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When issuing a medical cannabis recommendation in the electronic verification system (EVS), a qualified medical provider (QMP) must choose between recommending dosing guidelines[1] for their patient and leaving a patient’s dosing guidelines to be determined by a pharmacy medical provider (PMP). Instructions for how a QMP may complete each type of recommendation are provided below.

Locate the patient for renewal in the Enhanced Inbox in the EVS and ensure the patient is “Awaiting Certification.” NOTE: A patient MUST submit their registration for renewal in order to appear as “Awaiting Certification.”

  1. Navigate to the EVS Home page. Locate the Enhanced Inbox at the bottom of the page.
  2. Sort the Enhanced Inbox by changing the ‘Card Status’ field to ‘Awaiting Certification.’ Ensure the patient is in “Awaiting Certification” status.
    1. If a patient’s status is ‘Pending Renewal,’ then the patient is eligible for renewal, but has not yet submitted their registration for renewal.

Renew the patient’s existing certification (B1), or enter a new certification (B2):

  1. Hover over Tracking Inbox and select ‘QMP.’
  2. Click your name in the graph near the center of the screen.
  3. Click the ‘Certification/Recommendation’ tab in your QMP profile.

B1: To renew an existing certification:

  1. Locate the patient in the ‘Certification/Recommendation’ tab and click their name.
  2. Click the blue ‘Renew Certification’ button at the bottom of the certification information.
  3. Enter your QMP PIN number.
  4. Select “Save.”
    1. Ensure no errors have generated prior to navigating away from this page. The recommendation is now complete. The patient may now pay for their registration, after which UDOH will review their application.

DOSING GUIDELINES DETERMINED BY PMP

Document information about the patient in the EVS:

  1. Click “Home” in the top left-hand corner of the screen.
  2. Scroll to the bottom of the page until you see the “Enhanced Inbox.”
  3. Select the patient for whom you are entering a medication list/treatment history from the queue.
  4. The patient’s profile appears.
  5. Select the grey “Notes” tab (above the patient’s information and below the blue status bar).
  6. Click “+New”
  7. Select “Update Patient Information” in the “Note Type” drop-down.
  8. Enter “Office Notes” or similar title in the “Note Name” field.
  9. Add correspondence date.
  10. Add a comment or upload a document including the patient’s current medication list, a description of prior treatments attempts with medical cannabis, and an evaluation of the patient’s qualifying condition. The note will NOT save without entering some information in the Comment box.
  11. Select “No” for the Private Note option.
  12. Select “Save” at the bottom. Ensure no errors have generated prior to navigating away from this page. The recommendation is now complete. The patient may now pay for their registration, after which UDOH will review their application.

DOSING GUIDELINES DETERMINED BY QMP

Issue directions of use with or without dosing guidelines

  1. Click on “+New Recommendation Record” or the “Recommendation” tab above the certification information.
  2. If using the “Recommendation” tab, click “+New.”
  3. Select “Dosage Form” and any other of the following limitations:
    • Dosage Form (select from a list)
    • Total Dosage Quantity (number)
    • Total Dosage Measurement (select g or mg)
    • Total mg or ml count (CBD) (number)
    • Total mg or ml count (THC) (number)
    • Ratio of THC to CBD (specify ratio)
    • Number of Dosage Days (number)

NOTE:  When a QMP recommends dosing guidelines, a PMP at a medical cannabis pharmacy must ensure the patient’s purchase complies with the guidelines. For example, if a QMP selects “concentrated oil” as the Dosage Form, a patient must only purchase medical cannabis in the form of concentrated oil. If a QMP indicates 1:1 as the ratio of THC to CBD, a patient must only purchase products with a 1:1 ratio of THC to CBD.  To change a QMP’s recommendation, a PMP must contact the QMP, obtain approval from the QMP to change the recommendation, and document the QMP’s approval of the change.  

B2. To enter a new certification:

  1. Ensure your patient records match the information that the patient has submitted in the Electronic Verification System to the Utah Department of Health. You will need:
    1. The patient’s legal name
    2. The patient’s date of birth
    3. The last 4 digits of the patient’s social security number.

DOSING GUIDELINES DETERMINED BY PMP

Issue a certification in the EVS:

  1. Click ‘New’ on the Certification/Recommendation’ tab.
  2. Enter patient information for a certification and click “Save”. Click the “Recommendation” tab inside the certification.

Document information about the patient in the EVS:

  1. Click “Home” in the top left-hand corner of the screen.
  2. Scroll to the bottom of the page until you see the “Enhanced Inbox.”
  3. Select the patient for whom you are entering a medication list/treatment history from the queue.
  4. The patient’s profile appears.
  5. Select the grey “Notes” tab (above the patient’s information and below the blue status bar).
  6. Click “+New”
  7. Select “Update Patient Information” in the “Note Type” drop-down.
  8. Enter “Office Notes” or similar title in the “Note Name” field.
  9. Add correspondence date.
  10. Add a comment or upload a document including the patient’s current medication list, a description of prior treatments attempts with medical cannabis, and an evaluation of the patient’s qualifying condition. The note will NOT save without entering some information in the Comment box.
  11. Select “No” for the Private Note option.
  12. Select “Save” at the bottom. Ensure no errors have generated prior to navigating away from this page. The recommendation is now complete. The patient may now pay for their registration, after which UDOH will review their application.

DOSING GUIDELINES DETERMINED BY QMP

Issue directions of use with or without dosing guidelines

  1. Click on “+New Recommendation Record” or the “Recommendation” tab above the certification information.
  2. If using the “Recommendation” tab, click “+New.”
  3. Select “Dosage Form” and any other of the following limitations:
    • Dosage Form (select from a list)
    • Total Dosage Quantity (number)
    • Total Dosage Measurement (select g or mg)
    • Total mg or ml count (CBD) (number)
    • Total mg or ml count (THC) (number)
    • Ratio of THC to CBD (specify ratio)
    • Number of Dosage Days (number)

NOTE:  When a QMP recommends dosing guidelines, a PMP at a medical cannabis pharmacy must ensure the patient’s purchase complies with the guidelines. For example, if a QMP selects “concentrated oil” as the Dosage Form, a patient must only purchase medical cannabis in the form of concentrated oil. If a QMP indicates 1:1 as the ratio of THC to CBD, a patient must only purchase products with a 1:1 ratio of THC to CBD.  To change a QMP’s recommendation, a PMP must contact the QMP, obtain approval from the QMP to change the recommendation, and document the QMP’s approval of the change.  


NOTE: A patient will NOT be issued, nor be able to print, their updated card until after their previous card has expired.

Cards renewed after 90 days are valid for six months by default. To limit a patient’s card activation, please contact the Center for Medical Cannabis: medicalcannabis@utah.gov.

[1] Dosing guidelines means a quantity range and frequency of administration for a recommended treatment of medical cannabis. See Utah Code 26-61a-102 (12).