reglab/statecodes huggingface dataset:
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-657 - Security

Current through Register Vol. 30, No. 28, July 12, 2024
A. Personnel
				security standards. A Director of Pharmacy shall ensure that:
1. No one is permitted in the pharmacy unless
				a pharmacist is present except as provided in this Section and
				R4-23-654.
				If only one pharmacist is on duty in the pharmacy and that pharmacist must
				leave the pharmacy for an emergency or patient care duties, nonpharmacist
				personnel may remain in the pharmacy to perform duties as outlined in
				R4-23-653,
				provided that all C-II controlled substances are secured to prohibit access by
				other than a pharmacist, and that the pharmacist remains available in the
				hospital;
2. All hospital pharmacy
				areas are kept locked by key or programmable lock to prevent access by
				unauthorized personnel; and
3.
				Pharmacists, pharmacy or graduate interns, pharmacy technicians, pharmacy
				technician trainees, and other personnel working in the pharmacy wear
				identification badges, including name and position, whenever on duty.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-658 - Drug Distribution and Control

Current through Register Vol. 30, No. 28, July 12, 2024
A. General. The Director of Pharmacy or
				pharmacist-in-charge shall in consultation with the medical staff, develop,
				implement, review, and revise in the same manner described in
				R4-23-653(A)
				and comply with written policies and procedures for the effective operation of
				a drug distribution system that optimizes patient safety.
B. Responsibility. The Director of Pharmacy
				is responsible for the safe and efficient procurement, dispensing,
				distribution, administration, and control of drugs, including the following:
1. In consultation with the appropriate
				department personnel and medical staff committee, develop a medication
				formulary for the hospital;
2.
				Proper handling, distribution, and recordkeeping of investigational drugs;
				and
3. Regular inspections of drug
				storage and preparation areas within the hospital.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-659 - Administration of Drugs

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Self-administration. A hospital shall not allow self-administration of
				medications by a patient unless the Director of Pharmacy or
				pharmacist-in-charge, in consultation with the appropriate department personnel
				and medical staff committee, develops, implements, reviews, and revises in the
				same manner described in
				R4-23-653(A)
				and complies with policies and procedures for self-administration of
				medications by a patient. The policies and procedures shall specify that
				self-administration of medications, if allowed, occurs only when:
1. Specifically ordered by a medical
				practitioner, and
2. The patient is
				educated and trained in the proper manner of self-administration.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-660 - Investigational Drugs

Current through Register Vol. 30, No. 28, July 12, 2024
The Director of Pharmacy or pharmacist-in-charge shall ensure
				  that:
1. The following information
				concerning an investigational drug is available for use by hospital personnel:
a. Composition,
b. Pharmacology,
c. Adverse reactions,
d. Administration guidelines, and
e. All other available information concerning
				the drug, and
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-670 - Sterile Pharmaceutical Products

Current through Register Vol. 30, No. 28, July 12, 2024
A. In addition to the minimum area
				requirement of
				R4-23-609(A)
				and
				R4-23-655(B)
				and before compounding a sterile pharmaceutical product, a pharmacy permittee,
				limited-service pharmacy permittee, or applicant shall provide a minimum
				sterile pharmaceutical product compounding area that is not less than 100
				square feet of contiguous floor area, except any pharmacy permit issued or
				pharmacy remodeled before November 1, 2006 may continue to use a sterile
				pharmaceutical product compounding area that is not less that 60 square feet of
				contiguous floor area, until a pharmacy ownership change occurs that requires
				issuance of a new permit or the pharmacy is remodeled. The pharmacy permittee
				or the pharmacist-in-charge shall ensure that the sterile pharmaceutical
				product compounding area:
1. Is dedicated to
				the purpose of preparing and compounding sterile pharmaceutical
				products;
2. Is isolated from other
				pharmacy functions;
3. Restricts
				entry or access;
4. Is free from
				unnecessary disturbances in air flow;
5. Is made of non-porous and cleanable floor,
				wall, and ceiling material; and
6.
				Meets the minimum air cleanliness standards of an ISO Class 7 environment as
				defined in
				R4-23-110, except an
				ISO class 7 environment is not required if all sterile pharmaceutical product
				compounding occurs within an ISO class 5 environment isolator, such as a glove
				box, pharmaceutical isolator, barrier isolator, pharmacy isolator, or hospital
				pharmacy isolator.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-671 - General Requirements for Limited-service Pharmacy

Current through Register Vol. 30, No. 28, July 12, 2024
A. Before opening a limited-service pharmacy,
				a person shall obtain a permit in compliance with A.R.S. §§ 32-1929,
				32-1930, 32-1931, and
				R4-23-606.
B. The limited-service pharmacy permittee
				shall secure the limited-service pharmacy by conforming with the following
				standards:
1. Permit no one to be in the
				limited-service pharmacy unless the pharmacist-in-charge or a pharmacist
				authorized by the pharmacist-in-charge is present;
2. Require the pharmacist-in-charge to
				designate in writing, by name, title, and specific area, those persons who will
				have access to particular areas of the limited-service pharmacy;
3. Implement procedures to guard against
				theft or diversion of drugs, including controlled substances; and
4. Require all persons working in the
				limited-service pharmacy to wear badges, with their names and titles, while on
				duty.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-672 - Limited-service Correctional Pharmacy

Current through Register Vol. 30, No. 28, July 12, 2024
A. The limited-service pharmacy permittee
				shall ensure that the limited-service correctional pharmacy complies with the
				standards for area, personnel, security, sanitation, equipment, drug
				distribution and control, administration of drugs, drug source, quality
				assurance, investigational drugs, and inspections as set forth in
				R4-23-608,
				R4-23-609(A) through (D) and (F) through (H), R4-23-610(A), R4-23-611,
				R4-23-612, R4-23-653(E), R4-23-658(B) through (E), R4-23-659, and
				R4-23-660.
B. The
				pharmacist-in-charge of a limited-service correctional pharmacy shall authorize
				only pharmacists, interns, pharmacy technicians, pharmacy technician trainees,
				compliance officers, drug inspectors, peace officers, and correctional officers
				acting in their official capacities, other persons authorized by law, support
				personnel, and other designated personnel to be in the limited-service
				correctional pharmacy.
C. When no
				pharmacist will be on duty in the correctional facility, the
				pharmacist-in-charge shall arrange, before there is no pharmacist on duty, for
				the medical staff and other authorized personnel of the correctional facility
				to have access to drugs in remote drug storage areas or, if a drug is not
				available in a remote drug storage area and is required to treat the immediate
				needs of a patient, in the limited-service correctional pharmacy.
1. The pharmacist-in-charge shall, in
				consultation with the appropriate committee of the correctional facility,
				develop and implement procedures to ensure that remote drug storage areas:
a. Contain only properly labeled drugs that
				might reasonably be needed and can be administered safely during the
				pharmacist's absence,
b. Contain
				drugs packaged only in amounts sufficient for immediate therapeutic
				requirements,
c. Are accessible
				only with a physician's written order,
d. Provide a written record of each drug
				withdrawn,
e. Are inventoried at
				least once each week, and
f. Are
				audited for compliance with the requirements of this rule at least once each
				month.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-673 - Limited-service Mail-order Pharmacy

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				The limited-service pharmacy permittee shall design and construct the
				limited-service mail-order pharmacy to conform with the following requirements:
1. A dispensing area devoted to stocking,
				compounding, and dispensing prescription medications, which is physically
				separate from a non-dispensing area devoted to non-dispensing pharmacy
				services;
2. A dispensing area of
				at least 300 square feet if three or fewer persons work in the dispensing area
				simultaneously;
3. A dispensing
				area that provides 300 square feet plus 60 square feet for each person in
				excess of three persons if more than three persons work in the dispensing area
				simultaneously;
4. Space in the
				dispensing area permits efficient pharmaceutical practice, free movement of
				personnel, and visual surveillance by the pharmacist;
5. A non-dispensing area of at least 30
				square feet for each person working simultaneously in the non-dispensing area;
				and
6. Space in the non-dispensing
				area permits free movement of personnel and visual surveillance by the
				pharmacist; or
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-674 - Limited-service Long-term Care Pharmacy

Current through Register Vol. 30, No. 28, July 12, 2024
A.A limited-service pharmacy permittee shall
				ensure that the limited-service long-term care pharmacy complies with:
1. The general requirements of
				R4-23-671;
2. The professional practice standards of
				Article 4 and Article 11; and
3.
				The permits and drug distribution standards of R4-23-606 through R4-23-612,
				R4-23-670, and this Section.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-675 - Limited-service Sterile Pharmaceutical Products Pharmacy

Current through Register Vol. 30, No. 28, July 12, 2024
A. The limited-service pharmacy permittee or
				the pharmacist-in-charge shall ensure that the limited-service sterile
				pharmaceutical products pharmacy complies with the standards for area,
				personnel, security, sanitation, equipment, sterile pharmaceutical products,
				and limited-service pharmacies established in
				R4-23-608,
				R4-23-609,
				R4-23-610,
				R4-23-611, R4-23-612, R4-23-670, and R4-23-671.
B. The pharmacist-in-charge of a
				limited-service sterile pharmaceutical products pharmacy shall authorize only
				pharmacists, interns, compliance officers, peace officers acting in their
				official capacities, pharmacy technicians, pharmacy technician trainees,
				support personnel, and other designated personnel to be in the limited-service
				sterile pharmaceutical products pharmacy.
C. The pharmacist-in-charge of a
				limited-service sterile pharmaceutical products pharmacy shall ensure that
				prescription medication is delivered to the patient or locked in the dispensing
				area when a pharmacist is not present in the pharmacy.
D. In addition to the delivery requirements
				of
				R4-23-402,
				the limited-service pharmacy permittee shall, during regular hours of
				operation, but not less than a minimum 40 hours per week, provide toll-free
				telephone service to facilitate communication between patients and a pharmacist
				who has access to patient records at the limited-service sterile pharmaceutical
				products pharmacy. The limited-service pharmacy permittee shall disclose this
				toll-free number on a label affixed to each container dispensed from the
				limited-service sterile pharmaceutical products pharmacy.
E. The limited-service pharmacy permittee or
				the pharmacist-in-charge shall ensure development, implementation, review and
				revision in the same manner described in
				R4-23-671(E)
				and compliance with policies and procedures for pharmacy operations, including
				pharmaceutical product compounding, dispensing, and distribution, that comply
				with the requirements of
				R4-23-402,
				R4-23-410,
				R4-23-670,
				and
				R4-23-671.
F. The non-dispensing roles of the pharmacist
				may include chart reviews, audits, drug therapy monitoring, committee
				participation, drug information, and in-service training of pharmacy and other
				health professionals.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-676 - Third-party Logistics Provider Permit

Current through Register Vol. 30, No. 28, July 12, 2024
A. A person shall not provide logistics
				services, as described under A.R.S. §
									32-1941(A),
				until the Board issues a third-party logistics provider permit for the
				facility.
B. A person that wants to
				provide logistics services shall obtain a Board-issued third-party logistics
				provider permit for each facility.
C. Application. To obtain a third-party
				logistics provider permit for a facility, a person shall submit a completed
				application, using a form available on the Board's website, and the fee
				specified in
				R4-23-205.
D. Change of ownership. A third-party
				logistics provider permittee shall comply with R4-23-601(F).
E. A third-party logistics provider permittee
				shall renew the permit as specified under R4-23-602(D).
F. The Board shall adhere to the time frames
				specified under
				R4-23-602(C)
				when processing an initial or renewal application for a third-party logistics
				provider permit.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-677 - Automated Prescription- dispensing Kiosk Perm

Current through Register Vol. 30, No. 28, July 12, 2024
A. General provisions.
1. Only a person issued a Board permit under
				A.R.S. §
										32-1929
				to operate a pharmacy in Arizona may apply to the Board under A.R.S. §
										32-1930
				for a permit to operate an automated prescription-dispensing kiosk.
2. A pharmacy permittee described under
				subsection (A)(1) shall apply for a separate permit for each automated
				prescription-dispensing kiosk to be operated.
3. To obtain an automated prescript
				ion-dispensing kiosk permit, a pharmacy permittee shall submit a completed
				application, using a form available on the Board's website, and the fee
				specified in
				R4-23-205.
4. A pharmacy permittee to which the Board
				issues an automated prescription-dispensing kiosk permit shall designate a
				pharmacist in charge of the automated prescription-dispensing kiosk.
5. A pharmacy permittee to which the Board
				issues an automated prescription-dispensing kiosk permit shall not place the
				automated prescription-dispensing kiosk in a gas station or convenience
				store.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-681 - General Requirements for Limited-service Nuclear Pharmacy

Current through Register Vol. 30, No. 28, July 12, 2024
A. To be an
				authorized nuclear pharmacist, a pharmacist shall:
1. Hold a current pharmacist license issued
				by the Board; and
2. Be certified
				as a nuclear pharmacist by:
a. The Board of
				Pharmaceutical Specialties, or
b. A
				similar group recognized by the Arizona State Board of Pharmacy; or
3. Satisfy each of the following
				requirements:
a. Meet minimal standards of
				training for status as an authorized user of radioactive material, as specified
				by the Arizona Radiation Regulatory Agency and the United States Nuclear
				Regulatory Commission;
b. Submit
				certification of completion of a Board-approved nuclear pharmacy training
				program or other training program recognized by the Arizona Radiation
				Regulatory Agency, with 200 hours of didactic training in the following areas:
i. Radiation physics and
				instrumentation,
ii. Radiation
				protection,
iii. Mathematics
				pertaining to the use and measurement of radioactivity,
iv. Radiation biology, and
v. Radiopharmaceutical chemistry;
c. Submit evidence of a minimum of
				500 hours of clinical/practical nuclear pharmacy training under the supervision
				of an authorized nuclear pharmacist in the following areas:
i. Procuring radioactive materials;
ii. Compounding
				radiopharmaceuticals;
iii.
				Performing routine quality control procedures;
iv. Dispensing
				radiopharmaceuticals;
v.
				Distributing radiopharmaceuticals;
vi. Implementing basic radiation protection
				procedures; and
vii. Consulting and
				educating the nuclear medicine community, patients, pharmacists, other health
				professionals, and the general public; and
d. Submit written certification, signed by a
				preceptor who is an authorized nuclear pharmacist, that the above training was
				satisfactorily completed.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-682 - Limited-service Nuclear Pharmacy

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Before operating a limited-service nuclear pharmacy, a person shall obtain a
				permit in compliance with A.R.S. §§
									32-1929,
				32-1930, and 32-1931, and
				R4-23-606.
B. A permit to operate a limited-service
				nuclear pharmacy shall be issued only to a person who is or employs an
				authorized nuclear pharmacist and holds a current Arizona Radiation Regulatory
				Agency Radioactive Materials License. A limited-service nuclear pharmacy
				permittee that fails to maintain a current Arizona Radiation Regulatory Agency
				Radioactive Materials License shall be immediately suspended pending revocation
				by the Board. A limited-service nuclear pharmacy permittee shall have copies of
				Arizona Radiation Regulatory Agency inspection reports available upon request
				for Board inspection.
1. A limited-service
				nuclear pharmacy permittee shall designate an authorized nuclear pharmacist as
				the pharmacist-in-charge. The pharmacist-in-charge shall be responsible to the
				Board:
a. For the operations of the pharmacy
				related to the practice of pharmacy and distribution of drugs and
				devices;
b. For communicating Board
				directives to the management, pharmacists, interns, and other personnel of the
				pharmacy; and
c. For the pharmacy's
				compliance with all federal and state pharmacy laws and rules.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-692 - Compressed Medical Gas (CMG) Distributor-Resident or Nonresident

Current through Register Vol. 30, No. 28, July 12, 2024
A. Permit.
1. A person shall not manufacture, process,
				transfill, package, or label a compressed medical gas in Arizona, or
				manufacture, process, transfill, package, or label a compressed medical gas
				outside Arizona and ship into Arizona without a current Board-issued resident
				or nonresident compressed medical gas distributor permit.
2. Before operating as a compressed medical
				gas distributor, a person shall register with the FDA as a medical gas
				manufacturer and comply with the drug listing requirements of the federal act.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 6 - PERMITS AND DISTRIBUTION OF DRUGS › Section R4-23-693 - Durable Medical Equipment (DME) and Compressed Medical Gas (CMG) Supplier-Resident or Nonresident

Current through Register Vol. 30, No. 28, July 12, 2024
A.Permit. A person shall not sell, lease, or
				supply durable medical equipment or a compressed medical gas to a patient or
				consumer in Arizona for use in a home or residence without a current
				Board-issued resident or nonresident durable medical equipment and compressed
				medical gas supplier permit.
1. The permit
				requirements of this Section do not apply to the following unless there is a
				separate business entity engaged in the business of providing durable medical
				equipment or a compressed medical gas to a patient or consumer for use in a
				home or residence:
a. A medical practitioner
				licensed under A.R.S. Title 32;
b.
				A hospital, long-term care facility, hospice, or other health-care facility
				using durable medical equipment or a compressed medical gas in the normal
				course of treating a patient; and
c. A pharmacy.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 7 - NON-PHARMACY LICENSED OUTLETS - GENERAL PROVISIONS › Section R4-23-701 - Long-term Care Facilities Pharmacy Services: Consultant Pharmacist

Current through Register Vol. 30, No. 28, July 12, 2024
A.The long-term
				care consultant pharmacist as defined in
				R4-23-110 shall:
1. Possess a valid Arizona pharmacist license
				issued by the Board;
2. Ensure the
				provision of pharmaceutical patient care services as defined in
				R4-23-110;
3. Review the
				distribution and storage of drugs and devices and assist the facility in
				establishing policies and procedures for the distribution and storage of drugs
				and devices;
4. Provide
				resident evaluation programs that relate to monitoring the therapeutic response
				and utilization of all drugs and devices prescribed or administered to
				residents, using as guidelines the most current indicators established by the
				Centers for Medicare and Medicaid Services, United States Department of Health
				and Human Services as required in
				42 CFR
				483.60 (revised October 1, 2010, incorporated
				by reference and on file with the Board. This incorporated material contains no
				future editions or amendments.).
5.
				Serve as a resource for pharmacy-related education services within the
				facility;
6. Participate in quality
				management of resident care in the facility; and
7. Communicate with the provider pharmacy
				regarding areas of mutual concern and resolution.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 7 - NON-PHARMACY LICENSED OUTLETS - GENERAL PROVISIONS › Section R4-23-701.01 - Long-term Care Facilities Pharmacy Services: Provider Pharmacy

Current through Register Vol. 30, No. 28, July 12, 2024
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 prescription 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 facility 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;
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 7 - NON-PHARMACY LICENSED OUTLETS - GENERAL PROVISIONS › Section R4-23-701.02 - Long-term Care Facilities Pharmacy Services: Emergency Drugs

Current through Register Vol. 30, No. 28, July 12, 2024
A.The
				limited-service pharmacy permittee or pharmacist-in-charge of a provider
				pharmacy shall ensure that:
1. An emergency
				drug supply unit is available within the long-term care facility,
2. Drugs contained in an emergency drug
				supply unit remain the property of the provider pharmacy, and
3. Controlled substance drugs contained in an
				emergency drug supply unit are included in all inventories required under
				A.R.S. §36-2523(B) and
				R4-23-1003(A).
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 7 - NON-PHARMACY LICENSED OUTLETS - GENERAL PROVISIONS › Section R4-23-701.03 - Long-term Care Facilities Pharmacy Services: Emergency Drug Prescription Order

Current through Register Vol. 30, No. 28, July 12, 2024
The limited-service pharmacy permittee or
				  pharmacist-in-charge of a provider pharmacy shall ensure that every emergency
				  drug prescription order is evaluated according to the requirements of
				  R4-23-402(A)
				  by a pharmacist within 72 hours of the first dose of drug administered by
				  long-term care facility personnel under the emergency drug prescription
				  order.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 7 - NON-PHARMACY LICENSED OUTLETS - GENERAL PROVISIONS › Section R4-23-701.04 - Long-term Care Facilities Pharmacy Services: Automated Dispensing Systems

Current through Register Vol. 30, No. 28, July 12, 2024
A.Before using an
				automated dispensing system as defined in
				R4-23-110, a pharmacy
				permittee or pharmacist-in-charge of a provider pharmacy shall:
1. Notify the Board or its staff in writing
				of the intent to use an automated dispensing system, including the name and
				type of system;
2. Obtain a
				separate controlled substances registration at the location of each long-term
				care facility at which an automated dispensing system containing controlled
				substances will be located as required by federal law; and
3. Maintain copies of the registrations
				required under subsection (A)(2) at the provider pharmacy for inspection by the
				Board or its staff.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 7 - NON-PHARMACY LICENSED OUTLETS - GENERAL PROVISIONS › Section R4-23-702 - Hospice Inpatient Facilities

Current through Register Vol. 30, No. 28, July 12, 2024
A.If a pharmacy permittee contracts to
				provide pharmacy services to the patients of a hospice inpatient facility as
				defined in
				R4-23-110, the
				pharmacy permittee shall ensure that:
1. A
				prescription medication is provided only by a valid prescription order for an
				individual hospice inpatient facility patient, properly labeled for that
				patient, as specified in this subsection. Nothing in this section shall prevent
				a provider pharmacy from supplying non-prescription drugs in a manufacturer's
				unopened container;
2. A
				prescription medication label for a hospice inpatient facility patient 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; and
3. If the label on the hospice inpatient
				facility patient's drug container becomes damaged or soiled, a pharmacist
				employed by the pharmacy that dispensed the drug container, through the
				exercise of professional judgment, may relabel the drug container. Only a
				pharmacist is permitted to label a drug container or alter the label of a drug
				container.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 7 - NON-PHARMACY LICENSED OUTLETS - GENERAL PROVISIONS › Section R4-23-703 - Assisted Living Facilities

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				Before dispensing, selling, or delivering a prescription or nonprescription
				drug to an assisted living facility resident, a pharmacy permittee shall verify
				the assisted living facility has a current and active license issued by the
				Arizona Department of Health Services.
B. A pharmacy permittee shall ensure that,
				except as provided under subsection (C):
1. A
				controlled substance prescription drug is dispensed, sold, or delivered to an
				assisted living facility resident only after receiving a valid prescription
				order for the controlled substance prescription drug from the resident's
				medical practitioner; and
2. The
				controlled substance prescription drug is labeled in accordance with A.R.S.
				§§
										32-1963.01,
				32-1968,
				and
				36-2525
				and includes the beyond-use date on the label.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 7 - NON-PHARMACY LICENSED OUTLETS - GENERAL PROVISIONS › Section R4-23-704 - Customized Patient Medication Packages

Current through Register Vol. 30, No. 28, July 12, 2024
In lieu of dispensing two or more prescribed drugs in
				  separate containers, a pharmacist may, with the consent of the patient, the
				  patient's caregiver, the prescriber, or the facility caring for the patient,
				  provide a customized patient medication package. The pharmacist preparing a
				  customized patient medication package shall abide by the guidelines set forth
				  in the current edition of the official compendium for labeling, packaging, and
				  recordkeeping, and state and federal law.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 8 - DRUG CLASSIFICATION › Section R4-23-802 - Veterinary

Current through Register Vol. 30, No. 28, July 12, 2024
Veterinary preparation: A veterinary drug manufacturer or
				  supplier may distribute:
1. A
				prescription-only veterinary drug to:
a. A
				veterinary medical practitioner licensed under A.R.S. Title 32, Chapter
				21,
b. A full-service drug
				wholesaler permitted under A.R.S. Title 32, Chapter 18, or
c. A pharmacy permitted under A.R.S. Title
				32, Chapter 18, and
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 9 - PENALTIES AND MISCELLANEOUS › Section R4-23-901 - Penalty for Violations

Current through Register Vol. 30, No. 28, July 12, 2024
Any person, firm, or corporation violating any provision of 4
				  A.A.C. 23 is subject to the penalties in A.R.S. §
									32-1996.
				  In addition, a license or permit issued under the provisions of A.R.S. Title
				  32, Chapter 18 is subject to suspension or revocation for violation of 4 A.A.C.
				  23.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 9 - PENALTIES AND MISCELLANEOUS › Section R4-23-902 - Non-disciplinary Civil Penalties

Current through Register Vol. 30, No. 28, July 12, 2024
As authorized under A.R.S. §
									32-1904(D),
				  the Board may issue the following non-disciplinary civil penalties to a
				  licensee or permittee who engages in the specified acts or omissions without
				  posing an imminent threat to public health or safety:
1. Failing to submit a remodel application
				before remodeling a permitted facility: $250;
2. Failing to provide notice before a
				business is relocated: $500;
3.
				Failing to update contact information: $50/occurrence to a maximum of
				twice;
4. Failing to update change
				of employment information: $50/occurrence to a maximum of twice;
5. Failing to complete required continuing
				education:
a. Registered pharmacist: $100/
				deficient hour of continuing education for the first occurrence, $150/deficient
				hour for second occurrence; and
b.
				Pharmacy technician: $25/deficient hour of continuing education for the first
				occurrence, $37.50/deficient hour for second occurrence;
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 10 - UNIFORM CONTROLLED SUBSTANCES AND DRUG OFFENSES › Section R4-23-1003 - Records and Order Forms

Current through Register Vol. 30, No. 28, July 12, 2024
A. Records.
1. If the pharmacist-in-charge of a pharmacy
				is replaced by another pharmacist-in-charge, the new pharmacist-in-charge shall
				complete an inventory of all controlled substances in the pharmacy within 10
				days of assuming the responsibility. This inventory and any other required
				controlled substance inventory shall:
a.
				Include an exact count of all Schedule II controlled substances;
b. Include an exact count of all Schedule III
				through Schedule V controlled substances or an estimated count if the stock
				container contains fewer than 1001 units;
c. Indicate the date the inventory is taken
				and whether the inventory is taken before opening of business or after close of
				business for the pharmacy;
d. Be
				signed by:
i. The pharmacist-in-charge;
				or
ii. For other required
				inventories, the pharmacist who does the inventory;
e. Be kept separately from all other records;
				and
f. Be available in the pharmacy
				for inspection by the Board or its designee for not less than three
				years.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 10 - UNIFORM CONTROLLED SUBSTANCES AND DRUG OFFENSES › Section R4-23-1004 - Schedules of Controlled Substances

Current through Register Vol. 30, No. 28, July 12, 2024
As of the effective date of this Section and as required
				  under A.R.S. §§
									36-2512
				  through
				  36-2516,
				  the Board adopts the following schedules of controlled substances. The
				  schedules adopted include no later amendments. The adopted schedules are
				  available on the Board's website:
1.
				Schedule I. 21 CFR, Chapter II, Part 1308.11;
2. Schedule II. 21 CFR, Chapter II, Part
				1308.12;
3. Schedule III. 21 CFR,
				Chapter II, Part 1308.13;
4.
				Schedule IV. 21 CFR, Chapter II, Part 1308.14; and
5. Schedule V. 21 CFR, Chapter II, Part
				1308.15.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 10 - UNIFORM CONTROLLED SUBSTANCES AND DRUG OFFENSES › Section R4-23-1005 - Products Excluded or Exempted from the Schedules of Controlled Substances

Current through Register Vol. 30, No. 28, July 12, 2024
The following lists of products are excluded or exempted
				  from the schedules of controlled substances adopted in
				  R4-23-1004. All lists
				  are available on the Board's website and at
https://www.ecfr.gov/current/title-21/chapter-II/part-1308
:
1. Excluded nonnarcotic substances that may
				be lawfully sold over-the-counter without a prescription order. 21 CFR, Chapter
				II, Part 1308.22;
2. Exempted
				chemical preparations and mixtures. 21 CFR, Chapter II, Part 1308.24;
				and
3. Exempted prescription
				products containing a nonnarcotic controlled substance. 21 CFR, Chapter II,
				Part 1308.32.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 10 - UNIFORM CONTROLLED SUBSTANCES AND DRUG OFFENSES › Section R4-23-1006 - Substances Excepted from Drug Offenses

Current through Register Vol. 30, No. 28, July 12, 2024
The following materials, compounds, mixtures, or preparations
				  containing any stimulant or depressant substance included in A.R.S.
				  §§
									13-3401(6)(b)
				   or
				  13-3401(6)(c)
				   are excepted from the definition of
				  dangerous drugs under the authority of A.R.S. §
									32-1904(B)(14):
1. Over-the-counter drugs excepted in
				R4-23-1005(A).
2. Chemical
				preparations excepted in
				R4-23-1005(B).
3. Prescription-only drugs excepted in
				R4-23-1005(C).
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 11 - PHARMACY TECHNICIANS › Section R4-23-1101 - Licensure and Eligibility

Current through Register Vol. 30, No. 28, July 12, 2024
A.
				License required. A person shall not work as a pharmacy technician or pharmacy
				technician trainee in Arizona, unless the person possesses a pharmacy
				technician or pharmacy technician trainee license issued by the
				Board.
B. Eligibility.
1. To be eligible for licensure as a pharmacy
				technician trainee, a person shall:
a. Be of
				good moral character,
b. Be at
				least 18 years of age, and
c. Have
				a high school diploma or the equivalent of a high school diploma.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 11 - PHARMACY TECHNICIANS › Section R4-23-1102 - Pharmacy Technician Licensure

Current through Register Vol. 30, No. 28, July 12, 2024
A. Eligibility. An applicant for licensure as
				a pharmacy technician shall provide the Board proof the applicant is eligible
				under
				R4-23-1101(B)(2),
				including documentation that the applicant:
1.
				Completed a pharmacy technician training program that meets the standards
				prescribed in
				R4-23-1105(B)(2);
				and
2. Passed the Pharmacy Technician Certification Board
				(PTCB) examination or another Board-approved pharmacy technician examination;
				or
3. Meets the requirements of
				R4-23-1105(D)(1)
				or (2).
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 11 - PHARMACY TECHNICIANS › Section R4-23-1103 - Pharmacy Technician Trainee Licensure

Current through Register Vol. 30, No. 28, July 12, 2024
A. Eligibility. An applicant for licensure as
				a pharmacy technician trainee shall provide the Board proof the applicant is
				eligible under
				R4-23-1101(B)(1).
B.Application.
1. An applicant for licensure as a pharmacy
				technician trainee shall:
a. Submit a
				completed application electronically or manually on a form furnished by the
				Board, and
b. Submit with the
				application form:
i. The documents specified
				in the application form,
ii. The
				licensure fee specified in
				R4-23-205, and
iii. The wall license fee specified in
				R4-23-205.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 11 - PHARMACY TECHNICIANS › Section R4-23-1104 - Pharmacy Technicians and Pharmacy Technician Trainees

Current through Register Vol. 30, No. 28, July 12, 2024
A. Permissible
				tasks of a pharmacy technician trainee. Acting in compliance with all
				applicable statutes and rules and under the supervision of a pharmacist, a
				pharmacy technician trainee licensed under
				R4-23-1103
				may assist an intern or pharmacist with the following when applicable to the
				pharmacy practice site:
1. Record on the
				original prescription order the serial number of the prescription medication
				and date dispensed;
2. Initiate or
				accept verbal or electronic refill authorization from a medical practitioner or
				medical practitioner's agent and record, on the original prescription order or
				by an alternative method approved by the Board or its designee, the medical
				practitioner's name, patient name, name and quantity of prescription
				medication, specific refill information, and name of medical practitioner's
				agent, if any;
3. Record
				information in the refill record or patient profile;
4. Enter information for a new or refill
				prescription medication as required under A.R.S. §
										32-1964;
5. Type and affix a label for the
				prescription medication. A pharmacist or intern working under the supervision
				of a pharmacist shall verify the accuracy of the label as described under
				R4-23-402(A)(11);
6. Reconstitute a prescription medication, if
				a pharmacist checks the ingredients and procedure before reconstitution and
				verifies the final product after reconstitution;
7. Retrieve, count, or pour a prescription
				medication, if a pharmacist verifies the contents of the prescription
				medication against the original prescription medication container or by an
				alternative drug identification method approved by the Board or its
				designee;
8. Prepackage drugs in
				accordance with
				R4-23-402(A);
				and
9. Measure, count, pour, or
				otherwise prepare and package a drug needed for hospital inpatient dispensing,
				if a pharmacist verifies the accuracy, measuring, counting, pouring, preparing,
				packaging, and safety of the drug before the drug is delivered to a patient
				care area.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 11 - PHARMACY TECHNICIANS › Section R4-23-1104.01 - Technology-assisted Verification of Product

Current through Register Vol. 30, No. 28, July 12, 2024
A. By complying with this Section, the
				permittee of a retail, institutional, or limited-service pharmacy may implement
				a technology-assisted verification of product program that allows a pharmacy
				technician licensed under
				R4-23-1102
				and qualified under subsection (D) to perform final product
				verification.
B. Written program
				description required. Before implementing a technology-assisted verification of
				product program the permittee of a retail, institutional, or limited-service
				pharmacy shall prepare a written program description that includes the
				following:
1. Responsibility of both the
				pharmacist in charge and permittee to ensure compliance with this
				Section;
2. Responsibility of the
				permittee to design, implement, and monitor a process that ensures the accuracy
				and safety of the product dispensed;
3. Duties of a verification
				technician;
4. The training
				necessary to qualify and remain qualified as a verification
				technician;
5. The monitoring and
				evaluation procedures to be used to ensure competency of the verification
				technician; and
6. Prohibition of a
				verification technician performing a final accuracy check of a completed
				prescription label.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 11 - PHARMACY TECHNICIANS › Section R4-23-1105 - Pharmacy Technician Trainee Training Program, Pharmacy Technician Drug Compounding Training Program, and Alternative Pharmacy Technician Training

Current through Register Vol. 30, No. 28, July 12, 2024
A. Nothing in this
				Section prevents additional offsite training of a pharmacy
				technician.
B. Pharmacy technician
				trainee training program.
1. A pharmacy
				permittee or pharmacist-in-charge shall develop, implement, review, revise in
				the same manner described in
				R4-23-653(A),
				and comply with a pharmacy technician trainee training program based on the
				needs of the individual pharmacy.
2. A pharmacy permittee or
				pharmacist-in-charge shall ensure the pharmacy technician trainee training
				program includes training guidelines that:
a.
				Define the specific tasks a pharmacy technician trainee is expected to
				perform,
b. Specify how and when
				the pharmacist-in-charge will assess the pharmacy technician trainee's
				competency, and
c. Address the
				policies and procedures specified in
				R4-23-1104(G)
				and the permissible activities specified in
				R4-23-1104(A).
3. A pharmacist-in-charge shall:
a. Document the date a pharmacy technician
				trainee successfully completed the training program, and
b. Maintain the documentation required in
				this subsection for inspection by the Board or its designee.
4. A pharmacy technician trainee
				shall perform only those tasks, listed in
				R4-23-1104(A),
				for which training and competency has been demonstrated.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 11 - PHARMACY TECHNICIANS › Section R4-23-1106 - Continuing Education Requirements

Current through Register Vol. 30, No. 28, July 12, 2024
A. General.
				According to A.R.S. §
									32-1925(H),
				the Board shall not renew a pharmacy technician license unless the licensee has
				during the two years preceding the application for renewal:
1. Participated in 20 contact hours or two
				CEUs of continuing education activity sponsored by an Approved Provider, as
				defined in
				R4-23-110,
				and
2. A pharmacy technician
				licensee is exempt from the continuing education requirement in subsection
				(A)(1) between the time of initial licensure and first
				renewal.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 23 - BOARD OF PHARMACY › Article 12 - DONATED MEDICINE PROGRAM › Section R4-23-1208 - Handling Fee

Current through Register Vol. 30, No. 28, July 12, 2024
A. The
				definitions at A.R.S. §
									32-1909(U)
				 apply to this Section.
B. As specified under A.R.S. §
									32-1909(N),
				an authorized recipient shall not sell a medicine received from a
				donor.
C. An authorized recipient
				may charge a fee to an eligible patient to whom a donated medicine is
				dispensed. The authorized recipient shall ensure any fee charged to an eligible
				patient:
1. Does not exceed the reasonable
				cost of receiving, handling, and dispensing the donated medicine; and
2. Is consistent with the purpose of the
				donated medicine program. A fee consistent with the purpose of the donated
				medicine program includes an adjustment for the quantity and retail cost of the
				medicine dispensed.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 24 - BOARD OF PHYSICAL THERAPY › Article 1 - GENERAL PROVISIONS › Section R4-24-101 - Definitions

Current through Register Vol. 30, No. 28, July 12, 2024
In addition to the definitions in A.R.S. §
									32-2001,
				  in this Chapter:
1. "Accredited" means
				accredited by a nationally recognized accreditation organization.
2. "Accredited educational program" means a
				physical therapist or physical therapist assistant educational program that is
				accredited by:
a. The Commission on
				Accreditation of Physical Therapy Education, or
b. An agency recognized as qualified to
				accredit physical therapist or physical therapist assistant programs by either
				the U.S. Department of Education or the Council on Higher Education
				Accreditation at the time of the applicant's graduation.
Arizona Administrative Code › Title 4 - PROFESSIONS AND OCCUPATIONS › Chapter 24 - BOARD OF PHYSICAL THERAPY › Article 1 - GENERAL PROVISIONS › Section R4-24-103 - Board Officers

Current through Register Vol. 30, No. 28, July 12, 2024
The Board shall elect a president, vice-president, and
				  secretary at its first regular Board meeting each year.
1. The president shall preside at all Board
				meetings.
2. When the president is
				unable to preside at a Board meeting, the vice-president shall
				preside.