<html> <head> <title>Rule 44:70:07:06 Drug disposal.</title> <META NAME="Keywords" Content="Administrative Rules 44:70:07:06"> <META NAME="Description" Content="Administrative Rules 44:70:07:06 Drug disposal."> <meta http-equiv=Content-Type content="text/html; charset=windows-1252"> <meta name=Generator content="Microsoft Word 15 (filtered)"> <style> <!-- /* Font Definitions */ @font-face {font-family:"Cambria Math"; panose-1:2 4 5 3 5 4 6 3 2 4;} @font-face {font-family:Calibri; panose-1:2 15 5 2 2 2 4 3 2 4;} @font-face {font-family:Times; panose-1:2 2 6 3 5 4 5 2 3 4;} /* Style Definitions */ p.MsoNormal, li.MsoNormal, div.MsoNormal {margin:0in; margin-bottom:.0001pt; font-size:10.0pt; font-family:"Times",serif;} a:link, span.MsoHyperlink {color:blue; text-decoration:underline;} a:visited, span.MsoHyperlinkFollowed {color:purple; text-decoration:underline;} .MsoChpDefault {font-size:10.0pt; font-family:"Calibri",sans-serif;} @page WordSection1 {size:8.5in 11.0in; margin:1.0in 1.0in 1.0in 1.0in;} div.WordSection1 {page:WordSection1;} --> </style> </head> <body lang=EN-US link=blue vlink=purple> <div class=WordSection1> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>44:70:07:06.&nbsp;&nbsp;Drug disposal.</b> Legend drugs not controlled under SDCL chapter <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-20B">34-20B</A> shall be destroyed or disposed of by a nurse and another witness. Destruction or disposal of medications controlled under SDCL chapter <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-20B">34-20B</A> shall be witnessed by two persons, both of whom are a nurse or pharmacist, as designated by facility policy. Methods of destruction or disposal may include:</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (1)&nbsp;&nbsp;Disposal by using a professional waste hauler to take the medications to a permitted medical waste facility or by facility disposal at a permitted municipal solid waste landfill. Prior to disposal</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'>,</span><span style='font-size:12.0pt;font-family: "Times New Roman",serif'> all medications </span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>must</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'> be removed from original containers and made unpalatable by the addition of adulterants and alteration of solid dosage forms by dissolving or combination into a solid mass;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (2)&nbsp;&nbsp;Return to the dispensing pharmacy for destruction</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'> or disposal according to federal and state regulations</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>;</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> or</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; (3)&nbsp;&nbsp;Return to an authorized reverse distributor company licensed by the South Dakota Board of Pharmacy.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Medications controlled under SDCL chapter <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-20B">34-20B</A> </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>may</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> not be returned to the dispensing pharmacy or to an authorized reverse distributor company.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span><span style='font-size: 12.0pt;font-family:"Times New Roman",serif'>Documentation of destruction or disposal of medications </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>must</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> be included in the resident's record. The documentation </span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>must</span><span style='font-size:12.0pt; font-family:"Times New Roman",serif'> include the method of disposition (destruction, disposal,</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> or</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> return to pharmacy</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>)</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>; the medication name, strength, prescription number (as applicable), quantity, and date of disposition; and the name of any person who witnessed the destruction or disposal.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Medications, excluding those controlled under SDCL chapter <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-20">34-20</A>, contained in unit dose packaging meeting the requirements of §&nbsp;20:51:13:02.01 may be returned to the dispensing pharmacy for credit and redispensing.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; Any medication held for disposal </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>must</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> be physically separated from the medications being used in the facility,</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> and</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'> locked with access limited in an area with a system to reconcile, audit, or monitor them to prevent diversion.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Source:</b> 38 SDR 115, effective January 9, 2012</span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>; </span><span style='font-size:12.0pt;font-family:"Times New Roman",serif'>46 SDR 65, effective November 26, 2019.</span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>General Authority:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13(9).</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; <b>Law Implemented:</b> SDCL <A HREF="/statutes/DisplayStatute.aspx?Type=Statute&Statute=34-12-13">34-12-13(9).</A></span></p> <p class=MsoNormal style='text-align:justify'><span style='font-size:12.0pt; font-family:"Times New Roman",serif'>&nbsp;</span></p> </div> </body> </html>