Chapter LIII

A. A pharmacy permit is not transferable. B. A new application shall be filed and a new permit obtained when a change in the identity of the natural person, partnership, or business entity which directly holds the permit has occurred or there is a change in the person or entity's…

A. The board has established the following procedures for changing the location of any pharmacy that does not involve a change of ownership or divestiture of that pharmacy. 1. The permit holder shall notify the board in writing prior to relocating a prescription department operat…

A. As used in this Subchapter, the following terms shall have the meaning ascribed to them in this Section, unless the context clearly indicates otherwise. Centralized Prescription Dispensing - the fulfillment by one permitted pharmacy of a request from another permitted pharmacy…

A. General Requirements 1. An on-site pharmacy may obtain centralized prescription dispensing services from a remote dispenser provided the pharmacies: a. have the same owner or have entered into a written contract or agreement that outlines the services to be provided and the re…

A. General Requirements 1. An on-site pharmacy may obtain remote processing services from a remote processor provided the pharmacies: a. have the same owner or have entered into a written contract or agreement that outlines the services to be provided and the responsibilities and…

A. Notwithstanding any provision of rules to the contrary, nothing shall prohibit a Louisiana-licensed pharmacist who is an employee of or under contract with a pharmacy in Louisiana from accessing that pharmacy's dispensing information system from a location other than the pharm…

A. Definitions Starter Dose Order -a prescription drug order or chart order transmitted by a vendor pharmacy to a starter dose pharmacy for the purpose of obtaining medication for a patient in a licensed health care facility. Starter dose pharmacy -a Louisiana-licensed pharmacy t…

A. The fees charged and collected by the board shall not be less nor more than the following schedule. 1. Credentialing Fees for Persons a. Pharmacy Technician Candidate i. Application fee for new pharmacy technician candidate registration-$50. b. Pharmacy Technician i. Applicati…

Automated Medication System - includes, but is not limited to, a mechanical system that performs operations or activities, other than compounding or administration, relative to the storage, packaging, or delivery of medications, and which collects, controls, and maintains all tra…

A. Requirement for Registration 1. A pharmacy intending to supply medications for use within an automated medication system, as defined at R.S. 37:1164 , shall obtain an automated medication system (AMS) registration prior to engaging in such activity. 2. The placement of medicat…

A. The pharmacist-in-charge shall be a Louisiana-licensed pharmacist with the following responsibilities: 1. assuring that the system is in good working order and accurately provides the correct strength, dosage form, and quantity of the drug prescribed while maintaining appropri…

A. System shall be used in settings that ensure medication orders are reviewed by a pharmacist prior to administration and in accordance with established policies and procedures and good pharmacy practice. A policy and procedure shall be adopted for non-profile driven systems to …

A. Documentation as to type of equipment, serial number, content, policies and procedures and location shall be maintained in the pharmacy for review by the board. Such documentation shall include, but is not limited to: 1. name, address, and permit number of the pharmacy and the…

A. Records and electronic data kept by the system shall meet the following requirements: 1. all events involving access to the contents of the system shall be recorded electronically; 2. in the event controlled substances are stored in the system, the records shall include the po…

A. In the absence of electronic product verification procedures as described within this Section, the stocking and restocking of medications and devices within an automated medication system shall be performed by a pharmacist, or in the alternative, a pharmacy intern, pharmacy te…

A. A community pharmacy is a pharmacy located in a non-institutional environment, and is licensed by the board to conduct professional pharmacy practice activities in the state of Louisiana. Notes La. Admin. Code tit. 46 , § LIII-1301 Promulgated by the Department of Health and H…

A. A community pharmacy permit shall be required to operate a pharmacy in this state, and to dispense prescription drugs to patients in Louisiana. The permit shall be applied for, and renewed, in the manner prescribed by the board in Chapter 11 of these regulations. Notes La. Adm…

A. A community pharmacy shall comply with all applicable federal and state pharmacy laws and regulations, including Chapter 11 of these regulations. Notes La. Admin. Code tit. 46 , § LIII-1305 Promulgated by the Department of Health and Hospitals, Board of Pharmacy, LR 14:708 (Oc…

A. For all regulations that apply to permitted hospital pharmacies concerning pharmacy practices and records not specifically stated in this Chapter, refer to Chapters 11 and 25 of this Part. Notes La. Admin. Code tit. 46 , § LIII-1501 Promulgated by the Department of Health and …

A. As used in this Chapter, the following terms shall have the meaning ascribed to them in this Section: CFR -Code of Federal Regulations Dispensing of a Drug Pursuant to a Hospital Prescription -the professional review by a pharmacist required to place a specific drug in final a…

A. A hospital pharmacy permit shall be required to operate a pharmacy department located within a hospital for registered patients in a hospital. The permit shall be applied for, and renewed, in the manner prescribed by the board in Chapter 11 of this Part. Notes La. Admin. Code …

A. The hospital pharmacist-in-charge shall be responsible for the safe and efficient procurement, receipt, distribution, control, accountability, and patient administration and management of drugs. The staff of the hospital pharmacy shall cooperate with the pharmacist-in-charge i…

A. The pharmacist shall review the practitioner's medical order prior to dispensing the initial dose of medication, except in cases of emergency. Notes La. Admin. Code tit. 46 , § LIII-1511 Promulgated by the Department of Health and Hospitals, Board of Pharmacy, LR 29:2093 (Octo…

A. Prepackaging is the preparation of medication in a unit-of-use container by credentialed pharmacy personnel in a pharmacy prior to the receipt of a prescription or medical order for ultimate issuance by a pharmacist in Louisiana. B. Labeling. The label on the prepackaged conta…

A. All drugs dispensed or compounded by a hospital pharmacy, intended for use within the facility, shall be dispensed in appropriate containers and adequately labeled as to identify patient name and location, drug name(s) and strength, and medication dose(s). Additionally, compou…

A. Hospital pharmacies that supply prescription drugs, including any controlled dangerous substances, to any authorized ambulance service or emergency medical service shall maintain proper records to ensure control, proper utilization, inventory, and accountability. Notes La. Adm…

A. Pharmacist Absence. In the absence of a licensed pharmacist, admittance to the pharmacy by unauthorized persons is prohibited. When the pharmacy is closed, a pharmacist shall be on emergency call. 1. Within a veterinary teaching hospital owned or operated by a public universit…

A. In a hospital with a permitted hospital pharmacy on site, unused drugs may be returned to the pharmacy for re-dispensing in accordance with good professional practice standards. B. When a patient or his designee wishes to return previously dispensed prescription drugs to a pha…

A. Availability. Pharmacy services may be procured contractually from outside the hospital for inpatient administration. B. Contractual agreements shall provide for: 1. emergency-the pharmacy provider shall be available for on-call for emergency pharmacy services; 2. storage-adeq…

A. Hospital outpatient dispensing shall require a separate pharmacy permit for the specialty classification(s) under these regulations. All records including the annual inventory of controlled dangerous substances for the outpatient pharmacy shall be maintained and kept separate …

A. Issuance and Maintenance of Permit 1. A hospital pharmacy may establish a hospital off-site satellite pharmacy within a facility bearing the same hospital license number as the facility housing the provider pharmacy. 2. The provider pharmacy, acting through its pharmacist-in-c…

A. Where the hospital pharmacy is a participant in one or more investigational drug studies, the pharmacy may dispense investigational drug products as well as commercially available drug products to patients enrolled in a study, whether or not the patient is a registered patient…

A. For all regulations that apply to permitted institutional pharmacies concerning pharmacy practices and records not specifically stated in this Chapter, refer to Chapter 11 of this Part. Notes La. Admin. Code tit. 46 , § LIII-1701 Promulgated by the Department of Health and Hos…

A. As used in this Chapter, the following terms shall have the meaning ascribed to them in this Section: Institutional Facility -any organization whose primary purpose is to provide a physical environment for a patient to obtain health care services, including but not limited to …

A. An institutional pharmacy permit shall be required to operate a pharmacy department located within an institutional facility, other than a hospital or penal institution, for residents or patients of that institutional facility. The permit shall be applied for, and renewed, in …

A. In the absence of a licensed pharmacist, arrangements shall have been formulated in advance by the pharmacist-in-charge to provide drugs for the residents/patients by the use of drug cabinets. When the pharmacy is closed, a pharmacist shall be on emergency call. 1. Emergency U…

A. As used in this Subchapter, the following terms shall have the meaning ascribed to them in this Section: Emergency Drug Kit (EDK) -for long-term care facilities or other board-approved sites, other than a hospital, means a drug kit containing designated emergency drugs which m…

A. A long-term care facility, institutional facility without an institutional pharmacy, or other board-approved site, other than a hospital, that desires to maintain an Emergency Drug Kit shall obtain an EDK permit from the board. B. Permit Application and Requirements. Applicati…

A. Emergency Use. An EDK is solely intended for the immediate therapeutic emergency needs of a resident or patient. B. Security. The EDK shall be tamper-evident and shall be maintained in a secure enclosure located within the institutional facility and shall be available for emer…

A. The board may issue a pharmacy permit for a drug abuse treatment center operating in the state of Louisiana where drugs are dispensed and pharmacy primary care is provided. Notes La. Admin. Code tit. 46 , § LIII-1715 Promulgated by the Department of Health and Hospitals, Board…

A. For all regulations that apply to drug abuse treatment center pharmacies concerning pharmacy practices not specifically stated in this subchapter, refer to Chapter 11 of this Part. Notes La. Admin. Code tit. 46 , § LIII-1717 Promulgated by the Department of Health and Hospital…

A. As used in this Subchapter, the following terms shall have the meaning ascribed to them in this Section: Administer or Administration -the direct application of a drug to the body of a patient or research subject by injection, inhalation, ingestion, or any other means. Authori…

A. A drug abuse treatment center pharmacy permit shall be required to operate a pharmacy department located within a drug abuse treatment facility for patients of that facility. The permit shall be applied for, and renewed, in the manner prescribed by the board in Chapter 11 of t…

A. Persons enrolled in a drug abuse treatment center shall wait for their prescriptions in an area physically separated from the controlled dangerous substance (CDS) storage and dispensing area. This requirement shall be enforced by the drug abuse treatment center physician(s), p…

A. All persons licensed by the Department of Health to operate a drug abuse treatment center and who possess a Drug Enforcement Administration (DEA) registration to purchase, possess, and use CDS shall keep the following records: 1. records of CDS received by approved persons, in…

A. A correctional center pharmacy permit shall be required to operate a pharmacy located within a correctional center owned and/or operated by the Louisiana Department of Public Safety and Corrections or its successor (hereinafter "the department"), or a local law enforcement age…

A. Application for Initial Issuance of Permit 1. The applicant for a correctional center pharmacy permit shall complete the application form supplied by the board and submit it with the required attachments and appropriate fees, as set forth in R. S. 37:1184, to the board. 2. Onc…

A. A correctional center pharmacy permit is valid only for the entity to whom it is issued and shall not be subject to sale, assignment or other transfer, voluntary or involuntary, nor shall a permit be valid for any premises other than the business location for which it is issue…

A. The prescription department of a correctional center pharmacy shall comply with the minimum specifications identified in § 1103 of this Part, and further, the specifications provided for the correctional center pharmacy permit may not be held or used by any other pharmacy perm…

A. The Louisiana K-12 physical education content standards were developed to provide physical education teachers, administrators and parents a guide to understanding and interpreting physical education for the future. B. The goal of physical education is to develop physically lit…