Chapter 480-10A CENTRAL FILLING REGULATIONS
For purposes of these Rules and Regulations, the following definitions apply:
|(1)||"Board" shall mean the Georgia Board of Pharmacy.|
|(2)||"Originating Pharmacy" shall mean the licensed retail pharmacy from which a prescription is physically received and dispensed to the patient or patient's caregiver which is outsourcing prescription filling services. This pharmacy shall be the dispensing pharmacy.|
|(3)||"Central Fill Pharmacy" shall mean a pharmacy which is permitted by the state in which it is located to prepare prescription orders for dispensing pursuant to a valid prescription transmitted to it by an originating pharmacy and to return the labeled and filled prescriptions to the originating pharmacy for delivery to the ultimate user.|
|(1)||All pharmacies providing central filling services to retail pharmacies in Georgia must be appropriately licensed in Georgia.|
|(2)|| A central fill
pharmacy shall be deemed "authorized" to fill prescriptions on behalf of an
originating pharmacy only if the parties have a contractual relationship
permitting such activity or share a common owner.
|(3)||The originating and central fill pharmacy shall be jointly responsible for all prescriptions filled utilizing central fill services.|
A licensed retail pharmacy that desires to provide and/or use central
prescription filling services must maintain policies and procedures, which are
readily retrievable for submission to the Board or Georgia Drugs and Narcotics
Agency ("GDNA") upon request.
|(1)||The transmission and labeling of controlled substance prescriptions processed utilizing central fill services must comply with all federal and state laws, rules, and regulations.|
|(2)||The originating pharmacy must comply with the minimum required information for the patient record system and all requirements of a prescription drug order as outlined in the Georgia law and Board rules prior to sending a prescription to the central fill pharmacy.|
|(3)||All prescriptions may be transmitted electronically from an originating pharmacy to a central fill pharmacy including via facsimile.|
|(4)|| All transmission records must include the
|(5)||All receipt of transmission records must include all information included in subsection 4 and the name, address, telephone number, Georgia license number, and DEA registration number (if the prescription is a controlled substance), of the originating pharmacy transmitting the prescription.|
The label affixed to the container of a dangerous drug or other non-controlled
substance filled by a central fill pharmacy must contain the following:
|(1)||The originating and central fill pharmacies must share common electronic files or have appropriate technology to allow secure access to sufficient information necessary or required to process and dispense the prescription.|
|(2)||The originating pharmacy shall be responsible for maintaining compliance with the Prescription Drug Monitoring Program for all qualifying prescriptions pursuant to O.C.G.A. § 16-13-59 including those filled utilizing central fill services.|
|(3)||The record keeping of prescriptions processed utilizing central fill services must comply with all federal and state laws, rules, and regulations.|
|(4)|| The originating pharmacy must have a
pharmacist, pharmacy intern, pharmacy extern, or pharmacy technician sign for
the receipt of all prescriptions received from the central fill pharmacy.
|(5)|| The originating pharmacy is
responsible for maintaining records of the processing of all prescriptions
entered into their information system including prescriptions filled at a
central fill pharmacy.
|(1)||It shall be the responsibility of the pharmacist on duty at the originating pharmacy to perform patient counseling of all prescriptions.|
|(2)||The central fill pharmacy shall not perform patient counseling on behalf of the originating pharmacy.|
|(1)|| An originating pharmacy that utilizes
central filling services must, prior to outsourcing the prescription, notify
patients that prescription filing may be outsourced to another pharmacy.