The partial filling of a prescription for a controlled
substance listed in Schedule II is permitted as provided in this rule and
Insufficient supply on hand. If the pharmacist is unable to
supply the full quantity authorized in a prescription and makes a notation of
the quantity supplied on the prescription record, a partial fill of the
prescription is permitted. The remaining portion of the prescription must be
filled within 72 hours of the first partial filling. If the remaining portion
is not or cannot be filled within the 72-hour period, the pharmacist shall so
notify the prescriber. No further quantity may be supplied beyond 72 hours
without a new prescription.
Long-term care or terminally ill patient.
A prescription for a
Schedule II controlled substance written for a patient in a long-term care
facility (LTCF) or for a patient with a medical diagnosis documenting a
terminal illness may be filled in partial quantities to include individual
dosage units as provided by this subrule.
If there is any question whether a patient may be classified as having a
terminal illness, the pharmacist shall contact the practitioner prior to
partially filling the prescription. Both the pharmacist and the practitioner
have a corresponding responsibility to ensure that the controlled substance is
for a terminally ill patient.
The pharmacist shall record on the prescription whether the patient is
"terminally ill" or an "LTCF patient." For each partial filling, the dispensing
pharmacist shall record on the back of the prescription or on another
appropriate uniformly maintained and readily retrievable record, the date of
the partial filling, the quantity dispensed, the remaining quantity authorized
to be dispensed, and the identification of the dispensing pharmacist.
c. The total quantity of Schedule II
controlled substances dispensed in all partial fillings shall not exceed the
total quantity prescribed. Schedule II prescriptions for patients in an LTCF or
for patients with a medical diagnosis documenting a terminal illness shall be
valid for a period not to exceed 60 days from the issue date unless sooner
terminated by the discontinuance of the drug.
Information pertaining to current Schedule
II prescriptions for patients in an LTCF or for patients with a medical
diagnosis documenting a terminal illness may be maintained in a computerized
system pursuant to rule
Patient or prescriber request. At the request of the patient
or prescriber, a prescription for a Schedule II controlled substance may be
partially filled pursuant to this subrule and federal law. The total quantity
dispensed in all partial fillings shall not exceed the total quantity
prescribed. Except as provided in paragraph 10.26(2)"g, " the
remaining portion of a prescription partially filled pursuant to this subrule
may be filled within 30 days of the date the prescription was issued.
Admin. Code r.
ARC 9912B, IAB 12/14/11,
September 27, 2017/Volume XL, Number 7, effective
May 22, 2019/Volume XLI, Number 24, effective