Ohio Administrative Code
Title 4729 - State Board of Pharmacy
Chapter 4729-35 - Drug Repository Programs
Section 4729-35-06 - Donor form
Universal Citation: OH Admin Code 4729-35-06
Current through all regulations passed and filed through March 18, 2024
(A) Each donor must sign a form stating that the donor is the owner of the drug and intends to voluntarily donate the drug to the drug repository program. The donor form must be completed prior to any donation and include at least the following:
(1) The name of the person that was
originally dispensed the drugs, or the name of the terminal distributor of
dangerous drugs or wholesale distributor of dangerous drugs that owns the
drugs.
(2) The signature of the
donor, which may include the person designated by durable power of attorney, a
guardian, an individual responsible for the care and well-being of a patient,
or the signature of the responsible person or his/her designee from a terminal
distributor of dangerous drugs or a wholesale distributor of dangerous drugs.
(3) The date the form was signed.
(B) The following donor information must also be documented. This information may be documented on the original signed donor form or on an alternate record. If an alternate record is used, the record must include the name of the donor in addition to the required information in this paragraph.
(1) The brand
name of the drug donated, or the generic name and list either the name of the
manufacturer or the national drug code number (NDC#).
(2) The strength of the drug donated.
(3) The quantity of the drug
donated.
(4) The date the drug was
donated.
Disclaimer: These regulations may not be the most recent version. Ohio 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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