Oregon Administrative Code

855-041-6500 Practitioner’s Drug Order (1) An order for a drug for an in-patient must be transmitted to the pharmacy using a system that produces a direct or an electronic copy. (2) A pharmacist must review the drug order before the initial dose is dispensed, and must document th…

855-041-6510 In-patient Drug Profile (1) Each pharmacist must ensure that a drug order for a patient requiring continuous drug therapy is entered into the patient’s drug profile. The profile must contain: (a) The patient's name, location and important clinical data such as age, h…

855-041-6520 Cart-Fill (1) A unit-dose cart-fill system is a pharmacy controlled unit-of-use drug distribution system. (a) A unit-dose cart-fill system must provide for separation of drugs by patient name and location, and must be designed to record in an individual patient’s rec…

855-041-6530 Robotic Distribution Systems (1) A robotic drug distribution system used in a central pharmacy must be in a secure area under the control of the PIC and must be connected with the system that contains the patient’s drug profile. (2) The pharmacy must maintain the fol…

855-041-6540 Automated Distribution Cabinets (1) Each ADC must be under the control of the pharmacy. The PIC must establish policies and procedures to meet the requirements of all applicable state and federal laws and regulations. (2) Policies and procedures addressing the operat…

855-041-6550 Secondary and Remote Storage (1) All drugs must be stored in designated areas to ensure proper sanitation, temperature, light, ventilation, moisture control, and security. (2) Drugs may only be stored in nursing units when space is available for the storage, security…

855-041-6560 Floor-Stock (1) A minimal quantity of drugs may be stocked in patient care areas to meet the immediate therapeutic needs of a patient where delay would interrupt the continuity of, or compromise the care of the patient. (2) A hospital pharmacy must not use a floor-st…

855-041-6570 Trays and Kits (1) All drug trays and kits must be prepared by the pharmacy prior to release from the central pharmacy except that trays and kits may be prepared from floor-stock by an LIP who administers the drug or by authorized hospital staff in the case of emerge…

855-041-6600 Controlled Drug Accountability (1) The hospital must establish procedures and maintain records to account for all controlled substances and any other drugs designated by the appropriate hospital committee. Records must include: (a) Name of drug; (b) Dose ordered, dos…

855-041-6610 Schedule II Drugs (1) In addition to the requirements above, Schedule II record keeping must include: (a) A perpetual inventory system for all Schedule II drugs received, stored and distributed by the pharmacy. The perpetual inventory must be reconciled with an actua…

855-041-6620 Electronic Safe Systems (1) The pharmacy must maintain policies and procedures that address the operation of any electronic safe system. These policies must include: (a) Training of personnel granted access to the electronic safe system; (b) System operation, safety,…

855-041-6800 Supervision of Consulting Pharmacist (1) In a hospital having a drug room and no pharmacy, the drug room must be supervised by a licensed pharmacist who provides his or her services with sufficient professionalism, quality and availability to adequately protect the s…

855-041-6840 Drug Distribution and Control from a Drug Room in a Hospital (1) General. The director of pharmacy shall establish and implement written procedures for the safe and efficient distribution of pharmaceutical products. An annually updated copy of such procedures shall b…

855-041-7050 Definitions - Long Term Care Pharmacy As used in OAR 855-041-7000 through 855-041-7080: (1) "Long term care facility" means a facility with permanent facilities that include inpatient beds, providing medical services, including nursing services but excluding surgical…

855-041-7060 Long Term Care Pharmacy - Drug Distribution and Control (1) Pharmacies or pharmacists that supply emergency drug kits to and/or accept returned medications from long term care facilities or community based care facilities must: (a) Assist in the establishment and sup…

855-041-7070 Long Term Care Pharmacy - Labeling and Distribution (1) Except as provided in subsection (2) of this section, all drugs dispensed for individual patients must be labeled as required by OAR 855-041- 1120, or administered by health care professionals from a unit dose s…

855-041-7080 Pharmaceutical Care in Community Based Care Facilities When a pharmacist provides pharmaceutical care to patients in a Community Based Care facility under an arrangement with the facility, the pharmacist may provide the following services: (1) Assist facilities in es…

855-041-8050 Emergency Drug Supply in Home Health Care Agencies Pharmacists serving home health care agencies may provide for an emergency supply of drugs to be made available to registered nurses to treat immediate therapeutic needs of their patients or clients during such time …

855-042-0005 Purpose and Scope (1) Any person who provides radiopharmaceutical services shall be a nuclear pharmacist or working under the supervision of a nuclear pharmacist and shall act in accordance with the State Board of Pharmacy and State Radiation Control Agency rules. (2…

855-042-0010 Definitions (1) A “Nuclear Pharmacy” is a pharmacy providing radiopharmaceutical services. (2) “Nuclear Pharmacist” means a licensed pharmacist who has met the requirements of these rules regarding training, education, and experience, and has received a letter of not…

855-042-0015 Nuclear Pharmacies (1) Every nuclear pharmacy shall have a nuclear pharmacist designated on the nuclear pharmacy registration as the pharmacist-in-charge who shall be responsible for the nuclear pharmacy’s compliance with laws and rules, both state and federal, perta…

855-042-0025 Minimum Equipment Requirements (1) Nuclear pharmacies shall have adequate equipment commensurate with the scope of radiopharmaceutical services to be provided. A detailed list of equipment and description of use must be submitted to the State Board of Pharmacy and Ra…

855-043-0002 Definitions In this division of rules: (1) "Administer" means the direct application of a drug or device whether by injection, inhalation, ingestion, or any other means, to the body of a patient by: (a) A practitioner or the practitioner’s authorized agent; or (b) Th…

855-043-0003 Expedited Partner Therapy (1) There is substantial evidence that rates of re-infection with certain sexually transmitted diseases can be reduced by treating all sexual partners for the disease, even when the treating clinician has not examined those partners. This pr…

855-043-0004 Expedited Partner Therapy (EPT) - Procedures (1) Notwithstanding any other rules in this division that mandate requirements for a valid prescription and for labeling, when a prescription is marked EPT or a similar notation by the prescribing practitioner, this rule g…

855-043-0505 Dispensing Practitioner Drug Outlets - Purpose Unless subject to an exemption in OAR 855-043-0510(2), a practitioner that engages in dispensing human prescription drug therapies must register their dispensing site with the board as a Dispensing Practitioner Drug Outl…

855-043-0510 Dispensing Practitioner Drug Outlets - Registration (1) Unless subject to an exemption in OAR 855-043-0510(2), a practitioner that engages in dispensing human prescription drug therapies must register the dispensing site with the board as a DPDO on a form prescribed …

855-043-0520 Dispensing Practitioner Drug Outlets - Policies and Procedures The registered DPDO must maintain written policies and procedures for the management of drugs intended for dispensing, to include security, acquisition, storage, dispensing and drug delivery, disposal and…

855-043-0525 Dispensing Practitioner Drug Outlets - Security (1) All drugs must be kept in a locked drug cabinet or designated drug storage area that is sufficiently secure to deny access to unauthorized persons. The drug cabinet or designated drug storage area must remain locked…

855-043-0530 Dispensing Practitioner Drug Outlets - Drug Procurement The registered DPDO may only receive drugs from an Oregon Registered Drug Outlet (e.g. Wholesaler, Manufacturer or Pharmacy). Statutory/Other Authority: ORS 689.205 Statutes/Other Implemented: ORS 689.155 & ORS …

855-043-0535 Dispensing Practitioner Drug Outlets - Drug Storage All drugs must be stored according to manufacturer’s published guidelines and be stored in appropriate conditions of temperature, light, humidity, sanitation, ventilation, and space. Statutory/Other Authority: ORS 6…

855-043-0540 Dispensing Practitioner Drug Outlet - Labeling (1) Except as described in SB 450 (2023), a prescription must be labeled with the following information: (a) Name of patient; (b) Name of prescriber; (c) Name, address, and phone number of the clinic; (d) Date of dispens…

855-043-0541 Dispensing Practitioner Drug Outlet - Limited English Proficiency and Accessibility (1) Upon request of a patient or a patient's agent, each drug dispensed by a drug outlet for a patient's self-administration must bear a label in both English and the language request…

855-043-0545 Dispensing Practitioner Drug Outlets - Dispensing and Drug Delivery (1) Prescription drugs must be personally dispensed by the practitioner unless otherwise authorized by the practitioner's licensing board. (2) Drugs dispensed from the DPDO must be dispensed in compl…

855-043-0550 Dispensing Practitioner Drug Outlets - Disposal of Drugs Drugs that are recalled, outdated, damaged, deteriorated, misbranded, adulterated, or identified as suspect or illegitimate must be documented, quarantined and physically separated from other drugs until they a…

855-043-0555 Dispensing Practitioner Drug Outlets - Records (1) A unique dispensing record must be maintained, be readily retrievable, and kept for a minimum of three years. The record must show, at a minimum, the following: (a) Name of patient; (b) Dose, dosage form, quantity di…

855-043-0560 Dispensing Practitioner Drug Outlets - Inspections (1) The DPDO must annually complete a self-inspection using the board's DPDO Self-Inspection Form by July1 and retain for board inspection. (2) Each DPDO will be inspected on a routine basis and must be scheduled in …

855-043-0600 Correctional Facility - Purpose and Scope A correctional facility is defined as an institutional drug outlet and as such is subject to the rules of the State Board of Pharmacy. Drug dispensing in a correctional facility shall be from a pharmacy or from a drug room. T…

855-043-0610 Correctional Facility - Definitions (1) “Administer” means the direct application of a drug or device whether by injection, inhalation, ingestion, or any other means, to the body of a patient or research subject by: (a) A practitioner or the authorized agent thereof;…

855-043-0620 Correctional Facility - Duties of the Pharmacist (1) May delegate to a registered nurse the authority to withdraw prescription drugs from a unit dose system or from a manufacturer’s or pharmacist’s labeled container for administration to persons confined in the facil…

855-043-0630 Correctional Facility (CF) - Drug Delivery and Control (1) Policies and Procedures: The Pharmacist and the practitioner representing the facility are responsible for establishing written policies and procedures for medication management including, but not limited to,…

855-043-0700 Community Health Clinic (CHC) - Purpose and Scope (1) The purpose of 855-043-0700 to 855-043-0750 is to provide minimum requirements of operation for a Community Health Clinic (CHC) to utilize a Registered Nurse to dispense medications. A Community Health Clinic Drug…

855-043-0705 Community Health Clinic (CHC) - Registration (1) A Community Health Clinic Drug Outlet must register with the board on a form prescribed by the board, and must renew its registration annually on a renewal form prescribed by the board. (2) An initial application and r…

855-043-0710 Community Health Clinic (CHC) - Personnel (1) A Community Health Clinic Drug Outlet must employ a Medical Director who is an Oregon practitioner with prescriptive and dispensing authority. The Medical Director shall establish and enforce policies and procedures, drug…

855-043-0715 Community Health Clinic (CHC) - Policies and Procedures The Community Health Clinic must: (1) Maintain written policies and procedures for drug management, including security, acquisition, storage, dispensing and drug delivery, disposal, and record keeping. (2) Estab…

855-043-0720 Community Health Clinic (CHC) - Security (1) All drugs must be kept in a locked drug cabinet or designated drug storage area that is sufficiently secure to deny access to unauthorized persons. The drug cabinet or designated drug storage area must remain locked and se…

855-043-0725 Community Health Clinic (CHC) - Drug Acquisition The CHC must verify that all drugs are acquired from a registrant of the Board. Statutory/Other Authority: ORS 689.205 Statutes/Other Implemented: ORS 689.305 History: BP 22-2020, minor correction filed 08/06/2020, eff…

855-043-0730 Community Health Clinic (CHC) - Storage of Drugs All drugs, including drug samples, must be stored according to the manufacturer’s published guidelines and be stored in appropriate conditions of temperature, light, humidity, sanitation, ventilation, and space. Statut…

855-043-0735 Community Health Clinic (CHC) - Labeling (1) Except as described in SB 450 (2023), a prescription must be labeled with the following information: (a) Unique identifier (i.e. prescription number); (b) Name of patient; (c) Name of prescriber; (d) Name, address, and pho…

855-043-0736 Community Health Clinic (CHC) - Limited English Proficiency and Accessibility (1) Upon request of a patient or a patient's agent, each drug dispensed by a drug outlet for a patient's selfadministration must bear a label in both English and the language requested for …