657—37.12(124) Reporting requirements.
	37.12(1) Data elements. The information submitted to the PMP for each reportable prescription shall be accurate and shall include, at a minimum, the following data elements:
	a. 	Dispenser DEA number.
	b. 	Date the prescription is dispensed or administered.
	c. 	Prescription number or unique identification number.
	d. 	NDC number of the drug dispensed or administered.
	e. 	Quantity of the drug dispensed or administered.
	f. 	Number of days of drug therapy provided by the drug dispensed or administered.
	g. 	Patient legal first and last names.
	h. 	Patient address including street address, city, state, and ZIP code.
	i. 	Patient phone number.
	j. 	Patient date of birth.
	k. 	Patient gender.
	l. 	Prescriber name and DEA number.
	m. 	Date the prescription was issued by the prescriber.
	n. 	Method of payment.
	o. 	Form of transmission of prescription origin.
	p. 	Refill number.
	q. 	Number of refills authorized.
	r. 	Indication as to whether the prescription is new or a refill.
	37.12(2) Reporting periods. A record of each reportable administration or prescription dispensed shall be submitted by each dispenser no later than the next business day following administration or dispensing.
	37.12(3) Transmission. Prescription dispensing and administration information shall be transmitted via the PMP’s current version of data upload or electronic submission.
	37.12(4) Zero reports. If a pharmacy did not dispense or administer any reportable prescriptions during a reporting period, the dispenser shall submit a zero report no later than the next business day.
[ARC 4397C, IAB 4/10/19, effective 5/15/19]