Or. Admin. Code § 855-139-0500 - Policies and Procedures

(1) The Oregon licensed Pharmacist-in-charge of the RDSP Affiliated Pharmacy and the RDSP Affiliated Pharmacy drug outlet is accountable for establishing, maintaining, and enforcing written policies and procedures for the RDSP. The written policies and procedures must be maintained at the RDSP Affiliated Pharmacy and the RDSP and must be available to the board upon request.

(2) The written policies and procedures must include at a minimum the responsibilities of the RDSP Affiliated Pharmacy and each RDSP including;

(a) Security;

(b) Operation, testing and maintenance of the telepharmacy system;

(c) Sanitation;

(d) Storage of drugs;

(e) Dispensing;

(f) Oregon licensed Pharmacist supervision, direction and control of pharmacy technicians;

(g) Documenting the identity, function, location, date and time of the licensees engaging in telepharmacy;

(h) Drug and/or device procurement;

(i) Receiving of drugs and/or devices;

(j) Delivery of drugs and/or devices;

(k) Utilization of Oregon licensed Pharmacist (i.e. DUR, Counseling);

(l) Recordkeeping;

(m) Patient confidentiality;

(n) On-site inspection by an Oregon licensed Pharmacist;

(o) Continuous quality improvement;

(p) Plan for discontinuing and recovering services if telepharmacy system disruption occurs;

(q) Training: initial and ongoing; and

(r) Interpretation, translation and prescription reader services.

(3) If non-prescription drugs are offered for sale at the RDSP, the policies and procedures must outline the process for the Oregon licensed Pharmacist counseling and advice.

(4) If non-sterile preparations are compounded at the RDSP, the policies and procedures must meet the requirements of OAR 855-045.

(5) If controlled substances are stored at the RDSP, the policies and procedures must include the following processes:

(a) Reviewing of controlled substance prescriptions for unauthorized alterations and inspected for legitimacy by the Oregon licensed Pharmacist during inspection visits;

(b) Maintaining an accurate controlled substance perpetual inventory for all controlled substances that are stocked at the RDSP; and

(c) Conducting and reconciling the controlled substance inventory.

(6) A RDSP Affiliated Pharmacy that provides remote pharmacy services through a telepharmacy system at a RDSP must review its written policies and procedures every 12 months, revise them if necessary, and document the review.

Notes

Or. Admin. Code § 855-139-0500

BP 43-2021, adopt filed 12/16/2021, effective 1/1/2022

Statutory/Other Authority: ORS 689.205

Statutes/Other Implemented: ORS 689.155