reglab/statecodes huggingface dataset:
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-1165 - Records: Patient

Current through Register Vol. 63, No. 7, July 1, 2024
A patient record system shall be maintained by pharmacies for
				all patients for whom prescription drug orders are dispensed, except for those
				patients who the pharmacist has good reason to believe will not return to that
				pharmacy to obtain drugs. The patient record system shall provide for readily
				retrievable information necessary for the dispensing pharmacist to identify
				previously dispensed drugs at the time a prescription drug order is presented
				for dispensing. The pharmacist shall make a reasonable effort to obtain,
				record, and maintain the following information:
(1) Full name of the patient for whom the
			 drug is intended;
(2) Address and
			 telephone number of the patient;
(3) Patient's age or date of birth;
(4) Patient's gender;
(5) Chronic medical conditions;
(6) A list of all prescription drug orders
			 obtained by the patient at the pharmacy maintaining the patient record showing
			 the name of the drug or device, prescription number, name and strength of the
			 drug, the quantity and date received, and the name of the prescriber;
(7) Known allergies, drug reactions, and drug
			 idiosyncrasies; and
(8) If deemed
			 relevant in the pharmacist's professional judgment:
(a) Pharmacist comments relevant to the
			 individual's drug therapy, including any other information peculiar to the
			 specific patient or drug; and
(b)
			 Additional information such as chronic conditions or disease states of the
			 patient, the patient's current weight, and the identity of any other drugs,
			 including over-the-counter drugs, or devices currently being used by the
			 patient which may relate to prospective drug review.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-1167 - Patients Access to Pharmacy Records

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Licensees and registrants of the board
			 must make protected health information in the pharmacy record available to the
			 patient or the patient's representative upon their request, to inspect and
			 obtain a copy of protected health information about the individual, except as
			 provided by law and this rule. The patient may request all or part of the
			 record. A summary may substitute for the actual record only if the patient
			 agrees to the substitution. Board licensees and registrants are encouraged to
			 use the written authorization form provided by ORS
			 192.566.
(2) For the purpose of this rule, "health
			 information in the pharmacy record" means any oral, written or electronic
			 information in any form or medium that is created or received and relates to:
(a) The past, present, or future physical or
			 mental health of the patient.
(b)
			 The provision of healthcare to the patient.
(c) The past, present, or future payment for
			 the provision of healthcare to the patient.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-1170 - Outlet (RP & IP): Grounds for Discipline

Current through Register Vol. 63, No. 7, July 1, 2024
The State Board of Pharmacy may impose one or more of the
				following penalties which includes: suspend, revoke, or restrict the license of
				an outlet or may impose a civil penalty upon the outlet upon the following
				grounds:
(1) Unprofessional conduct as
			 defined in OAR 855-006-0020;
(2) Advertising or soliciting that may
			 jeopardize the health, safety, or welfare of the patient including, but not be
			 limited to, advertising or soliciting that:
(a) Is false, fraudulent, deceptive, or
			 misleading; or
(b) Makes any claim
			 regarding a professional service or product or the cost or price thereof which
			 cannot be substantiated by the licensee.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-1190 - Operation of a Laboratory in Drug Outlet Pharmacy

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A Drug Outlet
			 pharmacy may perform a laboratory test when:
(a) The Drug Outlet pharmacy possesses a
			 valid laboratory license, including a certificate of a
			 42 CFR
			 493.35 waiver;
(b) The laboratory test is permitted under
			 the laboratory license; and
(c)
			 Requested by a physician, dentist, pharmacist or other person authorized by law
			 to use the findings of laboratory examinations or without a practitioner order
			 as permitted in ORS 438.010, ORS
			 438.030, ORS
			 438.040, ORS
			 438.050, ORS
			 438.055, ORS
			 438.060, ORS
			 438.070, ORS
			 438.110, ORS
			 438.120, ORS
			 438.130, ORS
			 438.140, ORS
			 438.150, ORS
			 438.160, ORS
			 438.210, ORS
			 438.220, ORS
			 438.310, ORS
			 438.320, ORS
			 438.420, ORS
			 438.430, ORS
			 438.435, ORS
			 438.440, ORS
			 438.450,
			 438.510.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-2100 - Operation of a Double Set-Up Pharmacy in a Retail Drug Outlet

Current through Register Vol. 63, No. 7, July 1, 2024
A double set-up is an establishment having both a retail drug
				outlet registration and a nonprescription drug outlet registration. In a double
				set-up:
(1) The retail drug outlet
			 (pharmacy) must be a separate operation, completely contained by an enclosure
			 which assures safe storage. This enclosure must be from floor to ceiling or be
			 at least ten feet from the floor. This area is to be easily distinguished by
			 the public. When the retail drug outlet (pharmacy department) is closed, then
			 as a nonprescription drug outlet the establishment is subject to the provisions
			 of OAR 855-035-0005 and
			 855-035-0020.
(2) When a pharmacist is not in attendance, a
			 closed sign shall be posted at the entrances stating the hours of the
			 pharmacy's operation. All entrances to the retail drug outlet shall be closed
			 off and securely locked. Any keys to the retail drug outlet (pharmacy) shall
			 remain in the possession of the pharmacist-in-charge and other employee
			 pharmacists as authorized by the pharmacist-in-charge if the retail drug outlet
			 (pharmacy) is closed while the nonprescription outlet (shopkeeper) remains
			 open.
(3) Any system deviating from
			 the requirement of this section, except as provided in OAR
			 855-041-6310, shall be approved
			 by the Board prior to implementation. Requests for such approval shall be in
			 writing and provide a detailed description of the proposed system. A written
			 description of such system, as approved by the Board, shall be maintained in
			 the pharmacy.
Stat. Auth.: ORS
				  689.205
Stats. Implemented: ORS
				  689.205
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-2115 - Transfer of Prescription Information Between Pharmacies

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Prescriptions
			 may be transferred between pharmacies for the purpose of an initial or refill
			 dispensing provided that:
(a) The
			 prescription is invalidated at the sending pharmacy; and
(b) The receiving pharmacy obtains all the
			 information constituting the prescription and its relevant refill history in a
			 manner that ensures accuracy and accountability.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-2300

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth: ORS
				  689.205& 2013 OL Ch.
				  340
Stats. Implemented: ORS
				  689.155 & 2013 OL Ch.
				  34
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-2310 - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
The following words and terms, when used in OAR
				855-041-2300 through
				855-041-2320 shall have the
				following meanings, unless the context clearly indicates otherwise.
(1) "Allergic reaction" means a medical
			 condition caused by exposure to an allergen, with physical symptoms that may be
			 life threatening, ranging from localized itching to severe anaphylactic shock
			 and death.
(2) "Authorization to
			 Obtain Epinephrine" means a certificate that contains the name, signature, and
			 license number of the supervising professional authorizing the dispensing of
			 epinephrine to the individual whose name appears on the certificate.
			 Additionally, the certificate contains a record of the number of epinephrine
			 orders filled to date.
(3)
			 "Statement of Completion" means a certificate that states the specific type of
			 emergency the trainee was trained to respond to, the trainee's name and
			 address, the name of the authorized trainer and the date that the training was
			 completed.
(4) "Trainee" means an
			 individual who has attended and successfully completed the formal training
			 pursuant to the protocols and criteria established by the Oregon Health
			 Authority, Public Health Division.
Statutory/Other Authority:ORS
				  689.205 & ORS
				  689.681
Statutes/Other Implemented:ORS
				  689.155 & ORS
				  689.681
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-2320 - Epinephrine

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A pharmacist
			 may fill an order for epinephrine to be used by trainees to treat an
			 anaphylactic reaction. Trainees must be 18 years of age or older and must have
			 responsibility for or contact with at least one (1) other person as a result of
			 the trainee's occupation or volunteer status, such as, but not limited to, a
			 camp counselor, scout leader, forest ranger, school employee, tour guide or
			 chaperone.
(2) Individuals must
			 successfully complete a training program approved by the Oregon Health
			 Authority, Public Health Division. Upon successful completion, the trainee will
			 receive the following certificates:
(a)
			 Statement of Completion; and
(b)
			 Authorization to Obtain Epinephrine.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-2330

Current through Register Vol. 63, No. 7, July 1, 2024
Stat. Auth: ORS
				  689.205 & 2013 OL Ch.
				  340
Stats. Implemented: ORS
				  689.155 & 2013 OL Ch. 340
Central Fill Drug Outlets, Remote Processing Drug Outlets and Consulting
				  or Drugless Pharmacies
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-2340

Current through Register Vol. 63, No. 7, July 1, 2024
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.305, ORS
				  689.681, ORS
				  689.682 & 2019 OL Ch.
				  470
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3000 - Central Fill and Remote Processing Outlet Designations

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The purpose of OAR
			 855-041-3005 through
			 855-041-3045 is to provide
			 minimum requirements of operation for centralized prescription drug filling by
			 a pharmacy.
(2) The purpose of OAR
			 855-041-3100 through
			 855-041-3130 is to provide
			 minimum requirements of operation for remote prescription processing by a
			 pharmacy.
(3) Prior to initiating
			 one of the above drug outlet models, a description of how the model will be
			 utilized must be submitted to the board.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3005 - Central Fill - Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
The purpose of OAR
				855-041-3005 through
				855-041-3045 is to provide
				minimum requirements of operation for centralized prescription drug filling by
				a pharmacy. Any facility established for the purpose of filling drug orders on
				behalf of an Oregon pharmacy shall be licensed as a retail or institutional
				drug outlet. An applicant must submit its policies and procedures to the Board
				of Pharmacy. An applicant must submit to the Board for approval policies and
				procedures and a description of how using central fill will improve patient
				safety and redirect a pharmacist at a primary pharmacy from a distributive task
				to a cognitive task.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3010 - Central Fill - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
The following words and terms, when used in OAR
				855-041-3005 through
				855-041-3045 shall have the
				following meanings, unless the context clearly indicates otherwise. Any term
				not defined in this section shall have the definition set out in the OAR
				chapter 855, division 006.
(1)
			 "Central Fill Pharmacy" means an Oregon licensed pharmacy that provides
			 centralized prescription filling for both initial or prescription refills on
			 behalf of a primary pharmacy.
(2)
			 "Primary Pharmacy" means a pharmacy located and licensed in Oregon that
			 receives a patient's or a prescribing practitioner's request to fill a
			 prescription, dispenses the prescription directly to the patient or patient's
			 agent, or the pharmacy delivers the drug to the patient's agent for
			 administration. The primary pharmacy maintains ownership of the
			 prescription.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3015 - Central Fill - General Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
An Oregon licensed pharmacy may out source prescription drug
				filling to a central fill pharmacy provided that both pharmacies:
(1) Have the same owner; or
(2) Have a written shared pharmacy services
			 contract or agreement that specifies:
(a) The
			 services to be provided by each pharmacy;
(b) The responsibilities of each pharmacy;
			 and
(c) The accountabilities of
			 each pharmacy.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3020 - Central Fill - Policies and Procedures

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In addition to the requirements of OAR
			 855-041-1040, the central fill
			 pharmacy and the primary pharmacy is each accountable for establishing,
			 maintaining, and enforcing its written policies and procedures manual. The
			 policies and procedures manual must include, but need not be limited to the
			 following:
(a) The responsibilities of each
			 pharmacy;
(b) The policies and
			 procedures that protect confidentiality and ensure integrity of patient
			 information;
(c) Compliance with
			 all applicable federal and state laws and rules;
(d) Cancelation of a filled prescription
			 after the prescription is filled by the primary pharmacy;
(e) Records sufficient to identify by name,
			 initials or unique identification code, the identify and specific activities of
			 each pharmacist or technician who performed any centralized filling function,
			 and the pharmacy where each activity was performed;
(f) The mechanism for tracking the
			 prescription drug order during each step in the filling and dispensing
			 process;
(g) Pharmacist completion
			 of a Drug Utilization Review (DUR) on each prescription;
(h) A continuous quality improvement program
			 for pharmacy services designed to objectively and systematically monitor and
			 evaluate the quality and appropriateness of patient care, to pursue
			 opportunities, to improve patient care, and to resolve identified
			 problems;
(i) Documentation of any
			 errors or irregularities identified by the quality improvement
			 program;
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3025 - Central Fill - Labeling

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 label affixed to the prescription container filled by a central fill pharmacy
			 on behalf of the primary pharmacy shall:
(a)
			 Include all information required by OAR
			 855-041-1130 and OAR
			 855-041-1140;
(b) Comply with all labeling requirements
			 identifying only the primary pharmacy.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3030 - Central Fill - Records

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 recordkeeping requirements in OAR
			 855-041-3005 through
			 855-041-3045 are in addition to
			 the requirements of other recordkeeping rules of the Board.
(2) Each recordkeeping system must include
			 quality improvement program documentation.
(3) Unless otherwise specified, all records
			 and documentation required by OAR
			 855-041-3005 through
			 855-041-3045 must be retained
			 for three years and made available to the Board for inspection upon request.
			 Records must be stored onsite for at least one year and may be stored, after
			 one year, in a secured off-site location if retrievable within three business
			 days. Records and documentation may be kept in hard copy, electronic copy, or a
			 combination of the two.
(4) Each
			 pharmacy must be able to produce an audit trail which identifies each
			 prescription process in their pharmacy.
(5) The primary pharmacy shall maintain the
			 original prescription for a period of three years from the date the
			 prescription was filled.
(6) The
			 primary pharmacy must maintain records that:
(a) Identify by prescription or drug order,
			 the name or unique identification code of the pharmacist who performed the drug
			 utilization review. Identify by prescription drug order the pharmacist or
			 technician that transmitted the prescription drug order to the central fill
			 pharmacy. These records may be maintained separately by each pharmacy and
			 pharmacist or technician or in a common electronic file, as long as the data
			 processing system is capable of producing a printout that lists each function
			 performed by each pharmacy and pharmacist or technician, and identifies the
			 pharmacist or technician who performed each function;
(b) Document the date the filled prescription
			 was received from the central fill pharmacy and the name of the person
			 accepting delivery.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3035 - Central Fill - Delivery of Medications

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A central fill pharmacy may deliver or
			 mail medications to the primary pharmacy or patient in compliance with OAR
			 855-041-1050.
(2) A central fill pharmacy must comply with
			 all federal and state requirements when using private, common or contract
			 carriers to transport filled prescriptions for delivery. When a central fill
			 pharmacy contracts with private, common or contract carriers to transport
			 filled prescriptions the central fill pharmacy is responsible for reporting any
			 in-transit loss upon detection by use of DEA Form 106.
(3) A central fill pharmacy must maintain and
			 use adequate storage or shipment containers and shipping processes to ensure
			 drug stability and potency. Such shipping processes shall include the use of
			 packaging material and devices to ensure that the drug is maintained at the
			 temperature range required to maintain the integrity of the medication
			 throughout the delivery process.
(4) Filled prescriptions must be shipped in
			 containers that are sealed in a manner that shows evidence of opening or
			 tampering.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3040 - Central Fill - Filled Prescriptions

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Any filled prescription that has not been
			 picked up, may be put into the primary pharmacy's inventory. Each pharmacy is
			 responsible for documenting any such transfer of a drug.
(2) A prescription for a controlled substance
			 may be filled by a central fill pharmacy when permitted by law, consistent with
			 federal requirements set forth at 21 C.F.R. § 1300 et seq;
(3) The pharmacy that fills the prescription
			 and the pharmacy to which the filled prescription is provided for dispensing to
			 the patient shall each be responsible for ensuring the prescription has been
			 properly filled.
(4) A primary
			 pharmacy will notify the patient of the possible use of a central fill
			 pharmacy.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3045 - Central Fill - Prohibited Practices

Current through Register Vol. 63, No. 7, July 1, 2024
(1) A primary pharmacy may not use the
			 services of a central fill pharmacy that is not registered with the
			 Board.
(2) A central fill pharmacy
			 may not fill a prescription on behalf of a primary pharmacy that is not
			 registered with the Board if the laws and rules of Oregon require the primary
			 pharmacy to be registered with the Board.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3100 - Remote Processing - Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
The purpose of OAR
				855-041-3100 through
				855-041-3130 is to provide
				minimum requirements of operation for remote prescription drug processing by a
				pharmacy. Any facility that processes drug orders on behalf of an Oregon
				pharmacy shall be licensed in Oregon as a retail or institutional drug outlet.
				An applicant must submit its policies and procedures to the Board of Pharmacy.
				An applicant must submit to the Board for approval policies and procedures and
				a description of how using remote processing will improve patient
				safety.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3105 - Remote Processing - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
The following words and terms, when used in OAR
				855-041-3100 through
				855-041-3130, shall have the
				following meanings, unless the context clearly indicates otherwise. Any term
				not defined in this section shall have the definition set out in OAR chapter
				855, division 006.
(1) "Remote
			 Processing Pharmacy" means an Oregon licensed pharmacy operated under the
			 direction of a pharmacist-in-charge that processes information related to the
			 practice of pharmacy and engages in remote prescription processing, including
			 central processing.
(2) "Remote
			 Processing Functions" may include, but are not limited to, data entry,
			 prospective drug utilization reviews, refill authorizations and interventions.
			 This does not include the filling process.
(3) "Primary Pharmacy" means an instate
			 Oregon licensed pharmacy that receives a patient's or a prescribing
			 practitioner's request to fill a prescription or drug order and delivers the
			 drug or device directly to the patient or patient's agent, and maintains
			 ownership of the prescription or drug order.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3110 - Remote Processing - General Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
An Oregon licensed pharmacy may outsource prescription drug
				processing to a remote processing pharmacy provided both pharmacies:
(1) Have the same owner; or
(2) Have a written shared pharmacy services
			 contract or agreement that specifies:
(a) The
			 services to be provided by each pharmacy;
(b) The responsibilities of each pharmacy;
			 and
(c) The accountabilities of
			 each pharmacy.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3115 - Remote Processing - Policies and Procedures

Current through Register Vol. 63, No. 7, July 1, 2024
(1) In addition to the requirements of OAR
			 855-041-1040, the primary and
			 the remote processing pharmacy is each accountable for establishing,
			 maintaining, and enforcing its own written policies and procedures manual. The
			 policies and procedures manual must include, but need not be limited to the
			 following:
(a) The responsibilities of each
			 pharmacy;
(b) The policies and
			 procedures that protect confidentiality and ensure the integrity of patient
			 information;
(c) Compliance with
			 all applicable federal and state laws and rules;
(d) Records sufficient to identify by name,
			 initials, or unique identification code, the identity and the specific
			 activities of each pharmacist or technician who performed any processing
			 function, and the location where each activity was performed;
(e) A continuous quality improvement program
			 for pharmacy services designed to objectively and systematically monitor and
			 evaluate the quality and appropriateness of patient care, to pursue
			 opportunities to improve patient care, and to resolve identified problems;
			 and
(f) Documentation of any errors
			 or irregularities identified by the quality improvement program.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3120 - Remote Processing - Records

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The recordkeeping requirements OAR
			 855-041-3100 through
			 855-041-3130 are in addition to
			 the requirements of other recordkeeping rules of the Board.
(2) The remote processing pharmacy must
			 maintain all required records unless these records are maintained in the
			 primary pharmacy.
(3) Both
			 recordkeeping systems must:
(a) List the name,
			 address, telephone number, and all license and registration numbers of each
			 pharmacy involved in remote prescription processing;
(A) Document verification of each license and
			 registration;
(B) Document the name
			 of the individual responsible for verification of licensure and registration
			 status.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3125 - Remote Processing - Prescription or Drug Order Processing

Current through Register Vol. 63, No. 7, July 1, 2024
A prescription or drug order for a controlled substance may be
				processed by a remote processing pharmacy when permitted by law and consistent
				with federal rules.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3200 - Telework: Purpose and Scope

Current through Register Vol. 63, No. 7, July 1, 2024
The purpose of OAR
				855-041-3200 through OAR
				855-041-3250 is to provide
				minimum requirements for pharmacy services conducted via telework.
Statutory/Other Authority: ORS
				  689.135, ORS
				  689.151 & ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3205 - Telework: Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 "Telework" means the practice or assistance in the practice of pharmacy
			 physically located outside of a registered drug outlet when working as a
			 contractor or an employee of an Oregon registered drug outlet in a telework
			 site.
(2) "Telework Site" means a
			 location that is not a registered drug outlet where an Intern, Certified Oregon
			 Pharmacy Technician, or Pharmacy Technician may assist in the practice of
			 pharmacy as contractors or employees of an Oregon registered drug
			 outlet.
Statutory/Other Authority: ORS
				  689.135, ORS
				  689.151, ORS
				  689.205 & 2022 HB
				  4034
Statutes/Other Implemented: ORS
				  689.155 & 2022 HB
				  4034
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3210 - Telework: Registration

Current through Register Vol. 63, No. 7, July 1, 2024
The Oregon registered Drug Outlet Pharmacy and the
				Pharmacist-in-charge of the Drug Outlet Pharmacy are responsible for all
				licensees assisting in the practice of pharmacy at Telework Sites.
Statutory/Other Authority: ORS
				  689.135, ORS
				  689.151 & ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3215 - Telework: General Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
(1)
			 Each Oregon registered Drug Outlet Pharmacy and Pharmacist-in-charge of a Drug
			 Outlet Pharmacy must ensure that Interns, Certified Oregon Pharmacy
			 Technicians, and Pharmacy Technicians working at a Telework Site work under the
			 supervision, direction, and control of an Oregon licensed Pharmacist.
(2) A Pharmacist that engages in the practice
			 of pharmacy and an Intern, Certified Oregon Pharmacy Technician or Pharmacy
			 Technician that assists in the practice of pharmacy at a Telework Site for any
			 person or facility located in Oregon must:
(a)
			 Be licensed by the board; and
(b)
			 Comply with all applicable federal and state laws and rules.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3220 - Telework: Supervision Requirements

Current through Register Vol. 63, No. 7, July 1, 2024
The Oregon registered Drug Outlet Pharmacy,
				Pharmacist-in-charge of the Drug Outlet and the supervising Oregon licensed
				Pharmacist from the Drug Outlet must:
(1) Utilize an audiovisual communication
			 system and have appropriate technology or interface to allow access to
			 information required to complete assigned duties;
(2) Ensure telephone audio is recorded and
			 stored for all patient interactions completed by Interns, Certified Oregon
			 Pharmacy Technicians, and Pharmacy Technicians;
(3) Ensure an Oregon licensed Pharmacist is
			 supervising, directing and controlling each Intern, Certified Oregon Pharmacy
			 Technician, and Pharmacy Technician and that the audiovisual communication
			 system is fully operational;
(4)
			 Ensure that an Oregon licensed Pharmacist using reasonable professional
			 judgment, determines the frequency of "check-ins" for each licensee being
			 supervised via the audiovisual communication system with a minimum of at least
			 once per work shift to ensure patient safety, compliance with federal and state
			 laws, and documents the interaction;
(5) Be readily available to answer questions
			 and fully responsible for the practice and accuracy of the licensee;
			 and
(6) Ensure the Intern,
			 Certified Oregon Pharmacy Technician, or Pharmacy Technician knows the identity
			 of the Oregon licensed Pharmacist who is providing supervision, direction, and
			 control at all times.
(7) Ensure
			 the Oregon licensed Pharmacist who is supervising an Intern, Certified Oregon
			 Pharmacy Technician, or Pharmacy Technician at a Telework Site:
(a) Uses reasonable professional judgment to
			 determine the percentage of patient interactions for each licensee that must be
			 observed or reviewed to ensure public health and safety with a minimum of 5% of
			 patient interactions observed or reviewed;
(b) Reviews patient interactions within 48
			 hours of the patient interaction to ensure that each licensee is acting within
			 the authority permitted under their license and patients are connected with a
			 pharmacist upon request;
(c)
			 Documents the following within 24 hours of the observation or review in (b):
(A) Number of each licensee's patient
			 interactions;
(B) Number of each
			 licensee's patient interactions Pharmacist has observed or reviewed;
(C) Date and time of licensee patient
			 interaction Pharmacist has observed or reviewed;
(D) Date and time of Pharmacist observation
			 or review of licensee's patient interaction; and
(E) Pharmacist notes of each interaction
			 observed or reviewed; and
(d) Reports any violation of OAR 855 to the
			 Oregon registered Drug Outlet Pharmacy within 24 hours of discovery and to the
			 board within 10 days.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3225 - Telework: Confidentiality

Current through Register Vol. 63, No. 7, July 1, 2024
The Oregon registered Drug Outlet Pharmacy,
				Pharmacist-in-charge of the Drug Outlet Pharmacy, and the Pharmacist, Intern,
				Certified Oregon Pharmacy Technician, and Pharmacy Technician from the Drug
				Outlet Pharmacy must:
(1) Ensure
			 patient and prescription information is managed in compliance with OAR 855-041,
			 OAR 855-115, OAR 855-120, OAR 855-125, and OAR 855-139.
(2) Ensure the security and confidentiality
			 of patient information and pharmacy records.
(3) Document and report any confirmed breach
			 in the security of the system or breach of confidentiality. Report of each
			 breach must be reported in writing to the board within ten days of discovery of
			 the event.
Statutory/Other Authority: ORS
				  689.135, ORS
				  689.151, ORS
				  689.205 & 2022 HB
				  4034
Statutes/Other Implemented: ORS
				  689.155 & 2022 HB
				  4034
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3230 - Telework: Technology

Current through Register Vol. 63, No. 7, July 1, 2024
The Oregon registered Drug Outlet Pharmacy,
				Pharmacist-in-charge of the Drug Outlet and the Pharmacist from the Drug Outlet
				must:
(1) Test the audiovisual
			 communication system with the Telework Site and document that it operates
			 properly before the Intern, Certified Oregon Pharmacy Technician, or Pharmacy
			 Technician engages in telework at the Telework Site.
(2) Develop, implement, and enforce a plan
			 for responding to and recovering from an interruption of service which prevents
			 an Oregon licensed Pharmacist from supervising, directing and controlling the
			 Intern, Certified Oregon Pharmacy Technician, and Pharmacy Technician at the
			 Telework Site.
(3) Ensure access
			 to:
(a) Appropriate and current pharmaceutical
			 references based on the services offered; and
(b) Appropriate and current Oregon Revised
			 Statutes, Oregon Administrative Rules, United States Code, Code of Federal
			 Regulations, standards adopted by reference (e.g. USP) based on services
			 offered by the outlet and a minimum of three years of the Board of Pharmacy
			 quarterly newsletters.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3235 - Telework: Personnel

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The
			 Oregon licensed Pharmacist-in-charge of the Drug Outlet Pharmacy is responsible
			 for all operations at the Drug Outlet Pharmacy including responsibility for the
			 audiovisual communication system and enforcing policies and
			 procedures.
(2) A Drug Outlet
			 Pharmacy may not utilize unlicensed personnel to engage in telework.
(3) Prior to working at a Telework Site, the
			 Intern, Certified Oregon Pharmacy Technician, or Pharmacy Technician and the
			 Oregon licensed Pharmacist supervising the Telework Site must have completed a
			 training program on the use of all equipment necessary for secure operation of
			 the Telework Site.
Statutory/Other Authority: ORS
				  689.135, ORS
				  689.151 & ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3240 - Telework: Security

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Telework
			 Sites must be located in a designated area where:
(a) All equipment is stored;
(b) All work is performed; and
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3245 - Telework: Policies and Procedures

Current through Register Vol. 63, No. 7, July 1, 2024
(1) If a Drug Outlet Pharmacy utilizes
			 licensees via telework, the Drug Outlet Pharmacy and the Oregon licensed
			 Pharmacist-in-charge are accountable for establishing, maintaining, and
			 enforcing written policies and procedures for the licensees working via
			 telework. The written policies and procedures must be maintained at the Drug
			 Outlet Pharmacy and must be available to the board upon request.
(2) The written policies and procedures must
			 include at a minimum the services, responsibilities and accountabilities of the
			 licensee engaging in telework including;
(a)
			 Security;
(b) Operation, testing
			 and maintenance of the audiovisual communication;
(c) Detailed description of work
			 performed;
(d) Oregon licensed
			 Pharmacist supervision, direction and control of Interns, Certified Oregon
			 Pharmacy Technicians, and Pharmacy Technicians;
(e) Recordkeeping;
(f) Patient confidentiality;
(g) Continuous quality improvement;
(h) Plan for discontinuing and recovering
			 services if the audiovisual communication system is disrupted;
(i) Confirmation of dedicated, secure
			 Telework Sites;
(j) Documenting the
			 identity, function, location, date and time of the licensees engaging in
			 telework at a Telework Site;
(k)
			 Written agreement with licensees engaging in telework outlining the specific
			 functions performed and requirement to comply with telework policies and
			 procedures; and
(l)
			 Equipment.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3250 - Telework: Records

Current through Register Vol. 63, No. 7, July 1, 2024
(1) If a Drug
			 Outlet Pharmacy utilizes licensees via telework the recordkeeping requirements
			 OAR 855-041-3205 through OAR
			 855-041-3250 are in addition to
			 the requirements of other recordkeeping rules of the board. Unless otherwise
			 specified, all records and documentation required by these rules must be
			 retained for three years and made available to the board for inspection upon
			 request. Records of Telework Site addresses must be made available within 3
			 business days. Records created via telework must be stored by the Drug Outlet
			 for at least one year and may be stored, after one year, in a secured off-site
			 location if retrievable within three business days. Records and documentation
			 may be written, electronic or a combination of the two.
(2) Physical records may not be stored at the
			 Telework Site.
(3) Records may not
			 be duplicated, downloaded, or removed when accessed via telework.
(4) Records must be stored in a manner that
			 prevents unauthorized access.
(5)
			 Records must include, but are not limited to:
(a) Patient profiles and records;
(b) Patient contact and services
			 provided;
(c) Date, time and
			 identification of the licensee accessing patient or pharmacy records;
(d) If filling prescriptions, date, time and
			 identification of the licensee and the specific activity or function of the
			 person performing each step in the dispensing process;
(e) List of employees performing telework
			 that includes:
(A) Name;
(B) License number and expiration
			 date;
(C) Address of Telework Site;
			 and
(D) Name of the Oregon licensed
			 Pharmacist who:
(i) Verified (A-C);
(ii) Approved licensee to telework;
			 and
(iii) Approved each Telework
			 Site;
(f)
			 Audiovisual communication system testing and training;
(g) Still image capture and store and forward
			 images must be retained according to (1);
(h) Data and telephone audio must be retained
			 for 6 months; and
(i) Any errors or
			 irregularities identified by the quality improvement
			 program.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-3130 - Remote Processing - Prohibited Practices

Current through Register Vol. 63, No. 7, July 1, 2024
A remote processing pharmacy may not process a prescription on
				behalf of a primary pharmacy that is not registered with the Board, if required
				by the laws and rules of Oregon to be registered.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.155
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-4000 - Purpose - Expedited Partner Therapy (EPT)

Current through Register Vol. 63, No. 7, July 1, 2024
(1) There is substantial evidence that rates
			 of re-infection with certain sexually transmitted diseases can be reduced by
			 treating all sexual partners for the disease, even when the treating clinician
			 has not examined those partners. This practice is known as Expedited Partner
			 Therapy.
(2) Because of the
			 important public health implications, the 2009 Oregon Legislature passed HB
			 3022 authorizing this practice. This law permits health professional regulatory
			 boards to adopt rules permitting practitioners to practice Expedited Partner
			 Therapy.
(3) The law specifies that
			 a prescription issued in the practice of Expedited Partner Therapy is valid,
			 even if the name of the patient the prescription is intended for is not on the
			 prescription.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.505
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-4005 - Expedited Partner Therapy (EPT) - Procedures

Current through Register Vol. 63, No. 7, July 1, 2024
(1) Expedited Partner Therapy (EPT) means the
			 practice of prescribing or dispensing an antibiotic drug for the treatment of a
			 sexually transmitted disease to the partner of a patient without first
			 examining that partner.
(2)
			 Notwithstanding any other rules in this division that mandate requirements for
			 a valid prescription and for labeling, when a prescription is marked EPT or a
			 similar notation by the prescribing practitioner, this rule shall
			 govern.
(3) An EPT prescription may
			 only be dispensed for a drug that has been determined by the Department of
			 Human Services (DHS) to be appropriately used for EPT.
Prescription
(4) An EPT treatment protocol must conform to
			 the following:
(a) It must include a
			 prescription for each named or unnamed partner of the patient;
(b) It must contain a hand written or
			 electronic signature of the prescribing practitioner;
(c) The practitioner must identify the
			 prescription in the following manner:
(A)
			 Write "for EPT," or a similar notation, on the face of the
			 prescription;
(B) For a verbal
			 order, the practitioner must identify the prescription as an "EPT
			 Prescription," or similar identification;
(C) The practitioner must identify the
			 prescription for each partner either by including the name of the patient, such
			 as "John Doe - Partner 1" or by labeling the prescription as "EPT
			 Partner"
(d) An EPT
			 Prescription expires 30 days after the date written;
(e) An EPT Prescription may not be
			 refilled;
(f) If any component of
			 the prescription is missing, the pharmacist must contact the prescriber or the
			 prescriber's agent and must record the additional information on the
			 prescription.
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-4025 - Purpose and Scope - Home Dialysis

Current through Register Vol. 63, No. 7, July 1, 2024
A Retail Drug Outlet for Home Dialysis supplies may provide
				dialysis solutions under the general supervision and direction of a pharmacist
				with special training in renal disease and dialysis to end stage renal disease
				(ESRD) patients who have chosen the option of home dialysis therapy and who
				have been appropriately trained.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.305
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-4035 - Home Dialysis - Definitions

Current through Register Vol. 63, No. 7, July 1, 2024
"Dialysis solutions" means peritoneal dialysis solutions,
				dialysate solutions, and legend devices including hardware, bloodlines and
				dialysis tubing and connectors.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.305
Oregon Administrative Rules › Chapter 855 - BOARD OF PHARMACY › Division 41 - OPERATION OF PHARMACIES › Section 855-041-4045 - Home Dialysis - Drug Delivery and Control

Current through Register Vol. 63, No. 7, July 1, 2024
(1) An Oregon licensed pharmacist must be
			 designated as the pharmacist-in-charge who will provide direction and
			 supervision of the operation and staff.
(2) Deliveries of supplies must be made only
			 pursuant to a current prescription order from an authorized prescriber. The
			 prescription order must be maintained on file at the outlet. Supplies will be
			 limited to dialysis solutions as defined in OAR
			 855-041-4035. No other legend
			 medication ordered for the patient may be provided by the outlet.
(3) All patient records must be maintained in
			 a secure area with a locking door. Access to the patient records area is
			 allowed only when a pharmacist is present except in the event of an emergency.
			 In the event of an emergency, any entry by individuals other than the
			 pharmacist must be documented. In the absence of a pharmacist, the door to the
			 patient records area must remain locked at all times.
(4) Copies of all prescriptions must be
			 reviewed by the pharmacist and a complete set of prescription records for all
			 patients serviced by the outlet must be maintained in the patient records area
			 for a minimum of three years.
(5) A
			 minimum of two current reference books that are specific and relevant to
			 dialysis therapy must be maintained in the outlet to assist in the appropriate
			 delivery of care to patients. Other reference material and equipment must be
			 maintained to be consistent with the scope of services provided by the
			 outlet.
(6) A current copy of
			 Oregon Revised Statutes, Chapter 689, a current copy of Oregon Administrative
			 Rules, chapter 855, and a minimum of three years of the Oregon Board of
			 Pharmacy quarterly newsletters must be maintained in a loose leaf binder or
			 other readily retrievable means.
Statutory/Other Authority: ORS
				  689.205
Statutes/Other Implemented: ORS
				  689.305