New Hampshire Code of Administrative Rules
Ph - N.H. Pharmacy Board
Chapter Ph 2400 - PHARMACIST INITIATION AND DISPENSING OF HORMONAL CONTRACEPTIVES
Part Ph 2404 - PROCEDURES FOR PRACTICE
Section Ph 2404.02 - Recordkeeping Procedures
Universal Citation: NH Admin Rules Ph 2404.02
Current through Register No. 40, October 3, 2024
(a) A pharmacist engaging in the initiation and dispensing of hormonal contraceptives shall maintain patient records for a minimum of 7 years.
(b) Maintained patient records shall, at a minimum, include:
(1) The name and date of
birth of the patient;
(2) A copy of
the "Hormonal Contraceptive Self-Screening Questionnaire" dated November 17,
2021, completed by the patient;
(3)
Evidence that the patient was screened;
(4) Counseling information relayed to
patient;
(5) Based upon patient
request, evidence that the practitioner was provided with the self- screening
questionnaire and notified of the drug dispensed;
(6) Name, dose, strength, quantity, and
directions of the hormonal contraceptive dispensed; and
(7) Signature of the patient.
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