Sec. 10.34.40.05. Record Keeping

For a minimum of 5 years, a pharmacy whose pharmacists prescribe contraceptives shall maintain documentation, in electronic or other form, which includes:

A. The type of contraceptive prescribed, and dosage, if applicable, or the basis for not prescribing a contraceptive;

B. The name, address, and date of birth of the patient;

C. The name of the pharmacist who prescribed the contraceptive or determined a contraceptive would not be prescribed;

D. The date the contraceptive was prescribed or that the patient was advised that acontraceptive would not be prescribed;

E. A copy of the patient’s visit summary;

F. A copy of the patient’s self screening risk assessment questionnaire; and

G. The name and address of the:

(1) Patient’s primary care practitioner or reproductive health care practitioner, if provided by the patient; or

(2) Family planning provider or licensed clinician who provides reproductive health care services referred by the pharmacist, if the patient does not have a primary care practitioner or reproductive health care practitioner.