N.M. Code R. § 16.19.7.17 – Inpatient Hospital Pharmacy Limited Dispensing, Hospitalization Discharge

A. In order to improve continuity of care by avoiding temporary disruption in a patient’s prescribed medication regimen upon discharge from hospitalization, and to decrease medication waste (as in the case of a partially used multidose container, such as an inhaler), dispensing by a pharmacist in a hospital pharmacy not otherwise licensed as a retail pharmacy may occur under the conditions of this section.
B. A prescription or order is issued by a licensed practitioner of the hospital to be dispensed to the patient upon discharge. If not specified in the prescription or order, the pharmacist is responsible for obtaining and documenting any additional information needed for dispensing, including directions for use and quantity. The prescription or order may not be refilled, or transferred.
C. Naloxone for rescue use may be dispensed to the patient upon discharge pursuant to standing order, in accordance with Section 24-23-1 NMSA 1978.
D. The medication is not a controlled substance.
E. The dispensing label shall include all information as required in Paragraph (4) of Subsection (L) of 16.19.7.11 NMAC, and any other information required by state or federal law.
F. Responsibilities of pharmacist and pharmacist intern shall be fulfilled in accordance with 16.19.4.16 NMAC.
1. (1) Patient counseling shall be in person, whenever practicable, or by telephone.
2. (2) If the pharmacist is absent at the time of patient discharge, the patient shall be provided written information when appropriate on side effects, interactions, and precautions concerning the drug or device provided. Written information may be printed or electronic, consistent with patient preference.
3. (3) The pharmacy phone number shall be made available to patients for consultation.
G. When the drug or device is not dispensed directly to the patient or patient’s agent upon discharge, the pharmacist shall require the patient or patient’s agent to sign a drug receipt record listing those prescriptions received from the pharmacy.
H. Records will be readily retrievable and available for inspection for three years unless longer retention is otherwise required by board regulation; including the prescription or order, dispensing and receipt records. If records are maintained electronically, the computer shall be capable of producing a printout of prescription or order information within a 72 hour period on demand, with certification by the pharmacist stating it is a true and accurate record. Requested printouts include: patient specific; practitioner specific; drug specific; or date specific reports. The printout shall include:
1. (1) the prescription number, if applicable;
2. (2) the prescriber’s name and license classification;
3. (3) full name and address of patient;
4. (4) date of issuance of prescription or order and the date filled;
5. (5) name, strength, dosage form, quantity dispensed;
6. (6) identification of the dispensing pharmacist; computer-generated pharmacist initials are considered to be the pharmacist of record unless overridden manually by a different pharmacist who will be the pharmacist of record.
  [16.19.7 NMAC – N, 6/9/2019]
  HISTORY of 16.19.7 NMAC:
  Pre-NMAC History:
  The material in this Part was derived from that previously filed with the State Records Center and Archives under: BOP 67-4, Regulation No. 19-67, Hospital Pharmacies And Drug Dispensaries, 11/17/1967.
  BOP 69-2, Rules And Regulations, Of The State Board Of Pharmacy, 6/13/1969.
  BOP 69-3, New Mexico Laws And Regulations, Pharmacy Act, Drug and Cosmetic Act, Narcotic Drug Act, Poisons Act, Board of Pharmacy Rules and Regulations, 8/15/1969.
  BOP72-1, New Mexico Board Of Pharmacy Rules And Regulations Promulgated Pursuant To New Mexico Drug and Cosmetic Act, Pharmacy Act, Controlled Substances Act, 7/31/1972.
  Regulation No. 7, Hospital Pharmacies and Drug Room Facilities, 2/7/1980.
  Regulation No. 7, Hospital Pharmacies and Drug Room Facilities, 10/23/1985.
  Regulation No. 7, Hospital Pharmacies And Drug Room Facilities, 2/2/1987.
  Regulation No. 7, Hospital Pharmacies And Drug Room Facilities, 7/27/1990.
  History of Repealed Material:
  16.19.7, Hospital Pharmacies And Drug Room Facilities, filed 2/2/1996 with the State Records Center & Archives, is repealed effective 8/16/1999.
  BOP 72-1, New Mexico Board of Pharmacy Rules and Regulations Promulgated Pursuant to New Mexico Drug and Cosmetic Act, Pharmacy Act, Controlled Substances Act - Repealed, 10/29/1985.
  Other History:
  16 NMAC 19.7, Pharmacists - Hospital Pharmacies and Drug Room Facilities, filed 2/2/1996; 16 NMAC 19.7, Pharmacists - Hospital Pharmacies, filed 8/2/1999; reformatted and renumbered to 16.19.15 NMAC, Hospital Pharmacies, effective 3/30/2002.