Definitions

PURPOSE: This rule contains definitions which establish the intended meaning of certain terms used throughout this chapter. (1) As used in this chapter, the following terms shall have the meanings specified: (A) Commercial container means any bottle, jar, tube, ampule or other receptacle in which a substance is held for distribution or dispensing to an ultimate user and, in addition, any box or package in which the receptacle is held for distribution or dispensing to an ultimate user. The term commercial container does not include any package liner, package insert of other material kept with or within a commercial container, nor any carton, crate, drug or other package in which commercial containers are stored or are used for shipment of controlled substances; (B) Controlled substances administration record means the form used to record information when administering individual drug doses to patients; (C) Dispenser means an individual practitioner, institutional practitioner, pharmacy or pharmacist who dispenses a controlled substance; (D) Hospice means a public agency or private organization or subdivision of either of these that is primarily engaged in providing care to dying persons and their families and meets the standards specified in 19 CSR 30-35; (E) Hospital employee means a nurse, physician, pharmacist or other responsible patient-care employee; (F) Individual practitioner means a physician, dentist, veterinarian, optometrist or other individual licensed, registered or otherwise permitted by the United States or Missouri to dispense a controlled substance in the course of professional practice, but does not include a pharmacist, a pharmacy or an institutional practitioner; (G) Institutional practitioner means a hospital or other person (other than an individual) licensed, registered or otherwise permitted by the United States or Missouri to dispense a controlled substance in the course of professional practice, but does not include a pharmacy; (H) Long-term care facility means a nursing home, retirement care, mental care, or other facility or institution which provides extended health care to resident patients; (I) Name means the official name, common or usual name, chemical name or brand name of a substance; (J) Nurse means a registered or licensed practical nurse licensed under Chapter 335, RSMo; (K) Patient care areas means any area of a hospital where medical attention is rendered to a patient; (L) Pre-hospital emergency medical service means an emergency medical services system as defined in Chapter 190, RSMo providing services to persons prior to admission to a hospital; (M) Prescription means an order for medication which is dispensed to or for an ultimate user but does not include an order for medication which is dispensed for immediate administration to the ultimate user. (For example, an order to dispense a drug to a bed patient for immediate administration in a hospital is not a prescription.); (N) Readily retrievable means that certain records are kept by automatic data processing systems or other electronic or mechanized record keeping systems in a manner that they can be separated out from all other records; and/or records are kept on which certain items are asterisked, redlined, highlighted or in some other manner visually identifiable apart from other items appearing on the records; and records are provided within three working days of a request; (O) Registration means a Missouri controlled substances SENIOR SERVICES registration; (P) Reregistration means a registration issued to a person who was previously registered and whose application for reregistration was received by the Department of Health prior to the expiration of the previous registration; (Q) Temporary location registration means a registration issued to an individual practitioner who: 1. Has a current Missouri professional license to practice and is registered with the Department of Health at the address listed on his/her professional license; 2. Has a federal Drug Enforcement Administration registration that is valid in Missouri; 3. Anticipates practicing in Missouri within the next 12 months; 4. Does not practice for more than 90 consecutive calendar days at any location; 5. Maintains a record of the date(s) and location(s) of all practice activity in Missouri and makes the record available to the Bureau of Narcotics and Dangerous Drugs. This record shall be retained for two years; 6. Maintains all required controlled substance records at each location; 7. Does not receive or stock controlled substances at any location; (2) Any term not defined in this rule shall have the definition set forth in Chapter 195, RSMo. AUTHORITY: section 195.195, RSMo 2000.* Original rule filed April 14, 2000, effective Nov. 30, 2000. Amended: Filed Jan. 31, 2003, effective July 30, 2003. *Original authority: 195.195, RSMo 1957, amended 1971, 1989, 1993.