| (C) A pharmacist may not dispense a facsimile prescription
drug order for a dangerous drug or controlled substance issued by
a practitioner licensed in the Dominion of Canada or the United Mexican
States unless the practitioner is also licensed in Texas.
(6) Original prescription drug order records.
(A) Original prescriptions may be dispensed only in
accordance with the prescriber's authorization as indicated on the
original prescription drug order, including clarifications to the
order given to the pharmacist by the practitioner or the practitioner's
agent and recorded on the prescription.
(B) Notwithstanding subparagraph (A) of this paragraph,
a pharmacist may dispense a quantity less than indicated on the original
prescription drug order at the request of the patient or patient's
agent.
(C) Original prescriptions shall be maintained by the
pharmacy in numerical order and remain legible for a period of two
years from the date of filling or the date of the last refill dispensed.
(D) If an original prescription drug order is changed,
such prescription order shall be invalid and of no further force and
effect; if additional drugs are to be dispensed, a new prescription
drug order with a new and separate number is required. However, an
original prescription drug order for a dangerous drug may be changed
in accordance with paragraph (10) of this subsection relating to accelerated
refills.
(E) Original prescriptions shall be maintained in three
separate files as follows:
(i) prescriptions for controlled substances listed
in Schedule II;
(ii) prescriptions for controlled substances listed
in Schedules III-V; and
(iii) prescriptions for dangerous drugs and nonprescription
drugs.
(F) Original prescription records other than prescriptions
for Schedule II controlled substances may be stored in a system that
is capable of producing a direct image of the original prescription
record, e.g., a digitalized imaging system. If original prescription
records are stored in a direct imaging system, the following is applicable:
(i) the record of refills recorded on the original
prescription must also be stored in this system;
(ii) the original prescription records must be maintained
in numerical order and separated in three files as specified in subparagraph
(D) of this paragraph; and
(iii) the pharmacy must provide immediate access to
equipment necessary to render the records easily readable.
(7) Prescription drug order information.
(A) All original prescriptions shall bear:
(i) the name of the patient, or if such drug is for
an animal, the species of such animal and the name of the owner;
(ii) the address of the patient; provided, however,
that a prescription for a dangerous drug is not required to bear the
address of the patient if such address is readily retrievable on another
appropriate, uniformly maintained pharmacy record, such as medication
records;
(iii) the name, address and telephone number of the
practitioner at the practitioner's usual place of business, legibly
printed or stamped, and if for a controlled substance, the DEA registration
number of the practitioner;
(iv) the name and strength of the drug prescribed;
(v) the quantity prescribed numerically, and if for
a controlled substance:
(I) numerically, followed by the number written as
a word, if the prescription is written;
(II) numerically, if the prescription is electronic;
or
(III) if the prescription is communicated orally or
telephonically, as transcribed by the receiving pharmacist;
(vi) directions for use;
(vii) the intended use for the drug unless the practitioner
determines the furnishing of this information is not in the best interest
of the patient;
(viii) the date of issuance;
(ix) if a faxed prescription:
(I) a statement that indicates that the prescription
has been faxed (e.g., Faxed to); and
(II) if transmitted by a designated agent, the name
of the designated agent;
(x) if electronically transmitted:
(I) the date the prescription drug order was electronically
transmitted to the pharmacy, if different from the date of issuance
of the prescription; and
(II) if transmitted by a designated agent, the name
of the designated agent; and
(xi) if issued by an advanced practice nurse or physician
assistant in accordance with Subtitle B, Chapter 157, Occupations
Code:
(I) the name, address, telephone number, and if the
prescription is for a controlled substance, the DEA number of the
supervising practitioner; and
(II) the address and telephone number of the clinic
where the prescription drug order was carried out or signed; and
(xii) if communicated orally or telephonically:
(I) the initials or identification code of the transcribing
pharmacist; and
(II) the name of the prescriber or prescriber's agent
communicating the prescription information.
(B) At the time of dispensing, a pharmacist is responsible
for documenting the following information on either the original hardcopy
prescription or in the pharmacy's data processing system:
(i) the unique identification number of the prescription
drug order;
(ii) the initials or identification code of the dispensing
pharmacist;
(iii) the initials or identification code of the pharmacy
technician or pharmacy technician trainee performing data entry of
the prescription, if applicable;
(iv) the quantity dispensed, if different from the
quantity prescribed;
(v) the date of dispensing, if different from the date
of issuance; and
(vi) the brand name or manufacturer of the drug or
biological product actually dispensed, if the drug was prescribed
by generic name or interchangeable biological name or if a drug or
interchangeable biological product other than the one prescribed was
dispensed pursuant to the provisions of the Act, Chapters 562 and
563.
(C) Prescription drug orders may be utilized as authorized
in Title 40, Part 1, Chapter 19 of the Texas Administrative Code.
(i) A prescription drug order is not required to bear
the information specified in subparagraph (A) of this paragraph if
the drug is prescribed for administration to an ultimate user who
is institutionalized in a licensed health care institution (e.g.,
nursing home, hospice, hospital). Such prescription drug orders must
contain the following information:
(I) the full name of the patient;
(II) the date of issuance;
(III) the name, strength, and dosage form of the drug
prescribed;
(IV) directions for use; and
(V) the signature(s) required by 40 TAC §19.1506.
(ii) Prescription drug orders for dangerous drugs shall
not be dispensed following one year after the date of issuance unless
the authorized prescriber renews the prescription drug order.
(iii) Controlled substances shall not be dispensed
pursuant to a prescription drug order under this subparagraph.
(8) Refills.
(A) General information.
(i) Refills may be dispensed only in accordance with
the prescriber's authorization as indicated on the original prescription
drug order except as authorized in paragraph (10) of this subsection
relating to accelerated refills.
(ii) If there are no refill instructions on the original
prescription drug order (which shall be interpreted as no refills
authorized) or if all refills authorized on the original prescription
drug order have been dispensed, authorization from the prescribing
practitioner shall be obtained prior to dispensing any refills and
documented as specified in subsection (l) of this section.
(B) Refills of prescription drug orders for dangerous
drugs or nonprescription drugs.
(i) Prescription drug orders for dangerous drugs or
nonprescription drugs may not be refilled after one year from the
date of issuance of the original prescription drug order.
(ii) If one year has expired from the date of issuance
of an original prescription drug order for a dangerous drug or nonprescription
drug, authorization shall be obtained from the prescribing practitioner
prior to dispensing any additional quantities of the drug.
(C) Refills of prescription drug orders for Schedules
III-V controlled substances.
Cont'd... |
