Subd. 2. Requirements for electronic prescribing. (a) Effective January 1, 2011, all providers, group
purchasers, prescribers, and dispensers must establish, maintain, and use an electronic prescription drug
program. This program must comply with the applicable standards in this section for transmitting, directly
or through an intermediary, prescriptions and prescription-related information using electronic media.
(b) If transactions described in this section are conducted, they must be done electronically using the
standards described in this section. Nothing in this section requires providers, group purchasers, prescribers,
or dispensers to electronically conduct transactions that are expressly prohibited by other sections or federal
law.
(c) Providers, group purchasers, prescribers, and dispensers must use either HL7 messages or the NCPDP
SCRIPT Standard to transmit prescriptions or prescription-related information internally when the sender
and the recipient are part of the same legal entity. If an entity sends prescriptions outside the entity, it must
use the NCPDP SCRIPT Standard or other applicable standards required by this section. Any pharmacy
within an entity must be able to receive electronic prescription transmittals from outside the entity using the
adopted NCPDP SCRIPT Standard. This exemption does not supersede any Health Insurance Portability
and Accountability Act (HIPAA) requirement that may require the use of a HIPAA transaction standard
within an organization.
Subd. 3. Standards for electronic prescribing. (a) Prescribers and dispensers must use the NCPDP
SCRIPT Standard for the communication of a prescription or prescription-related information.
(b) Providers, group purchasers, prescribers, and dispensers must use the NCPDP SCRIPT Standard for
communicating and transmitting medication history information.
(c) Providers, group purchasers, prescribers, and dispensers must use the NCPDP Formulary and Benefits
Standard for communicating and transmitting formulary and benefit information.
(d) Providers, group purchasers, prescribers, and dispensers must use the national provider identifier to
identify a health care provider in e-prescribing or prescription-related transactions when a health care
provider's identifier is required.
(e) Providers, group purchasers, prescribers, and dispensers must communicate eligibility information
and conduct health care eligibility benefit inquiry and response transactions according to the requirements
of section 62J.536.
Subd. 4. Development and use of uniform formulary exception form. (a) The commissioner of health,
in consultation with the Minnesota Administrative Uniformity Committee, shall develop by July 1, 2009, a
uniform formulary exception form that allows health care providers to request exceptions from group
purchaser formularies using a uniform form. Upon development of the form, all health care providers must
submit requests for formulary exceptions using the uniform form, and all group purchasers must accept this
form from health care providers.
(b) No later than January 1, 2011, the uniform formulary exception form must be accessible and submitted
by health care providers, and accepted and processed by group purchasers, through secure electronic
transmissions.
Subd. 5. Electronic drug prior authorization standardization and transmission. (a) The commissioner
of health, in consultation with the Minnesota e-Health Advisory Committee and the Minnesota Administrative
Uniformity Committee, shall, by February 15, 2010, identify an outline on how best to standardize drug
prior authorization request transactions between providers and group purchasers with the goal of maximizing
administrative simplification and efficiency in preparation for electronic transmissions.
Official Publication of the State of Minnesota
Revisor of Statutes
2MINNESOTA STATUTES 202362J.497
