Mississippi Administrative Code › Title 30 - Professions and Occupations › Part 3001 - MISSISSIPPI PHARMACY PRACTICE REGULATIONS › Article XXXV - INSTITUTIONAL EMERGENCY MEDICATION KIT PERMITS

Current through June 25, 2024
1.
			 Institutions, excluding hospitals, that desire to maintain a stock of
			 prescription drugs for emergency use by patients who are confined to the
			 institution, shall obtain an Institutional Emergency Medication Kit (IEMK)
			 permit from the Mississippi Board of Pharmacy. Emergency use is the procurement
			 of non-patient assigned medications from a stock supply for the purpose of
			 initiating medication therapy or supplying non-routine medications to provide
			 for optimal patient care.
A. Permit. The IEMK
			 permit shall be classified as either a Manual IEMK or an Automated IEMK. The
			 manual IEMK permit is required if the dispensing method is such that the
			 release of each individual dose is not electronically integrated to the
			 documentation required for each such release. An Automated IEMK permit shall be
			 required if the dispensing method is such that the release of each individual
			 dose is electronically integrated to the documentation required for each such
			 releases. Only one (1) permit, either Manual or Automated, shall be issued per
			 facility.
B. Application for an
			 IEMK permit shall be on a form supplied by the Board. The Application for a
			 Manual IEMK permit shall be accompanied by a fee of One Hundred Dollars
			 ($100.00) and the Application for an Automated IEMK permit shall be accompanied
			 by a fee of Three Hundred Dollars ($300.00). A separate permit shall be
			 required for each IEMK and shall be renewed biennially. The Administrator (if a
			 nursing home or other long-term care facility) or business manager of the
			 institution shall make application for the IEMK permit. In the event of a
			 change of the administrator or business manager, a new permit must be obtained.
			 Any IEMK permit renewal application postmarked after December 31 of the renewal
			 period shall be returned and a Fifty Dollar ($50.00) late renewal fee shall be
			 assessed prior to renewal.
C. IEMK
			 Inventory and Accountability
(1) The contents
			 of the IEMK are supplied by a pharmacy permitted by the Board. Each IEMK shall
			 be supplied by only one pharmacy;
(2) The contents of the IEMK are jointly
			 determined by the consultant pharmacist, medical director, director of nurses
			 and the pharmacist supplying the IEMK;
(3) The IEMK shall have a "par value" for
			 each prepackaged product that is stored in the IEMK;
(4) A copy of the inventory of the IEMK is on
			 file in the institution and at the provider pharmacy and a physical inventory
			 shall be taken at least annually;
(5) A Manual IEMK permit authorizes an
			 inventory up to sixty (60) medication items with a limit on the quantity (or
			 par value) to no more than fifteen (15) units each of the sixty (60) medication
			 items. A facility may choose to increase six (6) of the medication items to a
			 maximum of thirty (30) units for those six (6) items. A maximum of ten (10)
			 medication items may be controlled substances with a maximum limit often (10)
			 units each. An Automated IEMK permit shall not have any limits on the quantity
			 of the inventory, except controlled substances shall be limited to a maximum of
			 twenty (20) medication items with a maximum limit of twenty (20) units
			 each;
(6) An IEMK withdrawal log
			 shall be maintained at the institution and all withdrawals of medications from
			 the IEMK shall be documented as follows:
(a)
			 name and room number of resident/patient;
(b) drug name, strength, and number of units
			 withdrawn;
(c) date and time of
			 withdrawal; and
(d) name of person
			 withdrawing the medication.