General Rules and Regulations

Question 1

Out-of-state + Canada / Mexico practitioners

• Prescription must be ______
• Cannot fill _____ for _____ (mid-levels)

Answer 1

1. TX definition of “practitioners” includes other states, Canada, and Mexico
2. For Canada + Mexico practitioners, the prescription must be written
3. Cannot fill out-of-state controlled substance scripts for APRNs + PAs

Question 2

EMERGENCY REFILLS

• How many days?
• If disaster declared?
• Notify original prescriber?
• Just not ______

Answer 2

COULD BE APPLIED TO CIII - CV, JUST NOT CIIs

• Pharmacist’s professional judgment; may refill without prescriber authorization if:
  
  • May cause patient suffering
  • Natural / manmade disaster
  • No more than 3-day supply
  • If governor declares disaster, may give 30-day
    supply
  • Must inform patient that prescriber hasn’t
    authorized, must contact for further refills
  • Pharmacist informs practitioner of emergency
    refills ASAP