Ariz. Admin. Code § 4-18-1002

Current through Register Vol. 30, No. 45, November 8, 2024

Section R4-18-1002 - Packaging and Inventory

A. A doctor shall dispense all controlled substances and prescription-only drugs in appropriate containers that are in compliance with state and federal laws.

B. A doctor shall ensure the natural substance, drug or device dispensed is in compliance with labeling requirements outlined in A.R.S. § 32-1581(2). For the purpose of compliance with A.R.S. § 32-1581(2), if the natural substance or device dispensed does not require a prescription, the information required may be incorporated into an accompanying instruction sheet. For a natural substance that contains multiple ingredients, the strength of each ingredient is not required to be documented, only the brand name of the supplement is required for documentation. All ingredients and amounts administered by intravenous or intramuscular administration are required to be fully documented in the patient chart.

C. A doctor shall:

1. Secure all controlled substances in a locked cabinet or room;

2. Control access to the locked cabinet or room by a written procedure that include, at a minimum:

a. Designation of the persons who have access to the locked room, and

b. Procedures for recording requests for access to the locked cabinet or room;

3. Make a written procedure required under subsection (C)(2) available on demand by the Board or its authorized representative for inspection and copying;

4. Store prescription-only drugs so they are not accessible to patients; and

5. Store controlled substances and prescription-only drugs not requiring refrigeration in an area where the temperature does not exceed 85 degrees Fahrenheit.

D. A doctor shall maintain an ongoing dispensing log for all controlled substances and prescription-only drugs dispensed by the physician. The dispensing log shall include the following:

1. A separate inventory sheet for each controlled substance and prescription-only drug;

2. The date the drug is dispensed;

3. The patient's name;

4. The name of the controlled substance or prescription-only drug, strength, dosage, form, and name of manufacturer;

5. The number of dosage units dispensed;

6. A running total of each controlled substance or prescription-only drug dispensed; and

7. The written signature of the doctor next to each entry.

E. A doctor may use a computer to maintain the dispensing log required under subsection (D) if the dispensing log is password protected and quickly accessible through either on-screen viewing or printing a copy.

F. This Section does not apply to a prepackaged manufacturer sample of a controlled substance or prescription-only drug unless otherwise provided by federal law.

G. The doctor must report the dispensing of controlled substances in compliance with the Arizona Controlled Substance Prescription Monitoring Program.

Ariz. Admin. Code § R4-18-1002

New Section made by final rulemaking at 30 A.A.R. 348, effective 4/1/2024.