PDFWAC 246-945-010

Prescription and chart orderMinimum requirements.

(1) For the purposes of this section, prescription does not include chart orders as defined in RCW 18.64.011(3).
(2) For the purposes of WAC 246-945-010 through 246-945-013, prescription includes written and electronic prescriptions.
(3) A prescription for a noncontrolled legend drug must include, but is not limited to, the following:
(a) Prescriber's name;
(b) Name of patient, authorized entity, or animal name and species;
(c) Date of issuance;
(d) Drug name, strength, and quantity;
(e) Directions for use;
(f) Number of refills (if any);
(g) Instruction on whether or not a therapeutically equivalent generic drug or interchangeable biological product may be substituted, unless substitution is permitted under a prior-consent authorization;
(h) Prescriber's manual or electronic signature, or prescriber's authorized agent signature if allowed by law; and
(i) If the prescription is written, it must be written on tamper-resistant prescription pad or paper approved by the commission pursuant to RCW 18.64.500;
(4) A prescription for a controlled substance must include all the information listed in subsection (3) of this section and the following:
(a) Patient's address;
(b) Dosage form;
(c) Prescriber's address;
(d) Prescriber's DEA registration number; and
(e) Any other requirements listed in 21 C.F.R. Secs. 1300 through 1399 in effect as of March 7, 2024.
(5) A chart order must meet the requirements of RCW 18.64.550 and any other applicable requirements listed in 21 C.F.R. Secs. 1300 through 1399 in effect as of March 7, 2024.
(6) A controlled substance listed in Schedule II can only be dispensed pursuant to a valid prescription in accordance with WAC 246-945-011 unless there is an "emergency."
(a) For the purposes of this subsection, an "emergency" exists when the immediate administration of the drug is necessary for proper treatment and no alternative treatment is available, and further, it is not possible for the practitioner to provide a written or electronic prescription for the drug at that time.
(b) If a Schedule II drug is dispensed in an emergency, the practitioner shall deliver a signed prescription to the dispenser within seven days after authorizing an emergency oral prescription or if delivered by mail it must be postmarked within the seven day period, and further the pharmacist shall note on the prescription that it was filled on an emergency basis.
(7) A controlled substance listed in Schedule III, IV, or V, can only be dispensed pursuant to a valid prescription in accordance with WAC 246-945-011, or an oral prescription. An oral prescription for a controlled substance listed in Schedule III, IV, or V must be promptly reduced to a written or electronic prescription that complies with WAC 246-945-011.
(8) A noncontrolled legend drug can only be dispensed pursuant to a valid prescription in accordance with WAC 246-945-011, or an oral prescription. An oral prescription for a noncontrolled legend drug must be promptly reduced to a written or electronic prescription that complies with WAC 246-945-011.
(9) Copies of the reference material listed in this section are available for public inspection at the commission's office at Department of Health, Town Center 2, 111 Israel Road S.E., Tumwater, WA 98501.
[Statutory Authority: RCW 18.64.005, 69.41.075, and 69.50.301. WSR 24-21-069, s 246-945-010, filed 10/11/24, effective 11/11/24. Statutory Authority: RCW 18.64.005, 18.64.080, 18.130.075, 18.64.043, 18.64.044, 18.64.045, 18.64.046, 18.64.370, 18.64.460, 69.50.310, 18.64.011, 18.64.245, 18.64.470, 18.64.255, 18.64.205, 18.64.253, 18.64.410, 18.64.500, 18.64.590. WSR 20-12-072, § 246-945-010, filed 6/1/20, effective 7/1/20.]