WAC 246-330-200. Pharmaceutical services

This section assures patient pharmaceutical needs are met in a planned and organized manner. This section is consistent with the requirements for a health care entity license under RCW 18.64.450 and chapter 246-945 WAC. An ambulatory surgical facility must: (1) Only administer, dispense or deliver legend drugs and controlled substances to patients receiving care in the facility; (2) Assure drugs dispensed to patients are dispensed and labeled consistent with the requirements of RCW 18.64.246 , and chapters 69.41 and 69.50 RCW; (3) Establish a process for selecting medications based on evaluating their relative therapeutic merits, safety, and cost; and (4) Designate a pharmacist consultant who is licensed in Washington state. The pharmacist consultant can be either employed or contracted by the facility. The pharmacist consultant is responsible for: (a) Establishing policy and procedures related to: (i) Purchasing, ordering, storing, compounding, delivering, dispensing and administering of controlled substances or legend drugs; (ii) Assuring drugs are stored, compounded, delivered or dispensed according to all applicable state and federal rules and regulations; (iii) Maintaining accurate inventory records and patient medical records related to the administration of controlled substances and legend drugs; (iv) Maintaining any other records required by state and federal regulations; (v) Security of legend drugs and controlled substances; and (vi) Controlling access to controlled substances and legend drugs. (b) Establishing a process for completing all forms for the purchase and order of legend drugs and controlled substances; and (c) Establishing a method for verifying receipt of all legend drugs and controlled substances purchased and ordered by the ambulatory surgical facility.