Chapter Phar 7 - Wisconsin

1 Published under s. , Wis. Stats., by the Legislative Reference Bureau. 11 PHARMACY EXAMINING BOARD Phar Chapter Phar 7. PHARMACY PRACTICE. Phar Minimum procedures for compounding and dispensing. Phar Medication profile record system. Phar Pharmacy technicians. Phar Prescription orders transmitted electronically. Phar Prescription label; name of drug or drug product dispensed. Phar Automated dispensing systems. Phar Prescription renewal limitations. Phar Operation of remote dispensing sites. Phar Return or exchange of health items. Phar Administration of drug products and devices other than vaccines. Phar Prescription records. Phar Central fill pharmacy. Phar Transfer of prescription order information. Phar Automated technology product verification. Phar Answering machines in pharmacies. Phar Delegate check delegate. Phar Minimum procedures for compounding (4) A system for compounding and dispensing not in confor- and dispensing.

2 (1) Except as provided in sub. (4), a pharma- mance with subs. (1) and (2) may be used if reviewed and cist or pharmacist intern who compounds or dispenses according approved by the board. to a prescription order shall follow the procedures described in History: Cr. Register, January, 1983, No. 325, eff. 2 1 83; am. (1) (intro.), (d) and this rule and other applicable procedures. The pharmacist or phar- (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- macist intern as directed and supervised by a pharmacist shall: ter, December, 1998, No. 516, eff. 1 1 99; am. (1) (a), Register, November, 1999, (a) Receive electronic or oral prescription orders of a pre- No. 527, eff. 12 1 99; am. (3), Register, April, 2001, No. 544, eff. 5 1 01; CR. 13 018: am. (1) (e) Register October 2013 No.

3 694, eff. 11 1 13; EmR1915: emerg. scriber, review all original and renewal prescription orders, r. (3), eff. 10 3 19; CR 19 022: r. (3) Register February 2020 No. 770, eff. whether electronic, written or oral, and determine therapeutic 3 1 20; correction in (4) made under s. (4) (b) 7., Stats., Register February compatibility and legality of the prescription order. The review 2020 No. 770. shall include, when indicated or appropriate, consultation with the prescriber. Phar Pharmacy technicians. (1) As used in this (b) Read and interpret a prescriber's directions for use for the section, pharmacy technician means a non pharmacist or non . purpose of accurately transferring the instructions to the prescrip- pharmacist intern who, under the general supervision of a pharma- tion label. cist who regularly coordinates, directs and inspects the activities (c) Select, compound, mix, combine, measure, count and oth- of the pharmacy technician, assists the pharmacist in the technical erwise prepare drugs needed to dispense a prescription except that and nonjudgmental functions related to the practice of pharmacy an agent of the pharmacist may procure, measure or count pre- in the processing of prescription orders and inventory manage- fabricated dosage forms if a pharmacist verifies accuracy of the ment.

4 Pharmacy technician does not include ancillary persons agent's action. which include, clerks, secretaries, cashiers or delivery persons, (d) Make a final check on the accuracy and correctness of the who may be present in the pharmacy. prescription. For all original and renewed prescriptions, the pre- (2) A pharmacist may delegate technical dispensing functions scription order record shall identify the pharmacist responsible for to a pharmacy technician, but only under the general supervision the prescription. of the pharmacist where the delegated functions are performed. (e) Give the patient or agent appropriate consultation relative Technical dispensing functions include: to the prescription except that prescriptions may be delivered by (a) Accepting written or electronic prescription orders of the an agent of the pharmacist to a location of the patient's choice if prescribing practitioner or from the prescribing practitioner's the delivery is accompanied by appropriate directions and an indi- agent.

5 Cation that consultation is available by contacting the pharmacist. (b) Accepting original oral prescription orders from the pre- The consultation requirement applies to original and renewal pre- scribing practitioner or prescribing practitioner's agent, if the con- scription orders and, except when prescriptions are delivered to a versation is recorded and listened to and verified by the pharma- location of the patient's choice, is not satisfied by only offering to cist prior to dispensing. provide consultation. (c) Requesting authorization for a refill from the prescribing (em) Transfer the prescription to the patient or agent of the practitioner. patient. (d) Accepting oral authorization for a refill from the prescrib- (f) Receive, when required by law and standard professional ing practitioner or prescribing practitioner's agent, provided there practice, permission to renew from authorized prescribers, and are no changes to the original prescription order.

6 Note on the prescription order, medication profile record or uni- (e) Accepting a request from a patient to refill a prescription. formly maintained and readily retrievable document the follow- (f) Obtaining and entering patient or prescription data into the ing information: patient information system. 1. Date renewed. (g) Preparing a prescription label. 2. Name of practitioner authorizing renewal, if different from (h) Retrieving medication from stock, counting or measuring the original prescriber. medication, and placing the medication in its final container. 3. Quantity of drug dispensed. (i) Reconstituting prefabricated dosage forms. 4. Identification of the pharmacist renewing the prescription. (j) Compounding pharmaceuticals pursuant to written policies (2) Subsection (1) (d) and (e) does not prohibit institutional and procedures. pharmacists or community pharmacists serving institutions from (k) Affixing a prescription label to its final container.

7 Receiving prescription orders, dispensing and returning prescrip- (L) Placing ancillary information on the prescription label. tion medications consistent with accepted inpatient institutional drug distribution systems. Subsection (1) applies to any institu- (m) Prepackaging and labeling drugs for dispensing by a phar- tional pharmacy dispensing to outpatients, including prescrip- macist. tions for discharged patients. (n) Preparing unit dose carts for final review by a pharmacist. Published under s. , Stats. Updated on the first day of each month. Entire code is always current. The Register date on each page is the date the Chapter was last published. Register February 2020 No. 770. Published under s. , Wis. Stats., by the Legislative Reference Bureau. Phar Wisconsin ADMINISTRATIVE CODE 12. (o) Retrieving and transporting stock medication to and from (b) Inpatient health care facility means any hospital, nursing pharmacist approved areas.

8 Home, county home, county mental hospital, tuberculosis sanitar- (p) Other technical functions that do not require the profes- ium or similar facility, but does not include community based res- sional judgment of a pharmacist. idential facilities, jails or prison facilities. (q) Transferring the prescription to the patient or agent of the (c) Original container means the container in which a health patient, provided that the pharmacist has first provided a patient item was sold, distributed or dispensed. consultation. (d) Resident health care patient means a patient residing in (3) A pharmacy technician may not do any of the following: a community based residential facility that controls a resident's (a) Provide the final verification for the accuracy, validity, prescribed and over the counter medications as specified by s. completeness, or appropriateness of a filled prescription or medi- DHS cation order.

9 (e) Secured institutional health care patient means any of the (b) Perform any of the following tasks: following: 1. Participate in final drug utilization reviews. 1. A jail inmate patient whose dispensed health items are maintained under the custody and control of the jail pursuant to an 2. Make independent therapeutic alternate drug selections. approved policy and procedure manual under s. DOC , 3. Participate in final drug regimen screening, including containing policies and procedures for the control and administra- screening for therapeutic duplication, drug to drug interactions, tion of medications complying with s. DOC incorrect dosage, incorrect duration of treatment, drug allergy reactions and clinical abuse or misuse. 2. A juvenile patient who resides in a juvenile correctional facility, as defined in s. (10p), Stats.; a secured residential 4. Perform any act necessary to be a managing pharmacist.

10 Care center for children and youth, as defined in s. (15g), 5. Administer any prescribed drug products, devices or vac- Stats.; a juvenile detention facility, as defined in s. (10r), cines. Stats.; or a juvenile portion of a county jail whose dispensed health (c) Provide patient counseling, consultation, or patient specific items are maintained under the custody and control of the health judgment, such as interpreting or applying information, including services staff as defined in s. DOC (6) and provided to a advice relating to therapeutic values, potential hazards and uses. juvenile patient under the provisions of s. DOC (4) The pharmacist shall provide the final verification for the (f) Tamper resistant package means a container bearing a accuracy, validity, completeness, and appropriateness of the beyond use date that is sealed so that the contents cannot be used patient's prescription prior to the delivery of the prescription to the without obvious destruction of the seal.