Louisiana Administrative Code
Title 46 - PROFESSIONAL AND OCCUPATIONAL STANDARDS
Part LIII - Pharmacists
Chapter 15 - Hospital Pharmacy
Section LIII-1525 - Hospital Off-Site Satellite Pharmacy
Universal Citation: LA Admin Code LIII-1525
Current through Register Vol. 50, No. 9, September 20, 2024
A. Issuance and Maintenance of Permit
1. A hospital pharmacy may establish a
hospital off-site satellite pharmacy within a facility bearing the same
hospital license number as the facility housing the provider
pharmacy.
2. The provider pharmacy,
acting through its pharmacist-in-charge, shall make application for the
satellite pharmacy permit using a form and process specified by the
board.
3. The applicant shall pay
the fee for the initial issuance and renewal as specified in
R.S.
37:1184.
4. Once issued, the satellite pharmacy permit
shall expire at midnight on December 31 of each year, unless suspended or
revoked earlier by the board.
5.
The satellite pharmacy shall renew its permit using the form and process
specified by the board.
6. The
operation of a hospital off-site satellite pharmacy without a pharmacy permit,
or with an expired permit, shall constitute a violation of
R.S.
37:1241(A)12.
7. In the event a provider pharmacy sustains
a change of ownership sufficient to require a new pharmacy permit, the hospital
off-site satellite pharmacy shall also obtain a new pharmacy permit.
8. In the event a provider pharmacy closes
permanently and surrenders its permit, the hospital off-site satellite pharmacy
shall also close and surrender its permit.
B. General Requirements
1. The hospital off-site satellite pharmacy
shall be of sufficient size and shall contain sufficient fixtures, equipment
and supplies commensurate with the scope of practice for that pharmacy,
provided:
a. the pharmacy shall be of
sufficient size to allow for the safe and proper storage of prescription drugs
and/or controlled substances;
b.
all areas where drugs and devices are stored shall be dry, well-lighted, well
ventilated, and maintained in a clean and orderly condition, and more
specifically, storage areas shall be maintained at temperatures which will
ensure the integrity of the drugs prior to their dispensing as stipulated by
the United States Pharmacopeia (USP) and/or the manufacturer's or distributor's
product labeling unless otherwise indicated by the board;
c. the pharmacy shall be secured by either a
physical barrier with suitable locks and/or an electronic barrier to detect
entry at a time when the pharmacist is not present; and
d. prescription and other patient healthcare
information shall be maintained in a manner that protects the integrity and
confidentiality of such information.
2. The pharmacist-in-charge of the provider
pharmacy shall be responsible for all pharmacy operations involving the
hospital off-site satellite pharmacy including supervision of pharmacy
personnel.
3. The hospital off-site
satellite pharmacy shall have at least one licensed pharmacist on duty and
physically present in the pharmacy at all times the hospital off-site satellite
pharmacy is open for the transaction of business.
4. The hospital off-site satellite hospital
pharmacy shall have a sufficient number of pharmacists on duty to operate the
pharmacy competently, safely, and adequately to meet the needs of the patients
of the pharmacy.
5. When the
hospital off-site satellite pharmacy is closed or there is no pharmacist on
duty, other individuals shall not have access to the hospital off-site
satellite pharmacy except for temporary absences as provided for in Chapter 11
of this Part.
6. The provider
pharmacy and the hospital off-site satellite pharmacy shall have:
a. the same owner; and
b. share a common electronic file or have the
appropriate technology to allow access to sufficient information necessary or
required to process a prescription or medical order.
7. The hospital off-site satellite pharmacy
shall comply with the recordkeeping provisions identified in Chapter 11 of this
Part.
8. The compounding of
preparations in a hospital off-site satellite pharmacy shall be accomplished in
compliance with the current federal standards applicable to such practices,
USP, chapter 797, or its successor, for the compounding of sterile
preparations, and USP, chapter 795, or its successor, for the compounding of
non-sterile preparations.
AUTHORITY NOTE: Promulgated in accordance with R.S. 37:1182.
Disclaimer: These regulations may not be the most recent version. Louisiana 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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