Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 21 - Electronic Data and Automated Systems in Pharmacy Practice › Rule 657-21.6 - Electronic Prescription Applications

Current through Register Vol. 47, No. 3, July 24, 2024
Each prescription shall be transmitted electronically to a
				pharmacy except as provided in rule
				657-21.8 (124,155A). The
				prescription drug order shall contain all information required by Iowa Code
				section
				155A.27.
				The receiving pharmacist shall be responsible for verifying the authenticity of
				an electronically prescribed prescription pursuant to rule
				657-8.19 (124,126,155A). A
				prescription that is subject to exemption as provided in rule
				657-21.8 (124,155A) may be
				transmitted to a pharmacy via electronic or facsimile transmission or printed
				in hard-copy format for delivery to the pharmacy. A prescription that is
				transmitted by a prescriber's agent via electronic or facsimile transmission
				shall include the first and last names and title of the agent responsible for
				the transmission.
(1)
Electronic transmission.
A prescription prepared pursuant to
			 this rule shall be transmitted electronically to a pharmacy, unless exempt
			 pursuant to rule 657-21.8 (124,155A). A pharmacy
			 shall be certified compliant with DEA regulations relating to electronic
			 prescriptions prior to electronically receiving prescriptions for controlled
			 substances. The electronic record shall serve as the original record and shall
			 be maintained for two years from the date of last activity on the prescription.
			 Any annotations shall be made and retained on the electronic record.
a. An electronically prepared and transmitted
			 prescription that is printed following transmission shall be clearly labeled as
			 a copy, not valid for dispensing.
b. The authenticity of a prescription
			 transmitted via electronic transmission between a DEA-certified electronic
			 prescription application and a DEA-certified electronic automated data
			 processing system shall be deemed verified by virtue of the security processes
			 included in those applications.
c.
			 A pharmacy shall ensure that no intermediary has the ability to change the
			 content of the prescription drug order or compromise its confidentiality during
			 the transmission process. The electronic format of the prescription drug order
			 may be changed by the intermediary to facilitate the transmission between
			 electronic applications as long as the content of the prescription drug order
			 remains unchanged.
d. In addition
			 to the information requirements for a prescription, an electronically
			 transmitted prescription shall identify the transmitter's telephone number for
			 verbal confirmation, the telephone number where the prescriber can be contacted
			 for timely consultation about patient care matters, the time and date of
			 transmission, and the pharmacy intended to receive the transmission as well as
			 any other information required by federal or state laws, rules, or
			 regulations.
e. If the transmission
			 of an electronic prescription fails, the prescriber may print the prescription,
			 manually sign the printed prescription, and deliver the prescription to the
			 pharmacy via facsimile transmission in accordance with subrule
			 21.6(2).