Table A2.

General Requirements for Pharmacist Prescribing.

Core Element.	Original Regulatory Language
Education	The pharmacist may only prescribe drugs or devices for conditions for which the pharmacist is educationally prepared and for which competence has been achieved and maintained.
Patient–Prescriber Relationship	The pharmacist may only issue a prescription for a legitimate medical purpose arising from a patient–prescriber relationship as defined in Section 54-1733, Idaho Code.
Patient Assessment Protocol	The pharmacist must obtain adequate information about the patient’s health status to make appropriate decisions based on the applicable standard of care. At a minimum, for each drug or drug category the pharmacist intends to prescribe, the pharmacist must maintain a patient assessment protocol based on current clinical guidelines, when available, or evidence-based research findings that specifies the following: Patient inclusion criteria, and Explicit exclusion and medical referral criteria. The pharmacist must revise the patient assessment protocol when necessary to ensure continued compliance with clinical guidelines or evidence-based research findings. The pharmacist’s patient assessment protocol, and any related forms, must be made available to the Board upon request.
Collaboration with Other Health Care Professionals	The pharmacist must recognize the limits of the pharmacist’s own knowledge and experience and consult with and refer to other health care professionals as appropriate.
Follow-Up Care Plan	The pharmacist must develop and implement an appropriate follow-up care plan, including any monitoring parameters, in accordance with clinical guidelines.
Notification	The pharmacist must inquire about the identity of the patient’s primary care provider; and, if one is identified by the patient, provide notification within five (5) business days following the prescribing of a drug. In the instance in which the pharmacist is prescribing to close a gap in care or to supplement a valid prescription drug order, the pharmacist must alternatively notify the provider of record.
Documentation	The pharmacist must maintain documentation adequate to justify the care provided, including, but not limited to, the information collected as part of the patient assessment, the prescription record, any notification provided as required under this section, and the follow-up care plan.