Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 4 - PROFESSIONAL PRACTICES › Section R4-23-402 - Pharmacist, Graduate Intern, and Pharmacy Intern

Current through Register Vol. 30, No. 28, July 12, 2024
A. A pharmacist or a graduate intern or
				pharmacy intern under the supervision of a pharmacist shall perform the
				following professional practices in dispensing a prescription medication from a
				prescription order:
1. Receive, reduce to
				written form, and manually initial oral prescription orders;
2. Obtain and record the name of the
				individual who communicates an oral prescription order;
3. Obtain, or assume responsibility to
				obtain, from the patient, patient's agent, or medical practitioner and record,
				or assume responsibility to record, in the patient's profile, the following
				information:
a. Name, address, telephone
				number, date of birth (or age), and gender;
b. Individual history including known
				diseases and medical conditions, known drug allergies or drug reactions, and if
				available a comprehensive list of medications currently taken and medical
				devices currently used;
4. Record, or assume responsibility to
				record, in the patient's profile, a pharmacist's, graduate intern's, or
				pharmacy intern's comments relevant to the patient's drug therapy, including
				other information specific to the patient or drug;
5. Verify the legality and pharmaceutical
				feasibility of dispensing a drug based upon:
a. The patient's allergies,
b. Incompatibilities with medications the
				patient currently takes,
c. The
				patient's use of unusual quantities of dangerous drugs or narcotics,
d. A medical practitioner's signature,
				and
e. The frequency of
				refills;
6. Verify that
				a dosage is within proper limits;
7. Interpret the prescription order, which
				includes exercising professional judgment in determining whether to dispense a
				particular prescription;
8.
				Compound, mix, combine, or otherwise prepare and package the prescription
				medication needed to dispense individual prescription orders;
9. Prepackage or supervise the prepackaging
				of drugs by a pharmacy technician or pharmacy technician trainee under
				R4-23-1104. For drugs prepackaged by a pharmacy technician or pharmacy
				technician trainee, a pharmacist shall:
a.
				Verify the drug to be prepackaged;
b. Verify that the label meets the official
				compendium's standards;
c. Check
				the completed prepackaging procedure and product; and
d. Manually initial the completed label;
				or
e. For automated packaging
				systems, manually initial the completed label or a written log or initial a
				computer-stored log;
10.
				Check prescription order data entry to ensure that the data input:
a. Is for the correct patient by verifying
				the patient's name, address, telephone number, gender, and date of birth or
				age;
b. Is for the correct drug by
				verifying the drug name, strength, and dosage form;
c. Communicates the prescriber's directions
				precisely by verifying dose, dosage form, route of administration, dosing
				frequency, and quantity; and
d. Is
				for the correct medical practitioner by verifying the medical practitioner's
				name, address, and telephone number;
11. Except as provided in subsection (A)(12),
				make a final accuracy check of the completed prescription label including
				verification of medication, accuracy of patient's name, consistency with
				prescription order, and drug utilization review and initial in handwriting or
				by another method approved by the Board or its designee the finished
				label;
12. If a technology-assisted
				verification of product program is used, make a final accuracy check of the
				completed prescription label including accuracy of patient's name, consistency
				with prescription order, and drug utilization review and initial in handwriting
				or by another method approved by the Board or its designee the finished label.
				If a technology-assisted verification of product program is used, verification
				of product is not required.
13.
				Record, or assume responsibility to record, a prescription serial number and
				date dispensed on the original prescription order;
14. Obtain, or assume responsibility to
				obtain, permission to refill a prescription order and record, or assume
				responsibility to record on the original prescription order:
a. Date dispensed,
b. Quantity dispensed, and
c. Name of medical practitioner or medical
				practitioner's agent who communicates permission to refill the prescription
				order;
15. Reduce to
				written or printed form, or assume responsibility to reduce to written or
				printed form, a new prescription order received by:
a. Fax
b. E-mail, or
c. Other means of communication;
16. Verify, or assume
				responsibility to verify, that a completed prescription medication is sold only
				to the correct patient, patient's care-giver, or authorized agent;
17. Record on the original prescription order
				the name or initials of the pharmacist, graduate intern, or pharmacy intern who
				originally dispenses the prescription order; and
18. Record on the original prescription order
				the name or initials of the pharmacist, graduate intern, or pharmacy intern who
				dispenses each refill.