West Virginia Code § 30-5-36

Emergency prescriptions for life-sustaining medication
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(a) A pharmacist may distribute or sell a dangerous drug, other than a schedule II-controlled
substance as defined in §60A-2-206, without a written or oral prescription from a licensed
health professional authorized to prescribe drugs if all the following conditions are met:
(1) The pharmacy at which the pharmacist works has a record of a prescription for the drug
in the name of the patient who is requesting it, but the prescription does not provide for a
refill or the time permitted by the rules adopted by the state board of pharmacy for
providing refills has elapsed;
(2) The pharmacist is unable to obtain authorization to refill the prescription from a health
care professional who issued the prescription or another health professional responsible for
the patient's care;
(3) In the exercise of the pharmacist's professional judgment:
(A) The drug is essential to sustain the life of the patient or continue therapy for a chronic
condition of the patient.
(B) Failure to dispense or sell the drug to the patient could result in harm to the health of
the patient.
(4) Except as provided in this section, the amount of the drug that is dispensed or sold under
this section does not exceed a seventy-two-hour supply as provided in the prescription; and
(5) If the drug sold or dispensed under this section is not a controlled substance and the
patient has been on a consistent drug therapy as demonstrated by records maintained by a
pharmacy, the amount of the drug dispensed or sold does not exceed a thirty-day supply as
provided in the prescription or, if the standard unit of dispensing for the drug exceeds a
thirty-day supply, the amount of the drug dispensed or sold does not exceed the standard
unit of dispensing. A pharmacist shall not dispense or sell a particular drug to the same
patient in an amount described in this section more than once in any twelve-month period.
(b) A Pharmacist who dispenses or sells a drug under this section shall:
(1) For one year after the date of dispensing or sale, maintain a record in accordance with
this chapter of the drug dispensed or sold, including the name and address of the patient
and the individual receiving the drug, if the individual receiving the drug is not the patient,
the amount dispensed or sold, and the original prescription number;
(2) Notify the health professional who issued the initial prescription or another health
professional responsible for the patient's care not later than seventy-two hours after the
drug is sold or dispensed; and within seven days after authorizing an emergency oral
prescription, the practitioner has a written prescription for the emergency quantity
prescribed delivered to the dispensing pharmacist. The prescription shall have written on its
face "Authorization for Emergency Dispensing" and the date of the orally or electronically
transmitted prescription. The written prescription may be delivered to the pharmacist in
person or by mail, but if delivered by mail, it must be postmarked within the seven-day
period. Upon receipt, the dispensing pharmacist shall attach this written prescription to the
emergency oral prescription which had earlier been reduced to writing or to the hard copy
of the electronically transmitted prescription. The pharmacist shall notify the nearest office
of the U.S. Drug Enforcement Administration if the prescribing practitionere fails to deliver a
written prescription.
(3) If applicable, obtain authorization for additional dispensing from one of the health
professionals in division (A) (1) of this section.
(4) A pharmacist who dispenses or sells a drug under this setction may do so once for each
prescription described here.

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