1. (a) Each participating pharmacy performing or contracting for the performance of centralized prescription processing and handling shall maintain a paper or electronic policy and procedure manual that includes at least the following:

   1. (1) A policy that shall require every participating intake pharmacy to keep a record that includes at least the name, address and DEA number for each central fill or central processing pharmacy authorized to fill or process prescriptions on its behalf;
   2. (2) A policy that shall require each central fill or central processing pharmacy to keep a record that includes at least the name, address and DEA number of all intake pharmacies for which it is authorized to fill or process prescriptions;
   3. (3) A policy that shall describe comprehensively the responsibilities of each of the participating intake, filling, processing and dispensing pharmacies;

   4. (4) A procedure that shall be used for maintaining records sufficient to allow for tracking a prescription during each stage of the filling and dispensing process including at least:

      1. a. The following information about the pharmacist(s) and technician(s) involved in filling and dispensing the prescription and counseling the patient:

         1. 1. The pharmacist’s full name;
         2. 2. The state in which the pharmacist is licensed and his or her license number; and
         3. 3. The action or actions taken by the pharmacist; and

      2. b. The following information about the technician(s) involved in filling and dispensing the prescription:

         1. 1. The technician’s full name;
         2. 2. The state in which the technician is licensed and the license number; and
         3. 3. The action or actions taken by the technician;
   5. (5) The policy and procedure that shall be used for providing adequate security to protect the confidentiality and integrity of patient information;
   6. (6) The procedure that shall be used by the pharmacy in implementing and operating a quality assurance program designed to objectively and systematically monitor, evaluate, and improve the quality and appropriateness of patient care; and
   7. (7) The procedure that shall be followed in dispensing a prescription drug order when the filled order is not received or the patient comes in before the order is received.
2. (b) Each participating pharmacy and pharmacist shall review the policies and procedures at least annually and such review shall be documented.
3. (c) Each participating intake, processing, filling and dispensing pharmacy and pharmacist shall make the policies and procedures manual available to the board or its agents upon request.

Source. #9469, eff 5-16-09, EXPIRED: 5-16-17 New. #12485, eff 2-24-18