Mich. Admin. Code R. 338.3665

Current through Vol. 24-21, December 1, 2024

Section R. 338.3665 - Performance of activities and functions; delegation

Rule 15. In addition to performing the functions described in section 17739

(1) of the code, MCL 333.17739, a licensed pharmacy technician may also engage in the following tasks, under the delegation and supervision of a licensed pharmacist:

(a) Reconstitute non-sterile dosage forms consistent with approved labeling provided by the manufacturer of a commercially available product.

(b) Provide technology-assisted final product verification, which includes all the following:

(i) A properly trained pharmacy technician performing final product verification with the use of bar coding or another error prevention technology.

(ii) The licensed pharmacy technician providing final product verification is subject to all of the following requirements:

(A) The licensed pharmacy technician holds a current full or limited pharmacy technician license in this state.

(B) Before performing final product verification the full or limited licensed pharmacy technician meets 1 of the following:

(1) Has accrued not less than 1,000 hours of pharmacy technician work experience in the same type of pharmacy practice site where the technology-assisted final product verification will be performed while the pharmacy technician holds a current full pharmacy technician license, a temporary license, a limited license, or is in training in this state.

(2) Has completed a final product verification training program that includes at least all of the following:

(i) The role of a pharmacy technician in the product verification process.

(ii) The legal requirements and liabilities of a final verification technician.

(iii) The use of technology assisted verification systems.

(iv) The primary causes of medication errors and misfills.

(v) The identification and resolution of dispensing errors.

(C) The practice setting where a licensed pharmacy technician performs final product verification has in place policies and procedures including a quality assurance plan governing pharmacy technician technology-assisted final product verification.

(D) The technology enabled verification system must document and electronically record each step of the prescription process including which individuals complete each step.

(E) A licensed pharmacy technician shall not perform technology-assisted final product verification for sterile or nonsterile compounding.

(F) Technology-assisted final product verification by a licensed pharmacy technician is not limited to a practice setting.

(G) A pharmacist using professional judgment may choose to delegate technology-assisted final product verification after ensuring licensed pharmacy technicians have completed and documented relevant training or work experience.

(c) Access the electronic database of a pharmacy from inside or outside of the pharmacy to perform the delegated tasks in paragraph (iii) of this subdivision related to prescription processing functions outside of the personal charge of a pharmacist.

(i) A pharmacy technician remotely performing the tasks in paragraph (iii) of this subdivision must be supervised by a licensed pharmacist.

(ii) The remote supervision in paragraph (i) of this subdivision means that a pharmacist directs and controls the actions of the remote technician using technology to ensure the supervising pharmacist does both of the following:

(A) Is readily and continuously available to answer questions, review the practice of the supervised pharmacy technician, provide consultation, review records, and educate the pharmacy technician in the performance of functions.

(B) Has established predetermined procedures and drug protocol governing any activity performed remotely including protection of patient confidentiality.

(iii) Delegated tasks relating to prescription processing functions include, but are not limited to, the following:

(A) Verification of a patient's medication history.

(B) Data entry regarding processing prescription data and patient data.

(C) Claims adjudication.

(D) Handling phone calls regarding processing prescription data and patient data.

(E) Processing refill requests.

(F) Technology-assisted final product verification.

(G) Transferring prescriptions for non-controlled substances.

Mich. Admin. Code R. 338.3665

2016 AACS; 2021 AACS; 2023 MR 19, Eff. 10/2/2023