PharmacyTelepharmacy Systems and Remote Dispensing Site Pharmacies
Section § 4130
This law allows the use of telepharmacy systems to dispense prescription drugs and offer counseling services at remote locations. A license to operate such a remote dispensing site can be issued if the area is medically underserved, which means there isn't a nearby pharmacy within 10 miles. These sites must be staffed only by licensed pharmacists or technicians. They can't operate in or displace state facilities or employees, and there's a one-license limit per supervising pharmacy. If a remote site dispenses more than 225 prescriptions daily, it must transition to a full-service pharmacy.
Section § 4131
This law outlines the requirements for providing telepharmacy services between a supervising pharmacy and a remote dispensing site pharmacy. A supervising pharmacy can only oversee one remote site and must be within 150 road miles unless otherwise approved. Both pharmacies must have the same owner. The remote site should have at least one qualified pharmacy technician if no pharmacist is present, and they must be supervised by a pharmacist using technology. The same pharmacist can be in charge of both locations, and both pharmacies must be adequately staffed to ensure safe operation.
Section § 4132
This law outlines the requirements for pharmacy technicians working at remote dispensing sites in California. To qualify, technicians must have a valid pharmacy technician license, certification from an approved program, and either an associate's degree in pharmacy technology, a bachelor's degree, or completion of a specified training course. Additionally, they must have at least 2,000 hours of experience within the past two years. While at these sites, technicians can perform basic tasks under a pharmacist's supervision through a telepharmacy system but cannot perform tasks that require professional judgment or involve direct consultation with patients or prescribers. A supervising pharmacist can oversee up to two technicians at each site.
Section § 4133
This law is about telepharmacy systems, which allow prescriptions to be filled remotely under supervision. It requires proper communication tools, like audio and video, to link the main pharmacy with remote locations. Before delivering any medication, pharmacists must review and approve it, and barcode technology should be used to ensure accuracy. Counseling for patients must be done via secure audio-visual means before they receive their medication. All actions and records related to prescriptions must be stored securely for at least three years, and everything must comply with privacy laws.
Section § 4134
This law requires pharmacists to conduct monthly inspections and maintain a continuous inventory of controlled substances at remote dispensing sites to prevent loss. Controlled substances must be stored securely, and any inventory discrepancies must be reported and addressed. Regular reconciliation reports, including detailed checks of all Schedule II drugs, must be compiled every three months, reviewed, and kept on file for at least three years. If there's a loss of drugs, it's crucial to report it within specified timeframes and investigate the cause. Reports of any discrepancies or overages must be well-documented and signed by responsible parties.
Section § 4135
This law sets rules for remote pharmacy locations that aren't always open. They need an alarm or monitoring system to protect their drugs and equipment when closed. Employees can't enter unless a pharmacist is there or available through telepharmacy. They also need a record of who comes in and out, which the head pharmacist should check regularly. Additionally, these locations must keep surveillance recordings (minus patient talks) for 120 days.