Arizona § 32-1934 - Remote hospital-site pharmacy permittee; requirements

§ 32-1934. Remote hospital-site pharmacy permittee; requirements

A. A remote hospital-site pharmacy permittee shall comply with all the provisions of this chapter requiring registration and regulation of pharmacies, with board rules and with applicable federal law.

B. A remote hospital-site pharmacy permittee shall ensure that:

1. The remote hospital-site pharmacy is supervised by a pharmacist who is located in this state and who is employed by the hospital.

2. The remote hospital-site pharmacy displays a sign visible to the public identifying the pharmacy as a remote hospital-site pharmacy and warning that the remote hospital-site pharmacy is under continuous video surveillance that is recorded and retained.

3. The remote hospital-site pharmacy uses an electronic recordkeeping system that is shared with and accessible by the pharmacy located in the hospital.

4. All drugs and devices furnished from the remote hospital-site pharmacy to patients of the satellite facility are verified by a pharmacist who is licensed in this state and who is employed by the hospital.  If the satellite facility is an emergency department of the hospital, in the pharmacist's absence a registered nurse practitioner or professional nurse who is licensed pursuant to chapter 15 of this title, a physician who is licensed pursuant to chapter 13 or 17 of this title or a physician assistant who is licensed pursuant to chapter 25 of this title may obtain from the remote hospital-site pharmacy necessary drugs and devices that are ordered by a medical practitioner and that are needed by a patient in an emergency, according to policies approved by the hospital.

5. The pharmacist in charge develops and implements procedures regarding obtaining, storing and dispensing drugs for inpatient administration and devices and recordkeeping requirements.

6. If a noncontrolled substance single-patient use multidose medication was dispensed to a patient in a container for inpatient administration, the remote hospital-site pharmacy dispenses that medication for the patient on discharge, if needed.

C. A remote hospital-site pharmacy permittee shall:

1. Develop and maintain a policy and procedures manual and make the manual available to the board or its agent on request.

2. Maintain a perpetual inventory of controlled substances.

3. Ensure that there is continuous video surveillance of the remote hospital-site pharmacy and maintain recorded videos for at least sixty days.

4. Ensure that the pharmacist in charge from the pharmacy located in the hospital reconciles the inventory of controlled substances on a monthly basis.

D. A pharmacist may engage simultaneously in the practice of pharmacy at a reasonable number of remote hospital-site pharmacies as determined and approved by the hospital.

E. The board may adopt additional rules that are necessary to implement this section.