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First Substitute S.B. 203

This document includes Senate Committee Amendments incorporated into the bill on Mon, Feb 25, 2013 at 2:03 PM by lpoole. -->

Senator Patricia W. Jones proposes the following substitute bill:





Chief Sponsor: Patricia W. Jones

House Sponsor: Paul Ray


             8      LONG TITLE
             9      General Description:
             10          This bill directs the Division of Occupational and Professional Licensing (DOPL) to
             11      offer information on the DOPL pharmacy website encouraging the inclusion of
             12      information on prescription drug labels that would aid emergency responders with
             13      patient condition identification and assist physicians and consumers.
             14      Highlighted Provisions:
             15          This bill:
             16          .    directs DOPL to offer information on the DOPL pharmacy website encouraging
             17      prescribers, pharmacists, and pharmacy interns to include information relating to the
             18      condition the prescription is meant to treat on certain prescription drug labels; and
             19          .    directs prescribers to encourage pharmacists and pharmacy interns to include
             20      information relating to the condition the prescription is meant to treat on certain
             21      prescription drug labels.
             22      Money Appropriated in this Bill:
             23          None
             24      Other Special Clauses:
             25          None

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     Utah Code Sections Affected:
             27      AMENDS:
             28          58-17b-602, as last amended by Laws of Utah 2009, Chapter 151
             29      ENACTS:
             30          58-17b-602.5, Utah Code Annotated 1953

             32      Be it enacted by the Legislature of the state of Utah:
             33          Section 1. Section 58-17b-602 is amended to read:
             34           58-17b-602. Prescription orders -- Information required -- Alteration -- Labels --
             35      Signatures -- Dispensing in pharmacies.
             36          (1) Except as provided in Section 58-1-501.3 , the minimum information that shall be
             37      included in a prescription order, and that may be defined by rule, is:
             38          (a) the prescriber's name, address, and telephone number, and, if the order is for a
             39      controlled substance, the patient's age and the prescriber's DEA number;
             40          (b) the patient's name and address or, in the case of an animal, the name of the owner
             41      and species of the animal;
             42          (c) the date of issuance;
             43          (d) the name of the medication or device prescribed and dispensing instructions, if
             44      necessary;
             45          (e) the directions, if appropriate, for the use of the prescription by the patient or animal
             46      and any refill, special labeling, or other instructions;
             47          (f) the prescriber's signature if the prescription order is written;
             48          (g) if the order is an electronically transmitted prescription order, the prescribing
             49      practitioner's electronic signature; and
             50          (h) if the order is a hard copy prescription order generated from electronic media, the
             51      prescribing practitioner's electronic or manual signature.
             52          (2) The requirement of Subsection (1)(a) does not apply to prescription orders
             53      dispensed for inpatients by hospital pharmacies if the prescriber is a current member of the
             54      hospital staff and the prescription order is on file in the patient's medical record.
             55          (3) Unless it is for a Schedule II controlled substance, a prescription order may be
             56      dispensed by a pharmacist or pharmacy intern upon an oral prescription of a practitioner only if

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     the oral prescription is promptly reduced to writing.
             58          (4) (a) Except as provided under Subsection (4)(b), a pharmacist or pharmacy intern
             59      may not dispense or compound any prescription of a practitioner if the prescription shows
             60      evidence of alteration, erasure, or addition by any person other than the person writing the
             61      prescription.
             62          (b) A pharmacist or pharmacy intern dispensing or compounding a prescription may
             63      alter or make additions to the prescription after receiving permission of the prescriber and may
             64      make entries or additions on the prescription required by law or necessitated in the
             65      compounding and dispensing procedures.
             66          (5) Each drug dispensed shall have a label securely affixed to the container indicating
             67      the following minimum information:
             68          (a) the name, address, and telephone number of the pharmacy;
             69          (b) the serial number of the prescription as assigned by the dispensing pharmacy;
             70          (c) the filling date of the prescription or its last dispensing date;
             71          (d) the name of the patient, or in the case of an animal, the name of the owner and
             72      species of the animal;
             73          (e) the name of the prescriber;
             74          (f) the directions for use and cautionary statements, if any, which are contained in the
             75      prescription order or are needed;
             76          (g) except as provided in Subsection (6), the trade, generic, or chemical name, amount
             77      dispensed and the strength of dosage form, but if multiple ingredient products with established
             78      proprietary or nonproprietary names are prescribed, those products' names may be used; and
             79          (h) the beyond use date.
             80          (6) If the prescriber specifically indicates the name of the prescription product should
             81      not appear on the label, then any of the trade, generic, chemical, established proprietary, and
             82      established nonproprietary names and the strength of dosage form may not be included.
             83          (7) Prescribers are encouraged to include on prescription labels the information
             84      described in Section 58-17b-602.5 in accordance with the provisions of that section.
             85          [(7)] (8) Except when it is delivered to the ultimate user via the United States Postal
             86      Service, licensed common carrier, or supportive personnel, a prescription drug may be
             87      dispensed to the ultimate user or his agent only at a licensed pharmacy.

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Senate Committee Amendments 2-25-2013 lp/akj
         Section 2. Section 58-17b-602.5 is enacted to read:
             89          58-17b-602.5. Information on prescription labels -- Education outreach.
             90          The division, in order to assist emergency responders in quickly determining the
             91      physical condition of a patient at the scene of an emergency, as well as for the benefit of
             92      physicians and consumers, shall:
             93          (1) provide information on the pharmacy licensing website recommending that
             94      prescribers, pharmacists, and pharmacy interns include information on the label of a drug
             95      dispensed under Section 58-17b-602 describing the condition the prescription is meant to treat;
             96      and
             97          (2) as part of the website information, specify that information described in Subsection
             98      (1) should not be included on the label if S. [ :
             99          (a) the prescription order does not include a refill; or
             100          (b)
] .S
the prescriber or patient indicates that the information may not be included on the
             101      label.

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