1. (a) Each of the following terms, as used in this regulation, shall have the meaning specified in this subsection:

   1. (1) "Facility" means any of the following:

      1. (A) Crisis intervention centers, as defined in K.S.A. 39-2002, and amendments thereto;
      2. (B) Long-term care facility, as defined in K.A.R. 68-9-3; and
      3. (C) Psychiatric hospital, as defined in K.S.A. 39-2002, and amendments thereto.
   2. (2) "Out-of-house pharmacy" means a pharmacy providing services to a facility at a different location.
2. (b) Each out-of-house pharmacy shall create and implement policies and procedures for dispensing drugs to the residents of a facility.

3. (c) Drugs and devices dispensed to the resident of a facility shall be:

   1. (1) Provided within a time period that meets the needs of the patient, considering the following factors:

      1. (A) the need for the drug as an emergency;
      2. (B) the availability of the drug; and
      3. (C) the stability of the drug.
   2. (2) delivered safely to a designee of the facility;
   3. (3) packaged in a unit-dose container or blister package unless the drug manufacturer specifies a different type of packaging. The packaging shall meet the requirements of K.A.R. 68-7-15 and 68-7-16; and

   4. (4) filled or refilled pursuant to the original prescription or medication order, or a copy thereof.

      1. (A) Each medication order shall expire either pursuant to the facility's stop order policy, pursuant to the prescriber's order, or after one year, whichever is less.
      2. (B) Each medication order received from the facility shall be dispensed as a prescription order and shall meet the requirements of subsections (a)(1)(A) through (a)(1)(E), (a)(1)(G), and (a)(1)(H) of K.A.R. 68-2-25, except as outlined in subsection (c)(4)(C).
      3. (C) Controlled substances shall only be dispensed pursuant to a prescription received from a prescriber.
4. (d) No out-of-house pharmacy providing services to a facility shall package medication for another pharmacy unless shared services are utilized.
5. (e) No out-of-house pharmacy shall change the packaging of a medication dispensed by another pharmacy.
6. (f) Dispensed controlled substances shall not be returned to the pharmacy.
7. (g) Dispensed drugs returned to the pharmacy shall not be redispensed if the drugs were removed from the packaging at the facility or comingled with other drugs.

(Authorized by K.S.A. 65-1630; implementing K.S.A. 2024 Supp. 65-1637 and K.S.A. 65-1642; effective Aug. 29, 2025.)