1. (a) Repealed 4/3/2020.
2. (b) Repealed 4/3/2020.
3. (c) Each time a prescription drug order refill is dispensed, the pharmacist or pharmacist intern shall record the quantity and date of the dispensing.
4. (d) A pharmacist or pharmacist intern may dispense any quantity of a prescription drug order so long as the total quantity of dosage units dispensed does not exceed the total quantity of dosage units authorized by the prescriber, including refills;
5. (e) To indicate that an increased supply may not be dispensed under this section, a prescriber may indicate "no change to quantity", or words of similar meaning, on the prescription drug order.
6. (f) Nothing in this section requires a health care service plan, health insurer, workers' compensation insurance plan, pharmacy benefits manager, or any other person or entity, including a state program or state employer, to provide coverage for a drug in a manner inconsistent with a beneficiary's plan benefit.

7. (g) Under (d) of this section, if the total quantity of a drug or device to dispense on an existing, chronic, non-controlled substance prescription drug order has been exhausted and the pharmacist is unable to reach the practitioner, a pharmacist or pharmacist intern may continue to dispense a quantity not to exceed a 120-day supply. In this section,

   1. (1) "existing" means the pharmacy has record of a previous prescription drug order or the pharmacist can validate the prescription drug order from another pharmacy or patient labelled product;
   2. (2) "chronic" means a drug that the patient takes regularly, for greater than three months.

8. (h) Under (g) of this section, the pharmacist must

   1. (1) reduce the patient's prescription drug order to a written prescription drug order using the previously verified prescription drug order information and practitioner name;
   2. (2) document "continuation of therapy", "COT", or words of similar meaning on the prescription drug order; and
   3. (3) file and maintain the prescription in accordance with 12 AAC 52.450.
9. (i) A pharmacist may not dispense a refill of a prescription drug order for a noncontrolled substance after one year from the date of issue of the original prescription drug order.

(Eff. 1/16/98, Register 145; am 6/29/2018, Register 226; am 4/3/2020, Register 234; am 8/30/2020, Register 235; am 12/28/2022, Register 244)