Ohio Administrative Code|Rule 4729:5-3-05 | Confidentiality of patient records.

                                                

(A) Records relating to the practice of
pharmacy, the administration of drugs, or any patient specific drug transaction
are not a public record. A person having custody of, or access to, such records
shall not divulge the contents thereof, or provide a copy thereof, to anyone
except:

(1) The patient, or owner
if the patient is an animal, for whom the prescription or medication order was
issued.

(2) The prescriber who
issued the prescription or medication order, or a subsequent treating
prescriber.

(3) Licensed health care
personnel who are responsible for the care of the patient.

(4) A member, inspector,
agent, or investigator of the state board of pharmacy or any federal, state,
county, or municipal officer whose duty is to enforce the laws of this state or
the United States relating to drugs and who is engaged in a specific
investigation involving a designated person or drug.

(5) An agent of an Ohio
licensing agency that is responsible for the licensure or registration of a
health professional authorized to prescribe drugs as defined in section 4729.01
of the Revised Code when enforcing that agency's chapter of the Revised
Code.

(6) A state or federal
agency charged with the responsibility of providing medical care (i.e.
medicaid, medicare, workers' compensation, etc.) for the patient upon a
written request by an authorized representative of the agency requesting such
information.

(7) An agent of a medical
insurance company who provides prescription insurance coverage to the patient
upon authorization and proof of insurance by the patient or proof of payment by
the insurance company for those medications whose information is
requested.

(8) An agent who
contracts with the terminal distributor of dangerous drugs as a "business
associate" in accordance with the regulations promulgated by the secretary
of the United States department of health and human services pursuant to the
federal standards for privacy of individually identifiable health
information.

(9) Any person, other
than those listed in paragraphs (A)(1) to (A)(8) of this rule, only when the
patient has given consent for such disclosure in writing. Any consent must be
signed by the patient and dated. Any consent for disclosure is valid until
rescinded by the patient.

In an emergency, the terminal distributor of dangerous drugs may
disclose the information when, in the professional judgment of the pharmacist
or healthcare provider, it is deemed to be in the best interest of the patient.
A pharmacist or healthcare provider making an oral disclosure in an emergency
situation must prepare a written memorandum showing the patient's name,
the date and time the disclosure was made, the nature of the emergency, and the
names of the individuals by whom and to whom the information was
disclosed.

(B) Testimonial privilege is not waived
for any communication between a prescriber, a pharmacist, and a patient
pursuant to section 2317.02 of the Revised Code.

(C) Records relating to the practice of
pharmacy, the administration of drugs, or any patient specific drug transaction
which may be required as evidence of a violation shall be released, upon
request, to a member, inspector, agent, or investigator of the state board of
pharmacy or any state, county, or municipal officer whose duty is to enforce
the laws of this state or the United States relating to drugs and who is
engaged in a specific investigation involving a designated person or drug. Such
person shall furnish a receipt to the person having legal custody of the
records. If the record is a prescription, the receipt shall list the following
information:

(1) Prescription
identification number; or, if an order for medication, the name of the
patient;

(2) The drugs prescribed
or ordered;

(3) Quantity of drugs
prescribed, dispensed, administered or personally furnished;

(4) Name of the
prescriber;

(5) Date, name of agency,
and signature of person removing the records.

(D) All such records, including consents,
memoranda of emergency disclosures, and written requests pursuant to paragraph
(A)(9) of this rule, shall be kept on file at the terminal distributor of
dangerous drugs for a period of three years in a readily retrievable
manner.

(E) All patient records maintained by a
terminal distributor of dangerous drugs shall be maintained in accordance with
the following:

(1) For human patients,
the Health Insurance Portability and Accountability Act of 1996 (HIPAA);
and

(2) All state and federal
laws, rules and regulations.

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