OAR 855-041-6150: General Pharmacy Requirements

(1) Each hospital pharmacy must have an Oregon licensed pharmacist designated as Pharmacist-in-Charge (PIC). (2) A hospital that has more than one pharmacy must designate an Oregon licensed pharmacist as CPO or an equivalent position who has responsibility for directing pharmacy services in the hospital. The CPO may also be the PIC of one of the pharmacies. (3) A hospital pharmacy may only be operated when under the direct supervision of an Oregon licensed pharmacist. The pharmacist shall be responsible for all areas of the hospital where drugs are stored, including remote storage areas (4) The pharmacy must be operated at least part-time, five days a week. (5) The hospital pharmacy must have adequate space so that drugs can be prepared in sanitary, well-lit, enclosed places. Space and equipment must be adequate for the pharmaceutical services provided including compounding, distributing, and storage of drugs and parenteral preparations. (6) As a minimum, the pharmacy must have the following: (a) Equipment listed in OAR 855-041-1035, except that a pharmacy that is only registered as an institutional drug outlet does not need to have an Official Poison and Exempt Narcotic Register; (b) A drug formulary approved by the appropriate hospital committee; (c) Pharmacy policy and procedures. (7) All areas occupied by a hospital pharmacy must be secured to prevent access by unauthorized personnel. (a) Whenever any area of a hospital pharmacy is not under direct supervision of a pharmacist, the area must be secured; (b) The CPO shall designate in writing, by title and specific area, those persons who may have access to specific areas within the pharmacy; (c) Unless otherwise permitted by these rules, a non-pharmacist may not have access to the pharmacy unless a pharmacist is on duty and present in the hospital. (8) A residential healthcare facility that has a central pharmacy must comply with these rules. (9) Upon written request, the Board may waive any of the requirements of this rule if a waiver will further public health or safety or the health and safety of a patient. A waiver granted under this section shall only be effective when it is in writing. A waiver is not valid for more than five years.