Regulation .06 Therapy Management Contracts.
Regulation .06 Therapy Management Contracts.LinkCopy Citation
A.
A therapy management contract shall be signed by the:
(1)
Authorized prescriber or authorized prescribers involved in the management of the patient under a prescriber-pharmacist agreement;
(2)
Pharmacist or pharmacists involved in the management of the patient under a prescriber-pharmacist agreement; and
(3)
Patient receiving care under the therapy management contract.
B.
A therapy management contract shall contain:
(1)
A list of allowable substitutions of chemically dissimilar drugs, if any;
(2)
A statement that:
(a)
None of the parties involved in the therapy management contract have been:
(i)
Coerced into participating in the therapy management contract;
(ii)
Given economic incentives, excluding normal reimbursement for services rendered; or
(iii)
Involuntarily required to participate in the therapy management contract; and
(b)
The pharmacist shall notify the authorized prescriber under the terms of the prescriber-pharmacist agreement if the pharmacist:
(i)
Modifies the dose or agent under the therapy management contract; or
(ii)
Detects an abnormal result from an assessment activity;
(3)
Notice to the patient stating:
(a)
That the patient may terminate the therapy management contract at any time; and
(b)
The procedure by which the patient may terminate the therapy management contract;
(4)
A procedure for periodic review by the authorized prescriber of the drugs modified under the prescriber-pharmacist agreement or changed with the consent of the authorized prescriber;
(5)
A reference to the protocol or protocols under which the pharmacist shall act; and
(6)
Exceptions or limitations to the protocol or protocols for the specific patient.