Other Settings: Misc

Question 1

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Misc: Correctional Facilities Dispensing Rules?

Answer 1

• Dispensed only from original/properly verified Rx
• Single unit, Unit Dose, or Med Pak must be packaged/labeled by pharmacy staff and administered by licensed healthcare professional
• Administation Documented in MAR (Medication Administration Record)

Question 2

Misc: Veterinary/Animal Dispensing Rules?

Answer 2

Dispensed only with valid veternarian-patient relationship

Question 3

Misc: ER/Urgent Care Dispensing Rules?

Answer 3

• Only RPh / Prescriber Can Dispense
• Licensed Nurse Can Dispense Under Prescriber Supervision
• Iowa Deparment of Public Health can Dispense 72 Hour Drug Supply in Cases of Sexual Assault
• Emergencies w/o Prescriber: Nurse can call on-call prescriber which can authorize nurse to administer controlled substance
• Use of Outpatient Point-of-Care Automated Dispensing System (OPCADS): can only use if outpatient pharmacy isn’t located within 15 miles of hospital and limited to 72 hours supply or lowest commercially available package size

Question 4

Misc: Home Health Agency / Hospice Emergency Drug Dispensing Rules?

Answer 4

• IA Licensed Pharmacist Can Dispense Emergency Drug Supply to Hospice/Home Health Agency
• Pharmacist & Director of Hospice/Home Health Agency Jointly Determine List of Necessary Emergency Drugs

Question 5

Misc: International Drug Source Rules

Answer 5

Not Specified

Question 6

Misc: PBM Rules

Answer 6

Timely payments of “clean claims”:
* within 20 (electronic) or 30 (paper) days
On-Site Audits:
* 1 week written notification to pharmacy
Period Covered by Audit:
* Not to exceed 2 yeras from date claim submitted
Audit May Not Be Scheduled:
* During first 7 calendar days of any month unless pharmacy consents
Preliminary Report:
* 120 days to deliver pharmacy audit
* 30 days for pharmacy to file documentation/discrepancy
* 6 months for final report

Question 7

Misc: Mandatory Reporter Rules?

Answer 7

Pharmacists qualifies as a mandatory reporter under Iowa Code section 232.69 or 235B.16:
* Mandatory training for identifiying / reporting abuse

Question 8

Misc: Continuous Quality Improvement Program Rules?

Answer 8

Every licensed pharmacy is required to participate in a Continuous Quality Improvement Program:
* Identify Methods for Improving Rx Errors, Patient Use, & Quality Improvement