Section R4-23-701.01. Long-term Care Facilities Pharmacy Ser- vices: Provider Pharmacy

The limited-service pharmacy permittee or pharmacist-in-charge of a provider pharmacy shall ensure that:

1.        A prescription medication is provided only by a valid pre- scription order for an individual long-term care facility resident, properly labeled for that resident, as specified in this subsection. Nothing in this Section shall prevent a provider pharmacy from supplying nonprescription drugs in a manufacturer's unopened container or emergency drugs using an emergency drug supply unit as specified in R4-23-701.02;

2.        A prescription medication label for a long-term care facil- ity resident complies with A.R.S. §§ 32-1968 and 36- 2525 and contains:

a.         The drug name, strength, dosage form, and quantity; and

b.        The beyond-use-date;

3.        Only a pharmacist employed by the pharmacy that dis- pensed the prescription medication may, through the exercise of professional judgment, relabel or alter a pre- scription medication label that is illegible or missing;

4.        The provider pharmacy develops and implements drug recall policies and procedures that protect the health and safety of facility residents. The drug recall procedures shall include immediate discontinuation of any patient level recalled drug and notification of the prescriber and director of nursing of the facility; and

5.        Drugs previously dispensed to a resident of the long-term care facility by another pharmacy, and drugs previously dispensed by the provider pharmacy, are not repackaged.

Historical Note

Adopted effective December 18, 1992 (Supp. 92-4). Amended by final rulemaking at 9 A.A.R. 1064, effective May 4, 2003 (Supp. 03-1). Amended by final rulemaking

at 19 A.A.R. 2894, effective November 10, 2013 (Supp.

13-3).