Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 18 - Centralized Prescription Filling and Processing › Rule 657-18.2 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purposes of this chapter, the following definitions
				shall apply:
"Central fill pharmacy"
means a pharmacy
				contracting with an originating pharmacy, or having the same owner as an
				originating pharmacy, that provides centralized prescription drug order filling
				on behalf of the originating pharmacy pursuant to these rules.
"Centralized prescription drug order filling"
or
"centralized filling"
means the filling of a prescription
				drug order by a pharmacy on behalf of another pharmacy. "Centralized filling"
				does not include the processing or dispensing of a prescription drug order but
				may include any of the following filling functions:
1. Receiving prescription drug orders from the originating
				pharmacy;
2. Interpreting or clarifying prescription drug orders;
3. Entering prescription drug order information into a
				pharmacy's prescription record system;
4. Selecting, counting, and placing the prescribed drug into an
				appropriate prescription container;
5. Affixing the prescription label, including any auxiliary
				labels, to the prescription container;
6. Obtaining refill and substitution authorizations;
7. Verifying all filling processes performed by the central
				fill pharmacy.
"Centralized prescription drug order processing
				"
or
"centralized processing "
means the processing
				of a prescription drug order by a pharmacy on behalf of another pharmacy.
				"Centralized processing" does not include the filling or dispensing of a
				prescription drug order but may include any of the following processing
				functions:
1. Interpreting or clarifying prescription drug orders;
2. Entering prescription drug order information into a
				pharmacy's prescription record system;
3. Interpreting clinical data for prior authorization for
				dispensing;
4. Performing formulary-directed therapeutic interchange.
"Central processing pharmacy"
means a pharmacy
				contracting with an originating pharmacy, or having the same owner as an
				originating pharmacy, that provides centralized prescription drug order
				processing on behalf of the originating pharmacy pursuant to these
				rules.
"DEA"
means the U.S. Department of Justice,
				Drug Enforcement Administration.
"Dispense"
means the delivery of a
				prescription drug or device to an ultimate user or the ultimate user's agent by
				or pursuant to the lawful order of a practitioner. "Dispense" includes:
1. Receiving the prescription drug order from the patient, the
				patient's agent, or the prescriber;
2. Delivering the filled prescription to the patient or the
				patient's agent;
3. Providing drug information concerning a patient's drug
				therapy;
4. Providing patient counseling;
5. Providing medication therapy management.
"Hospital"
means a facility licensed pursuant
				to Iowa Code chapter 135B.
"Hospital pharmacy"
means and includes a
				pharmacy licensed by the board and located within any hospital, health system,
				institution, or establishment which maintains and operates organized facilities
				for the diagnosis, care, and treatment of human illnesses to which persons may
				or may not be admitted for overnight stay at the facility.
"Mail order pharmacy"
means a pharmacy located
				within a United States jurisdiction whose primary business is to dispense a
				prescription drug or device pursuant to a valid prescription drug order and to
				deliver the drug or device to a patient, including a patient in this state, via
				the United States Postal Service, a common carrier, or a delivery service.
				"Mail order pharmacy" includes a pharmacy that does business via the Internet
				or other electronic media.
"Medication therapy management"
means the
				review of drug therapy regimens of a patient by a pharmacist for the purpose of
				evaluating and rendering advice to a practitioner, or for the purpose of
				evaluating and modifying the drug regimen in accordance with a collaborative
				drug therapy management protocol pursuant to rule 657-39.13 (155A).
"Originating pharmacy"
means a pharmacy that
				receives a prescription drug order from a patient, the patient's agent, or a
				prescriber, outsources prescription filling or processing functions to another
				pharmacy, and ultimately dispenses the prescription drug or device to the
				patient or the patient's agent.