Section 14-7 - Daily Operations (a) A telepharmacy site may not remain open for business if an interruption in data, video or audio link occurs. Whenever an interruption in data, video, or audio link occurs, no prescription shall be dispensed and a sign shall be posted noting the closure and an estimated time when resumption of services can be expected. (b) The telepharmacy shall be staffed by a pharmacy technician or a pharmacy intern, licensed by the Board, or by a pharmacist whenever a pharmacy technician or intern is not available. Under no circumstance may the telepharmacy remain open for business unless a pharmacy technician, pharmacy intern or a pharmacist is on duty. (c) A pharmacy technician may only perform those pharmacy functions as allowed in Chapter 10 of the Board's rules. Adequate supervision shall be provided by a pharmacist at the parent pharmacy utilizing the data, video and audio link. (d) A pharmacy intern may only perform those duties as allowed in Chapter 3 of the Board's rules. Adequate supervision shall be provided by a pharmacist at the parent pharmacy utilizing the data, video and audio link. (e) Data entry may be performed at the parent pharmacy or at the telepharmacy site. All entries performed at the telepharmacy site must be verified by a pharmacist at the parent pharmacy prior to dispensing of the prescription at the telepharmacy. (f) Verification of prescriptions entered and dispensed at the telepharmacy site shall include: (i) For a new prescription, the pharmacist at the parent pharmacy, utilizing the data/audio/video link, shall review the patient profile as required by the Board's rules, the original scanned prescription, the unit of use or stock package selected to be dispensed or the prescription vial that has been filled if traditional dispensing it utilized and the directions as entered by the pharmacy technician or intern. The pharmacist shall view the label affixed to the unit of use package or prescription container to assure accuracy using the image or video link. The offer to counsel shall be made by the pharmacist; or (ii) For a refill prescription, the pharmacist at the parent pharmacy, utilizing the data/audio/video link, shall review the patient profile, the label, the filled prescription container to be dispensed and assure the label is affixed to the correct prescription container. (g) Verifications of prescriptions entered at the parent pharmacy and dispensed at the telepharmacy shall include: (i) The pharmacist shall perform a prospective drug use review of all new and refill prescriptions as outlined in the Board's rules. (ii) Utilizing the audio/video link, the pharmacist shall review the label, the stock medication container selected for dispensing, and assure the label is affixed to the correct prescription container at the telepharmacy site. (h) Counseling. (i) All patients receiving a new prescription shall be counseled by a pharmacist in the consultation room or at a private, secure computer by audio/video link with the parent pharmacy or in person if the pharmacist is on duty at the telepharmacy; (ii) All patient questions regarding medication therapy or questions regarding over-the-counter products shall be answered by a pharmacist at the parent pharmacy utilizing an audio/video link in the consultation room, at a private, secure computer, or in person if the pharmacist is on duty at the telepharmacy; (iii) All counseling performed by the pharmacist shall be in accordance with the Board's rules; and (iv) A pharmacy intern may provide counseling at the telepharmacy site provided all counseling is performed under the supervision of a pharmacist at the parent pharmacy and is conducted in the consultation room or at a private, secure computer utilizing an audio/video link to the parent pharmacy. (i) Under no circumstance may a prescription be dispensed at the telepharmacy site until all verification required by this section has been fulfilled by a pharmacist at the parent pharmacy and the prescription has been released by the pharmacist. Release of the prescription by the pharmacist at the parent pharmacy shall be documented electronically for each prescription dispensed. (j) Under no circumstance shall prescription drug samples be stored or dispensed at the telepharmacy site. 059-14 Wyo. Code R. § 14-7
Adopted, Eff. 10/31/2017.