The following requirements apply when operating a remote pharmacy:

1. (1) The remote pharmacy may only be open if a computer link, video link, and audio link with the central pharmacy are functioning properly. If any link is not functioning properly, the remote pharmacy must be closed unless a pharmacist is working at the remote pharmacy;
2. (2) No remote pharmacy may be open when the central pharmacy is closed, unless a pharmacist is working at the remote pharmacy;
3. (3) Any prescription filled at the remote pharmacy must be profiled, reviewed, and interpreted by a pharmacist at the central pharmacy before the prescription is dispensed;
4. (4) Any remotely dispensed prescriptions must have a label properly prepared in accordance with § 20:51:05:21 attached to the final drug container before the pharmacist verifies the dispensing process. This prescription verification process must be done in real time. All prescription verification must be documented in the computer record. The computer must be capable of carrying the initials of the registered pharmacy technician preparing the prescription and the pharmacist verifying the prescription. Verification is required for both new prescriptions and refills;
5. (5) When the patient receives a prescription, the pharmacist must use audiovisual communication to counsel the patient regarding use of the prescription being dispensed. Counseling is required only for new prescriptions. The pharmacist must meet the counseling standards in accordance with § 20:51:25:04; and
6. (6) The remote pharmacy must maintain a log, signed by the patient, that documents a patient's refusal for counseling by the pharmacist.

Source: 35 SDR 183, effective February 2, 2009 ; 52 SDR 27, effective September 15, 2025 .

General Authority: SDCL 36-11-11 (1), 36-11-72 (2),(3),(4),(5).

Law Implemented: SDCL 36-11- 2 ( 2 2), 36-11-2 .2, 36-11-71 .

Prior versions effective: 2009-02-02.