reglab/statecodes huggingface dataset:
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.255 - Authorized practices.

RCW 18.64.255
Authorized practices.
Nothing in this chapter shall operate in any manner:
(1) To restrict the scope of authorized practice of any practitioner other than a pharmacist, duly licensed as such under the laws of this state. However, a health care entity shall comply with all state and federal laws and rules relating to the dispensing of drugs and the practice of pharmacy; or
(2) In the absence of the pharmacist from the hospital pharmacy, to prohibit a registered nurse designated by the hospital and the responsible pharmacist from obtaining from the hospital pharmacy such drugs as are needed in an emergency: PROVIDED, That proper record is kept of such emergency, including the date, time, name of prescriber, the name of the nurse obtaining the drugs, and a list of what drugs and quantities of same were obtained; or
(3) To prevent shopkeepers, itinerant vendors, peddlers, or salespersons from dealing in and selling nonprescription drugs, if such drugs are sold in the original packages of the manufacturer, or in packages put up by a licensed pharmacist in the manner provided by the commission, if such shopkeeper, itinerant vendor, salesperson, or peddler shall have obtained a registration.
[ 2013 c 19 § 19; 2011 c 336 § 495; 1995 c 319 § 7; 1984 c 153 § 14; 1981 c 147 § 3; 1979 c 90 § 19.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.257 - Prescription of dialysis devices and legend drugs by dialysis programs.

RCW 18.64.257
Prescription of dialysis devices and legend drugs by dialysis programs.
(1) This chapter shall not prevent a medicare-approved dialysis center, a facility operating a medicare-approved home dialysis program, a manufacturer, or a wholesaler, from selling, delivering, possessing, or dispensing directly to its dialysis patients, if prescribed by a practitioner acting within the scope of the practitioner's practice, those dialysis devices and legend drugs, including commercially available dialysate, used by home dialysis patients, in case or full shelf lots, as determined by the commission.
(2) The commission shall adopt rules to implement this section.
[ 2022 c 23 § 1; 2013 c 19 § 20; 1987 c 41 § 1.]
NOTES:
Application of legend drug statutes to dialysis programs: RCW 69.41.032.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.265 - Schedule II controlled substance—Partial fill permitted.

RCW 18.64.265
Schedule II controlled substance—Partial fill permitted.
A pharmacist may partially fill a prescription for a schedule II controlled substance, if the partial fill is requested by the patient or the prescribing practitioner and the total quantity dispensed in all partial fillings does not exceed the quantity prescribed.
[ 2019 c 314 § 7.]
NOTES:
Declaration—2019 c 314: See note following RCW 18.22.810.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.270 - Responsibility for drug purity—Compounding—Adulteration—Penalty.

RCW 18.64.270
Responsibility for drug purity—Compounding—Adulteration—Penalty.
(1) Every proprietor of a wholesale or retail drug store shall be held responsible for the quality of all drugs, chemicals or medicines sold or dispensed by him or her except those sold in original packages of the manufacturer and except those articles or preparations known as patent or proprietary medicines.
(2) Any medicinal products that are compounded for patient administration or distribution to a licensed practitioner for patient use or administration shall, at a minimum, meet the standards of the official United States pharmacopeia as it applies to nonsterile products and sterile administered products.
(3) Any person who shall knowingly, willfully or fraudulently falsify or adulterate any drug or medicinal substance or preparation authorized or recognized by an official compendium or used or intended to be used in medical practice, or shall willfully, knowingly or fraudulently offer for sale, sell or cause the same to be sold for medicinal purposes, is guilty of a misdemeanor, and upon conviction thereof shall be punished by a fine in any sum not less than seventy-five nor more than one hundred and fifty dollars or by imprisonment in the county jail for a period of not less than one month nor more than three months, and any person convicted a third time for violation of this section may suffer both fine and imprisonment. In any case he or she shall forfeit to the state of Washington all drugs or preparations so falsified or adulterated.
[ 2013 c 146 § 2; 2003 c 53 § 137; 1963 c 38 § 13; 1899 c 121 § 14; RRS § 10139. Prior: 1891 c 153 § 15. Formerly RCW 18.67.100 and 18.67.120.]
NOTES:
Effective date—2013 c 146: See note following RCW 18.64.011.
Intent—Effective date—2003 c 53: See notes following RCW 2.48.180.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.275 - Limitations on liability for dispensing of prescription.

RCW 18.64.275
Limitations on liability for dispensing of prescription.
(1) A pharmacist who dispenses a prescription product in the form manufactured by a commercial manufacturer pursuant to a prescription issued by a licensed practitioner is not liable to a person who was injured through the use of the product, based on a claim of the following:
(a) Strict liability in tort; or
(b) Implied warranty provisions under the uniform commercial code Title 62A RCW.
(2) The limitation on pharmacist's liability as provided in subsection (1) of this section shall only apply if the pharmacist complies with recordkeeping requirements pursuant to chapters 18.64, 69.41, and 69.50 RCW, and related administrative rules.
(3) A pharmacist who dispenses a prescription product in the form manufactured by a commercial manufacturer issued by a licensed practitioner is liable to the claimant only if the claimant's harm was proximately caused by (a) the negligence of the pharmacist; (b) breach of an express warranty made by the pharmacist; or (c) the intentional misrepresentation of facts about the product by the pharmacist or the intentional concealment of information about the product by the pharmacist. A pharmacist shall not be liable for the product manufacturer's liability except as provided in RCW 7.72.040.
[ 1991 c 189 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.280 - General penalty.

RCW 18.64.280
General penalty.
Any person who shall violate any of the provisions of chapter 18.64 RCW and for which a penalty is not provided shall be deemed guilty of a gross misdemeanor.
[ 1963 c 38 § 14; 1909 c 213 § 13; RRS § 10146. Formerly RCW 18.64.250, part.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.310 - Department of health—Powers and duties.

RCW 18.64.310
Department of health—Powers and duties.
The department shall:
(1) Establish reasonable license and examination fees and fees for services to other agencies in accordance with RCW 43.70.250 and 43.70.280. In cases where there are unanticipated demands for services, the department may request payment for services directly from the agencies for whom the services are performed, to the extent that revenues or other funds are available. Drug-related investigations regarding licensed health care practitioners shall be funded by an appropriation to the department from the health professions account. The payment may be made on either an advance or a reimbursable basis as approved by the director of financial management;
(2) Employ, with confirmation by the commission, an executive officer, who shall be exempt from the provisions of chapter 41.06 RCW and who shall employ inspectors, investigators, chemists, and other persons as necessary to assist it for any purpose which it may deem necessary;
(3) Investigate and prosecute, at the direction of the commission, including use of subpoena powers, violations of law or regulations under its jurisdiction or the jurisdiction of the commission;
(4) Make, at the direction of the commission, inspections and investigations of pharmacies and other places, including dispensing machines, in which drugs or devices are stored, held, compounded, dispensed, sold, or administered to the ultimate consumer, to take and analyze any drugs or devices and to seize and condemn any drugs or devices which are adulterated, misbranded, stored, held, dispensed, distributed, administered, or compounded in violation of or contrary to law. The written operating agreement between the department and the commission, as required by RCW 43.70.240 shall include provisions for the department to involve the commission in carrying out its duties required by this section.
[ 2022 c 240 § 16; 2013 c 19 § 21; 1996 c 191 § 49; 1989 1st ex.s. c 9 § 410.]
NOTES:
Effective date—Severability—1989 1st ex.s. c 9: See RCW 43.70.910 and 43.70.920.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.350 - Nonresident pharmacies—Findings.

RCW 18.64.350
Nonresident pharmacies—Findings.
(1) The legislature finds and declares that the practice of pharmacy is a dynamic, patient-oriented health service that applies a scientific body of knowledge to improve and promote patient health by means of appropriate drug use and drug-related therapy.
(2) The legislature recognizes that with the proliferation of alternate methods of health delivery, there has arisen among third-party payors and insurance companies the desire to control the cost and utilization of pharmacy services through a variety of mechanisms, including the use of mail order pharmacies located outside the state of Washington.
(3) As a result, the legislature finds and declares that to continue to protect the Washington consumer-patient, all out-of-state pharmacies, including those located in Canada, that provide services to Washington residents shall be licensed by the department of health, disclose specific information about their services, and provide pharmacy services at a high level of protection and competence.
[ 2005 c 275 § 2; 1991 c 87 § 1.]
NOTES:
Finding—Intent—2005 c 275: "The legislature finds that as consumers' prescription drug costs continue to rise, people across the state of Washington are exercising the option to purchase prescription drugs from Canada for their personal use. The state has a strong interest in the safety of drugs purchased through this mechanism. To address this interest, the legislature intends to authorize the *state board of pharmacy to regulate nonresident Canadian pharmacies." [ 2005 c 275 § 1.]
*Reviser's note: Chapter 19, Laws of 2013 changed "state board of pharmacy" to "pharmacy quality assurance commission."
Effective date—1991 c 87: "This act shall take effect October 1, 1991." [ 1991 c 87 § 15.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.370 - Nonresident pharmacies—License required—Application—Renewal.

RCW 18.64.370
Nonresident pharmacies—License required—Application—Renewal.
(1) A nonresident pharmacy that has not obtained a license from the department of health shall not conduct the business of selling or distributing drugs in this state.
(2) Applications for a nonresident pharmacy license under RCW 18.64.350 through 18.64.400 shall be made on a form furnished by the department. The department may require such information as it deems is reasonably necessary to carry out the purpose of RCW 18.64.350 through 18.64.400.
(3) The nonresident pharmacy license shall be renewed annually on a date to be established by the department by rule. In the event the license fee remains unpaid, no renewal or new license shall be issued except upon payment of the license renewal fee and a penalty fee equal to the original license fee.
[ 1991 c 87 § 3.]
NOTES:
Effective date—1991 c 87: See note following RCW 18.64.350.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.380 - Nonresident pharmacies—Information required—Inspection.

RCW 18.64.380
Nonresident pharmacies—Information required—Inspection.
A nonresident pharmacy shall:
(1) Submit to the department, upon request, information acceptable to the secretary concerning controlled substances shipped, mailed, or delivered to a Washington resident.
(2) Submit to on-site inspection by the department of the nonresident pharmacy's prescription records if the information in subsection (1) of this section is not provided to the department upon request.
[ 1991 c 87 § 4.]
NOTES:
Effective date—1991 c 87: See note following RCW 18.64.350.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.390 - Nonresident pharmacies—Violations—Penalties.

RCW 18.64.390
Nonresident pharmacies—Violations—Penalties.
(1) The commission may deny, revoke, or suspend a nonresident pharmacy license or impose a fine not to exceed one thousand dollars per violation for failure to comply with any requirement of RCW 18.64.350 through 18.64.400.
(2) The commission may deny, revoke, or suspend a nonresident pharmacy license or impose a fine not to exceed one thousand dollars per violation for conduct that causes serious bodily or psychological injury to a resident of this state if the secretary has referred the matter to the regulatory or licensing agency in the state in which the pharmacy is located and that regulatory or licensing agency fails to initiate an investigation within forty-five days of the referral under this subsection or fails to make a determination on the referral.
[ 2013 c 19 § 23; 1991 c 87 § 5.]
NOTES:
Effective date—1991 c 87: See note following RCW 18.64.350.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.400 - Nonresident pharmacies—Definition—Advertising.

RCW 18.64.400
Nonresident pharmacies—Definition—Advertising.
For the purposes of this chapter, a nonresident pharmacy is defined as any pharmacy located outside this state that ships, mails, or delivers, in any manner, except when delivered in person to an individual, controlled substances, legend drugs, or devices into this state. It is unlawful for:
(1) Any nonresident pharmacy that is not licensed under RCW 18.64.350 through 18.64.400 to advertise its service in this state; or
(2) Any resident of this state to advertise the pharmaceutical services of a nonresident pharmacy with the knowledge that the nonresident pharmacy is not licensed by the department and that the advertisement will or is likely to induce persons within this state to use the nonresident pharmacy to fill prescriptions.
[ 1991 c 87 § 6.]
NOTES:
Effective date—1991 c 87: See note following RCW 18.64.350.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.410 - Nonresident pharmacies—Rules.

RCW 18.64.410
Nonresident pharmacies—Rules.
The commission may adopt rules to implement the provisions of RCW 18.64.350 through 18.64.400 and 18.64.420.
[ 2013 c 19 § 24; 1991 c 87 § 11.]
NOTES:
Effective date—1991 c 87: See note following RCW 18.64.350.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.420 - Nonresident pharmacies—Information confidential—Exceptions.

RCW 18.64.420
Nonresident pharmacies—Information confidential—Exceptions.
All records, reports, and information obtained by the department from or on behalf of an entity licensed under chapter 48.20, 48.21, 48.44, or 48.46 RCW shall be confidential and exempt from inspection and copying under chapter 42.56 RCW. Nothing in this section restricts the investigation or the proceedings of the commission or the department so long as the commission and the department comply with the provisions of chapter 42.56 RCW. Nothing in this section or in chapter 42.56 RCW shall restrict the commission or the department from complying with any mandatory reporting requirements that exist or may exist under federal law, nor shall the commission or the department be restricted from providing to any person the name of any nonresident pharmacy that is or has been licensed or disciplined under RCW 18.64.350 through 18.64.400.
[ 2013 c 19 § 25; 2005 c 274 § 226; 1991 c 87 § 12.]
NOTES:
Effective date—1991 c 87: See note following RCW 18.64.350.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.430 - Cost disclosure to health care providers.

RCW 18.64.430
Cost disclosure to health care providers.
The registered or licensed pharmacist under this chapter shall establish and maintain a procedure for disclosing to physicians and other health care providers with prescriptive authority information detailed by prescriber, of the cost and dispensation of all prescriptive medications prescribed by him or her for his or her patients on request. These charges should be made available on at least a quarterly basis for all requested patients and should include medication, dosage, number dispensed, and the cost of the prescription. Pharmacies may provide this information in a summary form for each prescribing physician for all patients rather than as individually itemized reports. All efforts should be made to utilize the existing computerized records and software to provide this information in the least costly format.
[ 2000 c 171 § 22; 1993 c 492 § 267.]
NOTES:
Cost containment—1993 c 492: "The legislature finds that the spiraling costs of health care continue to surmount efforts to contain them, increasing at approximately twice the inflationary rate. One of the fastest growing segments of the health care expenditure involves prescription medications. By making physicians and other health care providers with prescriptive authority more aware of the cost consequences of health care treatments for consumers, these providers may be inclined to exercise more restraint in providing only the most relevant and cost-beneficial drug and medication treatments. The requirement of the pharmacy to inform physicians and other health care providers of the charges of prescription drugs and medications that they order may have a positive effect on containing health costs. Further, the option of the physician or other health care provider to inform the patient of these charges may strengthen the necessary dialogue in the provider-patient relationship that tends to be diminished by intervening third-party payers." [ 1993 c 492 § 266.]
Findings—Intent—1993 c 492: See notes following RCW 43.20.050.
Short title—Savings—Reservation of legislative power—Effective dates—1993 c 492: See RCW 43.72.910 through 43.72.915.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.450 - Health care entity—License requirements for legend drugs and controlled substances—Exception.

RCW 18.64.450
Health care entity—License requirements for legend drugs and controlled substances—Exception.
(1) In order for a health care entity to purchase, administer, dispense, and deliver legend drugs, the health care entity must be licensed by the department.
(2) In order for a health care entity to purchase, administer, dispense, and deliver controlled substances, the health care entity must annually obtain a license from the department in accordance with the commission's rules.
(3) The receipt, administration, dispensing, and delivery of legend drugs or controlled substances by a health care entity must be performed under the supervision or at the direction of a pharmacist.
(4) A health care entity may only administer, dispense, or deliver legend drugs and controlled substances to patients who receive care within the health care entity and in compliance with rules of the commission. Nothing in this subsection shall prohibit a practitioner, in carrying out his or her licensed responsibilities within a health care entity, from dispensing or delivering to a patient of the health care entity drugs for that patient's personal use in an amount not to exceed seventy-two hours of usage.
[ 2013 c 19 § 26; 1995 c 319 § 3.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.460 - Health care entity—License fee—Requirements—Penalty.

RCW 18.64.460
Health care entity—License fee—Requirements—Penalty.
(1) The owner of a health care entity shall pay an original license fee to be determined by the secretary, and annually thereafter, on or before a date to be determined by the secretary, a fee to be determined by the secretary, for which he or she shall receive a license of location, which shall entitle the owner to purchase legend drugs or controlled substances at the location specified for the period ending on a date to be determined by the secretary. A declaration of ownership and location filed with the department under this section shall be deemed presumptive evidence of ownership of the health care entity.
(2) The owner shall immediately notify the department of any change of location or ownership in which case a new application and fee shall be submitted.
(3) It shall be the duty of the owner to keep the license of location or the renewal license properly exhibited in the health care entity.
(4) Failure to comply with this section is a misdemeanor and each day that the failure continues is a separate offense.
(5) In the event that a license fee remains unpaid after the date due, no renewal or new license may be issued except upon payment of the license renewal fee and a penalty fee equal to the original license fee.
[ 1995 c 319 § 4.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.470 - Health care entity—Records.

RCW 18.64.470
Health care entity—Records.
Every proprietor or manager of a health care entity shall keep readily available a suitable record of drugs, which shall preserve for a period of not less than two years the record of every drug used at such health care entity. The record shall be maintained either separately from all other records of the health care entity or in such form that the information required is readily retrievable from ordinary business records of the health care entity. All recordkeeping requirements for controlled substances must be complied with. Such record of drugs shall be for confidential use in the health care entity, only. The record of drugs shall be open for inspection by the commission, who is authorized to enforce chapter 18.64, 69.41, or 69.50 RCW.
[ 2013 c 19 § 27; 1995 c 319 § 6.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.480 - Waiver request to allow importation of prescription drugs from Canada.

RCW 18.64.480
Waiver request to allow importation of prescription drugs from Canada.
(1) By September 1, 2005, the commission shall, in consultation with the department and the health care authority, submit a waiver request to the federal food and drug administration that authorizes the importation of prescription drugs from Canada.
(2) Upon approval of the federal waiver allowing for the importation of prescription drugs from Canada, the commission, in consultation with the department and the health care authority, shall license Canadian pharmacies that provide services to Washington residents under RCW 18.64.350 and 18.64.360.
[ 2013 c 19 § 28; 2005 c 275 § 4.]
NOTES:
Finding—Intent—2005 c 275: See note following RCW 18.64.350.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.500 - Tamper-resistant prescription pads or paper.

RCW 18.64.500
Tamper-resistant prescription pads or paper.
(1) Every prescription written in this state by a licensed practitioner must be written on a tamper-resistant prescription pad or paper approved by the commission.
(2) A pharmacist may not fill a written prescription from a licensed practitioner unless it is written on an approved tamper-resistant prescription pad or paper, except that a pharmacist may provide emergency supplies in accordance with the commission and other insurance contract requirements.
(3) If a hard copy of an electronic prescription is given directly to the patient, the manually signed hard copy prescription must be on approved tamper-resistant paper that meets the requirements of this section.
(4) For the purposes of this section, "tamper-resistant prescription pads or paper" means a prescription pad or paper that has been approved by the commission for use and contains the following characteristics:
(a) One or more industry-recognized features designed to prevent unauthorized copying of a completed or blank prescription form;
(b) One or more industry-recognized features designed to prevent the erasure or modification of information written on the prescription form by the practitioner; and
(c) One or more industry-recognized features designed to prevent the use of counterfeit prescription forms.
(5) Practitioners shall employ reasonable safeguards to assure against theft or unauthorized use of prescriptions.
(6) All vendors must have their tamper-resistant prescription pads or paper approved by the commission prior to the marketing or sale of pads or paper in Washington state.
(7) The commission shall create a seal of approval that confirms that a pad or paper contains all three industry-recognized characteristics required by this section. The seal must be affixed to all prescription pads or paper used in this state.
(8) The commission may adopt rules necessary for the administration of chapter 328, Laws of 2009.
(9) The tamper-resistant prescription pad or paper requirements in this section shall not apply to:
(a) Prescriptions that are transmitted to the pharmacy by telephone, facsimile, or electronic means; or
(b) Prescriptions written for inpatients of a hospital, outpatients of a hospital, residents of a long-term care facility, patients of a hospice program, inpatients or residents of a mental health facility, or individuals incarcerated in a local, state, or federal correction facility, when the health care practitioner authorized to write prescriptions, or his or her authorized agent, writes the order into the patient's medical or clinical record, the order is given directly to the pharmacy, and the patient never has the opportunity to handle the written order.
(10) All acts related to the prescribing, dispensing, and records maintenance of all prescriptions shall be in compliance with applicable federal and state laws, rules, and regulations.
[ 2016 c 148 § 18; 2013 c 19 § 30; 2009 c 328 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.510 - Limitation on authority to regulate or establish standards regarding a jail.

RCW 18.64.510
Limitation on authority to regulate or establish standards regarding a jail.
Nothing in this chapter or in any provision of law shall be interpreted to invest the commission with the authority to regulate or establish standards regarding a jail as defined in RCW 70.48.020 that does not operate, in whole or in part, a pharmacy or a correctional pharmacy. This section does not limit the commission's authority to regulate a pharmacist that has entered into an agreement with a jail for the provision of pharmaceutical services.
[ 2013 c 19 § 31; 2009 c 411 § 2.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.520 - Dispensing of drug other than controlled substance—Supply limit.

RCW 18.64.520
Dispensing of drug other than controlled substance—Supply limit.
(1) A pharmacist may dispense not more than a ninety-day supply of a drug other than a controlled substance pursuant to a valid prescription that specifies an initial quantity of less than a ninety-day supply followed by periodic refills of that amount if all of the following requirements are satisfied:
(a) The patient has completed an initial thirty-day supply of the drug. However, if the prescription continues the same medication as previously dispensed in a ninety-day supply, the initial thirty-day supply under this subsection (1) is not required;
(b) The total quantity of dosage units dispensed does not exceed the total quantity of dosage units authorized by the prescriber on the prescription including refills;
(c) The prescriber has not specified on the prescription that dispensing the prescription in an initial amount followed by periodic refills is medically necessary; and
(d) The pharmacist is exercising his or her professional judgment.
(2) In no case may a pharmacist dispense a greater supply of a drug pursuant to this section if the prescriber personally indicates, either orally or in their own handwriting, "no change to quantity," or words of similar meaning. Nothing in this section prohibits a prescriber from checking a box on a prescription marked "no change to quantity," provided that the prescriber personally initials the box or checkmark.
(3) A pharmacist dispensing an increased supply of a drug pursuant to this section shall notify the prescriber of the increase in the quantity of dosage units dispensed.
(4) Nothing in this section may be construed to require a health benefit plan, health carrier, workers' compensation insurance plan, pharmacy benefit manager, or any other person or entity including, but not limited to, a state program or state employer, to provide coverage in a manner inconsistent with the beneficiary's or enrollee's plan benefit.
[ 2013 c 262 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.530 - Topical ophthalmic products—Early refills authorized.

RCW 18.64.530
Topical ophthalmic products—Early refills authorized.
A pharmacist is authorized, without consulting a physician or obtaining a new prescription or refill from a physician, to provide for one early refill of a prescription for topical ophthalmic products if all of the following criteria are met:
(1) The refill is requested by a patient at or after seventy percent of the predicted days of use of:
(a) The date the original prescription was dispensed to the patient; or
(b) The date that the last refill of the prescription was dispensed to the patient;
(2) The prescriber indicates on the original prescription that a specific number of refills will be needed; and
(3) The refill does not exceed the number of refills that the prescriber indicated under subsection (2) of this section.
[ 2015 c 85 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.540 - Provision of drugs to ambulance or aid services associated with providing emergency medical services to patients.

RCW 18.64.540
Provision of drugs to ambulance or aid services associated with providing emergency medical services to patients.
A pharmacy that is licensed under this chapter and operated by a hospital that is licensed under chapter 70.41 RCW may provide drugs to ambulance or aid services that are licensed under RCW 18.73.130 for use associated with providing emergency medical services to patients if the following conditions are met:
(1) The hospital is located in the same or an adjacent county to the county in which the ambulance or aid service operates;
(2) A medical program director of an ambulance or aid service has requested drugs from the hospital per agreed protocol. A medical program director may only request drugs that:
(a) Are relevant to the level of service provided by the ambulance or aid service and the training of its emergency medical personnel; and
(b) Are approved as part of the ambulance or aid service prehospital patient care protocols for use by emergency medical personnel in the county in which the ambulance or aid service is located; and
(3) The provision of the drugs by the pharmacy is not contingent upon arrangements for the transport of patients to the hospital that operates the pharmacy for reasons other than the consideration of patients' medical needs and any patient care procedures.
[ 2015 c 255 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.550 - Chart order as prescription—Long-term care facilities and hospice programs.

RCW 18.64.550
Chart order as prescription—Long-term care facilities and hospice programs.
(1) A chart order must be considered a prescription if it contains:
(a) The full name of the patient;
(b) The date of issuance;
(c) The name, strength, and dosage form of the drug prescribed;
(d) Directions for use; and
(e) An authorized signature. The order must contain the prescribing practitioner's signature or the signature of the practitioner's authorized agent, including the name of the prescribing practitioner.
(2) A licensed nurse, pharmacist, or physician practicing in a long-term care facility or hospice program may act as the practitioner's agent for purposes of this chapter, without need for a written agency agreement, to document a chart order in the patient's medical record on behalf of the prescribing practitioner pending the prescribing practitioner's signature; or to communicate a prescription to a pharmacy whether telephonically, via facsimile, or electronically. The communication of a prescription to a dispenser by the prescriber's agent has the same force and effect as if communicated directly by the authorized practitioner.
(3) Nothing in this chapter prevents an authorized credentialed employee of a long-term care facility from transmitting a chart order pursuant to RCW 74.42.230, or transmitting a prescription on behalf of a resident to the extent otherwise authorized by law.
[ 2020 c 57 § 27; 2016 c 148 § 2.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.560 - Nursing homes and hospice programs—Emergency drug kits—Supplemental dose kits.

RCW 18.64.560
Nursing homes and hospice programs—Emergency drug kits—Supplemental dose kits.
(1) A pharmacy or pharmacist may provide a limited quantity of drugs to a nursing home or hospice program without a prescription for emergency administration by authorized personnel of the facility or program pursuant to a valid prescription. The drugs so provided must be limited to those required to meet the immediate therapeutic needs of residents or patients and may not be available from another authorized source in sufficient time to prevent risk of harm by delay resulting from obtaining drugs from another source. Emergency kits must be secured in a locked room, container, or device to prevent unauthorized access and to ensure the proper environment for preservation of the drugs.
(2) In addition to or in connection with the emergency kit authorized under subsection (1) of this section, a nursing home that employs a unit dose drug distribution system may maintain a supplemental dose kit for supplemental nonemergency drug therapy. Supplemental dose kits must be secured in a locked room, container, or device to prevent unauthorized access, and to ensure the proper environment for preservation of the drugs. Administration of drugs from a supplemental dose kit must be under a valid prescription or chart order.
(3) The types and quantity of drugs appropriate to serve the resident or patient population of a nursing home or hospice program using an emergency kit or supplemental dose kit and procedures for the proper storage and security of drugs must be determined by a pharmaceutical services committee that includes a pharmacist licensed under this chapter, a physician licensed under chapter 18.71 RCW, an osteopathic physician licensed under chapter 18.57 RCW, or an advanced registered nurse practitioner licensed under chapter 18.79 RCW, and appropriate clinical or administrative personnel of the nursing home or hospice program as set forth in rules adopted by the pharmacy quality assurance commission.
(4) A registered nurse or licensed practical nurse operating under appropriate direction and supervision by a pharmacist may restock an emergency kit or supplemental dose kit to provide for safe and timely patient access.
[ 2016 c 148 § 3.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.570 - Long-term care facilities and hospice programs—Legend drug resupply—Shared pharmacy services—Unused drugs.

RCW 18.64.570
Long-term care facilities and hospice programs—Legend drug resupply—Shared pharmacy services—Unused drugs.
(1) A pharmacy may resupply a legend drug to a patient at a long-term care facility or hospice program pursuant to a valid chart order that is signed by the prescribing practitioner, is not time limited, and has not been discontinued.
(2) A pharmacy may outsource shared pharmacy services for a long-term care facility or hospice program to another pharmacy if the outsourcing pharmacy:
(a) Obtains approval from the long-term care facility or hospice program to outsource shared pharmacy services for the facility's or program's residents or patients; and
(b) Provides a copy of the prescription or order to the pharmacy providing the shared pharmacy services.
(3) Shared pharmacy services may be used for, but are not limited to, the purpose of ensuring that drugs or devices are attainable to meet the immediate needs of residents of the long-term care facility or hospice program, or when the outsourcing pharmacy cannot provide services on an ongoing basis. Where a pharmacy uses shared pharmacy services to have a second pharmacy provide a first dose or partial fill of a prescription or drug order to meet a patient's or resident's immediate needs, the second supplying pharmacy may dispense the first dose or partially filled prescription on a satellite basis without the outsourcing pharmacy being required to fully transfer the prescription to the supplying pharmacy. The supplying pharmacy must retain a copy of the prescription or order on file, a copy of the dispensing record or fill, and must notify the outsourcing pharmacy of the service and quantity provided.
(4) A pharmacy may repackage and dispense unused drugs returned by a long-term care facility or hospice program to the pharmacy in per-use, blister packaging, whether in unit dose or modified unit dose form, except as prohibited by federal law. The commission must adopt rules providing for the safe and efficient repackaging, reuse, and disposal of unused drugs returned to a pharmacy from a long-term care facility or hospice program. In adopting rules, the commission must take into consideration the acceptance and dispensing requirements of RCW 69.70.050 (1), (2), and (5).
[ 2016 c 148 § 4.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.580 - Long-term care pharmacies—Ratio of pharmacists to pharmacy technicians—Standards.

RCW 18.64.580
Long-term care pharmacies—Ratio of pharmacists to pharmacy technicians—Standards.
The commission must adopt reasonable, task-based standards regarding the ratio of pharmacists to pharmacy technicians in a closed door long-term care pharmacy. For the purpose of such standards, a pharmacy technician licensed under chapter 18.64A RCW may not be considered to be practicing as a pharmacy technician while performing administrative tasks not associated with immediate dispensing of drugs that may lawfully be performed by a registered pharmacy assistant. Administrative tasks not associated with immediate dispensing of drugs include but are not necessarily limited to medical records maintenance, billing, prepackaging unit dose drugs, inventory control, delivery, and processing returned drugs.
[ 2016 c 148 § 5.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.590 - Long-term care facilities and hospice programs—Commission authority.

RCW 18.64.590
Long-term care facilities and hospice programs—Commission authority.
The commission may adopt rules implementing RCW 18.64.550 through 18.64.580.
[ 2016 c 148 § 6.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.600 - Opioid use disorder medications—Remote dispensing sites—Registration—Rules—Fees.

RCW 18.64.600
Opioid use disorder medications—Remote dispensing sites—Registration—Rules—Fees.
(1) The license of location for a pharmacy licensed under this chapter may be extended to a remote dispensing site where technology is used to dispense medications used for the treatment of opioid use disorder or its symptoms.
(2) In order for a pharmacy to use remote dispensing sites, a pharmacy must register each separate remote dispensing site with the commission.
(3) The commission shall adopt rules that establish minimum standards for remote dispensing sites registered under this section. The minimum standards shall address who may retrieve medications for opioid use disorder stored in or at a remote dispensing site pursuant to a valid prescription or chart order. The minimum standards must require the pharmacy be responsible for stocking and maintaining a perpetual inventory of the medications for opioid use disorder stored in or at the registered remote dispensing site. The dispensing technology may be owned by either the pharmacy or the registered remote dispensing site.
(4) The secretary may adopt rules to establish a reasonable fee for obtaining and renewing a registration issued under this section.
(5) The registration issued under this section will be considered as part of the pharmacy license issued under RCW 18.64.043. If the underlying pharmacy license is not active, then the registration shall be considered inoperable by operation of law.
[ 2023 sp.s. c 1 § 37; 2020 c 244 § 2.]
NOTES:
Intent—2020 c 244: "(1) The legislature declares opioid use disorder is a public health crisis. Access to medications to treat this disease needs to be made readily available, especially to vulnerable populations who may not be able to access medical care or a pharmacy.
(2) The legislature recognizes that increased access to buprenorphine, as well as additional medications necessary to aid in recovery, could benefit individuals who are suffering from opioid use disorder. The legislature further recognizes that access to pharmacies may be difficult for vulnerable populations. To increase access to medications while ensuring patient safety the legislature intends to create a new credential to allow for a pharmacy license to be extended to a remote dispensing site where technology is used to dispense medications." [ 2020 c 244 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.610 - Prescription drug return and reuse—Rules.

RCW 18.64.610
Prescription drug return and reuse—Rules.
The commission must adopt rules allowing the department of corrections pharmacy to accept returns of unit dose packages or full or partial multiple dose medication cards from the facilities it serves and reuse the unexpired medication.
[ 2020 c 264 § 1.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64 - Pharmacists. › 18.64.920 - Repealer—1935 c 98.

RCW 18.64.920
Repealer—1935 c 98.
All acts and parts of acts in conflict herewith are hereby repealed.
[ 1935 c 98 § 11.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64A - Pharmacy Assistants. › 18.64A.010 - Definitions.

RCW 18.64A.010
Definitions.
Terms used in this chapter shall have the meaning set forth in this section unless the context clearly indicates otherwise:
(1) "Commission" means the pharmacy quality assurance commission;
(2) "Department" means the department of health;
(3) "Pharmacist" means a person duly licensed by the commission to engage in the practice of pharmacy;
(4) "Pharmacy" means every place properly licensed by the commission where the practice of pharmacy is conducted;
(5) "Pharmacy ancillary personnel" means pharmacy technicians and pharmacy assistants;
(6) "Pharmacy technician" means:
(a) A person who is enrolled in, or who has satisfactorily completed, a commission-approved training program designed to prepare persons to perform nondiscretionary functions associated with the practice of pharmacy; or
(b) A person who is a graduate with a degree in pharmacy or medicine of a foreign school, university, or college recognized by the commission;
(7) "Pharmacy assistant" means a person registered by the commission to perform limited functions in the pharmacy;
(8) "Practice of pharmacy" means the definition given in RCW 18.64.011;
(9) "Secretary" means the secretary of health or the secretary's designee.
[ 2013 c 19 § 32; 1997 c 417 § 1; 1989 1st ex.s. c 9 § 422; 1977 ex.s. c 101 § 1.]
NOTES:
Effective date—Severability—1989 1st ex.s. c 9: See RCW 43.70.910 and 43.70.920.
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64A - Pharmacy Assistants. › 18.64A.020 - Rules—Qualifications and training programs.

RCW 18.64A.020
Rules—Qualifications and training programs.
(1)(a) The commission shall adopt, in accordance with chapter 34.05 RCW, rules fixing the classification and qualifications and the educational and training requirements for persons who may be employed as pharmacy technicians or who may be enrolled in any pharmacy technician training program. Such rules shall provide that:
(i) Licensed pharmacists shall supervise the training of pharmacy technicians;
(ii) Training programs shall assure the competence of pharmacy technicians to aid and assist pharmacy operations. Training programs shall consist of instruction and/or practical training; and
(iii) Pharmacy technicians shall complete continuing education requirements established in rule by the commission.
(b) Such rules may include successful completion of examinations for applicants for pharmacy technician certificates. If such examination rules are adopted, the commission shall prepare or determine the nature of, and supervise the grading of the examinations. The commission may approve an examination prepared or administered by a private testing agency or association of licensing authorities.
(2) The commission may disapprove or revoke approval of any training program for failure to conform to commission rules. In the case of the disapproval or revocation of approval of a training program by the commission, a hearing shall be conducted in accordance with RCW 18.64.160, and appeal may be taken in accordance with the administrative procedure act, chapter 34.05 RCW.
[ 2013 c 19 § 33; 2011 c 71 § 1; 1997 c 417 § 2; 1995 c 198 § 8; 1977 ex.s. c 101 § 2.]
2023 Revised Code of Washington › Title 18 - Businesses and Professions › Chapter 18.64A - Pharmacy Assistants. › 18.64A.025 - Qualifications—Military training and experience.

RCW 18.64A.025
Qualifications—Military training and experience.
An applicant with military training or experience satisfies the training and experience requirements of this chapter unless the commission determines that the military training or experience is not substantially equivalent to the standards of this state.
[ 2013 c 19 § 34; 2011 c 32 § 5.]