|(a) Effective March 1, 2020, a pharmacist before dispensing
an outpatient prescription for 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 an outpatient 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
(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 the 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.
|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; amended to be effective March 14, 2021, 46 TexReg 1641