A pharmacy support person shall not perform any of the
following judgmental or technical functions. Performance of any of these tasks
by a pharmacy support person shall constitute the practice of pharmacy without
a license in violation of Iowa Code section
155A.7. A pharmacy support
person shall not:
1. Provide the final
verification for the accuracy, validity, completeness, or appropriateness of a
filled prescription or medication order.
2. Conduct prospective drug use review or
evaluate a patient's medication record for purposes identified in rule
657-8.21 (155A).
3. Provide patient counseling, consultation,
or patient-specific drug information; make an offer of patient counseling on
behalf of the pharmacist; or accept a refusal of patient counseling from a
patient or patient's agent.
4. Make
decisions that require a pharmacist's professional judgment, such as
interpreting or applying information.
5. Accept by oral communication any new or
refill prescription authorizations communicated to a pharmacy by a prescriber
or by the prescriber's office or contact a prescriber to obtain prescription
refill authorizations.
6. Provide a
prescription or drug to a patient without a pharmacist's verification as to the
accuracy of the dispensed medication and without the physical presence of a
pharmacist.
7. Package, pour, or
place in a container for dispensing, sale, distribution, transfer, vending, or
barter any drug which, under federal or state laws, may be sold or dispensed
only pursuant to the prescription of a practitioner authorized to prescribe
drugs. This prohibited task includes the addition of water or other liquid for
reconstitution of oral antibiotic liquids. A pharmacy support person may place
a prescription container into a bag or sack for delivery to the patient as part
of the sales transaction after the accuracy of the prescription has been
verified by the pharmacist.
8.
Affix required prescription labels upon any container of drugs sold or
dispensed pursuant to the prescription of an authorized prescriber.
9. Process or enter, including entry into the
pharmacy computer system, pertinent clinical patient or prescription
information, including allergies and disease state information.
10. Prepackage or label multidose and
single-dose packages of drugs, including dose picks for unit dose cart fills
for hospital or long-term care facility patients.
11. Check or inspect drug supplies provided
and controlled by an Iowa-licensed pharmacy but located or maintained outside
the pharmacy department, including but not limited to drug supplies maintained
in an ambulance or other emergency medical service vehicle, a long-term care
facility, a hospital nursing unit, or a hospice facility.
12. Reconstitute prefabricated noninjectable
medication, prepare parenteral products, or compound sterile or nonsterile drug
products.
13. Communicate,
transmit, or receive patient or prescription information to or from the
pharmacy for the purpose of transferring a patient's prescription between
pharmacies.
14. Assist with or
witness the destruction or wastage of controlled substances pursuant to
657-subrule 10.22(2).
15. Perform
any technical functions pursuant to 657-Chapter 3 that may be delegated to a
pharmacy technician.
Notes
Iowa Admin. Code
r. 657-5.17
ARC 8673B, IAB
4/7/10, effective 6/1/10; ARC
9785B, IAB 10/5/11, effective 11/9/11; ARC 3637C, IAB 2/14/18, effective
3/21/18; ARC 5543C, IAB 4/7/21,
effective 5/12/21
ARC 8673B, IAB 4/7/10,
effective 6/1/10; ARC 9785B, IAB 10/5/11, effective 11/9/11
Amended by
IAB
February 14, 2018/Volume XL, Number 17, effective
3/21/2018
Amended by
IAB
April 7, 2021/Volume XLIII, Number 21, effective
5/12/2021
Rescinded by
IAB
June 11, 2025/Volume XLVII, Number 25, effective
7/16/2025