19 CSR 30-1.064 - Separate Registrations

Current through Register Vol. 47, No. 7, April 1, 2022

PURPOSE: This amendment allows Schedule II drugs to be partially filled for up to sixty (60) days after the date the original prescription was issued.

(1) The partial filling of a prescription for a controlled substance listed in Schedule II is permissible, if the pharmacist is unable to supply the full quantity called for in a written or emergency oral prescription, and s/he makes a notation of the quantity supplied on the face of the written prescription (or written record of the emergency oral prescription), or in the electronic record. The remaining portion of the prescription may be filled within seventy-two (72) hours of the first partial filling; however, if the remaining portion is not or cannot be filled within the seventy-two (72) hour period, the pharmacist shall so notify the prescribing individual practitioner. No further quantity may be supplied beyond seventy-two (72) hours without a new prescription.
(2) The partial filling of a prescription for controlled substances listed in Schedules II, III, IV, or V is permissible, provided that-
(A) Partial filling may occur at the request of a patient or it may be directed by the prescriber, unless the prescription is written for a patient in a long-term care facility (LTCF) or for a patient with a medical diagnosis documenting a terminal illness, in which case the pharmacist must record on the prescription whether the patient is "terminally ill" or "LTCF patient.";
(B) Each partial dispensing is recorded in the same manner as a refilling would be;
(C) With each partial dispensing, the pharmacy must document the date and quantity dispensed on the original prescription record or their electronic computer applications, provided that the electronic system meets all of the federal requirements for handling of electronic prescriptions for controlled substances, including the ability to retrieve the information pertaining to partially filled controlled substances;
(D) The total quantity dispensed in all partial fillings cannot exceed the total quantity prescribed;
(E) No dispensing occurs-
1. For controlled substances listed in Schedule II, after sixty (60) days after the date on which the original prescription was issued; and
2. For controlled substances listed in Schedules III and IV after six (6) months after the date on which the original prescription was issued;
(F) A partial dispensing is not considered a "refill" if the patient does not receive the full authorized amount at one (1) time; and
(G) The prescription was written and filled in accordance with all other applicable laws and regulations.

Notes

19 CSR 30-1.064
AUTHORITY: section 195.195, RSMo 1994.* Original rule filed April 14, 2000, effective Nov. 30, 2000. Amended by Missouri Register June 15, 2015/Volume 40, Number 12, effective 7/31/2015 Amended by Missouri Register February 15, 2019/Volume 44, Number 4, effective 4/1/2019 Amended by Missouri Register March 15, 2021/Volume 46, Number 06, effective 4/30/2021

*Original authority: 195.195, RSMo 1957, amended 1971, 1989, 1993.

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