Section Ph 2404.02 - Recordkeeping Procedures(a) A pharmacist engaging in the initiation and dispensing of hormonal contraceptives shall maintain patient records for a minimum of 7 years.(b) Maintained patient records shall, at a minimum, include:(1) The name and date of birth of the patient;(2) A copy of the "Hormonal Contraceptive Self-Screening Questionnaire" dated November 17, 2021, completed by the patient;(3) Evidence that the patient was screened;(4) Counseling information relayed to patient;(5) Based upon patient request, evidence that the practitioner was provided with the self- screening questionnaire and notified of the drug dispensed;(6) Name, dose, strength, quantity, and directions of the hormonal contraceptive dispensed; and(7) Signature of the patient.N.H. Admin. Code § Ph 2404.02
Derived from Volume XLII Number 10, Filed March 10, 2022, Proposed by #13343, Effective 2/17/2022, Expires 2/17/2032