<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.s9ebbae19-8916-4af4-816d-8a25e49f8f94P0 { margin-top: 0; line-height: 12.0pt; 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; } span.s9ebbae19-8916-4af4-816d-8a25e49f8f94C0 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000000 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001 { color: black; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: bold; margin: 0; padding: 0; } span.s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002 { color: #0000FF; background: white; font-family: 'Times New Roman', 'serif'; font-size: 12pt; font-style: normal; font-weight: normal; margin: 0; padding: 0; } span.s9ebbae19-8916-4af4-816d-8a25e49f8f94000003 { 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="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><a href="https://sdlegislature.gov/Rules?Rule=44:75:08:06"><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000000">44:75:08:06</span></a><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001">.  Documentation of </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001">medication</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001"> disposal.</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">A facility shall ensure that a l</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">egend drug not controlled under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B"><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">34-20B</span></a><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">is</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> destroyed or disposed of by a nurse and another witness. Destruction or disposal of medications controlled under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B"><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">34-20B</span></a><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">must</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> be witnessed by two persons, both of whom </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">must be</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> a nurse or pharmacist, as designated by facility policy. Methods of destruction or disposal may include:</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    (1)  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 all medications </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">must</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> 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 dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    (2)  Return to the dispensing pharmacy for destruction according to federal and state regulations;</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    (3)  Return to an authorized reverse distributor company licensed by the South Dakota Board of Pharmacy; or</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    (4)  Release to patient upon discharge after authorization by the patient's prescribing practitioner.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">The facility shall document</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> destruction or disposal of medications in the patient's record</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> and must</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> include the method of disposition; the medication name</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> and</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> strength</span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">;</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> prescription number</span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">;</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> quantity</span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">;</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> date of disposition; and the name of any person who witnessed the destruction or disposal.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">A facility may return m</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">edication, excluding those controlled under SDCL chapter </span><a href="https://sdlegislature.gov/Statutes?Statute=34-20B"><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">34-20B</span></a><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">, contained in unit dose packaging meeting the requirements of § </span><a href="https://sdlegislature.gov/Rules?Rule=20:51:13:02.01"><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">20:51:13:02.01</span></a><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> to the dispensing pharmacy for credit and redispensing.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    Any medication held for disposal must</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> be physically separated from the medications being used in the facility</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> and</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> locked </span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">in an area </span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">with </span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">limited </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">access</span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">.</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> </span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">The facility shall establish </span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">a system to reconcile, audit, </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">and</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> monitor </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">medication held for disposal</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> to prevent diversion.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001">Source:</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> 42 SDR 51, effective October 13, 2015</span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">; 50 SDR 62, effective November 27, 2023</span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001">General Authority:</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">34-12-13</span></a><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">(9).</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">    </span><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000001">Law Implemented:</span><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0"> SDCL </span><a href="https://sdlegislature.gov/Statutes?Statute=34-12-13"><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0-000002">34-12-13</span></a><span class="s9ebbae19-8916-4af4-816d-8a25e49f8f94C0">.</span></p><p dir="ltr" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94P0"><span xml:space="preserve" class="s9ebbae19-8916-4af4-816d-8a25e49f8f94000003"> </span></p></div></body></html>