4729:5-5-07. Patient profiles
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All outpatient pharmacies shall maintain a patient profile system which shall provide for immediate retrieval of information regarding those patients who have received prescriptions from the pharmacy.
(A) All patient profile systems shall maintain, at a minimum, the following data:
(1) The patient's data record, which shall contain all the following information:
(a) Full name of the patient for whom the drug is intended; or, if the patient is an animal, the last name of the owner, name of animal (if applicable), and species of the animal or animals.
(b) Residential address, including the physical street address and telephone number of the patient or owner.
(c) Patient's date of birth.
(d) Patient's gender.
(e) A list of current patient-specific data consisting of at least the following, if made known to the pharmacist or agent of the pharmacist:
(i) Drug related allergies;
(ii) Previous drug reactions;
(iii) History of or active chronic conditions or disease states; and
(iv) Other drugs, including nonprescription drugs, devices, and nutritional supplements used on a routine basis.
(f) The pharmacist's comments relevant to the patient's drug therapy, including any other necessary information unique to the specific patient or drug.
(2) The patient's drug therapy record, which shall contain the following information for all prescriptions dispensed by the pharmacy within the last twelve months:
(a) The original prescription number.
(b) Date of issuance of the original prescription by the prescriber.
(c) Full name and address of the prescriber, including the physical address of the prescriber's practice location.
(d) The prescriber's credential (MD, DDS, DVM, etc.), if indicated on the prescription.
(e) Directions for use.
(f) The brand name, if any, or the generic name and the name of the manufacturer or distributor or national drug code of the drug or device dispensed;
(g) The strength, dosage form, and quantity of the drug or device dispensed.
(h) The prescriber's federal drug enforcement administration registration number, if applicable.
(i) The total number of refills authorized by the prescriber.
(j) The date of dispensing.
(k) The refill history of the prescription, including all the following:
(i) The prescription number;
(ii) The brand name, if any, or the generic name and the name of the manufacturer or distributor or national drug code of the drug or device dispensed;
(iii) The date(s) of dispensing; and
(iv) The quantity dispensed.
(B) A pharmacist or an agent of the pharmacist shall make a reasonable effort to obtain a patient's medical history necessary to conduct a prospective drug utilization review. An agent of the pharmacist described in this paragraph shall be limited to the following persons: a pharmacy intern, certified pharmacy technician, registered pharmacy technician or pharmacy technician trainee.
(C) The patient profile shall be maintained for a period of not less than one year from the date of the last entry in the profile record. This record may be a hard copy or maintained as a part of computerized system.