A licensed pharmacy may provide drugs as defined in SDCL 36-11-2.1 to a hospital or medical clinic for dispensing to patients when access to a pharmacy is limited. The pharmacy providing the medications retains ownership of the medications until dispensed to the patient and shall ensure proper storage and recordkeeping. For medications to be maintained off-site in a hospital or medical clinic, State Board of Pharmacy approval must be granted.

1. (1) Address of the hospital or clinic;
2. (2) Drug list and drug quantities;
3. (3) Drugs be kept in a locked cabinet with access only by authorized licensed healthcare professionals;
4. (4) Prior to dispensing a medication, there must be a drug order in the patient's record, and a copy of the drug order or prescription is sent to the pharmacy;
5. (5) Dispensing at the hospital or medical clinic must be done by the prescriber, or, if the label is prepared by a nurse, the label must otherwise comply with § 20:51:05:21 and the precriber must verify the drug and the directions prior to dispensing;
6. (6) A written information sheet must be provided to the patient at time of dispensing for each drug;
7. (7) Inventory of all drugs stored off-site must include a record of each time a drug is dispensed from the supply; and
8. (8) Pharmacy staff must conduct an on-site inspection at the off-site location at least every ninety days. The inspection must verify inventory of drugs, expiration dates, proper storage conditions, and review of applicable policies and procedures with authorized hospital or medical clinic staff. Documentation of the inspection must be stored at the licensed pharmacy and retained for two years.

To receive board approval, the pharmacist-in-charge must submit documenation that includes the following requirements:

Source: 52 SDR 27, effective September 15, 2025 .

General Authority: SDCL 36-11-11 (1)(3).

Law Implemented: SDCL 36-11-2.2 , 36-11-14 .