<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.sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0 { 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.sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05d000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000003 { 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="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:15:15.01"><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000000">20:51:15:15.01</span></a><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000001">.  Pharmacist controls emergency kit in nursing facility.</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> A </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">licensed pharmacy</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> may provide to a nursing facility a limited quantity of controlled legend drugs</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">,</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> a limited amount of noncontrolled legend drugs</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">,</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> and nonprescription drugs, for emergency and supportive treatment, </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">if</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> requested in writing by the medical director</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">.</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> The </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">provider pharmacy</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> shall retain control of all medications provided in emergency kits.</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05d000002"> </span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    The provider pharmacist shall comply with the following requirements:</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05d000002"> </span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    (1)</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">  </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">The medical director</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">, director of nursing,</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> and provider pharmacist shall jointly determine and prepare a limited list of emergency drugs by identity and quantity;</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05d000002"> </span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    (2)  No more than ten different controlled drugs may be stored in the emergency kit, which may not contain more than twenty doses of any controlled drug;</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05d000002"> </span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    (</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">3</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">)  </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">There must be a policy in place that the nursing staff must notify t</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">he provider pharm</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">acy </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">of any drug taken from the emergency kit;</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05d000002"> </span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    (</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">4</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">)  The provider </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">pharmacy staff</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> shall inventory </span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">and restock </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">the contents of the emergency kit after reported use or at least monthly;</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05d000002"> </span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    (</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">5</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">)  The emergency kit </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">must</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> be stored in a suitable, controlled location in the nursing facility to prevent the unauthorized access of the drugs within it. The emergency kit exterior </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">must</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> be labeled clearly, that it is an emergency kit and is for emergency use only. The emergency kit </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">must</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> contain the name, strength, quantity, and expiration date of drugs contained therein</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">; and</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05d000002"> </span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    (6)  </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">The provider pharmacy must provide each facility where an emergency kit is placed with a contact number to a pharmacist twenty-four hours a day</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">.</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05d000002"> </span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    All other controlled and noncontrolled legend medications </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">must</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> be obtained from a pharmacy licensed to </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">dispense</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> to patients pursuant to SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12B-1"><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000003">34-12B-1</span></a><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> and </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12B-2"><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000003">34-12B-2</span></a><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">.</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05d000002"> </span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000001">Source:</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> 26 SDR 92, effective January 6, 2000</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">; 50 SDR 138, effective June 2, 2024; 52 SDR 27, effective September 15, 2025</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">.</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000001">General Authority:</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-11"><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000003">36-11-11</span></a><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">(1)(4).</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">    </span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000001">Law Implemented:</span><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-2.2"><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000003">36-11-</span><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000003">2.2</span></a><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-33"><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000003">36-11-33</span></a><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-34"><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0-000003">36-11-34</span></a><span class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dC0">.</span></p><p dir="ltr" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05dP0"><span xml:space="preserve" class="sda98d3ec-0a8f-4d85-bfdf-bd68ebc6f05d000002"> </span></p></div></body></html>