Standards

Pharmacies conducting pharmacy services over the Internet and other businesses or persons conducting drug-related services over the Internet must meet the following standards to earn NABP e-Advertiser Approval.

  1. Licensure. The pharmacy, medical practice, medical practitioner, or any such practice or practitioner to which the applicant site links or with which it is affiliated, must be licensed or registered in good standing to practice in all required jurisdictions. 
  2. Controlled substance registration. The pharmacy, medical practice, medical practitioner, or any such practice or practitioner to which the applicant site links or with which it is affiliated, if dispensing controlled substances, must be registered with the United States Drug Enforcement Administration (DEA) or Health Canada’s Office of Controlled Substances. 
  3. Prior discipline. The pharmacy, pharmacist-in-charge, medical practice, medical practitioner, or any such practice or practitioner to which the applicant site links or with which it is affiliated, must not have been subject to significant recent and/or repeated disciplinary sanctions. 
  4. Location. The pharmacy, medical practice, medical practitioner, or any such practice or practitioner to which the applicant site links or with which it is affiliated, must be domiciled in the US or Canada. 
  5. Validity of prescription. A pharmacy shall dispense or offer to dispense prescription drugs only upon receipt of a valid prescription, as defined below, issued by a medical practitioner authorized to prescribe by the jurisdiction(s) in which the patient and practitioner are located. A medical practitioner authorized to prescribe must not prescribe, distribute, or offer to prescribe or distribute prescriptions or prescription drugs solely on the basis of an online questionnaire or consultation without a pre-existing patient-prescriber relationship that has included a face-to-face physical examination, except as explicitly permitted under relevant authoritative telemedicine laws or regulations.

    Definition. A valid prescription is one issued pursuant to a legitimate patient-prescriber relationship, which requires the following to have been established: a) The patient has a legitimate medical complaint; b) A face-to-face physical examination adequate to establish the legitimacy of the medical complaint has been performed by the prescribing practitioner, or through a telemedicine practice approved by the appropriate practitioner board; and c) A logical connection exists between the medical complaint, the medical history, and the physical examination and the drug prescribed.
  6. Legal compliance. The pharmacy, medical practice, medical practitioner, or any such practice or practitioner to which the applicant site links or with which it is affiliated, must comply with all provisions of federal, state, and provincial law, including laws addressing regulatory agency approval of prescription medication. The pharmacy, medical practice, or medical practitioner must not prescribe, dispense, or offer to prescribe or dispense medications that have not been approved by the US Food and Drug Administration (FDA) or the Therapeutic Products Directorate of Health Canada. 
  7. Privacy. If the applicant website, or any site to which the applicant site links or with which it is affiliated, transmits information that would be considered Protected Health Information (PHI) under the HIPAA Privacy Rule (45 CFR 164) or Personal Information Protection and Electronic Documents Act (PIPEDA), the information must be transmitted in accordance with HIPAA or PIPEDA requirements, including the use of Secure-Socket Layer (128-bit or higher) or equivalent technology for the transmission of PHI, and the pharmacy must display its privacy policy that accords with the requirements of the HIPAA Privacy Rule or PIPEDA requirements. 
  8. Patient services. The pharmacy, medical practice, medical practitioner, or any such practice or practitioner to which the applicant site links or with which it is affiliated, must provide on the website an accurate US or Canadian street address of the dispensing pharmacy, medical practice, medical practitioner, or corporate headquarters. The pharmacy, medical practice, medical practitioner, or any such practice or practitioner to which the applicant site links or with which it is affiliated, must provide on the website an accurate, readily accessible and responsive phone number or secure mechanism via the website, allowing patients to contact or consult with a pharmacist or medical practitioner regarding complaints or concerns or in the event of a possible adverse event involving their medication. 
  9. Website transparency. The pharmacy, medical practice, medical practitioner, or any such practice or practitioner to which the applicant site links or with which it is affiliated, must not engage in practices or extend offers on its website that may deceive or defraud patients as to any material detail regarding the practice, its staff, prescription drugs, or financial transactions. 
  10. Domain name registration. The domain name registration information of the applicant website, or of any pharmacy, medical practice, or medical practitioner it promotes, must be accurate, and the domain name registrant must have a logical nexus to the dispensing pharmacy, medical practice, or medical practitioner. Absent extenuating circumstances, applicant websites utilizing anonymous domain name registration services will not be eligible for approval. 
  11. Affiliated Websites. The applicant website, any pharmacy, medical practice, or medical practitioner it promotes, its staff, domain name registrants, and any person or entity that exercises control over, or participates in the applicant business, must not be affiliated with or control any other website that violates these standards.