§ 113.25. Drug distribution systems.
(a) The pharmacy and therapeutics committee or its equivalent shall develop written policies and procedures pertaining to the intra-hospital drug distribution system. In developing such policies, the committee shall utilize, as necessary, representatives of other disciplines within the hospital.
(b) The label of each patient’s individual medication container shall bear all information required by section 8 of the Controlled Substance, Drug, Device and Cosmetic Act (35 P. S. § 780.108), 49 Pa. Code § 27.18(d) (relating to standards of practice) and § 25.18 (relating to packaging and labeling).
(c) The pharmacist, with the advice and guidance of the pharmacy and therapeutics committee, or its equivalent, shall be responsible for specifications as to quality, quantity, and source of supplies of all drugs.
(d) There shall be a formulary or list of drugs accepted for use in the hospital which shall be developed and amended at regular intervals by the pharmacist and the appropriate committee. Drugs included in the Pennsylvania Generic Drug Formulary shall be considered for inclusion in the hospital’s formulary.
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