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I.EXECUTIVE ORDERS - page 185 / 359

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i.The transfer is communicated directly between two licensed pharmacists and the transferring pharmacist records the following information:
(a).invalidation of the prescription;
(b).on the reverse of the invalidated prescription, the name, address, and DEA registration number of the pharmacy to which it was transferred, and the name of the pharmacist receiving the prescription information;
(c).the date of the transfer and the name of the pharmacist transferring the information.
ii.The pharmacist receiving the transferred prescription information shall reduce to writing the following:
(a).indication of the transferred nature of the prescription;
(b).provide all information required for a prescription for a controlled substance (full name and address of the patient; drug name, strength, and dosage form; quantity prescribed and directions for use; and the name, address, telephone number, and DEA registration number of the prescribing practitioner) and include:
(i).date of issuance of original prescription;
(ii).original number of refills authorized on original prescription;
(iii).date of original dispensing;
(iv).number of valid refills remaining and date(s) and locations of previous refill(s);
(v).pharmacy's name, address, and DEA registration number and prescription number from which the prescription information was transferred;
(vi).name of pharmacist who transferred the prescription; and
(vii).pharmacy's name, address, and DEA registration number and prescription number from which the prescription was originally filled.
iii.The original and transferred prescription(s) shall be maintained for a period of two years from the date of the last refill.
iv.Pharmacies electronically accessing the same prescription record shall satisfy all information requirements of a manual mode for prescription transferal.
8.Provision of Prescription Information between Retail Pharmacies and Central Fill Pharmacies. Prescription information may be provided to an authorized central fill pharmacy by a retail pharmacy for dispensing purposes. The following requirements shall apply.
a.Prescriptions for controlled substances listed in Schedule III, IV, or V may be transmitted electronically from a retail pharmacy to a central fill pharmacy, including via facsimile. The retail pharmacy transmitting the prescription information shall:
i.record the words "CENTRAL FILL" on the face of the original prescription and record the name, address and DEA registration number of the central fill pharmacy to which the prescription has been transmitted, the name of the retail pharmacy pharmacist transmitting the prescription, and the date of transmittal;
ii.ensure that all information required to on a prescription pursuant to §2745.C is transmitted to the central fill pharmacy (either on the face of the prescription or in the
electronic transmission of information);
iii.indicate in the information transmittal the number of refills already dispensed and the number of refills remaining;
iv.maintain the original prescription for a period of two years from the date the prescription was last refilled;
v.keep a record of receipt of the filled prescription, including the date of receipt, the method of delivery (private, common or contract carrier) and the name of the retail pharmacy employee accepting delivery.
b.The central fill pharmacy receiving the transmitted prescription shall:
i.keep a copy of the prescription (if sent via facsimile) or an electronic record of all the information transmitted by the retail pharmacy, including the name, address and DEA registration number of the retail pharmacy transmitting the prescription;
ii.keep a record of the date of receipt of the transmitted prescription, the name of the pharmacist dispensing the prescription, and the dates of filling or refilling of the prescription;
iii.keep a record of the date the dispensed prescription was delivered to the retail pharmacy and the method of delivery (private, common or contract carrier).

D.Dispensing Controlled Substances without a Prescription. A controlled substance listed in Schedule II, III, IV, or V which is not a prescription drug as determined under the Federal Food, Drug, and Cosmetic Act may be dispensed by a pharmacist without a prescription to a purchaser at retail, provided that:

1.such dispensing is made only by a pharmacist, and not by a non-pharmacist employee even if under the supervision of a pharmacist, although after the pharmacist has fulfilled his professional and legal responsibilities, the actual cash, credit transaction, or delivery may be completed by a non-pharmacist;
2.not more than 240 milliliters, or 8 ounces, of any such controlled substance containing opium, nor more than 120 milliliters, or 4 ounces, of any other such controlled substance, nor more than 48 dosage units of any such controlled substance containing opium, nor more than 24 dosage units of any other such controlled substance may be dispensed at retail to the same purchaser in any given 48-hour period;
3.the purchaser is at least 18 years of age;
4.the pharmacist requires every purchaser of a controlled substance under this paragraph not known to him to furnish suitable identification (including proof of age where appropriate);
5.a bound record book for dispensing of controlled substances under this paragraph is maintained by the pharmacist, which book shall contain the name and address of the purchaser, the name and quantity of controlled substance purchased, the date of each purchase, and the name or initials of the pharmacist who dispensed the controlled substance to the purchaser; further, this book shall be maintained in conformance with the recordkeeping requirements identified in §2731.B.7.
6.A prescription is not required for dispensing of the controlled substance pursuant to any federal or state law.
7.Central fill pharmacies may not dispense controlled substances to a purchaser at retail pursuant to this Paragraph.

Louisiana Register   Vol. 34, No. 10   October 20, 2008

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