ARM 24.174.1702. INFORMATION REQUIRED FOR SUBMISSION

(1) Each entity licensed by the board as a community pharmacy or as an out-of-state mail service pharmacy that dispenses to patients in Montana shall provide the following controlled substances dispensing information to the board: (a) pharmacy name, address, telephone number, and drug enforcement administration number; (b) full name, address, telephone number, gender, species code, and date of birth for whom the prescription was written; (c) full name, address, telephone number, and drug enforcement administration registration number of the prescriber; (d) date the prescription was issued by the prescriber; (e) date the prescription was filled and sold by the pharmacy; (f) number of refills; (g) indication of whether the prescription dispensed is new or a refill; (h) name, national drug code number, strength, quantity, dosage form, and days' supply of the actual drug dispensed; (i) prescription number assigned to the prescription order; and (j) source of payment for the prescription that indicates one of the following: (i) cash; (ii) insurance; or (iii) government subsidy. (2) Each entity licensed by the board as an institutional pharmacy shall comply with the reporting requirements listed in this rule if they dispense controlled substances in an outpatient, discharge, starter packet, or other related capacity in which the controlled substance(s) leaves their premises. Institutional pharmacies are not required to submit zero reports.