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