Mich. Admin. Code R. 338.3166

Current through Vol. 24-16, September 15, 2024
Section R. 338.3166 - Partial dispensing of controlled substances

Rule 66.

(1) A pharmacist may partially dispense a controlled substance listed in schedule 2 in conformance with the following:
(a) The pharmacist is unable to supply the full quantity called for in a written or emergency oral prescription.
(b) The pharmacist notes the quantity supplied on the face of the written prescription, written record of the emergency oral prescription, or in the electronic prescription record.
(c) The pharmacist may dispense the remainder of the prescription within 72 hours after the first partial dispensing.
(d) If the remainder of the prescription is not or cannot be dispensed within the 72 hours, the pharmacist shall notify the prescriber.
(e) The pharmacist shall not dispense an additional quantity of the drug beyond 72 hours without a new prescription.
(f) The pharmacy has the balance of the prescription ready for dispensing before the 72-hour limit, but the patient is not required to pick up the balance of the prescription within that 72-hour limit.
(2) A pharmacist may partially dispense a prescription for a controlled substance listed in schedule 2 at the request of the patient or the prescribing practitioner in conformance with the following:
(a) The prescription is written and filled under the CSA and DEA regulations and state law.
(b) The total quantity dispensed in all partial fillings does not exceed the total quantity prescribed.
(c) The remaining portions of a partially filled prescription listed in schedule 2, if filled, must be filled not later than 30 days after the date the prescription was written.
(d) For each partial filling, the dispensing pharmacist shall record, on the back of the prescription or on another appropriate record that is uniformly maintained and readily retrievable, all of the following information:
(i) Date of the partial filling.
(ii) Quantity dispensed.
(iii) Remaining quantity that may be dispensed.
(iv) Identification of the dispensing pharmacist.
(3) A pharmacist may partially dispense, including individual dosage units, a prescription for a schedule 2 controlled substance that is written for a patient in a longterm care facility or for a patient with a medical diagnosis that documents a terminal illness in conformance with all of the following:
(a) For each partial filling, the dispensing pharmacist shall record, on the back of the prescription or on another appropriate record that is uniformly maintained and readily retrievable, all of the following information:
(i) Date of the partial filling.
(ii) Quantity dispensed.
(iii) Remaining quantity authorized to be dispensed.
(iv) Identification of the dispensing pharmacist.
(b) The total quantity of schedule 2 controlled substances dispensed in all partial fillings may not be more than the total quantity prescribed.
(c) Prescriptions are valid for a period of not more than 60 days after the issue date unless terminated at an earlier date by the discontinuance of medication.
(d) A pharmacist shall record on the prescription whether the patient is terminally ill or is a long-term care facility patient.
(4) A pharmacy may partially fill a prescription for a schedule 3, 4, or 5 controlled substance if all of the following provisions are met:
(a) Each partial filling is recorded in the same manner as a refilling.
(b) The total quantity dispensed in all partial fillings does not exceed the total quantity prescribed.
(c) No dispensing occurs 6 months after the date the prescription was issued for schedules 3, 4, and 5.

Mich. Admin. Code R. 338.3166

1979 AC; 1992 AACS; 1994 AACS; 2003 AACS; 2022 AACS; 2024 MR 10, Eff. 5/28/2024