Ohio Admin. Code 4725-16-04 - Standards and procedures for review of "Ohio Automated Rx Reporting System" (OARRS)
(A) For purposes of this rule:
(1) "OARRS" means the "Ohio Automated Rx
Reporting System" drug database established and maintained pursuant to section
4729.75 of the Revised
Code.
(2) "OARRS report" means a
report of information related to a specified patient generated by the drug
database established and maintained pursuant to section
4729.75 of the Revised
Code.
(3) "Personally furnish"
means the distribution of drugs by a prescriber to the prescriber's patients
for use outside the prescriber's practice setting.
(4) "Protracted basis" means a period in
excess of twelve continuous weeks.
(5) "Reported drugs" means all the drugs
listed in rule
4729-37-02 of the Administrative
Code that are required to be reported to the drug database established and
maintained pursuant to section
4729.75 of the Revised Code,
including:
(a) Controlled substances in
schedules II, III, IV, and V, and
(b) All dangerous drug products containing
carisoprodol or tramadol.
(c) Other
non-controlled dangerous drug products as listed in rule
4729-37-02 of the Administrative
Code in the definitions as paragraph (A)(5)(b) of this rule.
(B) If
an
a licensed
optometrist believes or has reason to believe that a patient may be abusing or
diverting drugs, the optometrist shall use sound clinical judgment in
determining whether or not the reported drug should be prescribed or personally
furnished to the patient under the circumstances.
(1) To assist in this determination, the
licensed optometrist shall access OARRS and
document receipt and assessment of the information received if the patient
exhibits the following signs of drug abuse or diversion:
(a) Selling prescription drugs;
(b) Forging or altering a
prescription;
(c) Stealing or
borrowing reported drugs;
(d)
Increasing the dosage of reported drugs in amounts that exceed the prescribed
amount;
(e) Having a drug screen
result that is inconsistent with the treatment plan or refusing to participate
in a drug screen;
(f) Having been
arrested, convicted or received diversion, or intervention in lieu of
conviction for a drug related offense while under the physician's
care;
(g) Receiving reported drugs
from multiple prescribers, without clinical basis;
or
(h)
Having a family member, friend, law enforcement officer, or health care
professional express concern related to the patient's use of illegal or
reported drugs.
(2)
Other signs of possible abuse or diversion which may necessitate accessing
OARRS include, but are not limited to the following:
(a) A known history of chemical abuse or
dependency;
(b) Appearing impaired
or overly sedated during an office visit or exam;
(c) Requesting reported drugs by specific
name, street name, color, or identifying marks;
(d) Frequently requesting early refills of
reported drugs;
(e) Frequently
losing prescriptions for reported drugs;
(f) A history of illegal drug use;
(g) Sharing reported drugs with another
person; or
(h) Recurring emergency
department visits to obtain reported drugs.
(C)
An
A licensed optometrist prescribing or personally
furnishing reported drugs to treat a patient on a protracted basis shall, at a
minimum, document receipt and assessment of an OARRS report in the following
circumstances:
(1) Once the
licensed optometrist has reason to believe that
the treatment will be required on a protracted basis; and
(2) At least once annually,
thereafter.
(D)
An
A licensed
optometrist shall document receipt and assessment of all OARRS reports in the
patient record.
(1) Initial reports requested
in compliance with this rule shall cover a time period of at least one
year;
(2) Subsequent reports
requested in compliance with this rule shall, at a minimum, cover the period
from the date of the last report to present.
(E) In the event an OARRS report is not
available prior to writing a prescription for a reported drug or personally
furnishing the reported drug, an
a licensed optometrist shall document in the
patient record why the OARRS report was not available.
(F) Paragraph (C) of this rule does not apply
to a hospice patient in a hospice care program as those terms are defined in
section 3712.01 of the Revised
Code.
Notes
Promulgated Under: 119.03
Statutory Authority: 119.03, 4725.09
Rule Amplifies: 4725.09
Prior Effective Dates: 05/01/2014, 01/14/2021
Promulgated Under: 119.03
Statutory Authority: 119.03, 4725.09
Rule Amplifies: 4725.09
Prior Effective Dates: 05/01/2014
State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.
(A) For purposes of this rule:
(1) "OARRS" means the "Ohio Automated Rx Reporting System" drug database established and maintained pursuant to section 4729.75 of the Revised Code.
(2) "OARRS report" means a report of information related to a specified patient generated by the drug database established and maintained pursuant to section 4729.75 of the Revised Code.
(3) "Personally furnish" means the distribution of drugs by a prescriber to the prescriber's patients for use outside the prescriber's practice setting.
(4) "Protracted basis" means a period in excess of twelve continuous weeks.
(5) "Reported drugs" means all the drugs listed in rule 4729-37-02 of the Administrative Code that are required to be reported to the drug database established and maintained pursuant to section 4729.75 of the Revised Code, including:
(a) Controlled substances in schedules II, III, IV, and V, and
(b) All dangerous drug products containing carisoprodol or tramadol.
(c) Other non-controlled dangerous drug products as listed in rule 4729-37-02 of the Administrative Code in the definitions as paragraph (A)(5)(b) of this rule.
(B) If an a licensed optometrist believes or has reason to believe that a patient may be abusing or diverting drugs, the optometrist shall use sound clinical judgment in determining whether or not the reported drug should be prescribed or personally furnished to the patient under the circumstances.
(1) To assist in this determination, the licensed optometrist shall access OARRS and document receipt and assessment of the information received if the patient exhibits the following signs of drug abuse or diversion:
(a) Selling prescription drugs;
(b) Forging or altering a prescription;
(c) Stealing or borrowing reported drugs;
(d) Increasing the dosage of reported drugs in amounts that exceed the prescribed amount;
(e) Having a drug screen result that is inconsistent with the treatment plan or refusing to participate in a drug screen;
(f) Having been arrested, convicted or received diversion, or intervention in lieu of conviction for a drug related offense while under the physician's care;
(g) Receiving reported drugs from multiple prescribers, without clinical basis;
or
(h) Having a family member, friend, law enforcement officer, or health care professional express concern related to the patient's use of illegal or reported drugs.
(2) Other signs of possible abuse or diversion which may necessitate accessing OARRS include, but are not limited to the following:
(a) A known history of chemical abuse or dependency;
(b) Appearing impaired or overly sedated during an office visit or exam;
(c) Requesting reported drugs by specific name, street name, color, or identifying marks;
(d) Frequently requesting early refills of reported drugs;
(e) Frequently losing prescriptions for reported drugs;
(f) A history of illegal drug use;
(g) Sharing reported drugs with another person; or
(h) Recurring emergency department visits to obtain reported drugs.
(C) An A licensed optometrist prescribing or personally furnishing reported drugs to treat a patient on a protracted basis shall, at a minimum, document receipt and assessment of an OARRS report in the following circumstances:
(1) Once the licensed optometrist has reason to believe that the treatment will be required on a protracted basis; and
(2) At least once annually, thereafter.
(D) An A licensed optometrist shall document receipt and assessment of all OARRS reports in the patient record.
(1) Initial reports requested in compliance with this rule shall cover a time period of at least one year;
(2) Subsequent reports requested in compliance with this rule shall, at a minimum, cover the period from the date of the last report to present.
(E) In the event an OARRS report is not available prior to writing a prescription for a reported drug or personally furnishing the reported drug, an a licensed optometrist shall document in the patient record why the OARRS report was not available.
(F) Paragraph (C) of this rule does not apply to a hospice patient in a hospice care program as those terms are defined in section 3712.01 of the Revised Code.
Notes
Promulgated Under: 119.03
Statutory Authority: 119.03, 4725.09
Rule Amplifies: 4725.09
Prior Effective Dates: 05/01/2014