059-14 Wyo. Code R. §§ 14-6 - Minimum Structural, Security and Equipment Requirements to Operate a Telepharmacy

(a) All telepharmacies operating in Wyoming shall meet the following structural requirements:

(i) Shall consist of an area of no less than 150 square feet exclusive of the patient consulting room;

(ii) Shall have a means of delivering a private, secure consultation;

(iii) Shall include a sink with a hot and cold water supply, exclusive of restroom facilities, with approved sewage disposal;

(iv) Shall be properly lighted and ventilated. The temperature of the telepharmacy shall be maintained within a range compatible with the proper storage of pharmaceuticals; and

(v) Shall have adequate shelving and counter space on which to work and the working surface shall be kept clear and uncluttered at all times.

(b) All telepharmacies operating in Wyoming shall meet the following security requirements:

(i) Shall be secured with solid core or metal doors with a deadbolt and a locking doorknob;

(ii) Shall have in place dedicated intrusion detectors, which provide coverage throughout the telepharmacy;

(iii) Shall have telepharmacy walls which extend to the roof or adjoining floor if a multistory building, or provide security acceptable to the Board;

(iv) Shall meet all other applicable federal or state regulations concerning security access; and

(v) Shall store controlled substances in a lockable cabinet which is securely fastened to the structure.

(c) All telepharmacies operating in Wyoming shall meet the following equipment requirements:

(i) A computer, scanner, and printer which meet the following requirements:

(A) All prescription data shall be processed utilizing the aforementioned electronic data processing equipment;

(B) All new prescriptions shall be scanned, sequentially numbered and the prescription labels shall be produced on site;

(C) Scanned prescription shall be displayable on the computer terminal at both the telepharmacy and parent pharmacy. Scanned prescriptions must be available for review for every new and refill prescription processed at the telepharmacy;

(D) All patient demographics, as well as all prescription information, shall be viewable at both the telepharmacy and parent pharmacy in a real time mode;

(E) Prescriptions dispensed at the telepharmacy site shall be distinguishable from those dispensed at the parent pharmacy including a unique label with a unique identifier in the prescription data base. Furthermore, the initials of the pharmacist who releases the prescription from the parent pharmacy shall appear on the prescription label;

(F) Video monitors used for the proper identification of and communication and consultation with persons receiving prescription drugs shall be a minimum of twelve inches (12") wide, be of high definition, and provided at both the telepharmacy and the parent pharmacy for direct visual contact between the pharmacist and the patient or the patient's agent; and

(G) The video and audio communication system used to counsel and interact with each patient or patient's caregiver shall be secure and HIPAA-compliant.

(ii) A real time data, video, and audio link with the parent pharmacy at all times the telepharmacy is open for business;

(iii) Fax capability;

(iv) Any automated dispensing device shall be approved by the Board prior to installation;

(v) A separate refrigerator located in the telepharmacy, which is sufficient in capacity to serve the needs of the telepharmacy that is equipped with a thermometer and provides a storage temperature of 36-46 degrees Fahrenheit (2-8 degrees Centigrade). The use of such refrigerator shall be limited to the storage of drugs. If a freezer compartment is utilized, it must maintain a temperature of -13 to +14 degrees Fahrenheit (-20 to -10 degrees Centigrade); and

(vi) Access to a current set of Wyoming pharmacy laws and Wyoming State Board of Pharmacy Newsletter by access to the Board's website.

(d) Upon written request and for good cause, the Board may waive any of the requirements of this chapter. A waiver that is granted under this section shall only be effective when issued by the Board in writing.

Notes

059-14 Wyo. Code R. §§ 14-6

Amended, Eff. 10/31/2017.