Ariz. Admin. Code § 4-23-703

Current through Register Vol. 30, No. 25, June 21, 2024

Section R4-23-703 - Assisted Living Facilities

A. Before dispensing, selling, or delivering a prescription or nonprescription drug to an assisted living facility resident, a pharmacy permittee shall verify the assisted living facility has a current and active license issued by the Arizona Department of Health Services.

B. A pharmacy permittee shall ensure that, except as provided under subsection (C):

1. A controlled substance prescription drug is dispensed, sold, or delivered to an assisted living facility resident only after receiving a valid prescription order for the controlled substance prescription drug from the resident's medical practitioner; and

2. The controlled substance prescription drug is labeled in accordance with A.R.S. §§ 32-1963.01, 32-1968, and 36-2525 and includes the beyond-use date on the label.

C. A pharmacy permittee may dispense, sell, or deliver to an assisted living facility resident a Schedule III, IV, or V controlled substance prescription if the pharmacy permittee:

1. Receives a written or oral prescription order for the Schedule III, I V, or V controlled substance from:

a. The resident's medical practitioner,

b. An individual licensed by the Arizona Board of Nursing who is acting within the scope of practice of the individual's license, or

c. The manager or a caregiver of the assisted living facility if the resident's medical practitioner has a written agreement with the assisted living facility designating a representative of the assisted living facility as an agent of the medical practitioner and a licensed medical practitioner provided the prescription order;

2. Complies with subsection (D)(2); and

3. Labels the Schedule III, IV, or V controlled substance as specified under subsection (B)(2).

D. A pharmacy permittee may dispense, sell, or deliver to an assisted living facility resident a non-controlled substance prescription or non-prescription drug if the pharmacy permittee:

1. Receives a written or oral prescription order for the non-controlled substance prescription or non-prescription drug from:

a. The resident's medical practitioner,

b. An individual licensed by the Arizona Board of Nursing who is acting within the scope of practice of the individual's license, or

c. An assisted living facility manager or caregiver acting under the authority of a licensed medical practitioner;

2. Determines the written or oral prescription order:

a. Meets the requirements of R4-23-407, and

b. Includes the name and title of the individual transmitting the prescription order; and

3. Labels the non-narcotic prescription or non-prescription drug in accordance with A.R.S. §§ 32-1963.01 and 32-1968 and includes the beyond-use date on the label.

E. If the label on an assisted living facility resident's drug container becomes damaged or soiled, a pharmacist employed by the pharmacy permittee that dispensed the drug container, through the exercise of professional judgment, may relabel the drug container. Only a pharmacist is permitted to label a drug container or alter the label of a drug container.

F. A pharmacist may help assisted living facility personnel develop written policies and procedures regarding procuring, administering, storing, controlling, keeping records, and disposing of drugs in the facility and provide information concerning safe and effective supervision of drug self-administration.

G. A pharmacy permittee shall not place an emergency drug supply unit as described in R4-23-701.02 or an automated dispensing system as described in R4-23-701.04 in an assisted living facility.

H. A pharmacist shall not repackage a drug previously dispensed to an assisted living facility resident .

Ariz. Admin. Code § R4-23-703

Former Rules 6.8310, 6.8320, 6.8330, 6.8340, 6.8350, 6.8360, and 6.8370; Amended effective August 10, 1978 (Supp. 78-4). Amended by final rulemaking at 5 A.A.R. 2561, effective July 16, 1999 (Supp. 99-3). Amended by final rulemaking at 19 A.A.R. 2894, effective November 10, 2013. Amended by final rulemaking at 23 A.A.R. 2424, effective 10/14/2017.