1. (a)

   1. (1) The partial filling of a prescription for a controlled substance listed in Schedule II is permissible.

   2. (2)

      1. (A) If the pharmacist is unable to supply the full quantity called for in a written or emergency oral prescription and makes a notation of the quantity supplied on the face of the written prescription or written record of the emergency oral prescription, the remaining portion of the prescription may be filled within seventy-two (72) hours of the first partial filling.
      2. (B) However, if the remaining portion is not or cannot be filled within the seventy-two-hour period, the pharmacist shall so notify the prescribing practitioner.
   3. (3) No further quantity may be supplied beyond seventy-two (72) hours without a new prescription.

2. (b)

   1. (1) A prescription for a Schedule II controlled substance written for a patient in a long-term care facility (LTCF) or for a patient with a medical diagnosis documenting a terminal illness may be filled in partial quantities to include individual dosage units.
   2. (2) If there is any question whether a patient may be classified as having a terminal illness, the pharmacist may contact the practitioner prior to partially filling the prescription.
   3. (3) Both the pharmacist and the prescribing practitioner have a corresponding responsibility to ensure that the controlled substance is for a terminally ill patient.
   4. (4) The pharmacist must record on the prescription whether the patient is “terminally ill” or an “LTCF patient”.

3. (c) For each partial filling, the dispensing pharmacist shall record on the back of the prescription (or on another appropriate record, uniformly maintained and readily retrievable) the:

   1. (1) Date of the partial filling;
   2. (2) Quantity dispensed;
   3. (3) Remaining quantity authorized to be dispensed; and
   4. (4) Identification of the dispensing pharmacist.

4. (d)

   1. (1) Prior to any subsequent partial filling, the pharmacist is to determine that the additional partial filling is necessary.
   2. (2) The total quantity of Schedule II controlled substances dispensed in all partial filling must not exceed the total quantity prescribed.

   3. (3) A Schedule II prescription for a patient in an LTCF or a patient with a medical diagnosis documenting a terminal illness, if partially filled, shall be totally dispensed within sixty (60) days and dispensing cannot occur after:

      1. (A) Sixty (60) days; or
      2. (B) The medication has been discontinued by the prescriber.

Codification Notes: This section as promulgated prior to codification into the Code of Arkansas Rules provided as follows: “(Amended 1/1/19)"