Current through all regulations passed and filed through September 16, 2024
(A)
For a schedule II
controlled substance prescription:
(1)
A pharmacist shall not make changes to the drug
prescribed, except for substitution permitted by law, the prescriber's
signature, or the patient's name.
(2)
Any other
modification, except for substitution permitted by law, may only be made after
consultation with and agreement of the prescriber.
(B)
For a schedule
III-V controlled substance prescription:
(1)
Except as
provided for in paragraph (D) of this rule, a pharmacist shall not make changes
to the drug prescribed, except for substitution permitted by law, the
prescriber's signature, or the patient's name.
(2)
Any other
modification, except for substitution permitted by law, may only be made after
consultation with and agreement of the prescriber or the prescriber's
agent.
(C)
For a non-controlled substance dangerous drug
prescription:
(1)
Except as provided for in paragraphs (D) and (E) of
this rule, a pharmacist shall not make changes to the drug prescribed, except
for substitution permitted by law, the prescriber's signature, or the patient's
name.
(2)
Any other modification, except for substitution
permitted by law or in accordance with paragraph (E) of this rule, may only be
made after consultation with and agreement of the prescriber or the
prescriber's agent.
(D)
Except for a
schedule II controlled substance prescription, a pharmacist may correct a
patient's name on a prescription after consultation with and agreement of the
prescriber or the prescriber's agent.
(E)
For a
non-controlled substance prescription, a pharmacist may change the dosage form,
drug strength, drug quantity, and directions for use without consultation with
and agreement of the prescriber or agent of the prescriber in accordance with
the following:
(1)
The drug selected must be the same drug indicated on
the prescription;
(2)
The drug selected must have the same frequency and
duration of therapy as the drug indicated on the prescription;
(3)
The prescription
is for a human patient;
(4)
No modifications shall be made pursuant to this
paragraph if "dispense as written" or another phrase or indicator having a
similar meaning is indicated on the prescription;
(5)
The pharmacist
who selects the drug to be dispensed pursuant to this paragraph shall assume
the same responsibility for selecting the dispensed drug as would be incurred
in filling a prescription for a drug using the prescribed form;
and
(6)
The pharmacist shall not substitute between long-acting
and short-acting forms of the drug.
(F)
A pharmacist may
dispense a quantity of a drug in a manner that varies from the prescription in
accordance with paragraph (H) of rule
4729:5-5-10 of the
Administrative Code or rule
4729:5-5-12 of the
Administrative Code and all applicable federal and state laws, rules, and
regulations.
(G)
All consultations and corresponding changes performed
in accordance with this rule shall be noted by the pharmacist on the
prescription or in the patient's profile and shall be communicated to the
patient or patient's caregiver.
