Utah Admin. Code R66-5-22 - Limited Medical Provider Recommendation Form
(1) A medical cannabis pharmacy may accept
and process a completed "Limited Medical Provider Recommendation for Medical
Cannabis" form.
(a) A pharmacy agent or a PMP
employed by a medical cannabis pharmacy may perform a form
verification.
(b) Only a PMP may
make changes or additions to a form after documenting approval of changes or
additions that are communicated by an LMP.
(c) An LMP recommendation cannot be entered
into the EVS by a PMP or pharmacy agent without a complete DHHS-approved form
that is hand-delivered, emailed, or faxed to the medical cannabis
pharmacy.
(c) When verifying the
validity of the form, a medical cannabis pharmacy shall verify:
(i) the form is complete and no information
on the form appears to have been adulterated;
(ii) the suffix of the state-issued
professional license number matches specific numbers assigned to the provider's
state-issued professional license type;
(iii) there are nine digits in the Drug
Enforcement Agency (DEA) license number;
(iv) the clinic name, email address, mailing
address, and telephone number appear to be legitimate; and
(v) that an LMP at that clinic completed a
form for the patient named in the form.
(2)
(a) If
the form is missing any part of the verification, a PMP shall investigate any
missing or incorrect information.
(b) If a PMP cannot receive verification of
the form from the clinic, the form cannot be processed and the PMP shall
continue to contact the clinic to seek verification of the information on the
form.
(3)
(a) The pharmacy shall maintain a record of
the pharmacy employee having received or not received verification of a valid
form from the clinic.
(b) For
hand-delivered and electronically delivered forms, the pharmacy shall upload
the form to the patient's EVS account.
(c) The verification of the form shall be
recorded in the "Medical Cannabis Pharmacy Use Only" at the bottom of the form
or in the patient's EVS profile.
(d) If a PMP corrected or added information
on the form upon order of the LMP, a note documenting the change shall be
recorded.
(4) If the
medical cannabis pharmacy believes a form to be fraudulent, the pharmacy shall
notify the DHHS via email within 24 hours of the first receipt of the
form.
Notes
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.
No prior version found.