<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s40e30b52-2bfc-46bc-905c-20c64894ca0aP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s40e30b52-2bfc-46bc-905c-20c64894ca0aC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s40e30b52-2bfc-46bc-905c-20c64894ca0aC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s40e30b52-2bfc-46bc-905c-20c64894ca0aC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s40e30b52-2bfc-46bc-905c-20c64894ca0a000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s40e30b52-2bfc-46bc-905c-20c64894ca0aC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:25:02"><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0-000000">20:51:25:02</span></a><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0-000001">.  Review of patient's record.</span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0"> A pharmacist shall review the patient's record </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">when</span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0"> a prescription drug order or refill request is presented for dispensing </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">in order to identify</span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">:</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    (1)  Overutilization, </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">or </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">use of a drug in quantities or for durations that put the patient at risk of an adverse </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">drug reaction</span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">;</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    (2)  Underutilization, </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">or </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">use of a drug by a patient in an insufficient quantity to achieve a desired therapeutic goal;</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    (3)  Therapeutic duplication, </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">or </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">use of two or more drugs from the same therapeutic class in a way that the combined daily dose puts the patient at risk of an adverse </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">drug reaction</span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">;</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    (4)  Drug-disease contraindications, </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">or </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">the potential for or the occurrence of an undesirable alteration of the therapeutic effect of a given drug because of the presence of a disease condition in the patient or an adverse effect of the drug on the patient's disease condition;</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    (5)  Adverse drug-drug interactions, </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">or </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">the potential for or the occurrence of an adverse </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">drug reaction</span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0"> as a result of the patient using two or more drugs together;</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    (6)  Incorrect drug dosage, </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">or </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">the dosage lies outside the daily dosage range specified in </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">the manufacturer's package insert for the drug</span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0"> as necessary to achieve therapeutic benefit;</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    (7)  Incorrect duration of drug treatment, </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">or </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">the number of days of prescribed therapy exceeds or falls short of the recommendations contained in </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">the manufacturer's package insert for the drug</span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">;</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    (8)  Drug-allergy interactions, </span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">or </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">the significant potential for or the occurrence of an allergic reaction as a result of drug therapy; or</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    (9)  Clinical abuse or misuse.</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    The pharmacist shall attempt to avoid or resolve any problems identified during the review and may consult with the </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">prescriber</span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">.</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0-000001">Source:</span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0"> 19 SDR 93, effective December 31, 1992</span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">; 50 SDR 138, effective June 2, 2024</span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">.</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0-000001">General Authority:</span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-68"><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0-000003">36-11-68</span></a><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">.</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">    </span><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0-000001">Law Implemented:</span><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-2.2"><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0-000003">36-11-2.2</span></a><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-68"><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0-000003">36-11-68</span></a><span class="s40e30b52-2bfc-46bc-905c-20c64894ca0aC0">.</span></p><p dir="ltr" class="s40e30b52-2bfc-46bc-905c-20c64894ca0aP0"><span xml:space="preserve" class="s40e30b52-2bfc-46bc-905c-20c64894ca0a000002"> </span></p></div></body></html>