1. (a) the age and zip code of each patient receiving a self-administered hormonal contraceptive;
2. (b) the NDC of each self-administered hormonal contraceptive dispensed;
3. (c) an annual count of the number of patients who provide their self-screening risk assessment for evaluation by the pharmacist or pharmacist intern; and
4. (d) any other relevant information required by the physician's standing order.

Each standing prescription drug order for self-administered hormonal contraceptives issued under the Pharmacy Dispensing Authority shall adhere to the requirements of Section 26B-4-505. In addition, each order shall also require persons authorized to initiate dispensing a self-administered hormonal contraceptive shall make and keep a record that includes the following information:

KEY: family planning, contraception, hormonal contraception, birth control

Date of Last Change: February 1, 2024

Notice of Continuation: February 20, 2024

Authorizing, and Implemented or Interpreted Law: 26B-8-4; 26B-1-224; 26B-1-229; 26B-4-505; 58-17b