Chapter 04. Transfer and Outsourcing of Prescriptions and Prescription Orders

Transfer of prescriptions for non-controlled dangerous substances between pharmacies;

Filling of prescriptions at one pharmacy pursuant to the request of staff of a second pharmacy; and

Preparation of medication for stock and investigational use.

In this chapter, the following terms have the meanings indicated.

Terms Defined.

That the prescription has been permanently transferred;

The name of the secondary pharmacy;

The name of the pharmacist who transferred the prescription to the secondary pharmacy;

The name of the pharmacist at the secondary pharmacy to whom the prescription was transferred if the transfer occurred in an oral manner; and

The date on which the prescription was transferred to the secondary pharmacy.

A pharmacist at the primary pharmacy may not refill a prescription that has been permanently transferred to a secondary pharmacy.

The use of unified prescription records by more than one pharmacy through a computerized prescription database does not constitute a permanent transfer of a prescription order.

That the prescription was transferred from another pharmacy;

The name and information identifying the specific location of the primary pharmacy;

The name of the pharmacist who transferred the prescription to the secondary pharmacy;

The name of the pharmacist at the secondary pharmacy who accepted the transferred prescription;

The date of issuance of the original prescription order;

The date on which the prescription order was first filled;

The date of the last refill;

The number of remaining refills;

The original prescription number; and

The date on which the prescription was transferred to the secondary pharmacy.

The label contains the name, address, and phone number of the primary pharmacy;

The patient is informed in writing of the name and address of the secondary pharmacy;

The patient is informed in writing that the prescription order was prepared at a secondary pharmacy;

The original prescription order is filed as a prescription order at the primary pharmacy;

The pharmacist from the primary pharmacy documents in a readily retrievable and identifiable manner:

Both the primary and secondary pharmacies are licensed in this State, or operated by the federal government; and

The primary pharmacy maintains, in a readily retrievable and identifiable manner, a record of preparations received from the secondary pharmacy.

That the prescription order was transmitted from another pharmacy;

The name and information identifying the specific location of the primary pharmacy;

The name of the pharmacist who transmitted the prescription to the secondary pharmacy if the transmission occurred in an oral manner;

The name of the pharmacist at the secondary pharmacy who accepted the transmitted prescription order;

The name of the pharmacist at the secondary pharmacy who prepared the prescription order;

The date on which the prescription order was received at the secondary pharmacy; and

The date on which the prepared product was sent to the primary pharmacy if it was sent back to the primary pharmacy.

A pharmacist may provide medication for use as stock medication for a licensed health care facility in accordance with applicable laws, if the pharmacy providing the medication also serves as the primary provider of patient specific medication for the facility.

A pharmacist may provide medication for use as stock medication for final dispensing or administration by an authorized prescriber who is permitted by law to administer or dispense medication if the pharmacist receives a written stock medication order from the authorized prescriber for each delivery of medication to the authorized prescriber.

A pharmacist may prepare, package, and label investigational drugs not destined for a specific individual at the time of preparation, packaging, and labeling if:

The permit holder of a pharmacy which prepares patient specific prescriptions as a secondary pharmacy such that these prescriptions account for 5 percent or more of the pharmacy's total number of prescriptions filled shall submit to the Board of Pharmacy, for approval by the Board or a designee of the Board, a plan detailing the steps it has taken to ensure the safety and quality of prescriptions filled as a secondary pharmacy.

The plan under §A of this regulation shall include:

Except as provided in Regulation .06 of this chapter, a permit holder of a pharmacy shall obtain manufacturing and distribution permits in order to compound or package medication that is not prepared as a prescription destined for a specific patient, but is forwarded to another pharmacy, authorized prescriber, licensed distributor, or other person or entity.