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For example, VIPPS-certified pharmacies must: --Detail how the pharmacy's policies and procedures are organized, authorized, reviewed, revised, and retired/archived; --Provide that, in conflicts that arise between individual state laws or regulations and/or between state and federal laws and regulations, the more stringent law or regulation is followed; --Prevent the prescription drug order from being submitted, honored, and filled by multiple pharmacies; --Assure that prescription medications are not prescribed or dispensed based upon telephonic, electronic, or online medical consultations without a pre-existing patient-prescriber relationship and an in-person physical examination; --Assure reasonable verification of the identity of the patient, prescriber, and, if appropriate, caregiver; --Require patient medication profiles and other related data to be maintained in a readily accessible format organized to facilitate consultation with the prescriber, patient, or caregiver; --Detail the steps in conducting prospective drug use reviews prior to dispensing of medications or medical devices; --Ensure patient confidentiality and the protection of patient identity and patient-specific information from inappropriate or non-essential access, use, or distribution while such information is being transmitted via the Internet and while the pharmacy possesses such information; --Demonstrate that a mechanism is in place for patients to report errors and suspected adverse drug reactions and detailing the pharmacy's response to such reports; --Provide a mechanism to contact the patient and prescriber if an undue delay is encountered in delivering a prescribed drug or device; --Inform patients or caregivers about drug recalls; --Educate patients or caregivers about the appropriate means to dispose of expired, damaged, and for securing and tracing shipments of controlled substances; --Assure medications and devices are maintained within appropriate temperature, light, and humidity standards, as established by the United States Pharmacopeia, during storage and shipment; --Demonstrate compliance with applicable federal and state laws regarding the sale of over-the-counter products identified as precursors to the manufacture or compounding of illegal drugs; and --Demonstrate implementation of an ongoing Quality Assurance/Quality Improvement (QA/QI) program.
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