reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 4 - Pharmacist-interns › Rule 657-4.10 - Denial of Pharmacist-intern Registration

Current through Register Vol. 47, No. 3, July 24, 2024
The board may deny an application for registration as a
				pharmacist-intern for any violation of the laws of this state, another state,
				or the United States relating to prescription drugs, controlled substances, or
				nonprescription drugs, or for any violation of Iowa Code chapter 124, 124B,
				126, 147, 155A or 205, or any rule of the board.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 4 - Pharmacist-interns › Rule 657-4.11 - Notifications to the Board

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Reporting registration changes.
A registered pharmacist-intern
			 shall report to the board within ten days a change of the pharmacist-intern's
			 name, address or email address. Except for a change in name, an update to the
			 pharmacist-intern's personal online profile through the board's online database
			 shall satisfy this subrule.
(2)
Reporting criminal convictions and pleas.
A registered
			 pharmacist-intern who has been convicted of a crime, or entered a plea of
			 guilty, nolo contendere, or no contest to a crime, other than a minor traffic
			 offense, shall report such conviction or plea to the board within 30 days of
			 adjudication.
(3)
Reporting
			 disciplinary action.
A registered pharmacist-intern who has been the
			 subject of disciplinary action in another state, including but not limited to
			 citations, reprimands, fines, license restrictions, probation, license or
			 registration surrender, suspension, or revocation, shall report such action to
			 the board within 30 days of adjudication.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 4 - Pharmacist-interns › Rule 657-4.12 - Discipline of Pharmacist-interns

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Grounds for discipline.
The board may impose discipline for any violation of the laws of this state,
			 another state, or the United States relating to prescription drugs, controlled
			 substances, or nonprescription drugs or for any violation of Iowa Code chapter
			 124, 124B, 126, 147, 155A, or 205, or any rule of the board.
(2)
Sanctions.
The board may
			 impose the following disciplinary sanctions:
a. Revocation of a pharmacist-intern
			 registration.
b. Suspension of a
			 pharmacist-intern registration until further order of the board or for a
			 specified period.
c. Prohibit
			 permanently, until further order of the board, or for a specified period, the
			 engaging in specified procedures, methods, or acts.
d. Such other sanctions allowed by law as may
			 be appropriate.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For purposes of this chapter, the following definitions shall
				apply:
"Board"
means the Iowa board of
				pharmacy.
"Delivery"
means the transport and conveyance
				of a finished, securely packaged prescription order to the patient or the
				patient's agent.
"Direct access"
means physical access, without
				direct supervision by a pharmacist, to opened, unpackaged, or unsecured stock
				containers or prescription vials containing prescription drugs.
"Pharmacy clerk"
means a person whose duties
				within the pharmacy department include accessing filled prescription orders and
				processing payments for and delivering such orders to the patient or the
				patient's agent under the supervision of a pharmacist.
"Pharmacy support person"
means a person,
				other than a licensed pharmacist, a registered pharmacist-intern, or a
				registered pharmacy technician, who may perform nontechnical duties assigned by
				a supervising pharmacist under the pharmacist's responsibility and
				supervision.
"Pharmacy technician "
or
"technician
				"
means a person who is employed in Iowa by a licensed pharmacy under
				the responsibility of an Iowa-licensed pharmacist to assist in the technical
				functions of the practice of pharmacy, and who is registered pursuant to
				657-Chapter 3, and includes a certified pharmacy technician, a pharmacy
				technician trainee, and an uncertified pharmacy technician.
"Secure package "
means the prescription order
				is enclosed in tamper-evident packaging. An IV bag is considered tamper-evident
				packaging.
"Supervising pharmacist"
means an
				Iowa-licensed pharmacist who is on duty in an Iowa-licensed pharmacy and who is
				responsible for assigning and supervising the duties performed by a pharmacy
				support person.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.2 - Purpose of Registration

Current through Register Vol. 47, No. 3, July 24, 2024
A registration program for pharmacy support persons is
				established for the purposes of identification, tracking, and disciplinary
				action. The registration shall not include any determination of the competency
				of the registered individual. The use of pharmacy support persons to assist the
				pharmacist with nontechnical duties associated with the practice of pharmacy
				enables the pharmacist to provide pharmaceutical care to the
				patient.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.4 - Registration Required

Current through Register Vol. 47, No. 3, July 24, 2024
Unless exempt in rule
				657-5.5 (155A), any individual
				employed by a pharmacy who has direct access to prescription drugs or
				confidential patient information must be registered as a pharmacy support
				person. Beginning July 1, 2021, prior to commencing employment in an Iowa
				pharmacy as a pharmacy support person, an individual shall obtain registration
				as a pharmacy support person. Any registered pharmacy support person who
				discontinues employment as a pharmacy support person shall not be required to
				maintain a registration and shall request cancellation of the registration as
				provided in rule 657-5.14(155A).
Through June 30, 2021, any person required to register and not
				previously registered with the board as a pharmacy support person shall
				complete an application for registration within 30 days of accepting employment
				in an Iowa pharmacy as a pharmacy support person. Such application shall be
				received in the board office before the expiration of this 30-day
				period.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.5 - Exempt From Registration

Current through Register Vol. 47, No. 3, July 24, 2024
The following shall be exempt from registration as a pharmacy
				support person:
1. A licensed
			 pharmacist, registered pharmacist-intern, or registered pharmacy
			 technician.
2. Facility maintenance
			 personnel including but not necessarily limited to cleaning, sanitation,
			 structural, and mechanical maintenance personnel. Facility maintenance
			 personnel deemed exempt from registration shall be directly supervised by a
			 pharmacist or a certified pharmacy technician who is responsible for the
			 maintenance person's activities within the pharmacy department to ensure
			 medication security and patient privacy.
3. Any person not directly employed by or
			 under contract to the pharmacy, and not under the direct supervision of a
			 pharmacist, who provides data processing, data processing support, programming,
			 maintenance, billing, delivery, or administrative support functions outside the
			 pharmacy department.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.7 - Registration Application Form

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Required information.
The application form for a pharmacy support person registration shall require
			 the following:
a. Information sufficient to
			 identify the applicant including, but not limited to, name, address, date of
			 birth, gender, and social security number;
b. Work experience;
c. Current place or places of
			 employment;
d. Any other
			 information deemed necessary by the board.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.9 - Registration Fee, Term, and Renewal

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Fee.
The nonrefundable
			 application fee for a pharmacy support person registration shall be $25. The
			 nonrefundable application fee for a pharmacy support person registration shall
			 be submitted in the form of a personal check, certified check, cashier's check,
			 or money order made payable to the Iowa Board of Pharmacy when submitted with a
			 written application or by acceptable debit or credit card when submitted with
			 an online application.
(2)
Term.
A pharmacy support person registration shall expire on
			 the second last day of the birth month following initial registration.
			 Registration shall not require continuing education for renewal.
(3)
Renewal.
A pharmacy
			 support person registration shall be renewed prior to the expiration of the
			 registration.
a.
Delinquent
			 registration grace period.
A pharmacy support person registration
			 which is not renewed prior to the expiration of the registration shall be
			 considered delinquent. Renewal during the month following the expiration date
			 of the registration shall include the nonrefundable registration fee pursuant
			 to subrule 5.9(1) and a nonrefundable late penalty fee of $25. A registered
			 pharmacy support person who renews during the month following the expiration
			 date of the registration shall not be subject to disciplinary action for
			 continuing to practice as a pharmacy support person during the delinquency of
			 the registration.
b.
Registration reactivation beyond grace period.
If the
			 registration is not renewed prior to the expiration of the one-month grace
			 period identified in paragraph 5.9(3)
"a,"
the individual shall
			 cease practice as a pharmacy support person until the registration is
			 reactivated. A pharmacy support person with an expired registration may apply
			 for registration reactivation by submitting a completed application for
			 reactivation and a nonrefundable reactivation fee of $100. An individual who
			 continues employment as a pharmacy support person with an expired registration,
			 in addition to the pharmacy and the pharmacist in charge that allow the
			 individual to continue practice as a pharmacy support person, may be subject to
			 disciplinary sanctions.
c.
Voluntary cancellation.
A registered pharmacy support person
			 who ceases practice as a pharmacy support person and does not intend to renew
			 the registration prior to its expiration may request that the board cancel the
			 registration. If the pharmacy support person later seeks registration as a
			 pharmacy support person, the individual shall not be assessed a late penalty
			 fee or reactivation fee for renewal of the registration.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.15 - Identification of Pharmacy Support Person

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Name badge.
A pharmacy
			 support person shall wear a name badge or other form of identification while on
			 duty which clearly identifies the person as a pharmacy support
			 person.
(2)
Misrepresentation prohibited.
A pharmacy support person shall
			 not, in any manner, represent himself or herself as a pharmacist, a
			 pharmacist-intern, or a pharmacy technician.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.20 - Training and Utilization of Pharmacy Support Persons

Current through Register Vol. 47, No. 3, July 24, 2024
All Iowa-licensed pharmacies utilizing pharmacy support persons
				shall develop, implement, and periodically review written policies and
				procedures for the training and utilization of pharmacy support persons.
				Pharmacy policies shall specify the frequency of review. Pharmacy support
				person training shall be documented and maintained by the pharmacy for the
				duration of employment. Such policies and procedures and documentation of
				pharmacy support person training shall be available for inspection by the board
				or an agent of the board.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.21 - Delegation of Functions and Responsibility of Supervising Pharmacist

Current through Register Vol. 47, No. 3, July 24, 2024
Pursuant to established policies and procedures and the
				supervising pharmacist's professional judgment, a supervising pharmacist may
				delegate nontechnical functions in the operation of the pharmacy, except those
				which are prohibited pursuant to rule
				657-5.17 (155A), to an
				appropriately trained and registered pharmacy support person, but only if the
				pharmacist is on site and available to supervise the pharmacy support person
				when delegated functions are performed, except as provided in rule
				657-6.7 (124,155A) or
				657-7.6(155A), as appropriate. The ultimate responsibility for the actions of a
				pharmacy support person shall remain with the supervising pharmacist. A
				pharmacy license holder shall not infringe on the authority of a supervising
				pharmacist to delegate or decline to delegate specific nontechnical functions
				to a pharmacy support person based on the supervising pharmacist's professional
				judgment regarding the knowledge and training of the pharmacy support
				person.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.22 - Delegation of Nontechnical Functions

Current through Register Vol. 47, No. 3, July 24, 2024
A pharmacist may delegate nontechnical functions to an
				appropriately trained and registered pharmacy support person, but only if the
				pharmacist is present to supervise the pharmacy support person when delegated
				functions are performed, except as provided in rule
				657-6.7 (124,155A) or
				657-7.6(155A), as appropriate.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.24 - Denial of Registration

Current through Register Vol. 47, No. 3, July 24, 2024
The board may deny an application for registration as a
				pharmacy support person for any violation of the laws of this state, another
				state, or the United States relating to prescription drugs, controlled
				substances, or nonprescription drugs or for any violation of Iowa Code chapter
				124, 124B, 126, 147, 155A, or 205 or any rule of the board.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.25 - Unethical Conduct or Practice

Current through Register Vol. 47, No. 3, July 24, 2024
Violation by a pharmacy support person of any of the provisions
				of this rule shall constitute unethical conduct or practice and may be grounds
				for disciplinary action as provided in rule 657-5.27 (155A).
(1)
Misrepresentative deeds.
A pharmacy support person shall not make any statement tending to deceive,
			 misrepresent or mislead anyone, or be a party to or an accessory to any
			 fraudulent or deceitful practice or transaction in pharmacy or in the operation
			 or conduct of a pharmacy.
(2)
Confidentiality.
In the absence of express consent from the
			 patient or order or direction of a court, except where the best interests of
			 the patient require, a pharmacy support person shall not divulge or reveal to
			 any person other than the patient or the patient's authorized representative,
			 the prescriber or other licensed practitioner then caring for the patient, a
			 licensed pharmacist, or a person duly authorized by law to receive such
			 information the contents of any prescription or the therapeutic effect thereof
			 or the nature of professional pharmaceutical services rendered to a patient;
			 the nature, extent, or degree of illness suffered by any patient; or any
			 medical information furnished by the prescriber.
(3)
Discrimination.
It is
			 unethical for a pharmacy support person to unlawfully discriminate between
			 patients or groups of patients for reasons of religion, race, creed, color,
			 sex, sexual orientation, gender identity, age, national origin, or disease
			 state when providing pharmaceutical services.
(4)
Unethical conduct or
			 behavior.
A pharmacy support person shall not exhibit unethical
			 behavior in connection with the pharmacy support person's pharmacy employment.
			 Unethical behavior shall include, but is not limited to, the following acts:
			 verbal abuse, coercion, intimidation, harassment, sexual advances, threats,
			 degradation of character, indecent or obscene conduct, and theft.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.26 - Reporting Discipline and Criminal Convictions

Current through Register Vol. 47, No. 3, July 24, 2024
A registered pharmacy support person shall provide to the board
				written notice of and unredacted documents related to any disciplinary or
				enforcement action imposed by any licensing agency or regulatory authority on
				any license or registration held by the registered pharmacy support person no
				later than 30 days after the final action. Discipline may include, but is not
				limited to, fine or civil penalty, citation or reprimand, probationary period,
				suspension, revocation, and voluntary surrender. A registered pharmacy support
				person shall provide written notice and unredacted documents to the board of
				any criminal conviction that is related to the practice of pharmacy or
				controlled substances no later than 30 days after the conviction. The term
				"criminal conviction" includes instances when the judgment of conviction or
				sentence is deferred.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 5 - Pharmacy Support Persons › Rule 657-5.27 - Discipline of Pharmacy Support Persons

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Violations.
The board
			 may impose discipline for any violation of the laws of this state,
			 anotherstate, or the United Statesrelating to prescription drugs, controlled
			 substances, or nonprescription drugs or for any violation of Iowa Code chapter
			 124, 124B, 126, 147, 155A, or 205 or any rule of the board.
(2)
Sanctions.
The board may
			 impose the following disciplinary sanctions:
a. Revocation of a pharmacy support person
			 registration.
b. Suspension of a
			 pharmacy support person registration until further order of the board or for a
			 specified period.
c. Nonrenewal of
			 a pharmacy support person registration.
d. Prohibition, permanently, until further
			 order of the board, or for a specified period, from engaging in specified
			 procedures, methods, or acts.
e.
			 Probation.
f. Imposition of civil
			 penalties not to exceed $25,000.
g.
			 Issuance of citation and warning.
h. Such other sanctions allowed by law as may
			 be appropriate.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.1 - Purpose and Scope

Current through Register Vol. 47, No. 3, July 24, 2024
A general pharmacy is a location where a pharmacist provides
				pharmaceutical services or dispenses pharmaceutical products to patients in
				accordance with pharmacy laws. This chapter does not apply to a hospital
				pharmacy as defined in 657-Chapter 7. The requirements of these rules for
				general pharmacy practice are in addition to the requirements of 657-Chapter 8
				and other rules of the board relating to services provided by the
				pharmacy.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.2 - Pharmacist in Charge

Current through Register Vol. 47, No. 3, July 24, 2024
One professionally competent, legally qualified pharmacist in
				charge in each pharmacy shall be responsible for, at a minimum, the
				responsibilities identified in rule
				657-8.3
				(155A).
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.3 - Reference Library

Current through Register Vol. 47, No. 3, July 24, 2024
References may be printed or computer-accessed. A reference
				library shall be maintained which includes, at a minimum, one current reference
				from each of the following categories, including access to current periodic
				updates.
1. A reference including all
			 pertinent Iowa laws, rules, and regulations that impact the pharmacy's
			 practice.
2. A patient information
			 reference that includes or provides patient information in compliance with rule
			 657-6.14
			 (155A).
3. A reference on drug
			 interactions.
4. A general
			 information reference.
5. A drug
			 equivalency reference.
6. A
			 reference on natural or herbal medicines.
7. The readily accessible telephone number of
			 a poison control center that serves the area.
8. Additional references as may be necessary
			 for the pharmacist to adequately meet the needs of the patients
			 served.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.4 - Exemption From Duplicate Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
A pharmacy established in the same location as another licensed
				pharmacy and with direct and immediate access to required references, patient
				counseling area, refrigerator, or sink with hot and cold running water may
				utilize the references, counseling area, refrigerator, or sink of the other
				pharmacy to satisfy the requirements of rule
				657-6.3 (155A),
				subrule 6.14(3), or rule
				657-8.5
				(155A), paragraphs "1" and "2."
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.7 - Security

Current through Register Vol. 47, No. 3, July 24, 2024
While on duty, each pharmacist shall be responsible for the
				security of the prescription department and of the provisions for effective
				control against theft of, diversion of, or unauthorized access to prescription
				drugs, including those collected through an authorized collection program,
				records for such drugs and authorized collection program activities, and
				patient records as provided in 657-Chapters 10 and 21 and federal regulations
				for authorized controlled substance collection programs, which can be found at
www.deadiversion.usdoj.gov/drug_disposal/
.
(1)
Department locked.
The
			 prescription department shall be locked by key or combination so as to prevent
			 access when a pharmacist is not on site except as provided in subrules 6.7(2)
			 and 6.7(4).
(2)
Temporary
			 absence of pharmacist.
In the temporary absence of the pharmacist,
			 only the pharmacist in charge may designate pharmacy technicians or pharmacy
			 support persons who may be present in the prescription department to perform
			 technical or nontechnical functions, respectively, designated by the pharmacist
			 in charge. Activities identified in subrule 6.7(3) may not be performed during
			 such temporary absence of the pharmacist. A temporary absence is an absence of
			 short duration not to exceed two hours.
a. In
			 the absence of the pharmacist, the pharmacy shall be secured from public access
			 and the pharmacy shall notify the public that the pharmacist is temporarily
			 absent and that no prescriptions will be dispensed until the pharmacist
			 returns. If the pharmacist in charge has authorized the presence in the
			 pharmacy of a pharmacy technician or a pharmacy support person to perform
			 designated functions when the pharmacy is closed, the pharmacy technician or
			 the pharmacy support person may not dispense or deliver any drug, chemical,
			 device, or prepared prescription to a patient or patient's agent.
b. A pharmacy technician or a pharmacy
			 support person who is present in the pharmacy when the pharmacy is closed shall
			 prepare and maintain in the pharmacy a log identifying each period of time that
			 the pharmacy technician or pharmacy support person worked in the pharmacy while
			 the pharmacy was closed and identifying each activity performed during that
			 time period. Each entry shall be dated, and each daily record shall be signed
			 by the pharmacy technician or pharmacy support person who prepared the record.
			 The log shall be periodically reviewed by the pharmacist in charge, and
			 documentation of such review shall be maintained for two years from the date of
			 entry.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.8 - Prescription Processing Documentation

Current through Register Vol. 47, No. 3, July 24, 2024
All prescriptions shall be dated and assigned a unique
				identification number that shall be recorded on the original prescription,
				except as provided in 657-subrule 21.5(1). The original prescription shall be
				retained by the pharmacy filling the prescription and shall be maintained in
				the original format as received by the pharmacy. Dispensing documentation shall
				include the date of fill or refill; the name, strength, and National Drug Code
				(NDC) of the actual drug product dispensed; and the initials or other unique
				identification of the pharmacist, pharmacist-intern, or technician in an
				approved technician product verification program. Dispensing documentation
				shall be maintained and be readily available.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.9 - Transfer of Prescription

Current through Register Vol. 47, No. 3, July 24, 2024
The transmission of a prescription drug order from a pharmacy
				to a pharmacy engaged in centralized prescription filling or processing on
				behalf of the originating pharmacy pursuant to the requirements of 657-Chapter
				18 shall not constitute the transfer of a prescription. Upon the request of a
				patient or the patient's caregiver, a pharmacy shall transfer original
				prescription drug order information and prescription refill information to a
				pharmacy designated by the patient or the patient's caregiver, central fill or
				processing pharmacies excepted, subject to the following requirements:
(1)
Schedule III, IV, or V
			 prescriptions.
The transfer of original prescription drug order
			 information for controlled substances listed in Schedule III, IV, or V is
			 permissible between pharmacies on a one-time basis except as provided in
			 subrule 6.9(8).
(2)
Noncontrolled substances prescriptions.
The transfer of
			 original prescription drug order information for noncontrolled prescription
			 drugs between pharmacies is permissible as long as the number of transfers does
			 not exceed the number of originally authorized refills and the original
			 prescription is still valid.
(3)
Authorized individuals and means of transmission.
Individuals
			 authorized to engage in the transfer of prescriptions include a pharmacist, a
			 pharmacist-intern under the direct supervision of a pharmacist, and a certified
			 pharmacy technician, except as prohibited in 657-subrule 3.23(1). The
			 transferring individual may transmit the prescription and transfer information
			 required under subrule 6.9(5) from the transferring pharmacy via electronic
			 means pursuant to subrule 6.9(8) or, following direct communication between
			 authorized individuals, via oral or facsimile transmission. The receiving
			 individual shall ensure the prescription transfer record maintained in the
			 receiving pharmacy contains all of the information required under subrule
			 6.9(7).
(4)
Prescriptions
			 maintained.
Both the original and the transferred prescription drug
			 orders are maintained for a period of two years from the date of last
			 activity.
(5)
Record of
			 transfer out.
The individual transferring the prescription drug order
			 information shall:
a. Invalidate the
			 prescription drug order;
b. Record
			 on or with the invalidated prescription drug order the following information:
(1) The name, address, and, for a controlled
			 substance, the DEA registration number of the pharmacy to which such
			 prescription is transferred;
(2)
			 The name of the individual receiving the prescription drug order
			 information;
(3) The name of the
			 individual transferring the prescription drug order information; and
(4) The date of the transfer.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.10 - Prescription Label Requirements

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Required information.
The label affixed to or on the
			 dispensing container of any prescription drug or device dispensed by a pharmacy
			 pursuant to a prescription drug order shall bear the following:
a. Serial number (a unique identification
			 number of the prescription);
b. The
			 name, telephone number, and address of the pharmacy;
c. The name of the patient or, if such drug
			 is prescribed for an animal, the species of the animal and the name of its
			 owner, except as provided in 657-subrule 8.19(7) for epinephrine
			 auto-injectors, 657-subrule 8.19(8) for opioid antagonists, 657-subrule 8.19(9)
			 for expedited partner therapy, or 657-subrule 8.19(10) for bronchodilator
			 canisters or bronchodilator canisters and spacers.
d. The name of the prescribing
			 practitioner;
e. The date the
			 prescription is dispensed;
f. The
			 directions or instructions for use, including precautions to be
			 observed;
g. Unless otherwise
			 directed by the prescriber, the label shall bear the name, strength, and
			 quantity of the drug dispensed.
(1) If a
			 pharmacist selects an equivalent drug product for a brand name drug product
			 prescribed by a practitioner, the prescription container label shall identify
			 the generic drug and may identify the brand name drug for which the selection
			 is made, such as "(generic name) Generic for (brand name product)";
(2) If a pharmacist selects a brand name drug
			 product for a generic drug product prescribed by a practitioner, the
			 prescription container label shall identify the brand name drug product
			 dispensed and may identify the generic drug product ordered by the prescriber,
			 such as "(brand name product) for (generic name)";
(3) If a pharmacist selects an
			 interchangeable biological product for the biological product prescribed by a
			 practitioner, the prescription container label shall identify the
			 interchangeable biological product dispensed and may identify the biological
			 product prescribed by the practitioner, such as "(interchangeable biological
			 product) for (biological product)";
h. The initials or other unique
			 identification of the dispensing pharmacist, unless the identification of the
			 pharmacist involved in each step of the prescription filling process is
			 electronically documented and retrievable.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.13 - Patient Record System

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Information required.
A patient record system shall be
			 maintained by all pharmacies for patients for whom prescription drug orders are
			 dispensed. The patient record system shall contain, at a minimum, the following
			 information:
a. Full name of the
			 patient;
b. Address and telephone
			 number of the patient;
c. Patient's
			 date of birth;
d. Patient's
			 gender;
e. Known
			 allergies;
f. A list of all
			 prescription drug orders dispensed by the pharmacy during the two years
			 immediately preceding the most recent entry showing the name of the drug or
			 device, prescription number, name and strength of the drug, the quantity and
			 date dispensed, and the name of the prescriber; and
g. Pharmacist comments relevant to the
			 patient's health care, including:
(1) Known
			 drug reactions,
(2) Identified
			 idiosyncrasies,
(3) Known chronic
			 conditions or disease states of the patient,
(4) The identity of any other drugs,
			 over-the-counter drugs, herbals, supplements, other alternative medications, or
			 devices currently being used by the patient that may relate to prospective drug
			 review.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.14 - Patient Counseling and Instruction

Current through Register Vol. 47, No. 3, July 24, 2024
Every pharmacy that is open to the public and located in Iowa
				shall post in every prescription pickup area, including in every drive-through
				prescription pickup lane, in a manner clearly visible to patients, a notice
				that Iowa law requires the pharmacist to discuss with the patient any
				prescriptions dispensed to the patient that are new or a change in drug
				therapy.
(1)
Counseling
			 required.
Upon receipt of a new prescription drug order, or upon
			 receipt of a change in drug therapy including but not limited to a change of
			 dose, directions, or drug formulation, and following a prospective drug use
			 review pursuant to rule
			 657-8.21 (155A), a pharmacist or
			 pharmacist-intern shall counsel each patient or patient's caregiver. An offer
			 to counsel shall not fulfill the requirements of this rule. Patient counseling
			 shall be on matters which, in the pharmacist's professional judgment, will
			 enhance or optimize drug therapy. Appropriate elements of patient counseling
			 may include:
a. The name and description of
			 the drug;
b. The dosage form, dose,
			 route of administration, and duration of drug therapy;
c. Intended use of the drug, if known, and
			 expected action;
d. Special
			 directions and precautions for preparation, administration, and use by the
			 patient;
e. Common severe side
			 effects or adverse effects or interactions and therapeutic contraindications
			 that may be encountered, including their avoidance, and the action required if
			 they occur;
f. Techniques for
			 self-monitoring drug therapy;
g.
			 Proper storage;
h. Prescription
			 refill information;
i. Action to be
			 taken in the event of a missed dose;
j. Pharmacist comments relevant to the
			 individual's drug therapy including any other information peculiar to the
			 specific patient or drug.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.15 - Return of Drugs and Devices

Current through Register Vol. 47, No. 3, July 24, 2024
For the protection of the public health and safety,
				prescription drugs and devices may be returned to the pharmacy for reuse or
				resale only as herein provided:
(1)
Integrity maintained.
Prescription drugs and devices may be
			 returned, exchanged, or resold only if, in the professional judgment of the
			 pharmacist, the integrity of the prescription drug or device has not in any way
			 been compromised.
(2)
Controlled substances.
Under no circumstances shall pharmacy
			 personnel accept from a patient or a patient's agent any controlled substances
			 for return, exchange, or resale except to the same patient.
(3)
Unit dose returns.
Prescription drugs dispensed in unit dose packaging, excluding controlled
			 substances, may be returned and reused as authorized in 657-subrule
			 22.1(6).
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 6 - General Pharmacy Practice › Rule 657-6.16 - Records

Current through Register Vol. 47, No. 3, July 24, 2024
Every record required to be kept under Iowa Code chapters 124
				and 155A or rules of the board shall be kept by the pharmacy and be available
				for inspection and copying by the board or its representative for at least two
				years from the date of the record or last activity except as specifically
				identified by law or rule. Controlled substances records shall be maintained in
				a readily retrievable manner in accordance with federal requirements and
				657-Chapter 10.
(1)
Combined
			 records.
If controlled substances, prescription drugs, or
			 nonprescription drug items are listed on the same record, the controlled
			 substances shall be asterisked, red-lined, or in some other manner made readily
			 identifiable from all other items appearing on the records.
(2)
Storage of records.
Original hard-copy prescriptions and other pharmacy records shall be maintained
			 by the pharmacy for a minimum of two years from the date of the record in
			 accordance with this subrule.
a. Records shall
			 be maintained within the licensed pharmacy department for a minimum of 12
			 months, except as provided herein. Pharmacy records less than 12 months old may
			 be stored in a secure storage area outside the licensed pharmacy department,
			 including at a remote location, if the pharmacy has retained an electronic copy
			 of the records in the pharmacy that is immediately available and if the
			 original records are available within 72 hours of a request by the board or its
			 authorized agent, unless such remote storage is prohibited under federal
			 law.
b. Records more than 12 months
			 old may be maintained in a secure storage area outside the licensed pharmacy
			 department, including at a remote location, if the records are retrievable
			 within 72 hours of a request by the board or its authorized agent, unless such
			 remote storage is prohibited under federal law.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 7 - Hospital Pharmacy Practice › Rule 657-7.1 - Purpose and Scope

Current through Register Vol. 47, No. 3, July 24, 2024
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 illnesses to which patients may or may not be
				admitted for overnight stay at the facility. A hospital is a facility licensed
				pursuant to Iowa Code chapter 135B. This chapter does not apply to a pharmacy
				located within such a facility for the purpose of providing outpatient
				prescriptions. A pharmacy providing outpatient prescriptions is and shall be
				licensed as a general pharmacy subject to the requirements of 657-Chapter 6.
				The requirements of these rules for hospital pharmacy practice apply to all
				hospitals, regardless of size or type, and are in addition to the requirements
				of 657-Chapter 8 and other rules of the board relating to services provided by
				the pharmacy.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 7 - Hospital Pharmacy Practice › Rule 657-7.2 - Pharmacist in Charge

Current through Register Vol. 47, No. 3, July 24, 2024
One professionally competent, legally qualified pharmacist in
				charge in each pharmacy shall be responsible for, at a minimum, the
				responsibilities identified in rule
				657-8.3
				(155A). Where 24-hour operation of the pharmacy is not feasible, a pharmacist
				shall be available on an "on call" basis.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 7 - Hospital Pharmacy Practice › Rule 657-7.3 - Reference Library

Current through Register Vol. 47, No. 3, July 24, 2024
A pharmacy shall maintain a reference library which is either
				printed or computer-accessed and which adequately meets the needs of the
				services provided and patients served. Examples of such references
				include:
1. A reference including all
			 pertinent Iowa laws, rules, and regulations that impact the pharmacy's
			 practice.
2. A patient information
			 reference that includes or provides patient information in compliance with rule
			 657-6.14 (155A).
3. A reference on drug
			 interactions.
4. A drug information
			 reference.
5. A drug equivalency
			 reference.
6. An injectable-drug
			 compatibility reference.
7. A drug
			 identification reference to enable identification of drugs brought into the
			 facility by patients.
8. The
			 readily accessible telephone number of a poison control center that serves the
			 area.
9. Additional references
			 relating to specific patient populations served, such as pediatrics or
			 geriatrics, or disease states treated, such as oncology or infectious
			 disease.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 7 - Hospital Pharmacy Practice › Rule 657-7.5 - Security

Current through Register Vol. 47, No. 3, July 24, 2024
The pharmacy shall be located in an area or areas that
				facilitate the provision of services to patients and shall be integrated with
				the facility's communication and transportation systems. The following
				conditions must be met to ensure appropriate control over drugs and chemicals
				in and under the control of the pharmacy:
(1)
Pharmacy department
			 security.
Policies and procedures shall identify measures to ensure
			 the security of the pharmacy department, including provisions for effective
			 control against theft of, diversion of, or unauthorized access to drugs or
			 devices, controlled substances, records for such drugs, and patient records,
			 including when the pharmacist is absent from the pharmacy department or absent
			 from the facility pursuant to rule
			 657-7.6 (155A).
(2)
Security outside the pharmacy
			 department.
Policies and procedures shall identify measures to ensure
			 security in areas outside the pharmacy department where drugs, including
			 controlled substances, devices, drug records, and patient records are
			 maintained or stored, including provisions for effective control against theft
			 of, diversion of, or unauthorized access to such drugs and records.
(3)
Authorized collection
			 program.
Receptacles that are located in the hospital for the
			 authorized collection of controlled substances shall be secured pursuant to
			 657-Chapter 10 and federal regulations for disposal of controlled
			 substances.
(4)
System
			 security.
Electronic systems shall be secured to prevent unauthorized
			 access. System login or access credentials issued to an authorized system user
			 shall not be shared with or disclosed to any other individual.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 7 - Hospital Pharmacy Practice › Rule 657-7.6 - Pharmacist Absence

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Pharmacist absent from the pharmacy department.
A pharmacy's
			 policies and procedures shall identify how the pharmacy will operate and be
			 secured to prevent unauthorized access during times when the pharmacist may be
			 absent from the pharmacy department but not absent from the facility. The
			 policies and procedures shall also identify authorized activities of pharmacy
			 staff in the pharmacy department during the absence of the pharmacist from the
			 department in compliance with rules of the board.
a.
Remote pharmacy services.
Pursuant to rule 657-7.7 (155A), the pharmacy may
			 utilize the services of a remote pharmacist or pharmacy to provide pharmacist
			 services to assist the pharmacy department while the on-site pharmacist is
			 absent from the pharmacy department, such as when participating in clinical
			 activities with facility staff and patients.
b.
Certified pharmacy
			 technicians.
Pursuant to the pharmacy's policies and procedures, a
			 certified pharmacy technician may be granted access to the pharmacy department
			 to perform authorized technical functions. In the absence of a pharmacist, a
			 certified pharmacy technician may only dispense, deliver, or distribute a drug,
			 including a compounded preparation and controlled substance, when the drug is
			 verified by a pharmacist, including by a remote pharmacist, except as
			 authorized in an approved technician product verification program. A certified
			 pharmacy technician may assist a licensed health care professional in locating
			 a drug to meet the emergent needs of a patient but shall not provide final
			 verification of the accuracy of the drug product obtained.
c.
Pharmacy support persons.
Pursuant to the pharmacy's policies and procedures, a pharmacy support person
			 may be granted access to the pharmacy department to perform authorized
			 nontechnical functions.
d.
Licensed health care professionals.
Pursuant to the pharmacy's
			 policies and procedures, a licensed health care professional may be granted
			 access to the pharmacy department to meet the emergent needs of a patient. A
			 licensed health care professional may utilize the assistance of a certified
			 pharmacy technician to locate a drug but shall not rely on the technician to
			 verify the accuracy of the drug product obtained.
Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 7 - Hospital Pharmacy Practice › Rule 657-7.7 - Verification by Remote Pharmacist

Current through Register Vol. 47, No. 3, July 24, 2024
A hospital pharmacy may contract with an Iowa-licensed pharmacy
				or pharmacist for remote pharmacist services, including medication order entry
				and review, final product verification, and provision of drug information.
				Pharmacies and pharmacists entering into a contract or agreement pursuant to
				this rule shall comply with the following requirements:
(1)
Nonsupplanting service. A
contract or agreement for remote pharmacist services shall not relieve the
			 hospital pharmacy from employing or contracting with a pharmacist to provide
			 routine pharmacy services within the facility. The activities authorized by
			 this rule are intended to supplement on-site hospital pharmacy services and are
			 not intended to eliminate the need for an on-site hospital pharmacy or
			 pharmacist. The activities authorized by this rule are intended to increase the
			 availability of the pharmacist for involvement in clinical patient care
			 activities when the pharmacy is open or to continue the provision of pharmacy
			 services when the pharmacy is closed. The hospital pharmacy shall maintain
			 records that demonstrate the directing of pharmacist activities to additional
			 clinical patient care activities, and those records shall be available for
			 inspection by the board or its authorized agent.
(2)
Hospital-staff
			 pharmacist.
Nothing in this rule shall prohibit a pharmacist employed
			 by or contracting with a hospital pharmacy for on-site services from also
			 providing remote pharmacist services identified in this chapter in compliance
			 with this rule.
(3)
Licenses
			 required.
A pharmacy or pharmacist contracting with a hospital
			 pharmacy to provide services pursuant to this rule shall maintain with the
			 board a current Iowa pharmacy license or pharmacist license, respectively. A
			 remote pharmacist providing pharmacy services as an employee or agent of a
			 contracting pharmacy pursuant to this rule shall be licensed to practice
			 pharmacy in Iowa.
(4)
Remote
			 access requirements. A
pharmacist providing services from a remote
			 location shall:
a. Have secure electronic
			 access to the hospital's patient information system on which the pharmacist has
			 been adequately trained,
b. Have
			 access to the patient's health care team to discuss any concerns identified
			 during the pharmacist's review of the patient's information or medication
			 order,
c. Have secure access to any
			 other electronic systems the pharmacist would otherwise have access to in the
			 facility,
d. Have access to
			 sufficient references to adequately meet the needs of the patients served,
			 and
e. When involved in review or
			 verification, be identified, by name or unique identifier and function
			 performed, on the drug or device order.