Or. Admin. R. 855-139-0315

Current through Register Vol. 63, No. 8, August 1, 2024

Section 855-139-0315 - Prescription: Refills

(1) Where refill authority is given other than by the original prescription, documentation that such refill authorization was given, the date of authorization, and name of the authorizing prescriber or the prescriber's agent must be recorded. This documentation must be readily retrievable. Prescriptions for controlled substances in Schedules III, IV and V are limited to five refills or six months from date of issue, whichever comes first.

(2) If the practitioner is not available and in the reasonable professional judgment of the Oregon licensed Pharmacist an emergency need for the refill of a prescription drug has been demonstrated, the Oregon licensed Pharmacist may authorize the Certified Oregon Pharmacy Technician or Pharmacy Technician to prepare for Pharmacist verification a sufficient quantity of the drug consistent with the dosage regimen, provided it is not a controlled substance, to last until a practitioner can be contacted for authorization, but not to exceed a 72-hour supply. The practitioner must be promptly notified of the emergency refill.

(3) Each refilling of a prescription must be accurately documented, readily retrievable, and uniformly maintained for three years. This record must include;

(a) The identity of the Certified Oregon Pharmacy Technician or Pharmacy Technician and responsible Oregon licensed Pharmacist;

(b) Name of the patient;

(c) Name of the medication;

(d) Date of refill; and

(e) Quantity dispensed.

(4) Refill quantities may be combined into a single filling if the prescription is not for a controlled substance or psychotherapeutic drug and the prescriber is notified of the change.

(5) A retail pharmacy may only dispense a prescription refill upon request of the patient or patient's agent. A request specific to each prescription medication is required, unless the requested fill or refill is part of an auto-refill program and is a continuation of therapy.

(6) A prescription must be refilled in context with the approximate dosage schedule unless specifically authorized by the prescriber.

(7) Auto-Refill Programs. A mail order or retail pharmacy, excluding cycle-fill for long term care, may use a program that automatically refills non-controlled prescription medications, that have existing refills available and are consistent with the patient's current medication therapy only when the following conditions are met:

(a) A patient or patient's agent must enroll each prescription medication in an auto-refill program before a pharmacy can include the prescription medication as part of the auto-refill program;

(b) The prescription is not a controlled substance;

(c) The pharmacy must discontinue auto-refill program enrollment when requested by the patient or patient's agent;

(d) Pick-up notification to a patient or patient's agent may be generated upon completion of a prescription refill; and

(e) When an auto-refill prescription is returned to stock or when delivery is refused that prescription medication is removed from the auto-refill program for that patient.

Or. Admin. R. 855-139-0315

BP 43-2021, adopt filed 12/16/2021, effective 1/1/2022; BP 26-2022, temporary amend filed 04/22/2022, effective 4/22/2022 through 10/18/2022; BP 36-2022, amend filed 06/15/2022, effective 6/16/2022

Statutory/Other Authority: ORS 689.205 & 2022 HB 4034

Statutes/Other Implemented: ORS 689.505, ORS 689.515 & 2022 HB 4034