1. (a) A student-intern or an extended-intern participating in a board-approved internship program may perform any duty of a pharmacist provided the duties are delegated by and under the supervision of:

   1. (1) a pharmacist licensed by the board and approved as a preceptor by the board; or
   2. (2) a pharmacist licensed in a state other than Texas when working in a federal facility and serving as an instructor for a Texas college-based internship program.

2. (b) A pharmacist preceptor serving as an instructor for a Texas college/school-based internship program, may delegate the following duties to an intern-trainee working in a site assigned by a Texas college/school of pharmacy board approved program provided the intern-trainee is under the direct supervision of the pharmacist preceptor:

   1. (1) initiating and receiving refill authorization requests;
   2. (2) entering prescription data into a data processing system;
   3. (3) taking a stock bottle from the shelf for a prescription;
   4. (4) preparing and packaging prescription drug orders (i.e., counting tablets/capsules, measuring liquids, and placing them in the prescription container);
   5. (5) affixing prescription labels and auxiliary labels to the prescription container;
   6. (6) reconstituting medication;
   7. (7) prepackaging and labeling prepackaged drugs;
   8. (8) loading bulk unlabeled drugs into an automated dispensing system provided a pharmacist verifies that the system is properly loaded prior to use;
   9. (9) bulk compounding;
   10. (10) compounding non-sterile preparations provided the intern-trainee has completed the training required for pharmacists in §291.131 of this title (relating to Pharmacist Compounding Non-sterile Preparations);
   11. (11) compounding sterile preparations provided the intern-trainee has completed the training required for pharmacists in §291.133 of this title (relating to Pharmacies Compounding Sterile Preparations); and
   12. (12) administering immunizations provided the intern-trainee has completed the training required for pharmacists in §295.15 of this title (relating to Administration of Immunizations or Vaccinations by a Pharmacist under Written Protocol of a Physician).

3. (c) When not under the supervision of a pharmacist preceptor, a student-intern or an extended-intern may function as a pharmacy technician and perform all of the duties of a pharmacy technician without registering as a pharmacy technician provided the pharmacist-intern:

   1. (1) is registered with the board as a pharmacist-intern;
   2. (2) is under the direct supervision of a pharmacist;
   3. (3) has completed the pharmacy's on-site technician training program;
   4. (4) has completed the training required for pharmacists in §291.133 of this title (relating to Pharmacies Compounding Sterile Preparations); and
   5. (5) is not counted as a pharmacy technician in the ratio of pharmacists to pharmacy technicians. The ratio of pharmacists to pharmacist-interns shall be 1:1 when performing pharmacy technician duties.

4. (d) A pharmacist-intern may not:

   1. (1) present or identify himself/herself as a pharmacist;
   2. (2) sign or initial any document which is required to be signed or initialed by a pharmacist unless a preceptor cosigns the document; or
   3. (3) independently supervise pharmacy technicians or pharmacy technician trainees.

Source Note:The provisions of this §283.5 adopted to be effective February 15, 1988, 13 TexReg 610; amended to be effective February 1, 1996, 21 TexReg 110; amended to be effective June 30, 1997, 22 TexReg 5924; amended to be effective June 4, 2000, 25 TexReg 4777; amended to be effective June 20, 2001, 26 TexReg 4478; amended to be effective March 4, 2004, 29 TexReg 1949; amended to be effective June 8, 2008, 33 TexReg 4304.