The following message from the Board of Pharmacy is intended for nurses who have prescribing authority. However, it is also important information for non prescribing nurses to know the new prescription pad law so they know how to recognize an appropriate Rx pad and hand the prescriber what appears to be the appropriate pad.
STATE OF WASHINGTON
DEPARTMENT OF HEALTH
Olympia, Washington 98504
DATE: September 23, 2009
TO: All health care practitioners with prescriptive and dispensing authority
FROM: Susan Teil Boyer, Executive Director, Washington State Board of Pharmacy
SUBJECT: Tamper-Resistant Prescription Pads or Paper
A new law will go into effect July 1, 2010 that requires the use of tamper-resistant pads or paper for prescriptions.
Earlier this year, Governor Gregoire signed House Bill 2014 to help improve patient safety. This law amends the pharmacy practice act, chapter 18.64 RCW. It requires all prescriptions written in Washington to be on tamper-resistant pads or paper. This requirement will reduce forged and altered prescriptions, and deter drug abuse. Physicians and pharmacists supported the bill.
Who Must Comply?
All physicians and other practitioners who have prescriptive and dispensing authority must comply with this law.
How Must They Comply?
Beginning July 1, 2010, all prescriptions must be written on tamper resistant paper approved by the Board of Pharmacy.
Pharmacists may not dispense a written prescription unless it is written on an approved prescription paper. A pharmacist may provide emergency medications in compliance with federal and state laws and rules, and any applicable health care plan restrictions and procedures.
Approved paper will have a seal of approval issued by the Washington State Board of Pharmacy. These pads or paper will have one or more industry-recognized features to prevent:
- Unauthorized copying of a completed or blank prescription form;
- The erasure or modification of information written on the prescription form by the practitioner; and
- The use of counterfeit prescription forms.
Are There Exceptions?
Yes, tamper-resistant prescription pads or paper is not required when:
- Prescriptions are transmitted to the pharmacy electronically, by telephone, or by facsimile.
Note: If a hard copy of an electronic prescription is printed and given directly to the patient or patient’s designee, the manually-signed hard copy prescription must be on approved tamper-resistant paper.
- Prescriptions are written for patients in hospitals, residential nursing homes, inpatient or residents of a metal health facilities, and correctional facilities. In these cases, the order or prescription must be given directly to the pharmacy and the patient or patient’s designee cannot have the opportunity to handle the written order or prescription.
The board is developing a review/approval process for vendors of tamper-resistant prescription pads or paper. In mid-December 2009, a list of vendors who supply board-approved tamper-resistant paper or pad will be made available on the Board of Pharmacy’s website at: http://www.doh.wa.gov/hsqa/Professions/Pharmacy/default.htm. For questions, please contact Doreen Beebe, Board of Pharmacy Program Manager, at 360.236.4834 or by email at wsbop@doh.wa.gov.