(a) Definitions specific to this Section: - (i) "Centralized prescription processing," as used in this Section, means the processing by a pharmacy of a request from another pharmacy to refill a prescription drug order or to perform functions such as prospective or retrospective drug use review, claims adjudication, refill authorizations and therapeutic interventions.
- (ii) "Dispensing pharmacy," as used in this Section, means a pharmacy that may outsource the processing of a prescription drug order to another pharmacy licensed by the Board.
- (iii) "Central fill pharmacy," as used in this Section, means a pharmacy that processes a prescription drug order that was outsourced by a dispensing pharmacy licensed by the Board.
- (iv) "Real-time," as used in this Section, means the transmission of information through data links so rapid that the information is available to the dispensing pharmacy and requesting pharmacy sites simultaneously.
(b) Minimum requirements: - (i) A dispensing pharmacy may outsource prescription drug order processing to another pharmacy licensed by the Board, provided the pharmacies:
- (B) Have entered into a written agreement, which complies with federal and state laws and regulations, specifying the services to be provided and the responsibilities and accountabilities of each pharmacy;
- (C) Share a real-time database; and
- (D) Maintain the original prescription at the dispensing pharmacy for a time period not less than two (2) years from the date last filled or refilled.
- (ii) The PIC of the central fill pharmacy shall ensure that:
- (A) The pharmacy maintains and uses storage or shipment containers and shipping processes that ensure drug stability and potency. Shipping processes shall include the use of appropriate packaging material or devices that ensure the drug is maintained at a temperature range that will maintain the integrity of the medication throughout the delivery process; and
- (B) The dispensed prescriptions are shipped in containers sealed in such a manner as to show evidence of opening or tampering.
- (iii) A resident dispensing or central fill pharmacy shall comply with the provisions of W.S. § 33-24-113 and this Section.
- (iv) A dispensing or central fill pharmacy dispensing compounded non-sterile or sterile pharmaceuticals shall comply with the provisions of Chapter 13 or Chapter 17 of these rules.
(c) Notifications to patients. A pharmacy that outsources prescription processing to another pharmacy shall: - (i) Notify patients that their prescription may be outsourced to another pharmacy prior to outsourcing the prescription via posted signage, written notification or refill telephone message; and
- (ii) If the prescription is delivered to the patient directly by the central fill pharmacy, the pharmacist employed by the central fill pharmacy shall ensure that the patient receives written notice of available counseling. Such notice shall include days and hours of availability, location of pharmacy and a toll-free telephone number the patient may utilize to contact a pharmacist for counseling or to answer questions. Such notice shall be included in each prescription delivery to a patient.
(d) Prescription labeling. - (i) The prescription label shall clearly indicate which pharmacy filled the prescription and which pharmacy dispensed the prescription; and
- (ii) The prescription label shall comply with this chapter.
(e) Policies and Procedures. A policy and procedures manual relating to centralized processing shall be maintained at both pharmacies and shall be available for inspection. Each pharmacy is required to maintain only those portions of the policy and procedure manual that relate to that pharmacy's operation. The manual shall: - (i) Outline the responsibilities of each of the pharmacies;
- (ii) Include a list of the names, addresses, telephone numbers and all license/registration numbers of the pharmacies involved in centralized prescription processing; and
- (iii) Include policies and procedures for:
- (A) Notifying patients that their prescription may be outsourced to another pharmacy for centralized prescription processing and providing the name of that pharmacy;
- (B) Protecting the confidentiality and integrity of patient information;
- (C) Dispensing prescription drug orders when the filled order is not received or the patient comes in before the order is received;
- (D) Complying with federal and state laws and regulations;
- (E) Operating a continuous quality improvement program for pharmacy services designed to objectively and systematically monitor and evaluate the quality and appropriateness of patient care, pursue opportunities to improve patient care, and resolve identified problems;
- (F) Identifying the pharmacist responsible for each aspect of prescription preparation including, but not limited to, the drug regimen review, the initial electronic entry, any changes or modifications to the prescription record or patient profile and the final check of the completed prescription;
- (G) Identifying the pharmacist responsible for making the offer to counsel the patients as required by Chapter 9 of these rules; and
- (H) Documentation of annual review of the written policies and procedures.
(f) Records. - (i) Records shall be maintained in a real-time electronic database;
- (ii) Each pharmacy shall comply with all the laws and rules relating to the maintenance of records and be able to produce an audit trail showing all prescriptions dispensed by the pharmacy and each pharmacist's or technician's involvement in dispensing;
- (iii) The dispensing pharmacy shall maintain records which indicate:
- (A) The date and time the request for processing was transmitted to the central fill pharmacy; and
- (B) The date and time the dispensed prescription was received from the central fill pharmacy by the dispensing pharmacy, including the method of delivery (e.g., private, common or contract carrier) and the name of the person accepting delivery unless shipped directly to the patient.
- (iv) The central fill pharmacy shall maintain records which indicate the date the prescription was shipped to the dispensing pharmacy or patient.
059-2 Wyo. Code R. § 2-32
Amended, Eff. 10/31/2017.