Utah Admin. Code R156-17b-613 - Operating Standards - Issuing Prescription Orders by Electronic Means
In accordance with Rules R156-1 and R156-37, and Subsections 58-17b-102(29), 58-17b-102(30), 58-17b-602(1), prescription orders may be issued by electronic means of communication according to the following standards:
(1) Prescription orders for Schedule II - V
controlled substances received by electronic communication shall be handled
according to
21 CFR
1304.06 (2021).
(2) Prescription orders for non-controlled
substances received by electronic communication may be dispensed by a
pharmacist, pharmacy intern, or DMP only if the following conditions are
satisfied:
(a) Electronically transmitted
prescription orders shall include the following:
(i) information that is required to be
contained in a prescription order pursuant to Section 58-17b-602;
(ii) the time and date of the transmission,
and if a facsimile transmission, the electronically encoded date, time, and fax
number of the sender; and
(iii) the
name of the pharmacy intended to receive the transmission.
(b) A prescription order shall be transmitted
under the direct supervision of the prescribing practitioner or the prescribing
practitioner's designated agent.
(c) The pharmacist or DMP shall exercise
professional judgment regarding the accuracy and authenticity of the
transmitted prescription.
(d) A
practitioner or the practitioner's agent shall provide voice verification when
requested by the pharmacist receiving a medication order.
(e) The pharmacist, pharmacy intern, pharmacy
technician at the discretion of the pharmacist on duty, or DMP shall assure
that each electronically transferred prescription order is valid and shall
authenticate a prescription order issued by a prescribing practitioner that has
been transmitted to the dispensing pharmacy before filling it, whenever there
is a question.
(f)
(i) A practitioner may authorize an agent to
electronically transmit a prescription if the agent's identifying information
is on the transmission.
(ii) The
practitioner's electronic signature, or other secure method of validation,
shall be provided with the electronic prescription.
(3) an electronically transmitted
prescription order that meets the requirements of Subsection (2) shall be the
original prescription.
(4) This
section does not apply to the use of electronic equipment to transmit
prescription orders within inpatient medical facilities.
(5) An agreement between a prescribing
practitioner and a pharmacy may not require that prescription orders be
transmitted by electronic means from the prescribing practitioner only to that
pharmacy.
(6) The pharmacist or DMP
shall retain a printed copy of an electronic prescription, or a record of an
electronic prescription that is readily retrievable and printable, for a
minimum of five years. The printed copy shall be of non-fading
legibility.
(7) Wholesalers,
distributors, manufacturers, pharmacists, and pharmacies may not supply
electronic equipment to a prescriber for transmitting prescription orders.
(8) An electronically transmitted
prescription order shall be transmitted to the pharmacy of the patient's
choice.
(9) Prescription orders
electronically transmitted to the pharmacy by the patient may not be filled or
dispensed.
(10) A prescription
order for a legend drug or controlled substance in Schedule III through V may
be transferred up to the maximum refills permitted in accordance with
21 CFR
1306.22 (2021) or by the prescriber by
electronic transmission, if:
(a) the
pharmacies share a real-time, online database;
(b) the information required to be on the
transferred prescription has the same information described in Subsection
R156-17b-612(5)(a) through
(f); and
(c) pharmacists, pharmacy interns, pharmacy
technicians, or pharmacy technician trainees, DMPs, and DMP designees
electronically accessing the same prescription drug order records may
electronically transfer prescription information if the data processing system
has a mechanism to send a message to the transferring pharmacy containing the
following information:
(i) the fact that the
prescription drug order was transferred;
(ii) the unique identification number of the
prescription drug order transferred;
(iii) the name of the pharmacy to which it
was transferred; and
(iv) the date
and time of the transfer.
Notes
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