Iowa Admin. Code r. 657-6.9 - Transfer of prescription
The transmission of a prescription drug order from a pharmacy to a pharmacy engaged in centralized prescription filling or processing on behalf of the originating pharmacy pursuant to the requirements of 657-Chapter 18 shall not constitute the transfer of a prescription. Upon the request of a patient or the patient's caregiver, a pharmacy shall transfer original prescription drug order information and prescription refill information to a pharmacy designated by the patient or the patient's caregiver, central fill or processing pharmacies excepted, subject to the following requirements:
(1)
Schedule III, IV, or V
prescriptions. The transfer of original prescription drug order
information for controlled substances listed in Schedule III, IV, or V is
permissible between pharmacies on a one-time basis except as provided in
subrule 6.9(8).
(2)
Noncontrolled substances prescriptions. The transfer of
original prescription drug order information for noncontrolled prescription
drugs between pharmacies is permissible as long as the number of transfers does
not exceed the number of originally authorized refills and the original
prescription is still valid.
(3)
Authorized individuals and means of transmission. Individuals
authorized to engage in the transfer of prescriptions include a pharmacist, a
pharmacist-intern under the direct supervision of a pharmacist, and a certified
pharmacy technician, except as prohibited in 657-subrule 3.23(1). The
transferring individual may transmit the prescription and transfer information
required under subrule 6.9(5) from the transferring pharmacy via electronic
means pursuant to subrule 6.9(8) or, following direct communication between
authorized individuals, via oral or facsimile transmission. The receiving
individual shall ensure the prescription transfer record maintained in the
receiving pharmacy contains all of the information required under subrule
6.9(7).
(4)
Prescriptions
maintained. Both the original and the transferred prescription drug
orders are maintained for a period of two years from the date of last
activity.
(5)
Record of
transfer out. The individual transferring the prescription drug order
information shall:
a. Invalidate the
prescription drug order;
b. Record
on or with the invalidated prescription drug order the following information:
(1) The name, address, and, for a controlled
substance, the DEA registration number of the pharmacy to which such
prescription is transferred;
(2)
The name of the individual receiving the prescription drug order
information;
(3) The name of the
individual transferring the prescription drug order information; and
(4) The date of the transfer.
(6)
Original
prescription status. The original prescription drug order shall be
invalidated in the data processing system for purposes of filling or refilling,
but shall be maintained in the data processing system for refill history
purposes.
(7)
Record of
transfer received. The individual receiving the transferred
prescription drug order information shall:
a.
Indicate that the prescription drug order has been transferred;
b. Record on or with the transferred
prescription drug order the following information:
(1) Original date of issuance and date of
dispensing, if different from date of issuance;
(2) Original prescription number;
(3) Number of valid refills remaining, the
date of last refill, and, for a controlled substance, the dates and locations
of all previous refills;
(4) Name,
address, and, for a controlled substance, the DEA registration number of the
pharmacy from which such prescription drug order information is
transferred;
(5) The date of the
transfer;
(6) Name of the
individual receiving the prescription drug order information;
(7) Name of the individual transferring the
prescription drug order information; and
(8) If transferring a controlled substance
prescription from a pharmacy utilizing a shared electronic database system as
described in subrule 6.9(8) to a pharmacy outside that shared system, the
pharmacy name, location, DEA registration number, and prescription number from
which the prescription was originally filled.
(8)
Electronic transfer between
pharmacies. Pharmacies may electronically transfer prescription
information, including controlled substance prescription information in
compliance with federal regulations for controlled substances. For transfers of
prescriptions for noncontrolled substances and controlled substances,
pharmacies that share a real-time, online database may transfer up to the
maximum refills permitted by law and the prescriber's authorization. A
prescription for a controlled substance transferred between two pharmacies
which do not share a real-time, online database may only be transferred one
time.
Notes
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