Iowa Administrative Code
Agency 657 - PHARMACY BOARD
Chapter 7 - HOSPITAL PHARMACY PRACTICE
Rule 657-7.11 - Outpatient services
Current through Register Vol. 46, No. 19, March 20, 2024
No prescription drugs shall be dispensed from the hospital pharmacy to patients treated in a hospital outpatient setting. If a need is established for the dispensing of a prescription drug to an outpatient, a prescription shall be issued to be filled at a pharmacy of the patient's choice.
(1) Definitions. For the purposes of this rule, the following definitions shall apply:
"Emergency department patient" means a patient who is examined and evaluated in the emergency department.
"Outpatient" means a patient who was examined and evaluated by a prescriber who determined the patient's need for the administration of a drug or device, when the patient presents to the hospital outpatient setting with a prescription or order for administration of a drug or device. "Outpatient" does not include an emergency department patient.
"Outpatient medication order" means an order issued by a prescriber pursuant to rules of the board for administration of a drug or device. An outpatient medication order may authorize continued or periodic administration of a drug or device for a period of time and frequency determined by the prescriber or by hospital policy, not to exceed legal limits for the refilling of a prescription drug order.
(2) Administration in the outpatient setting. Drugs shall be administered only to outpatients who have been examined and evaluated by a prescriber who determined the patient's need for the drug therapy ordered.
(3) Samples. If the use of drug samples is permitted for hospital outpatients, that use of samples shall be controlled and the samples shall be distributed through the pharmacy or through a process developed in cooperation with the pharmacy and the facility's appropriate patient care committee, subject to oversight by the pharmacy.