10.34.16.02

.02 Requirements for Prescription Protocol.

Before distributing a portable drug kit, the pharmacist shall ensure that the prescription protocol includes:

A. The name, strength, and quantity of a drug to be included in the portable drug kit;

B. The name of the receiving agency or designated agent;

C. The directions for use;

D. Conditions for use;

E. Contraindications for use; and

F. The signature, printed name, and telephone number of the physician authorizing the kit.