Utah Administrative Code
Topic - Commerce
Title R156 - Professional Licensing
Rule R156-17b - Pharmacy Practice Act Rule
Section R156-17b-627 - Operating Standards - Prescription of Drugs or Devices by a Pharmacist
Universal Citation: UT Admin Code R 156-17b-627
Current through Bulletin 2024-18, September 15, 2024
(1) Under Subsection 58-17b-601(1) and Section 58-17b-627, a pharmacist from a Class A or Class B pharmacy may prescribe a prescription drug or device as follows:
(a) Before prescribing, the
pharmacist shall conduct a patient assessment that includes:
(i) current health status;
(ii) past medical history;
(iii) allergies;
(iv) medication sensitivities;
(v) rationale for care;
(vi) current medication; and
(vii) if the pharmacist should refer the
patient to an appropriate health care provider or otherwise encourage the
patient to seek further medical care.
(b) The pharmacist shall follow the
guidelines for prescribing health care providers established by:
(i) the Centers for Disease Control and
Prevention;
(ii) nationally
accepted guidelines; and
(iii) the
Department of Health and Human Services and the Division in collaboration with
the Board, in the guidance documents incorporated by reference in Subsection
(2)(a).
(c) The
pharmacist shall comply with the requirements of Sections
58-17b-602 and
58-17b-609.
(d) The pharmacist shall develop and
implement an appropriate follow-up care plan with the patient that includes:
(i) monitoring parameters for efficacy and
safety;
(ii) adverse reactions;
and
(iii) further medical
care.
(e)
(i)
(A) The
pharmacist shall notify the patient's primary care or other health care
provider about the prescription within five business days of the
prescribing.
(B) The prescription
notification may be conveyed in writing, by electronic transmission, or by
telephone.
(C) If the patient does
not have a primary care or other health care provider, the pharmacist shall
provide the prescription notification to the patient.
(D) The pharmacy shall maintain the
prescription notification in the patient record for at least five years from
the date of notification, in an immediately retrievable written or electronic
format.
(ii) Each
prescription notification shall include the following:
(A) prescribing pharmacist;
(B) pharmacy name;
(C) pharmacy phone number;
(D) patient;
(E) patient date of birth;
(F) drug or device;
(G) if dispensed, dispensed
quantity;
(H) directions for
use;
(I) refill; and
(J) identity of the patient's primary care or
other health care provider, if any.
(2)
(a) A
pharmacist may prescribe drugs or devices under Subsection
58-17b-627(3)(a) as established in the following guidance documents posted on the Division's
website at dopl.utah.gov/pharm:
(i) Utah
Guidance for Pre-Exposure and Post-Exposure Prophylaxis of HIV, adopted
September 28, 2021;
(ii) Utah
Guidance for Self-Administered Hormonal Contraceptives, adopted September 28,
2021;
(iii) Utah Guidance for
Tobacco Cessation Products, adopted September 28, 2021; and
(iv) Utah Guidance for Naloxone, adopted
September 28, 2021.
(b)
The Division incorporates by reference the guidance documents in Subsection
(2)(a).
(3)
(a) The Department of Health and Human
Services may submit to the Division a written proposal that includes:
(i) under Subsection
58-17b-627(3)(a),
designated public health concerns that the Department of Health and Human
Services has determined can be addressed through pharmacist prescribing of
drugs or devices; and
(ii)
recommendations for updates to the guidance documents in Subsection (2);
and
(b) after receipt of
the designation, the Division:
(i) shall
contact the Department of Health and Human Services to review its proposal;
and
(ii) may review the rules made
by the Division, including the guidance documents in Subsection (2), in
accordance with Subsections
58-17b-627(3) and (4).
(4) The Division shall review the guidance documents in Subsection (2) biennially, in collaboration with:
(a) the Board;
(b) the individuals identified in Subsection
58-17b-627(4);
and
(c) other persons as determined
by the Division.
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