<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.s35adda28-cda8-4778-bb57-8e2a1f856b07P0 { 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.s35adda28-cda8-4778-bb57-8e2a1f856b07C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s35adda28-cda8-4778-bb57-8e2a1f856b07000003 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } </style></head><body><div><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:13:06"><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000000">20:51:13:06</span></a><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000001">.  Off-site medication control in a hospital or medical clinic -- Approval -- Requirements.</span><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0"> </span><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">A licensed pharmacy may provide drugs as defined in SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-2.1"><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000002">36-11-2.1</span></a><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0"> to a hospital or medical clinic for dispensing to patients when access to a pharmacy is limited. The pharmacy providing the medications retains ownership of the medications until dispensed to the patient and shall ensure proper storage and recordkeeping. For medications to be maintained off-site in a hospital or medical clinic, State Board of Pharmacy approval must be granted.</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07000003"> </span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    </span><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">To receive board approval, the pharmacist-in-charge shall provide the board with the address of the hospital or clinic, a drug list, and the drug quantities to be dispensed to patients.</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07000003"> </span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    To maintain board approval, the pharmacist-in-charge shall ensure:</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07000003"> </span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    </span><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">(1)  Drugs be kept in a locked cabinet with access only by authorized licensed healthcare professionals;</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    (2)  Prior to dispensing a medication, there must be a drug order in the patient's record, and a copy of the drug order or prescription is sent to the pharmacy;</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    (3)  Dispensing at the hospital or medical clinic must be done by the prescriber, or, if the label is prepared by a nurse, the label must otherwise comply with § </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:05:21"><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000002">20:51:05:21</span></a><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0"> and the prescriber must verify the drug and the directions prior to dispensing;</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    (4)  A written information sheet must be provided to the patient at time of dispensing for each drug;</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    (5)  Inventory of all drugs stored off-site must include a record of each time a drug is dispensed from the supply; and</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    (6)  A pharmacist conducts an on-site inspection at the off-site location at least every ninety days. The inspection must verify the inventory of drugs, expiration dates, proper storage conditions, and review of applicable policies and procedures with authorized hospital or medical clinic staff. Documentation of the inspection must be stored at the licensed pharmacy and retained for two years.</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07000003"> </span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    </span><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000001">Source:</span><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0"> </span><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">52 SDR 27, effective September 15, 2025; 53 SDR 13, effective August 16, 2026</span><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">.</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    </span><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000001">General Authority:</span><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-11"><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000002">36-11-11</span></a><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">(1)(3).</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">    </span><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000001">Law Implemented:</span><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-2.2"><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000002">36-11-2.2</span></a><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-14"><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0-000002">36-11-14</span></a><span class="s35adda28-cda8-4778-bb57-8e2a1f856b07C0">.</span></p><p dir="ltr" class="s35adda28-cda8-4778-bb57-8e2a1f856b07P0"><span xml:space="preserve" class="s35adda28-cda8-4778-bb57-8e2a1f856b07000003"> </span></p></div></body></html>