657—21.8(124,155A) Electronic prescription mandate and exemptions. Beginning January 1, 2020, all prescriptions shall be transmitted electronically to a pharmacy except as provided in this rule.
	21.8(1) Prescriptions exempt. Prescriptions which shall be exempt from electronic transmission include:
	a. 	A prescription for a patient residing in a nursing home, long-term care facility, correctional facility, or jail.
	b. 	A prescription authorized by a licensed veterinarian.
	c. 	A prescription for a device.
	d. 	A prescription dispensed by a department of veterans affairs pharmacy.
	e. 	A prescription requiring information that makes electronic transmission impractical, such as complicated or lengthy directions for use or attachments.
	f. 	A prescription for a compounded preparation containing two or more components.
	g. 	A prescription issued in response to a public health emergency in a situation where a non-patient-specific prescription would be permitted.
	h. 	A prescription issued for an opioid antagonist pursuant to Iowa Code section 135.190 or a prescription issued for epinephrine pursuant to Iowa Code section 135.185.
	i. 	A prescription issued during a temporary technical or electronic failure at the location of the prescriber or pharmacy, provided that a prescription issued pursuant to this paragraph shall indicate on the prescription that the prescriber or pharmacy is experiencing a temporary technical or electronic failure.
	j. 	A prescription issued pursuant to an established and valid collaborative practice agreement, standing order, or drug research protocol.
	k. 	A prescription issued in an emergency situation pursuant to federal law and regulation and rules of the board. An emergency situation may include, but is not limited to, the issuance of a prescription to meet the immediate care need of a patient after hours when a prescriber is unable to access electronic prescribing capabilities. Such prescription shall be limited to a quantity sufficient to meet the acute need of the patient with no authorized refills.
	21.8(2) Prescriber, medical group, institution, or pharmacy exemption. A prescriber, medical group, institution, or pharmacy which has been granted an exemption to the electronic prescription mandate pursuant to rule 657—21.9(124,155A) shall be exempt from the electronic prescription mandate only for the duration of the approved exemption. Upon expiration of an approved exemption, the prescriber, medical group, institution, or pharmacy shall either comply with the electronic prescription mandate or timely petition the board for renewal of the exemption pursuant to rule 657—21.9(124,155A).
[ARC 4580C, IAB 7/31/19, effective 9/4/19]