450.11(1i)(a)1.1. A pharmacist may, upon and in accordance with the prescription order of an advanced practice nurse prescriber under
s. 441.18 (2) (a) 1., or of a physician or physician assistant under
s. 448.037 (2) (a) 1., that complies with the requirements of
sub. (1), deliver an opioid antagonist to a person specified in the prescription order and may, upon and in accordance with the standing order of an advanced practice nurse prescriber under
s. 441.18 (2) (a) 2., or of a physician or physician assistant under
s. 448.037 (2) (a) 2., that complies with the requirements of
sub. (1), deliver an opioid antagonist to an individual in accordance with the order. The pharmacist shall provide a consultation in accordance with rules promulgated by the board for the delivery of a prescription to the person to whom the opioid antagonist is delivered.
450.11(1i)(a)2.
2. A pharmacist who, acting in good faith, delivers an opioid antagonist in accordance with
subd. 1., or who, acting in good faith, otherwise lawfully dispenses an opioid antagonist, shall be immune from criminal or civil liability and may not be subject to professional discipline under
s. 450.10 for any outcomes resulting from delivering or dispensing the opioid antagonist.
450.11(1i)(b)2.b.
b. An advanced practice nurse prescriber may only deliver or dispense an opioid antagonist in accordance with
s. 441.18 (2) or in accordance with his or her other legal authority to dispense prescription drugs.
450.11(1i)(b)2.c.
c. A physician or physician assistant may only deliver or dispense an opioid antagonist in accordance with
s. 448.037 (2) or in accordance with his or her other legal authority to dispense prescription drugs.
450.11(1i)(b)2.d.
d. A pharmacist may only deliver or dispense an opioid antagonist in accordance with
par. (a) 1. or in accordance with his or her other legal authority to dispense prescription drugs.
450.11(1i)(c)2.
2. Subject to
par. (a) 2. and
ss. 441.18 (3) and
448.037 (3), any person who, acting in good faith, delivers or dispenses an opioid antagonist to another person shall be immune from civil or criminal liability for any outcomes resulting from delivering or dispensing the opioid antagonist.
450.11(1i)(c)3.
3. Subject to
ss. 256.40 (3) (b) and
895.48 (1g), any person who, reasonably believing another person to be undergoing an opioid-related drug overdose, administers an opioid antagonist to that person shall be immune from civil or criminal liability for any outcomes resulting from the administration of the opioid antagonist to that person.
450.11(1m)
(1m) Electronic transmission. Except as provided in
s. 89.068 (1) (c) 4., a practitioner may transmit a prescription order electronically only if the patient approves the transmission and the prescription order is transmitted to a pharmacy designated by the patient.
450.11(2)
(2) Prescription order file. Every prescription order shall be filed in a suitable book or file and preserved for at least 5 years. Prescription orders transmitted electronically may be filed and preserved in electronic format.
450.11(3)
(3) Preparation of prescription drugs. Except as provided in
sub. (1i) (b) and
ss. 118.2925 (4),
255.07 (3), and
450.076, no person other than a pharmacist or practitioner or their agents and employees as directed, supervised, and inspected by the pharmacist or practitioner may prepare, compound, dispense, or prepare for delivery for a patient any prescription drug.
450.11(4)(a)(a) Except as provided under
par. (b), no prescribed drug or device may be dispensed unless there is a label attached to the container disclosing all of the following:
450.11(4)(a)1.
1. The name and address of the dispensing practitioner or licensed facility from which the prescribed drug or device was dispensed.
450.11(4)(a)1m.
1m. The telephone number of the pharmacy, if the prescribed drug or device is dispensed by an out-of-state pharmacy licensed under
s. 450.065.
450.11(4)(a)3.
3. The number of the prescription order as recorded in the prescription order file of the facility from which the prescription was dispensed.
450.11(4)(a)4.
4. The name of the practitioner who prescribed the drug or device.
450.11(4)(a)5.b.
b. For an antimicrobial drug dispensed under
sub. (1g), the full name of the patient, if known, or the words, “expedited partner therapy" or the letters “EPT."
450.11(4)(a)5.c.
c. For an opioid antagonist when delivered under
sub. (1i) (a), the name of the person to whom the opioid antagonist is delivered.
450.11(4)(a)6.
6. Directions for use of the prescribed drug or device as contained in the prescription order.
450.11(4)(a)7.
7. The name and strength of the prescribed drug dispensed, unless the prescribing practitioner requests omission of the name and strength of the drug dispensed.
450.11(4)(a)8.
8. The symptom or purpose for which the drug is being prescribed if the prescription order specifies the symptom or purpose under
sub. (4m).
450.11(4)(b)
(b) Paragraph (a) does not apply to complimentary samples of drug products or devices dispensed by a practitioner to his or her patients.
450.11(4g)(b)
(b) If a pharmacist, pursuant to a prescription order that specifies a drug product by its brand name, dispenses the drug product equivalent of the drug product specified in the prescription order, the label required under
sub. (4) (a) may include both the generic name of the drug product equivalent and the brand name specified in the prescription order, unless the prescribing practitioner requests that the brand name be omitted from the label.
450.11(4m)
(4m) Label options. If a patient indicates in writing to a practitioner who makes a prescription order for the patient that the patient wants the symptom or purpose for the prescription to be disclosed on the label, the practitioner shall specify the symptom or purpose in the prescription order.
450.11(5)(a)(a) No prescription may be refilled unless the requirements of
sub. (1) and, if applicable,
sub. (1m) have been met and written, oral, or electronic authorization has been given by the prescribing practitioner. Unless the prescribing practitioner has specified in the prescription order that dispensing a prescribed drug in an initial amount followed by periodic refills as specified in the prescription order is medically necessary, a pharmacist may exercise his or her professional judgment to dispense varying quantities of the prescribed drug per fill up to the total number of dosage units authorized by the prescribing practitioner in the prescription order including any refills, subject to
par. (b).
450.11(5)(b)1.1. The authority of a pharmacist under
par. (a) to dispense varying quantities of a drug applies only with respect to the refills, if any, specified in the prescription order and does not apply with respect to the initial quantity specified in the prescription order, except that a pharmacist may dispense a varying initial quantity of a drug using that authority if such quantity of that drug was previously dispensed to the patient in the previous 2-year period under an earlier prescription.
450.11(5)(b)2.
2. The authority of a pharmacist under
par. (a) to dispense varying quantities of a drug does not apply with respect to controlled substances.
450.11(5)(b)3.
3. A pharmacist may not use the authority under
par. (a) to dispense varying quantities of a drug to dispense more than a 90-day supply of a drug in a single fill or refill.
450.11(5)(c)
(c) An accurate record of refill dispensing shall be maintained showing the date and amount.
450.11(6)
(6) Sales of prescription drugs. In the event of any sale of prescription drugs in bankruptcy, at public auction or any other sale of prescription drugs other than in the normal course of business or practice, the seller shall give written notice of the sale to the board at least one week prior to the date of sale and shall make a complete and accurate written report of the sale to the board within 10 days after the sale, showing the name and address of all of the purchasers of prescription drugs together with an itemized inventory of the prescription drugs sold to each purchaser. This subsection does not apply to the sale of a manufacturer, distributor or pharmacy as an ongoing business or practice if the parties first notify the board of the impending sale.
450.11(7)(a)(a) No person may obtain or attempt to obtain a prescription drug, or procure or attempt to procure the administration of a prescription drug, by fraud, deceit or willful misrepresentation or by forgery or alteration of a prescription order; or by willful concealment of a material fact; or by use of a false name or address.
450.11(7)(b)
(b) Information communicated to a physician, physician assistant, or advanced practice nurse prescriber in an effort to procure unlawfully a prescription drug or the administration of a prescription drug is not a privileged communication.
450.11(7)(c)
(c) No person may willfully make a false statement in any prescription order, report or record required by this section.
450.11(7)(d)
(d) No person may, for the purpose of obtaining a prescription drug, falsely assume the title of, or represent himself or herself to be, a manufacturer, distributor, pharmacist or practitioner.
450.11(7)(e)
(e) No person may make or utter any false or forged prescription order.
450.11(7)(f)
(f) No person may willfully affix any false or forged label to a package or receptacle containing prescription drugs.
450.11(7)(g)
(g) Except as authorized by this chapter, no person may possess, with intent to manufacture or deliver, a prescription drug. Intent under this paragraph may be demonstrated by, without limitation because of enumeration, evidence of the quantity and monetary value of the substance possessed, the possession of manufacturing implements or paraphernalia, and the activities or statements of the person in possession of the prescription drug prior to, during and after the alleged violation.
450.11(7)(h)
(h) Except as provided in
sub. (1i) (b), no person may possess a prescription drug unless the prescription drug is obtained in compliance with this section.
450.11(7)(i)
(i) No pharmacist, manufacturer, distributor, owner or operator of a pharmacy or agent of a pharmacist, manufacturer, distributor or such an owner or operator may give any compensation or anything of value to a practitioner for the purpose of providing, or inducing the practitioner to obtain, any equipment, computer software or access to a service that may be used for the electronic transmission of a prescription order.
450.11(8)
(8) Rule-making authority. The department of justice may promulgate rules necessary for the enforcement of this section. In addition to all law enforcement officers and agencies, the enforcement of this section is the responsibility of the department and:
450.11(8)(a)
(a) The board, insofar as this section applies to pharmacists.
450.11(8)(b)
(b) The medical examining board, insofar as this section applies to physicians and physician assistants.
450.11(8)(bm)
(bm) The podiatry affiliated credentialing board, insofar as this section applies to podiatrists.
450.11(8)(c)
(c) The veterinary examining board, insofar as this section applies to veterinarians.
450.11(8)(d)
(d) The dentistry examining board, insofar as this section applies to dentists.
450.11(8)(e)
(e) The board of nursing, insofar as this section applies to advanced practice nurse prescribers.
450.11(9)
(9) Penalties and enforcement proceedings. 450.11(9)(a)(a) Except as provided in
par. (b), any person who violates this section may be fined not more than $500 or imprisoned not more than 6 months or both.
450.11(9)(b)
(b) Any person who delivers, or who possesses with intent to manufacture or deliver, a prescription drug in violation of this section is guilty of a Class H felony.
450.11(9)(c)
(c) In any action or proceeding brought for the enforcement of this section, it shall not be necessary to negate any exception or exemption contained in this section, and the burden of proof of any such exception or exemption shall be upon the defendant.
450.11 History
History: 1985 a. 146;
1997 a. 27,
175,
283;
2001 a. 109;
2005 a. 187,
195,
196,
242;
2007 a. 97;
2009 a. 113,
280;
2011 a. 159,
161;
2013 a. 199,
200,
239;
2015 a. 3,
35,
55,
115,
291.
450.115
450.115
Drug disposal programs and authorizations. 450.115(1)(a)
(a) “Guardian" means the person named by the court under ch.
880, 2003 stats., or
ch. 48 or
54 that has the duty and authority of guardianship.
450.115(1)(b)
(b) “Personal representative" means an executor, administrator, or special administrator of a decedent's estate, a person legally authorized to perform substantially the same functions, or a successor to any of those persons.
450.115(1)(c)
(c) “Trustee" means a person that holds in trust title to or power over property. “Trustee" includes an original, added, or successor trustee.
450.115(1)(d)
(d) “Ward" means a person for whom a guardian has been appointed.
450.115(2)
(2) Nothing in this chapter, or rules promulgated under this chapter, prohibits any of the following:
450.115(2)(b)
(b) The transfer of a prescription drug by a person that lawfully possesses the prescription drug to a drug disposal program that is authorized under
s. 165.65 (2) or
(3) or is authorized under federal law, as defined in
s. 165.65 (1) (a), and that accepts the prescription drug.
450.115(2)(c)
(c) Subject to
sub. (4), the possession of a prescription drug under a written authorization described in
sub. (3).
450.115(3)(a)(a) A guardian may grant written authorization to an adult who is related to the guardian's ward by blood, marriage, or adoption within the 3rd degree of kinship as computed under
s. 990.001 (16), or to a domestic partner of the ward under
ch. 770, for the disposal of a prescription drug that belongs to the ward.
450.115(3)(b)
(b) A personal representative or a trustee may grant written authorization to an adult beneficiary, as defined in
s. 701.1102 (1m), of the estate or trust for the disposal of a prescription drug that belongs to the estate or trust.
450.115(3)(c)
(c) A person who is a competent adult may grant written authorization to that person's domestic partner under
ch. 770 or to another adult who is related to that person by blood, marriage, or adoption within the 3rd degree of kinship as computed under
s. 990.001 (16), for the disposal of a prescription drug that lawfully belongs to that person.
450.115(4)
(4) A written authorization under
sub. (3) is valid only to the extent permitted under federal law and only if all of the following conditions are satisfied:
450.115(4)(a)
(a) The authorization describes with reasonable specificity each prescription drug that is to be disposed of.
450.115(4)(b)
(b) The authorization is in the physical possession of the person authorized to dispose of the prescription drug and each prescription drug described in the authorization is, within 24 hours after the authorization is signed by the person granting the authorization, transferred to a drug disposal program under
s. 165.65 or otherwise lawfully disposed of.
