reglab/statecodes huggingface dataset:
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1400 - HOSPITALS: OTHER HEALTH FACILITIES › Section 46 .1415 - MEDICATION IN HEALTH CARE FACILITY EMERGENCY DEPARTMENTS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In those health care facilities having 24
				hour outpatient pharmacy service, all drugs dispensed to outpatients including
				emergency department patients must be dispensed by a pharmacist.
(b) When drugs are not otherwise available
				from a pharmacist, drugs may be dispensed for use outside the emergency
				department by the physician, registered nurse under physician supervision, or a
				person authorized to prescribe and dispense drugs pursuant to
				G.S.
				90-18.1 or
				90-18.2 subject to the following:
(1) Drugs shall be dispensed only to a
				registered patient of the emergency department;
(2) The pharmacist-manager shall develop and
				supervise a system of control and accountability of all drugs administered in,
				or dispensed from the emergency department;
(3) The pharmacist-manager, in conjunction
				with the committee responsible for policy in the emergency department, shall
				develop an emergency department formulary which may be dispensed from the
				emergency department for patients receiving care in that department. This
				formulary shall consist of drugs of the nature and type to meet the immediate
				needs of emergency department patients, and quantities in each container shall
				be limited to not more than a 24 hour supply or the smallest
				commercially-available quantity;
(4) Drugs shall be prepackaged in safety
				closure containers and shall be pre-labeled by the pharmacist to comply with
				Rule .1414(d)(4) of this Section. Prior to dispensing, the following
				information shall be placed on the label:
(A)
				the name, address, and telephone number of the health care facility
				pharmacy;
(B) the dispensing
				date;
(C) the full name of
				patient;
(D) the generic or trade
				name, or in the absence of a brand name, the established name of the product
				dispensed;
(E) directions for use
				to the patient;
(F) the name of
				physician prescribing and dispensing the product; and
(G) required precautionary or further
				accessory cautionary information as may be desirable for proper use and safety
				to the patient;
(5) A
				perpetual record of dispensing of all drugs, including drug samples and starter
				packages, shall be maintained as part of the pharmacy's records for three
				years. The pharmacist-manager or designee shall verify the accuracy of these
				records at least once a month. The record shall contain the following:
(A) the date dispensed;
(B) the patient's name;
(C) the physician's name; and
(D) the name, strength, dosage form,
				quantity, and dose of the drug dispensed.
(6) The physician shall sign all orders for
				medication within the time frame established by regulatory agencies and health
				care facility policies and procedures.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1400 - HOSPITALS: OTHER HEALTH FACILITIES › Section 46 .1416 - REPACKAGING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Drugs which are
				prepackaged from within a health care facility pharmacy for subsequent
				dispensing or administration shall be labeled to include:
(1) the generic or trade name, strength, and
				quantity of drug;
(2)
				identification of the manufacturer, and lot or control number;
(3) the expiration date of the drug being
				repackaged; and
(4) cautionary
				notations, if applicable.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1400 - HOSPITALS: OTHER HEALTH FACILITIES › Section 46 .1417 - REPEALED - REMOTE MEDICATION ORDER PROCESSING SERVICES

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  90-85.6;
				  90-85.21;
				  90-85.21A;
				  90-85.26;
				  90-85.32;
				  90-85.34;
Eff.
				  February 1, 2006;
Amended Eff. December 1, 2015; March 1,
				  2013;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3, 2017;
Repealed Eff.
				  March 1, 2022.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1400 - HOSPITALS: OTHER HEALTH FACILITIES › Section 46 .1418 - SUPERVISION OF UNIT DOSE MEDICATION SYSTEMS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				purpose of this Section is to set out requirements in the event that
				pharmacists elect to supervise designated pharmacy technicians' validation of
				stocking and prepackaging functions in acute care hospital pharmacy practice
				settings as a means of facilitating pharmacists' delivery of clinical
				services.
(b) A Hospital's
				pharmacist-manager is responsible for the oversight of all validation of floor
				stock and unit dose distribution systems, and that responsibility may not be
				delegated pursuant to
				21 NCAC
				46 .1411. In the event that the Hospital's
				pharmacist-manager elects to utilize Validating Technicians in the filling of
				floor stock and unit dose distribution systems, the pharmacist-manager shall
				develop written policies and procedures that:
(1) permit a Validating Technician to
				validate only the following functions of other registered pharmacy technicians
				in filling floor stock and unit dose distribution systems for inpatients in a
				Hospital:
(A) stocking of patient care unit
				medication inventories;
(B)
				stocking of ancillary drug cabinet inventories;
(C) stocking of automated dispensing or drug
				supply devices;
(D) stocking of
				emergency kits; and
(E)
				prepackaging of prescription drugs within the Hospital pharmacy;
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1400 - HOSPITALS: OTHER HEALTH FACILITIES › Section 46 .1419 - AUTOMATED DISPENSING OR DRUG SUPPLY DEVICES

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Automated
				dispensing or drug supply devices may be used in health care facility
				pharmacies and where a pharmacy permit exists for a patient profile dispensing
				system, provided the utilization of the devices is under the supervision of a
				pharmacist. The pharmacist-manager shall develop and implement procedures to
				assure safe and effective use of medications and shall assure that:
(1) only authorized personnel, as indicated
				by written policies and procedures, may obtain access to the drug
				inventories;
(2) a system of
				accountability exists for all drugs contained therein and the purity, potency,
				and integrity of the drugs is preserved;
(3) requirements for controlled substances
				security are met; and
(4) prior to
				the drug being released for access by the nurse, the pharmacist enters the
				medication order into a computerized pharmacy profile that is interfaced to the
				automated dispensing unit, so that drug allergy screening, therapeutic
				duplication, and appropriate dose verification is done prior to the drug being
				administered.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1500 - ADMISSION REQUIREMENTS: EXAMINATIONS › Section 46 .1501 - APPLICATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All
				applications for examination shall be made on forms provided by the Board,
				filed with the Board 45 days prior to the date of the examination, and
				accompanied by the required fee.
(b) All applicants shall submit to the Board
				a signed release form, completed Fingerprint Record Card, and such other
				form(s) required to perform a criminal history check at the time of
				application.
Authority
				  G.S.
				  90-85.6;
				  90-85.15;
				  90-85.24;
Legislative
				  Objection Lodged Eff. March 29, 1983;
Eff. April 1,
				  1983;
Curative Eff. April 1, 1983;
Amended Eff. July 1,
				  2005; May 1, 1989;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1500 - ADMISSION REQUIREMENTS: EXAMINATIONS › Section 46 .1502 - AGE

Current through Register Vol. 39, No. 2, July 15, 2024
Proof of age must be shown by birth certificate, biblical
				  records, or other acceptable proof.
Authority
				  G.S.
				  90-85.15;
				  93B-9;
Eff. April 1,
				  1983;
Amended Eff. May 1, 1989;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1500 - ADMISSION REQUIREMENTS: EXAMINATIONS › Section 46 .1503 - EXPERIENCE IN PHARMACY AND PHARMACY INTERNSHIP

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An
				applicant for license must show that the applicant has received 1500 hours of
				practical experience under the supervision of a licensed pharmacist which has
				been acquired while enrolled in a school of pharmacy accredited by the
				Accreditation Council for Pharmacy Education.
(b) All practical pharmacy experience gained
				within the State of North Carolina must be acquired as follows:
(1) All practical pharmacy experience must be
				validated through registration in the internship program administered by the
				Board. A person does not receive credit for any practical experience unless and
				until that person is registered with the Board as a pharmacy intern.
(2) Practical experience shall be credited
				only when it has been obtained in a location holding a pharmacy permit, or a
				location approved by the Board for practical experience, and only after the
				pharmacy intern notifies the Board of the location of the practical experience.
				If the pharmacy intern's location of employment changes, the pharmacy intern
				must notify the Board of the change before commencing an internship at the new
				location.
(3) The person acquiring
				practical experience shall at all times comply with the Board's rules and the
				laws governing the practice of pharmacy and the distribution of drugs. Failure
				of the pharmacist intern to do so is grounds to disqualify the experience from
				counting toward the minimum requirements.
(4) The Board shall accept hours of
				experience certified by the school from which the applicant has graduated,
				provided that the applicant has satisfied Subparagraphs (1)-(3) of this
				Paragraph. The Board shall not allow credit for claims of practical experience
				required under the pharmacy laws, unless such claims can be corroborated by
				records on file in the Board's office showing the beginning and the ending of
				the practical experience claimed as supplied by the applicant during this
				training period.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1500 - ADMISSION REQUIREMENTS: EXAMINATIONS › Section 46 .1504 - EDUCATION

Current through Register Vol. 39, No. 2, July 15, 2024
All applicants shall furnish on forms provided by the Board
				  satisfactory evidence that they have received an undergraduate professional
				  degree from an approved school.
Authority
				  G.S.
				  90-85.15;
Legislative Objection
				  Lodged Eff. March 29, 1983;
Eff. April 1, 1983;
Curative Eff. April 1, 1983;
Amended Eff. May 1, 1989;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1500 - ADMISSION REQUIREMENTS: EXAMINATIONS › Section 46 .1505 - EXAMINATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The applicant
				shall pass the following examinations:
(1)
				the North American Pharmacist Licensure Examination ("NAPLEX"); and
(2) the North Carolina version of the
				Multistate Pharmacy Jurisprudence Examination ("MPJE").
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1500 - ADMISSION REQUIREMENTS: EXAMINATIONS › Section 46 .1506 - EXPIRED - RULES OF EXAMINATION CONDUCT

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  90-85.6;
				  90-85.15;
				  90-85.16;
Eff. April
				  1, 1983;
Amended Eff. May 1, 1989;
Expired Eff.
				  November 1, 2017 pursuant to
				  G.S.
				  150B-21.3A.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1500 - ADMISSION REQUIREMENTS: EXAMINATIONS › Section 46 .1507 - REPEALED - PARTIAL EXAMINATION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  90-85.6;
				  90-85.15; 90.85.16;
Eff. April 1, 1983;
Amended Eff. May 1, 1989;
Repealed
				  Eff. January 1, 2009.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1500 - ADMISSION REQUIREMENTS: EXAMINATIONS › Section 46 .1508 - REPEALED - PREREQUISITES FOR DISEASE STATE MANAGEMENT EXAMINATION

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  90-85.6;
				  90-85.34;
Eff. August
				  1, 2000;
Repealed Eff. July 1,
				  2005.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1601 - PHARMACY PERMITS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Applications
				for pharmacy permits, whether original or renewal, shall be made upon forms
				provided by the Board. The Board shall not issue any original or annual renewal
				pharmacy permit until the Board is satisfied that:
(1) The pharmacist-manager is sure that at
				all times adequate qualified personnel have been secured by the management of
				the store to properly render pharmaceutical service in the manner prescribed by
				law.
(2) The pharmacy posts in a
				location conspicuous to the public the specific hours that a pharmacist is on
				duty in the pharmacy. This requirement does not apply to hospitals, nursing
				homes, and similar institutions subject to the provisions of Section .1400 of
				this Chapter.
(3) The
				pharmacist-manager shall be responsible for obtaining and maintaining equipment
				in the pharmacy adequate to meet the pharmaceutical care needs of the
				pharmacy's patients.
(4) The
				pharmacist-manager shall be responsible for obtaining and maintaining a
				reference library in the pharmacy. The library shall include current
				references, either hard copy or electronically accessible, covering:
(A) State and federal statutes and rules
				relating to the practice of pharmacy and the legal distribution of
				drugs;
(B) Drug interactions,
				adverse effects, therapeutic use, dosing and toxicology;
(C) Patient-oriented reference materials for
				counseling in proper drug usage as specified in
				21 NCAC
				46 .2504;
(D) Equivalent drug products as defined in
				G.S.
				90-85.27; and
(E) Any reference materials otherwise
				required by state or federal law, including any otherwise required in these
				Rules.
(5) The pharmacy
				is equipped with sanitary appliances including lavatory facilities with hot and
				cold running water; is well lighted; and is kept in a clean, orderly, and
				sanitary condition.
(6) All
				prescription medications are labeled in accordance with
				G.S.
				106-134 and
				106-134.1.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1602 - LICENSE BY RECIPROCITY

Current through Register Vol. 39, No. 2, July 15, 2024
(a) An applicant
				for licensure without examination, must have:
(1) Originally been licensed as a pharmacist
				by an examination equivalent to the North Carolina examination specified in
				Rule .1505(a)(1) of this Chapter;
(2) Achieved scores on an equivalent
				examination, such as the NABPLEX examination, which would qualify for licensure
				in this state at the time of examination; and
(3) Been licensed by a state which deems
				licensees from this state to be equivalent to the extent that they are suitable
				for licensure in that state without further substantial examination.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1603 - WHEN NEW PERMIT REQUIRED

Current through Register Vol. 39, No. 2, July 15, 2024
A new pharmacy, device, or medical equipment permit is
				  required for a new location, a change to a different or successor business
				  entity, or a change resulting in a different person or entity owning more than
				  50 percent interest in the permit holder or any entity in the chain of
				  ownership above the permit holder, except as provided in
				  21 NCAC
				  46 .1604 of this Section. A new permit is
				  required if there is a change in the authority to control or designate a
				  majority of the members or board of directors of a nonprofit corporation
				  holding a pharmacy permit or any nonprofit corporation in the chain of
				  ownership above the permit holder.
Authority
				  G.S.
				  90-85.6;
				  90-85.21;
				  90-85.22;
Eff. May 1,
				  1989;
Amended Eff. March 1, 2004; April 1, 2001; August 1, 1998;
				  April 1, 1997; September 1, 1995;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1604 - WHEN NEW PERMIT NOT REQUIRED

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A new
				pharmacy, device or medical equipment permit is not required in the following
				situations:
(1) the permit holder is a
				publicly-traded corporation and continues to hold the permit; or
(2) the permit holder is a corporation which
				is a wholly-owned subsidiary, and any change in the ownership of any
				corporation in the chain of ownership above the permit holder is due to the
				stock of such corporation being publicly-traded.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1605 - EXPIRED - CHARGE FOR VERIFICATION FOR REINSTATEMENT

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  90-85.6;
				  90-85.17;
				  90-85.21;
				  90-85.22;
				  150B-19(5)(e);
Eff. September 1, 1993;
Amended Eff. February 1. 2006; September 1,
				  1995;
Expired Eff. November 1, 2017 pursuant to
				  G.S.
				  150B-21.3A.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1606 - NORTH CAROLINA-SPECIFIC EDUCATION FOR PERMIT APPLICANTS

Current through Register Vol. 39, No. 2, July 15, 2024
Prior to issuance of any original pharmacy permit or device
				  and medical equipment permit, the pharmacist-manager for the applicant pharmacy
				  or the person in charge of the facility applying for the device and medical
				  equipment permit shall complete an educational module on the North Carolina
				  Pharmacy Practice Act and the Board's regulations that govern the operation of
				  permits. That educational module is available in the on-line permit application
				  section of the Board's Licensure Gateway. The pharmacist-manager or person in
				  charge must personally complete the educational module and may not delegate
				  this responsibility to any other person.
Authority
				  G.S.
				  90-85.6;
				  90-85.21;
				  90-85.21A;
				  90-85.22;
Eff. April
				  1, 1994;
Amended Eff. April 1, 2003; April 1, 1999; September 1,
				  1995;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3, 2017;
Amended Eff. May
				  1, 2022.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1608 - DEVICE AND MEDICAL EQUIPMENT PERMITS

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				Applications for device and medical equipment permits, whether original or
				renewal, shall be made upon forms provided by the Board. The Board shall not
				issue any original or annual renewal device and medical equipment permit until
				the Board is satisfied that:
(1) Adequate
				qualified personnel have been secured by the management of the facility to
				properly render device and medical equipment services in the manner prescribed
				by law.
(2) Such personnel shall be
				maintained during the period for which the permit is issued.
(3) If the applicant dispenses medical oxygen
				to a patient, then the applicant must reasonably ensure that the following
				medical equipment is maintained:
(A)
				Sufficient backup of oxygen in that patient's home and supplies for equipment
				serviced to maintain continuation of therapy for 24 hours; and
(B) An oxygen analyzer in the permitted
				facility, if concentrators are dispensed.
(4) Suitable facilities shall be maintained
				to house inventory, to allow for fabrication work space, and to record and file
				prescription orders as required by law.
(5) A copy of the pharmacy laws of North
				Carolina, including the North Carolina Pharmacy Practice Act and the rules of
				the Board shall be present in the facility at all times.
(6) The facility is equipped with a
				functioning lavatory where hot and cold running water or hand washing
				appliances or waterless hand cleaner are available.
(7) The facility is kept in a clean, orderly,
				and sanitary condition.
(8) The
				applicants' services are accessible to its customer base.
(9) All prescription medications are labeled
				in accordance with
				G.S.
				106-134 and
				106-134.1.
(10) The applicant complies with all USP and
				FDA requirements regarding the storage, packaging, and shipping of prescription
				medications, including medical oxygen.
(11) The applicant's services are available
				24 hours, seven days per week when essential to the maintenance of life or when
				the lack of such services might reasonably cause harm.
(12) The applicant implements and maintains a
				written procedure at each location for handling complaints and problems, which
				includes a complaint file documenting complaints and problems and resolution of
				the complaints or problems.
(13)
				The applicant complies with local/state fire and building laws.
(14) The applicant complies with current
				Occupational Safety and Health Administration (OSHA) laws and requirements as
				enforced by the NC Department of Labor/Division of OSHA, including the approach
				to infection control known as "Universal Precautions."
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1609 - PERMIT RENEWAL

Current through Register Vol. 39, No. 2, July 15, 2024
Permits issued by the Board expire on December 31 and become
				  invalid 60 days following expiration.
Authority
				  G.S.
				  90-85.6;
				  90-85.21;
Eff.
				  September 1, 1995;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1610 - REINSTATEMENT OF FORFEITED LICENSING PRIVILEGES

Current through Register Vol. 39, No. 2, July 15, 2024
An individual whose licensing privileges have been forfeited
				  pursuant to
				  G.S.
				  15A-1331, shall immediately surrender to the
				  Board office his or her permit or license, current renewal certificate, and
				  wallet card. In order to have the licensing privileges reinstated, the
				  individual must appear before the Board and submit evidence that it would be in
				  the public interest to reinstate the licensing privileges and that he or she
				  can safely and properly practice pharmacy.
Authority
				  G.S.
				  15A-1331A;
				  90-85.19;
Eff.
				  September 1, 1995;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1611 - EXPIRED - FEE FOR SUBMITTAL OF DISHONORED AND RETURNED CHECK

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  25-3-506;
Eff. September 1,
				  1995;
Amended Eff. February 1, 2006;
Expired Eff.
				  November 1, 2017 pursuant to
				  G.S.
				  150B-21.3A.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1612 - REINSTATEMENT OF LICENSES AND PERMITS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) All
				licenses and registrations issued to individuals that are not renewed by March
				1 of the succeeding year, lapse and are subject to the maximum reinstatement
				and renewal fees set out in
				G.S.
				90-85.24 in order to be reinstated. All
				permits and registrations issued to locations that are reinstated after March 1
				and prior to April 1 of the succeeding year are subject to the maximum
				reinstatement and renewal fees set out in
				G.S.
				90-85.21A and
				90-85.24. After March 31, permits
				and registrations issued to locations shall submit new applications and are
				subject to the maximum original registration fees. This Rule also applies to
				licenses, registrations, and permits reinstated following voluntary surrender
				or disciplinary action by the Board.
(b) All applicants shall submit to the Board
				a signed release form, completed Fingerprint Record Card, and such other
				form(s) required to perform a criminal history check at the time of
				application.
(c) The Board shall
				require applicants for reinstatement of a lapsed license who have not practiced
				pharmacy within two years prior to application for reinstatement to obtain
				continuing education in addition to that required by Rule .2201 of this
				Chapter, practical pharmacy experience, successfully complete one or more parts
				of the Board's licensure examination, or a combination of the foregoing, as the
				Board deems necessary to ensure that the applicant can safely and properly
				practice pharmacy.
(d) The Board
				shall also restrict licenses reinstated pursuant to
				G.S.
				90-85.19 for such period of time as the Board
				deems necessary to ensure that the applicant can safely and properly practice
				pharmacy.
Authority
				  G.S.
				  90-85.19;
				  90-85.24;
Eff. April
				  1, 1999;
Amended Eff. March 1, 2006; July 1, 2005;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1613 - EXTENSION PERIOD FOR CERTAIN MEMBERS OF THE ARMED FORCES

Current through Register Vol. 39, No. 2, July 15, 2024
(a)
				Definitions:
(1) "Eligible licensee" means a
				pharmacist who holds a license in good standing from the Board of Pharmacy, who
				serves the armed forces of the United States, and who is eligible for an
				extension of time in which to file a tax return pursuant to
				G.S.
				105-249.2. "Eligible licensee" includes a
				pharmacist who holds a Clinical Pharmacist Practitioner credential or who is an
				immunizing pharmacist.
(2)
				"Eligible registrant" means a pharmacy intern, pharmacy technician, dispensing
				physician, dispensing optometrist, dispensing nurse practitioner or dispensing
				physician assistant who holds a registration in good standing from the Board of
				Pharmacy, who serves the armed forces of the United States, and who is eligible
				for an extension of time in which to file a tax return pursuant to
				G.S.
				105-249.2.
(3) "Extension period" means the time period
				specified in 26 U.S.C.
				7508.
(4) "Good standing" means a license or
				registration that is not suspended, revoked, or subject to a current
				disciplinary order.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1614 - SUSPENSION OF AUTHORITY TO EXPEND FUNDS

Current through Register Vol. 39, No. 2, July 15, 2024
In the event that the Board's authority to expend funds is
				  suspended pursuant to
				  G.S.
				  93B-2(d), the Board shall
				  continue to issue and renew licenses, registrations and permits and collect all
				  fees set forth in
				  G.S.
				  90-85.24, but all fees tendered shall be
				  placed in an escrow account maintained by the Board for this purpose. Once the
				  Board's authority is restored, the funds shall be moved from the escrow account
				  into the general operating account.
Authority
				  G.S.
				  90-85.6;
				  90-85.24;
Eff. August
				  1, 2010;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1615 - E-PROFILE NUMBER REQUIRED FOR LICENSE, PERMIT, OR REGISTRATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) As part of the application for issuance
				or renewal of any in-state or out-of-state pharmacy permit, device and medical
				equipment permit, license to practice pharmacy, pharmacy intern registration,
				or pharmacy technician registration issued by the Board, the permittee,
				licensee, or registrant must report an e-Profile number to the Board.
(b) An applicant, permittee, licensee, or
				registrant may obtain an e-Profile number at no cost by contacting the National
				Association of Boards of Pharmacy by phone at (847) 391-4406; by mail at 1600
				Feehanville Drive, Mount Prospect, Illinois 60056; or electronically at
www.nabp.pharmacy
.
Authority
				  G.S.
				  90-85.6;
				  90-85.14;
				  90-85.15;
				  90-85.15A;
				  90-85.17;
				  90-85.20;
				  90-85.21;
				  90-85.21A;
				  90-85.22;
Eff. May 1,
				  2017;
Amended Eff. May 1, 2022.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1600 - LICENSES AND PERMITS › Section 46 .1616 - LIMITED SERVICE PERMITS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The following
				pharmacy practice locations are eligible to apply for "limited service
				permits," which are pharmacy locations whose operations are modified by the
				provisions set forth in Paragraphs (b), (c), and (d) of this Rule:
(1) auxiliary medication inventories
				permitted and operating in health care facilities pursuant to Rule .1414(d) of
				this Chapter;
(2) automated
				dispensing or drug supply devices permitted and operating in health care
				facilities pursuant to Rule .1419 of this Chapter;
(3) direct to patient systems that are not
				located at the home pharmacy's facility pursuant to Rule .1821 of this
				Chapter;
(4) facilities where drugs
				are dispensed only by nurse practitioners or physician assistants pursuant to
				Section .1700 of this Chapter;
(5)
				county health departments or other governmental entities providing local health
				services under
				G.S.
				130A-34 where drugs are dispensed only by
				registered nurses and only pursuant to
				G.S.
				90-85.34A and Section .2400 of this
				Chapter;
(6) county health
				departments or other governmental entities providing local health services
				under G.S. 130A-34 that engage in
				dispensing beyond that set out in
				G.S.
				90-85.34A and Section .2400 of this
				Chapter;
(7) free clinics, as
				defined in
				G.S.
				90-85.44(a)(6); or
(8) critical access hospitals, as defined in
				G.S.
				131E-76.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1700 - DRUGS DISPENSED BY NURSE OR PHYSICIAN'S ASSISTANT › Section 46 .1701-.1702

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  90-18.1;
				  90-18.2;
				  90-85.6;
Eff. April 1,
				  1983;
Amended Eff. May 1, 1989;
Repealed Eff. April 1,
				  1997.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1700 - DRUGS DISPENSED BY NURSE OR PHYSICIAN'S ASSISTANT › Section 46 .1703 - DRUGS TO BE DISPENSED

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The nurse
				practitioner may dispense any and all drugs that the nurse practitioner is
				authorized by law to prescribe.
(b)
				The physician assistant may dispense any and all drugs that the physician
				assistant is authorized by law to prescribe.
(c) All drugs dispensed by a nurse
				practitioner or physician assistant must be dispensed from a place holding a
				current pharmacy permit from the Board as required by
				G.S.
				90-85.21.
(d) The pharmacist-manager, or another
				licensed pharmacist working under the pharmacist-manager's supervision, shall
				be available for consultation in person, by telephone, or other means of direct
				communication at all times when drugs are dispensed, including to perform drug
				regimen review for patients as needed.
(e) All drugs dispensed pursuant to
				G.S.
				90-18.1(c),
				90-18.2(c), and
				the rules of this Section shall be packaged, labeled, and otherwise dispensed
				in compliance with State and federal law, and records of dispensing shall be
				kept in compliance with State and federal law. The pharmacist-manager shall be
				responsible for compliance with these laws at all times, regardless of whether
				the pharmacist-manager is present at the time of dispensing.
Authority
				  G.S.
				  90-18.1;
				  90-18.2;
				  90-85.6;
Eff. April 1,
				  1983;
Amended Eff. April 1, 1999; May 1, 1997; May 1,
				  1989;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3, 2017;
Amended Eff.
				  November 1, 2021.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1700 - DRUGS DISPENSED BY NURSE OR PHYSICIAN'S ASSISTANT › Section 46 .1704-.1705

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  90-18.1;
				  90-18.2;
				  90-85.6;
				  90-85.36;
Eff. April
				  1, 1983;
Amended Eff. September 1, 1995; May 1, 1989;
Repealed Eff. April 1, 1997.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1700 - DRUGS DISPENSED BY NURSE OR PHYSICIAN'S ASSISTANT › Section 46 .1706 - RETROSPECTIVE REVIEW AND CONSULTATION

Current through Register Vol. 39, No. 2, July 15, 2024
During the weekly in-person, on-site visit required by Rule
				  .1616(c)(2) of this Chapter, if not more frequently, the pharmacist-manager or
				  assistant pharmacist-manager shall retrospectively perform a drug regimen
				  review of all drugs dispensed by a nurse practitioner or physician assistant.
				  During this review, the pharmacist-manager or assistant pharmacist-manager
				  shall:
(1) review the appropriateness
				of the choice of medication(s) for each patient and the patient's therapeutic
				regimen, including choice of medication, dose, frequency, and route of
				administration;
(2) identify and
				resolve therapeutic duplication in each patient's medication regimen;
				and
(3) consider patient-specific
				medication contraindications.
Authority
				  G.S.
				  90-18.1;
				  90-18.2;
				  90-85.6;
Eff. April 1,
				  1999;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3, 2017;
Amended Eff.
				  November 1, 2021.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1800 - PRESCRIPTIONS › Section 46 .1801 - EXERCISE OF PROFESSIONAL JUDGMENT IN FILLING PRESCRIPTIONS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) A pharmacist or device and medical
				equipment dispenser shall have a right to refuse to fill or refill a
				prescription order if doing so would be contrary to his or her professional
				judgment.
(b) A pharmacist or
				device and medical equipment dispenser shall not fill or refill a prescription
				order if, in the exercise of professional judgment, there is or reasonably may
				be a question regarding the order's accuracy, validity, authenticity, or safety
				for the patient.
(c) A prescription
				order is valid only if it is a lawful order for a drug, device, or medical
				equipment issued by a health care provider for a legitimate medical purpose, in
				the context of a patient-prescriber relationship, and in the course of
				legitimate professional practice as recognized by the occupational licensing
				board governing the health care provider.
Authority
				  G.S.
				  90-85.6;
				  90-85.32;
Eff. April
				  1, 1983;
Amended Eff. August 1, 2015; February 1, 2007; March 1,
				  2004; April 1, 2003; September 1, 1995;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1800 - PRESCRIPTIONS › Section 46 .1802 - PRESCRIPTION REFILLS

Current through Register Vol. 39, No. 2, July 15, 2024
(a) Authorization
				for prescription refills is presumed to be within the prescribed dosage or
				normal therapeutic use. Refilling prescriptions more frequently than the
				prescribed dosage would require, or refilling prescriptions in significant
				excess of normal therapeutic use, may be considered as negligence under
				G.S.
				90-85.38(a)(9).
(b) If deemed appropriate in the pharmacist's
				professional judgment, a patient may receive upon request drug quantities in
				excess of the face amount of a prescription for a non-controlled substance, up
				to the total amount authorized. The pharmacist shall not dispense in excess of
				the face amount of a prescription for a controlled substance or
				psychotherapeutic drug without authorization from the prescriber.
Authority
				  G.S.
				  90-85.6;
				  90-85.32;
Eff. April
				  1, 1983;
Amended Eff. September 1, 1993; May 1, 1989;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1800 - PRESCRIPTIONS › Section 46 .1803 - PRESCRIPTION RECORDS

Current through Register Vol. 39, No. 2, July 15, 2024
All records pertaining to the filling and refilling of
				  prescriptions shall be available to designated employees of the Board during
				  normal business hours.
Authority
				  G.S.
				  90-85.6;
				  90-85.32;
				  90-85.36;
Eff. April
				  1, 1983;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1800 - PRESCRIPTIONS › Section 46 .1804 - PRESCRIPTION: RECEIVING AND DISPENSING

Current through Register Vol. 39, No. 2, July 15, 2024
(a) In
				order to assure that the practitioner-pharmacist-patient relationship exists
				and to promote the safe and secure distribution of drugs and devices from a
				pharmacy, prescription orders may be received for filling and refilling only by
				a pharmacist or a bona fide employee of the pharmacy. The pharmacist-manager of
				the pharmacy shall be ultimately responsible for the safe, lawful and secure
				receipt of prescription orders and delivery of prescription drugs.
				Notwithstanding the provisions of this Rule, prescription drugs also may be
				delivered by mail in accordance with the provisions of
				21 NCAC
				46 .1601(b).
(b) In filling or refilling prescription
				orders, the pharmacist shall not be required to deal with parties, including
				managed care companies and insurance providers, outside the
				practitioner-pharmacist-patient relationship.
(c) In order to promote the safe and secure
				distribution of devices and medical equipment from a facility holding a device
				and medical equipment permit, prescription orders for devices and medical
				equipment may be received for filling and refilling only by the person in
				charge of the facility holding the device and medical equipment permit or a
				bona fide employee of the facility. The person in charge shall be ultimately
				responsible for the safe, lawful and secure receipt of prescription orders and
				delivery of devices and medical equipment. Unless the location also holds a
				pharmacy permit, a facility holding a device and medical equipment permit shall
				not acquire, receive, store, or deliver prescription drugs.
Authority
				  G.S.
				  90-85.6;
				  90-85.32;
Eff.
				  December 1, 1983;
Amended Eff. April 1, 2004; August 1, 2000;
				  September 1, 1995; May 1, 1989; August 1, 1988;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1800 - PRESCRIPTIONS › Section 46 .1805 - DISPENSING DRUGS WITHOUT A PRESCRIPTION

Current through Register Vol. 39, No. 2, July 15, 2024
The dispensing of or any delivery of a prescription drug,
				  including the surrender of control or possession in any manner which results in
				  a delivery of a prescription drug, without a valid prescription order is
				  unlawful. Refilling a prescription for a prescription drug without
				  authorization is unlawful.
Authority
				  G.S.
				  90-85.3(s);
				  90-85.6;
				  90-85.32;
Eff. March
				  1, 1984;
Amended Eff. May 1, 1989;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1800 - PRESCRIPTIONS › Section 46 .1806 - TRANSFER OF PRESCRIPTION INFORMATION

Current through Register Vol. 39, No. 2, July 15, 2024
(a) The
				transfer of original prescription information for the purpose of refill
				dispensing is permissible between pharmacies subject to the following
				requirements:
(1) the transfer is
				communicated directly from either a pharmacist or certified technician to
				either a pharmacist or certified technician and not by only one pharmacist or
				certified technician gaining access to an information file containing data for
				several locations, unless all locations accessed are under common ownership or
				accessed pursuant to contractual agreement of the pharmacies;
(2) the transferring pharmacist or certified
				technician invalidates the prescription and any remaining refills at the
				transferring pharmacy by marking the word "void" on the face of the
				prescription or its equivalent;
(3)
				the transferring pharmacist or certified technician records the name and
				address of the pharmacy to which it was transferred and the name of the
				pharmacist or certified technician receiving the prescription information on
				the reverse of the invalidated prescription;
(4) the transferring pharmacist or certified
				technician records the date of the transfer and the name of the pharmacist or
				certified technician transferring the information.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1800 - PRESCRIPTIONS › Section 46 .1807 - REPEALED - FACSIMILE TRANSMISSION OF PRESCRIPTION ORDERS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  90-85.6(a);
				  90-85.32;
Eff. October
				  1, 1990;
Amended Eff. September 1, 1995;
Repealed Eff.
				  March 1, 2004.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1800 - PRESCRIPTIONS › Section 46 .1808 - EXPIRED - REPACKAGED PHARMACEUTICALS

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  90-85.6(a);
				  90-85.32;
Eff.
				  December 1, 1991;
Expired Eff. November 1, 2017 pursuant to
				  G.S.
				  150B-21.3A.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1800 - PRESCRIPTIONS › Section 46 .1809 - EMERGENCY PRESCRIPTION REFILLS

Current through Register Vol. 39, No. 2, July 15, 2024
In the event a pharmacist or device and medical equipment
				  permit holder receives a request for a prescription refill and the pharmacist
				  or permit holder is unable to obtain refill authorization from the prescriber,
				  the pharmacist or permit holder may dispense a one-time emergency refill of up
				  to a 30 day supply of the prescribed medication, provided that:
(1) The prescription is not for a Schedule II
				controlled substance;
(2) The
				medication is essential to the maintenance of life or to the continuation of
				therapy in a chronic condition;
(3)
				In the pharmacist's or permit holder's professional judgment, the interruption
				of therapy might reasonably produce undesirable health consequences;
(4) The dispensing pharmacist or permit
				holder creates a written order containing all of the prescription information
				required by Section .2300 of these Rules and signs that order;
(5) The dispensing pharmacist or permit
				holder notifies the prescriber or the prescriber's office of the emergency
				dispensing within 72 hours after such dispensing.
Authority
				  G.S.
				  90-85.6;
				  90-85.25;
				  90-85.32;
Eff.
				  September 1, 1993;
Amended Eff. April 1, 1999; September 1,
				  1995;
Pursuant to
				  G.S.
				  150B-21.3A, rule is necessary without
				  substantive public interest Eff. October 3,
				  2017.
North Carolina Administrative Code › Title 21 - OCCUPATIONAL LICENSING BOARDS AND COMMISSIONS › Chapter 46 - BOARD OF PHARMACY › Section .1800 - PRESCRIPTIONS › Section 46 .1810 - REPEALED - COMPOUNDING

Current through Register Vol. 39, No. 2, July 15, 2024
Authority
				  G.S.
				  90-85.6;
				  90-85.32;
Eff.
				  September 1, 1995;
Amended Eff. August 1, 1998;
Repealed Eff. January 1, 2015.