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States Begin to Allow ePrescribing of Controlled Substances

Wednesday, June 1, 2011 General News J E 4
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CORAL SPRINGS, Fla., June 1, 2011 /PRNewswire-USNewswire/ -- Thirty-two States have rules in place that allow electronic transmission of controlled substances, according to the ePrescribing Law Survey, the most comprehensive, up-to-date compendium of State and Federal pharmacy statutes and regulations just updated by Point-of-Care Partners (POCP).  Nearly a year ago, the Drug Enforcement Administration (DEA) issued its interim final rule.  

The ePrescribing Law Survey, updated through the first quarter of 2011, is a must-have for ePrescribing stakeholders, especially those concerned with prescriptions for controlled substances.  

"The DEA's new requirements have major implications for States, vendors and pharmacies," said Tony Schueth, POCP founder and managing partner. "Many State Boards of Pharmacy will require rules changes for one or more class of controlled substance prescriptions and many have additional requirements that exceed those imposed by the DEA. This results in nuances among the various State board regulations that need to be accounted for when programming prescribing software."

Mr. Schueth noted, for example, that Alabama and Montana require a hard-copy prescription before dispensing an electronically transmitted CII prescription, while ePrescriptions for CIII-V controlled substances currently are not allowed. In Nebraska, CII prescriptions may not be transmitted electronically, but CIII-V ePrescriptions are allowed if the Federal regulations are met and dispense-as-written wording specific to Nebraska is included on the prescription. North Dakota proposed rules to allow ePrescribing of controlled substance prescriptions before the December 2010 legislative year ended, and that measure is now in force.

The newly updated compendium also is a useful resource for policymakers, vendors, intermediaries, retail and specialty pharmacies, and other stakeholders who need to have the latest state-specific information on the changing regulatory landscape affecting ePrescribing and the exchange of prescription information across state lines.  It contains the most currently available information as of March 31, 2011, which is gleaned from Board of Pharmacy (BOP) websites and other published materials, such as pharmacy association and BOP newsletters, state health and safety codes, as well as other statutes and Medicaid rules and regulations (where applicable).  It includes:

  • State-by-state citations of the rules, regulations and statutes pertaining to electronically transmitted, faxed and printed prescriptions
  • Addresses, websites and BOP executive contact information
  • Actionable spreadsheet summarizing each Board's requirements
  • Indication of which states require written and/or in-person approval of the ePrescribing system

"In addition to providing updates on controlled substances, the law survey gives ePrescribing stakeholders details about electronic health record (EHR) prescribing that are critical and not available from but required by other sources such as certification entities," said Sherry L. Neuman, PharmD, an affiliated consultant with POCP who created the compendium and has updated it every quarter since 2006.  "For example, each state has different rules and regulations pertaining to the printing and faxing of prescriptions from computer-based clinical solutions.  If a stakeholder such as an EHR gets it wrong, a board of pharmacy could shut down ePrescribing or penalize customers."

Dr. Neuman is available to interpret the DEA's new rule and analyze State laws and regulations on a customized basis for the range of ePrescribing stakeholders.  She is among the POCP consultants who have from 15 to 25 years experience in all aspects of HIT, including strategy, management, marketing, product development, infrastructure, customer service and implementation. POCP leverages this base of in-depth knowledge and complementary skill sets to develop and execute winning strategies and management services based on lessons learned, current trends and key drivers.

POCP is a healthcare information technology (HIT) strategy and management consulting firm with in-depth expertise in ePrescribing, eMedication management, health information exchange, chronic care management, accountable care organizations and multi-stakeholder and other HIT project management

SOURCE Point-of-Care Partners

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