Current through Register Vol. 49, No. 6, March 15, 2024
PURPOSE: This amendment updates and clarifies
requirements for electronic prescriptions.
PURPOSE: This rule establishes guidelines for
electronic prescriptions and medication orders.
(1) Definitions.
(A) Electronic image transmission-An exact
visual image of a paper prescription or medication order that is electronically
received by a pharmacy from a licensed prescriber or the prescriber's
authorized agent (e.g., a facsimile/scan).
(B) Electronic prescription-Any prescription or
medication order, other than an electronic image transmission , which is
electronically transmitted from a licensed prescriber or the prescriber's
authorized agent to a pharmacy.
(C) Electronic signature An exact electronic replica
of the prescriber's signature or a confidential digital key code, number, or
other identifier attached to or logically associated with a record that is
executed or adopted by a prescriber with the intent to sign the
record.
(2)
Prescriptions or medication orders may be transmitted to a pharmacy by the
prescriber or the prescriber's authorized agent as an electronic image
transmission or an electronic prescription.
(A) Electronic image transmissions and
electronic prescriptions must contain all information required by state and
federal law, including, designation of whether generic substitution is
authorized. Electronic image transmissions must be formatted as required by
section
338.056,
RSMo, and bear the prescriber's manual or electronic signature.
(B) Controlled substance prescriptions and
medication orders must comply with state and federal controlled substance laws
and regulations and must be signed in accordance with state and federal
law.
(C) A pharmacist shall be
responsible for verifying the authenticity of any electronic image transmission
or electronic prescription prior to dispensing by taking measures which, in
his/her professional judgment, may be necessary to ensure the prescription or
medication order was initiated or authorized by the prescriber.
(3) In lieu of a manually signed
prescription or medication order, a pharmacist may accept a paper prescription
or medication order with an electronic signature if the prescription/medication
order is applied to paper that utilizes security features that will detect or
otherwise identify if the prescription/medication order is subject to any form
of copying and/or alteration.
*Original authority: 338.010, RSMo 1939, amended 1951,
1989, 1990; 338.095, RSMo 1993; 338.140, RSMo 1939, amended 1981, 1989, 1997;
and 328.280, RSMo 1951, amended 1971,
1981.
