California Code of Regulations
Title 9 - Rehabilitative and Developmental Services
Division 4 - Department of Alcohol and Drug Programs
Chapter 4 - Narcotic Treatment Programs
Subchapter 4 - Medication Security and Diversion Prevention
Article 3 - Medication Handling and Security
Section 10260 - Administration or Dispensing of Medications

Universal Citation: 9 CA Code of Regs 10260

Current through Register 2024 Notice Reg. No. 38, September 20, 2024

(a) The program physician shall be responsible for administering or dispensing to patients all medications used in replacement narcotic therapy.

(b) Under the program physician's direction, appropriately licensed program personnel may administer or dispense these medications to patients as authorized by Section 11215 of the Health and Safety Code.

(c) Each program shall use the following procedures when administering or dispensing medications used for replacement narcotic therapy or furnishing methadone:

(1) Methadone shall be administered or dispensed to patients orally in liquid formulation.

(2) Methadone doses ingested at the program facility shall be diluted in a solution that has a volume of not less than two ounces. The medical director shall determine whether to dilute take-home medication doses given to patients in maintenance treatment.

(3) If the medical director determines not to dilute take-home medication, the reason for that decision shall be documented in the patient record.

(4) A program staff member shall observe ingestion of each medication dose administered at the program facility.

(5) Each program shall devise precautions to prevent diversion of all medications used in replacement narcotic therapy.

(6) Methadone shall be available seven days per week.

(7) No patient shall be allowed to access a program's supply of medications, act as an observer in the collection of patient body specimens used for testing or analysis of samples for illicit drug use, or handle these specimens.

1. Change without regulatory effect renumbering and amending parts of former sections 10256 and 10270 to 10260 filed 6-3-91 pursuant to section 100, title 1, California Code of Regulations (Register 91, No. 34).
2. Amendment of section heading, section and NOTE filed 3-15-96 as an emergency; operative 3-15-96 (Register 96, No. 11). A Certificate of Compliance must be transmitted to OAL by 7-13-96 or emergency language will be repealed by operation of law on the following day.
3. Amendment of section heading, section and NOTE refiled 7-8-96 as an emergency; operative 7-12-96 (Register 96, No. 28). A Certificate of Compliance must be transmitted to OAL by 11-12-96 or emergency language will be repealed by operation of law on the following day.
4. Amendment of section heading, section and NOTE refiled 10-23-96 as an emergency; operative 10-29-96 (Register 96, No. 43). A Certificate of Compliance must be transmitted to OAL by 2-26-97 or emergency language will be repealed by operation of law on the following day.
5. Amendment of section heading, section and NOTE refiled 2-11-97 as an emergency; operative 2-24-97 (Register 97, No. 7). A Certificate of Compliance must be transmitted to OAL by 6-24-97 or emergency language will be repealed by operation of law on the following day.
6. Certificate of Compliance as to 2-11-97 order transmitted to OAL 3-4-97; disapproved by OAL and order of repeal as to 2-11-97 order filed 4-15-97 (Register 97, No. 16).
7. Amendment of section heading, section and NOTE filed 4-15-97 as an emergency; operative 4-15-97 (Register 97, No. 16). A Certificate of Compliance must be transmitted to OAL by 8-13-97 or emergency language will be repealed by operation of law on the following day.
8. Certificate of Compliance as to 4-15-97 order, including amendment of subsections (b) and (c)(6), transmitted to OAL 6-2-97 and filed 6-13-97 (Register 97, No. 24).
9. Change without regulatory effect amending NOTE filed 4-19-2006 pursuant to section 100, title 1, California Code of Regulations (Register 2006, No. 16).
10. Amendment of section heading, section and NOTE filed 5-7-2020; operative 7-1-2020 (Register 2020, No. 19).

Note: Authority cited: Sections 11750, 11755, 11835, 11839.3 and 11839.20, Health and Safety Code. Reference: Sections 11839.2 and 11839.3, Health and Safety Code.

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