N.H. Admin. Code § Ph 706.03

Current through Register No. 50, December 12, 2024

Section Ph 706.03 - Patient Counseling

(a) Pharmacists shall be required to make a reasonable attempt to counsel the patient or patient's caregiver in person or by telephone when dispensing the first fill of a new prescription in the following situations:

(1) Prescriptions for patients under the age of 13;

(2) Concentrated medications;

(3) Anticoagulant/antiplatelet medications;

(4) Endocrine medications; and

(5) Anti-infective medications.

(b) Pharmacists, pharmacy interns or New Hampshire certified technicians shall document that counselling was given.

(c) In situations where there is no direct contact with the patient or caregiver including but not limited to nursing homes, assisted living or prisons, supplemental printed information shall be provided.

(d) Upon receipt or delivery of a new prescription, where mandatory counseling is not required, and following a review of the patient's record, a pharmacist or his/her designee, shall orally offer to discuss matters which will enhance or optimize drug therapy with each patient or caregiver of such patient.

(e) Patient counseling shall:

(1) Be by the pharmacist or pharmacy intern and in person, whenever practicable, or by telephone; and

(2) Include appropriate elements of patient counseling, such as the following:

a. The name and description of the drug;

b. The dosage form, dose, route of administration, and duration of drug therapy;

c. Intended use of the drug and expected action;

d. Special directions and precautions for preparation, administration, and use by the patient;

e. Common side or adverse effects or interactions and therapeutic contraindications that might be encountered, including their avoidance, and the action required if they occur;

f. Techniques for self-monitoring drug therapy;

g. Proper storage;

h. Prescription refill information;

i. Action to be taken in the event of a missed dose; and

j. Pharmacist comments relevant to the individual's drug therapy, including any other information peculiar to the specific patient or drug.

(f) Alternative forms of patient information may be used to supplement patient counseling. Examples shall include written information leaflets, pictogram labels, or video programs.

(g) Patient counseling, as described above shall not be required for inpatients of penal institutions or inpatients of a hospital or long term care facility where other licensed health care professionals are authorized to administer the drugs and drug therapy reviews are conducted on a routine basis.

(h) A pharmacist shall not be required to counsel a patient or agent when the patient or agent refuses such consultation. However, failure to document the patient's refusal of counseling shall imply that counseling was provided.

N.H. Admin. Code § Ph 706.03

#5552 INTERIM eff 1-8-93, EXPIRES 5-8-93; ss by #5622, eff 5-8-93; ss by #6181-B, eff 2-5-96, EXPIRED: 2-5-04

New. #8316, eff 3-26-05

Amended by Volume XXXV, Number 32 Filed August 13, 2015, Proposed by #10903, Effective 8/5/2015, Expires8/5/2025.