CPPA Criteria

LICENSURE AND POLICY MAINTENANCE

Qualifying CPPA Pharmacies  must:

  • Provide CPPA with the information necessary to verify that the Pharmacy Practice is licensed or registered in good standing to operate a pharmacy and/or engage in the practice of pharmacy with all applicable jurisdictions;
  • Provide CPPA with the information necessary to verify that all persons affiliated with the practice, including those affiliated through contractual or other responsible arrangements, that are engaging in the practice of pharmacy or providing a patient care service are appropriately licensed or registered and in good standing in all applicable jurisdictions;
  • Maintain and enforce a comprehensive policy and procedure that documents how the Pharmacy Practice’s policies and procedures are organized, authorized for implementation, revised, retired and archived; and
  • Comply with all applicable statutes and regulations governing the practice of pharmacy where licensed or registered, and comply with the more stringent law or regulation as determined by conflicts of law rules. CPPA pharmacies must maintain and enforce policies and procedures that address conflicts of law issues that may arise between individual states or between state and federal laws and regulations. Said policies and procedures must assure compliance with applicable laws including generic substitution laws and regulations, and must prohibit unauthorized therapeutic substitution from occurring without necessary patient or prescriber authorization and outside of the conditions for participation in state or federal programs such as Medicaid.

 

PRESCRIPTIONS

Qualifying CPPA Pharmacies, in accordance with applicable state and federal laws and regulations, must:

  • Maintain and enforce policies and procedures that assure the integrity, legitimacy, and authenticity of the Prescription Drug Order and seek to prevent Prescription Drug Orders from being submitted, honored, and filled by multiple pharmacies. Maintain and enforce policies and procedures that assure that prescription medications are not prescribed or dispensed based upon telephonic, electronic, or online medical consultations without there being a pre-existing patient-prescriber relationship that has included an in-person physical examination.

 

PATIENT INFORMATION

Qualifying CPPA Pharmacies, in accordance with applicable state and federal laws and regulations, must:

  • Maintain and enforce policies and procedures ensuring reasonable verification of the identity of the patient, prescriber, and, if appropriate, caregiver, in accordance with applicable state law;
  • Obtain and maintain in a readily accessible format, patient medication profiles and other related data in a manner that facilitates consultation with the prescriber, when applicable, and counseling of the patient or caregiver;
  • Conduct a prospective drug use review (DUR) prior to the dispensing of a medication or device in accordance with applicable state law; and
  • Maintain and enforce policies and procedures to assure 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 Practice possesses such information.

 

COMMUNICATION

Qualifying CPPA Pharmacies, in accordance with applicable state and federal laws and regulations and CPPA program Standards and Criteria must:

  • Maintain and enforce policies and procedures requiring pharmacists to offer interactive, meaningful consultation to the patient or caregiver;
  • Maintain and enforce policies and procedures establishing a mechanism for patients to report, and the Pharmacy Practice to take appropriate action regarding, suspected adverse drug reactions and errors;
  • Maintain and enforce policies and procedures that provide a mechanism to contact the patient and, if necessary, the prescriber, if an undue delay is encountered in delivering the prescribed drug or device. Undue delay is defined as an extension of the normal delivery cycle sufficient to jeopardize or alter the patient treatment plan; 
  • Maintain and enforce policies and procedures establishing mechanisms to inform patients or caregivers about drug recalls; and
  • Maintain and enforce policies and procedures establishing mechanisms to educate patients and caregivers about the appropriate means to dispose of expired, damaged, and unusable medications.

 

STORAGE AND SHIPMENT

Qualifying CPPA Pharmacies, in accordance with applicable state and federal laws and regulations and CPPA program Standards and Criteria, must:

  • Ship controlled substances to patients via a secure means that ensures proper delivery and seeks to prevent diversion; and
  • Assure that medications and devices are maintained within appropriate temperature, light, and humidity standards, as established by the United States Pharmacopeia (USP), during storage and shipment or specified by the manufacturer.

 

OVER-THE-COUNTER PRODUCTS

Qualifying CPPA Pharmacies must:

  • Comply with all applicable federal and state laws regarding the sale of Over-the-Counter Products identified as precursors to the manufacture or compounding of illegal drugs.

 

QUALITY IMPROVEMENT PROGRAMS

Qualifying CPPA Pharmacies must:

  • Maintain a Quality Assurance/Quality Improvement Program.

 

REPORTING TO CPPA

Qualifying CPPA Pharmacies must:

  • Pharmacy Practice agrees to notify CPPA within thirty (30) days of (i) a discontinuation of or change in a patient care service provided by the Pharmacy Practice, (ii) to indemnify and hold CPPA harmless against any claim, loss, lawsuit, damage, or expense, including, without limitation, reasonable attorney’s fees, arising out of any failure on the part of the Pharmacy Practice to comply with any term of this Agreement, CPPA Standards and Criteria, or (iii) any changes in the information provided to CPPA in a CPPA Application Form, a CPPA Annual Survey Notice, a CPPA reaccreditation Notice or other documents.  Pharmacy Practice may use a CPPA Application Form, a CPPA Annual Survey Notice, a CPPA Re-accreditation Notice, or some other suitable writing for notification purposes.  Pharmacy Practice agrees to notify CPPA in writing within ten (10) days of cessation of the Pharmacy Practice’s operations.  On this notification, Pharmacy Practice shall affirm that all CPPA Seals and references to the CPPA program have been removed from the Pharmacy Practice’s Web site and other materials.