<html xmlns="http://www.w3.org/1999/xhtml"><head><meta charset="UTF-8" /><title></title><meta name="Generator" content="PowerTools for Open XML" /><style>span { white-space: pre-wrap; } p.s579a5e35-9edf-450c-af3f-a17320dd82ceP0 { margin-top: 0; margin-bottom: 0; margin-left: 0; margin-right: 0; text-indent: 0.00in; text-align: justify; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; line-height: 108%; } span.s579a5e35-9edf-450c-af3f-a17320dd82ceC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s579a5e35-9edf-450c-af3f-a17320dd82ce000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000003 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:13:02.01"><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000000">20:51:13:02.01</span></a><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000001">.  Return of unused unit dose </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000001">and unit of issue </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000001">drugs by patients in hospice programs, nursing facilities, or assisted living facilities.</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> Only unused unit dose </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">or unit of issue </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">drugs from patients in a hospice program, a nursing facility, or an assisted living facility may be returned to the pharmacy that dispensed the drugs for credit and redispensing</span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">. The pharmacy may only return and re-dispense drugs</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">in accordance with </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">the following requirements:</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    (1)  The facility or hospice program consults with a licensed pharmacist </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">for oversight of</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> the drug distribution to ensure that a person trained and knowledgeable in the storage, use, and administration of the drug has been in control of any drug being returned to the pharmacy and that the unit dose </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">or unit of issue </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">drug has not come into the physical possession of the </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">patient</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> for whom it was prescribed;</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    (2)  The </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">pharmacist-in-charge</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> has received written approval from the board of a protocol detailing the procedure used to repackage, label, transfer, restock, redispense, and credit any unit dose </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">or unit of issue </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">drugs returned to the pharmacy;</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    (3)  The drugs are provided in the manufacturer's unit dose packaging or are repackaged by the pharmacy in </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">accordance with chapter </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:21"><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000003">20:51:21</span></a><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">;</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    (4)  The unit dose package is labeled by the manufacturer with the drug lot number and expiration date;</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    (5)  If the drug is repackaged by the pharmacy, each single unit dose </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">or each unit of issue </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">prepackaged or repackaged container must include:</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">        (a)  </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">The n</span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">ame and strength of the medication;</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">        (b)  A suitable expiration date</span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">,</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> not later than the expiration date on the manufacturer's container or one year from the date the drug is prepackaged or repackaged;</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">        (c)  The date the product was prepackaged or repackaged;</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">        (d)  The manufacturer's lot number, expiration date, and identity</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> unless maintained in the internal records of the pharmacy; and</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">        (e)  The identity of the pharmacist responsible for prepackaging or repackaging</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> unless maintained in the internal records of the pharmacy</span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">;</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    (6)  The drug's packaging is tamper resistant and shows no evidence of contamination;</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    (7)  The unit dose drugs </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">or unit of issue drugs </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">have not reached the expiration date;</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    (8)  The drugs have not been dispensed in packaging that intermingles different drugs in a single compartment; and</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    (9)  The drugs are not controlled drugs.</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    Unused unit dose drugs </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">or unit of issue drugs </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">that are returned under this section may be redispensed pursuant to § </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:13:02.03"><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000003">20:51:13:02.03</span></a><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">.</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000001">Source:</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> 10 SDR 38, effective October 27, 1983; 12 SDR 82, effective November 19, 1985; 12 SDR 151, 12 SDR 155, effective July 1, 1986; 18 SDR 95, effective November 25, 1991; 29 SDR 37, effective September 26, 2002; SL 2004, ch 249, § 3, effective July 1, 2004</span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">; 50 SDR 138, effective June 2, 2024; 52 SDR 27, effective September 15, 2025</span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">.</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000001">General Authority:</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-11"><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000003">36-11-11</span></a><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">(1)</span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">(14)</span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">.</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000001">Law Implemented:</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20H-2"><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000003">34-20H-2</span></a><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-46.6"><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000003">36-11-46.6</span></a><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">.</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">    </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000001">Cross </span><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000001">Reference:</span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0"> </span><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">Unit dose systems, chapter </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:21"><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0-000003">20:51:21</span></a><span class="s579a5e35-9edf-450c-af3f-a17320dd82ceC0">.</span></p><p dir="ltr" class="s579a5e35-9edf-450c-af3f-a17320dd82ceP0"><span xml:space="preserve" class="s579a5e35-9edf-450c-af3f-a17320dd82ce000002"> </span></p></div></body></html>