Prescription Transfers and Faxed Prescriptions Flashcards

1
Q

When a patient, the patient’s caregiver, or a pharmacy acting on behalf of a patient or caregiver requests the transfer of a valid prescription between pharmacies, a pharmacy, the registered PIC, and the pharmacist who receives the request for transfer shall…

A

immediately comply with the patient’s request. For purposes of this section, “immediately” shall not exceed 4 hours.

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2
Q

With the exception of the special rules for CS, a prescription may be transferred between
pharmacies, consistent with this section, for…

A

one year from the date the prescription was written, provided refills of the prescription are available.

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3
Q

A prescription for a Schedule II controlled substances may not…

A

be transferred

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4
Q

A prescription for a Schedule III, IV or V controlled substance may be transferred between pharmacies. A prescription for a Schedule III, IV or V controlled substance that has been transferred shall not be transferred…

A

a second time (only once). This prohibition shall not apply to the transfer of such prescriptions between pharmacies engaged in central prescription handling pursuant to N.J.A.C. 13:39-4.18(e) and to pharmacies that share a real-time, online database consistent with the requirements of 21 CFR 1306.25.

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5
Q

A prescription may be transferred between pharmacies for the purpose of refill dispensing by…

A

telephone, or by facsimile or electronic means as provided in N.J.A.C. 13:39-7.10 and 7.11, provided that:

1) The sending pharmacy invalidates the prescription on file as of the date the prescription is transferred and records on the back of the invalidated prescription
order or in the electronic system the following:
i) That the prescription has been transferred and the date of transfer;
ii) The name and address or store identifier of the pharmacy to which the prescription was transferred;
iii) The name or personal identifier of the pharmacist, intern or extern to whom the prescription was transferred; and
iv) The initials or personal identifier of the pharmacist, intern, or extern issuing the transferred prescription order;

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6
Q

The receiving pharmacy, upon receiving such transferred prescription directly from another pharmacy, records the following:

A

i) The name and address or store identifier and original prescription number of the
pharmacy from which the prescription was transferred;
ii) The name or personal identifier of the sending pharmacist, intern or extern;
iii) All information constituting a prescription order, as well as the following:
(1) Date of issuance of original prescription;
(2) Original number of refills authorized on original prescription;
(3) Number of valid refills remaining; and
(4) Date the prescription was last filled; and
3) The pharmacist, intern, extern, or technician at the receiving pharmacy informs the patient or caregiver that the original prescription has been cancelled at the sending pharmacy.

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7
Q

A pharmacist may accept for dispensing a facsimile prescription, consistent with the requirements of this section. For purposes of this section, “facsimile prescription” means…

A

a prescription which is transmitted by a device which sends an exact image to the receiver

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8
Q

A pharmacist shall not fill a facsimile prescription transmitted by anyone other than…

A

a practitioner authorized to prescribe medications pursuant to N.J.S.A. 45:14-40, or the prescribing practitioner’s authorized agent.

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9
Q

The facsimile machine used to receive prescriptions shall be located…

A

within the pharmacy prescription area.

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10
Q

A facsimile prescription shall contain all information required to be included on a written prescription pursuant to New Jersey State Board of Medical Examiners rule N.J.A.C.13:35-7.2(d), except that:

A

an NJPB shall not be required for the prescription

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11
Q

The facsimile transmission of the prescription shall contain the following:

A

1) The identification number of the facsimile machine which is used to transmit the prescription;
2) The date and time of the prescription transmission;
3) The name, address, telephone number and facsimile number of the pharmacy; and
4) If an authorized agent transmits the facsimile prescription, the full name and title of the transmitting agent

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12
Q

A pharmacist shall seek verbal verification of a facsimile prescription from the prescribing
practitioner whenever the pharmacist has reason to question the authenticity, accuracy, or appropriateness of the prescription. A pharmacist may accept verbal verification regarding the authenticity or legibility of a facsimile prescription from a prescribing
practitioner’s authorized agent. A pharmacist shall not…

A

fill a facsimile prescription where there is a question regarding authenticity, accuracy or appropriateness if such verification is not provided.

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13
Q

A pharmacist shall retain a printed copy of a facsimile prescription, or an electronic reproduction of the facsimile prescription that is readily retrievable and printable, for a…

A

minimum of 5 years. The printed copy shall be of non-fading legibility.

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14
Q

A pharmacist may fill a prescription for a Schedule II controlled substance transmitted by facsimile provided that the original signed prescription is presented to the pharmacist prior to the dispensing of the controlled substance, except as provided:

A

1) A prescription for a Schedule II narcotic substance prescribed for pain management
to be compounded for the direct administration to a patient by parenteral, intravenous, intramuscular, subcutaneous or intraspinal infusion may be transmitted by the practitioner or the practitioner’s agent to the dispensing pharmacy by
facsimile. The facsimile shall serve as the original written prescription and shall be
maintained pursuant to the requirements of (g) above.
2) A prescription for a Schedule II substance prescribed for pain management for a resident of a long-term care facility may be transmitted by the practitioner or the
practitioner’s agent to the dispensing pharmacy by facsimile. The facsimile shall serve as the original written prescription and shall be maintained pursuant to the requirements of (g) above.
3) A prescription for a Schedule II narcotic substance prescribed for pain management for a patient receiving services from a hospice certified by Medicare under Title XVIII or licensed by the State may be transmitted by the practitioner or the practitioner’s agent to the dispensing pharmacy by facsimile. The practitioner or the practitioner’s agent shall note on the facsimile prescription that the patient is a hospice patient.
The facsimile shall serve as the original written prescription and shall be maintained pursuant to the requirements of (g) above.

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15
Q

A pharmacist shall not enter into any agreement with a prescribing practitioner that requires that facsimile prescriptions be transmitted to a particular pharmacy or in any way denies a patient the right to have his or her prescription transmitted by facsimile…

A

to a pharmacy of the patient’s choice.

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