Position Statements Related to Pharmacies Issued by the Pharmacy Examining Board
1. Does the Pharmacist Have to Talk to a Patient About Prescription Medication Being Dispensed?
Yes. Consultation is required as per
2. Can the Pharmacy Refuse to Take Back Prescription Medication?
Yes. A pharmacy is only permitted to take back prescriptions that have been dispensed in limited circumstances, see
3. Can the Pharmacist Give out a Patient's Personal Health Care Records or Information?
A pharmacist is a “health care provider” as defined in Wis. Stats. s146.81(1). As such, a pharmacist is required to comply with state laws regarding confidentiality of patient health care records. For Wisconsin’s confidentiality of patient health care record requirements, see
Wis. Stat. § 146.82.
4. Can a Patient Receive More Than a 30 day Supply of a Controlled Substance?
Yes. Often a patient will need to discuss this issue with their insurance provider who may have limits regarding the amount that can be dispensed at any one time. However, Wisconsin law does not restrict the amount that may be dispensed.
5. Where can a Pharmacist Find Information Concerning the Sale and Purchase of Pseudoephedrine Products?
Wisconsin Act 14 took effect, regulating the sale and purchase of pseudoephedrine. The relevant provisions can be found in Wis. Stat. ch. 961, Uniform Controlled Substances Act. In 2006, the United States Congress passed the Combat Methamphetamine Epidemic Act of 2005, which requires any product containing ephedrine or pseudoephedrine, to be strictly regulated to help prevent the production of methamphetamine, an illegal street drug. Pseudoephedrine is a common ingredient in many cold and allergy relief products. The sale and purchase of pseudoephedrine is regulated by federal and state law which is, at times, inconsistent with each other. A pharmacist is required to comply with both laws. Therefore, if federal and state laws are inconsistent, a pharmacist is required to comply with the more stringent provision. Both laws provide for buying restrictions based upon amount, as well as requirements for storage and record keeping. Further information concerning federal law may be found at
http://www.fda.gov/drugs/drugsafety/informationbydrugclass/ucm072423.htm. Wisconsin Stat. ch. 961 can be found at
6. Can a Patient Receive Assistance From a Pharmacist in Repackaging Medications to Better Allow the Patient or a Caregiver to Manage Their Medication Administration? Even if That Pharmacist Never Dispensed the Medication Originally?
Yes. Wis. Stats. ch. 450 and Wis. Admin. Code s. Phar 7.04 permit a pharmacist to assist a patient or an agent of a patient in having a previously dispensed drug or device repackaged, relabeled and subsequently returned to the patient or the patient’s agent for the same patient’s use, even if the pharmacist did not dispense the drug or device originally. See
Wis. Admin. Code § Phar 7.04(4).
Note, however, there may be other statutory and/or code provisions not governed by the Pharmacy Examining Board that may limit or restrict the practice of repackaging, specifically as it relates to certain patients in long term care facilities and community based residential facilities. For more information, you may wish to refer to applicable rules of the Wisconsin Department of Health Services.
7. Does Wisconsin Require Out-Of-State Pharmacies to be Licensed to Dispense in Wisconsin?
Yes. A Wisconsin pharmacy license must be obtained by pharmacies licensed in another state which dispense prescription medications, including schedule II controlled substances, by mail or other delivery to patients in this state.
8. How Many Days Supply of a Controlled Substance may be Dispensed at one Time?
As of August 1, 2002 , the PEB revised
Wis. Admin. Code § Phar 8.05, the dispensing requirements for controlled substances, removing the 7-day date limitation on schedule II controlled substances prescriptions and eliminating the 34-day dispensing quantity limitation on all controlled substances. The repeal of these sections of Phar 8.05 is intended to allow practitioners and pharmacists to more fully exercise their professional judgment in prescribing and dispensing controlled substances. This is consistent with federal controlled substances prescription rules which have no date or days supply restrictions.
The state requirement that a schedule II controlled substance prescription may not be dispensed more than 60 days after the date of issue still remains.
9. Can a Pharmacist Dispense a Prescription Order for Methadone?
Neither Chapter 450 of the Wisconsin Statutes nor Chapter Phar of the Wisconsin Administrative Code specifically prohibits Wisconsin-licensed pharmacists from dispensing a prescription order for methadone. However, there may be applicable federal regulations which contain prohibitions and/or limitations that Wisconsin-licensed pharmacists may be subject to. For applicable federal law, see 21 CFR 1306.04 et seq, (http://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?CFRPart=1306).
10. Can a Pharmacist Fill or Refill a Prescription Order for an Out-Of-State Prescriber?
Yes, Wisconsin pharmacies may legally fill or refill prescription orders from practitioners practicing in another state, if they are licensed in another state and recognized by Wisconsin as a person authorized to prescribe and administer drugs. This includes prescription orders for controlled substances. However, prescription orders for controlled substances are only valid for practitioners having a current federal drug enforcement registration number. A pharmacist should inquire further regarding a practitioner's authority to prescribe if the pharmacist, using professional judgment, is concerned that the prescription order might not be valid.
11. Are There Differences Between Federal Scheduling and Wisconsin Scheduling of Controlled Substances? How do I find out if a Substance is Controlled, and What Schedule it is?
The State follows Federal regulations for scheduled drugs, but may also have additional scheduled drugs that are regulated. You will want to consult
Chapter 961 of the Wisconsin Statutes and the additions to the schedules through Administrative Rule. Those added in the administrative code can be found in
ch. CSB 2. These may be updated periodically, so please check back often.
12. If an Out-Of-State Mail Order Pharmacy is Licensed in Wisconsin, do the Pharmacists Working There Need Wisconsin Credentials as Well?
No, the pharmacists do not need to be licensed in Wisconsin but they must be licensed in the state where the pharmacy is located.
13. Does an Out-Of-State Distributor Need a License to Ship Medication or Devices to Wisconsin Facilities?
As of June 1, 2008, distributors of medical devices no longer need a wholesale distributor of prescription drug license to ship medical devices into Wisconsin. Distributors of prescription drugs need to obtain a wholesale distribution license from the Board.
14. Do Out-Of-State Drug Manufacturers Need to be Licensed in Wisconsin?
Only those manufacturers physically located within Wisconsin need to obtain a drug manufacturer license.
15. Can a Distributor Ship Prescription Medications to a Storage Facility at a Different Location Than the Licensed Pharmacy Where they Will be Dispensed, or do the Medications Need to be Shipped Directly to the Licensed Pharamcy?
Wis. Stat. § 450.072 regulate the distribution of prescription drugs. Distributors are only allowed to ship prescription medications to a licensed pharmacist. These restrictions apply to delivery of drugs to the premises listed on the pharmacist’s license. A distributor may be able to apply for a delivery variance to ship medications to another location.
16. Can one Pharmacy Transfer a Prescription to Another Pharmacy via fax?
Yes, if certain enumerated conditions are met, including verbal verification by both pharmacists. See Wis. Admin. Code ch. Phar 7.055 for the specific requirements.
17. Can a Pharmacist Administer Vaccines? Can Vaccines be Administered to Minors?
Wis. Stats. § 450.035(2), a pharmacist may administer vaccines if they have completed 12 hours of approved education and fulfills the requirements under 450.035(2t). Under no circumstances may a pharmacist or person engaged in the practice of pharmacy administer vaccines to persons under the age of six (6).
18. Where do I Find Answers to Questions Related to EPT (Expedited Partner Therapy)?
a. What is EPT? Expedited Partner Therapy, or EPT, is a general term for the practice of treating the sex partner(s) of patients diagnosed with Sexually Transmitted Diseases (STDs) without an intervening medical evaluation of the partner(s).
b. What changes were made in the new law?
2009 Wisconsin Act 280 went into effect on May 26, 2010. The new law: 1) explicitly allows physicians, physician assistants, and certified nurse prescribers to furnish or prescribe medication for EPT and pharmacists to dispense medication for EPT; 2) limits civil liability for medical providers and pharmacists as long as EPT is provided in accordance with the Act; 3) allows the prescription to be written in the partner’s name (preferred) or with "Expedited Partner Therapy" or "EPT" in place of a name when the patient does not know or is unwilling to give the partner’s name; and 4) requires written materials be developed by the Department of Health Services (DHS) and be distributed to the patient by the medical provider, for use by the partner(s) receiving EPT.
c. Who is eligible/ineligible for EPT? The Act specifies that EPT can only be used for partners of patients infected with Chlamydia trachomatis , Neisseria gonorrhoeae or trichomoniasis infections.
d. Is there a limit to the number of partners that can receive EPT for a given patient? No. EPT allows for the treatment of all of a patient’s partners. Treatment of all affected partners will reduce the risk of transmission and re-infection.
e. Is EPT limited to specific medications? Only Antimicrobial drugs used to treat Chlamydia trachomatis, Neisseria gonorrhoeae or trichomoniasis can be prescribed using EPT. The Act specifically excludes all controlled substances.
f. How is EPT delivered to the partner(s)? Medication may be dispensed to the patient by the medical provider to take to his/her partner(s), or separate prescriptions may be written for the patient and his/her partner(s).
g. Is a pharmacist liable if an adverse event occurs? The Act exempts medical prescribers and pharmacists from civil liability for injury to, or death of, the sexual partner unless an act or omission of the provider involves reckless, wanton, or intentional misconduct.
h. Who will pay for the partner’s medication? The patient’s insurance cannot be billed for the partner’s medication (unless the partner is covered on the patient’s insurance and the partner information is known). There is currently no state funding to pay for EPT medication. The patient may elect to pay the full cost of the medication for the partner(s).
i. Are pharmacists required to participate? The Act does not require pharmacists to participate.
j. Are pharmacists required to give information regarding STDs when consulting a person receiving EPT? The Act requires that the medical provider provide written information to the patient for use by the partner(s) that has information on STDs, their treatment and the risk of drug allergies. The Act also requires that a pharmacist provide consultation in accordance with the rules promulgated by the Pharmacy Examining Board, and also ask whether the partner is allergic to the prescribed medication and advise discontinuing the medication if the person has a known allergy or develops signs of an allergic reaction after taking the medication.
k. How do pharmacists fill prescriptions for EPT? Pharmacists must meet all of the requirements of the Pharmacy Examining Board for filling prescriptions. Prescriptions must also be labeled according to
Wis. Stat. § 450.11(4) which includes the full name of the patient if known or the words Expedited Partner Therapy or EPT. Consultation is required on each prescription per
Phar 7.01(1)(e). The patient may act as the agent of the partner(s) for purposes of fulfilling the consultation requirement.
l. How do pharmacists label a prescription without the partner’s full name? Pharmacies that choose to dispense EPT prescriptions will likely need to establish a profile for a patient named Expedited Partner Therapy or EPT.
m. Where can I find more information about EPT?
The Wisconsin EPT Act, Frequently Asked Questions documents, provider guidance, and patient information sheets will be available at
https://www.dhs.wisconsin.gov/std/index.htm. Questions about EPT in Wisconsin can be directed to the Wisconsin Department of Health STD Section at (608) 266-7365. EPT information and resources from the CDC are available at