Iowa Administrative Code › Agency 657 - Pharmacy Board › Chapter 11 - Drugs in Emergency Medical Service Programs › Rule 657-11.20 - Prescription Drugs in Service Programs

Current through Register Vol. 47, No. 3, July 24, 2024
Prescription drugs maintained by a service program shall be
				owned by an Iowa-licensed pharmacy or the service program's medical
				director.
(1)
Pharmacy-based
			 service programs.
The pharmacist in charge, the medical director, and
			 the service director shall jointly develop, consistent with the service
			 program's protocol, a list of drugs to be maintained for administration by the
			 service program. The pharmacy shall maintain a current list of all prescription
			 drugs including controlled substances that the pharmacy maintains at the
			 primary program site and at any program substation.
a.
Replenishment.
The
			 responsible individual, the service director, or designee may request that
			 replenishment supplies of drugs be maintained at the primary program site
			 provided that the pharmacy has been supplied with administration records
			 justifying the order. Records of the administration of Schedule III, IV, and V
			 controlled substances and noncontrolled prescription drugs provided to and
			 maintained at the pharmacy shall include, at a minimum: the patient's name; the
			 name, strength, dosage form, and quantity of the drug administered; and the
			 date of administration. Records of the administration of Schedule II controlled
			 substances provided to and maintained at the pharmacy shall consist of a
			 written prescription including all of the prescription information required
			 pursuant to Iowa Code section
			 155A.27
			 or the patient care report if the patient care report includes the required
			 prescription information, including an original signature of the authorizing
			 prescriber. A pharmacist shall verify the accuracy of every drug to be
			 disbursed to the primary program site. Documentation of this verification shall
			 be maintained within the pharmacy records.
b.
Replenishment using automated
			 medication distribution system (AMDS)
. A pharmacy utilizing an
			 automated medication distribution system (AMDS) may authorize replenishment of
			 the service program's drug supplies from the AMDS provided that a pharmacist
			 verifies the drugs stocked in the AMDS component before the drugs are removed
			 from the pharmacy. Service program personnel authorized to remove drugs from
			 the AMDS for restocking the service program's supplies shall be assigned a
			 unique identification and access code for the purpose of accessing the AMDS.
			 Access by authorized service program personnel shall be restricted to specific
			 drug products authorized for use by the service program. A pharmacist shall,
			 within 72 hours, review the access of and removal of drugs from the AMDS by
			 service program personnel and shall maintain documentation of that review
			 within the pharmacy records.
c.
Inspections.
The pharmacist in charge shall ensure the
			 completion of a monthly inspection of all prescription drugs maintained by the
			 pharmacy at the primary program site and any program substation. Inspection
			 shall include the removal of outdated or adulterated drugs. All drugs removed
			 from service program stock shall be returned to the pharmacy. Records of
			 inspection shall be maintained for two years from the date of the inspection at
			 the pharmacy. The pharmacist in charge may delegate the completion of the
			 monthly inspection to another pharmacist, a pharmacist-intern, a certified
			 pharmacy technician, or another designee of the pharmacist in charge.