A patient profile record system must be maintained in all pharmacies for persons for whom filled prescription drug orders are dispensed. The patient profile record system must be designed for the immediate retrieval of information necessary for the dispensing pharmacist to identify previously dispensed medication at the time a prescription drug order is presented for dispensing. One profile record may be maintained for all members of a family living at the same address and possessing the same family name.
A reasonable effort must be made by the pharmacy to obtain, record, and maintain at least the following information regarding individuals obtaining prescription services at the pharmacy:
name, address, telephone number, date of birth or age, and gender;
individual history where significant, including disease state or states, known allergies and drug reactions, and a comprehensive list of medications and relevant devices being used showing the prescription number, the name and strength of the drug or device, the quantity and date received by the patient, and the name of the prescriber; if this information is obtained by someone other than the pharmacist, the pharmacist must review the information with the patient; and
pharmacist comments relevant to the individual's drug therapy, including, where appropriate, documentation of the following for each prescription:
the pharmaceutical care needs of the patient;
the services rendered by the pharmacist; and
the pharmacist's impression of the patient's drug therapy.
This documentation is not required for residents of a licensed nursing home where a consultant pharmacist is performing regular drug regimen reviews.
[Repealed, 27 SR 260]
Upon receiving a prescription drug order, a pharmacist shall examine the patient's profile record before dispensing the medication to determine the possibility of a harmful drug interaction or reaction.
Upon recognizing a potentially harmful interaction or reaction, the pharmacist shall take appropriate steps to avoid or resolve the problem which shall, if necessary, include consultation with the prescriber.
Upon receiving a prescription drug order, or prescription refill request for a patient, a pharmacist shall examine the patient's profile record and conduct a prospective drug review to identify:
overutilization or underutilization;
incorrect drug dosage or duration of drug treatment;
drug-allergy interactions; or
clinical abuse or misuse.
Upon recognizing any of these drug-related problems, the pharmacist shall take appropriate steps to avoid or resolve the problem which shall, if necessary, include consultation with the prescriber.
For the purpose of meeting the requirements of this subpart, a pharmacist may rely on computerized medication profile review, provided that it includes all medication dispensed by the pharmacy for the patient during at least the preceding six months. The pharmacist-in-charge must develop procedures for handling alerts generated by the computerized medication profile review and include these procedures in the written procedures required under part 6800.3950. Only a pharmacist or a pharmacist-intern working under the immediate and direct supervision of a pharmacist may override the alerts.
A patient profile record must be maintained for a period of not less than two years from the date of the last entry in the profile record. This record may be in a hard copy or a computerized form.
[Repealed, 36 SR 237]
10 SR 2007; 18 SR 1145; 27 SR 260; 36 SR 237
September 21, 2011
Official Publication of the State of Minnesota
Revisor of Statutes