ARTICLE 2. DISPENSING OF DRUGS
A listing of the types of drugs and devices the physician desires to dispense, including prescription-only and controlled substances; and
The location or locations where the physician desires to dispense.
The statutorily required fee.
If the completed annual renewal form, all required documentation and the correct fee are not received in the Board's office on or before June 30, the physician shall not dispense drugs and devices until newly registered. The physician shall register by filing for initial registration pursuant to subsection (A) and shall not dispense drugs and devices until receipt of a new registration.
R4-16-202. Packaging and inventory; exception
All drugs dispensed shall be labeled with the following information:
The date the drug is dispensed and its expiration date;
The patient's name; and
The name, form, name of the manufacturer and strength of the drug, the quantity dispensed, directions for its use, and any cautionary statement necessary for the safe and effective use of the drug.
Drugs not requiring refrigeration shall be maintained in an area where the temperature does not exceed eighty-five degrees Fahrenheit.
A physician shall maintain an ongoing dispensing log for all controlled substances and the prescription-only medications nalbuphine hydrochloride (Nubain) and butorphanol tartrate (Stadol) dispensed by the physician which includes separate inventory sheets for each controlled substance, nalbuphine hydrochloride and butorphanol tartrate. The heading of a dispensing log shall include the following information:
The patient's name;
The name, form, name of the manufacturer and strength of the drug;
The number of dosage units dispensed;
A running total of medication dispensed; and
The signature of the physician or the person authorized by the physician who dispensed the medication, written next to each entry.
This section shall not apply to prepackaged, manufacturer samples of drugs, unless otherwise provided by federal law.
R4-16-203. Prescribing and dispensing requirements
Prior to delivery to the patient, a physician shall review the prepared drugs and devices to ensure their compliance with the prescription and, additionally, ensure that the patient has been informed of the name of the drug or device, directions for its use, precautions and storage requirements.
A physician shall purchase all dispensed drugs and devices from a manufacturer or distributor approved by the United States Food and Drug Administration, or a pharmacy holding a current, valid permit from the Arizona Board of Pharmacy.
The person who prepares drugs and devices for dispensing shall countersign and date the original prescription form for the drugs and devices.
For purposes of this article, "dispensing" means the delivery of a drug or device to a patient for use outside the physician's office.
R4-16-204. Recordkeeping and reporting shortages
A physician shall maintain drug purchase orders and invoices for controlled substances, nalbuphine hydrochloride and butorphanol tartrate which are received, and original prescription orders for all drugs for a period of three years from the date of the order. Dispensing logs and destruction records shall also be maintained for three years.
A physician who determines that drugs have been illegally removed from the physician's office, or that a drug shortage exists in controlled substances maintained for dispensing, shall immediately notify a local law enforcement agency and, thereafter, provide that agency with a report in writing, with copies to the Drug Enforcement Administration and the Board within seven days of the discovery.
For purposes of this section, "Schedule II drugs or other substances" means the controlled substances identified, defined or listed in A.R.S. §36-2513 and the following hallucinogenic substances:
R4-16-205. Inspections; denial and revocation
Failure to comply with A.R.S. §32-1491 or this article shall constitute grounds for denial or revocation of registration.
A physician's registration to dispense drugs and devices shall be revoked by the Board upon occurrence of the following:
Placement of the physician's license on inactive status.
Failure to timely renew the physician's license, or
Restriction of the physician's ability to prescribe or administer medication, including loss or expiration of a physician's Drug Enforcement Administration Certificate of Registration.
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