OAR 855-041-6200
Chief Pharmacy Officer and Pharmacist in Charge

(1)

The CPO must specify the respective responsibilities of the CPO and the PIC if separate individuals hold these positions.

(2)

In addition to the duties listed in this rule, the PIC has the responsibilities listed in OAR 855-019-0300 (Duties of a Pharmacist-in-Charge).

(3)

The CPO must establish policies and procedures that include:

(a)

Procedures for general distribution of drugs throughout the hospital;

(b)

A procedure for review and revision of the policies and procedures not less than every three years;

(c)

Procedures for the supervision of pharmacy services including storage, distribution, control and accountability for drugs including controlled drugs;

(d)

Procedures to ensure that all areas of the hospital where drugs are stored are inspected not less than every two months to verify proper drug storage, documentation of distribution and administration of controlled substances, absence of outdated drugs, and the integrity of the emergency drug supplies;

(e)

Policies and procedures that govern the preparation, verification and sterilization of parenteral drugs compounded within the hospital. Procedures must comply with OARs 855-045-0200 (Application) through 855-045-0270 (Records) and these rules;

(f)

Procedures for administration of drugs, including self-administration;

(g)

Procedures for labeling drugs;

(h)

Policies and procedures that govern the filling and labeling of containers from which drugs are to be administered;

(i)

Procedures for a Quality Assurance program to ensure that there is a planned, ongoing and systematic process for the monitoring and evaluation of the quality and appropriateness of pharmacy services, and for identifying and resolving problems. Such monitoring and evaluation must be accomplished through ongoing collection of information and periodic assessment of the collected information;

(j)

Emergency drug distribution;

(k)

Procedures for procurement of all drugs subject to approval of the appropriate committee of the hospital;

(l)

Procedures to ensure that discontinued, outdated, adulterated or misbranded drugs are returned to the pharmacy for proper disposition, or that the PIC makes proper disposition or disposal of such drugs at the storage site;

(m)

A recall procedure that can be quickly activated to assure the CPO and pharmacy staff, and the medical staff that all drugs included in the recall have been returned to the pharmacy for proper disposition;

(n)

Policies and procedures for the use of investigational drugs;

(o)

Procedures to be followed in the absence of the pharmacist.

(4)

The CPO must:

(a)

Participate in the development and revisions of a hospital formulary;

(b)

Maintain an emergency and disaster plan for pharmacy services, and participate in the facility’s emergency and disaster plan;

(c)

Ensure that records of all transactions of the hospital pharmacy that are required by state and federal laws and regulations are maintained, and maintain accurate control and accountability for all pharmaceutical materials;

(d)

Participate in the hospital’s Quality Assurance program related to drugs;

(e)

Comply with all inspection and other requirements of the pharmacy in accordance with all applicable state and federal laws and regulations.

Source: Rule 855-041-6200 — Chief Pharmacy Officer and Pharmacist in Charge, https://secure.­sos.­state.­or.­us/oard/view.­action?ruleNumber=855-041-6200.

855–041–1001
Definitions 855–041–1010
Personnel (Both Retail and Institutional Drug Outlets) 855–041–1015
Operation of Pharmacy (Both Retail and Institutional Drug Outlets) 855–041–1020
Security of Prescription Area 855–041–1025
Disposal of Drugs 855–041–1030
Reporting Drug Loss 855–041–1035
Minimum Equipment Requirements (Both Retail and Institutional Drug Outlets) 855–041–1036
Proper Storage of Drugs 855–041–1040
Drug Outlet Procedures 855–041–1045
Returned Drugs and Devices 855–041–1046
Secure and Responsible Drug Disposal 855–041–1050
Pharmacy Depots 855–041–1055
Confidentiality 855–041–1060
Non-Resident Pharmacies 855–041–1080
Pharmacy Registration (Both Retail and Institutional Drug Outlets) 855–041–1085
Change of Location of a Pharmacy (Both Retail and Institutional Drug Outlets) 855–041–1090
Change of Business Name, Closure (Both Retail and Institutional Drug Outlets) 855–041–1095
Pharmacy Advertising 855–041–1105
Requirements for Prescriptions 855–041–1110
Tamper-resistant Prescription 855–041–1115
Verification of Prescription Authenticity 855–041–1120
Prescription Refills 855–041–1125
Prescription Expiration 855–041–1130
Prescription Labeling 855–041–1131
Prescription Reader Accessibility 855–041–1132
Limited English Proficiency and Accessibility 855–041–1135
Defines Labeling and Container Requirements for Repackage Drugs 855–041–1140
Customized Patient Medication Packages 855–041–1145
New Containers 855–041–1160
Prescription Records and Retention 855–041–1165
Patient Medical Record 855–041–1170
Grounds for Discipline 855–041–2100
Operation of a Double Set-Up Pharmacy in a Retail Drug Outlet 855–041–2115
Transfer of Prescription Information Between Pharmacies 855–041–2310
Definitions 855–041–2320
Epinephrine 855–041–2340
Naloxone 855–041–3000
Central Fill and Remote Processing Outlet Designations and Consulting/Drugless Pharmacy Outlets - Purpose and Scope 855–041–3005
Central Fill - Purpose and Scope 855–041–3010
Central Fill - Definitions 855–041–3015
Central Fill - General Requirements 855–041–3020
Central Fill - Policies and Procedures 855–041–3025
Central Fill - Labeling 855–041–3030
Central Fill - Records 855–041–3035
Central Fill - Delivery of Medications 855–041–3040
Central Fill - Filled Prescriptions 855–041–3045
Central Fill - Prohibited Practices 855–041–3100
Remote Processing - Purpose and Scope 855–041–3105
Remote Processing - Definitions 855–041–3110
Remote Processing - General Requirements 855–041–3115
Remote Processing - Policies and Procedures 855–041–3120
Remote Processing - Records 855–041–3125
Remote Processing - Prescription or Drug Order Processing 855–041–3130
Remote Processing - Prohibited Practices 855–041–3300
Consulting/Drugless Pharmacy - Purpose and Scope 855–041–3305
Consulting/Drugless Pharmacy - Definitions 855–041–3310
Consulting/Drugless Pharmacy - Registration 855–041–3315
Consulting/Drugless Pharmacy - Personnel 855–041–3320
Consulting/Drugless Pharmacy - Confidentiality 855–041–3325
Consulting/Drugless Pharmacy - General Provisions and Minimum Standards 855–041–3330
Consulting/Drugless Pharmacy - Security Requirements 855–041–3335
Consulting/Drugless Pharmacy - Policies and Procedures 855–041–3340
Consulting/Drugless Pharmacy - Records 855–041–4000
Purpose - Expedited Partner Therapy (EPT) 855–041–4005
Expedited Partner Therapy (EPT) - Procedures 855–041–4025
Purpose and Scope - Home Dialysis 855–041–4035
Home Dialysis - Definitions 855–041–4045
Home Dialysis - Drug Delivery and Control 855–041–4055
Home Dialysis - Duties of the Pharmacist 855–041–4100
Definitions - Automated Pharmacy System 855–041–4110
Remote Dispensing Machine (RDM) - Duties and Responsibilities of the Pharmacist-in-Charge 855–041–4120
Remote Dispensing Machine (RDM) - Drug Delivery and Control 855–041–5005
Definitions - Institutional and Residential Pharmacy Drug Outlets 855–041–5015
Registration 855–041–5050
Remote Distribution Facility (RDF) - Definitions 855–041–5055
Remote Distribution Facility (RDF) 855–041–5100
Definitions - Technician Checking Validation Program (TCVP) 855–041–5120
Technician Checking Validation Program (TCVP) - Hospital and Pharmacist in Charge Requirements 855–041–5130
Technician Checking Validation Program (TCVP) - Technician Eligibility and Training 855–041–5140
Technician Checking Validation Program (TCVP) - Initial Validation Process and Quality Assurance Process 855–041–5150
Technician Checking Validation Program (TCVP) - Checking Procedure 855–041–5160
Technician Checking Validation Program (TCVP) - Eligible Specialized Functions 855–041–5170
Technician Checking Validation Program (TCVP) - Records 855–041–6050
Definitions - Automated Distribution Cabinet (ADC) 855–041–6100
Registration 855–041–6150
General Pharmacy Requirements 855–041–6200
Chief Pharmacy Officer and Pharmacist in Charge 855–041–6220
Records 855–041–6240
Drug Administration 855–041–6250
Patient’s Own Drugs and Other Drugs from Outside Sources 855–041–6260
Investigational Drugs 855–041–6270
Labeling 855–041–6300
Absence of the Pharmacist 855–041–6305
Night Cabinet 855–041–6310
After Hours Access to Pharmacy 855–041–6400
Emergency Dispensing by a Nurse 855–041–6410
Emergency Department Distribution 855–041–6420
Emergency Kit and Code Cart 855–041–6500
Practitioner’s Drug Order 855–041–6510
In-patient Drug Profile 855–041–6520
Cart-Fill 855–041–6530
Robotic Distribution Systems 855–041–6540
Automated Distribution Cabinets 855–041–6550
Secondary and Remote Storage 855–041–6560
Floor-Stock 855–041–6570
Trays and Kits 855–041–6600
Controlled Drug Accountability 855–041–6610
Schedule II Drugs 855–041–6620
Electronic Safe Systems 855–041–6800
Supervision of Consulting Pharmacist 855–041–6840
Drug Distribution and Control from a Drug Room in a Hospital 855–041–7050
Definitions - Long Term Care Pharmacy 855–041–7060
Long Term Care Pharmacy - Drug Distribution and Control 855–041–7070
Long Term Care Pharmacy - Labeling and Distribution 855–041–7080
Pharmaceutical Care in Community Based Care Facilities 855–041–8050
Emergency Drug Supply in Home Health Care Agencies
Last Updated

Jun. 8, 2021

Rule 855-041-6200’s source at or​.us