(1) Pharmacies that maintain a non-electronic
prescription record system shall maintain the following information in its
system for each original and refilled prescription:
(A) The date the prescription was prescribed
and the date of initial dispensing, if different;
(B) A unique, sequential prescription label
number;
(C) If applicable, a unique
readily retrievable identifier;
(D)
The name of the patient(s), or if an animal, species and owner's
name;
(E) The prescriber's name, if
an oral prescription, signature if a written or faxed prescription. Electronic
signatures shall comply with all applicable provisions of
20 CSR
2220-2.085;
(F) Name, strength and dosage of drug, device
or poison dispensed and the directions for use;
(G) The number of refills
authorized;
(H) The quantity
dispensed in weight, volume, or number of units;
(I) The date of refill, if any;
(J) The identity of the pharmacist
responsible for reviewing the accuracy of data on each original
prescription;
(K) The identity of
the pharmacist responsible for verifying the final product prior to dispensing
on each original and refill prescription, if different;
(L) Whether generic substitution has been
authorized by the prescriber;
(M)
Any change or alteration made to the prescription dispensed based on contact
with the prescriber to show a clear audit trail. This shall include, but is not
limited to, a change in quantity, directions, number of refills, or authority
to substitute a drug;
(N) The
address of the prescriber and the patient when the prescription is for a
controlled substance;
(O) The
prescriber's Drug Enforcement Administration (DEA) number when the prescription
is for a controlled substance; and
(P) If additional refills are authorized and
added to the prescription, a notation indicating the method and source of the
authorization must be a part of the manual record or hard copy, in such case
the expiration date of the original prescription shall remain the same;
and
(Q) Any prescription, when it
is for a controlled substance, must comply with all requirements of federal and
state controlled substance laws.