Washington Administrative Code

(1) The outgoing and incoming responsible pharmacy manager must report in writing to the commission a change in a responsible manager designation within 10 business days of the change.(2) Unless otherwise specified, when permanently closing a facility, the facility must:(a) Repor…

(1) A dispensed drug or prescription device must only be accepted for return and reuse as follows:(a) Noncontrolled legend drugs that have been maintained in the custody and control of the institutional facility, dispensing pharmacy, or their related facilities under common contr…

(1) For the purposes of this section, the term "facilities" includes all facilities served by the Washington state department of corrections pharmacy. (2) The Washington state department of corrections pharmacy may accept for return and reuse noncontrolled legend drugs in unit do…

(1) For the purposes of this section, the definitions in RCW 69.70.010 apply.(2) A pharmacy that accepts, distributes, or dispenses prescription drugs and supplies under WAC 246-945-485 (1)(b) that are donated shall:(a) Comply with the requirements in RCW 69.70.020, 69.70.030, 69…

(1) The commission shall issue a permit to operate a nuclear pharmacy providing radiopharmaceutical services to a qualified nuclear pharmacist. The qualified nuclear pharmacist shall:(a) Supervise all personnel performing tasks in the preparation and distribution of radiopharmace…

(1) A nuclear pharmacy shall have adequate equipment appropriate with the scope of radiopharmaceutical services to be provided. The nuclear pharmacy shall submit to the commission and the radiation control agency a detailed list of equipment and description of use before approval…

(1) Each registered humane society, animal control agency, and department of fish and wildlife chemical capture program location shall have a designated person.(2) The designated person is responsible for:(a) Ordering, possession, safe storage and use of all approved drugs;(b) Ma…

(1) Each registered humane society, animal control agency, and department of fish and wildlife chemical capture program location shall ensure only authorized personnel possess or administer approved legend drugs and approved controlled substances at the registered location.(2) Fo…

(1) The following legend drugs are designated as "approved legend drugs" for use by registered humane societies and animal control agencies for pre-euthanasia sedation:(a) Acetylpromazine;(b) Dexmedetomidine;(c) Medetomidine; and(d) Xylazine.(2) Registered humane societies and an…

(1) The following legend drugs are designated as "approved legend drugs" for use by registered department of fish and wildlife chemical capture programs:(a) Acetylpromazine;(b) Atipamezole;(c) Azaperone;(d) Ceftiofur hydrochloride;(e) Cephapirin benzathine;(f) Detomidine;(g) Dexm…

(1) Each registered humane society, animal control agency, and department of fish and wildlife chemical capture program location shall record the receipt, use, and disposition of approved drugs in a logbook or electronic record. An electronic record can meet the requirements of t…

(1) Each registered humane society, animal control agency, and department of fish and wildlife chemical capture program location must store all approved legend drugs, and approved controlled substances in a substantially constructed securely locked cabinet or drawer.(2) Only auth…

(1) Manufacturers shall comply with the applicable requirements in 21 C.F.R., Sec. 210, "Current Good Manufacturing Practice in Manufacturing, Processing, Packing, or Holding of Drugs"; and 21 C.F.R., Sec. 211, "Current Good Manufacturing Practice for Finished Pharmaceuticals; Ge…

The reuse of teat dip containers and closures shall be allowed under the following circumstances:(1) Teat dip containers for reuse must have attached a labeling panel bearing product name, brand name and distributor address if marketed by other than the manufacturer, manufacturer…

(1) WAC 246-945-560 through 246-945-600 establish the minimum standards for facilities licensed as wholesalers, their officers, designated representatives, agents, and employees.(2) Virtual wholesalers shall ensure drugs they purchase or sell are stored and distributed in complia…

(1) Facilities used for wholesale drug distribution must:(a) Be of suitable size, construction, and location to accommodate cleaning, maintenance, and proper operations;(b) Have storage areas that provide adequate lighting, ventilation, temperature, sanitation, humidity, space, e…

(1) Drugs must be stored at temperatures and under conditions required by the labeling of the drugs, if any, or by the requirements of the 43rd edition of USP and 38th edition of the National Formulary (USP/NF) in effect as of March 7, 2024, to preserve product identity, strength…

(1) Each outside shipping container must be visually examined on receipt for identity and to avoid acceptance of drugs that are contaminated or otherwise unfit for distribution.(2) Outgoing shipments must be inspected to verify the accuracy and product integrity of the shipment c…

(1) Wholesalers and other entities engaged in wholesale drug distribution must establish and maintain inventories and records of transactions pertaining to the receipt and distribution or other disposition of drugs. The records must include at least:(a) The source of the drugs, i…

(1) A wholesaler must establish and maintain a list of officers, directors, managers, a designated representative, and other persons responsible for wholesale drug distribution, storage, and handling and must include a description of each individual's duties and a summary of thei…

(1) For the purposes of this section and WAC 246-945-590, "suspicious order" means an order(s) of a controlled substance or drug of concern that, relative to the customer's order history and the history of similarly situated customer, may include:(a) Unusual size;(b) Substantial …

Wholesalers shall establish, maintain, and adhere to written policies and procedures, which shall be followed for the receipt, security, storage, inventory, transport, and shipping and wholesale distribution of drugs, including policies and procedures for identifying, recording, …

(1) Unless otherwise specified, when permanently closing a wholesaler or manufacturer, the wholesaler or manufacturer must:(a) Provide notification to customers in writing, no later than 30 calendar days prior to closing, which includes the last day the wholesaler or manufacturer…

It is unlawful for a wholesaler or manufacturer to perform, cause the performance of, or aid and abet any of the following acts in Washington state:(1) The manufacture, repackaging, sale, delivery, or holding or offering for sale any drug that is adulterated, misbranded, counterf…

Wholesalers shall be subject to the provisions of any applicable federal, state, or local laws or rules that relate to prescription drug salvaging or reprocessing, including Chapter 21, Parts 207, 210, and 211k of the Code of Federal Regulations.[Statutory Authority: RCW 18.64.00…

WAC 246-945-710 through 246-945-718 only apply to medication assistance rendered by a nonpractitioner to an individual residing in a community-based care setting or an in-home care setting.[Statutory Authority: RCW 18.64.005, 69.41.010, and 69.41.075. WSR 25-08-072, s 246-945-710…

The definitions in this section apply to WAC 246-945-710 through 246-945-718 unless the context clearly requires otherwise:(1) "Community-based care settings" has the same meaning as RCW 69.41.010.(2) "Enabler" means a physical device or devices used to facilitate an individual's…

(1) An individual may receive medication assistance from nonpractitioners. Medication assistance only includes:(a) Reminding or coaching the individual to take their medication;(b) Handing the individual their medication container;(c) Opening the individual's medication container…

In licensed assisted living facilities, self-administration may include situations in which an individual cannot physically self-administer medications but can accurately direct others.[Statutory Authority: RCW 18.64.005, 69.41.010, and 69.41.075. WSR 25-08-072, s 246-945-716, fi…

(1) Medication assistance must only be provided if the individual is cognitively aware they are receiving medications.(2) Medication assistance must occur immediately prior to the individual's self-administration of the medication.(3) If an individual is not able to administer a …

(1) Pharmacist, pharmacy technician, pharmacy intern, and pharmacy assistant credentials must be renewed every two years on the practitioner's birthday as provided in chapter 246-12 WAC.(2) Pharmacy location credentials, controlled substance researcher registration, drug dog hand…

(1) Parent hospital pharmacy licenses with one or more hospital pharmacy associated clinics (HPAC) expire on June 1st of each year.(2) A parent hospital pharmacy must submit fees for HPACs in addition to fees set in WAC 246-945-990(5). HPAC fees are due annually, except as provid…

(1) A licensed pharmacy, wholesaler, or manufacturer shall pay a facility inspection fee in lieu of the original license fee when there is only a change of facility location within the premises identified by the license address. Any change of location to a different address shall…

The purpose of these rules is to implement RCW 18.71.200 through 18.71.215, and chapters 18.73 and 70.168 RCW; and those sections of chapter 70.24 RCW relating to EMS personnel and services.(1) This chapter establishes criteria for:(a) Training and certification of EMS providers;…

Definitions in RCW 18.71.200, 18.71.205, 18.73.030, and 70.168.015 and the definitions in this section apply throughout this chapter unless the context clearly requires otherwise.(1) "Activation of the trauma system" means mobilizing resources to care for a trauma patient in acco…

(1) To apply for initial department approval as an EMS training program, applicants must:(a) Contact the Washington workforce training and education board to determine if the EMS training program is subject to private vocational school requirements;(b) Submit a completed applicat…

(1) EMS training course applications are required for the following initial and refresher courses:(a) EMR, EMT, AEMT, and paramedic training;(b) EMS endorsements; and(c) EMS instructor training.(2) To conduct an EMS training course an applicant must:(a) Submit a completed applica…

(1) MPDs may submit a proposal to conduct a pilot project to determine the need for training, skills, techniques, equipment, or medications that are not included in standard course curricula and instructional guidelines. A pilot project allows the MPD to conduct field research to…

(1) The purpose of this section is to identify requirements to apply for, conduct, and renew an OTEP program. OTEP is a method of recertification defined in WAC 246-976-010.(2) To apply for approval of an OTEP, an applicant must:(a) Be a licensed EMS service, ESSO, a local county…

(1) EMS instructor types include:(a) "EMS evaluator (ESE)" means a person approved and recognized by the department that is authorized to conduct continuing medical education and ongoing training and evaluate psychomotor skills during initial, refresher, and continuing medical ed…

(1) To apply for rerecognition as an EMS evaluator (ESE), an applicant must:(a) Hold a current and valid Washington state EMS certification at or above the level of certification being evaluated;(b) Submit an application on forms provided by the department;(c) Be current in conti…

(1) The secretary may deny, suspend, modify or revoke an ESE, SEIC, or SEI's recognition when it finds the ESE, SEIC, or SEI has:(a) Violated chapter 18.130 RCW, the Uniform Disciplinary Act;(b) Failed to:(i) Maintain EMS certification;(ii) Update the following personal informati…

(1) An applicant for EMS training must be at least 17 years old at the beginning of the course. Variances will not be allowed for the age requirement.(2) An applicant for training at the intermediate (AEMT) level must meet all entry requirements of the state approved AEMT program…

(1) An individual may apply for a provisional certification to engage in supervised practice as a certified EMS provider for the level they have applied for. Upon completion of any EMS service field training and MPD integration criteria, an applicant may apply for full certificat…

To apply for initial EMS provider certification following the successful completion of a Washington state approved EMS course, an applicant must:(1) Submit a completed application on forms provided by the department;(2) Be at least 18 years of age and provide their date of birth …

To apply for certification, an applicant must:(1) Submit a completed application on forms provided by the department;(2) Be at least 18 years of age and provide their date of birth on the initial certification application. Variances to this age requirement will not be granted;(3)…

To apply for certification, an applicant shall:(1) Hold a Washington state license or certification in another health profession;(2) Provide proof of an education that is substantially equivalent to EMS education requirements for the level of certification being applied for; and(…

(1) Certification is effective on the date the department issues the certificate. Certifications must be renewed every three years. The expiration date is indicated on the certification card.(2) The secretary may extend the certification period to accommodate the efficient proces…

(1) Education and skill maintenance is required to recertify as an EMS provider. There are two methods by which the EMS provider may meet continuing medical education and ongoing training and skill requirements for recertification at the end of each certification period. The cont…

(1) To complete the CME method of recertification, an EMS provider must complete and document the requirements in WAC 246-976-161 and this section.(2) The EMS provider must complete requirements appropriate to the level of certification for each certification period and maintain …