Current through Register Vol. 43, No. 39, September 26, 2024
Each registrant who is the owner of an outsourcing facility
shall meet the following minimum requirements for operation and the maintenance
of records:
(a) Facilities. Each
outsourcing facility shall meet the following requirements:
(1) Be of suitable size and construction to
facilitate cleaning, maintenance, and proper operations;
(2) have storage areas designed to provide
adequate lighting, ventilation, temperature, sanitation, humidity, space,
equipment, and security conditions;
(3) have a quarantine area for storage of
prescription-only drugs and devices that are outdated, damaged, deteriorated,
misbranded, adulterated, or deemed unit for distribution;
(4) have a quarantine area designated for
holding products waiting for testing data before being released for
distribution;
(5) be maintained in
a clean and orderly condition;
(6)
be free from infestation by insects, rodents, birds, or vermin of any
kind;
(7) be a commercial location
and not a personal dwelling or residence; and
(8) have sufficient storage space to maintain
records of all shipments pertaining to outsourcing for at least ive
years.
(b) Security.
(1) Each facility used for outsourcing shall
be secure from unauthorized entry.
(A) Access
from outside the premises shall be kept to a minimum and be well
controlled.
(B) The outside
perimeter of the premises shall be well lighted.
(C) Entry into areas where prescription-only
drugs and devices are held shall be limited to authorized personnel.
(2) Each facility shall be
equipped with an alarm system to detect entry after hours.
(3) Each facility shall be equipped with a
security system that will provide suitable protection against theft and
diversion. When appropriate, the security system shall provide protection
against theft or diversion that is facilitated or hidden by tampering with
computers or electronic records.
(c) Storage. All prescription-only drugs and
devices shall be stored at appropriate temperatures and under appropriate
conditions in accordance with manufacturer's recommendations to preserve the
stability of these drugs and devices.
(1) If
no storage requirements are established for a prescription-only drug or device,
the drug or device may be held at room temperature, as defined in an official
compendium, to help ensure that its identity, strength, quality, and purity are
not adversely affected.
(2)
Appropriate manual, electromechanical, or electronic temperature and
humidity-recording equipment, devices, logs, or a combination of these means
shall be utilized to document proper storage of prescription-only drugs and
devices at least once during each 24-hour period.
(3) The recordkeeping requirements in
subsection (f) shall be followed for all stored prescription-only drugs and
devices.
(d) Examination
of materials.
(1) Upon receipt, each outside
shipping container shall be visually examined to identify and to prevent the
acceptance of prescription-only drugs or devices that are contaminated or
otherwise unfit for distribution. This examination shall be adequate to reveal
container damage that would suggest possible contamination or other damage to
the contents.
(2) Each outgoing
shipment shall be carefully inspected to identify the prescription-only drugs
or devices and to ensure that there is no delivery of prescription-only drugs
or devices that have been damaged in storage or held under improper
conditions.
(3) The recordkeeping
requirements in subsection (f) shall be followed for all incoming and outgoing
prescription-only drugs and devices.
(e) Returned, damaged, and outdated
prescription-only drugs and devices.
(1)
Prescription-only drugs or devices that are outdated, damaged, deteriorated,
misbranded, or adulterated shall be quarantined and physically separated from
other prescription-only drugs and devices until they are destroyed.
(2) Each prescription-only drug or device
whose immediate or sealed outer or sealed secondary container has been opened
or used shall be identiied as such and shall be quarantined and physically
separated from other prescription-only drugs until the drug or device is either
destroyed or returned to the supplier.
(3) If the conditions under which a
prescription-only drug or device has been returned cast doubt on the drug's or
device's safety, identity, strength, quality, or purity, then the drug or
device shall be destroyed, unless examination, testing, or other investigations
prove that the drug or device meets appropriate standards of safety, identity,
strength, quality, and purity. In determining whether or not the conditions
under which a drug or device has been returned cast doubt on the drug's or
device's safety, identity, strength, quality, or purity, the registrant shall
consider, among other factors, the conditions under which the drug or device
has been held, stored, or shipped before or during its return and the condition
of the drug or device and its container, carton, or labeling, as a result of
storage or shipping.
(4) The
recordkeeping requirements in subsection (f) shall be followed for all
outdated, damaged, deteriorated, misbranded, or adulterated prescription-only
drugs and devices.
(f)
Recordkeeping.
(1) Each registrant shall
establish and maintain records of all transactions regarding the receipt and
distribution or other disposition of prescription-only drugs and devices and
any bulk active pharmaceutical ingredients used in compounding or
manufacturing. These records shall include the following information:
(A) The source of the drugs and devices or
the active pharmaceutical ingredients, including the name and principal address
of the seller or transferor, the address of the location from which the drugs
or devices were shipped, and the certiicate of analysis if an active
pharmaceutical ingredient was received;
(B) the identity and quantity of the drugs
and devices or the active pharmaceutical ingredients received and either
distributed or disposed of; and
(C)
the date of receipt of the drugs and devices and the date of distribution or
any other disposition of the drugs and devices.
(2) Records shall be made available for
inspection and photocopying by an authorized representative of the board for
ive years following disposition of the prescription-only drugs or
devices.
(3) The records described
in this regulation that are kept at the inspection site or that can be
immediately retrieved by computer or other electronic means shall be readily
available for authorized inspection during the retention period. Records kept
at a central location apart from the inspection site and not electronically
retrievable shall be made available for inspection within two working days of a
request by an authorized representative of the board.
(4) Each registrant shall post all current
federal and state registrations in a conspicuous place.
(g) Written policies and procedures. Each
registrant shall establish, maintain, and adhere to written policies and
procedures concerning the receipt, security, storage, inventory, and
distribution of prescription-only drugs and devices, including policies and
procedures for identifying, recording, and reporting losses or thefts, and for
correcting all errors and inaccuracies in inventories. In addition, each
registrant shall establish, maintain, and adhere to the following written
policies and procedures:
(1) A procedure by
which the oldest approved stock of a prescription-only drug or device is
distributed irst. The procedure may permit deviation from this requirement, if
the deviation is temporary and appropriate to meet the needs of the receiving
facility;
(2) a procedure to be
followed for handling recalls and withdrawals of prescription-only drugs and
devices including written notification to the board within 24 hours. This
procedure shall be adequate to deal with recalls and withdrawals due to any of
the following:
(A) Any action initiated at the
request of the food and drug administration or other federal, state, or local
law enforcement or other government agency, including the board;
(B) any voluntary action by the registrant to
remove defective or potentially defective drugs or devices from the market;
or
(C) any action undertaken to
promote public health and safety by replacing existing merchandise with an
improved product or new package design;
(3) a procedure to ensure that the registrant
prepares for, protects against, and handles any crisis that affects security or
operation of any facility in the event of strike, fire, flood, or other natural
disaster, or other situations of local, state, or national emergency;
(4) a procedure to ensure that all outdated
prescription-only drugs or devices are segregated from other drugs or devices
and destroyed. This procedure shall provide for written documentation of the
disposition of outdated prescription-only drug or device. This documentation
shall be maintained for five years after disposition of the outdated
prescription-only drug or device; and
(5) a procedure to ensure that
prescription-only drugs and devices are sold only to registered entities with
the authority to possess prescription-only drugs and devices in Kansas and to
maintain documentation of this authority as part of the distribution
record.
(h) Responsible
persons. Each registrant shall establish and maintain a list of officers,
directors, managers, pharmacists, pharmacy technicians, and other persons in
charge of drug compounding, distribution, storage, and handling, including a
description of their duties and a summary of their qualifications. This list
shall be made available for inspection by the board.
(i) Compliance with federal, state, and local
law.
(1) Each registrant that deals in
controlled substances shall register with the DEA.
(2) Each registrant shall permit the board's
authorized personnel to enter and inspect the registrant's premises and
delivery vehicles and to audit the records and written operating procedures, at
reasonable times and in a reasonable manner, to the extent authorized by
law.
(3) Each registrant shall
operate in accordance with section 503B of the federal food, drug, and cosmetic
act,
21 U.S.C.
353b.
(4) Each drug manufactured, prepared,
propagated, compounded, or processed by an outsourcing facility without a
registration issued by the board shall be deemed misbranded.