Register May 2010 No. 653
Chapter Phar 7
Minimum procedures for compounding and dispensing.
Prescription label; name of drug or drug product dispensed.
Prescription renewal limitations.
Return or exchange of health items.
Transfer of prescription order information.
Answering machines in pharmacies.
Medication profile record system.
Prescription orders transmitted electronically.
Automated dispensing systems.
Operation of remote dispensing sites.
Administration of drug products and devices other than vaccines.
Central fill pharmacy.
Minimum procedures for compounding and dispensing. Phar 7.01(1)(1)
Except as provided in sub. (4)
, a pharmacist or pharmacist-intern who compounds or dispenses according to a prescription order shall follow the procedures described in this rule and other applicable procedures. The pharmacist or pharmacist-intern as directed and supervised by a pharmacist shall:
Receive electronic or oral prescription orders of a prescriber, review all original and renewal prescription orders, whether electronic, written or oral, and determine therapeutic compatibility and legality of the prescription order. The review shall include, when indicated or appropriate, consultation with the prescriber.
Read and interpret a prescriber's directions for use for the purpose of accurately transferring the instructions to the prescription label.
Select, compound, mix, combine, measure, count and otherwise prepare drugs needed to dispense a prescription except that an agent of the pharmacist may procure, measure or count prefabricated dosage forms if a pharmacist verifies accuracy of the agent's action.
Make a final check on the accuracy and correctness of the prescription. For all original and renewed prescriptions, the prescription order record shall identify the pharmacist responsible for the prescription.
Give the patient or agent appropriate consultation relative to the prescription except that prescriptions may be delivered by an agent of the pharmacist to a patient's residence if the delivery is accompanied by appropriate directions and an indication that consultation is available by contacting the pharmacist. The consultation requirement applies to original and renewal prescription orders and, except when prescriptions are delivered to a patient's residence, is not satisfied by only offering to provide consultation.
Transfer the prescription to the patient or agent of the patient.
Receive, when required by law and standard professional practice, permission to renew from authorized prescribers, and note on the prescription order, medication profile record or uniformly maintained and readily retrievable document the following information:
Name of practitioner authorizing renewal, if different from the original prescriber.
(2) Subsection (1) (d)
does not prohibit institutional pharmacists or community pharmacists serving institutions from receiving prescription orders, dispensing and returning prescription medications consistent with accepted inpatient institutional drug distribution systems. Subsection (1)
applies to any institutional pharmacy dispensing to outpatients, including prescriptions for discharged patients.
A pharmacist may supervise no more than one pharmacy intern and 4 pharmacy technicians engaged in compounding and dispensing activities as described in sub. (1)
, except a higher ratio may be authorized by the board upon request to and approval by the board of a specific plan describing the manner in which additional interns or pharmacy technicians shall be supervised.
A system for compounding and dispensing not in conformance with subs. (1)
may be used if reviewed and approved by the board.
Phar 7.01 History
Cr. Register, January, 1983, No. 325
, eff. 2-1-83; am. (1) (intro.), (d) and (f) (intro.), Register, August, 1991, No. 428
, eff. 9-1-91; am. (1) (e), Register, January, 1996, No. 481
, eff. 2-1-96; am. (1) (a), (e), (f) (intro)., (3) and cr. (1) (em), Register, December, 1998, No. 516
, eff. 1-1-99; am. (1) (a), Register, November, 1999, No. 527
, eff. 12-1-99; am. (3), Register, April, 2001, No. 544
, eff. 5-1-01.
As used in this section, "pharmacy technician" means a non-pharmacist or non-pharmacist intern who, under the general supervision of a pharmacist who regularly coordinates, directs and inspects the activities of the pharmacy technician, assists the pharmacist in the technical and nonjudgmental functions related to the practice of pharmacy in the processing of prescription orders and inventory management. "Pharmacy technician" does not include ancillary persons which include, clerks, secretaries, cashiers or delivery persons, who may be present in the pharmacy.
A pharmacist may delegate technical dispensing functions to a pharmacy technician, but only under the general supervision of the pharmacist where the delegated functions are performed. Technical dispensing functions include:
Accepting written or electronic prescription orders of the prescribing practitioner or from the prescribing practitioner's agent.
Accepting original oral prescription orders from the prescribing practitioner or prescribing practitioner's agent, if the conversation is recorded and listened to and verified by the pharmacist prior to dispensing.
Requesting authorization for a refill from the prescribing practitioner.
Accepting oral authorization for a refill from the prescribing practitioner or prescribing practitioner's agent, provided there are no changes to the original prescription order.
Accepting a request from a patient to refill a prescription.
Obtaining and entering patient or prescription data into the patient information system.
Retrieving medication from stock, counting or measuring medication, and placing the medication in its final container.
Compounding pharmaceuticals pursuant to written policies and procedures.
Prepackaging and labeling drugs for dispensing by a pharmacist.
Preparing unit dose carts for final review by a pharmacist.
Retrieving and transporting stock medication to and from pharmacist approved areas.
Other technical functions that do not require the professional judgment of a pharmacist.
Transferring the prescription to the patient or agent of the patient, provided that the pharmacist has first provided a patient consultation.
A pharmacy technician may not do any of the following:
Provide the final verification for the accuracy, validity, completeness, or appropriateness of a filled prescription or medication order.