Wisconsin Administrative Code
Controlled Substances Board
Chapter CSB 4 - Prescription Drug Monitoring Program
Section CSB 4.04 - Compilation of dispensing data
Universal Citation: WI Admin Code ยง CSB 4.04
Current through February 26, 2024
(1) As used in this section:
(a) "DEA registration number" means
the registration number issued to a dispenser or practitioner by the federal
department of justice, drug enforcement administration.
(c) "NDC number" means national drug code
number, the universal product identifier used in the U.S. to identify a
specific drug product.
(2) Subject to s. CSB 4.08, a dispenser shall compile dispensing data that contains all of the following information each time the dispenser dispenses a monitored prescription drug:
(a) The
dispenser's full name.
(b) The
dispenser's DEA registration number.
(c) The date dispensed.
(d) The prescription number.
(e) The NDC number of the monitored
prescription drug.
(f) The quantity
dispensed.
(g) The estimated number
of days of drug therapy.
(gb) The
drug dosage units.
(gd) The partial
fill indicator.
(ge) The
classification code for payment type.
(gm) The number of refills authorized by the
prescriber.
(gs) The refill number
of the prescription.
(h) The
practitioner's full name.
(i) The
practitioner's DEA registration number.
(j) The date prescribed.
(l) The patient's full name or if the patient
is an animal, the animal's name and the owner's last name.
(m) The patient's address, or if the patient
is an animal, patient's owner's address, including street address, city, state,
and ZIP code.
(n) The patient's
date of birth, or if the patient is an animal, patient's owner's date of
birth.
(o) The patient's
gender.
(p) The name recorded under
s.
450.11(1b)
(bm), Stats.
(4) The board may refer a dispenser and dispenser delegate that fail to compile dispensing data as required by sub. (2) to the appropriate licensing or regulatory board for discipline.
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