1. (a) All controlled substances no longer usable because of deterioration or expired dating or that are unwanted:

   1. (1) Shall be delivered in person, by registered mail, or by another means of shipment to allow for tracking from shipping point to destination with return receipt to Pharmacy Services and Drug Control Section, Department of Health, 4815 West Markham, Slot 25, Little Rock, Arkansas 72205-3867, accompanied by all completed copies of Report of Drugs Surrendered, Form PhA:DC-1, furnished by the Department of Health; or
   2. (2) May be destroyed onsite only by authorized agents of the department.
2. (b) Each controlled substance item submitted for destruction by LTCFs or related facilities shall be submitted at least quarterly and each time there is a change in the licensed person responsible for discontinued or unwanted controlled substances and identified in such a manner to determine the exact location in the facility where it was last recorded in an accountability record to determine what person or persons had access to or administered such controlled substances during the time they were in inventory in the facility.

3. (c)

   1. (1) In LTCFs, all unwanted or discontinued controlled substances shall be entered on the Report of Drugs Surrendered, Form PhA:DC-1, at the time of transfer to the secured storage area.
   2. (2) Form PhA:DC-1 requires the signature of two (2) licensed persons verifying this transfer.
   3. (3) Form PhA:DC-1 shall be securely and separately stored apart from all unwanted or discontinued controlled substances.
   4. (4) Accountability of discontinued controlled substances rests with the licensed person receiving the discontinued controlled substances until they are submitted to Pharmacy Services and Drug Control Section for destruction.

4. (d)

   1. (1) Non-Drug Enforcement Administration-registered licensed healthcare facilities shall develop policies and procedures to ensure that complete accountability is maintained on all controlled substances.
   2. (2) Policies and procedures shall include specific licensed personnel responsible for unwanted or out-of-date controlled substances removed from use in the facility.

Codification Notes: “LTCF” means long-term care facility.