State Of Utah Class A Retail Self Inspection Page 4

Download a blank fillable State Of Utah Class A Retail Self Inspection in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete State Of Utah Class A Retail Self Inspection with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

YES
NO
The offer to counsel shall be documented and said documentation shall be available to the
25
Division. These records must be maintained for a period of five years and be available for
inspection within 7‐10 business days. [
]
UAC R156‐17b‐610 (4)
Except when delivered to the ultimate user via the United States Postal Service, licensed common
26
carrier, or supportive personnel, prescription drugs are only dispensed to the ultimate user or his
agent directly from the pharmacy. [
UCA 58‐17b‐602 (8)]
Each drug dispensed from the pharmacy shall have a label securely affixed to the container
27
indicating the required minimum information, including:
 serial number of prescription
 name, address, & phone number of
pharmacy
 filling date or last dispensing date
 name of the patient or animal owner/species
 name of the prescriber
 directions for use & cautionary statements
 trade, generic or chemical name
 amount dispensed & strength of dosage form
 beyond use date [
]
(Unless Otherwise Indicated by Prescriber)
UCA 58‐17b‐602 (5) (a‐h)
Unless otherwise requested, child‐resistant containers are used for dispensing medications to
28
patients.
[UCA 58‐1‐501 (2)(b) & 16 CFR 1700.14]
Does the pharmacy dispense to residents in any other state besides Utah?
[UCA 58‐17b‐618]
29
Does the pharmacy fill for patients residing within a long term care facility, assisted living facility,
30
group home, troubled youth facility or other similar facility?
The pharmacy only accepts back and redistributes any unused drug, or part of it…if it meets
31
exemptions outlined in UCA 58‐17b‐503. [
]
UCA 58‐17b‐502 (5)
Controlled substances are not accepted back for destruction unless allowed for by state and
32
federal law. [
]
UAC R156‐37‐606 & 21 CFR 1307.21
The pharmacy only dispenses legend drugs or controlled substances that have been issued by an
33
online prescriber as part of an Internet facilitator arrangement, unless as otherwise allowed for
pursuant to Utah Code Annotated, Title 58, Chapter 83.
The registered pharmacy only processes electronically signed prescriptions for controlled
34
substances under the following conditions: the pharmacy uses a pharmacy application that meets
all the applicable requirements; the prescription is otherwise in conformity with the
requirements of the Code of Federal Regulations; and Certification Authority has been obtained.
The electronic prescription must be transmitted from the practitioner to the pharmacy in its
electronic form and at no time may the prescription be converted to another form (i.e. facsimile )
for transmission. [
]
CFR, Title 21, Chapter 11, Section 1311
Prescription files, including refill information, shall be maintained for a minimum of five years and
35
should be immediately retrievable in written or electronic format. [
]
UAC R156‐17b‐612 (4)
Prescription records may be maintained electronically so long as the original of each prescription,
36
including telephone prescriptions, is maintained in a physical file and contains all of the
information required by federal and state law; and an automated data processing system is used
for the storage and immediate retrieval of refill information for prescription orders… [
UAC R156‐37‐
Prescription forms and records of all controlled substances listed in Schedule II are maintained
37
separately from Schedules III through V, which are maintained separately from all other facility
records. Records must be maintained by licensee for a period of five (5) years. [
UAC R156‐37‐602
]
(3,5,6)
Page 4 of 6

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Legal
Go
Page of 6