reglab/statecodes huggingface dataset:
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 7 - Pharmacy Interns › Section LIII-705 - Professional Experience

Current through Register Vol. 50, No. 6, June 20, 2024
A. All
				applicants for licensure by examination shall earn professional experience in
				the practice of pharmacy concurrent with attending or after graduation from a
				board-approved college of pharmacy.
B. The practical experience shall be
				predominantly related to the provision of pharmacy primary care and the
				dispensing of drugs and medical supplies, the compounding of prescriptions, and
				the keeping of records and making of reports as required under federal and
				state law.
1. The practical experience earned
				shall have been under the supervision of a pharmacist, or in the alternative, a
				licensed practitioner.
2. A
				pharmacy intern shall not practice in a permitted pharmacy site that is on
				probation with the board. A pharmacy intern shall not practice under the
				supervision of a pharmacist or other licensed practitioner whose license is on
				probation with their primary professional licensing agency.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 7 - Pharmacy Interns › Section LIII-707 - Impairment

Current through Register Vol. 50, No. 6, June 20, 2024
A.
Impairment
or
Impaired
-a condition that
				causes an infringement on the ability of a person to practice, or assist in the
				practice, of pharmacy sufficient to pose a danger to the public. Impairment may
				be caused by, but is not limited to, alcoholism, substance abuse or addiction,
				mental illness, or physical illness.
B. Pharmacy interns shall be
				non-impaired.
C. Pharmacy interns
				who have knowledge a pharmacist, pharmacy intern, pharmacy technician, or
				pharmacy technician candidate is impaired shall notify the board of that fact
				as soon as possible.
D. Pharmacy
				interns may be subject to a medical evaluation for impairment by a board
				approved addictionist, as authorized by the Louisiana Pharmacy Practice Act,
				R.S.
				37:1161 et seq.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  37:1211.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 7 - Pharmacy Interns › Section LIII-709 - Scope of Practice

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Pharmacy interns may perform any duty of a pharmacist provided he is under the
				supervision of a pharmacist.
B. The
				ratio of pharmacy interns, certified pharmacy technicians, and pharmacy
				technician candidates to pharmacists on duty shall not exceed four to one in
				any variable at any given time, of which the ratio of pharmacy technician
				candidates to pharmacists shall be no more than two to one. In addition, the
				ratio of pharmacy interns on rotation with a board approved college of pharmacy
				to pharmacists shall be no more than three to one.
C. A pharmacy intern may not:
1. present or identify himself as a
				pharmacist;
2. sign or initial any
				document which is required to signed or initialed by a pharmacist unless a
				preceptor cosigns the document; or
3. independently supervise pharmacy
				technicians or pharmacy technician candidates.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 7 - Pharmacy Interns › Section LIII-711 - Administration of Medications

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Education and Training Required; Supervision
1. Pharmacy interns who intend to administer
				medications to their patients shall obtain the education and training described
				within this Section prior to engaging in such activity.
2. Pharmacy interns, once properly qualified
				as required by the provisions of this Section, may only administer medications
				to patients while under the supervision of a pharmacist with the same
				qualification in medication administration as described in Chapter 5 of this
				Part.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 9 - Pharmacy Technicians › Section LIII-901 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. As used in this
				Chapter, the following terms shall have the meaning ascribed to them in this
				Section.
ACPE
-Accreditation Council for Pharmacy
				  Education.
CPE
-continuing pharmaceutical education, as
				  part of a postgraduate educational program to enhance professional
				  competence.
CPE Monitor
- a collaborative service from
				  the National Association of Boards of Pharmacy (NABP) and the Accreditation
				  Council for Pharmacy Education (ACPE) that provides an electronic system for
				  pharmacists and pharmacy technicians to record and track their completed CPE
				  activities.
CPE unit
-a standard of measurement adopted
				  by the ACPE for the purpose of accreditation of CPE programs. One CPE unit is
				  equivalent to 10 credit hours.
Pharmacy Technician
-an individual, certified
				  by the board, who assists in the practice of pharmacy under the direct and
				  immediate supervision of a Louisiana-licensed pharmacist.
Pharmacy Technician Candidate
- an
				  individual, registered by the board, training to become a pharmacy technician,
				  who assists in the practice of pharmacy under the direct and immediate
				  supervision of a Louisiana-licensed pharmacist.
a. an individual who possesses a valid registration and is
				  working under the supervision of a pharmacist for the purpose of obtaining
				  practical experience for certification as a pharmacy technician by the board;
				  or
b. an individual who possesses a valid registration and is
				  awaiting examination.
Training Program
- a pharmacy technician
				  training program that is currently nationally-accredited and has been approved
				  by the board.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  37:1212.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 9 - Pharmacy Technicians › Section LIII-904 - Preferential Licensing Procedures for Military-Trained Applicants and Their Dependents

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Definitions. The following terms shall have the meaning ascribed to them in
				this Subsection:
Dependent
-a resident spouse or resident
				  unmarried child under the age of 21 years, a child who is a student under the
				  age of 24 years and who is financially dependent upon the parent, or a child of
				  any age who is disabled and dependent upon the parent.
Jurisdiction
-any state or territory of the
				  United States of America.
Military-
the armed forces or reserves of the
				  United States, including the Army, Navy, Marine Corps, Coast Guard, Air Force,
				  and the reserve components thereof, the National Guard of any state, the
				  Military Reserves of any state, or the naval militia of any state.
B. Eligibility. The following
				persons are eligible for the preferential licensing procedures provided by this
				Section:
1. a member of the military who has
				been assigned to duty in Louisiana or his dependent;
2. a civilian employee of the United States
				Department of Defense who has been assigned to duty in Louisiana or his
				dependent;
3. a member of the
				military or civilian employee of the United States Department of Defense or
				their dependents who have established this state as their state of legal
				residence in their military record.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 9 - Pharmacy Technicians › Section LIII-905 - Pharmacy Technician Certificate

Current through Register Vol. 50, No. 6, June 20, 2024
A. Qualifications
1. An applicant for a pharmacy technician
				certificate shall be at least 18 years of age, as evidenced by a valid and
				legible copy of a birth certificate or other appropriate credential.
2. An applicant shall be of good moral
				character and non-impaired.
3. An
				applicant shall demonstrate one of the following educational competencies.
a. In the event the applicant obtained their
				technician candidate registration on the basis of their enrollment in a
				nationally-accredited and board-approved pharmacy technician training program,
				the applicant shall demonstrate successful completion of that training program,
				or in the alternative, another nationally-accredited and board-approved
				pharmacy technician training program.
b. In the event the applicant obtained their
				technician candidate registration by any other method, the applicant shall
				demonstrate the acquisition of at least 600 hours of practical experience under
				the supervision of a pharmacist, using a form supplied by the board.
c. In the event the applicant has been
				licensed, registered, or otherwise credentialed by another state board of
				pharmacy and has been practicing for at least one year as a pharmacy technician
				in that state, the applicant shall demonstrate successful completion of a
				board-approved pharmacy technician certification
				examination.
4. An
				applicant shall demonstrate successful completion of a board-approved
				technician examination, as evidenced by a valid and legible copy of the
				appropriate credential.
5. An
				applicant shall demonstrate successful completion of a board-approved
				technician examination, as evidenced by a valid and legible copy of the
				appropriate credential.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 9 - Pharmacy Technicians › Section LIII-906 - Preferential Licensing Procedures for Dependents of Healthcare Professionals Relocating to Louisiana

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Definitions
1. As used in this section, the
				following terms shall have the meaning ascribed to them in this subsection:
Dependent
-any of the following who relocates
				  to Louisiana with a healthcare professional:
i. the healthcare professional's
				spouse.
ii. the healthcare
				professional's unmarried child under the age of 21 years.
iii. the healthcare professional's child who
				is a student under the age of 24 years and who is financially dependent upon
				the healthcare professional.
iv.
				the healthcare professional's child of any age who is disabled and financially
				dependent upon the healthcare professional.
Healthcare Professional
-a person who
				  provides healthcare or professional services in Louisiana as a physician,
				  physician assistant, dentist, registered or licensed practical nurse or
				  certified nurse assistant, advanced practice registered nurse, certified
				  emergency medical technician, paramedic, certified registered nurse
				  anesthetist, nurse practitioner, respiratory therapist, clinical nurse
				  specialist, pharmacist, physical therapist, occupational therapist, licensed
				  radiologic technologist, chiropractor, or licensed clinical laboratory
				  scientist; and further, has relocated to and established his legal residence in
				  Louisiana, holds a valid license to provide healthcare services in Louisiana,
				  and is providing healthcare services in Louisiana.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 9 - Pharmacy Technicians › Section LIII-907 - Scope of Practice

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Pharmacy technician candidates and pharmacy technicians may assist the
				pharmacist by performing those duties and functions assigned by the pharmacist
				while under his direct and immediate supervision.
1. The ratio of pharmacy technician
				candidates, certified pharmacy technicians, and pharmacy interns to pharmacists
				on duty shall not exceed four to one in any variable at any given time, of
				which the ratio of pharmacy technician candidates to pharmacists shall be no
				more than two to one.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 9 - Pharmacy Technicians › Section LIII-909 - Continuing Education

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				minimum of one technician-specific ACPE or board-approved CPE unit, or 10
				credit hours, shall be required each year as a prerequisite for annual renewal
				of a pharmacy technician certificate. Such CPE units shall be credited in the
				12-month period prior to the expiration date of the certificate.
B. Certified pharmacy technicians shall
				maintain copies of their individual records of personal CPE activities with CPE
				monitor and shall authorize the boards access to their file by recording their
				Louisiana pharmacy technician certificate number within that file, and shall
				present a copy of their CPE monitor transcript when requested by the board.
C. If judged appropriate by the
				board, some or all of the required number of hours may be mandated on specific
				subjects. When so deemed, the board shall notify all certified pharmacy
				technicians prior to the beginning of the renewal year in which the CPE is
				required.
D. Complete compliance
				with CPE rules is a prerequisite for renewal of a pharmacy technician
				certificate.
1. Non-compliance with the CPE
				requirements shall be considered a violation of
				R.S.
				37:1241(A)(2) and shall
				constitute a basis for the board to refuse annual renewal.
2. The failure to maintain an individual
				record of personal CPE activities, or falsifying CPE documents, shall be
				considered a violation of
				R.S.
				37:1241(A)(22).
3. The inability to comply with CPE
				requirements shall be substantiated by a written explanation, supported with
				extraordinary circumstances, and submitted to the board for
				consideration.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 9 - Pharmacy Technicians › Section LIII-911 - Impairment

Current through Register Vol. 50, No. 6, June 20, 2024
A. Pharmacy
				technician candidates and pharmacy technicians shall be non-impaired.
B. Pharmacy technician candidates and
				pharmacy technicians who have knowledge that a pharmacist, pharmacist intern,
				pharmacy technician candidate, or pharmacy technician is impaired shall notify
				the board of that fact.
C. Pharmacy
				technician candidates and pharmacy technicians shall be subject to a medical
				evaluation for impairment by a board-approved addictionist, as authorized by
				the Louisiana Pharmacy Practice Act,
				R.S.
				37:1161 et seq.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  37:1212.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 9 - Pharmacy Technicians › Section LIII-913 - Administration of Medications

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				Education and Training Required; Supervision
1. Pharmacy technicians who intend to
				administer medications to their patients shall obtain the education and
				training described within this Section prior to engaging in such
				activity.
2. Pharmacy technicians,
				once properly qualified as required by the provisions of this Section, may only
				administer medications to patients while under the supervision of a pharmacist
				with the same qualification in medication administration as described in
				Chapter 5 of this Part.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter A - General Requirements › Section LIII-1101 - Pharmacy

Current through Register Vol. 50, No. 6, June 20, 2024
A. Qualification.
				  Individuals, partnerships, corporations, limited liability companies, or
				  associations desiring to operate a pharmacy in Louisiana, or outside the state
				  where prescriptions drugs/devices are dispensed and delivered to Louisiana
				  residents, shall execute an application for a pharmacy permit for their
				  particular classification of pharmacy.
B. Appearance. The applicants, including the
				  pharmacist-in-charge, may be required to personally appear before the board
				  prior to a board decision on the permit application.
C. Pharmacy Permit
1. The initial pharmacy permit application
				  shall be completed and signed by the pharmacist-in-charge and the owner of the
				  pharmacy and submitted to the board for approval. An application for a pharmacy
				  permit shall expire one year after the date of receipt in the board
				  office.
2. Renewal. A pharmacy
				  permit that has not been renewed by December 31 of each year shall expire and
				  be null and void.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter A - General Requirements › Section LIII-1103 - Prescription Department Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A. A prescription department of a pharmacy
				  shall provide sufficient floor space, fixtures, equipment and supplies
				  commensurate with the nature and scope of the pharmacy-us practice to ensure
				  that drugs are compounded and dispensed in a well-lighted, ventilated, climate
				  controlled, and safely enclosed structure.
B. Restricted. A prescription department is a
				  restricted area.
C. Prescription
				  Department Plumbing. A sink equipped with hot and cold running water shall be
				  located within the prescription department. A sink located in a pharmacy
				  restroom shall not be sufficient to satisfy this requirement.
D. Electronic Record Keeping System. An
				  electronic record keeping system shall be utilized in a pharmacy department and
				  shall be a complete, accurate, and readily retrievable prescription record
				  keeping and storage system.
E. Drug
				  Inventory
1. Storage. The pharmacy shall
				  provide an adequate prescription inventory in order to compound and dispense
				  prescription orders. Drugs that require special storage shall be properly
				  stored.
2. Missing or Damaged
				  Inventory. When significant drug inventory is missing or damaged for any
				  reason, the pharmacy owner or pharmacist-in-charge shall file with the board a
				  signed statement of the circumstances of such occurrence and evidence that the
				  appropriate law enforcement authorities were notified as required by
				  law.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter A - General Requirements › Section LIII-1105 - Pharmacist-in-Charge

Current through Register Vol. 50, No. 6, June 20, 2024
A. The opportunity
				  to accept an appointment as the pharmacist-in-charge (PIC) of a pharmacy is a
				  professional privilege. The following requirements are attached to a PIC
				  privilege.
1. The acquisition of the PIC
				  privilege shall require:
a. possession of an
				  active Louisiana pharmacist license;
b. active pharmacy practice for a minimum of
				  two years under the jurisdiction of any board of pharmacy in the United States;
				  and
c. the completion of the
				  affidavit of responsibility and duties described below.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter A - General Requirements › Section LIII-1107 - Pharmacy Operations

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  owner of the pharmacy shall employ an appropriate number of professional,
				  technical, and clerical personnel commensurate with the nature and scope of the
				  pharmacy practice. The owner of the pharmacy shall ensure there are a
				  sufficient number of licensed personnel on site when the pharmacy is open to
				  competently and safely perform patient care services and dispense prescriptions
				  accurately.
B. Minimum Hours of
				  Operation; Business Hours Posted
1. A pharmacy
				  shall be open for business a minimum of 10 hours per week. A pharmacist shall
				  be on duty at all times when the pharmacy is open for business, subject to the
				  provision for the temporary absence of a pharmacist in
				  Section
				  1109 of this Part.
2. The pharmacy shall post its hours of
				  operation at the building entrance in full public view from outside the
				  premises. Pharmacies holding permits classified as correctional, hospital,
				  institutional, or nuclear shall be exempt from this posting
				  requirement.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter A - General Requirements › Section LIII-1109 - Pharmacist Temporary Absence

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  A pharmacist shall be considered to be temporarily absent from the prescription
				  department when not within the confines of the prescription department but
				  remains on-site.
B. The pharmacist
				  may be temporarily absent from the prescription department for breaks and meal
				  periods without closing the prescription department and removing pharmacy
				  personnel providing the following conditions are met:
1. at least one certified pharmacy technician
				  or pharmacy intern remains in the prescription department;
2. the pharmacist is available for
				  emergencies;
3. the temporary
				  absence does not exceed 30 minutes at a time and a total of 60 minutes in a
				  12-hour period;
4. the pharmacist
				  reasonably believes that the security of the prescription department will be
				  maintained in his absence; and
5. a
				  notice is posted that includes the following information:
a. the fact that the pharmacist is taking a
				  break; and
b. the time the
				  pharmacist will return.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter A - General Requirements › Section LIII-1111 - Pharmacist Absence

Current through Register Vol. 50, No. 6, June 20, 2024
A. A pharmacist
				  is considered absent from the prescription department when he is not in the
				  prescription department and is off-site.
B. When a pharmacist is absent from the
				  prescription department, the prescription department must be securely closed
				  and made inaccessible. A sign shall be displayed in a conspicuous position in
				  front of the prescription department giving notice of closure. The sign shall
				  be at least 8 1/2 x 11 inches with the following wording in black letters at
				  least 1 inch high: PRESCRIPTION DEPARTMENT CLOSED.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1182.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter A - General Requirements › Section LIII-1113 - Mechanical Drug Dispensing Devices

Current through Register Vol. 50, No. 6, June 20, 2024
A. Dispensing of prescription drugs directly
				  to a patient or caregiver by mechanical devices or machine is prohibited. This
				  prohibition shall not apply to automated medication systems as defined and
				  provided for in Chapter 12 of this Part.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1182.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter A - General Requirements › Section LIII-1115 - Advertising

Current through Register Vol. 50, No. 6, June 20, 2024
A. False,
				  fraudulent, deceptive, or misleading advertising as prohibited by
				  R.S.
				  37:1241 of the Pharmacy Practice Act and this
				  Section shall include, but is not limited to, any public misrepresentation done
				  or made with the knowledge, whether actual or constructive, that is untrue or
				  illegal, or is said to be done falsely when the meaning is that the party is in
				  fault for its error. Actual or constructive knowledge as used in this context
				  shall include intentionally, negligently, mistakenly, or accidentally
				  representing an untrue fact.
B. No
				  person shall carry on, conduct, or transact business under a name which
				  contains a part thereof the words "pharmacist", "pharmacy", "apothecary",
				  "apothecary shop", "chemist's shop", "drug store", "druggist", "drugs", or any
				  word or words of similar or like import, or in any manner by advertisement,
				  circular, poster, sign, or otherwise describe or refer to a place of business
				  by the terms of "pharmacy", "apothecary", "apothecary shop", "chemist's shop",
				  "drug store", "drugs", or any word or words of similar or like import, unless
				  the place of business is a pharmacy validly permitted by the board.
C. Pharmacies and pharmacists are prohibited
				  from advertising professional ability, experience, integrity, professional
				  qualifications, or soliciting professional practice by means of providing
				  prescribers of prescriptions with prescription forms imprinted with any
				  material referring to a pharmacy or pharmacist.
D. No advertising shall include any
				  reference, direct or indirect, to any controlled dangerous substance as
				  provided for in Schedules II, III, IV, or V of
				  R.S.
				  40:964. The provision of coupons or vouchers
				  for controlled substances through authorized prescribers, which accompany
				  legitimate prescriptions for such controlled substances issued to patients,
				  shall not be prohibited by this Section.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1182.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter B - Pharmacy Records › Section LIII-1121 - General Requirements

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Requirements
1. All records relating to the
				  practice of pharmacy shall be uniformly maintained for a period of two years,
				  be readily available, and promptly produced upon request for inspection by an
				  agent of the board during regular business hours.
2. All records required by the laws and
				  regulations of the board shall be provided to the board, or its agents, within
				  72 hours of request, unless a shorter period is required, as determined by the
				  board or its agent.
3. The failure
				  to produce any pharmacy records requested by the board or its agent within 72
				  hours of such request shall substantiate a violation of
				  R.S.
				  37:1241(A)(22).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter B - Pharmacy Records › Section LIII-1123 - Records

Current through Register Vol. 50, No. 6, June 20, 2024
A. There shall be
				  positive identification of the pharmacist, intern, technician, or technician
				  candidate responsible for performing all activities related to the practice of
				  pharmacy including, but not limited to:
1.
				  prescription information entered into the pharmacy information
				  system;
2. prospective drug
				  utilization review;
3. prescription
				  dispensing;
4. administration of
				  immunizations.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter B - Pharmacy Records › Section LIII-1124 - Records of Pharmacy Services for Patients in Licensed Healthcare Facilities Other than Hospitals

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  Definitions
Dispensing of a Drug Pursuant to an Inpatient
					 Prescription
-Repealed.
Electronic Drug Record Keeping System
-a
					 system of storing drug records electronically and capturing the positive
					 identification of the person responsible for a specific drug transaction
					 including, but not limited to, the prescribing, administering, or dispensing of
					 a drug.
Inpatient
-a person receiving health care
					 services within a healthcare facility other than a hospital licensed by the
					 department.
Inpatient Prescription
-Repealed.
Password
-a private identification that is
					 created by a user to obtain access to an electronic drug record keeping
					 system.
Personal Identifier
-a unique user name or
					 number for identifying and tracking a specific users access to an electronic
					 drug record keeping system such as Social Security number, user identification
					 number, or employee number
Positive Identification
-
a. as the same meaning as defined in
				  Section 1119 of this Chapter, except that a
				  specific facility having a closed electronic drug record keeping system may be
				  permitted to use identifiers utilizing both a password combined with a personal
				  identifier to document the positive identification of each user for the
				  prescribing and administration of a drug, provided the pharmacist-in-charge has
				  determined:
i. adequate audit controls are in
				  place to detect and deter drug diversion;
ii. adequate access controls are in place to
				  assure the identity of the user and to assign accountability of the user for
				  any drug transaction;
iii. adequate
				  safeguards are in place to prevent and detect the unauthorized use of an
				  individuals password and personal identifier;
iv. an ongoing quality assurance program is
				  in place to ensure that Clauses i through iii of this term are being fulfilled
				  and reviewed; and
v. appropriate
				  policies and procedures are in place to address Clauses i through iv of this
				  term;
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter B - Pharmacy Records › Section LIII-1125 - Security and Confidentiality

Current through Register Vol. 50, No. 6, June 20, 2024
A. The
				  holder of the pharmacy permit shall provide adequate safeguards against
				  improper, illegal, or unauthorized manipulation or alteration of any records in
				  the pharmacy information system.
B.
				  A pharmacist shall provide adequate security to prevent indiscriminate or
				  unauthorized access to confidential information. If confidential health
				  information is not transmitted directly between a pharmacist and a
				  practitioner, but is transmitted through a data communications device, the
				  confidential health information may not be accessed, maintained, or altered by
				  the operator of the data communications device. Confidential information is
				  privileged and may be released only subject to federal privacy laws and
				  regulations, and subject to applicable Louisiana statutes.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1182.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter B - Pharmacy Records › Section LIII-1127 - Register (Repealed)

Current through Register Vol. 50, No. 6, June 20, 2024
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1182.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter B - Pharmacy Records › Section LIII-1129 - Louisiana Uniform Prescription Drug Prior Authorization Form; Requirements; Referral for Enforcement

Current through Register Vol. 50, No. 6, June 20, 2024
A. A
				  prescriber or pharmacy required to obtain prior authorization from a third
				  party payor shall complete the Louisiana Uniform Prescription Drug Prior
				  Authorization Form referenced below in Section 1130, either in written form or
				  its electronic equivalent.
B. In
				  the event a third party payor demands the completion of an alternative
				  authorization process, the prescriber or pharmacy shall refer the demand to the
				  appropriate enforcement agency.
1. If the
				  demand is made by a Medicaid managed care organization, the prescriber or
				  pharmacy shall refer the demand to the Dept. of Health.
2. If the demand is made by any other third
				  party payor, the prescriber or pharmacy shall refer the demand to the Dept. of
				  Insurance.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter B - Pharmacy Records › Section LIII-1130 - Louisiana Uniform Prescription Drug Prior Authorization Form

Current through Register Vol. 50, No. 6, June 20, 2024
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AUTHORITY NOTE:
					 Promulgated in accordance with R.S. 22:1006.1(C) and
					 46:460.33(B).
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter C - Pharmacy Opening, Closing, Change of Ownership, and Change of Location › Section LIII-1131 - Pharmacy Opening Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  The board has established the following procedures as a prerequisite to the
				  opening of any pharmacy.
1. Application Form.
				  The applicant shall obtain a Pharmacy Permit Application and Louisiana
				  Controlled Dangerous Substance License Application from the board. The
				  completed form(s) shall be signed by the pharmacist-in-charge and returned to
				  the board office, with appropriate fees, not less than 30 days prior to the
				  anticipated opening of the pharmacy.
2. Inspection. After the board has reviewed
				  and approved the application, a board compliance officer shall conduct an
				  on-site inspection of the premises.
3. Compliance. Upon receipt of satisfactory
				  evidence that the applicant is in complete compliance, the board shall issue a
				  pharmacy permit and, if requested, a Louisiana Controlled Dangerous Substance
				  License.
4.
				  repealed
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter C - Pharmacy Opening, Closing, Change of Ownership, and Change of Location › Section LIII-1133 - Pharmacy Closing Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A.
				  A pharmacy permit holder shall notify the public and the board prior to
				  discontinuing a prescription department operation, or upon petitioning for
				  bankruptcy.
1. Public Notice. The holder of a
				  pharmacy permit shall post a closing notice in a conspicuous place in the front
				  of the prescription department, and at all public entrance doors to the
				  pharmacy. The closing notice to the public shall be posted not less than 10
				  days prior to the anticipated date of closure, and the notice shall contain the
				  following minimum information:
a. the
				  anticipated date of closure of the prescription department;
b. the anticipated date of transfer or
				  relocation of prescription files, if different than closure date;
c. the name and address of the pharmacy to
				  which the prescription files will be transferred; and
d. a statement that if a patient objects to
				  the transfer of their prescription files to the intended recipient pharmacy,
				  the patient shall make alternative arrangements for the transfer of their
				  prescription files to another pharmacy prior to the anticipated file transfer
				  date.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter C - Pharmacy Opening, Closing, Change of Ownership, and Change of Location › Section LIII-1135 - Pharmacy Change of Ownership Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A. A pharmacy permit is not
				  transferable.
B. A new application
				  shall be filed and a new permit obtained when a change in the identity of the
				  natural person, partnership, or business entity which directly holds the permit
				  has occurred or there is a change in the person or entity's Federal Employer
				  Identification Number (FEIN).
C.
				  The new owner shall submit an application to the board office at least 15 days
				  before closing the transfer of ownership interests of said business.
D. An application for a new pharmacy permit
				  shall include the direct and first indirect level of ownership information. Any
				  change in the first indirect level of ownership of 20 percent or more must be
				  reported to the board within 30 days of the change.
E. Nothing in this section shall prohibit an
				  entity from applying for a new pharmacy permit in order to separate itself from
				  actions which may have been committed by the previous ownership under the
				  existing pharmacy permit.
F. The
				  continued operation of a pharmacy permit subsequent to a change of ownership,
				  without submission of an application to the board office, may substantiate a
				  violation of
				  R.S.
				  37:1221.
AUTHORITY
					 NOTE: Promulgated in accordance with
					 R.S.
					 37:1182.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter C - Pharmacy Opening, Closing, Change of Ownership, and Change of Location › Section LIII-1137 - Pharmacy Change of Location Procedures

Current through Register Vol. 50, No. 6, June 20, 2024
A. The board has established the following
				  procedures for changing the location of any pharmacy that does not involve a
				  change of ownership or divestiture of that pharmacy.
1. The permit holder shall notify the board
				  in writing prior to relocating a prescription department operation.
2. The proper notice procedures for the
				  relocation shall include the notice requirements applicable to pharmacy closing
				  procedures noted in this subpart. However, a permit cancellation is not
				  required for a permit holder that is moving to a location in reasonably close
				  proximity to the original location and planning to continue pharmacy operations
				  without a transfer of ownership. The permit holder shall notify the board for
				  the proper re-designation of permit address and re-issuance of that same
				  permit.
3. Inspection. A board
				  compliance officer shall conduct an on-site inspection of the premises
				  following receipt of written notice in the board office and prior to the
				  opening of a prescription department in a new location.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter D - Off-Site Services › Section LIII-1139 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
A. As used in this Subchapter, the following terms shall
					 have the meaning ascribed to them in this Section, unless the context clearly
					 indicates otherwise.
Centralized Prescription Dispensing
- the
					 fulfillment by one permitted pharmacy of a request from another permitted
					 pharmacy to fill or refill a prescription drug order.
On-Site Pharmacy
- a permitted pharmacy
					 which utilizes centralized prescription dispensing services from a remote
					 dispenser or remote processing services from a remote processor.
Remote Dispenser
- a Louisiana permitted
					 pharmacy which provides centralized prescription dispensing services for
					 another permitted pharmacy in Louisiana.
Remote Processing Services
- the processing
					 of a medical order or prescription drug order by one permitted pharmacy on
					 behalf of another permitted pharmacy, including:
a. receipt, interpretation, or clarification of an
					 order;
b. data entry and information transfer;
c. interpretation of clinical data;
d. performance of drug utilization review; and
e. provision of drug information concerning a patient's
					 drug therapy; provided, however, that remote processing does not include the
					 physical preparation or physical transfer of drugs.
Remote Processor-
a Louisiana-permitted
					 pharmacy which provides remote processing services for another permitted
					 pharmacy in Louisiana.
AUTHORITY NOTE:
					 Promulgated in accordance with
					 R.S.
					 37:1182.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter D - Off-Site Services › Section LIII-1141 - Centralized Prescription Dispensing

Current through Register Vol. 50, No. 6, June 20, 2024
A. General Requirements
1. An on-site pharmacy may obtain centralized
				  prescription dispensing services from a remote dispenser provided the
				  pharmacies:
a. have the same owner or have
				  entered into a written contract or agreement that outlines the services to be
				  provided and the responsibilities and accountabilities of each pharmacy in
				  compliance with federal and state laws, rules, and regulations; and
b. share a common electronic file or have
				  appropriate technology to allow access to sufficient information necessary or
				  required to provide the requested services.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter D - Off-Site Services › Section LIII-1143 - Remote Processing of Medical Orders or Prescription Drug Orders

Current through Register Vol. 50, No. 6, June 20, 2024
A. General
				  Requirements
1. An on-site pharmacy may
				  obtain remote processing services from a remote processor provided the
				  pharmacies:
a. have the same owner or have
				  entered into a written contract or agreement that outlines the services to be
				  provided and the responsibilities and accountabilities of each pharmacy in
				  compliance with federal and state laws, rules, and regulations; and
b. share a common electronic file or have
				  appropriate technology to allow access to sufficient information necessary or
				  required to provide the requested services.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter D - Off-Site Services › Section LIII-1145 - Remote Access to Prescription Drug Orders, Medical Orders, and Chart Orders

Current through Register Vol. 50, No. 6, June 20, 2024
A. Notwithstanding
				  any provision of rules to the contrary, nothing shall prohibit a
				  Louisiana-licensed pharmacist who is an employee of or under contract with a
				  pharmacy in Louisiana from accessing that pharmacy's dispensing information
				  system from a location other than the pharmacy in order to process prescription
				  drug orders, medical orders, or chart orders, but only when all of the
				  following conditions are satisfied:
1. the
				  pharmacy establishes controls to protect the privacy and security of
				  confidential records;
2. the
				  pharmacist does not engage in the receiving of written prescription drug orders
				  or medical orders or chart orders or the maintenance of such orders;
				  and
3. no part of the pharmacy's
				  dispensing information system is duplicated, downloaded, or removed from the
				  pharmacy's dispensing information system.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 11 - Pharmacies › Subchapter D - Off-Site Services › Section LIII-1147 - Starter Doses for Patients in Licensed Healthcare Facilities

Current through Register Vol. 50, No. 6, June 20, 2024
A. Definitions
Starter Dose Order
-a prescription drug
					 order or chart order transmitted by a vendor pharmacy to a starter dose
					 pharmacy for the purpose of obtaining medication for a patient in a licensed
					 health care facility.
Starter dose pharmacy
-a Louisiana-licensed
					 pharmacy that dispenses a starter dose of medication to a patient in a licensed
					 health care facility pursuant to a starter dose order.
Vendor Pharmacy
-a Louisiana-licensed
					 pharmacy which has a contract with a licensed health facility to dispense
					 medications to patients within that facility.
B. A vendor pharmacy may share a chart order
				  with a starter dose pharmacy without the necessity of transferring such order,
				  for the purpose of authorizing the starter dose pharmacy to dispense starter
				  doses of medication to a patient in a licensed health care facility under the
				  following circumstances:
1. the vendor
				  pharmacy has secured authorization from the facility to utilize a starter dose
				  pharmacy;
2. the vendor pharmacy is
				  in possession of a valid chart order and is unable to furnish the medication
				  ordered in a timely manner; and
3.
				  the vendor pharmacy and starter dose pharmacy maintain records of all chart
				  orders and starter dose orders for a period of not less than two years
				  following date of transmission of such orders.
Louisiana Administrative Code › Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS › Part LIII - Pharmacists › Chapter 12 - Automated Medication Systems › Section LIII-1201 - Definitions

Current through Register Vol. 50, No. 6, June 20, 2024
Automated Medication System
- includes, but
				  is not limited to, a mechanical system that performs operations or activities,
				  other than compounding or administration, relative to the storage, packaging,
				  or delivery of medications, and which collects, controls, and maintains all
				  transaction information. An
automated medication system
may be
profile driven
,
non-profile driven
, or a
				  combination of both.
Final Checks of Work
- the requirement that
				  only a pharmacist supervises and releases the completed product prepared by a
				  pharmacy technician.
Floor Stock/First Dose Cabinet
-a medication
				  storage device, which shall be used by personnel, authorized by a protocol
				  established by the pharmacist-in-charge, to gain access to doses as needed and
				  first doses in patient care areas. In addition, a
floor stock/first
				  dose cabinet
may be used to store medications in such specialty areas
				  including, but not limited to emergency room, surgery suite, and endoscopy
				  suites.
Healthcare Setting
-a place where healthcare
				  services are rendered on a routine basis by credentialed healthcare
				  professionals.
Non-Profile Driven
-system does not require
				  prior or concomitant pharmacist review of medication order/prescriptions in
				  order to gain access to the system for medication administration. A
non-profile driven
system may include, but is not limited to,
				  a night drug cabinet, emergency drug kits, or
floor stock/first dose
				  cabinet
.
Off-Site Facility
- the location of a
				  building that houses a licensee of the Department of Health and Hospitals, but
				  which does not house a board permitted pharmacy.
On-Site Facility
- the location of a building
				  that houses a board permitted pharmacy.
Profile Driven
-system requires that
				  medication orders/prescriptions be reviewed by the pharmacist for
				  appropriateness, dosage, and contraindications prior to, or concomitantly with,
				  being entered into the system, and before access is allowed into the system for
				  medication administration.
Remote Dispensing System
-a profile-driven
				  automated medication dispensing system employing bidirectional audio-visual
				  technology to facilitate pharmacist communication with a patient or
				  caregiver.
AUTHORITY NOTE:
				  Promulgated in accordance with
				  R.S.
				  37:1182.A.