PharmacyNonprofit Or Free Clinics
Section § 4180
This law allows certain types of clinics, like nonprofit community clinics and student health centers, to buy and use drugs for their patients under the supervision of a doctor. The clinics must keep a clear record of what drugs they buy and use, and these records need to be kept for at least three years for inspection. Each clinic must have its own license to do this and must inform the board if they change addresses. The board can also coordinate license renewal dates and fees for multiple clinics owned by the same nonprofit organization.
Section § 4181
Before a clinic gets its license, it must follow all health department rules for distributing drugs, ensuring safety in storage, handling, and dispensing, as well as having proper training and protocols. These guidelines must be set by key clinic staff, including a pharmacist and the admin. Only certain qualified professionals like doctors or pharmacists are allowed to give out medications, following all relevant laws.
Section § 4182
If a clinic wants a pharmacy license, it must prove that a professional director oversees safe and legal pharmacy services. A consulting pharmacist must be hired to help develop policies and visit the clinic at least every three months. The pharmacist writes a quarterly report to confirm if the clinic follows the rules, and these reports are kept for three years. Professional directors can be doctors, dentists, or podiatrists, depending on the clinic's services. Any change in the clinic's director must be reported to the board within 30 days.
Section § 4183
This law states that clinics that provide drugs under this specific article are not allowed to receive any professional dispensing fees from the Medi-Cal program.
Section § 4184
This law section outlines rules for clinics in California regarding the dispensing of Schedule II narcotic drugs. Generally, these drugs can't be given out by clinics, but there are exceptions if a clinic is registered and the drug is provided to alleviate acute withdrawal symptoms while arranging further treatment. Dispensers, who must be authorized professionals like doctors or pharmacists, have to follow strict rules and record-keeping requirements, including using childproof containers. The law also stresses the need for clinics to have policies ensuring patient safety, evaluating patients for opioid use disorder treatment, and connecting them to ongoing care. Clinics must ensure safe and secure drug storage to prevent misuse or loss.
Section § 4185
The board is allowed to check a clinic whenever they want to make sure it's following the rules laid out in this specific article.
Section § 4186
This law explains how clinics in California can use automated drug delivery systems to store and dispense medications safely and effectively. Clinics must have written procedures to ensure the accuracy, security, and confidentiality of the drugs. A pharmacist must authorize any drug removals and stock the system. Monthly inspections by a pharmacist are required to check for cleanliness, proper operation, and to review transaction records. The system must allow patients to have consultations with a pharmacist via audio and video. Drugs dispensed must follow specific labeling rules, and the pharmacist operating the system must be located in California. This law took effect on July 1, 2019.