Page 28 - FPGEE Management Q&A Book

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It is the plan administrator’s responsibility to prescribing individual practitioner using his phone
provide adequate help and financial incentive to number as listed in the telephone directory and/or
pharmacists to encourage them to extend their other good faith efforts to insure his identity; and
services beyond dispensing.
(4). Within 7 days after authorizing an emergency
This way, a healthcare cost can be effectively oral prescription, the prescribing individual
controlled (e.g. by preventing drug interactions or practitioner shall cause a written prescription for
eliminating a duplicate therapy before dispensing) the emergency quantity prescribed to be delivered
and optimum therapeutic outcomes can be to the dispensing pharmacist. In addition to
achieved. conforming to the requirements of §1306.05, the
prescription shall have written on its face
3. Skill and knowledge: The lack of skill and “Authorization for Emergency Dispensing,” and the
knowledge may prevent many pharmacists from date of the oral order. The paper prescription may
offering counseling to patients. This may happen be delivered to the pharmacist in person or by mail,
when pharmacists are not in touch with their but if delivered by mail it must be postmarked
colleagues or avoid communication with other within the 7-day period.
healthcare professionals.
Upon receipt, the dispensing pharmacist must
A major barrier is the inability of pharmacists to attach this paper prescription to the oral emergency
communicate with physicians due to the prescription that had earlier been reduced to
anticipation of attitudes from prescribers. Also, writing.
pharmacists may not have all the information about
the patient’s current medication history, which may For electronic prescriptions, the pharmacist must
lead to poor communication with patients. annotate the record of the electronic prescription
with the original authorization and date of the oral
23.(c) In the case of an emergency situation a order.
pharmacist may dispense a controlled substance
listed in Schedule II upon receiving oral The pharmacist must notify the nearest office of the
authorization of a prescribing individual Administration if the prescribing individual
practitioner, provided that: practitioner fails to deliver a written prescription to
him; failure of the pharmacist to do so shall void the
(1). The quantity prescribed and dispensed is authority conferred by this paragraph to dispense
limited to the amount adequate to treat the patient without a written prescription of a prescribing
during the emergency period (dispensing beyond individual practitioner.
the emergency period must be pursuant to a paper
or electronic prescription signed by the prescribing (5). Central fill pharmacies shall not be authorized
individual practitioner); under this paragraph to prepare prescriptions for a
controlled substance listed in Schedule II upon
(2). The prescription shall be immediately reduced receiving an oral authorization from a retail
to writing by the pharmacist and shall contain all pharmacist or an individual practitioner.
information required by law, except for the
signature of the prescribing individual practitioner; 24.(d) All. Medical providers who bill Medicare,
Medicaid, and other Government programs use a
(3). If the prescribing individual practitioner is not standardized system of numerical codes for patient
known to the pharmacist, he must make a services. In this way, insurers and the Government
reasonable effort to determine that the oral do not have to work out what services were
authorization came from a registered individual provided from numerous records or from thousands
practitioner, which may include a callback to the of different types of coding or billing systems.

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