The Board's reasoning for removing these exemptions, and thus requiring the reporting of such dispensing, was based on the legislative intent of the program to capture and identify to the extent reasonable and functional all controlled substances that are dispensed to a patient to be used in the patient's personal setting. The health care system's comments included a request for the Board to retain the exemptions which exist in the current rules relating to dispensing of discharge medications from the emergency department for the patient's home use. UnityPoint expressed concern about the reporting requirements by hospital pharmacies as the requirements relate to reporting the dispensing of controlled substances at discharge or from the emergency department, citing increased costs and administrative burdens. The Association was supportive of the proposed rule making and had no suggested changes. The Board received comments from the Iowa Pharmacy Association and UnityPoint Health. Notice of Intended Action for this rule making was published in the Iowa Administrative Bulletin on January 2, 2019, as ARC 4205C. Public Comment and Changes to Rule Making Also, the specific number of authorized delegates has been removed from the rules to allow practitioners the ability to designate delegates according to practitioners' individual practice settings. To further the goal of program utilization, the Board and the PMP Advisory Council require that pharmacists who are involved in direct patient care register with the PMP simultaneous to licensure or renewal. The Board and the PMP Advisory Council also took the opportunity to conduct an overall review of the chapter as required by Iowa Code section 17A.7(2) and made changes as reflected in the new chapter to provide clarity where needed and to reorganize and simplify where appropriate. This rule making implements, in whole or in part, Iowa Code sections 124.550 to 124.558.ĭuring the 2018 Legislative Session, changes were made to the Iowa Code which affect the Iowa Prescription Monitoring Program (PMP), including a requirement that prescribing practitioners register with the PMP simultaneous to Iowa uniform controlled substances Act (CSA) registration, authorization for the Board to assess up to a 25 percent surcharge on CSA registrations to be deposited into the PMP fund, a requirement that dispensing of controlled substances by prescribers be reported to the PMP, and a requirement that administration of an opioid antagonist by a first responder be reported to the PMP. This rule making is adopted under the authority provided in Iowa Code section 124.554. The Board of Pharmacy hereby rescinds Chapter 37, "Iowa Prescription Monitoring Program," Iowa Administrative Code, and adopts a new Chapter 37 with the same title. Rule making related to prescription monitoring program
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