OAR 855-041-6520: Cart-Fill

(1) A unit-dose cart-fill system is a pharmacy controlled unit-of-use drug distribution system. (a) A unit-dose cart-fill system must provide for separation of drugs by patient name and location, and must be designed to record in an individual patient’s record: (A) The drug, dose strength, and dosing regimen of those drugs dispensed by the pharmacy; (B) The number of doses dispensed; (C) The date of the original order, and the date the order is discontinued. (b) The system must: (A) Provide a means for the pharmacist to verify the prescriber's original order; (B) Provide a means for the pharmacist to verify the accuracy of the selected drug before the dose is delivered for administration to the patient; and (C) Provide a mechanism to identify controlled substances. (c) The pharmacist must verify the prescriber’s original order and the accuracy of the selected drug. (2) Controlled substances may be included in the unit-dose system if the system complies with all applicable state and federal laws and regulations. (3) Each drug must be in unit-dose packaging when dispensed except when this is impracticable. (4) A drug not dispensed in unit-dose packaging must be labeled in accordance with other rules in this Division. (5) A drug in a single container multiple-dose package such as an inhaler or a topical drug must be labeled with the patient’s name and location within the facility. (6) A pharmacy technician, certified pharmacy technician, intern or pharmacist may fill daily unit-dose drug supplies for a hospital in-patient or a nursing home patient. (7) The pharmacist must verify the accuracy of a unit-dose package before the dose is delivered for administration to the patient. (8) Each drug must be stored in a locked area or locked cart.