PURPOSE: This rule defines record keeping required for transfer of prescription information for the purpose of refill.

1. (1) Prescription information may be transferred for the purposes of refill between licensed pharmacies, provided the prescription information to be transferred meets all of the following criteria:

   1. (A) The prescription information indicates authorization by the prescriber for refilling;
   2. (B) The drug on the prescription information is not a Schedule II controlled substance;
   3. (C) The number of lawfully allowable refills has not been exceeded or the maximum allowable time limit has not been exceeded; and
   4. (D) If the transfer involves a controlled substance, all information must be transferred directly between two (2) licensed pharmacists.

2. (2) When a prescription on record is transferred, the following record keeping is required:

   1. (A) The prescription record at the transferring pharmacy shall show all of the following:

      1. 1. The word void must appear on the

face of the invalidated prescription or be immediately voided within the electronic system when the prescription is transferred;

1. 2. The prescription record shall provide

the name of the pharmacy to which it was transferred, the date of transfer and the identity of the transferring pharmacist; and

1. 3. If the transfer involves a controlled

substance, the address and Drug Enforcement Administration (DEA) registration number of the pharmacy to which it was transferred and the full name of the pharmacist receiving the prescription information must be recorded;

1. (B) The prescription record at the receiving pharmacy shall show all of the following, in addition to all other lawfully required information of an original prescription:

   1. 1. The prescription record is a trans-

ferred prescription record from another licensed location;

1. 2. Date of original issuance;
2. 3. Date of original filling, if different

from original issuance date; FINANCIAL INSTITUTIONS AND PROFESSIONAL REGISTRATION

1. 4. Original number of refills authorized

on the original prescription and the number of remaining authorized refills;

1. 5. Date of last refill;
2. 6. Prescription label number;
3. 7. Identity of licensed pharmacy from

which the record was transferred;

1. 8. The identity of the transferring phar-

macist provided that pharmacies that share the same data base and are under the same ownership may, instead of transferring prescriptions directly between two (2) pharmacists, transfer a prescription electronically by generating a computer based report at the transferring pharmacy of any prescriptions that have been transferred out. This record shall be readily retrievable to the transferring pharmacy and board representatives and comply with all of the requirements of this rule, except that the requirement to document pharmacist identity shall not be required unless otherwise required by federal law;

1. 9. If the transfer involves a controlled

substance, the address and DEA registration number from the transferring pharmacy must be recorded; and

1. 10. Any electronic transfer must main-

tain patient confidentiality in accordance with 4 CSR 220-2.300; and

1. (C) A computerized transfer of prescription information between licensed pharmacies for the purpose of refill shall meet all the requirements stated in sections (1) and (2) of this rule.

AUTHORITY: sections 338.100 and 338.140, RSMo Supp. 1999 and 338.280, RSMo 1994.* This rule originally filed as 4 CSR 220-2.120. Original rule filed April 16, 1985, effective Aug. 11, 1985. Amended: Filed May 2, 1989, effective Aug. 24, 1989. Amended: Filed April 23, 1998, effective Nov. 30, 1998. Amended: Filed July 28, 2000, effective Jan. 30, 2001. Moved to 20 CSR 2220-2.120, effective Aug. 28, 2006. *Original authority: 338.100, RSMo 1939, amended 1971, 1990, 1997, 1999; 338.140, RSMo 1939, amended 1981, 1989, 1997; 338.280, RSMo 1951, amended 1971, 1981.