Chapter Phar 7 - Wisconsin

1 11 Phar EXAMINING BOARDP ublished under s. , Wis. Stats., by the Legislative Reference under s. , Stats. Updated on the first day of each month. Entire code is always current. The Register date on each pageis the date the Chapter was last February 2020 No. 770 Chapter Phar 7 pharmacy PRACTICEPhar procedures for compounding and label; name of drug or drug product renewal or exchange of health of prescription order machines in profile record orders transmitted dispensing of remote dispensing of drug products and devices other than fill technology product check procedures for compoundingand dispensing. (1)Except as provided in sub.

2 (4), a pharma-cist or pharmacist intern who compounds or dispenses accordingto a prescription order shall follow the procedures described inthis rule and other applicable procedures. The pharmacist or phar-macist intern as directed and supervised by a pharmacist shall:(a) Receive electronic or oral prescription orders of a pre-scriber, review all original and renewal prescription orders,whether electronic, written or oral, and determine therapeuticcompatibility and legality of the prescription order. The reviewshall include, when indicated or appropriate, consultation with theprescriber.(b) Read and interpret a prescriber s directions for use for thepurpose of accurately transferring the instructions to the prescrip-tion label.

3 (c) Select, compound, mix, combine, measure, count and oth-erwise prepare drugs needed to dispense a prescription except thatan agent of the pharmacist may procure, measure or count pre-fabricated dosage forms if a pharmacist verifies accuracy of theagent s action.(d) Make a final check on the accuracy and correctness of theprescription. For all original and renewed prescriptions, the pre-scription order record shall identify the pharmacist responsible forthe prescription.(e) Give the patient or agent appropriate consultation relativeto the prescription except that prescriptions may be delivered byan agent of the pharmacist to a location of the patient s choice ifthe delivery is accompanied by appropriate directions and an indi-cation that consultation is available by contacting the consultation requirement applies to original and renewal pre-scription orders and, except when prescriptions are delivered to alocation of the patient s choice, is not satisfied by only offering toprovide consultation.

4 (em) Transfer the prescription to the patient or agent of thepatient.(f) Receive, when required by law and standard professionalpractice, permission to renew from authorized prescribers, andnote on the prescription order, medication profile record or uni-formly maintained and readily retrievable document the follow-ing information:1. Date Name of practitioner authorizing renewal, if different fromthe original Quantity of drug Identification of the pharmacist renewing the prescription.(2)Subsection (1) (d) and (e) does not prohibit institutionalpharmacists or community pharmacists serving institutions fromreceiving prescription orders, dispensing and returning prescrip-tion medications consistent with accepted inpatient institutionaldrug distribution systems.

5 Subsection (1) applies to any institu-tional pharmacy dispensing to outpatients, including prescrip-tions for discharged patients.(4)A system for compounding and dispensing not in confor-mance with subs. (1) and (2) may be used if reviewed andapproved by the : Cr. Register, January, 1983, No. 325, eff. 2 1 83; am. (1) (intro.), (d) and(f) (intro.), Register, August, 1991, No. 428, eff. 9 1 91; am. (1) (e), Register, Janu-ary, 1996, No. 481, eff. 2 1 96; am. (1) (a), (e), (f) (intro)., (3) and cr. (1) (em), Regis-ter, December, 1998, No. 516, eff. 1 1 99; am. (1) (a), Register, November, 1999,No. 527, eff. 12 1 99; am. (3), Register, April, 2001, No. 544, eff. 5 1 01; CR13 018: am.

6 (1) (e) Register October 2013 No. 694, eff. 11 1 13; EmR1915: (3), eff. 10 3 19; CR 19 022: r. (3) Register February 2020 No. 770, 1 20; correction in (4) made under s. (4) (b) 7., Stats., Register February2020 No. technicians. (1)As used in thissection, pharmacy technician means a non pharmacist or non pharmacist intern who, under the general supervision of a pharma-cist who regularly coordinates, directs and inspects the activitiesof the pharmacy technician, assists the pharmacist in the technicaland nonjudgmental functions related to the practice of pharmacyin the processing of prescription orders and inventory manage-ment. pharmacy technician does not include ancillary personswhich include, clerks, secretaries, cashiers or delivery persons,who may be present in the pharmacy .

7 (2)A pharmacist may delegate technical dispensing functionsto a pharmacy technician, but only under the general supervisionof the pharmacist where the delegated functions are dispensing functions include:(a) Accepting written or electronic prescription orders of theprescribing practitioner or from the prescribing practitioner sagent.(b) Accepting original oral prescription orders from the pre-scribing practitioner or prescribing practitioner s agent, if the con-versation is recorded and listened to and verified by the pharma-cist prior to dispensing.(c) Requesting authorization for a refill from the prescribingpractitioner.(d) Accepting oral authorization for a refill from the prescrib-ing practitioner or prescribing practitioner s agent, provided thereare no changes to the original prescription order.

8 (e) Accepting a request from a patient to refill a prescription.(f) Obtaining and entering patient or prescription data into thepatient information system.(g) Preparing a prescription label.(h) Retrieving medication from stock, counting or measuringmedication, and placing the medication in its final container.(i) Reconstituting prefabricated dosage forms.(j) Compounding pharmaceuticals pursuant to written policiesand procedures.(k) Affixing a prescription label to its final container.(L) Placing ancillary information on the prescription label.(m) Prepackaging and labeling drugs for dispensing by a phar-macist.(n) Preparing unit dose carts for final review by a Phar ADMINISTRATIVE CODEP ublished under s.

9 , Wis. Stats., by the Legislative Reference under s. , Stats. Updated on the first day of each month. Entire code is always current. The Register date on each pageis the date the Chapter was last February 2020 No. 770(o) Retrieving and transporting stock medication to and frompharmacist approved areas.(p) Other technical functions that do not require the profes-sional judgment of a pharmacist.(q) Transferring the prescription to the patient or agent of thepatient, provided that the pharmacist has first provided a patientconsultation.(3)A pharmacy technician may not do any of the following:(a) Provide the final verification for the accuracy, validity,completeness, or appropriateness of a filled prescription or medi-cation order.

10 (b) Perform any of the following tasks:1. Participate in final drug utilization Make independent therapeutic alternate drug Participate in final drug regimen screening, includingscreening for therapeutic duplication, drug to drug interactions,incorrect dosage, incorrect duration of treatment, drug allergyreactions and clinical abuse or Perform any act necessary to be a managing Administer any prescribed drug products, devices or vac-cines.(c) Provide patient counseling, consultation, or patient specificjudgment, such as interpreting or applying information, includingadvice relating to therapeutic values, potential hazards and uses.(4)The pharmacist shall provide the final verification for theaccuracy, validity, completeness, and appropriateness of thepatient s prescription prior to the delivery of the prescription to thepatient or the patient s : Cr.