059-2 Wyo. Code R. §§ 2-15 - Shared Pharmacy Services

(a) Minimum requirements for shared pharmacy services:

(i) A resident or a non-resident pharmacy may participate in shared pharmacy services by another licensed pharmacy or pharmacist, provided involved parties:

(A) Have entered into a written agreement, specifying the services to be provided and the responsibilities and accountabilities of each party, or are of common ownership;

(B) Have a system in place to identify the parties responsible for each aspect of prescription preparation.

(b) A policy and procedure manual relating to shared pharmacy services shall be maintained by all involved parties and shall be available for inspection by the Board upon request. The manual shall:

(i) Outline the responsibilities of each of the involved parties;

(ii) Acknowledge the originating and sharing pharmacy shall be jointly responsible; and

(iii) Include policies and procedures for:

(A) Notifying patients that their prescription may be outsourced to another party for shared pharmacy services

(B) Protecting the confidentiality and integrity of patient information;

(C) Dispensing prescription drug orders when the filled order is not received or the patient comes in before the order is received;

(D) Operating a quality assurance program for pharmacy services designed to objectively and systematically monitor and evaluate the quality and appropriateness of patient care, pursue opportunities to improve patient care, and resolve identified problems; and

(E) Provide documentation of annual review of the written policies and procedures.

(c) The dispensing pharmacy, which shall be identified as such in the written agreement between pharmacies participating in shared pharmacy services shall ensure that:

(i) Drugs stored at the pharmacy shall be stored in an area secure from unauthorized personnel;

(ii) Access to the area where drugs are stored at the shared pharmacy services pharmacy must be limited to pharmacists, pharmacy interns, pharmacy technicians, or pharmacy technicians in training, who are employed by the shared pharmacy services pharmacy. Non-pharmacy staff may enter the drug storage area under the direct supervision of a pharmacist;

(iii) The pharmacy maintains and uses storage or shipment containers and shipping processes that ensure drug stability and potency;

(iv) The dispensed prescriptions are shipped in containers sealed in such a manner as to show evidence of opening or tampering;

(v) Records indicate the date the prescription was shipped to the originating retail pharmacy or patient; and

(vi) If the prescription is delivered directly to the patient, the patient shall receive written notice of available counseling. Such notice shall include:

(A) The days and hours when counseling is available,

(B) The location of pharmacy, and

(C) The manner or method that the patient may use to contact a pharmacist for counseling or to answer questions.

(d) A resident pharmacy requesting shared pharmacy services shall ensure that:

(i) Records are readily retrievable and include:

(A) The date and time the request for processing was transmitted to the central fill pharmacy or remote processing pharmacy or pharmacist; and

(B) The date and time the dispensed prescription was received from the central fill pharmacy or remote processing pharmacy or pharmacist by the originating pharmacy, including the method of delivery and the name of the person accepting delivery unless shipped directly to the patient.

(ii) The original prescription is maintained at the originating pharmacy for a time period not less than two (2) years from the date last filled or refilled.

(iii) Notification is provided to patients that their prescription may be outsourced to another pharmacy prior to outsourcing the prescription unless the prescription drug is delivered to patients in institutional facilities where a licensed healthcare professional is responsible for administering the prescription drug to the patient.

(iv) The prescription label clearly indicates a pharmacy that has access to the patient's records;

(v) The pharmacy has access to each pharmacy's prescription records and patient profiles and records, as needed to safely and properly perform the shared services activities.

(e) Shared pharmacy services pharmacies shall:

(i) Comply with federal and state laws and regulations; and

(ii) Protect the confidentiality and integrity of protected health information.

(f) Nothing in this Section shall prohibit an individual pharmacist, who is an employee of or under contract with a pharmacy, or a licensed certified pharmacy technician, certified pharmacy technician candidate, or pharmacy intern, working under the supervision of the pharmacist, from accessing that pharmacy's electronic database from inside or outside the pharmacy and performing the prescription drug order processing functions permitted by the Pharmacy Act, if both of the following conditions:

(i) The pharmacy establishes controls to protect the confidentiality and integrity of protected health information; and

(ii) No part of the database is duplicated, downloaded, or removed from the pharmacy's electronic database.

Notes

059-2 Wyo. Code R. §§ 2-15

Amended, Eff. 10/31/2017. Amended, Eff. 12/19/2018. Amended, Eff. 5/24/2023.