Code of Maryland Regulations
Title 10 - MARYLAND DEPARTMENT OF HEALTH
Part 3
Subtitle 19 - DANGEROUS DEVICES AND SUBSTANCES
Chapter 10.19.03 - Controlled Dangerous Substances
Section 10.19.03.12 - Physical Security Controls for Registrants
Universal Citation: MD Code Reg 10.19.03.12
Current through Register Vol. 51, No. 19, September 20, 2024
A. General.
(1) All applicants and registrants shall
provide effective controls and procedures to guard against theft and unlawful
diversion of controlled substances. In order to determine whether a registrant
or applicant has provided protective controls against theft and unlawful
diversion, the Department shall use the security requirements set forth in
§B of this regulation and 21 CFR §§ 1307.71 -
1301.77 as standards for physical
security controls and operating procedures necessary to prevent theft and
unlawful diversion.
(2) Substantial
Compliance. Substantial compliance with the standards set forth in §B of
this regulation and 21 CFR
§§ 1301.71-
1301.77 may be deemed sufficient
by the Department after evaluation of the overall security system and needs of
the applicant or registrant. In evaluating the overall systems of a registrant
or applicant, the Department may consider any or all of the following factors
as relevant to the need for strict compliance with security requirements of
§B of this regulation and
21 CFR §§ 1301.71-
1301.77:
(a) The type of activity conducted (e.g.
packaging, labeling, cooperative buying);
(b) The type and form of controlled drug
substances handled (e.g. bulk liquids, powders);
(c) The quantity of controlled drug
substances handled;
(d) The
location of the prescription department as it may be affected by security
problems;
(e) The type of vault,
safe, and secure enclosures or other storage system used for controlled
dangerous substances;
(f) The type
of locking mechanisms on areas to be secured;
(g) The adequacy of control over access to
locked enclosures containing controlled dangerous substances;
(h) The extent of unsupervised public access
to the prescription department;
(i)
The adequacy of supervision over employees having access to the prescription
department;
(j) The procedures for
handling business agents, visitors, maintenance personnel, and nonemployee
maintenance personnel, who may have need to enter the prescription department
area at a pharmacy;
(k) The
adequacy of the registrant's system for monitoring the receipt, distribution,
dispensing, and disposition of controlled drug substances in its operations;
or
(l) The adequacy of electric
detection and alarm systems, if any, including use of supervised transmittal
lines and standby power sources.
(3) Any registrant desiring to determine
whether a proposed security system substantially complies with the requirements
set forth in §B of this regulation may submit any plans, blueprints,
sketches, or other materials regarding the proposed security system to the
Department of Health and Mental Hygiene, Division of Drug Control.
B. Security Controls for Registrants.
(1) Controlled drug substances
listed in Schedule I shall be stored in a securely locked, substantially
constructed cabinet.
(2) Controlled
dangerous substances listed in Schedules II, III, IV, and V shall be stored in
a securely locked, substantially constructed cabinet. However, pharmacies and
institutional practitioners (as defined in Regulation .07B(2) may disperse
these substances throughout the stock of noncontrolled substances in such a
manner as to obstruct the theft or diversion of the controlled dangerous
substances.
(3) The registrant may
not knowingly employ as an agent or employee any person who has had an
application for registration currently denied or has had a registration
revoked, at any time, if this agent or employee will have access to controlled
substances.
(4) The registrant
shall notify the regional office of the Drug Enforcement Administration, and
the Department of Health and Mental Hygiene, Division of Drug Control, of the
theft or significant loss of any controlled drug substances upon discovery of a
loss or theft. The registrant shall also complete DEA form 106 regarding a loss
or theft.
(5) Only practitioners,
duly registered pharmacists, pharmacy students, or other duly authorized
personnel are allowed to participate in the handling or dispensing of
controlled dangerous substances.
(6) Each pharmacy handling controlled
dangerous substances shall have a specific area with clearly designated
boundaries as the prescription department area. Only duly registered
pharmacists, pharmacy students, or other personnel specifically authorized by
the registrant shall be allowed to enter the area designated as the
prescription department area.
C. This regulation shall also apply to nonpractitioners authorized to conduct research or chemical analysis under other registration.
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