Phar 8.07(4)(a)
(a) Display or printout of: the original prescription order designation; date of issue; identification of prescribing practitioner; identification of patient; name and address of the LTCF or name and address of the hospital or residence of the patient; identification of medication authorized, including dosage form, strength and quantity; listing of partial quantities that have been dispensed under each prescription order and the information required in
sub. (3).
Phar 8.07(4)(b)
(b) Immediate (real time) updating of the prescription order record each time there is partial dispensing of the prescription.
Phar 8.07(4)(c)
(c) Retrieval of partially dispensed schedule II prescription information identical to that required by
s. Phar 7.05 (2) for all prescription renewal information.
Phar 8.07 History
History: Cr.
Register, January, 1983, No. 325, eff. 2-1-83; r. and recr.
Register, August, 1991, No. 428, eff. 9-1-91; am. (3), (4) (intro.) and (a), r. (5),
Register, September, 1994, No. 465, eff. 10-1-94; am. (2),
Register, November, 1999, No. 527, eff. 12-1-99.
Phar 8.08(1)
(1) The pharmacist dispensing a prescription containing a controlled substance shall affix to the immediate container a label showing the date of dispensing; the pharmacy name and address; serial number of the prescription; full name of the patient; name of the prescribing practitioner; directions for use; and cautionary statements, contained in the prescription order or required by law.
Phar 8.08(2)
(2) Practitioners who personally dispense any controlled substance to patients in the course of their professional practice other than by prescribing or administering shall conform to
ch. Med 17, standards for dispensing drugs.
Phar 8.08 History
History: Cr.
Register, January, 1983, No. 325, eff. 2-1-83; am.
Register, August, 1991, No. 428, eff. 9-1-91.
Phar 8.09(1)
(1) For the purpose of authorizing an electronic or oral prescription order for a schedule II controlled substance, the term "emergency" means those situations in which the prescribing practitioner determines that:
Phar 8.09(1)(a)
(a) Immediate administration of the controlled substance is necessary for proper treatment of the patient.
Phar 8.09(1)(b)
(b) No appropriate alternative treatment is available, including the administration of a drug which is not a schedule II controlled substance.
Phar 8.09(1)(c)
(c) It is not reasonably possible for the prescribing practitioner to provide a written prescription order to be presented to the pharmacist prior to dispensing.
Phar 8.09(2)
(2) In an emergency a pharmacist may dispense a controlled substance listed in schedule II upon receiving electronic or oral authorization of a practitioner if:
Phar 8.09(2)(a)
(a) The quantity prescribed and dispensed is limited to the amount adequate to treat the patient during the emergency period.
Phar 8.09(2)(b)
(b) The prescription order is immediately reduced to writing by the pharmacist and contains all information required in
s. Phar 8.05, except for the signature of the practitioner.
Phar 8.09(3)
(3) If the practitioner is not known to the pharmacist, the pharmacist shall make a reasonable effort to determine that the electronic or oral authorization came from an authorized practitioner, which may include a call back to the prescribing practitioner using the practitioner's phone number as listed in the telephone directory and other good faith efforts to insure the practitioner's identity.
Phar 8.09(4)
(4) Within 7 days after authorizing an emergency electronic or oral prescription order, the practitioner shall cause a written order for the emergency quantity prescribed to be delivered to the dispensing pharmacist. In addition to conforming to the requirements of
s. Phar 8.05, the order shall contain on its face "authorization for emergency dispensing" and the date of the electronic or oral order. The written order may be delivered to the pharmacist in person or by mail, but if delivered by mail it shall be postmarked within the 7 day period. Upon receipt, the dispensing pharmacist shall attach this prescription order to the electronic or oral emergency order reduced to writing under
sub. (2) (b). The pharmacist shall notify the board or department of safety and professional services if the practitioner fails to deliver the written order. Failure of the pharmacist to provide notification shall void the authority conferred by this section to dispense without a written order of a practitioner.
Phar 8.09 History
History: Cr.
Register, January, 1983, No. 325, eff. 2-1-83; am.
Register, August, 1991, No. 428, eff. 9-1-91; am. (4),
Register, December, 1998, No. 516, eff. 1-1-99; am. (1) (intro.), (2) (intro.), (3) and (4),
Register, November, 1999, No. 527, eff. 12-1-99; correction in (4) made under s.
13.92 (4) (b) 6., Stats.,
Register February 2012 No. 674.
Phar 8.10
Phar 8.10
Disclosure of suspicious orders of controlled substances. Manufacturers and distributors of controlled substances shall disclose suspicious orders of controlled substances. Suspicious orders include, without limitation because of enumeration, orders of unusual size, orders deviating substantially from a normal pattern and orders of unusual frequency. The licensee shall notify the regional office of the DEA and the board of all suspicious orders.
Phar 8.10 History
History: Cr.
Register, August, 1991, No. 428, eff. 9-1-91.
Phar 8.11
Phar 8.11
Controlled substances in emergency kits for long term care facilities. Long term care facilities which are not registered with the DEA shall meet all of the following requirements regarding emergency kits containing controlled substances:
Phar 8.11(1)
(1) The source of supply must be a DEA registered hospital, pharmacy or practitioner.
Phar 8.11(2)
(2) The pharmaceutical services committee of the facility shall establish security safeguards for each emergency kit stored in the LTCF which shall include the designation of individuals who may have access to the emergency kits and a specific limitation of the type and quantity of controlled substances permitted to be placed in each emergency kit.
Phar 8.11(3)
(3) A pharmacist shall be responsible for proper control and accountability for such emergency kits within the LTCF which includes the requirement that the LTCF and the providing DEA registered hospital, pharmacy or practitioner maintain complete and accurate records of the controlled substances placed in the emergency kits, the disposition of those controlled substances, plus the requirement to take at least monthly physical inventories.
Phar 8.11(4)
(4) The pharmaceutical services committee will establish the emergency medical conditions under which the controlled substances may be administered to patients in the LTCF which shall include the requirement that medication be administered by authorized personnel only as expressly authorized by an individual DEA registered practitioner and in compliance with all applicable federal and state laws.
Phar 8.11(5)
(5) Noncompliance with this rule may result in revocation, denial or suspension of the privilege of having or placing emergency kits, containing controlled substances, in LTCF.
Phar 8.11 History
History: Cr.
Register, August, 1991, No. 428, eff. 9-1-91.
Phar 8.12
Phar 8.12
Prescription orders transmitted by facsimile machine. Phar 8.12(1)(1) P
rescription drugs other than schedule II controlled substances. A pharmacist may dispense a prescription drug, other than a schedule II controlled substance, pursuant to a prescription order transmitted by a facsimile machine from the practitioner or the practitioner's agent to the dispensing pharmacy if all of the following conditions are met:
Phar 8.12(1)(a)
(a) The transmitted facsimile prescription order shall contain all of the information required for a valid written prescription order. The order shall also contain the time and date of the transmission, as well as the telephone number and name of the transmitter.
Phar 8.12(1)(b)
(b) Unless the facsimile paper is non-fading, the facsimile prescription order received shall be duplicated by copy machine or other similar device and the copy must be physically attached to the order received.
Phar 8.12(2)
(2) Schedule II controlled substances. A pharmacist may not dispense a schedule II controlled substance pursuant to a prescription order transmitted by a facsimile machine unless all of the conditions stated in
sub. (1) are satisfied, and any of the following conditions are met:
Phar 8.12(2)(a)
(a) The prescription order is written for a schedule II controlled substance to be compounded for the direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous or intraspinal infusion, and is transmitted by the practitioner or the practitioner's agent to the dispensing pharmacy by facsimile.
Phar 8.12(2)(b)
(b) The prescription order is written for a schedule II controlled substance for a patient who resides in a long term care facility, or who meets the eligibility requirements for placement in a long term care facility but elects to reside at home, and is transmitted by the practitioner or the practitioner's agent to the dispensing pharmacy by facsimile.
Phar 8.12(2)(c)
(c) The prescription order is written for a schedule II controlled substance for a patient enrolled in a hospice certified by medicare under Title XVIII or licensed by this state, and is transmitted by the practitioner or the practitioner's agent to the dispensing pharmacy by facsimile.
Phar 8.12(3)
(3) Prescription orders transmitted by facsimile considered written orders. For all purposes under chs.
450 and
961, Stats., and the rules of the board, a prescription order transmitted by facsimile machine shall be considered the original written prescription order.
Phar 8.12 History
History: Cr.
Register, December, 1998, No. 516, eff. 1-1-99;
CR 09-098: am. (2) (b)
Register May 2010 No. 653, eff. 6-1-10.
