Common use of Pharmacy Services Clause in Contracts

Pharmacy Services. CONTRACTOR shall provide sufficient controls over both its contracted and employed physicians/psychiatrists to be able to ensure strict adherence to the FDC’s drug formulary. Compliance with the FDC’s DER policy is required with one exception, an appropriately qualified CONTRACTOR representative shall stand in place of FDC to review and approve or deny DER, prior to prescribing any non-formulary medications. Subsets or restricted use of the FDC’s formulary that effectively limit, in any manner, the use of the FDC’s formulary are prohibited. Additionally, all medications shall be prescribed appropriately as indicated in the current edition of Drug Facts and Comparisons and the most recent Physicians’ Desk Reference. CONTRACTOR shall not prescribe non-therapeutic doses, or change, increase or decrease medication or dosages without providing ample time for the medication to take effect as provided for in the package insert. If this occurs, CONTRACTOR shall be considered non-compliant with the provisions of care in the Contract. Should there be a requirement for use of a non-therapeutic dosage or the need to prematurely change medication or dosages, there must be appropriate clinical justification documented in the chart as well as adherence to the DER process to gain approval. Practitioners’ prescribing practices shall be tracked monthly and reported by CONTRACTOR. Prescribing practices shall also be monitored for performance measure compliance. 5.34.1. CONTRACTOR shall provide Pharmacy Services and such services shall be performed in strict compliance with applicable Florida Statutes, Florida Board of Pharmacy Rules, Federal Drug Enforcement Administration Rules, the FDC’s policies, procedures and HSB and all other applicable rules and regulations referenced herein. 5.34.2. The Pharmacy shall be permitted to provide all pharmacy services for medication distribution at the Facility as required by Chapters 465 and 893,

Pharmacy Services. CONTRACTOR shall provide sufficient controls over both its contracted and employed physicians/psychiatrists to be able to ensure strict adherence to the FDC’s drug formulary. Compliance with the FDC’s DER policy is required with one exception, an appropriately qualified CONTRACTOR representative shall stand in place of FDC to review and approve or deny DER, prior to prescribing any non-formulary medications. Subsets or restricted use of the FDC’s formulary that effectively limit, in any manner, the use of the FDC’s formulary are prohibited. Additionally, all medications shall be prescribed appropriately as indicated in the current edition of Drug Facts and Comparisons and the most recent Physicians’ Desk Reference. CONTRACTOR shall not prescribe non-therapeutic doses, or change, increase or decrease medication or dosages without providing ample time for the medication to take effect as provided for in the package insert. If this occurs, CONTRACTOR shall be considered non-compliant with the provisions of care in the Contract. Should there be a requirement for use of a non-therapeutic dosage or the need to prematurely change medication or dosages, there must be appropriate clinical justification documented in the chart as well as adherence to the DER process to gain approval. Practitioners’ prescribing practices shall be tracked monthly and reported by CONTRACTOR. Prescribing practices shall also be monitored for performance measure compliance. 5.34.1. CONTRACTOR shall provide Pharmacy Services and such services shall be performed in strict compliance with applicable Florida Statutes, Florida Board of Pharmacy Rules, Federal Drug Enforcement Administration Rules, the FDC’s policies, procedures and HSB and all other applicable rules and regulations referenced herein. 5.34.2. The Pharmacy shall be permitted to provide all pharmacy services for medication distribution at the Facility as required by Chapters 465 and 893, F. S. This may be affected by utilizing on-site pharmacies, mail order pharmacies or any pharmacy process meeting the requirements in this section. 5.34.3. CONTRACTOR shall establish a Facility Pharmacy and Therapeutic Committee that shall make determinations regarding pharmacy services provided by CONTRACTOR. 5.34.4. CONTRACTOR shall provide coverage on-site or on-call by a licensed pharmacist twenty-four (24) hours a day, seven (7) days a week. 5.34.5. CONTRACTOR shall provide, furnish and supply pharmaceutical and drugs to the Facility utilizing a "unit dose" method of packaging. A unit dose system shall provide a method for the separation and identification of drugs for the individual resident or patient. Unit doses of medication to be administered by nursing staff are to be provided in a patient specific format. A medicinal drug dispensed in a unit dose system by a pharmacist shall be accompanied by labeling. The requirement shall be satisfied if, to the extent not included on the label, the unit dose system indicates clearly the name of the resident or patient, the prescription number or other means utilized for readily retrieving the medication order, the directions for use, and the prescriber’s name. 5.34.6. CONTRACTOR shall adhere to HSB 15.05.19 to provide psychotropic medications. 5.34.7. CONTRACTOR shall strictly comply with the FDC’s formulary in all cases unless a Drug Exception Request is approved by the CONTRACTOR’s designee. Please see the FDC intranet (which Contractor will be provided access to after Contract execution) for FDC’s formulary. 5.34.8. CONTRACTOR shall provide other medications in liquid unit dose properly labeled as specified by the CHO. CONTRACTOR shall provide injectable medications as required. 5.34.9. CONTRACTOR shall provide hypodermic supplies to include needles and syringes and disposal containers that are tamper proof and puncture resistant. CONTRACTOR shall be responsible for appropriate disposal and/or destruction of needles and syringes with documentation. The Department suggests consulting with county and state health officials for sharps/sharps container disposal policies and procedures. 5.34.10. CONTRACTOR shall provide and fill all prescriptions for inmates leaving on writ or discharge in accordance with HSB 15.14.02. 5.34.11. CONTRACTOR shall properly package all medications in light- and/or humidity- resistant containers as appropriate. 5.34.12. CONTRACTOR shall maintain copies of all prescriptions issued to inmates in a permanent file on-site for a minimum period of four (4) years from the date of last entry in the profile record in compliance with Chapter 465.022 F.S. This record may be a hard copy or a computerized form. Copies shall be provided to the FDC upon request. 5.34.13. CONTRACTOR shall comply with Section 465.0235, F.S., and maintain all transactions with the automated pharmacy in a readily retrievable manner. The record shall be available to an authorized agent of the Department of Health or the Board of Pharmacy. The record shall include: 5.34.13. 1. Name or identification of the patient or resident.

Pharmacy Services. 5.35.1. CONTRACTOR shall pharmacy services in accordance with Florida Statute, Florida Board of Pharmacy Rules, Federal Drug Enforcement Administration Rules, Florida Administrative Code, DC policy and procedure, HSB and all other applicable rules and regulations referenced herein. CONTRACTOR shall provide sufficient controls over both its contracted and employed physicians/psychiatrists to be able to ensure strict adherence to the FDCDC’s drug formulary. Compliance with the FDCDC’s DER Drug Exception Request (DER) policy is required with one exception, an appropriately qualified CONTRACTOR representative shall stand in place of FDC to review and approve or deny DER, prior to prescribing any non-formulary medications. Subsets or restricted use of the FDCDC’s formulary that effectively limit, in any manner, the use of the FDCDC’s formulary are prohibited. Additionally, all medications shall be prescribed appropriately as indicated in the current edition of Drug Facts and Comparisons and the most recent Physicians’ Desk Reference. CONTRACTOR shall not prescribe non-therapeutic doses, or change, increase or decrease medication or dosages without providing ample time for the medication to take effect as provided for in the package insert. If this occurs, CONTRACTOR shall will be considered non-compliant with the provisions of care in the Contract. Should there be a requirement for use of a non-non- therapeutic dosage or the need to prematurely change medication or dosages, there must be appropriate clinical justification documented in the chart as well as adherence to the DER process to gain approval. Practitioners’ prescribing practices shall will be tracked monthly and reported by CONTRACTOR. Prescribing practices shall will also be monitored for performance measure compliance. 5.34.1. CONTRACTOR shall provide Pharmacy Services and such services shall be performed in strict compliance with applicable Florida Statutes, Florida Board of Pharmacy Rules, Federal Drug Enforcement Administration Rules, the FDC’s policies, procedures and HSB and all other applicable rules and regulations referenced herein. 5.34.25.35.2. The Pharmacy shall be permitted to provide all pharmacy services for medication distribution at the Facility as required by Chapters 465 and 893,, Florida Statutes. This may be affected by utilizing on-site pharmacies, mail order pharmacies or any pharmacy process meeting the requirements in this section. 5.35.3. CONTRACTOR shall establish a Facility Pharmacy and Therapeutic Committee that shall make determinations regarding pharmacy services provided by CONTRACTOR. 5.35.4. CONTRACTOR shall provide coverage on-site or on-call by a licensed pharmacist 24 hours a day, 7 days a week. Each pharmacist performing services under the Contract shall be reachable by beeper. 5.35.5. CONTRACTOR shall provide, furnish and supply pharmaceutical and drugs to the Facility utilizing a "unit dose" method of packaging. A unit dose system shall provide a method for the separation and identification of drugs for the individual resident or patient. Unit doses of medication to be administered by nursing staff are to be provided in a patient specific format. A medicinal drug dispensed in a unit dose system by a pharmacist shall be accompanied by labeling. The requirement will be satisfied if, to the extent not included on the label, the unit dose system indicates clearly the name of the resident or patient, the prescription number or other means utilized for readily retrieving the medication order, the directions for use, and the prescriber’s name. 5.35.6. CONTRACTOR may provide liquid psychotropic medications in unit doses, individually labeled, with manufacturer, lot number, expiration date and date packaged listed. If CONTRACTOR utilizes pill form psychotropic medications, the necessary precautions must be taken to prevent inmate “cheeking” or other means of retaining medications without ingestion. 5.35.7. CONTRACTOR shall strictly comply with the DC’s formulary in all cases unless the DC approves a medication exception request. 5.35.8. CONTRACTOR shall provide other medications in liquid unit dose properly labeled as specified by the CHO. CONTRACTOR shall provide injectable medications as required. 5.35.9. CONTRACTOR shall provide hypodermic supplies to include needles and syringes and disposal containers that are tamper proof and puncture resistant. CONTRACTOR shall be responsible for appropriate disposal and/or destruction of needles and syringes with documentation. The Department suggests consulting with county and state health officials for sharps/sharps container disposal policies and procedures. 5.35.10. CONTRACTOR shall provide prescriptions in accordance with all governing DC policy, procedure, health service bulletins, rules and regulations, for inmates leaving on writ or discharge. 5.35.11. CONTRACTOR shall properly package all medications in light- and/or humidity- resistant containers as appropriate. 5.35.12. CONTRACTOR shall maintain copies of all prescriptions issued to inmates in a permanent file on-site for a period of three (3) years from the date of last entry in the profile record in compliance with Chapters 465.0155, 465.022 Florida Statute. This record may be a hard copy or a computerized form. Copies will be provided to the DC upon request. 5.35.13. CONTRACTOR shall in compliance with 465.005, 465.0155, 465.022 FS record and maintain all transactions with the automated pharmacy in a readily retrievable manner. The record shall be available to an authorized agent of the Department of Health or the Board of Pharmacy. The record shall include: 5.35.13.1. Name or identification of the patient or resident. 5.35.13.2. Name, strength and dosage form of the drug product released. 5.35.13.3. Quantity of drug released.