those residents who do not self-administer medications, the administrator shall
provide an appropriate and safe medication storage area, either in a common
area or in the resident
's unit for the storage of medications. The storage area
requirement may be satisfied through the use of a locked medication cart.
1. The storage area shall be kept locked when
not in use.
2. The storage area
shall be used only for storage of medications and medical supplies.
3. The key to the storage area shall be kept
on the person of the employee on duty who is responsible for resident
4. Each resident's
medications shall be kept separated within the storage area, with the exception
of large volume medications which may be labeled and stored together in the
5. Medications shall
be stored in accordance with manufacturer's instructions and with U.S.P.
(United States Pharmacopoeia) requirements at USP 23, NF18, published by U.S.
Pharmacopoeia Convention, 12601 Twinbrook Parkway, Rockville, MD 20852,
incorporated herein by reference.
All medications shall
be kept in their
original containers and shall
be properly labeled and identified.
1. The label of each resident's prescription
medication container shall be permanently affixed and contain the resident's
full name, physician's name, prescription number, name and strength of drug,
lot number, quantity, date of issue, expiration date, manufacturer's name if
generic, directions for use, and cautionary and/or accessory labels. If a
generic substitute is used, the drug shall be labeled according to the Drug
Utilization Review Council requirements at
24:6E-1 et seq. and N.J.A.C. 8:70.
Required information appearing on individually packaged drugs or within an
alternate medication delivery system need not be repeated on the
2. All over-the-counter
(OTC) medications repackaged by the pharmacy shall be labeled with an
expiration date, name and strength of the drug, lot number, date of issue,
manufacturer's name if generic, and cautionary and/or accessory labels, in
accordance with U.S.P. requirements cited in (a)5 above. Original
manufacturer's containers shall be labeled with at least the resident's name,
and the name label shall not obstruct any of the aforementioned
3. If a unit of use
drug distribution system is used, each dose of medication shall be individually
packaged in a hermetically sealed, tamper-proof container, and shall carry full
manufacturer's disclosure information on each discrete dose. Disclosure
information shall include, but not be limited to, the following: product name
and strength, lot number, expiration date, and manufacturer's or distributor's
(c) Single use and
disposable items shall not be reused.
(d) No stock supply of prescription
medications shall be maintained, unless prior approval is obtained from the
(e) Discontinued or expired
medications shall be destroyed within 30 days in the facility, or, if unopened
and properly labeled, returned to the pharmacy. All medication destruction in
the facility shall be witnessed and documented by two persons, each of whom
shall be either the administrator, the registered nurse or the