<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.s9b8581cb-492a-4441-9979-873ed2abb00fP0 { 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.s9b8581cb-492a-4441-9979-873ed2abb00fC0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s9b8581cb-492a-4441-9979-873ed2abb00fC0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s9b8581cb-492a-4441-9979-873ed2abb00fC0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s9b8581cb-492a-4441-9979-873ed2abb00f000002 { color: black; background: white; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s9b8581cb-492a-4441-9979-873ed2abb00fC0-000003 { 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="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:29:19.02"><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000000">20:51:29:19.02</span></a><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000001">.  Exception to ratio for hospital, mail order, and long-term care pharmacy.</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> The maximum ratio of </span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">pharmacists to registered </span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">pharmacy technicians </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">who</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> may be on duty in a hospital, mail order, </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">or</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> long-term care pharmacy </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">is</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> determined by the pharmacist</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">-</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">in</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">-</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">charge. </span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">Regardless of the ratio, </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">the following requirements must be met:</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (1)  Medication </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">must be</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> dispensed pursuant to a legal prescription;</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (2)  The technology </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">must include</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> tablet or product imaging or bar code scanning, to </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">e</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">nsure accuracy in the prescription filling process;</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (3)  A role-based access software automation system that places stop points within the prescription filling process </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">must be</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> used, </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">and the system must require</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> a pharmacist's intervention before the prescription </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">may</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> move to the next step in the prescription dispensing process;</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (4)  Pharmacy software that screens and detects drug allergies, identifies drug interactions, and checks age</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">-</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">appropriate dosage ranges </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">must be</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> used;</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (5)  A pharmacist </span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">shall </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">review clinically significant computer warnings of drug interactions, therapy duplications, and contraindications;</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (6)  Electronic surveillance technology </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">must be</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> used to control access or to provide continuous monitoring of all areas where drugs are stored or dispensed;</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (7)  All non-pharmacist personnel who input patient drug information into a computer or whose duties include receiving, packaging, </span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">or </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">shipping of drugs</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">,</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> or who have access to any areas where drugs are dispensed</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">,</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">must be</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> registered as </span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">a </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">pharmacy technician</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> in accordance with this chapter or be a pharmacy intern under </span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">chapter </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:02"><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000003">20:51:</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000003">02</span></a><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">;</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (8)  In hospital and long-term care pharmacies, nursing personnel in facilities served by the pharmacy </span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">shall </span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">have telephone access to a pharmacist </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">twenty-four</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> hours a day, </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">seven</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> days a week. In mail order pharmacies, a patient </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">shall have</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> access to a pharmacist </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">twenty-four</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> hours a day, </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">seven</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> days a week on a dedicated pharmacist staff line;</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (9)  Drug information</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> must be</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> readily available to pharmacists;</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (10)  A quality assurance program that identifies and evaluates dispensing errors, accompanied by a continuous quality improvement program that assures dispensing accuracy</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">, must be in place</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">;</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (11)  </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">The pharmacy must maintain</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> written policies and procedures for all clerical, supportive, technical, and clinical</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> pharmacy functions</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">;</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (12)  There </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">must be</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> written policies and procedures for training </span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">pharmacy </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">personnel, including ongoing training programs for all personnel and documentation of that training for each employee;</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> and</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    (13)  There </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">must be</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> a monitoring program designed to prevent diversion of controlled substances. </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">The program must include</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> perpetual inventory of all schedule</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">d</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> controlled drugs. Routine audits </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">must be</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> conducted </span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">by pharmacy personnel </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">to review purchases versus dispensing of controlled drugs to deter and detect diversion.</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000001">Source:</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> 36 SDR 21, effective August 17, 2009; 42 SDR 19, effective August 19, 2015</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">; 50 SDR 138, effective June 2, 2024; 52 SDR 27, effective September 15, 2025</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">.</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000001">General Authority:</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-11"><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000003">36-11-11</span></a><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">(1)(1</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">3)</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">.</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">    </span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000001">Law Implemented:</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-2"><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000003">36-11-</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000003">2</span></a><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">(</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">22</span><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">)</span><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-19.2"><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000003">36-11-19.2</span></a><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">, </span><a href="https://sdlegislature.gov/Statutes?Statute=36-11-33"><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0-000003">36-11-33</span></a><span class="s9b8581cb-492a-4441-9979-873ed2abb00fC0">.</span></p><p dir="ltr" class="s9b8581cb-492a-4441-9979-873ed2abb00fP0"><span xml:space="preserve" class="s9b8581cb-492a-4441-9979-873ed2abb00f000002"> </span></p></div></body></html>