Class J: Shared Services Policy and Procedures
Missourirule20CSR2220-2.650establishestheauthorityofpharmaciestoprocess a request from another pharmacy to fill or refill a prescription drug order, or perform or assist in the performance of functions associated with the dispensing process, drug utilization review (DUR), claim adjudication, refill authorizations, and therapeutic interventions. The following policy outlines all aspects related to theses sharedservices.
For the purpose of this policy, the shared information will be for:
•Informational purposes to aid pharmacists and pharmacy staff in counseling patient and performing DUR related activities when a patient receives a compounded medication from one of the otherlocations.
•Shared locations assisting with verification of new, scanned prescription orders at other locations. As required by law, the final verification of all prescriptions will be completed onsite.
This manual shall be reviewed annually and be available for inspection by the State Board of Pharmacy or authorized representative.
Pharmacy Requirements
Pursuant to section (1) of Missouri rule 20 CSR 2220-2.650, a pharmacy performing or outsourcing centralized prescription processing services must:
•Have the sameowner;
•Maintain separatelicenses;
•Share a common electric file to allow access to sufficient information necessary or required fill or refill a prescription drug order;
•Maintain adequate security to protect the confidentiality and integrity of patientinformationasdescribedinWilkinsonPharmacy,Inc.HIPAApolicies.
Record Keeping System
•Only a licensed pharmacist or technician under the direct supervision of a pharmacist may fill aprescription
•The pharmacists at both locations have a corresponding responsibility to ensure that prescriptions were issued for a legitimate medical purpose by an individual practitioner acting in the usual course of professional practice and otherwise in the manner specified by DEAregulations.
Central Fill/Compounds
The requesting pharmacy must:
•Ensure that all information required to be on a prescription is transmitted to the central fill pharmacy (either on the face of the prescription or in the electronic transmission ofinformation)
•Maintain the original prescription for a period of two years from the date the prescription was lastrefilled
•ForschedulesIII-Vprescriptions,indicateintheinformationtransmitted the number of refills already dispensed and the number of refills remaining (refills forschedule II prescriptions are not permitted).
•Prescriptions may be sent to the compounding pharmacy via electronic methods including fax. The following must be recorded on the transmission or face of the prescription using the Central Fill Fax Form located on theportal:
•The word "CENTRAL FILL" must be printed on the face of the originalprescription
•The name and address of the compounding pharmacy to which the prescription has beentransmitted
•The DEA registration number of the compounding pharmacy (if controlled)
•Thenameoftheretailpharmacy,pharmacisttransmitting the prescription, and the date oftransmittal;
The central fill pharmacy receiving thetransmitted prescription must:
•Keepacopyoftheprescription(ifsentviafacsimile)oranelectronic record of all the information transmitted by the retail pharmacy, includingthename,address,andtheDEAregistrationnumberofthe retail pharmacy transmitting theprescription;
•Keep a record of the date of receipt of the transmitted prescription, the name of the licensed pharmacist filling the prescription, and dates of filling or refilling of the prescription; and
•Keep a record of the date the filled prescription was delivered to the retail pharmacy and the method of delivery (see attachedform).
The receiving pharmacy must:
•Keep a record of receipt of the filled prescription, including the date of receipt, the method of delivery (see attached form) and the name of the retailpharmacyemployeeandsupervisingpharmacistacceptingdelivery and counselingauthority.
Quality Assurance
•The director will conduct an on-site review of each location annually to ensure all parties are meeting all company, state, and federal regulations
•The compounding pharmacy will keep a separate Quality Assurance Policy andProcedures.
•Any product complaints will be documented in writing and sent to the compounding location for review. These documents will be retained with the original prescription and delivery information as described above in Record Keeping at bothlocations.
Authorized Locations for shared services:
#110
AuBurn Pharmacy, Inc.
13351 Mission Rd
Leawood, KS 66209-1753
#125
AuBurn Pharmacy, Inc.
625 Main St
Mound City, KS66056-9100
#130
AuBurn Pharmacy, Inc.
311 N. Hospital Dr.
Paola, KS 66071
#135
AuBurn Pharmacy, Inc.
1011 Baptiste Dr
Paola, KS 66071-1342
#145
AuBurn Pharmacy, Inc.
601 Main St.PO BOX 705
Wellsville, KS 66092-9201
#155
AuBurn Pharmacy, Inc.
429 N Maple St
Garnett, KS 66032-1074
#115
AuBurn Pharmacy, Inc.
6 S Metcalf Rd
Louisburg, KS 66053-4116
#127
AuBurn Pharmacy, Inc.
20375 W 151st St, Ste 100A
Olathe, KS 66061-5353
#140
AuBurn Pharmacy, Inc.
310 E 15th St
Eudora, KS 66025-9540
#150
Baldwin City TrueCare Pharmacy, Inc.
400 Ames St
Baldwin City, KS 66006-3099
#160
AuBurn Pharmacy, Inc.
2020 Main St
Parsons, KS 67357-2700
#165
AuBurn Pharmacy, Inc.
211 Main StPO Box 246
Carbondale, KS 66414-9714
#175
AuBurn Pharmacy Abilene LLC
1812 N Buckeye Ave
PO Box 153
Abilene, KS 67410-1570
#185
AuBurn Pharmacy, Inc.
1526 Lincoln St
PO Box 388
Concordia, KS 66901-4830
#192
AuBurn Pharmacy, Inc.
209 W 2nd St
PO Box 135
Minneapolis, KS 67467-2311
#230
AuBurn Pharmacy, Inc.
9107 NW 45 HWY
Parkville, MO 64152-3958
#245
Wilkinson Pharmacy, Inc.
105 South Oak
Nevada, MO 64772
#255
AuBurn Pharmacy, Inc.
605A West 12th
Lamar, MO 64759
#265
AuBurn Pharmacy, Inc.
113 West 2nd
Holden, MO 64040
#360
AuBurn Pharmacy, Inc.
429 N Maple St
Garnett, KS66032-1074
#170
AuBurn Pharmacy Osage, LLC
890 Lakin St
Osage City, KS 66523-1152
#180
AuBurn Pharmacy Abilene LLC
304 N Broadway St
Abilene, KS 67410-2617
#190
AuBurn Pharmacy, Inc.
216 N Harrison St
PO Box 309
Lindsborg, KS 67456-2216
#210
AuBurn Pharmacy, Inc.
16611 E 23rd ST S
Independence, MO 64055-1922
#240
AuBurn Pharmacy, Inc.
125 S. Washington, Ste 200
Nevada, MO 64772
#250
AuBurn Pharmacy, Inc.
301 North 14th
Rich Hill, MO 64779
#260
AuBurn Pharmacy, Inc.
200 East Highway 54
El Dorado Springs, MO 64744
#280
AuBurn Pharmacy, Inc.
113 East US Hwy 54
Camdenton, MO 65020
Sources:
http:/ / .gov/pubs/ manual s/ pharm2/pharm content.htm
20 CSR 2220-2.650 Standards of Operation for a Class J: Shared Services Pharmacy