reglab/statecodes huggingface dataset:
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart B - Pharmacy Assistants and Technicians › Section 246-945-205 - Pharmacy technician certification

Current through Register Vol. 24-14, July 15, 2024
(1) An applicant
					 for a pharmacy technician certification shall be 18 years of age and hold a
					 high school diploma or GED.
(2) To
					 be issued a certification as a pharmacy technician an applicant shall meet the
					 qualifications in
					 RCW
					 18.64A.020, and:
(a) Provide proof of completion of eight
					 hours of guided study of Washington state and federal pharmacy law. The law
					 study shall be done in coordination and oversight of a Washington licensed
					 pharmacist.
(b) Provide proof of
					 successful completion of a commission-approved pharmacy-technician training
					 program WAC
					 246-945-215. Acceptable
					 documentation includes:
(i) On-the-job
					 training program. Successful completion of didactic and practice experience
					 signed by the program director on a form provided by the commission;
					 or
(ii) Formal academic or college
					 programs. Official transcripts of completion of a diploma or certificate
					 program at a pharmacy technician school or a two-year associate degree program,
					 which shall include evidence of practice training hours; or
(iii) Certificate of Release or Discharge
					 from Active Duty, DD214 documenting evidence of pharmacy technician training
					 provided by a branch of the federal armed services.
(c) Pass a national certification examination
					 approved by the commission within one year of completing a commission-approved
					 training program and applying for certification, unless otherwise authorized by
					 the commission.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart B - Pharmacy Assistants and Technicians › Section 246-945-210 - Pharmacy technician-Temporary practice permit-Military spouse eligibility and issuance

Current through Register Vol. 24-14, July 15, 2024
A military spouse or state registered domestic partner of
						a member of the military may receive a temporary practice permit while
						completing any specific additional requirements that are not related to
						training or practice standards for a pharmacy technician certification. The
						commission adopts the procedural rules as adopted by the department of health
						in WAC
						246-12-051.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart B - Pharmacy Assistants and Technicians › Section 246-945-215 - Pharmacy technician education and training programs

Current through Register Vol. 24-14, July 15, 2024
A pharmacy technician-training program must meet the
						minimum requirements of this section and be approved by the commission.
(1) A pharmacy technician-training program
					 shall be considered approved by the commission if it is accredited, approved,
					 or administered by:
(a) The American Society
					 of Health-System Pharmacists (ASHP);
(b) The Accreditation Council for Pharmacy
					 Education;
(c) Pharmacy Technician
					 Certification Board; or
(d) The
					 United States Armed Forces.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart B - Pharmacy Assistants and Technicians › Section 246-945-217 - Expired pharmacy technician certification

Current through Register Vol. 24-14, July 15, 2024
To return to active status a pharmacy technician with an
						expired certification shall pay the applicable fees in accordance with WAC
						246-945-990 through
						246-945-992, and:
(1) If a pharmacy technician's certification
					 has expired for five years or less, the pharmacy technician shall meet the
					 requirements of WAC
					 246-12-040.
(2) If the pharmacy technician's
					 certification has expired for over five years and they have not been in active
					 practice in another U.S. jurisdiction, the pharmacy technician shall:
(a) Complete the requirements for
					 certification under WAC
					 246-945-205; and
(b) Meet the requirements of WAC
					 246-12-040.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart B - Pharmacy Assistants and Technicians › Section 246-945-220 - Pharmacy technician-Continuing education

Current through Register Vol. 24-14, July 15, 2024
(1) As part of the
					 process to renew a pharmacy technician license, a pharmacy technician shall
					 complete continuing education in compliance with this section.
(2) A pharmacy technician shall complete 20
					 hours of continuing education each certification renewal cycle. The 20 hours of
					 continuing education must be presented by a continuing education provider
					 accredited by ACPE, except as provided in subsection (3) of this
					 section.
(3) A pharmacy technician
					 shall complete at least one hour of health equity training as described in WAC
					 246-12-830 each certification
					 renewal period.
(a) Health equity training
					 may be provided by a continuing education provider accredited by ACPE or by a
					 health equity training program contained on the department's list of approved
					 health equity training programs.
(b) The hours spent completing health equity
					 training will count toward meeting continuing education
					 requirements.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart C - Pharmaceutical Firm Licensing › Section 246-945-230 - General information, change of location, ownership or new construction

Current through Register Vol. 24-14, July 15, 2024
(1) The definitions
					 in this subsection apply throughout WAC
					 246-945-230 through
					 246-945-247 unless otherwise
					 specified:
(a) "License" includes
					 "licensing," "licensure," "certificate," "certification," and
					 "registration."
(b) "Facility"
					 includes pharmacies, nonresident pharmacies, health care entities, hospital
					 pharmacy associated clinics, wholesalers, and manufacturers.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart C - Pharmaceutical Firm Licensing › Section 246-945-232 - Pharmacy licensing

Current through Register Vol. 24-14, July 15, 2024
The commission shall issue a pharmacy license to an
						applicant that:
(1) Is in compliance
					 with WAC 246-945-230;
(2) Has a
					 designated responsible pharmacy manager; and
(3) If a pharmacy is new or remodeled, the
					 applicant has provided the commission evidence of being built or remodeled in
					 accordance with all building, health, and fire codes required for the
					 particular area.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart C - Pharmaceutical Firm Licensing › Section 246-945-233 - Hospital pharmacy associated clinics

Current through Register Vol. 24-14, July 15, 2024
(1) A parent hospital pharmacy may add or
					 delete a hospital pharmacy associated clinic (HPAC) to a hospital pharmacy
					 license at any time in compliance with WAC 246-945-230(2)(a), (b), and
					 (d).
(2) The HPAC must designate a
					 responsible pharmacy manager and notify the commission of changes.
(3) HPAC locations are identified as follows:
(a) Category 1 HPAC: Receives drugs
					 transferred from the parent hospital pharmacy to the HPAC and does not perform
					 sterile or nonsterile compounding of drugs.
(b) Category 2 HPAC: Receives drugs
					 transferred from the parent hospital pharmacy to the HPAC and performs sterile
					 or nonsterile compounding of drugs.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart C - Pharmaceutical Firm Licensing › Section 246-945-235 - Nonresident pharmacy license

Current through Register Vol. 24-14, July 15, 2024
The commission shall issue a nonresident pharmacy license
						to an applicant that:
(1) Provides all
					 information required by
					 RCW
					 18.64.360;
(2) Is in compliance with WAC
					 246-945-230;
(3) Has identified a
					 responsible pharmacy manager, whose license is in good standing in the U.S.
					 jurisdiction in which they are located; and
(4) Has provided to the commission proof that
					 its resident license is in good standing.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart C - Pharmaceutical Firm Licensing › Section 246-945-245 - Health care entity license

Current through Register Vol. 24-14, July 15, 2024
(1) The
					 commission shall issue a health care entity license to an applicant that:
(a) Is in compliance with WAC 246-945-230;
					 and
(b) Has designated a
					 responsible pharmacy manager.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart C - Pharmaceutical Firm Licensing › Section 246-945-246 - Wholesaler

Current through Register Vol. 24-14, July 15, 2024
(1) Every
					 wholesaler who engages in wholesale distribution into, out of, or within
					 Washington state must be licensed by the commission before engaging in
					 wholesale distribution of drugs. Entities required to be licensed as a
					 wholesaler includes:
(a) In-state and
					 out-of-state pharmaceutical wholesalers;
(b) Out-of-state manufacturer that distribute
					 or sell drugs into Washington;
(c)
					 Virtual wholesalers;
(d)
					 Out-of-state virtual manufacturers that distribute or sell drugs into
					 Washington;
(e) Outsourcing
					 facilities required to be registered with the FDA as an outsourcing facility as
					 defined in 21 U.S.C. Sec. 353b(d)(4)(A) that are located in Washington, or
					 distribute or sell drugs into Washington; and
(f) Reverse distributors.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart C - Pharmaceutical Firm Licensing › Section 246-945-247 - Pharmaceutical manufacturer license

Current through Register Vol. 24-14, July 15, 2024
(1)
					 An entity located in Washington state that manufactures drugs must be licensed
					 by the commission in accordance with the laws and regulations of Washington
					 state before engaging in manufacturing.
(2) The commission shall issue a manufacturer
					 license to an applicant that is in compliance with the requirements in WAC
					 246-945-230.
(3) When operations
					 are conducted at more than one location by a single manufacturer, each location
					 shall be licensed by the commission.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart D - Commission Registrations › Section 246-945-250 - Researcher and other controlled substance registration

Current through Register Vol. 24-14, July 15, 2024
(1) Applicants for initial registration and
					 renewal for researcher or other controlled substance registrations shall submit
					 to the commission a complete application with fees relevant to the registration
					 type.
(a) Researcher:
(i) Noncontrolled legend drugs; or
(ii) Researchers requiring to purchase,
					 possess, administer or dispense controlled substances shall apply for a
					 controlled substance authority on its license with the commission and register
					 with the DEA.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart D - Commission Registrations › Section 246-945-253 - Shopkeeper registration

Current through Register Vol. 24-14, July 15, 2024
(1) A
					 shopkeeper registration is issued to a business license authorizing the holder
					 to purchase, possess, and sell over-the-counter medications as defined in
					 RCW
					 18.64.044 and chapter 69.43 RCW, if
					 applicable.
(2) A business entity
					 with a licensed pharmacy with different operating hours shall hold a shopkeeper
					 registration to acquire, possess, and sell over-the-counter medications when
					 the pharmacy is closed.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart D - Commission Registrations › Section 246-945-254 - Animal control and humane society registration

Current through Register Vol. 24-14, July 15, 2024
(1) Humane societies and animal control
					 agencies registered with the commission under RCW 69.50.-310 may purchase,
					 possess, and administer sodium pentobar-bital and approved legend drugs as
					 provided in RCW 69.41.-080.
(2) To
					 apply for registration, a humane society or animal control agency shall submit
					 to the commission a completed application for registration on forms provided by
					 the commission and undergo an initial inspection.
(3) The registered agency shall designate an
					 individual responsible for maintaining all records and submitting all reports
					 required by applicable federal or state law or rule.
(4) The registered agency shall provide to
					 the commission a list of staff trained and authorized to administer approved
					 drugs.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 2 - GENERAL LICENSING › Subpart D - Commission Registrations › Section 246-945-255 - Chemical capture-Department of fish and wildlife

Current through Register Vol. 24-14, July 15, 2024
(1) The department of fish and wildlife may
					 apply to the commission for a limited registration under chapters 69.50 and
					 69.41 RCW to purchase, possess, and administer controlled substances and legend
					 drugs for use in chemical capture programs.
(2) Each department of fish and wildlife
					 field office that stores controlled substances or legend drugs must register
					 with the commission. The department of fish and wildlife must notify the
					 commission of the names of individuals who are authorized to possess and
					 administer controlled substances and legend drugs.
(3) The department of fish and wildlife shall
					 designate one individual at each field office who shall be responsible for the
					 ordering, possession, safe storage, and utilization of controlled substances
					 and legend drugs. The department of fish and wildlife shall notify the
					 commission of the name of the designated individual.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-305 - Pharmacist's professional responsibilities

Current through Register Vol. 24-14, July 15, 2024
(1) A pharmacist shall be knowledgeable of,
				  and comply with, all applicable rules and laws.
(2) A pharmacist is responsible for providing
				  patients with safe and appropriate medication therapy.
(3) A pharmacist shall be responsible for any
				  delegated act performed by pharmacy interns, pharmacy technicians, and pharmacy
				  assistants under their supervision.
(4) A pharmacist shall delegate pharmacy
				  functions in accordance with WAC 246-945-315.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-310 - Responsible pharmacy manager

Current through Register Vol. 24-14, July 15, 2024
The responsible pharmacy manager must be licensed to
					 practice pharmacy in the state of Washington. The responsible pharmacy manager
					 designated by a facility as required under WAC 246-945-410 shall have the
					 authority and responsibility to assure that the area(s) within the facility
					 where drugs are stored, compounded, delivered, or dispensed are operated in
					 compliance with all applicable state and federal statutes and
					 regulations.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-315 - Delegation of pharmacy functions to pharmacy ancillary personnel

Current through Register Vol. 24-14, July 15, 2024
(1) All delegated
				  pharmacy functions shall be performed under a pharmacist's immediate
				  supervision. A pharmacist, as an adjunct to assist in the immediate supervision
				  of the pharmacy ancillary personnel or intern, may employ technological means
				  to communicate with or observe the pharmacy ancillary personnel or intern. A
				  pharmacist shall make certain all applicable state and federal laws including,
				  but not limited to, confidentiality, are fully observed when employing
				  technological means of communication and observation. If technology is being
				  used to provide immediate supervision of pharmacy ancillary personnel or intern
				  such technology shall be sufficient to provide the personal assistance,
				  direction and approval required to meet the standard of practice for the
				  delegated tasks.
(2) When
				  delegating a pharmacy function to a pharmacy technician:
(a) A pharmacist shall consider the pharmacy
				  technician's scope of practice, education, skill, and experience and take them
				  into account; and
(b) A pharmacist
				  will not delegate a pharmacy function that is listed in WAC
				  246-945-320.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-317 - Tech check tech

Current through Register Vol. 24-14, July 15, 2024
(1) "Verification"
				  as used in this section means the pharmacist has reviewed a patient
				  prescription initiated by an authorized prescriber, has examined the patient's
				  drug profile, and has approved the prescription after taking into account
				  pertinent drug and disease information to ensure the correctness of the
				  prescription for a specific patient. The verification process must generate an
				  audit trail that identifies the pharmacist. The pharmacist who performs the
				  verification of a prescription is responsible for all reports generated by the
				  approval of that prescription. The unit-dose medication fill and check reports
				  are an example.
(2) A pharmacist
				  may allow for unit-dose medication checking. Following verification of a
				  prescription by the pharmacist, a technician may check unit-dose medication
				  cassettes filled by another pharmacy technician or pharmacy intern in
				  pharmacies serving facilities licensed under chapter 70.41, 71.12, 71A.20, or
				  74.42 RCW. No more than a forty-eight hour supply of drugs may be included in
				  the patient medication cassettes and a licensed health professional must check
				  the drug before administering it to the patient.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-320 - Nondelegable tasks

Current through Register Vol. 24-14, July 15, 2024
(1) A pharmacist
				  shall not delegate the following to ancillary personnel:
(a) Receipt or transfer of a verbal
				  prescription other than refill authorization from a prescriber.
(b) Consultation with the patient regarding
				  the prescription, both prior to and after the prescription filling regarding
				  any information contained in a patient medication record system; however, this
				  shall not prohibit pharmacy ancillary personnel from providing to or receiving
				  from the patient or the patient's agent certain information where no
				  professional judgment is required.
(c) Consultation with the prescriber
				  regarding the patient and the patient's prescription.
(d) Interpretation of data in a patient
				  medication record system.
(e)
				  Ultimate responsibility for all aspects of the completed prescription and
				  assumption of the responsibility for the filled prescription, such as: Accuracy
				  of drug, strength, labeling, proper container and other requirements.
(f) Patient counseling in accordance with WAC
				  246-945-325.
(g) Substitution of a
				  biological or drug product in accordance with WAC 246-945-340.
(h) Decision to not dispense lawfully
				  prescribed drugs or devices or to not distribute drugs and devices approved by
				  the FDA for restricted distribution by pharmacies.
(i) Prescription adaptation in accordance
				  with WAC 246-945-335.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-325 - Patient counseling

Current through Register Vol. 24-14, July 15, 2024
(1) The
				  pharmacist shall offer to counsel:
(a) Upon
				  the initial fill of a prescription for a new or change of therapy.
(b) When the pharmacist using their
				  professional judgment determines counseling is necessary to promote safe and
				  effective use and to facilitate an appropriate therapeutic outcome for that
				  patient.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-330 - Refilling prescriptions

Current through Register Vol. 24-14, July 15, 2024
(1) A
				  prescription may be refilled when permitted by state and federal law and only
				  as authorized by the prescriber.
(2) Except as provided in subsection (1) of
				  this section, a pharmacist may renew a prescription for a noncontrolled legend
				  drug one time in a six-month period when an effort has been made to contact the
				  prescriber and they are not available for authorization under the following
				  conditions:
(a) The amount dispensed is the
				  quantity on the most recent fill or a thirty-day supply, whichever is
				  less;
(b) The refill is requested
				  by the patient or the patients agent;
(c) The patient has a chronic medical
				  condition;
(d) No changes have been
				  made to the prescription; and
(e)
				  The pharmacist communicates the renewal to the prescriber within one business
				  day.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-332 - Continuity of care

Current through Register Vol. 24-14, July 15, 2024
When the governor issues an emergency proclamation for an
					 event which prevents continuity of health care for persons and animals because
					 their prescribed medications are no longer available to them due to the
					 emergency event, pharmacists and pharmacies may provide emergency prescription
					 supplies for medications during the period of the proclaimed emergency as
					 provided below:
(1) An initial supply
				  of up to thirty days of current prescriptions for legend drug (noncontrolled)
				  medications or seven-day supply of current prescriptions for controlled
				  substance medications in Schedules III, IV, and V may be provided to patients
				  under the following conditions:
(a)
				  Presentation of a valid prescription container complete with legible label
				  indicating there are remaining refills, or confirmation of the prescribed
				  medication and available refills by review of the patient's current medical
				  records or pharmacy records or in the professional judgment of the pharmacist;
				  or
(b) If the prescription is
				  expired or has no refills and the pharmacist is unable to readily obtain refill
				  authorization from the prescriber, the pharmacist may dispense a one-time
				  emergency refill of the last dispensed quantity or up to a thirty-day supply of
				  a maintenance medication.
(c) If
				  the patient is unable to provide either a valid prescription or prescription
				  container the pharmacist may use their professional judgment when accepting a
				  provider reconciled medication list.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-335 - Prescription adaptation

Current through Register Vol. 24-14, July 15, 2024
Upon patient consent, a pharmacist may adapt drugs as
					 specified in this rule, provided that the prescriber has not indicated that
					 adaptation is not permitted.
(1)
				  Change quantity. A pharmacist may change the quantity of medication prescribed
				  if:
(a) The prescribed quantity or package
				  size is not commercially available;
(b) The change in quantity is related to a
				  change in dosage form;
(c) The
				  change is intended to dispense up to the total amount authorized by the
				  prescriber including refills in accordance with
				  RCW
				  18.64.520; or
(d) The change extends a maintenance drug for
				  the limited quantity necessary to coordinate a patient's refills in a
				  medication synchronization program in accordance with
				  RCW
				  48.43.096.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-340 - Prescriptions-Drug product substitutions

Current through Register Vol. 24-14, July 15, 2024
(1)
				  A pharmacist may substitute a drug or biologic product dispensed pursuant to a
				  prescription if in compliance with applicable laws and rules.
(2) A pharmacist may substitute a drug
				  product or a biologic product when any of the following applies:
(a) The substitution is permitted by
				  RCW
				  69.41.120;
(b) The substitution is permitted by a
				  formulary developed by an interdisciplinary team of an institutional facility;
				  or
(c) The substitution is
				  otherwise permitted by law.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-345 - Prescription transfers

Current through Register Vol. 24-14, July 15, 2024
(1) Subsections
				  (2) through (5) of this section apply to the transfer of prescription
				  information for noncontrolled drugs. The transfer of controlled substance
				  prescription information must conform to the requirements of 21 C.F.R. Sec.
				  1306.25.
(2) Upon patient request,
				  a prescription may be transferred within the limits of state and federal
				  law.
(3) Sufficient information
				  needs to be exchanged in the transfer of a prescription to maintain an
				  auditable trail, and all elements of a valid prescription.
(4) Pharmacies sharing a secure real-time
				  database are not required to transfer prescription information for
				  dispensing.
(5) Prescriptions must
				  be transferred by electronic means or facsimile, except in emergent
				  situations.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-350 - Collaborative drug therapy agreements

Current through Register Vol. 24-14, July 15, 2024
(1)
				  A pharmacist exercising prescriptive authority in their practice must have a
				  valid CDTA on file with the commission and their practice location.
(2) A CDTA must include:
(a) A statement identifying the practitioner
				  authorized to prescribe and the name of each pharmacist who is party to the
				  agreement;
(i) The practitioner authorized to
				  prescribe must be in active practice; and
(ii) The authority granted must be within the
				  scope of the practitioners' current practice.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-355 - Monitoring of drug therapy by pharmacist

Current through Register Vol. 24-14, July 15, 2024
In the absence of a CDTA, the term "monitoring drug
					 therapy" used in
					 RCW
					 18.64.011 shall mean a review of the drug
					 therapy regimen of patients by a pharmacist for the purpose of evaluating or
					 rendering advice to the prescribing practitioner or patient regarding the
					 patients drug therapy. Monitoring of drug therapy includes, but is not limited
					 to, the evaluation of the patient through history taking, physical examination,
					 ordering, administering or reviewing laboratory tests, imaging, and social
					 evaluation related to an existing diagnosis and drug therapies for optimization
					 of drug therapy.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-360 - Patient rights

Current through Register Vol. 24-14, July 15, 2024
Any person authorized to practice or assist in the practice
					 of pharmacy shall not engage in any of the following:
(1) Destroy unfilled lawful
				  prescription;
(2) Refuse to return
				  unfilled lawful prescriptions;
(3)
				  Violate a patient's privacy;
(4)
				  Discriminate against patients or their agent in a manner prohibited by state or
				  federal laws; or
(5) Intimidate or
				  harass a patient.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-365 - Approval of impaired practitioner substance abuse monitoring program

Current through Register Vol. 24-14, July 15, 2024
(1) The commission
				  will approve recovery, assistance and monitoring programs under
				  RCW
				  18.130.175 for its credential
				  holders.
(2) For the purposes of
				  RCW
				  18.130.175(1), the
				  commission will consider a licensee to have not successfully completed the
				  program if they are discharged from the program for failure to comply with the
				  program's terms and conditions.
(3)
				  A licensee referred or required to participate in a program will be subject to
				  disciplinary action under chapter 18.130 RCW if they fail to sign or otherwise
				  revoke a waiver allowing the program to release information to the
				  commission.
(4) An approved program
				  shall report a licensee who fails to comply with the program's terms and
				  conditions within seven calendar days.
(5) A licensee shall report themselves to the
				  commission if they fail to comply with
				  RCW
				  18.130.175, the program's terms and
				  conditions, or any part of this section within seven calendar days. The fact an
				  approved program has reported under subsection (4) of this section does not
				  absolve the licensee of a responsibility to report.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 3 - PROFESSIONAL STANDARDS › Section 246-945-370 - Sexual misconduct

Current through Register Vol. 24-14, July 15, 2024
(1) A pharmacy
				  health care practitioner must not engage, or attempt to engage, in sexual
				  misconduct with a current patient, client, or key party, inside or outside the
				  health care setting. Sexual misconduct shall constitute grounds for
				  disciplinary action.
(2)
				  Practitioner under this section shall be defined as any person credentialed
				  under
				  RCW
				  18.64.080 or chapter 18.64A RCW.
(3) Sexual misconduct includes, but is not
				  limited to:
(a) Sexual intercourse;
(b) Touching the breasts, genitals, anus or
				  any sexualized body part except as consistent with accepted community standards
				  of practice within the health care practitioner's scope of practice;
(c) Rubbing against a patient, client, or key
				  party for sexual gratification;
(d)
				  Kissing;
(e) Hugging, touching,
				  fondling or caressing of a romantic or sexual nature;
(f) Not allowing a patient or client privacy
				  to dress or undress except as may be necessary in emergencies or custodial
				  situations;
(g) Not providing the
				  patient or client a gown or draping except as may be necessary in
				  emergencies;
(h) Dressing or
				  undressing in the presence of the patient, client, or key party;
(i) Removing patient's or client's clothing
				  or gown or draping without consent, except emergent medical necessity or being
				  in a custodial setting;
(j)
				  Encouraging masturbation or other sex act in the presence of the health care
				  provider;
(k) Masturbation or other
				  sex act by the health care provider in the presence of the patient, client, or
				  key party;
(l) Suggesting or
				  discussing the possibility of a dating, sexual or romantic relationship after
				  the professional relationship ends;
(m) Terminating a professional relationship
				  for the purpose of dating or pursuing a romantic or sexual
				  relationship;
(n) Soliciting a date
				  with a patient, client, or key party;
(o) Discussing the sexual history,
				  preferences or fantasies of the health care provider;
(p) Any behavior, gestures, or expressions
				  that may reasonably be interpreted as seductive or sexual;
(q) Making statements regarding the patient,
				  client, or key party's body, appearance, sexual history, or sexual orientation
				  other than for legitimate health care purposes;
(r) Sexually demeaning behavior including any
				  verbal or physical contact which may reasonably be interpreted as demeaning,
				  humiliating, embarrassing, threatening or harming a patient, client, or key
				  party;
(s) Photographing or filming
				  the body or any body part or pose of a patient, client, or key party, other
				  than for legitimate health care purposes; and
(t) Showing a patient, client, or key party
				  sexually explicit materials, other than for legitimate health care
				  purposes.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 4 - OPERATIONAL STANDARDS › Subpart A - Pharmacies, HCEs and HPACs › Section 246-945-405 - Applicability

Current through Register Vol. 24-14, July 15, 2024
(1) The rules in
					 this chapter apply to pharmacies, health care entities (HCE), and hospital
					 pharmacy associated clinics (HPAC).
(2) Unless specified, the term "facility" as
					 used in this part includes pharmacies, HCEs, and HPACs.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 4 - OPERATIONAL STANDARDS › Subpart A - Pharmacies, HCEs and HPACs › Section 246-945-410 - Facility standards

Current through Register Vol. 24-14, July 15, 2024
A facility must meet the following minimum
						requirements:
(1) The facility shall
					 be constructed and equipped with adequate security to protect equipment,
					 records, and supply of drugs, devices, and other restricted sale items from
					 unauthorized access, acquisition, or use.
(2) The facility shall be properly equipped
					 to ensure the safe, clean, and sanitary condition necessary for the proper
					 operation, the safe preparation of prescriptions, and to safeguard product
					 integrity.
(3) The facility shall
					 be staffed sufficiently to allow appropriate supervision, operate safely and,
					 if applicable, remain open during posted hours of operation.
(4) The facility shall be adequately stocked
					 to maintain at all times a representative assortment of drugs in order to meet
					 the pharmaceutical needs of its patients in compliance with WAC
					 246-945-415.
(5) The facility shall
					 designate a responsible pharmacy manager:
(a)
					 By the date of opening; and
(b)
					 Within thirty calendar days of a vacancy.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 4 - OPERATIONAL STANDARDS › Subpart A - Pharmacies, HCEs and HPACs › Section 246-945-415 - Dispensing and delivery of prescription drugs

Current through Register Vol. 24-14, July 15, 2024
(1) A pharmacy may deliver filled
					 prescriptions as long as appropriate measures are taken to ensure product
					 integrity and receipt by the patient or patient's agent.
(2) Pharmacies have a duty to deliver
					 lawfully prescribed drugs or devices to patients and to distribute drugs and
					 devices approved by the U.S. Food and Drug Administration for restricted
					 distribution by pharmacies, or provide a therapeutically equivalent drug or
					 device in a timely manner consistent with reasonable expectations for filling
					 the prescription, except for the following or substantially similar
					 circumstances:
(a) Prescriptions containing
					 an obvious or known error, inadequacies in the instructions, known
					 contraindications, or incompatible prescriptions, or prescriptions requiring
					 action in accordance with WAC 246-945-410(8) or 246-945-335;
(b) National or state emergencies or
					 guidelines affecting availability, usage, or supplies of drugs or
					 devices;
(c) Lack of specialized
					 equipment or expertise needed to safely produce, store, or dispense drugs or
					 devices, such as certain drug compounding or storage for nuclear
					 medicine;
(d) Potentially
					 fraudulent prescriptions; or
(e)
					 Unavailability of drug or device despite good faith compliance with WAC
					 246-945-410(4).
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 4 - OPERATIONAL STANDARDS › Subpart A - Pharmacies, HCEs and HPACs › Section 246-945-417 - Electronic systems for patient medication records, prescriptions, chart orders, and controlled substance records

Current through Register Vol. 24-14, July 15, 2024
(1) A pharmacy shall use an electronic
					 recordkeeping system to establish and store patient medication records,
					 including patient allergies, idiosyncrasies or chronic conditions, and
					 prescription, refill, transfer information, and other information necessary to
					 provide safe and appropriate patient care.
(a) Systems must prevent auto-population of
					 user identification information.
(b) Pharmacies that provide off-site pharmacy
					 services without a pharmacist for product fulfillment or prescription
					 processing must track the identity of each individual involved in each step of
					 the off-site pharmacy services.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 4 - OPERATIONAL STANDARDS › Subpart A - Pharmacies, HCEs and HPACs › Section 246-945-418 - Paper recordkeeping procedure

Current through Register Vol. 24-14, July 15, 2024
If an HPAC or HCE does not maintain an electronic
						record-keeping system their manual records must contain all information
						required in WAC 246-945-417. The record system consists of the hard copy of the
						original prescription and a card or filing procedure that contains all data on
						new and refill prescriptions for a patient. This data must be organized in such
						a fashion that information relating to all prescription drugs used by a patient
						will be reviewed each time a prescription is filled.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 4 - OPERATIONAL STANDARDS › Subpart A - Pharmacies, HCEs and HPACs › Section 246-945-420 - Facility inventory requirements

Current through Register Vol. 24-14, July 15, 2024
(1)
					 A facility shall conduct its own separate inventory of prescription drugs when
					 it closes in accordance WAC 246-945-480.
(2) A facility shall conduct an inventory of
					 controlled substances every two years.
(3) A facility shall conduct its own separate
					 inventory of controlled substances in the following situations:
(a) Within thirty days of designating a
					 responsible pharmacy manager. The incoming responsible pharmacy manager, or
					 designee, shall conduct a complete controlled substance inventory.
(b) On the effective date of an addition of a
					 substance to a schedule of controlled substances. Each facility that possesses
					 the substance shall take an inventory of the substance on hand, and thereafter,
					 include the substance in each inventory.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 4 - OPERATIONAL STANDARDS › Subpart A - Pharmacies, HCEs and HPACs › Section 246-945-425 - Shared pharmacy services

Current through Register Vol. 24-14, July 15, 2024
Pharmacy services may be provided off-site at one or more
						locations. When the services being performed are related to prescription
						fulfillment or processing, the pharmacy or pharmacist must comply with the
						following:
(1) Long term care shared
					 pharmacy services in accordance with
					 RCW
					 18.64.570.
(2) Central fill shared pharmacy services in
					 accordance with the following conditions:
(a)
					 The originating pharmacy shall have written policies and procedures outlining
					 the off-site pharmacy services to be provided by the central fill pharmacy, or
					 the off-site pharmacist or pharmacy technician, and the responsibilities of
					 each party;
(b) The parties shall
					 share a secure real-time database or utilize other secure technology, including
					 a private, encrypted connection that allows access by the central pharmacy or
					 off-site pharmacist or pharmacy technician to the information necessary to
					 perform off-site pharmacy services; and
(c) A single prescription may be shared by an
					 originating pharmacy and a central fill pharmacy or off-site pharmacist or
					 pharmacy technician. The fulfillment, processing and delivery of a prescription
					 by one pharmacy for another pursuant to this section will not be construed as
					 the fulfillment of a transferred prescription or as a wholesale
					 distribution.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 4 - OPERATIONAL STANDARDS › Subpart A - Pharmacies, HCEs and HPACs › Section 246-945-430 - Pharmacies storing, dispensing and delivering drugs to patients without a pharmacist on-site

Current through Register Vol. 24-14, July 15, 2024
(1) The following
					 requirements apply to pharmacies storing, dispensing and delivering drugs to
					 patients without a pharmacist on-site and are in addition to applicable state
					 and federal laws applying to pharmacies.
(2) The pharmacy is required to have adequate
					 visual surveillance of the full pharmacy and retain a high quality recording
					 for a minimum of thirty calendar days.
(3) Access to a pharmacy by individuals must
					 be limited, authorized, and regularly monitored.
(4) A visual and audio communication system
					 used to counsel and interact with each patient or patient's caregiver, must be
					 clear, secure, and HIPAA compliant.
(5) The responsible pharmacy manager, or
					 designee, shall complete and retain, in accordance with WAC 246-945-005 a
					 monthly in-person inspection of the pharmacy.
(6) A pharmacist must be capable of being
					 on-site at the pharmacy within three hours if an emergency arises.
(7) The pharmacy must be closed to the public
					 if any component of the surveillance or visual and audio communication system
					 is malfunctioning, and remain closed until system corrections or repairs are
					 completed or a pharmacist is on-site to oversee pharmacy operations.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 4 - OPERATIONAL STANDARDS › Subpart A - Pharmacies, HCEs and HPACs › Section 246-945-435 - Provision of emergency department discharge medication when pharmacy services are unavailable

Current through Register Vol. 24-14, July 15, 2024
(1) The
					 responsible pharmacy manager of a hospital or free standing emergency
					 department may, in collaboration with the appropriate medical staff committee
					 of the hospital, develop policies and procedures to provide discharge
					 medications to patients released from hospital emergency departments during
					 hours when community or outpatient hospital pharmacy services are not
					 available.
(2) The policies and
					 procedures in subsection (1) of this section shall:
(a) Comply with all requirements of
					 RCW
					 70.41.480;
(b) Ensure all prepackaged medications are
					 affixed with a label that complies with WAC 246-945-018;
(c) Require oral or electronically
					 transmitted chart orders be verified by the practitioner in writing within
					 seventy-two hours;
(d) The
					 medications distributed as discharge medications are stored in compliance with
					 the laws concerning security and access; and
(e) Ensure discharge medications are labeled
					 appropriately.
Washington Administrative Code › Title 246 - Health, Department of › PROFESSIONAL STANDARDS AND LICENSING › Chapter 246-945 - Pharmacy quality assurance commission › Part 4 - OPERATIONAL STANDARDS › Subpart A - Pharmacies, HCEs and HPACs › Section 246-945-440 - Administration of patient owned medications

Current through Register Vol. 24-14, July 15, 2024
Facilities shall develop written policies and procedures
						for the administration of patient owned medications.