Louisiana Administrative Code
Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS
Part LIII - Pharmacists
Chapter 25 - Prescriptions, Drugs, and Devices
Subchapter B - Prescriptions
Section LIII-2519 - Prescription Refills; Medication Synchronization and Refill Consolidation
Universal Citation: LA Admin Code LIII-2519
Current through Register Vol. 50, No. 9, September 20, 2024
A. Prescription Refills
1. Limitations on Number of Refills
a. The refilling of a prescription for a drug
listed in Schedule II is prohibited.
b. A prescription for a drug listed in
Schedule III or IV may be refilled up to five times if so indicated at the time
issued.
c. A prescription for a
drug listed in Schedule V may be refilled without limitation if so indicated at
the time issued subject to the one-year expiration date of the
prescription.
d. A prescription for
a drug not listed as a controlled substance or for a medical device, medical
gas, or durable medical equipment may be refilled without limitation if so
indicated at the time issued subject to the one year expiration date of the
prescription.
2. Refill
Authorization. Prescription refills may be dispensed only with the prescriber's
authorization, as indicated on the original prescription order. In the absence
of the authorized practitioner's instructions on the original prescription, the
prescription shall be considered non-refillable. When all refills authorized on
the original prescription have been dispensed, then authorization from the
prescribing practitioner shall be obtained prior to dispensing; when such
authorization has been received, a new prescription shall be prepared and it
shall be issued a different prescription number.
3. Patient Request for Continuation of
Therapy. When previously authorized refills have been dispensed, or when the
previous prescription has expired, and the patient, or his agent or caregiver,
requests continuation of therapy, the pharmacy may submit a request to the
prescriber for a new prescription. A pharmacy may offer their patient an
auto-refill service to facilitate such requests for the life of that
prescription. In the absence of a specific request for continuation of therapy
from the patient, or his agent or caregiver, the pharmacy shall not submit a
request for continuation of therapy to a prescriber.
4. Dispensing of Refills. Prescription
refills authorized by the prescriber shall not be dispensed in the absence of a
patient, or his agent or caregiver's, request or approval. A pharmacy may offer
their patient an auto-refill service to facilitate such requests. This
prohibition shall not apply to refills authorized by the prescriber which are
to be dispensed to a patient residing in a long-term care facility.
B. Medication Synchronization and Refill Consolidation. These terms refer to a service which a pharmacist may perform for his patient, at the request of the patient, wherein he may proactively adjust the medication dispensing quantity and/or the refill schedule of a prescription in order to manage the patient's medication therapy, with the goal of improved medication adherence by the patient.
1. For the performance of this service, the
pharmacist may adjust the dispensing quantity and/or the refill schedule
originally ordered by the prescriber; however, the pharmacist shall not exceed
the total quantity prescribed [dispensing quantity multiplied by the total
number of fills authorized (original plus refills)], or what is otherwise
allowed by law.
2. With respect to
prescriptions for controlled substances where refills have been authorized,
pharmacists may utilize partial fills, as described in
§2747.C.5 of this
Part, but may not exceed the dispensing quantity noted on the original
prescription.
AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1182.
Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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