Okla. Admin. Code § 535:10-9-2

Current through Vol. 42, No. 4, November 1, 2024

Section 535:10-9-2 - Counseling

Counseling shall be performed by the pharmacist when deemed appropriate in the pharmacist's professional judgement or when required by applicable federal or state laws or rules.

(1) Upon receipt of a new prescription drug order and following a review of the patient's record, a pharmacist shall assure that an offer is made to each patient or caregiver of such patient to discuss matters which will enhance or optimize drug therapy. Such discussion shall be in person, whenever practicable, or by telephone, and shall include appropriate elements of patient counseling. Such elements may include the following:

(A) the name and description of the drug;

(B) the dosage form, dose, route of administration, and duration of drug therapy;

(C) intended use of the drug, if known, and expected action;

(D) special directions and precautions for preparation, administration, and use by the patient;

(E) common severe side or adverse effects or interactions and therapeutic contraindications that may be encountered, including their avoidance, and the action required if they occur;

(F) techniques for self-monitoring drug therapy;

(G) proper storage;

(H) prescription refill information;

(I) action to be taken in the event of a missed dose; and

(J) pharmacist comments on patient's drug therapy.

(2) The pharmacist shall be responsible to assure that a reasonable effort is made to obtain, record, and maintain patient information generated at the individual pharmacy.

(A) This information shall include:

(i) name, address, telephone number, date of birth or age, and gender;

(ii) individual history where significant, including known allergies and drug reactions, and a comprehensive list of medications and relevant devices; and

(iii) any additional comments relevant to the patient's drug use, including any failure to accept the pharmacist's offer to counsel.

(B) The absence of any record of a failure to accept the pharmacist's offer to counsel shall be presumed to signify that such offer was accepted and that such counseling was provided;

(C) Such information may be recorded in the patient's manual or electronic profile, or in the prescription signature log, or in any other system of records.

(3) Alternative forms of information may be used to supplement patient counseling when appropriate. Examples include written information leaflets, pictogram labels, video programs, etc.

(4) Patient counseling is not required on prescription refill requests, unless deemed appropriate in the pharmacist's professional judgement.

(5) Patient counseling, as described and defined in this section, shall not be required for inpatients of a hospital or institution where other licensed health care professionals are authorized to administer the drug(s). Outpatient pharmacies in hospitals are not exempt and counseling will be required for discharged patients exiting the hospital with prescription medication.

(6) A pharmacist shall not be required to counsel a patient or caregiver when the patient or caregiver refuses such consultation.

(7) If a pharmacy is routinely filling prescriptions that are being shipped or delivered to patients in another state or if a pharmacy in another state is routinely filling and shipping prescriptions to patients in Oklahoma, the pharmacy will make a reasonable effort to call the patient and counsel by phone. A toll free phone number shall be provided for patients to call and interact with a pharmacist for drug information.

Okla. Admin. Code § 535:10-9-2

Added at 10 Ok Reg 991, eff 1-27-93 (emergency); Added at 10 Ok Reg 3167, eff 6-25-93