RULE 070.00.96-002 - Reg. 9D - Charitable Clinic Permit

RULE 070.00.96-002. Reg. 9D - Charitable Clinic Permit

D. CHARITABLE CLINIC PERMIT

1. The Arkansas State Board of Pharmacy may provide for the issuance of a Charitable Clinic Pharmacy Permit to clinics and facilities furnishing medical care to poor and underprivileged persons, in which drugs are dispensed without charge to such persons on orders or prescriptions of practitioners authorized by law to prescribe said drugs and to which the requirements of a licensed pharmacist on duty for a minimum of 40 hours shall not apply.

2. All medication for patients shall be on individual prescription basis, and the pharmacist shall dispense drugs, properly labeled, and adhere to the requirements for proper storage, safeguarding, preparation and record keeping for prescription drugs.

3. All policies and procedures related to the Charitable Clinic Permit must first be approved by board staff before a permit will be issued to insure compliance with all existing laws and regulations.

4. The staff of the Board of Pharmacy is authorized to approve and issue Charitable Clinic Permits for :

A. Clinics of the Arkansas Department of Health recognizing that medications are provided to patients in the absence of a pharmacist and that the medications dispensed in these clinics are limited to birth control medications, drugs to treat tuberculosis, and drugs to treat sexually transmitted disease treatment program.

Packaged and labeled prescription drugs shall be initialed by the pharmacist to assure accuracy and appropriateness. The prescribing practitioner or a licensed nurse may issue these pre-dispensed prescription drugs, by placing the patients name, date of issue and prescription number on the label at the time of issue to patients on order of the prescriber. The prescription number as placed on the label of the dispensed prescription drug is to be placed with the prescribing practioner's order in the patients medical record. The pharmacist shall monitor patients medical records to assure that medication profiles and prescription orders are maintained and utilized.

Since the pharmacist is not present when the patient receives the medication, the pharmacists shall develop protocol to assure that the patient is monitored and counseled by the prescribing practitioner or nurse consistent with the requirements of Board of Pharmacy Regulation #48.

B. Other facilities meeting the requirements of this regulation - provided that, if a pharmacist is not present, there shall be a limited formulary negotiated by the Executive Director and approved by the Board of Pharmacy at it's next meeting. The dispensing medication distribution provisions of 4-A of this regulation shall apply.

5. Other facilities meeting the requirements of this regulation and where a pharmacist is present when medications are provided to the patient shall not be restricted to a medication formulary.

Revisions to Board Regulation 9 Section D

D. CHARITABLE CLINIC PERMIT

1. The Arkansas State Board of Pharmacy may provide for the issuance of a Charitable Clinic Pharmacy Permit to clinics and facilities furnishing operated on medical care and dental care to poor and underprivileged persons, in which drugs are dispensed without charge to such persons on orders or prescriptions of practitioners authorized by law to prescribe or administer said drugs and to which the requirements of a licensed pharmacist on duty for a minimum of forty (40) hours shall not apply.

2. All medication for patients shall be on individual prescription basis, and the pharmacist shall dispense drugs, properly labeled, and adhere to the requirements for proper storage, safeguarding, preparation and record-keeping For prescription drugs.

3. AH policies and procedures related to the Charitable Clinic Permit must first be approved by the Board staff before a permit will be issued to insure compliance with all existing laws and regulations.

4. The staff of the Board of Pharmacy is authorized to approve and issue charitable clinic permits for:

A. Clinics of the Arkansas Department of Health recognizing that medications are provided to patients in the absence of a pharmacist and that the medications dispensed in these clinics are limited to birth control medications, drugs to treat tuberculosis, and drugs to treat sexually transmitted disease treatment program.

Packaged and labeled prescription drugs shall be initialed by the pharmacist to assure accuracy and appropriateness. The prescribing practitioner or a licensed nurse may issue these pre-dispensed prescription drugs, by placing the patient's name, date of issue and prescription number on the label at the time of issue to patients on order of the prescriber. The prescription number as placed on the label of the dispensed prescription drug is to be placed with the prescribing practitioner's order in the patients medical record. The pharmacist shall monitor patients medical records to assure that medication profiles and prescription orders are maintained and utilized.

Since the pharmacist is not present when the patient receives the medication, the pharmacists shall develop protocol to assure that the patient is monitored and counseled by the prescribint practitioner or nurse consistent with the requirements of Board of Pharmacy Regulation #48.

B. Other facilities meeting the requirements of this regulation-provided that. if a pharmacist is not present, there shall be a limited formulary negotiated by the Executive Director and approved by the Board of Pharmacy at it's next meeting. The dispensing medication distribution provisions of 4-A of this regulation shall apply.

5. Other facilities meeting the requirements of this regulation and where a pharmacist is present when medications are provided to the patient shall not he restricted to a medication formulary.

(3/21/1996)

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