Current through Vol. 24-16, September 15, 2024
Rule 66.
(1) A
pharmacist may partially dispense a controlled substance listed in schedule 2
in conformance with the following:
(a) The
pharmacist is unable to supply the full quantity called for in a written or
emergency oral prescription.
(b)
The pharmacist notes the quantity supplied on the face of the written
prescription, written record of the emergency oral prescription, or in the
electronic prescription record.
(c)
The pharmacist may dispense the remainder of the prescription within 72 hours
after the first partial dispensing.
(d) If the remainder of the prescription is
not or cannot be dispensed within the 72 hours, the pharmacist shall notify the
prescriber.
(e) The pharmacist
shall not dispense an additional quantity of the drug beyond 72 hours without a
new prescription.
(f) The pharmacy
has the balance of the prescription ready for dispensing before the 72-hour
limit, but the patient is not required to pick up the balance of the
prescription within that 72-hour limit.
(2) A pharmacist may partially dispense a
prescription for a controlled substance listed in schedule 2 at the request of
the patient or the prescribing practitioner in conformance with the following:
(a) The prescription is written and filled
under the CSA and DEA regulations and state law.
(b) The total quantity dispensed in all
partial fillings does not exceed the total quantity prescribed.
(c) The remaining portions of a partially
filled prescription listed in schedule 2, if filled, must be filled not later
than 30 days after the date the prescription was written.
(d) For each partial filling, the dispensing
pharmacist shall record, on the back of the prescription or on another
appropriate record that is uniformly maintained and readily retrievable, all of
the following information:
(i) Date of the
partial filling.
(ii) Quantity
dispensed.
(iii) Remaining quantity
that may be dispensed.
(iv)
Identification of the dispensing pharmacist.
(3) A pharmacist may partially dispense,
including individual dosage units, a prescription for a schedule 2 controlled
substance that is written for a patient in a longterm care facility or for a
patient with a medical diagnosis that documents a terminal illness in
conformance with all of the following:
(a) For
each partial filling, the dispensing pharmacist shall record, on the back of
the prescription or on another appropriate record that is uniformly maintained
and readily retrievable, all of the following information:
(i) Date of the partial filling.
(ii) Quantity dispensed.
(iii) Remaining quantity authorized to be
dispensed.
(iv) Identification of
the dispensing pharmacist.
(b) The total quantity of schedule 2
controlled substances dispensed in all partial fillings may not be more than
the total quantity prescribed.
(c)
Prescriptions are valid for a period of not more than 60 days after the issue
date unless terminated at an earlier date by the discontinuance of
medication.
(d) A pharmacist shall
record on the prescription whether the patient is terminally ill or is a
long-term care facility patient.
(4) A pharmacy may partially fill a
prescription for a schedule 3, 4, or 5 controlled substance if all of the
following provisions are met:
(a) Each partial
filling is recorded in the same manner as a refilling.
(b) The total quantity dispensed in all
partial fillings does not exceed the total quantity prescribed.
(c) No dispensing occurs 6 months after the
date the prescription was issued for schedules 3, 4, and 5.
