Ohio Admin. Code 4729:8-3-02 - Information required for submission
(A)
Pharmacies
pursuant to paragraphs (A) and (B) of rule
4729:8-3-01
of the Administrative Code that dispense drugs listed in Chapter 4729:8-2 of
the Administrative Code to outpatients shall report the following dispensing
information to the board of pharmacy in accordance with rule
4729:8-3-03
of the Administrative Code:
(1)
Pharmacy drug enforcement administration registration
number. If not applicable, another mutually acceptable
identifier;
(2)
Pharmacy name;
(3)
Pharmacy
address;
(4)
Pharmacy telephone number;
(5)
Patient full
name;
(6)
Patient residential address;
(7)
Patient telephone
number;
(8)
Patient date of birth;
(9)
Patient
gender;
(10)
Prescriber's full name (first name and last
name);
(11)
Prescriber's drug enforcement administration
registration number. If not applicable, another mutually acceptable
identifier;
(12)
Date prescription was issued by the
prescriber;
(13)
Date the prescription was dispensed or sold by the
pharmacy;
(14)
Indication of whether the prescription dispensed is new
or a refill;
(15)
Number of the refill being dispensed;
(16)
National drug
code of the drug dispensed;
(17)
Quantity of the
drug prescribed;
(18)
Quantity of drug dispensed;
(19)
Number of days'
supply of the drug dispensed as indicated by the prescriber pursuant to agency
4729 of the Administrative Code, except as follows:
(a)
If a days' supply
is not indicated by the prescriber, the pharmacy shall calculate and report the
number of days' supply of the drug dispensed;
(b)
If the quantity
of drug dispensed is different from the quantity indicated on the prescription,
the pharmacy shall calculate and report the number of days' supply of the drug
dispensed.
(20)
Serial or prescription number assigned to the
prescription order;
(21)
Source of payment for the prescription that indicates
one of the following: private pay (cash), medicaid, medicare, commercial
insurance, or workers' compensation;
(22)
Pharmacy
national provider identification (NPI) number;
(23)
Prescriber's
national provider identification (NPI) number, if prescriber does not have an
NPI, then another mutually acceptable identifier;
(24)
Any of the
following as indicated by the prescriber pursuant to agency 4729 of the
Administrative Code:
(a)
The ICD-10-CM medical diagnosis code of the primary
disease or condition that the controlled substance drug is being used to treat.
The code shall, at a minimum, include the first four alpha-numeric characters
of the ICD-10-CM medical diagnosis code, sometimes referred to as the category
and the etiology (ex. M 16.5 );
(b)
For dentists
licensed pursuant to Chapter 4715. of the Revised Code, the "Code on Dental
Procedures and Nomenclature" (CDT code), as published by the American dental
association, of the dental treatment requiring the controlled substance
prescription;
(c)
If no such code is indicated on the prescription, the
pharmacy shall indicate "NC" in the diagnosis data field.
(B)
Prescribers pursuant to paragraph (E) of rule
4729:8-3-01
of the Administrative Code that personally furnish drugs listed in Chapter
4729:8-2 of the Administrative Code shall report the following information to
the board of pharmacy in accordance with rule
4729:8-3-03
of the Administrative Code:
(1)
Prescriber drug enforcement administration registration
number. If not applicable, another mutually acceptable
identifier;
(2)
Prescriber full name (first and last
name);
(3)
Prescriber address;
(4)
Prescriber
telephone number;
(5)
Patient full name;
(6)
Patient
residential address;
(7)
Patient telephone number;
(8)
Patient date of
birth;
(9)
Patient gender;
(10)
Date the drug
was personally furnished by the prescriber;
(11)
National drug
code of the drug personally furnished;
(12)
Quantity of drug
personally furnished;
(13)
Number of intended days' supply of drug personally
furnished;
(14)
Source of payment for the prescription that indicates
one of the following: private pay (cash), medicaid, medicare, commercial
insurance, or workers' compensation;
(15)
Either of the
following:
(a)
The ICD-10-CM medical diagnosis code of the primary disease
or condition that the controlled substance drug is being used to treat. The
code shall, at a minimum, include the first four alpha numeric characters of
the ICD-10-CM medical diagnosis code, sometimes referred to as the category and
the etiology (ex. M 16.5 );
(b)
For dentists
licensed pursuant to Chapter 4715. of the Revised Code, the "Code on Dental
Procedures and Nomenclature" (CDT code), as published by the American dental
association, of the dental treatment requiring the controlled substance
prescription.
(C)
Drug distributors
and terminal distributors pursuant to paragraphs (C) and (D) of rule
4729:8-3-01
of the Administrative Code that sell at wholesale drugs listed in Chapter
4729:8-2 of the Administrative Code shall report the following information to
the board of pharmacy in accordance with rule
4729:8-3-03
of the Administrative Code:
(1)
Drug distributor or terminal distributor drug
enforcement administration registration number. If not applicable, then another
mutually acceptable identifier;
(2)
Purchaser's drug
enforcement administration registration number. If not applicable, then another
mutually acceptable identifier;
(3)
National drug
code number of the drug sold;
(4)
Quantity of the
drug sold;
(5)
Date of sale; and
(6)
Transaction
identifier or invoice number.
(D)
Drug distributors
shall report suspicious orders and customer information pursuant to rule
4729:6-3-05
of the Administrative Code to the drug database established in section
4729.75 of the Revised
Code.
Replaces: 4729-37-04
Notes
Promulgated Under: 119.03
Statutory Authority: 3719.28, 4729.26, 4729.84
Rule Amplifies: 4729.75, 4729.76, 4729.77, 4729.78, 4729.79, 4729.80, 4729.81, 4729.82, 4729.83, 4729.84
Prior Effective Dates: 01/01/2006, 04/27/2007, 10/19/2007, 01/01/2011, 10/27/2011, 05/22/2014, 01/15/2016, 12/01/2016
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