Ohio Admin. Code 4729:3-3-04 - Certified pharmacy technicians
(A) As used in this rule, "positive
identification" has the same meaning as in rule
4729:5-5-01 of the
Administrative Code.
(B) A
certified pharmacy technician shall wear a name tag or badge which contains the
designation "Certified Pharmacy Technician." The required designation may be
added to an existing name tag or badge. The name tag or badge and the required
designation shall contain lettering of a legible size.
(C) A certified pharmacy technician may,
under the direct supervision of a pharmacist, engage in the following
activities at a location licensed as a terminal distributor of dangerous drugs
to the extent that the activities do not require the exercise of professional
judgment:
(1) Accepting new written, faxed or
electronic prescription orders from a prescriber or a prescriber's agent. New
verbal prescription orders from a prescriber or a prescriber's agent for
non-controlled drugs may be accepted pursuant to paragraph (C)(13) of this
rule.
(2) Entering information into
and retrieving information from a database or patient profile.
(3) Preparing and affixing labels.
(4) Stocking dangerous drugs and retrieving
those drugs from inventory.
(5)
Counting and pouring dangerous drugs into containers.
(6) Placing dangerous drugs into containers
prior to dispensing by a pharmacist.
(7) Non-sterile drug compounding in
accordance with the required training in paragraph (D) of this rule.
(8) Sterile drug compounding in accordance
with the required training in paragraph (E) of this rule.
(9) Packaging and selling a dangerous drug to
a patient or patient representative.
(10) Sending or receiving electronic
prescriptions between pharmacies accessing the same prescription records in a
centralized database or pharmacy computers linked in any other
manner.
(11) Stocking automated
drug storage systems, floor stock, and crash carts at a location licensed as a
terminal distributor of dangerous drugs.
(a)
Notwithstanding the definition of direct supervision in rule
4729:3-1-01 of the
Administrative Code, a certified pharmacy technician may stock automated drug
storage systems, crash carts, and floor stock at a location licensed as a
terminal distributor of dangerous drugs if a pharmacist is not physically
present at the licensed location and all of the following apply:
(i) A pharmacist is readily available to
answer questions of the certified pharmacy technician;
(ii) A pharmacist is responsible for
conducting routine verifications of the activities of the certified pharmacy
technician to prevent the diversion of dangerous drugs;
(iii) A pharmacist is fully responsible for
all activities conducted by the certified pharmacy technician at the licensed
location.
(12) Requesting refill authorizations for
dangerous drugs from a prescriber or prescriber's agent, so long as there is no
change from the original prescription;
(13) Accepting new verbal prescription
orders, including refill authorizations, for non-controlled drugs from a
prescriber or a prescriber's agent pursuant to all of the following:
(a) The pharmacist on duty who is supervising
the activity of the certified pharmacy technician will determine if the
technician is competent to receive a verbal order.
(b) The pharmacist on duty who is supervising
the activity of the certified pharmacy technician is responsible for the
accuracy of a prescription order received by a technician.
(c) The pharmacist on duty must be
immediately available to answer questions or discuss the prescription order
received by a certified pharmacy technician.
(d) The certified pharmacy technician may not
receive a prescription order for a controlled substance.
(e) If applicable, the certified pharmacy
technician receiving a prescription order must document the full name of the
prescriber's agent.
(f) The
receiving certified pharmacy technician shall immediately reduce the
prescription order to writing, which may include
entering the information directly into a computerized record keeping
system, and shall review the prescription with the pharmacist on
duty.
(g) Prior to dispensing,
positive identification of the receiving certified pharmacy technician and the
pharmacist on duty shall be recorded to identify the responsibility for the
receipt of the prescription.
(h)
The certified pharmacy technician and the pharmacist on duty must meet all
other applicable rules for the receipt of new verbal prescription orders
pursuant to agency 4729 of the Administrative Code.
(14) Send or receive copies of non-controlled
prescriptions pursuant to all of the following:
(a) The pharmacist on duty who is supervising
the activity of the certified pharmacy technician will determine if the
technician is competent to send or receive a prescription copy.
(b) The pharmacist on duty who is supervising
the activity of the certified pharmacy technician is responsible for the
accuracy of a prescription copy that is sent or received by a
technician.
(c) The pharmacist on
duty must be immediately available to answer questions or discuss the
prescription copy that is sent or received by a certified pharmacy
technician.
(d) The certified
pharmacy technician may not send or receive a prescription copy for a
controlled substance.
(e) The
pharmacist or certified pharmacy technician receiving a prescription copy from
a certified pharmacy technician must document the full names of the sending
technician and the technician's supervising pharmacist. The receiving
technician shall immediately reduce the prescription copy to writing, which may include entering the information directly into a
computerized record keeping system, and shall review the prescription
with the pharmacist on duty. Prior to dispensing, positive identification of
the certified pharmacy technician and the pharmacist on duty shall be recorded
to identify the responsibility for the receipt of the copy.
(f) The pharmacist or certified pharmacy
technician sending a prescription copy to a certified technician must document
the full names of the receiving technician and the technician's supervising
pharmacist.
(g) The certified
technician and the pharmacist on duty must meet all other applicable rules for
the transfer of a prescription copy pursuant agency 4729 of the Administrative
Code.
(15) Contacting a
prescriber or prescriber's agent to obtain clarification for a prescription
order if the clarification does not require the exercise of professional
judgment.
(16) Performing
diagnostic laboratory testing pursuant to agency 4729 of the Administrative
Code.
(D)
A certified pharmacy technician may:
(1)
Engage in remote
entry of prescriptions in accordance rule
4729:5-5-25 of the
Administrative Code; or
(2)
Engage in remote entry of medication orders in
accordance with rule
4729:5-9-02.15 of the
Administrative Code.
(1) Training shall comply with
the requirements set forth in the United States pharmacopeia chapter
<795>.
(2) Non-sterile drug
compounding training shall be obtained through completion of a site-specific,
structured on-the-job didactic and experiential training program and shall not
be transferable to another practice site, except between practice sites under
common ownership and control.
(3)
When the responsible person or a pharmacist designated by the responsible
person is satisfied with the employee's knowledge and proficiency, the
responsible person or the responsible person's designee will sign the
documentation records to show that the employee was appropriately trained in
accordance with this rule.
(4)
Ensuring certified pharmacy technicians are properly trained shall be the
responsibility of the terminal distributor of dangerous drugs and the
licensee's responsible person.
(5)
All training requirements set forth in this paragraph shall be appropriately
documented and made readily retrievable for immediate inspection by an agent of
the state board of pharmacy. Documentation shall be maintained by the terminal
distributor of dangerous drugs for a minimum of three
years.
(1) Training shall comply with the
requirements set forth in the United States pharmacopeia chapter
<797>.
(2) Sterile drug
compounding training shall be obtained through completion of a sitespecific,
structured on-the-job didactic and experiential training program and shall not
be transferable to another practice site, except between practice sites under
common ownership and control.
(3)
When the responsible person or a pharmacist designated by the responsible
person is satisfied with the employee's knowledge and proficiency, the
responsible person or the responsible person's designee will sign the
documentation records to show that the employee was appropriately trained in
accordance with this rule.
(4)
Ensuring certified pharmacy technicians are properly trained shall be the
responsibility of the terminal distributor of dangerous drugs and the
licensee's responsible person.
(5)
All training requirements set forth in this paragraph shall be appropriately
documented and made readily retrievable for immediate inspection by an agent of
the state board of pharmacy. Documentation shall be maintained by the terminal
distributor of dangerous drugs for a minimum of three years.
Notes
Promulgated Under: 119.03
Statutory Authority: 4729.26, 4729.10, 4729.94
Rule Amplifies: 4729.90, 4729.901, 4729.91, 4729.92, 4729.921, 4729.93, 4729.94, 4729.95, 4729.96
Prior Effective Dates: 12/04/2017, 03/01/2019, 07/03/2020
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