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(1) procure, label, and maintain a sufficient quantity of drugs to meet patient needs at all times;

(2) inventory emergency drugs every 30 days and restock, as necessary;

(3) dispose of drugs that have been discontinued or have expired;

(4) dispose of scheduled drugs that have been discontinued or have expired which are listed in schedules I — V of the Federal Comprehensive Drug Abuse Prevention and Control Act of 1970 as amended, 21 U.S.C. 801 et seq.;

(5) assure that there is no more than one person on each shift who is performing the duties under 7 AAC 12.670(e), or is a physician, who has access to the pharmacy stock of drugs or controlled substances;

(6) assure that drugs, chemicals, and biologicals are properly labeled regarding their content and strength;

(7) if a consultant pharmacist, provide a written quarterly report to the administrator on the status of the pharmaceutical service; and

(8) document and evaluate medication errors to prevent reoccurrence and to ensure the accuracy and adequacy of the medication distribution system. (b) When a pharmacist dispenses drugs by written prescription, the prescription must be an original or a carbon copy of the original and must be kept on file in the pharmacy. A pharmacist may dispense drugs based on a written order by a person authorized by law to prescribe drugs. (c) A facility that dispenses drugs must have a pharmacy and therapeutics committee that is

(1) composed of

(A) a physician or the physician’s representative;

(B) a pharmacist or the pharmacist representative;

(C) a registered nurse or the registered nurse’s representative; and

(D) an administrator or the administrator’s representative; and

(2) responsible for the

(A) development and maintenance of a formulary of drugs;

(B) development and implementation of procedures for safe and effective control, storage, dispensing, and administration of medications; those procedures must ensure that