201 KAR 2:300. Common database.
RELATES TO: KRS 315.020, 315.035,
315.0351
STATUTORY AUTHORITY: KRS 315.035, 315.0351,
315.191(1)(a), (f)
NECESSITY, FUNCTION, AND CONFORMITY: KRS
315.035 and 315.0351 require that prescription drugs, medicines, and pharmaceuticals
be dispensed or manufactured by a licensed pharmacist. KRS 315.191(1)(a) and
(f) authorize the Kentucky Board of Pharmacy to promulgate administrative
regulations pertaining to pharmacies; pharmacists; and the storage, retrieval,
dispensing, refilling, and transfer of prescription drug orders. This
administrative regulation establishes minimum requirements for prescription
drug orders within and between pharmacists and pharmacies.
Section 1. Definition. "Common
Database" means information shared among pharmacists and pharmacies for
the purpose of dispensing medications or providing other forms of pharmacist
care to a patient.
Section 2. The use of a common database
shall not constitute a transfer as established in 201 KAR 2:165, provided that
the following conditions are met:
(1) All pharmacies involved in the
transactions pursuant to which the prescription is dispensed shall be under common
ownership and utilize a common database;
(2) All pharmacies involved in the
transactions pursuant to which the prescription is dispensed and all pharmacies
engaging in dispensing functions shall be properly permitted in Kentucky
pursuant to KRS 315.035 or 315.0351.
(3) A pharmacist who provides a pharmacy
service on a prescription dispensed in Kentucky shall be licensed in Kentucky;
(4) The common database shall maintain a
record of all pharmacists, pharmacist interns, and pharmacy technicians involved
in the process of dispensing a prescription;
(5) The owner of the common database shall
maintain a policy and procedure manual that governs its participating
pharmacies, pharmacists, and pharmacy employees and that is available to the board
or its agents upon request within five (5) business days and which shall
include:
(a) A procedure detailing how each
pharmacy and each pharmacist accessing the common database shall comply with
applicable federal and state laws, rules, and regulations;
(b) The procedure for maintaining
appropriate records for regulatory oversight for tracking a prescription during
each stage of the filling and dispensing process, identifying the pharmacists
involved in filling and dispensing the prescription and counseling the patient,
and responding to any requests for information made by the board;
(c) The policy and procedure for providing
adequate security to protect the confidentiality and integrity of patient information;
and
(d) A quality assurance program designed
to objectively and systemically monitor, evaluate, and improve the quality and
appropriateness of patient care through the use of a common database; and
(6) A pharmacist dispensing a
prescription shall at all times exercise independent professional judgment and
shall be responsible for his or her actions and the professional actions of
those individuals the pharmacist is required to supervise. (34 Ky.R. 2252;
2390; eff. 6-6-2008.)