Arizona Administrative Code
Title 4 - PROFESSIONS AND OCCUPATIONS
Chapter 23 - BOARD OF PHARMACY
Article 6 - PERMITS AND DISTRIBUTION OF DRUGS
Section R4-23-674 - Limited-service Long-term Care Pharmacy

Universal Citation: AZ Admin Code R 4-23-674

Current through Register Vol. 30, No. 38, September 20, 2024

A.A limited-service pharmacy permittee shall ensure that the limited-service long-term care pharmacy complies with:

1. The general requirements of R4-23-671;

2. The professional practice standards of Article 4 and Article 11; and

3. The permits and drug distribution standards of R4-23-606 through R4-23-612, R4-23-670, and this Section.

B.If a limited-service long-term care pharmacy permittee contracts with a long-term care facility as a Provider Pharmacy, as defined in R4-23-110, the limited-service long-term care pharmacy permittee shall ensure that the long-term care consultant pharmacist and the pharmacist-in-charge of the limited-service long-term care pharmacy comply with R4-23-701, R4-23-701.01, R4-23-701.02, R4-23-701.03, R4-23-701.04, and this Section.

the long-term care consultant pharmacist and the pharmacist-in-charge of the limited-service long-term care pharmacy comply with R4-23-701, R4-23-701.01, R4-23-701.02, R4-23-701.03, R4-23-701.04, and this Section.

C.The limited-service long-term care pharmacy permittee or pharmacist-in-charge shall ensure that prescription medication is delivered to the patient's long-term care facility or locked in the dispensing area of the pharmacy when a pharmacist is not present in the pharmacy.

D.The pharmacist-in-charge of a limited-service long-term care pharmacy shall authorize only those individuals listed in R4-23-610(B) to be in the limited-service long-term care pharmacy.

E.In consultation with the long-term care facility's medical director and director of nursing, the long-term care consultant pharmacist and pharmacist-in-charge of the long-term care facility's provider pharmacy may develop, if necessary, a medication formulary for the long-term care facility that ensures the safe and efficient procurement, dispensing, distribution, administration, and control of drugs in the long-term care facility.

F.The limited-service long-term care pharmacy permittee or pharmacist-in-charge shall ensure that the written policies and procedures required in R4-23-671(E) include the following:

1. Clinical services and drug utilization management for:
a. Drug utilization reviews,

b. Inventory audits,

c. Patient outcome monitoring,

d. Drug information, and

e. Education of pharmacy and other health professionals;

2. Controlled substances;

3. Drug compounding, dispensing, and storage;

4. Drug delivery requirements for:
a. Transportation,

b. Security,

c. Temperature and other environmental controls, and

d. Emergency provisions;

5. Drug product procurement;

6. Duties and qualifications of professional and support staff;

7. Emergency drug supply unit procedures;

8. Formulary, including development, review, modification, use, and documentation, if applicable;

9. Patient profiles;

10. Patient education;

11. Prescription orders, including:
a. Approved abbreviations,

b. Stop-order procedures, and

c. Leave-of-absence and discharge prescription order procedures;

12. Quality management procedures for:
a. Adverse drug reactions,

b. Drug recalls,

c. Expired and beyond-use-date drugs,

d. Medication or dispensing errors, and

e. Education of professional and support staff;

13. Recordkeeping;

14. Sanitation; and

15. Security.

Disclaimer: These regulations may not be the most recent version. Arizona may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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