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Subpart 1.


The pharmacist-in-charge, regardless of title or designation, shall be a pharmacist licensed in this state.

Subp. 2.

On-site pharmacies.

A pharmacist providing pharmaceutical services to a hospital maintaining an on-site pharmacy shall be engaged by the hospital and shall provide at least part-time, five-day-per-week services.

Subp. 3.

Drug room.

A pharmacist providing pharmaceutical services from off-site to a hospital maintaining a drug room shall schedule on-premises visits on at least a weekly basis.

Subp. 4.


The responsibilities and duties of the hospital pharmacist-in-charge include at least the following specific duties in addition to the duties of the pharmacist-in-charge found in part 6800.2400:


the procurement, identification, security, storage, and distribution of all drugs, as well as the disposition of drugs whose effectiveness has expired or which, for other reasons, are deemed no longer usable;


the development, implementation, coordination, supervision, and review of pharmaceutical services in the hospital and policies related thereto;


the supervision of the preparation and sterilization of parenteral drugs in the hospital;


the supervision of bulk compounding of pharmaceuticals;


the establishment of specifications for procurement of drugs and chemicals for direct patient use;


the development of a hospital formulary system;


the dispensing of drugs and chemicals for direct patient use;


the maintaining of a stock of antidotes and emergency drugs in the hospital;


the maintaining of pharmaceutical service records; and


cooperating in the teaching and research programs of the hospital.

Subp. 5.

Span of control.

The pharmacist's span of supervision shall extend to all areas of the hospital where drugs are stored. No less than every month inspections of these areas shall be conducted and substantiated by records so as to verify at least proper drug storage, documentation of distribution and administration of controlled substances, absence of outdated drugs, and the integrity of the required emergency drug supply.

Subp. 6.

[Repealed, 18 SR 1145]

Statutory Authority:

MS s 151.06; 152.02


17 SR 1279; 18 SR 1145; 31 SR 1673

Published Electronically:

September 21, 2011

Official Publication of the State of Minnesota
Revisor of Statutes