5 provided:
(i) the Class A pharmacy:
(I) dispenses no more than 20 different prescription
drugs; and
(II) does not produce sterile preparations including
intravenous or intramuscular drugs on-site; and
(ii) the following conditions are met:
(I) at least four are pharmacy technicians and not
pharmacy technician trainees; and
(II) the pharmacy has written policies and procedures
regarding the supervision of pharmacy technicians and pharmacy technician
trainees, including requirements that the pharmacy technicians and
pharmacy technician trainees included in a 1:5 ratio may be involved
only in one process at a time. For example, a technician/trainee who
is compounding non-sterile preparations or who is involved in the
preparation of prescription drug orders may not also call physicians
for authorization of refills.
(e) Identification of pharmacy personnel. All pharmacy
personnel shall be identified as follows.
(1) Pharmacy technicians. All pharmacy technicians
shall wear an identification tag or badge that bears the person's
name and identifies him or her as a pharmacy technician, or a certified
pharmacy technician, if the technician maintains current certification
with the Pharmacy Technician Certification Board or any other entity
providing an examination approved by the board.
(2) Pharmacy technician trainees. All pharmacy technician
trainees shall wear an identification tag or badge that bears the
person's name and identifies him or her as a pharmacy technician trainee.
(3) Pharmacist interns. All pharmacist interns shall
wear an identification tag or badge that bears the person's name and
identifies him or her as a pharmacist intern.
(4) Pharmacists. All pharmacists shall wear an identification
tag or badge that bears the person's name and identifies him or her
as a pharmacist.
|
| Source Note: The provisions of this §291.32 adopted to be effective September 14, 1988, 13 TexReg 4306; amended to be effective October 27, 1989, 14 TexReg 5494; amended to be effective September 5, 1990, 15 TexReg 4807; amended to be effective January 29, 1992, 17 TexReg 323; amended to be effective January 1, 1993, 17 TexReg 9116; amended to be effective September 30, 1993, 18 TexReg 6460; amended to be effective June 1, 1994, 19 TexReg 3921; amended to be effective March 21, 1996, 21 TexReg 2227; amended to be effective April 7, 1997, 22 TexReg 3106; amended to be effective September 16, 1999, 24 TexReg 7227; amended to be effective March 29, 2000, 25 TexReg 2575; amended to beeffective June 4, 2000, 25 TexReg 4778; amended to be effective August 31, 2000, 25 TexReg 8405; amended to be effective December 27, 2000, 25 TexReg 12690; amended to be effective September 12, 2001, 26 TexReg 6891; amended to be effective September 8, 2002, 27 TexReg 8214; amended to be effective June 23, 2003, 28 TexReg 4637; amended to be effective March 4, 2004, 29 TexReg 1951; amended to be effective June 6, 2004, 29 TexReg 5361; amended to be effective September 18, 2007, 32 TexReg 6319; amended to be effective September 7, 2008, 33 TexReg 7218; amended to be effective September 13, 2009, 34 TexReg 6112; amended to be effective May 30, 2010, 35 TexReg 4165; amended to be effective December 8, 2010, 35 TexReg 10690; amended to be effective September 12, 2011, 36 TexReg 5847; amended to be effective June 7, 2012, 37 TexReg 4046; amended to be effective March 17, 2013, 38 TexReg1682; amended to be effective March 26, 2014, 39 TexReg 2080; amended to be effective September 11, 2014, 39 TexReg 7094; amended to be effective December 6, 2015, 40 TexReg 8766; amended to be effective September 6, 2017, 42 TexReg 4466; amended to be effective September 16, 2018, 43 TexReg 5783; amended to be effective June 20, 2019, 44 TexReg 2946; amended to be effective December 10, 2020, 45 TexReg 8851 |
