Utah Admin. Code 156-37-602

Current through Bulletin No. 2024-21, November 1, 2024
Section R156-37-602 - Records
(1)
(a) Records of controlled substances shall be kept in accordance with state and federal laws and rules for their:
(i) purchase;
(ii) distribution;
(iii) dispensing;
(iv) prescribing and
(v) administration.
(b) Prescribing practitioners shall keep accurate records for each patient reflecting:
(i) examination;
(ii) evaluation; and
(iii) treatment.
(c) Patient medical records shall:
(i) accurately reflect the prescription or administration of controlled substances in the treatment of the patient;
(ii) the purpose for which the controlled substance is utilized; and
(iii) information upon which the diagnosis is based.
(d) Practitioners shall keep records apart from patient records of each controlled substance purchased, and with respect to each controlled substance, its disposition, whether by administration or any other means, date of disposition, to whom given, and the quantity given.
(2) A licensee who experiences any theft, including diversion, or significant loss of controlled substances shall immediately:
(a) file the appropriate forms with the DEA, with a copy to the Division directed to the attention of the Investigation Bureau; and
(b) report the incident to the local law enforcement agency.
(3) Each record required by federal and state laws or rules shall be maintained by the licensee for five years. If a licensee sells or transfers ownership of records in any way, those records shall be maintained separately from other records of the new owner.
(4) Prescription records may be maintained electronically if:
(a) the original of each prescription, including telephone prescriptions, is maintained in a physical file and contains the information required by federal and state law; and
(b) an automated data processing system is used for the storage and immediate retrieval of refill information for prescription orders for controlled substances in Schedule III and IV, in accordance with federal guidelines.
(5) Each record relating to Schedule II controlled substances received, purchased, administered, or dispensed by the practitioner shall be maintained separately from other records of the pharmacy or practice.
(6) Each record relating to Schedules III, IV, and V controlled substances received, purchased, administered, or dispensed by the practitioner shall be maintained separately from other records of the pharmacy or practice.

Utah Admin. Code R156-37-602

Amended by Utah State Bulletin Number 2018-1, effective 12/11/2017
Amended by Utah State Bulletin Number 2019-2, effective 12/27/2018
Amended by Utah State Bulletin Number 2023-02, effective 1/5/2023