Rule 4729:5-5-16 | Pharmacist modifications to a prescription.
(A) For a schedule II controlled substance prescription:
(1) A pharmacist shall not make changes to the drug prescribed, except for substitution permitted by law, the prescriber's signature, or the patient's name.
(2) Any other modification, except for substitution permitted by law, may only be made after consultation with and agreement of the prescriber.
(B) For a schedule III-V controlled substance prescription:
(1) Except as provided for in paragraph (D) of this rule, a pharmacist shall not make changes to the drug prescribed, except for substitution permitted by law, the prescriber's signature, or the patient's name.
(2) Any other modification, except for substitution permitted by law, may only be made after consultation with and agreement of the prescriber or the prescriber's agent.
(C) For a non-controlled substance dangerous drug prescription:
(1) Except as provided for in paragraphs (D) and (E) of this rule, a pharmacist shall not make changes to the drug prescribed, except for substitution permitted by law, the prescriber's signature, or the patient's name.
(2) Any other modification, except for substitution permitted by law or in accordance with paragraph (E) of this rule, may only be made after consultation with and agreement of the prescriber or the prescriber's agent.
(D) Except for a schedule II controlled substance prescription, a pharmacist may correct a patient's name on a prescription after consultation with and agreement of the prescriber or the prescriber's agent.
(E) For a non-controlled substance prescription, a pharmacist may change the dosage form, drug strength, drug quantity, and directions for use without consultation with and agreement of the prescriber or agent of the prescriber in accordance with the following:
(1) The drug selected must be the same drug indicated on the prescription;
(2) The drug selected must have the same frequency and duration of therapy as the drug indicated on the prescription;
(3) The prescription is for a human patient;
(4) No modifications shall be made pursuant to this paragraph if "dispense as written" or another phrase or indicator having a similar meaning is indicated on the prescription;
(5) The pharmacist who selects the drug to be dispensed pursuant to this paragraph shall assume the same responsibility for selecting the dispensed drug as would be incurred in filling a prescription for a drug using the prescribed form; and
(6) The pharmacist shall not substitute between long-acting and short-acting forms of the drug.
(F) A pharmacist may dispense a quantity of a drug in a manner that varies from the prescription in accordance with paragraph (H) of rule 4729:5-5-10 of the Administrative Code or rule 4729:5-5-12 of the Administrative Code and all applicable federal and state laws, rules, and regulations.
(G) All consultations and corresponding changes performed in accordance with this rule shall be noted by the pharmacist on the prescription or in the patient's profile and shall be communicated to the patient or patient's caregiver.
Supplemental Information