Chapter Phar 7

Phar 7.02(3)(a) (a) Except as provided in s. 89.068 (1) (c) 4., Stats., and as otherwise prohibited by law, a practitioner may transmit a prescription order electronically only if the patient approves the transmission and the prescription order is transmitted to a pharmacy designated by the patient. Prescription orders transmitted by facsimile machine are not considered electronic prescription orders; but rather, written prescription orders.

Phar 7.02(3)(b) (b) The prescribing practitioner’s electronic signature, or other secure method of validation shall be provided electronically with a prescription order.

Phar 7.02(4) (4) Verbal prescription. Verbal prescription orders may be received at a pharmacy via a direct conversation, telephone answering device or voice mail. The verbal prescription shall be reduced to writing or entered into a computer system under s. Phar 7.11 (2) and the prescription record shall indicate the pharmacist responsible for the accuracy of the prescription information.

Phar 7.02(5) (5) Alterations. Any alterations that modify the original intent of a prescription shall be documented including the identification of the pharmacist responsible for the alteration and the practitioner or practitioner’s delegate who authorized the alteration.

Phar 7.02 History History: CR 19-145: cr. Register December 2020 No. 780, eff. 1-1-21; correction in (1) (j), (2) (a) 9., 10. made under s. 35.17, Stats., Register December 2020 No. 780.

Phar 7.03 Phar 7.03 Drug utilization review.

Phar 7.03(1) (1) A pharmacist shall complete a drug utilization review by reviewing the patient record prior to dispensing each prescription drug order for all of the following:

Phar 7.03(1)(a) (a) Known allergies.

Phar 7.03(1)(b) (b) Rational therapy.

Phar 7.03(1)(c) (c) Contraindications.

Phar 7.03(1)(d) (d) Reasonable dose, duration of use, and route of administration, considering the age and other patient factors.

Phar 7.03(1)(e) (e) Reasonable directions for use.

Phar 7.03(1)(f) (f) Potential or actual adverse drug reactions.

Phar 7.03(1)(g) (g) Drug interactions with food, beverages, other drugs or medical conditions.

Phar 7.03(1)(h) (h) Therapeutic duplication.

Phar 7.03(1)(i) (i) Reasonable utilization and optimum therapeutic outcomes.

Phar 7.03(1)(j) (j) Potential abuse or misuse.

Phar 7.03(2) (2) Upon recognizing a concern with any of the items in sub. (1) (a) to (j), the pharmacist shall take steps to mitigate or resolve the problem.

Phar 7.03 History History: CR 19-145: cr. Register December 2020 No. 780, eff. 1-1-21; correction in (1) (d) made under s. 35.17, Stats., Register December 2020 No. 780.

Phar 7.04 Phar 7.04 Transferring prescription order information.

Phar 7.04(1) (1) General requirements.

Phar 7.04(1)(a) (a) A transfer of prescription order information between pharmacies licensed in this state or another state, for the purpose of original or refill dispensing of non-controlled substances and refills of controlled substances, may occur if all of the following conditions are satisfied:

Phar 7.04(1)(a)1. 1. The transfer of prescription order information is communicated in one of the following ways:

Phar 7.04(1)(a)1.a. a. Verbal communication between two pharmacists.

Phar 7.04(1)(a)1.b. b. Electronically or by facsimile machine between the two pharmacies.

Phar 7.04(1)(a)2. 2. A transfer of prescription information verbally shall be reduced to writing or entered into a computer system under s. Phar 7.11 (2) and the prescription record shall indicate the pharmacist responsible for the accuracy of the prescription information.

Phar 7.04(1)(b) (b) A pharmacist shall transfer a prescription upon patient request pursuant to this section.

Phar 7.04(2) (2) Non-controlled substances. The transfer of prescription order information for non-controlled substances for the purposes of original or refill dispensing is permissible pursuant to the following requirements:

Phar 7.04(2)(a) (a) The prescription record of the transferred prescription shall include the following information:

Phar 7.04(2)(a)1. 1. The word “VOID” is written on the face of the invalidated prescription order or recorded in a similar manner to “VOID” on a prescription order in a computer system meeting the requirements of s. Phar 7.11 (2) (a).

Phar 7.04(2)(a)2. 2. The name and address of the pharmacy to which it was transferred, the date and the first and last name of the pharmacist transferring the information are recorded on the invalidated prescription order or in a computer system meeting the requirements s. Phar 7.11 (2) (a).

Phar 7.04(2)(b) (b) Unless a computer system meeting the requirements in sub. (4) is used, the transferred prescription order information shall include the following:

Phar 7.04(2)(b)1. 1. The word “TRANSFER” on the face of the transferred prescription order or recorded in a similar manner in a computer system.

Phar 7.04(2)(b)2. 2. The first and last name and address of the patient, the first and last name and address of the prescribing practitioner.

Phar 7.04(2)(b)3. 3. Name, strength, form and quantity of the drug product or device prescribed and the directions for use.

Phar 7.04(2)(b)4. 4. The date of issuance of the original prescription order, the original prescription order number, the original number of refills authorized on the original prescription order and the date of original dispensing if the prescription order has previously been dispensed.

Phar 7.04(2)(b)5. 5. The number of valid refills or total quantity remaining and the date of the last refill.

Phar 7.04(2)(b)6. 6. The pharmacy’s name and address from which the prescription order information was transferred.

Phar 7.04(2)(b)7. 7. The first and last name of the pharmacist transferring and receiving the prescription order information.

Phar 7.04(3) (3) Controlled substances. The transfer of original prescription information for a controlled substance listed in Schedule III – V shall meet the following requirements:

Phar 7.04(3)(a) (a) The transfer of prescription order information is permissible only on a one-time basis. Pharmacies electronically sharing a computer system meeting the requirements of sub. (4) may transfer up to the maximum refills permitted by law and the prescriber’s authorization.

Phar 7.04(3)(b) (b) Notwithstanding sub. (1) (a), the transfer shall be communicated directly between 2 licensed pharmacists.

Phar 7.04(3)(c) (c) The transferring pharmacist shall do all of the following:

Phar 7.04(3)(c)1. 1. Write the word “VOID” on the face of the invalidated prescription. For electronic prescriptions, information that the prescription has been transferred shall be added to the prescription record.

Phar 7.04(3)(c)2. 2. Record on the reverse of the invalidated prescription or in the electronic prescription record all of the following:

Phar 7.04(3)(c)2.a. a. Name, address and DEA registration number of the pharmacy to which it was transferred.

Phar 7.04(3)(c)2.b. b. The first and last name of the pharmacist receiving the prescription order.

Phar 7.04(3)(c)3. 3. Record the date of the transfer.

Phar 7.04(3)(c)4. 4. Record the first and last name of the pharmacist transferring the information.

Phar 7.04(3)(d) (d) For paper prescriptions and prescriptions received verbally and reduced to writing by the pharmacist, the pharmacist receiving the transferred prescription information shall write the word “TRANSFER” on the face of the transferred prescription and reduce to writing all information required to be on the prescription, including all of the following:

Phar 7.04(3)(d)1. 1. Date of issuance of the original prescription order.

Phar 7.04(3)(d)2. 2. Original number of refills authorized on the original prescription order.

Phar 7.04(3)(d)3. 3. Date of original dispensing.

Phar 7.04(3)(d)4. 4. Number of valid refills remaining and the dates and locations of previous refills.

Phar 7.04(3)(d)5. 5. Pharmacy’s name, address, DEA registration number, and prescription number from which the prescription information was transferred.

Phar 7.04(3)(d)6. 6. First and last name of the pharmacist making the transfer.

Phar 7.04(3)(d)7. 7. Pharmacy’s name, address, DEA registration number, and prescription number from which the prescription was originally filled.

Phar 7.04(3)(e) (e) For electronic prescriptions being transferred electronically, the transferring pharmacist shall provide the receiving pharmacist with the original electronic prescription data and all of the following:

Phar 7.04(3)(e)1. 1. The date of the original dispensing.

Phar 7.04(3)(e)2. 2. The number of refills remaining and the dates and locations of previous refills.

Phar 7.04(3)(e)3. 3. The transferring pharmacy’s name, address, DEA registration number, and prescription number for each dispensing.

Phar 7.04(3)(e)4. 4. The first and last name of the pharmacist transferring the prescription.

Phar 7.04(3)(e)5. 5. The name, address, DEA registration number, and prescription number from the pharmacy that originally filled the prescription, if different.

Phar 7.04(4) (4) Use of shared computer system. A shared computer system used for transferring prescription order information shall, in addition to meeting the requirements of s. Phar 7.11 (2) (a), contain a shared real time electronic file database with a complete record of all prescriptions filled and dispensed.

Phar 7.04 History History: CR 19-145: cr. Register December 2020 No. 780, eff. 1-1-21; correction in (3) (d) (intro.) made under s. 35.17, Stats., Register December 2020 No. 780; CR 21-074: am. (3) (intro.) Register June 2023 No. 810, eff. 7-1-23.

Phar 7.05 Phar 7.05 Label requirements.

Phar 7.05(1) (1) This section does not apply to institutional pharmacies as defined in s. Phar 7.50 (3).

Phar 7.05(2) (2) All prescribed drugs or devices shall have a label attached to the container disclosing all of the following:

Phar 7.05(2)(a) (a) Identification of the patient by one of the following:

Phar 7.05(2)(a)1. 1. Except as provided in subds. 2. to 5., the first and last name of the patient.

Phar 7.05(2)(a)2. 2. For an antimicrobial drug dispensed under s. 450.11 (1g), Stats., the first and last name of the patient, if known, or the words, “expedited partner therapy” or the letters “EPT”.

Phar 7.05(2)(a)3. 3. For an opioid antagonist when delivered under s. 450.11 (1i), Stats., the first and last name of the person to whom the opioid antagonist is delivered.

Phar 7.05(2)(a)4. 4. For an epinephrine auto-injector prescribed under s. 118.2925 (3) or 255.07 (2), Stats., the name of the school, authorized entity, or other person specified under s. 255.07 (3), Stats.

Phar 7.05(2)(a)5. 5. If the patient is an animal, the last name of the owner, name of the animal and animal species.

Phar 7.05(2)(b) (b) Symptom or purpose for which the drug is being prescribed if the prescription order specifies the symptom or purpose.

Phar 7.05(2)(c) (c) Name and strength of the prescribed drug product or device dispensed, unless the prescribing practitioner requests omission of the name and strength of the drug product or device.

Phar 7.05(2)(d) (d) The date for which the medication shall not be used after.

Phar 7.05(2)(e) (e) Pharmacy name, address and telephone number.

Phar 7.05(2)(f) (f) Prescriber name.

Phar 7.05(2)(g) (g) Date the prescription was filled.

Phar 7.05(2)(h) (h) Prescription order number.

Phar 7.05(2)(i) (i) Quantity.

Phar 7.05(2)(j) (j) Number of refills or quantity remaining.

Phar 7.05(2)(k) (k) Directions for use of the prescribed drug or device as contained in the prescription order.

Phar 7.05(3) (3) A label for prescribed drugs or devices may include the following:

Phar 7.05(3)(a) (a) Symptom or purpose for which the drug is being prescribed if requested by the patient.

Phar 7.05(3)(b) (b) Both the generic name of the drug product equivalent and the brand name specified in the prescription order may be listed on the label if the brand name is listed on the prescription and the drug product equivalent is dispensed, unless the prescribing practitioner requests that the brand name be omitted from the label.

Phar 7.05(3)(c) (c) Written or graphic product descriptions.

Phar 7.05(3)(d) (d) Any cautions or other provisions.