ARSD 20:51:25:02. Review of patient's record

A pharmacist shall review the patient's record when a prescription drug order or refill request is presented for dispensing in order to identify: (1) Overutilization, or use of a drug in quantities or for durations that put the patient at risk of an adverse drug reaction; (2) Underutilization, or use of a drug by a patient in an insufficient quantity to achieve a desired therapeutic goal; (3) Therapeutic duplication, or 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 drug reaction; (4) Drug-disease contraindications, or 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; (5) Adverse drug-drug interactions, or the potential for or the occurrence of an adverse drug reaction as a result of the patient using two or more drugs together; (6) Incorrect drug dosage, or the dosage lies outside the daily dosage range specified in the manufacturer's package insert for the drug as necessary to achieve therapeutic benefit; (7) Incorrect duration of drug treatment, or the number of days of prescribed therapy exceeds or falls short of the recommendations contained in the manufacturer's package insert for the drug; (8) Drug-allergy interactions, or the significant potential for or the occurrence of an allergic reaction as a result of drug therapy; or (9) Clinical abuse or misuse. The pharmacist shall attempt to avoid or resolve any problems identified during the review and may consult with the prescriber.