Sec. 11. A protocol developed under this chapter must include the following: (1) The identification of: (A) the individual whose drug regimen may be adjusted; (B) the attending physician who is delegating the authority to adjust an individual's drug regimen; and (C) the pharmacist who is authorized to adjust the individual's drug regimen. (2) The attending physician's diagnosis of the individual's: (A) condition; or (B) disease state; whose drug regimen may be adjusted. (3) A statement regarding: (A) the types and: (i) categories; or (ii) therapeutic classifications; of medication, including the specific therapeutic alternatives that may be substituted for a drug prescribed by a physician; (B) the minimum and maximum dosage levels within the types and: (i) categories; or (ii) therapeutic classifications; of medications described in clause (A); (C) the dosage forms; (D) the frequency of administration; (E) the route of administration; (F) the duration of the administration of the drug regimen and any adjustment to the drug regimen; and (G) exceptions to the application of the drug regimen or the adjustment to the drug regimen; for which the pharmacist may adjust the individual's drug regimen. (4) A requirement that: (A) the individual's medical records be available to both the individual's attending physician and the pharmacist; and (B) the procedures performed by the pharmacist relate to a disease or condition for which the patient has been under the attending physician's medical care.
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