Current through Register Vol. 46, No. 19, March 20, 2024
All prescriptions shall be transmitted electronically to a
pharmacy except as provided in this rule.
(1)
Prescriptions exempt.
Prescriptions which shall be exempt from electronic transmission include:
a. A prescription for a patient residing in a
nursing home, long-term care facility, correctional facility, or
jail.
b. A prescription authorized
by a licensed veterinarian.
c. A
prescription for a device.
d. A
prescription dispensed by a department of veterans affairs pharmacy.
e. A prescription requiring information that
makes electronic transmission impractical, such as complicated or lengthy
directions for use or attachments.
f. A prescription for a compounded
preparation containing two or more components.
g. A prescription issued in response to a
public health emergency in a situation where a non-patient-specific
prescription would be permitted.
h.
A prescription issued for an opioid antagonist pursuant to Iowa Code section
135.190, a prescription issued
for epinephrine pursuant to Iowa Code section
135.185, or a prescription
issued for a bronchodilator canister or bronchodilator canister and spacer
pursuant to Iowa Code section
280.16A.
i. A prescription issued during a temporary
technical or electronic failure at the location of the prescriber or pharmacy,
provided that a prescription issued pursuant to this paragraph shall indicate
on the prescription that the prescriber or pharmacy is experiencing a temporary
technical or electronic failure.
j.
A prescription issued pursuant to an established and valid collaborative
practice agreement, standing order, or drug research protocol.
k. A prescription issued in an emergency
situation pursuant to federal law and regulation and rules of the board. An
emergency situation may include, but is not limited to, the issuance of a
prescription to meet the immediate care need of a patient after hours when a
prescriber is unable to access electronic prescribing capabilities. Such
prescription shall be limited to a quantity sufficient to meet the acute need
of the patient with no authorized refills.
(2)
Prescriber, medical group,
institution, or pharmacy exemption. A prescriber, medical group,
institution, or pharmacy that has been granted an exemption to the electronic
prescription mandate pursuant to rule
657-21.9 (124,155A) shall be
exempt from the electronic prescription mandate only for the duration of the
approved exemption, and the exemption shall not apply retroactively to
prescriptions issued prior to approval. Upon expiration of an approved
exemption, the prescriber, medical group, institution, or pharmacy shall either
comply with the electronic prescription mandate or timely petition the board
for renewal of the exemption pursuant to rule
657-21.9 (124,155A). A
prescriber, medical group, institution or pharmacy that has been granted an
exemption to the electronic prescription mandate pursuant to rule
657-21.9 (124,155A) shall
identify the exemption on each prescription issued and transmitted by any
nonelectronic means. A pharmacist shall not be required to verify that the
prescription or prescriber is subject to an exemption.
