Virginia Regulatory Town Hall
Department of Health Professions
Board of Pharmacy
Regulations Governing the Practice of Pharmacy [18 VAC 110 ‑ 20]
Drugs and emergency medical services agencies
Action 4216
General Information
Action Summary Amendments to section 500 of Regulations Governing the Practice of Pharmacy are proposed to establish consistent standards for the security, safety and records of drugs dispensed by a hospital pharmacy to an EMS provider for administration to patients in emergency situations. Amendments include specificity about the content of the records for the kit containing drugs and devices and about which practitioners may reconcile contents to the administration record or witness destruction of drugs. An amendment will authorize the PIC of a hospital pharmacy to allow the exchange of the kit in the emergency department in order to relieve the EMS crew from having to take the kit to the hospital pharmacy for exchange. The most substantive change is authorization for a one-to-one exchange of Schedule VI drugs or devices. Rather than replacement of the entire kit, the amended regulation will allow EMS providers to replace those drugs or devices directly from drug stock in the emergency department or from an automated drug dispensing device.
Chapters Affected Only affects this chapter.
Executive Branch Review This action will go through the normal Executive Branch Review process.
RIS Project Yes  [003870]
New Periodic Review This action will not be used to conduct a new periodic review.
Stages associated with this regulatory action.
Stage ID Stage Type Status
7012 Fast-Track Stage complete. This regulation became effective on 07/16/2015.
Contact Information
Name / Title: Caroline Juran, RPh  / Executive Director
Address: 9960 Mayland Drive
Suite 300
Richmond, VA 23233-1463
Email Address:
Phone: (804)367-4456    FAX: (804)527-4472    TDD: ()-

This person is the primary contact for this chapter.