Or. Admin. Code § 855-139-0315 - Prescription: Refills
(1)
Where refill authority is given other than by the original prescription,
documentation that such refill authorization was given, the date of
authorization, and name of the authorizing prescriber or the prescriber's agent
must be recorded. This documentation must be readily retrievable. Prescriptions
for controlled substances in Schedules III, IV and V are limited to five
refills or six months from date of issue, whichever comes first.
(2) If the practitioner is not available and
in the reasonable professional judgment of the Oregon licensed Pharmacist an
emergency need for the refill of a prescription drug has been demonstrated, the
Oregon licensed Pharmacist may authorize the Certified Oregon Pharmacy
Technician or Pharmacy Technician to prepare for Pharmacist verification a
sufficient quantity of the drug consistent with the dosage regimen, provided it
is not a controlled substance, to last until a practitioner can be contacted
for authorization, but not to exceed a 72-hour supply. The practitioner must be
promptly notified of the emergency refill.
(3) Each refilling of a prescription must be
accurately documented, readily retrievable, and uniformly maintained for three
years. This record must include;
(a) The
identity of the Certified Oregon Pharmacy Technician or Pharmacy Technician and
responsible Oregon licensed Pharmacist;
(b) Name of the patient;
(c) Name of the medication;
(d) Date of refill; and
(e) Quantity dispensed.
(4) Refill quantities may be combined into a
single filling if the prescription is not for a controlled substance or
psychotherapeutic drug and the prescriber is notified of the change.
(5) A retail pharmacy may only dispense a
prescription refill upon request of the patient or patient's agent. A request
specific to each prescription medication is required, unless the requested fill
or refill is part of an auto-refill program and is a continuation of
therapy.
(6) A prescription must be
refilled in context with the approximate dosage schedule unless specifically
authorized by the prescriber.
(7)
Auto-Refill Programs. A mail order or retail pharmacy, excluding cycle-fill for
long term care, may use a program that automatically refills non-controlled
prescription medications, that have existing refills available and are
consistent with the patient's current medication therapy only when the
following conditions are met:
(a) A patient or
patient's agent must enroll each prescription medication in an auto-refill
program before a pharmacy can include the prescription medication as part of
the auto-refill program;
(b) The
prescription is not a controlled substance;
(c) The pharmacy must discontinue auto-refill
program enrollment when requested by the patient or patient's agent;
(d) Pick-up notification to a patient or
patient's agent may be generated upon completion of a prescription refill;
and
(e) When an auto-refill
prescription is returned to stock or when delivery is refused that prescription
medication is removed from the auto-refill program for that
patient.
Notes
Statutory/Other Authority: ORS 689.205 & 2022 HB 4034
Statutes/Other Implemented: ORS 689.505, ORS 689.515 & 2022 HB 4034
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