Arkansas Administrative Code › Agency 070 - Board of Pharmacy › Rule 070.00.93-002 - Reg. 9-B, Reg. 37, Reg. 52, Reg. 53, and Reg. 55

Current through Register Vol. 49, No. 6, June, 2024
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Amend Regulation 37
(Make existing Regulation "A." and new "B.")
Recognizing the emergency and or unanticipated need for certain
			 legend (non-controlled) drugs to be available to nurses employed by Arkansas
			 Licensed Home Health Agencies, an Arkansas Licensed Pharmacy may provide
			 certain medications under the following conditions:
(1) A written contract must exist between the
		  Arkansas Licensed Home Health Agency and the Arkansas Licensed Pharmacy, and
		  this must be available for review by the Board of Pharmacy upon
		  request.
(2) The legend drugs
		  remain the property of and under the responsibility of the Arkansas Licensed
		  Pharmacy.
(3) All medications are
		  administered only on physicians orders and medications administered from the
		  nurses supply must be recorded as a prescription by the pharmacy prior to the
		  pharmacy's replacement of the drug in the emergency supply.
(4) All medication records must be maintained
		  as required by law, and out of date drugs must be properly destroyed by the
		  pharmacy.
(5) The emergency supply
		  may be carried by each nurse or an emergency kit may be provided for each
		  patient's home.
(6) Careful patient
		  planning should be a cooperative effort between the pharmacy and the nursing
		  agency to make all medications available and this emergency supply should ONLY
		  be used for emergency or unanticipated needs and shall NOT become a routine
		  source or supply.
(7) The following
		  medications can be supplied by the pharmacy in sufficient but limited
		  quantities:
Heparin Flush - Pediatric (one strength)
Heparin - Flush - Adult (one strength)
Sterile Water For Injection - small volume
Sodium Chloride For Injection - small volume
Adrenalin (Epinephxine) Injection - ampoules only
Benadryl (Diphenhydramine) injection - ampoules only
* Note: For Heparin, Adrenalin and Benadryl, all patients should
			 have a precalculated dose.
This list can be expanded only by the Board of Pharmacy; and if
			 expanded, notice will be provided in the Board's Newsletter.
(8) The pharmacy is responsible to assure
		  compliance with this regulation, and any abuse or misuse of the intent of this
		  regulation shall be immediately reported to the Board of Pharmacy.
(9) The pharmacy and the agency shall develop
		  policy and procedures to address storage conditions for medications.
52.
Facsimile (Fax) Prescription
		  Drug Order
- A prescription drug order which is transmitted by an
		  electronic device which sends an exact copy image to the receiver (pharmacy)
		  over telephone lines.
I.
Pharmacist/Pharmacy
:
A. A pharmacist may accept a facsimile
		  prescription drug order in lieu of an oral or written prescription drug order
		  for any drug except Schedule II drugs. However, au emergency order may be
		  accepted by FAX as an alternative to the telephone, if all other requirements
		  for emergency Schedule II prescriptions are met.
B. Ail law and regulation applicable to oral
		  prescription drug orders shall also apply to facsimile orders including but not
		  limited to generic substitution, maintenance of records, information required,
		  etc
C. A prescription order
		  transmitted by facsimile device shall contain all prescription information
		  required by federal and state law.
D. A pharmacist may dispense prescription
		  orders transmitted by FAX only when signed by the authorized prescribing
		  practitioner and transmitted from the practitioner's office by the practitioner
		  or his designated agent.
E. A
		  pharmacist may accept a FAX prescription from a long term care facility
		  provided:
(1) All requirements of an oral
		  prescription are met.
(2) The order
		  is written and faxed by the nurse designated by the physician as his/her
		  "agent" to be transmit the order.
(3) The pharmacist verifies the FAX is from
		  the machine in the L.T.C. facility.
(4) The "agent" signs the order as the person
		  authorized' to transmit the order.
F. The pharmacist shall assure that the FAX
		  paper is of such quality to last long enough to meet legal requirements.
The original FAX shall be assigned the number of the prescription
			 dispensed, and maintained in pharmacy records for at least two years.
G. The receiving FAX machine must
		  be in the prescription department of the pharmacy to protect
		  patient/pharmacist/authorized prescribing practitioner confidentiality and
		  security.
H. Refill authorizations
		  for prescriptions may be transmitted using a facsimile device.