Rules & Regulations of the State of Tennessee
Title 1000 - Nursing
Chapter 1000-04 - Advanced Practice Nurses and Certificates of Fitness to Prescribe
Section 1000-04-.10 - TAMPER-RESISTANT PRESCRIPTIONS
Universal Citation: TN Comp Rules and Regs 1000-04-.10
Current through September 24, 2024
(1) Purpose.
This rule is designed to implement the law requiring that licensed advanced practice nurses have all written, typed, or computer-generated prescriptions issued on tamper-resistant prescription paper.
(2) Definitions.
The following definitions are applicable to this rule:
(a) "Drug" shall have the same meaning as set
forth in T.C.A. §
63-10-204(16).
(b) "Prescriber" means an individual licensed
in Tennessee as a medical doctor, podiatrist, advanced practice nurse with a
certificate of fitness to prescribe, dentist, optometrist, osteopathic
physician, or physician's assistant.
(c) "Prescription order" shall have the same
meaning as set forth in T.C.A. §63-10-
204(34).
(d) "Tamper-resistant prescription" means a
written prescription order with features that are designed to prevent
unauthorized copying, erasure, modification, and use of counterfeit
prescription forms.
(3) Tamper-Resistant Prescription Requirements.
(a) A prescriber shall ensure that all
handwritten, typed, or computer-generated prescription orders are issued on
tamper-resistant prescriptions. Tamper-resistant prescriptions shall contain
the following features:
1. Either a void or
illegal pantograph or a watermark designed to prevent copying;
2. Either quantity check-off boxes with
refill indicators or a uniform, non-white background color designed to prevent
erasure or modification; and
3.
Security features and descriptions listed on the prescriptions designed to
prevent use of counterfeit forms.
(4) Security Measures and Recordkeeping.
(a) Each prescriber shall undertake adequate
safeguards and security measures to ensure against loss, improper destruction,
theft, or unauthorized use of the tamper-resistant prescriptions in the
prescriber's possession.
(5) Use of Tamper-Resistant Prescriptions.
(a) Facsimile Prescription Transmission.
1. Prescriptions sent by facsimile
transmission are not required to be placed on tamper-resistant prescription
paper.
2. If a prescriber transmits
a prescription order to a pharmacy by facsimile transmission, the prescriber or
someone designated by the prescriber shall document in the patient's medical
record the name of the drug, strength, and quantity prescribed. The prescriber
may, but is not required to, document the means by which the prescription was
transmitted.
(b)
Electronic Prescription Transmission.
1.
Prescriptions sent by electronic transmission are not required to be placed on
tamper-resistant prescription paper.
2. If a prescriber transmits a prescription
order to a pharmacy by electronic transmission, the prescriber shall document
the prescription in the patient's file and in accordance with the applicable
laws and rules for each of the prescribers' respective professions as well as
applicable federal laws and rules. The prescriber may, but is not required to,
document the means by which the prescription was transmitted.
Authority: Chapter 1035 of the Public Acts of 2008 and T.C.A. §§ 53-10-401. 63-7-123(b)(3). and 63-7207. [effective October 1. 2008 for TennCare prescriptions and July 1. 2009 for non-TennCare prescriptions].
Disclaimer: These regulations may not be the most recent version. Tennessee 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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