WSR 21-05-054
PERMANENT RULES
DEPARTMENT OF HEALTH
(Pharmacy Quality Assurance Commission)
[Filed February 15, 2021, 11:16 a.m., effective March 18, 2021]
Effective Date of Rule: Thirty-one days after filing.
Purpose: Title 246 WAC, rules regarding the practice of pharmacy. The pharmacy quality assurance commission (commission) recently completed a two-and-a-half-year process to consolidate all chapters of rule under Title 246 WAC within its authority into one new chapter, chapter 246-945 WAC. This package repeals the chapters of rules relating to pharmacy that were replaced by chapter 246-945 WAC, with the exception of the continuing education (CE) sections, which have a delayed effective date in the new chapter to align with rule making currently in progress regarding fees collected by the commission. Chapter 246-861 WAC and WAC 246-901-061, existing CE rules, will be repealed when the new CE rules in chapter 246-945 WAC become effective.
Citation of Rules Affected by this Order: Repealing chapters 246-856, 246-858, 246-860, 246-863, 246-865, 246-867, 246-869, 246-870, 246-871, 246-873, 246-874, 246-875, 246-877, 246-878, 246-879, 246-881, 246-883, 246-885, 246-886, 246-887, 246-888, 246-889, 246-891, 246-895, 246-897, 246-899, 246-901 (except for 246-901-061), 246-903, 246-904, and 246-905 WAC.
Statutory Authority for Adoption: RCW 18.64.005, 18.64.080, 18.130.075, 18.64.043, 18.64.044, 18.64.045, 18.64.046, 18.64.370, 18.64.460, 18.64.011, 18.64.245, 18.64.470, 18.64.255, 18.64.205, 18.64.253, 18.64.410, 18.64.500, 18.64.590, 69.50.310, 69.41.075.
Adopted under notice filed as WSR 20-16-045 on July 27, 2020.
Number of Sections Adopted in Order to Comply with Federal Statute: New 0, Amended 0, Repealed 0; Federal Rules or Standards: New 0, Amended 0, Repealed 0; or Recently Enacted State Statutes: New 0, Amended 0, Repealed 0.
Number of Sections Adopted at the Request of a Nongovernmental Entity: New 0, Amended 0, Repealed 0.
Number of Sections Adopted on the Agency's own Initiative: New 0, Amended 0, Repealed 0.
Number of Sections Adopted in Order to Clarify, Streamline, or Reform Agency Procedures: New 0, Amended 0, Repealed 259.
Number of Sections Adopted using Negotiated Rule Making: New 0, Amended 0, Repealed 0; Pilot Rule Making: New 0, Amended 0, Repealed 0; or Other Alternative Rule Making: New 0, Amended 0, Repealed 259.
Date Adopted: December 3, 2021.
Tim Lynch, PharmD, MS, FABC, FASHP
Chair
OTS-2336.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-856-001
Purpose.
WAC 246-856-020
Adjudicative proceedings—Procedural rules for the board of pharmacy.
OTS-2337.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-858-020
General requirements.
WAC 246-858-030
Registration of interns.
WAC 246-858-040
Rules for the pharmacy intern.
WAC 246-858-050
Intern training reports.
WAC 246-858-060
Requirements for preceptor certification.
WAC 246-858-070
Rules for preceptors.
WAC 246-858-080
Special internship approval.
OTS-2338.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-860-010
Purpose of chapter.
WAC 246-860-020
Definitions.
WAC 246-860-100
Sexual misconduct.
OTS-2339.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-863-020
Examinations.
WAC 246-863-030
Applicants—Reciprocity applicants.
WAC 246-863-035
Temporary permits.
WAC 246-863-040
Foreign-trained applicants.
WAC 246-863-060
Licensed pharmacists—Employed as responsible managers—Duty to notify board.
WAC 246-863-070
Inactive credential.
WAC 246-863-080
Retired pharmacist license.
WAC 246-863-090
Expired license.
WAC 246-863-095
Pharmacist's professional responsibilities.
WAC 246-863-100
Pharmacist prescriptive authority—Prior board notification of written guideline or protocol required.
WAC 246-863-110
Monitoring of drug therapy by pharmacists.
WAC 246-863-120
AIDS prevention and information education requirements.
OTS-2340.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-865-010
Definitions.
WAC 246-865-020
Promulgation.
WAC 246-865-030
Emergency kit.
WAC 246-865-040
Supplemental dose kits.
WAC 246-865-050
Drug facilities.
WAC 246-865-060
Pharmaceutical services.
WAC 246-865-070
Provision for continuity of drug therapy for residents.
OTS-2341.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-867-001
Purpose and scope.
WAC 246-867-010
Definitions.
WAC 246-867-020
Applicability.
WAC 246-867-030
Reporting and freedom from liability.
WAC 246-867-040
Approval of substance abuse monitoring programs.
WAC 246-867-050
Participation in approved substance abuse monitoring program.
WAC 246-867-060
Confidentiality.
OTS-2342.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-869-010
Pharmacies' responsibilities.
WAC 246-869-020
Pharmacies and differential hours.
WAC 246-869-030
Pharmacy license notice requirements.
WAC 246-869-040
New pharmacy registration.
WAC 246-869-060
Employers to require evidence of pharmacist's qualifications.
WAC 246-869-070
Responsible manager—Appointment.
WAC 246-869-080
Clinic dispensaries.
WAC 246-869-090
Prescription transfers.
WAC 246-869-100
Prescription record requirements.
WAC 246-869-105
Continuity of care refills in proclaimed emergencies.
WAC 246-869-110
Refusal to permit inspection.
WAC 246-869-130
Return or exchange of drugs.
WAC 246-869-140
Prescription department—Conversing with pharmacist prohibited.
WAC 246-869-150
Physical standards for pharmacies—Adequate stock.
WAC 246-869-160
Physical standards for pharmacies—Adequate facilities.
WAC 246-869-170
Physical standards for pharmacies—Sanitary conditions.
WAC 246-869-180
Physical standards for pharmacies—Adequate equipment.
WAC 246-869-190
Pharmacy inspections and self-inspection worksheets.
WAC 246-869-200
Poison control.
WAC 246-869-210
Prescription labeling.
WAC 246-869-220
Patient counseling required.
WAC 246-869-230
Child-resistant containers.
WAC 246-869-235
Prescription drug repackaging—Definitions.
WAC 246-869-250
Closing a pharmacy.
WAC 246-869-255
Customized patient medication packages.
OTS-2343.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-870-010
Purpose.
WAC 246-870-020
What definitions do I need to know to understand these rules?
WAC 246-870-030
What is included in the electronic transmission and transfer of prescription information?
WAC 246-870-040
Can all prescriptions be transmitted electronically?
WAC 246-870-050
What are the requirements for fax machines?
WAC 246-870-060
What are the board requirements for electronic prescription transmission systems?
WAC 246-870-070
What are the board requirements for pharmacies using electronic prescription transmission systems?
WAC 246-870-080
Can prescription records be stored electronically?
WAC 246-870-090
Can electronic mail systems be used to transmit patient information?
OTS-2344.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-871-001
Scope and purpose.
WAC 246-871-010
Definitions.
WAC 246-871-020
Policy and procedure manual.
WAC 246-871-030
Physical requirements.
WAC 246-871-040
Personnel.
WAC 246-871-050
Drug distribution and control.
WAC 246-871-060
Antineoplastic medications.
WAC 246-871-070
Clinical services.
WAC 246-871-080
Quality assurance.
OTS-2345.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-873-010
Definitions.
WAC 246-873-020
Applicability.
WAC 246-873-030
Licensure.
WAC 246-873-040
Personnel.
WAC 246-873-050
Absence of a pharmacist.
WAC 246-873-060
Provision of emergency department discharge medications when pharmacy services are unavailable.
WAC 246-873-070
Physical requirements.
WAC 246-873-080
Drug procurement, distribution and control.
WAC 246-873-090
Administration of drugs.
WAC 246-873-100
Investigational drugs.
WAC 246-873-110
Additional responsibilities of pharmacy service.
OTS-2346.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-874-010
Definitions.
WAC 246-874-020
General applicability.
WAC 246-874-025
Responsible manager designation requirement for an ADDD.
WAC 246-874-030
General requirements for an ADDD.
WAC 246-874-040
Security and safety requirements for ADDD.
WAC 246-874-050
Accountability requirements for an ADDD.
WAC 246-874-060
Quality assurance process requirements for ADDD.
WAC 246-874-070
Nursing students ADDD access.
OTS-2347.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-875-001
Purpose.
WAC 246-875-010
Definitions.
WAC 246-875-020
Minimum required information in an automated patient medication record system.
WAC 246-875-030
Minimum required information in a manual patient medication record system.
WAC 246-875-040
Minimum procedures for utilization of a patient medication record system.
WAC 246-875-050
Auxiliary recordkeeping procedure.
WAC 246-875-060
Retrieval of information from an automated system.
WAC 246-875-070
Confidentiality and security of data.
WAC 246-875-080
Extension of time for compliance.
OTS-2348.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-877-020
Drug sample prohibitions.
OTS-2349.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-878-010
Definitions.
WAC 246-878-020
Compounded drug products—Pharmacist.
WAC 246-878-030
Organization and personnel.
WAC 246-878-040
Facilities.
WAC 246-878-050
Sterile pharmaceutical.
WAC 246-878-060
Radiopharmaceuticals.
WAC 246-878-070
Special precaution products.
WAC 246-878-080
Equipment.
WAC 246-878-090
Control of components and drug product containers and closures.
WAC 246-878-100
Drug compounding controls.
WAC 246-878-110
Labeling control of excess products.
WAC 246-878-120
Records and reports.
OTS-2350.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-879-010
Definitions.
WAC 246-879-020
Minimum standards for wholesalers.
WAC 246-879-030
Inspections.
WAC 246-879-040
Records.
WAC 246-879-050
Security.
WAC 246-879-060
Unauthorized sales.
WAC 246-879-070
Application for full line wholesaler license and over-the-counter only wholesaler license.
WAC 246-879-080
Application for controlled substance wholesaler license.
WAC 246-879-090
Export wholesaler.
WAC 246-879-100
Salvaging and reprocessing companies.
WAC 246-879-110
Violations and penalties.
WAC 246-879-120
Reciprocity.
OTS-2351.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-881-010
Drug price advertising defined.
WAC 246-881-020
Drug price advertising conditions.
WAC 246-881-030
Prohibition on advertising controlled substances.
WAC 246-881-040
Drug price disclosure—Required.
OTS-2352.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-883-020
Identification of legend drugs for purposes of chapter 69.41 RCW.
WAC 246-883-025
Introductory trade or stock packages.
WAC 246-883-030
Ephedrine prescription restrictions.
WAC 246-883-040
Regulated steroids.
WAC 246-883-050
Theophylline prescription restrictions.
OTS-2353.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-885-020
Drug imprint information provided by manufacturers and distributors.
WAC 246-885-030
Over-the-counter (OTC) drug imprint regulation.
OTS-2354.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-886-001
Purpose.
WAC 246-886-010
Definitions.
WAC 246-886-020
Registration.
WAC 246-886-030
Approved legend drugs.
WAC 246-886-035
Sodium pentobarbital—Approved controlled substance.
WAC 246-886-040
Training of personnel.
WAC 246-886-050
Legend drug administration.
WAC 246-886-060
Responsible individuals.
WAC 246-886-080
Recordkeeping and reports.
WAC 246-886-090
Drug storage and field use.
WAC 246-886-100
Violations.
WAC 246-886-150
Chemical capture programs.
WAC 246-886-160
Registration requirements.
WAC 246-886-170
Authorized individuals.
WAC 246-886-180
Approved legend drugs.
WAC 246-886-190
Controlled substances training.
WAC 246-886-200
Storage requirements.
WAC 246-886-210
Controlled substances records and reports.
WAC 246-886-220
Approved controlled substances.
WAC 246-886-230
Controlled substances registration disciplinary actions.
OTS-2355.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-887-020
Uniform Controlled Substances Act.
WAC 246-887-040
Designation of nonnarcotic stimulant drugs for purposes of RCW 69.50.402 (1)(c).
WAC 246-887-045
Prescribing, dispensing, or administering of Schedule II nonnarcotic stimulants.
WAC 246-887-080
Sodium pentobarbital registration disciplinary action.
WAC 246-887-090
Authority to control.
WAC 246-887-100
Schedule I.
WAC 246-887-140
Schedule II.
WAC 246-887-150
Schedule II immediate precursors.
WAC 246-887-160
Schedule III.
WAC 246-887-170
Schedule IV.
WAC 246-887-180
Schedule V.
WAC 246-887-200
Other controlled substance registrants—Requirements.
WAC 246-887-210
Standards for transmission of controlled substances sample distribution reports.
OTS-2356.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-888-010
Purpose.
WAC 246-888-020
What is self-administration with assistance and how is it different from independent self-administration or medication administration?
WAC 246-888-030
How is self-administration with assistance initiated in a community-based care setting or an in-home setting?
WAC 246-888-045
What is an enabler?
WAC 246-888-050
How can medications be altered to assist with self-administration?
WAC 246-888-060
Can all medications be altered to facilitate self-administration?
WAC 246-888-070
What other type of assistance can a nonpractitioner provide?
WAC 246-888-080
Is oxygen covered under this rule?
WAC 246-888-090
If a individual/resident is able to administer his or her own oral medication through a gastrostomy or "g-tube," can a nonpractitioner provide assistance as outlined in these rules?
WAC 246-888-100
Are there any other requirements I need to be aware of?
OTS-2357.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-889-010
Definitions.
WAC 246-889-020
Precursor substance defined.
WAC 246-889-030
Reports of precursor receipt.
WAC 246-889-040
Monthly reporting option.
WAC 246-889-050
Suspicious transactions and reporting requirements.
WAC 246-889-070
Retail sales of nonprescription ephedrine, pseudoephedrine, and phenylpropanolamine products.
WAC 246-889-085
Requirements for the sale of restricted product.
WAC 246-889-090
Acceptable forms of photo identification.
WAC 246-889-095
Record of sales—Electronic methamphetamine precursor tracking.
WAC 246-889-110
Maintenance of and access to retail sales records of restricted products.
WAC 246-889-115
Exemptions from electronic reporting.
WAC 246-889-120
Denial of sale—Override.
OTS-2358.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-891-010
Definitions.
WAC 246-891-020
Conditions for the sale of condoms.
WAC 246-891-030
Condom standards.
OTS-2359.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-895-010
Definitions.
WAC 246-895-020
Finished pharmaceuticals—Manufacturing practice.
WAC 246-895-030
Personnel.
WAC 246-895-040
Buildings or facilities.
WAC 246-895-050
Equipment.
WAC 246-895-060
Production and control procedures.
WAC 246-895-070
Components.
WAC 246-895-080
Component and drug product containers and closures.
WAC 246-895-090
Reuse of teat dip containers and closures.
WAC 246-895-100
Laboratory controls.
WAC 246-895-110
Stability.
WAC 246-895-120
Expiration dating.
WAC 246-895-130
Packaging and labeling.
WAC 246-895-140
Master production and control records—Batch production and control records.
WAC 246-895-150
Distribution records.
WAC 246-895-160
Complaint files.
WAC 246-895-170
Variance and procedure.
OTS-2360.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-897-020
Availability.
WAC 246-897-060
Identity.
OTS-2361.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-899-020
Dispensing responsibilities.
WAC 246-899-030
Product selection responsibilities.
WAC 246-899-040
Manufacturers, wholesalers, distributors, pharmacy location, requirement that drug products offered for sale comply with 21 U.S.C. 355—Immediate suspension and subsequent revocation of licenses authorized for violation.
WAC 246-899-050
Out-of-state prescriptions.
OTS-2362.3
REPEALER
The following sections of the Washington Administrative Code are repealed:
WAC 246-901-010
Definitions.
WAC 246-901-020
Pharmacy ancillary personnel utilization.
WAC 246-901-030
Technician education and training.
WAC 246-901-035
Pharmacy technician specialized functions.
WAC 246-901-040
Limitations, trainees.
WAC 246-901-050
Technician program approval.
WAC 246-901-060
Technician certification.
WAC 246-901-065
Expired technician license.
WAC 246-901-070
Pharmacy assistant utilization.
WAC 246-901-080
Pharmacy assistant registration.
WAC 246-901-090
Identification.
WAC 246-901-100
Board approval of pharmacies utilizing pharmacy ancillary personnel and specialized functions.
WAC 246-901-120
AIDS prevention and information education requirements.
WAC 246-901-130
Pharmacist to pharmacy technician ratio.
OTS-2363.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-903-001
Purpose and scope.
WAC 246-903-010
Definitions.
WAC 246-903-020
Nuclear pharmacies.
WAC 246-903-030
Nuclear pharmacists.
WAC 246-903-040
Minimum equipment requirements.
OTS-2364.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-904-010
Definition.
WAC 246-904-020
New health care entity licensing.
WAC 246-904-030
Pharmacist in charge.
WAC 246-904-040
Drug procurement, distribution and control.
WAC 246-904-050
Dispensing of prescription medications from health care entities.
WAC 246-904-060
Labeling.
WAC 246-904-070
Records.
WAC 246-904-080
Absence of a pharmacist.
WAC 246-904-090
Administration.
WAC 246-904-100
Closing.
OTS-2365.1
REPEALER
The following chapter of the Washington Administrative Code is repealed:
WAC 246-905-020
Home dialysis program—Legend drugs.
WAC 246-905-030
Pharmacist consultant.
WAC 246-905-040
Records.
WAC 246-905-050
Quality assurance.