reglab/statecodes huggingface dataset:
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-50

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-60

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-70

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-75

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-80

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-90

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-100

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-101

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-102

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-103

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-104

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-105

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-106

Current through Register Vol. 40, No. 24, July 15, 2024
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-111 - Pharmacy technicians

Current through Register Vol. 40, No. 24, July 15, 2024
A. Every pharmacy
				  that employs or uses pharmacy technicians shall maintain a site-specific
				  training program and manual for training pharmacy technicians to work at that
				  pharmacy. The program shall include training consistent with that specific
				  pharmacy practice to include training in proper use of site-specific computer
				  programs and equipment, proper use of other equipment used at the pharmacy in
				  performing technician duties, and pharmacy calculations consistent with the
				  duties at that pharmacy.
B. Every
				  pharmacy shall maintain documentation of successful completion of the site
				  specific training program for each pharmacy technician for the duration of the
				  employment and for a period of two years from date of termination of
				  employment. Documentation for currently employed pharmacy technicians shall be
				  maintained on site or at another location where the records are readily
				  retrievable upon request for inspection. After employment is terminated, such
				  documentation may be maintained at an off-site location where it is retrievable
				  upon request.
C. Every pharmacy
				  that employs or uses a person enrolled in a pharmacy technician training
				  program pursuant to § 54.1-3321 of the Code of Virginia shall allow such
				  person to conduct tasks restricted to pharmacy technicians only if the person
				  is currently registered as a pharmacy technician trainee.
Statutory Authority: §§ 54.1-2400 and 54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-112 - Supervision of pharmacy technicians

Current through Register Vol. 40, No. 24, July 15, 2024
A. A pharmacist shall determine the number of
				  pharmacy interns, pharmacy technicians, and pharmacy technician trainees he can
				  safely and competently supervise at one time; however, no pharmacist shall
				  supervise more than four persons performing the duties of a pharmacy technician
				  at one time.
B. In addition to the
				  acts restricted to a pharmacist in §
										54.1-3320A
				  of the Code of Virginia, a pharmacist shall provide personal supervision of
				  compounding of extemporaneous preparations by pharmacy technicians.
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-120 - Special or limited-use pharmacy permits

Current through Register Vol. 40, No. 24, July 15, 2024
A. For good cause shown, the board may issue
				  a special or limited-use pharmacy permit, when the scope, degree or type of
				  pharmacy practice or service to be provided is of a special, limited or unusual
				  nature as compared to a regular pharmacy service. The permit to be issued shall
				  be based on special conditions of use requested by the applicant and imposed by
				  the board in cases where certain requirements of regulations may be waived. The
				  following conditions shall apply:
1. The
				  application shall list the regulatory requirements for which a waiver is
				  requested and a brief explanation as to why each requirement should not apply
				  to that practice.
2. A policy and
				  procedure manual detailing the type and method of operation, hours of
				  operation, schedules of drugs to be maintained by the pharmacy, and method of
				  documentation of continuing pharmacist control must accompany the
				  application.
3. The issuance and
				  continuation of such permits shall be subject to continuing compliance with the
				  conditions set forth by the board.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-121 - Innovative program approval

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  An informal conference committee of the board may approve an innovative or
				  pilot program in accordance with §
										54.1-3307.2
				  of the Code of Virginia upon receipt of an application and fee specified in
				  18VAC110-20-20.
B. If the informal conference committee
				  determines that an inspection is necessary to adequately consider an
				  application, it may require that the applicant pay a fee specified in
				  18VAC110-20-20 to
				  cover the cost of the inspection.
C. If the informal conference committee
				  determines that a technical consultant is necessary in order for the board to
				  make an informed decision on approval of a program, the applicant shall pay a
				  consultant fee, not to exceed the actual cost of the consultation.
D. In the initial order granting approval of
				  a program, the informal conference committee shall set the approval period with
				  a schedule for submission of required reports and outcome data. The frequency
				  of required reports shall not exceed four times a year.
E. The informal conference committee shall
				  determine the appropriate fee for continued approval of the program based on
				  the requirements for review and monitoring. Such renewal fee shall not exceed
				  $260 per approval period.
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-135 - Change of hours in an existing pharmacy

Current through Register Vol. 40, No. 24, July 15, 2024
The owner of the pharmacy shall be responsible for
					 providing notice for a change in the hours of operation to the public and to
					 the board in accordance with §
										54.1-3434
					 of the Code of Virginia unless the change is necessitated by emergency
					 circumstances beyond the control of the owner, or unless the change will result
					 in an expansion of the current hours of operation. If the pharmacy is not able
					 to post the changes 14 days in advance, as required by §
										54.1-3434,
					 the owner shall ensure that the board is notified as soon as he knows of the
					 change and disclose the emergency circumstances preventing the required
					 notification.
Statutory Authority
§§
												54.1-103
						and
						54.1-2400
						and Chapters 33 (§
												54.1-3300 et seq.)
						and 34 (§
												54.1-3400 et seq.) of
						Title 54.1 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-140 - New pharmacies, acquisitions, and changes to existing pharmacies

Current through Register Vol. 40, No. 24, July 15, 2024
A. Any person
				  wishing to open a new pharmacy, engage in the acquisition of an existing
				  pharmacy, change the location of an existing pharmacy, move the location or
				  make structural changes to an existing prescription department, or make changes
				  to a previously approved security system shall file an application with the
				  board.
B. In the acquisition of an
				  existing pharmacy, if prescription records are to be accessible to anyone for
				  purposes other than for continuity of pharmacy services at substantially the
				  same level offered by the previous owner or for the necessary transfer of
				  prescription records, the owner of the pharmacy acquiring the records shall
				  disclose such information in writing to each patient 14 days prior to the
				  acquisition. Such release of prescription records shall be allowed only to the
				  extent authorized by §
										32.1-127.1:03
				  of the Code of Virginia.
C.
				  Although a closing inventory is not required, a complete and accurate inventory
				  shall be taken of all Schedules II through V controlled substances on hand in
				  accordance with §
										54.1-3404
				  of the Code of Virginia on the date the pharmacist first engages in business
				  under the new ownership. Inventories associated with any change in PIC shall
				  also be performed in accordance with
				  18VAC110-20-110.
D. The proposed location or structural
				  changes shall be inspected by an authorized agent of the board prior to
				  issuance of a permit.
1. Pharmacy permit
				  applications that indicate a requested inspection date or requests that are
				  received after the application is filed shall be honored provided a 14-day
				  notice is allowed prior to the requested inspection date.
2. Requested inspection dates that do not
				  allow a 14-day notice to the board may be adjusted by the board to provide 14
				  days for the scheduling of the inspection.
3. At the time of the inspection, the
				  dispensing area shall comply with
				  18VAC110-20-150,
				  18VAC110-20-160,
				  18VAC110-20-170,
				  18VAC110-20-180,
				  and
				  18VAC110-20-190.
4. If an applicant substantially fails to
				  meet the requirements for issuance of a permit and a reinspection is required
				  or if the applicant is not ready for the inspection on the established date and
				  fails to notify the inspector or the board at least 24 hours prior to the
				  inspection, the applicant shall pay a reinspection fee as specified in
				  18VAC110-20-20
				  prior to a reinspection being conducted.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-150 - Physical standards for all pharmacies

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  prescription department shall not be less than 240 square feet. The patient
				  waiting area or the area used for counseling, devices, cosmetics, and
				  proprietary medicines shall not be considered a part of the minimum 240 square
				  feet. The total area shall be consistent with the size and scope of the
				  services provided.
B. Access to
				  stock rooms, rest rooms, and other areas other than an office that is
				  exclusively used by the pharmacist shall not be through the prescription
				  department. A rest room in the prescription department, used exclusively by
				  pharmacists and personnel assisting with dispensing functions, may be allowed
				  provided there is another rest room outside the prescription department
				  available to other employees and the public. This subsection shall not apply to
				  prescription departments in existence prior to November 4, 1993.
C. The pharmacy shall be constructed of
				  permanent and secure materials. Trailers or other moveable facilities or
				  temporary construction shall not be permitted.
D. The entire area of the location of the
				  pharmacy practice, including all areas where drugs are stored, shall be well
				  lighted and well ventilated; the proper storage temperature shall be maintained
				  to meet USP-NF specifications for drug storage.
E. The prescription department counter work
				  space shall be used only for the compounding and dispensing of drugs and
				  necessary recordkeeping.
F. A sink
				  with hot and cold running water shall be within the prescription department. A
				  pharmacy issued a limited-use permit that does not stock prescription drugs as
				  part of its operation is exempt from this requirement.
G. Adequate refrigeration facilities equipped
				  with a monitoring thermometer for the storage of drugs requiring cold storage
				  temperature shall be maintained within the prescription department if the
				  pharmacy stocks such drugs.
H. A
				  pharmacy stocking drugs requiring cold storage temperature shall record the
				  temperature daily and adjust the thermostat as necessary to ensure an
				  appropriate temperature range. The record shall be maintained manually or
				  electronically for a period of two years.
I. The physical settings of a pharmacy in
				  which a pharmacist initiates treatment with, dispenses, or administers drugs,
				  devices, controlled paraphernalia, or other supplies or equipment pursuant to
				  § 54.1-3303.1 of the Code of Virginia and 18VAC110-21-46 shall protect
				  patient confidentiality and comply with the Health Insurance Portability and
				  Accountability Act,
				  42
				  USC §
											1320d et seq.
Statutory Authority: §§ 54.1-2400 and 54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-160 - Sanitary conditions

Current through Register Vol. 40, No. 24, July 15, 2024
A. The
				  entire area of any place bearing the name of a pharmacy shall be maintained in
				  a clean and sanitary manner and in good repair and order.
B. Adequate trash disposal facilities and
				  receptacles shall be available.
Statutory Authority
§§
												54.1-103
						and
						54.1-2400
						and Chapters 33 (§
												54.1-3300 et seq.)
						and 34 (§
												54.1-3400 et seq.) of
						Title 54.1 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-170 - Required minimum equipment or resources

Current through Register Vol. 40, No. 24, July 15, 2024
The PIC shall be responsible for maintaining the
					 following:
1. A current dispensing
				  information reference source consistent with the scope of pharmacy practice at
				  the location of the permitted pharmacy.
2. A set of Prescription Balances, sensitive
				  to 15 milligrams, and weights or an electronic scale if the pharmacy engages in
				  dispensing activities that require the weighing of components.
3. Other equipment, supplies, and references
				  consistent with the pharmacy's scope of practice and with the public
				  safety.
Statutory Authority
§§
												54.1-103
						and
						54.1-2400
						and Chapters 33 (§
												54.1-3300 et seq.)
						and 34 (§
												54.1-3400 et seq.) of
						Title 54.1 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-180 - Security system

Current through Register Vol. 40, No. 24, July 15, 2024
A. A device for
				  the detection of breaking shall be installed in each prescription department of
				  each pharmacy. The installation and the device shall be based on accepted alarm
				  industry standards and shall be subject to the following conditions:
1. The device shall be a sound, microwave,
				  photoelectric, ultrasonic, or any other generally accepted and suitable
				  device.
2. The device shall have at
				  least one hard-wired communication method, be monitored in accordance with
				  accepted industry standards, maintained in operating order, have an auxiliary
				  source of power, and be capable of sending an alarm signal to the monitoring
				  entity when breached if the communication line is not operational.
3. The device shall fully protect the
				  prescription department and shall be capable of detecting breaking by any means
				  when activated.
4. Access to the
				  alarm system for the prescription department area of the pharmacy shall be
				  restricted to the pharmacists working at the pharmacy, except for access by
				  other persons in accordance with
				  18VAC110-20-190
				  B 2, and the system shall be activated whenever the prescription department is
				  closed for business.
5. The alarm
				  system shall include a feature by which any breach in the alarm shall be
				  communicated by the monitoring entity to the PIC or a pharmacist working at the
				  pharmacy.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-190 - Prescription department enclosures; access to prescription department

Current through Register Vol. 40, No. 24, July 15, 2024
A. The prescription
				  department of each pharmacy shall be provided with enclosures subject to the
				  following conditions:
1. The enclosure shall
				  be constructed in such a manner that it protects the prescription drugs from
				  unauthorized entry and from pilferage at all times whether or not a pharmacist
				  is on duty.
2. The enclosure shall
				  be locked and alarmed at all times when a pharmacist is not on duty.
3. The enclosure shall be capable of being
				  locked in a secure manner at any time the pharmacist on duty is not present in
				  the prescription department.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-200 - Storage of drugs, devices, and controlled paraphernalia; expired drugs

Current through Register Vol. 40, No. 24, July 15, 2024
A. Prescriptions
				  awaiting delivery. Prescriptions prepared for delivery to the patient may be
				  placed in a secured area outside of the prescription department, not accessible
				  to the public, where access to the prescriptions is restricted to individuals
				  designated by the pharmacist. With the permission of the pharmacist, the
				  prepared prescriptions may be transferred to the patient at a time when the
				  pharmacist is not on duty. If a prescription is delivered at a time when the
				  pharmacist is not on duty, written procedures shall be established and followed
				  by the pharmacy that detail security of the dispensed prescriptions and a
				  method of compliance with counseling requirements of §
										54.1-3319 of the Code
				  of Virginia. Additionally, a log shall be made and maintained of all
				  prescriptions delivered to a patient when a pharmacist is not present to
				  include the patient's name, prescription number, date of delivery, and
				  signature of the person receiving the prescription. Such log shall be
				  maintained for a period of one year.
B. Dispersion of Schedule II drugs. Schedule
				  II drugs shall either be dispersed with other schedules of drugs or shall be
				  maintained within a securely locked cabinet, drawer, or safe or maintained in a
				  manner that combines the two methods for storage. The cabinet, drawer, or safe
				  may remain unlocked during hours that the prescription department is open and a
				  pharmacist is on duty.
C.
				  Safeguards for controlled paraphernalia and Schedule VI medical devices.
				  Controlled paraphernalia and Schedule VI medical devices shall not be placed in
				  an area completely removed from the prescription department whereby patrons
				  will have free access to such items or where the pharmacist cannot exercise
				  reasonable supervision and control.
D. Expired, or otherwise adulterated or
				  misbranded drugs; security. Any drug that has exceeded the expiration date or
				  is otherwise adulterated or misbranded shall not be dispensed or sold; it shall
				  be separated from the stock used for dispensing. Expired prescription drugs
				  shall be maintained in a designated area within the prescription department
				  until proper disposal.
Statutory Authority: §§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-210 - Disposal of drugs by pharmacies

Current through Register Vol. 40, No. 24, July 15, 2024
If a PIC wishes to dispose of unwanted drugs, he shall use
					 one of the following procedures:
1.
				  Transfer the drugs to another person or entity authorized to possess or provide
				  for proper disposal of such drugs; or
2. Destroy the drugs by burning in an
				  incinerator, or other board-approved method, in compliance with all applicable
				  local, state, and federal laws and regulations. If Schedule II through V drugs
				  are to be destroyed, the following procedures shall apply:
a. At least 14 days prior to the destruction
				  date, the PIC shall provide a written notice to the board office; the notice
				  shall state the following:
(1) Date, time,
				  manner, and place of destruction.
(2) The names of the pharmacists who will
				  witness the destruction process.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-211 - Disposal of drugs by authorized collectors

Current through Register Vol. 40, No. 24, July 15, 2024
Any narcotic treatment program, hospital or clinic with an
					 on-site pharmacy, or pharmacy that accepts a previously dispensed drug for the
					 purpose of destruction shall first be authorized by the DEA as a collector. A
					 collector so authorized may receive drugs from an ultimate user, a person
					 lawfully entitled to dispose of an ultimate user decedent's property, or a
					 long-term care facility on behalf of an ultimate user who resides or has
					 resided at that facility. The process used to collect and destroy drugs, along
					 with any required recordkeeping, shall comply with applicable federal and state
					 law.
1. Prior to collecting drugs, an
				  authorized collector shall submit in writing to the board:
a. The name, address, and license number, if
				  applicable, of the facility;
b. The
				  intended method or methods of collection (i.e., collection receptacle or
				  mail-back program); and
c.
				  Signature of PIC or medical director of a narcotic treatment program.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part II - Pharmacies › Section 18VAC110-20-215 - Outsourcing facilities

Current through Register Vol. 40, No. 24, July 15, 2024
A. Any
				  facility in the Commonwealth engaged in the sterile compounding of drugs or
				  devices to be dispensed without a prescription for a specific patient shall
				  obtain a permit as an outsourcing facility from the board in accordance with
				  §
										54.1-3434.05
				  of the Code of Virginia. Any outsourcing facility located outside of the
				  Commonwealth that delivers in any manner Schedule II through VI drugs or
				  devices into the Commonwealth without a prescription for a specific patient
				  shall be registered with the board in accordance with §
										54.1-3434.5
				  of the Code of Virginia.
B. In
				  order to obtain or renew a permit or registration, outsourcing facilities shall
				  submit to the board (i) documentation that the facility is registered as an
				  outsourcing facility under the Federal Food, Drug, and Cosmetic Act and (ii) a
				  copy of a current inspection report consistent with §
										54.1-3434.05
				  or
				  54.1-3434.5
				  of the Code of Virginia. Outsourcing facilities that fail to demonstrate that
				  the facility is registered as an outsourcing facility under the Federal Food,
				  Drug, and Cosmetic Act or submit a copy of a current inspection report
				  consistent with §
										54.1-3434.05
				  or
				  54.1-3434.5
				  shall not meet the requirements for an initial permit or registration or for
				  renewal of a permit or registration.
C. An outsourcing facility shall comply with
				  all provisions of this chapter relating to a pharmacy in Parts IV
				  (18VAC110-20-110
				  et seq.) and VI (18VAC110-20-240
				  et seq.), with the following exceptions:
1.
				  Subsections E and F of
				  18VAC110-20-190,
				  relating to dispensed prescriptions.
2. Subsection A of
				  18VAC110-20-200,
				  relating to prescriptions awaiting delivery.
3. Subsections B and C of
				  18VAC110-20-240,
				  relating to prescriptions and chart orders.
4.
											18VAC110-20-250,
				  relating to automated data processing prescription records.
5. Subsections C, D, E, and F of
				  18VAC110-20-270,
				  relating to preparation and dispensing of prescriptions.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part III - Nuclear Pharmacies › Section 18VAC110-20-220 - General requirements for pharmacies providing radiopharmaceutical services

Current through Register Vol. 40, No. 24, July 15, 2024
A. Nuclear
				  pharmacies shall comply with standards and requirements of the Nuclear
				  Regulatory Commission and the Virginia Department of Health related to the
				  staffing and operation of the facility.
B. Radiopharmaceuticals are to be dispensed
				  only upon an order from a prescriber authorized to possess, use, and administer
				  radiopharmaceuticals.
1. Orders shall
				  originate at an institution or health care facility licensed to receive and
				  possess radiopharmaceuticals and must contain all necessary information
				  relative to the radiopharmaceutical, activity, time of calibration, and any
				  special preparation or delivery instructions.
2. Orders for radiopharmaceuticals may be
				  transmitted orally, by facsimile (fax), or by electronic transmission by an
				  authorized agent of the prescriber. If the fax or electronic transmission of
				  the authorized agent is pursuant to an oral order from the prescriber, the
				  transmitted document need not include the prescriber's signature but must
				  include the name of the agent.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part IV - Drug Inventory and Records › Section 18VAC110-20-250 - Automated data processing records of prescriptions

Current through Register Vol. 40, No. 24, July 15, 2024
A. An automated data processing system may be
				  used for the storage and retrieval of original and refill dispensing
				  information for prescriptions instead of manual record keeping requirements,
				  subject to the following conditions:
1. A
				  prescription shall be placed on file as set forth in
				  18VAC110-20-240
				  B with the following provisions:
a. In lieu of
				  a hard copy file for Schedule VI prescriptions, an electronic image of a
				  prescription may be maintained in an electronic database provided it preserves
				  and provides an exact image of the prescription that is clearly legible and
				  made available within 48 hours of a request by a person authorized by law to
				  have access to prescription information. Storing electronic images of
				  prescriptions for Schedules II through V controlled substances instead of the
				  hard copy shall only be authorized if such storage is allowed by federal
				  law.
b. If the pharmacy system's
				  automated data processing system fields are automatically populated by an
				  electronic prescription, the automated record shall constitute the prescription
				  and a hard copy or electronic image is not required.
c. For Schedules II through V controlled
				  substances, electronic prescriptions shall be maintained in accordance with
				  federal law and regulation.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part IV - Drug Inventory and Records › Section 18VAC110-20-255 - Other dispensing records

Current through Register Vol. 40, No. 24, July 15, 2024
Pursuant to §
										54.1-3412
					 of the Code of Virginia, any other record used to record the date of dispensing
					 or the identity of the pharmacist dispensing shall be maintained for a period
					 of two years on premises. A pharmacy using such an alternative record shall
					 maintain a current policy and procedure manual documenting the procedures for
					 using the record, how the record is integrated into the total dispensing record
					 system, and how the data included in the record shall be
					 interpreted.
Statutory Authority
§§
												54.1-2400
						and
						54.1-3307
						of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part V - Prescription Order and Dispensing Standards › Section 18VAC110-20-276 - Central or remote processing

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  Centralized or remote processing of a prescription does not include the
				  dispensing of a drug, but does include any of the following activities related
				  to the dispensing process:
1. Receiving,
				  interpreting, analyzing, or clarifying prescriptions;
2. Entering prescription and patient data
				  into a data processing system;
3.
				  Transferring prescription information;
4. Performing a prospective drug review as
				  set forth in §
											54.1-3319 of the Code
				  of Virginia;
5. Obtaining refill or
				  substitution authorizations, or otherwise communicating with the prescriber
				  concerning a patient's prescription;
6. Interpreting clinical data for prior
				  authorization for dispensing;
7.
				  Performing therapeutic interventions; or
8. Providing drug information or counseling
				  concerning a patient's prescription to the patient or patient's
				  agent.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part V - Prescription Order and Dispensing Standards › Section 18VAC110-20-280 - Transmission of a prescription order by facsimile device

Current through Register Vol. 40, No. 24, July 15, 2024
A. Unless otherwise prohibited by federal
				  law, prescription orders for Schedules III through VI drugs may be transmitted
				  to pharmacies by facsimile (fax) device upon the following conditions:
1. The prescription shall be faxed only to
				  the pharmacy of the patient's choice.
2. A valid faxed prescription shall contain
				  all required information for a prescription. A written prescription shall
				  include the prescriber's signature.
3. An authorized agent, as defined in §
											54.1-3408.01C
				  of the Code of Virginia, may transmit an oral prescription by facsimile and
				  shall record on the faxed prescription the agent's full name and wording that
				  clearly indicates that the prescription being transmitted is an oral
				  prescription.
4. A faxed
				  prescription shall be valid only if faxed from the prescriber's practice
				  location, except in the following situations:
a. Forwarding a faxed chart order from a
				  long-term care facility or from a hospice, including a home hospice;
b. Faxing an oral prescription by authorized
				  agent under the conditions set forth in subdivision 3 of this subsection;
				  or
c. Forwarding a written
				  prescription by an authorized agent from a long-term care facility, provided
				  the provider pharmacy maintains written procedures for such transactions and
				  provided the original prescription is obtained by the provider pharmacy within
				  seven days of dispensing. The original prescription shall be attached to the
				  faxed copy.
5. The
				  following additional information shall be recorded on the faxed prescription:
a. The date that the prescription was
				  faxed;
b. The printed name,
				  address, phone number, and fax number of the authorized prescriber;
				  and
c. The institution, if
				  applicable, from which the prescription was faxed, including address, phone
				  number, and fax number.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part V - Prescription Order and Dispensing Standards › Section 18VAC110-20-285 - Electronic transmission of prescriptions from prescriber to pharmacy

Current through Register Vol. 40, No. 24, July 15, 2024
A. Unless otherwise
				  prohibited by law, an electronic prescription may be transmitted from the
				  prescriber or an authorized agent as defined in §
										54.1-3408.01C
				  of the Code of Virginia directly to the dispensing pharmacy. Electronic
				  prescriptions of Schedule II-V controlled substances shall comply with any
				  security or other requirements of federal law. All electronic prescriptions
				  shall also comply with all security requirements of state law related to
				  privacy of protected health information.
B. A pharmacy receiving an electronic
				  prescription shall maintain such prescription record in accordance with
				  18VAC110-20-250
				  A.
C. An electronic prescription
				  shall be transmitted only to the pharmacy of the patient's choice.
Statutory Authority
§
												54.1-2400
						and Chapters 33 (§
												54.1-3300 et seq.)
						and 34 (§
												54.1-3400 et seq.) of
						Title 54.1 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part V - Prescription Order and Dispensing Standards › Section 18VAC110-20-286 - Chart orders for outpatients

Current through Register Vol. 40, No. 24, July 15, 2024
A chart order may be filled by an outpatient
					 (community/retail) pharmacy for outpatient use provided the following
					 conditions are met:
1. The chart order
				  was written for a patient while in a hospital or long-term care
				  facility.
2. The pharmacist has all
				  information necessary to constitute a valid outpatient prescription.
3. The pharmacist in an outpatient setting
				  has direction, either written or obtained verbally, that the chart order is
				  actually intended to be outpatient or discharge prescription orders, and not
				  merely a listing drugs the patient was taking while an inpatient.
4. The orders include some direction related
				  to quantity to be dispensed or authorized duration of the order by which the
				  pharmacist can calculate the authorized quantity using directions for use and
				  duration.
Statutory Authority
§
												54.1-2400
						and Chapters 33 (§
												54.1-3300 et seq.)
						and 34 (§
												54.1-3400 et seq.) of
						Title 54.1 of the Code of Virginia.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part V - Prescription Order and Dispensing Standards › Section 18VAC110-20-290 - Dispensing of Schedule II drugs

Current through Register Vol. 40, No. 24, July 15, 2024
A.
				  A prescription for a Schedule II drug shall be dispensed in good faith but in
				  no case shall it be dispensed more than six months after the date on which the
				  prescription was issued.
B. A
				  prescription for a Schedule II drug shall not be refilled except as authorized
				  under the conditions for partial dispensing as set forth in
				  18VAC110-20-310.
C. In case of an emergency situation, a
				  pharmacist may dispense a drug listed in Schedule II upon receiving oral
				  authorization of a prescribing practitioner provided that:
1. The quantity prescribed and dispensed is
				  limited to the amount adequate to treat the patient during the emergency
				  period;
2. The prescription shall
				  be immediately reduced to writing by the pharmacist and shall contain all
				  information required in §
											54.1-3410
				  of the Drug Control Act, except for the signature of the prescribing
				  practitioner;
3. If the pharmacist
				  does not know the practitioner, the pharmacist shall make a reasonable effort
				  to determine that the oral authorization came from a practitioner using the
				  practitioner's phone number as listed in the telephone directory or other
				  good-faith efforts to ensure the practitioner's identity; and
4. Within seven days after authorizing an
				  emergency oral prescription, the prescribing practitioner shall cause a written
				  prescription for the emergency quantity prescribed to be delivered to the
				  dispensing pharmacist. In addition to conforming to the requirements of §
											54.1-3410
				  of the Drug Control Act, the prescription shall have written on its face
				  "Authorization for Emergency Dispensing" and the date of the oral order. The
				  written prescription may be delivered to the pharmacist in person or by mail
				  postmarked within the seven-day period or transmitted as an electronic
				  prescription in accordance with federal law and regulation to include
				  annotation of the electronic prescription with the original authorization and
				  date of the oral order. Upon receipt, the dispensing pharmacist shall attach
				  the paper prescription to the oral emergency prescription, which had earlier
				  been reduced to writing. The pharmacist shall notify the nearest office of the
				  Drug Enforcement Administration and the board if the prescribing practitioner
				  fails to deliver a written prescription to the pharmacist. Failure of the
				  pharmacist to do so shall void the authority conferred by this subdivision to
				  dispense without a written prescription of a prescribing
				  practitioner.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part V - Prescription Order and Dispensing Standards › Section 18VAC110-20-310 - Partial dispensing of Schedule II prescriptions

Current through Register Vol. 40, No. 24, July 15, 2024
A. The partial filling of a prescription for
				  a drug listed in Schedule II is permissible if the pharmacist is unable to
				  supply the full quantity called for in a written or emergency oral
				  prescription, and he makes a notation of the quantity supplied on the face of
				  the written prescription. The remaining portion of the prescription may be
				  dispensed within 72 hours of the first partial dispensing; however, if the
				  remaining portion is not or cannot be dispensed within the 72-hour period, the
				  pharmacist shall so notify the prescribing practitioner. No further quantity
				  may be supplied beyond 72 hours without a new prescription.
B. Prescriptions for Schedule II drugs
				  written for patients in long-term care facilities may be dispensed in partial
				  quantities, to include individual dosage units. For each partial dispensing,
				  the dispensing pharmacist shall record on the back of the prescription (or on
				  another appropriate record, uniformly maintained and readily retrievable) the
				  date of the partial dispensing, quantity dispensed, remaining quantity
				  authorized to be dispensed, and the identification of the dispensing
				  pharmacist. The total quantity of Schedule II drugs in all partial dispensing
				  shall not exceed the total quantity prescribed. Schedule II prescriptions shall
				  be valid for a period not to exceed 60 days from the issue date unless sooner
				  terminated by the discontinuance of the drug.
C. Information pertaining to current Schedule
				  II prescriptions for patients in a long-term care facility may be maintained in
				  a computerized system if this system has the capability to permit:
1. Output (display or printout) of the
				  original prescription number, date of issue, identification of prescribing
				  practitioner, identification of patient, identification of the long-term care
				  facility, identification of drug authorized (to include dosage form, strength,
				  and quantity), listing of partial dispensing under each prescription, and the
				  information required in subsection B of this section.
2. Immediate (real time) updating of the
				  prescription record each time a partial dispensing of the prescription is
				  conducted.
Virginia Administrative Code › Title 18 - PROFESSIONAL AND OCCUPATIONAL LICENSING › Agency 110 - BOARD OF PHARMACY › Chapter 20 - REGULATIONS GOVERNING THE PRACTICE OF PHARMACY › Part V - Prescription Order and Dispensing Standards › Section 18VAC110-20-320 - Dispensing or refilling of Schedules III through VI prescriptions

Current through Register Vol. 40, No. 24, July 15, 2024
A. A prescription
				  for a drug listed in Schedule III, IV, or V shall not be dispensed or refilled
				  more than six months after the date on which such prescription was issued, and
				  no such prescription authorized to be filled may be refilled more than five
				  times.
1. Each refilling of a prescription
				  shall be entered on the back of the prescription or on another record in
				  accordance with §
											54.1-3412
				  of the Code of Virginia and
				  18VAC110-20-255,
				  initialed, and dated by the pharmacist as of the date of dispensing. If the
				  pharmacist merely initials and dates the prescription, it shall be presumed
				  that the entire quantity ordered was dispensed.
2. The partial dispensing of a prescription
				  for a drug listed in Schedule III, IV, or V is permissible, provided that:
a. Each partial dispensing is recorded in the
				  same manner as a refilling;
b. The
				  total quantity of drug dispensed in all partial dispensing does not exceed the
				  total quantity prescribed; and
c.
				  No dispensing occurs after six months after the date on which the prescription
				  order was issued.