Mich. Admin. Code R. 338.3665 - Performance of activities and functions; delegation
Rule 15. In addition to performing the functions described in section 17739
(1) of the code, MCL
333.17739, a licensed pharmacy
technician may also engage in the following tasks, under the delegation and
supervision of a licensed pharmacist:
(a)
Reconstitute non-sterile dosage forms consistent with approved labeling
provided by the manufacturer of a commercially available product.
(b) Provide technology-assisted final product
verification, which includes all the following:
(i) A properly trained pharmacy technician
performing final product verification with the use of bar coding or another
error prevention technology.
(ii)
The licensed pharmacy technician providing final product verification is
subject to all of the following requirements:
(A) The licensed pharmacy technician holds a
current full or limited pharmacy technician license in this state.
(B) Before performing final product
verification the full or limited licensed pharmacy technician meets 1 of the
following:
(1) Has accrued not less than 1,000
hours of pharmacy technician work experience in the same type of pharmacy
practice site where the technology-assisted final product verification will be
performed while the pharmacy technician holds a current full pharmacy
technician license, a temporary license, a limited license, or is in training
in this state.
(2) Has completed a
final product verification training program that includes at least all of the
following:
(i) The role of a pharmacy
technician in the product verification process.
(ii) The legal requirements and liabilities
of a final verification technician.
(iii) The use of technology assisted
verification systems.
(iv) The
primary causes of medication errors and misfills.
(v) The identification and resolution of
dispensing errors.
(C) The practice setting where a licensed
pharmacy technician performs final product verification has in place policies
and procedures including a quality assurance plan governing pharmacy technician
technology-assisted final product verification.
(D) The technology enabled verification
system must document and electronically record each step of the prescription
process including which individuals complete each step.
(E) A licensed pharmacy technician shall not
perform technology-assisted final product verification for sterile or
nonsterile compounding.
(F)
Technology-assisted final product verification by a licensed pharmacy
technician is not limited to a practice setting.
(G) A pharmacist using professional judgment
may choose to delegate technology-assisted final product verification after
ensuring licensed pharmacy technicians have completed and documented relevant
training or work experience.
(c) Access the electronic database of a
pharmacy from inside or outside of the pharmacy to perform the delegated tasks
in paragraph (iii) of this subdivision related to prescription processing
functions outside of the personal charge of a pharmacist.
(i) A pharmacy technician remotely performing
the tasks in paragraph (iii) of this subdivision must be supervised by a
licensed pharmacist.
(ii) The
remote supervision in paragraph (i) of this subdivision means that a pharmacist
directs and controls the actions of the remote technician using technology to
ensure the supervising pharmacist does both of the following:
(A) Is readily and continuously available to
answer questions, review the practice of the supervised pharmacy technician,
provide consultation, review records, and educate the pharmacy technician in
the performance of functions.
(B)
Has established predetermined procedures and drug protocol governing any
activity performed remotely including protection of patient
confidentiality.
(iii)
Delegated tasks relating to prescription processing functions include, but are
not limited to, the following:
(A)
Verification of a patient's medication history.
(B) Data entry regarding processing
prescription data and patient data.
(C) Claims adjudication.
(D) Handling phone calls regarding processing
prescription data and patient data.
(E) Processing refill requests.
(F) Technology-assisted final product
verification.
(G) Transferring
prescriptions for non-controlled substances.
Notes
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