172 Neb. Admin. Code, ch. 120, § 010

Current through June 17, 2024

Section 172-120-010 - RECORDKEEPING AND INVENTORY

Drugs and devices including medicated contact lenses inventories which require a dispensing practitioner license must meet recordkeeping requirements as set out in this chapter.

010.01INVENTORY. The prescription inventory and prescription records must be maintained in a secure location when there is no optometrist on the premises. Loss of prescription inventory or prescription records due to theft or any other cause resulting from failure to secure the inventory or records are grounds for disciplinary action.

010.02INVENTORY SECURITY. The optometrist must not have in his or her dispensable inventory any contact lenses containing a pharmaceutical agent which are misbranded or adulterated.

010.03DRUG UTILIZATION REVIEW (DUR). The prescribing optometrist shall choose and implement a systematic approach for DUR. The DUR is part of the optometrist's record keeping duties.

010.04MEDICATED CONTACT LENSES. The prescribing optometrist shall make notation of the prescription for medicated contact lenses in the patient record which is a part of the optometrist's record keeping duties.

010.05MEDICATED CONTACT LENS PRESCRIPTIONS. A prescription for medicated contact lenses shall contain the following information:

(A) Patient's name;

(B) Date of the order;

(C) Name of the pharmaceutical agent contained in the contact lens;

(D) Strength of the pharmaceutical agent contained in the contact lens, if applicable,

(E) Directions for administration to the patient, including the dose to be given, and the number of authorized refills; and

(F) Prescriber's name.

010.06PRESCRIPTION FILE. The dispensing optometrist's record keeping duties include a prescription file. The prescription file as defined in 002 shall contain the original record of all dispensed prescriptions which must:

(A) Be filed, in numeric order, in a file system that excludes, as per statute, any prescription filled for Schedule II-V controlled substances or other prescription drug product that are not within Nebraska scope of practice to be dispensed in the optometrists office ;

(B) Include the following information:

(i) All information required for prescriptions as set forth in 013.03C;

(ii) Prescription serial number;

(iii) Date of initial filling;

(iv) Quantity dispensed; and

(C) Be maintained by the optometrist for five years from the date of dispensing.

010.07PATIENT CONSULTATION. The prescribing optometrist who also is dispensing the contact lens containing a pharmaceutical agent shall take steps to insure adequate doctor-patient consultation on drug utilization instructions related to medicated contact lenses. The optometrist shall make a verbal offer to counsel to the patient or to counsel the patient's caregiver. Patient counseling shall occur, unless one of the following is documented:

(A) The contact lens containing a pharmaceutical agent is being administered by a health care professional credentialed by the Department to a resident of a hospital or a longterm care facility;

(B) Patient or caregiver refuses to be counseled; or

(C) Optometrist, in his/her professional judgment, determines that counseling could harm or injure the patient.

172 Neb. Admin. Code, ch. 120, § 010

Amended effective 3/21/2022