<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".06" citation="COMAR 10.34.22.06" title_num="10" subtitle_num="34" chapter_num="22" heading="Minimum Requirements for the Storage and Handling of Prescription Drugs or Devices.">
  <paragraph num="A.">
    <text>Facilities. Facilities at which prescription drugs or devices are stored, warehoused, handled, held, offered, marketed, or displayed shall:</text>
    <paragraph num="(1)">
      <text>Be of suitable size and construction to facilitate:</text>
      <paragraph num="(a)">
        <text>Cleaning;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Maintenance; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Proper operations;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Have storage areas designed to provide adequate:</text>
      <paragraph num="(a)">
        <text>Equipment;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Humidity control;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Lighting;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>Sanitation;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Security conditions;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Space;</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Temperature; and</text>
      </paragraph>
      <paragraph num="(h)">
        <text>Ventilation;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>Have a quarantine area for storage of prescription drugs or devices that are:</text>
      <paragraph num="(a)">
        <text>Adulterated;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Damaged;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Deteriorated;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>In immediate or sealed secondary containers that have been opened;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Misbranded; or</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Outdated;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Be maintained in a clean and orderly condition; and</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Be free from infestation by insects, rodents, birds, or vermin.</text>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Security. A facility:</text>
    <paragraph num="(1)">
      <text>Used for wholesale distribution shall be secure from unauthorized entry as follows:</text>
      <paragraph num="(a)">
        <text>Access from outside the premises shall be:</text>
        <paragraph num="(i)">
          <text>Kept to a minimum; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Well controlled;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>The outside perimeter of the premises shall be well lit; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Entry into areas where prescription drugs or devices are held shall be limited to authorized personnel;</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>Shall be equipped with:</text>
      <paragraph num="(a)">
        <text>An alarm system to detect entry after hours;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>A security system that provides protection against theft and diversion;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Appropriate software to facilitate the identification of evidence of tampering with computers or electronic records;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>An inventory management and control system that protects against, detects, and documents any instances of theft, diversion, or counterfeiting;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>A security system to protect the integrity and confidentiality of data and documents;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Video monitoring of all entrances and exits, or alternate acceptable security; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>A means to make the data and documentation required under this section readily available to the Board, an agent of the Board, or federal and other State law enforcement officials.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Storage.</text>
    <paragraph num="(1)">
      <text>A wholesale distributor shall store a prescription drug or device at appropriate temperatures and under appropriate conditions in accordance with requirements:</text>
      <paragraph num="(a)">
        <text>If any, of the labeling of the drug or device; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Set forth in the current edition of an official compendium, such as the United States Pharmacopeia/National Formulary (USP/NF), under 21 CFR §205.50(c), as amended.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>If no storage requirements are established for a prescription drug or device, the drug or device shall be held at a controlled room temperature, as defined in an official compendium as set forth in §C(1)(b) of this regulation to help assure that its identity, strength, quality, and purity are not adversely affected.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A wholesale distributor shall use appropriate manual, electromechanical, or electronic temperature and humidity recording equipment, devices, and logs to document proper storage of prescription drugs or devices.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>A wholesale distributor shall follow the record-keeping requirements in Regulation .07 of this chapter for stored prescription drugs or devices.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Examination of Materials.</text>
    <paragraph num="(1)">
      <text>Upon receipt, a wholesale distributor shall visually examine each outside shipping container for identity and to prevent the acceptance of:</text>
      <paragraph num="(a)">
        <text>Contaminated prescription drugs or devices; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Prescription drugs or devices that are otherwise unfit for distribution.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>The examination required under §D(1) of this regulation shall be adequate to reveal container damage that would suggest possible contamination or other damage to the contents.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>A wholesale distributor shall carefully inspect each outgoing shipment:</text>
      <paragraph num="(a)">
        <text>For identity of the prescription drug or device product; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>To ensure that there is no delivery of a prescription drug or device that has been damaged in storage or held under improper conditions.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>A wholesale distributor shall follow the record-keeping requirements in Regulation .07 of this chapter for incoming and outgoing prescription drugs or devices.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Returned, Damaged, and Outdated Prescription Drugs or Devices.</text>
    <paragraph num="(1)">
      <text>A wholesale distributor shall quarantine and physically separate prescription drugs or devices that are outdated, damaged, deteriorated, misbranded, or adulterated from other prescription drugs or devices until the quarantined and separated drugs or devices are destroyed or returned to their supplier for proper disposal.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The wholesale distributor shall identify, mark, quarantine, and physically separate from other prescription drugs or devices those prescription drugs or devices whose immediate or sealed outer or sealed secondary containers have been opened or used, until the drugs or devices are either destroyed or returned to their supplier for proper disposal.</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Prescription Drugs.</text>
      <paragraph num="(a)">
        <text>If the conditions under which a prescription drug has been returned cast doubt on the prescription drug's safety, identity, strength, quality, or purity, then the wholesale distributor shall destroy or return the prescription drug to the supplier, unless examination, testing, or other investigation proves that the prescription drug meets appropriate standards of safety, identity, strength, quality, and purity.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>In determining whether the conditions under which a prescription drug has been returned cast doubt on the prescription drug's safety, identity, strength, quality, or purity, the wholesale distributor shall consider, at a minimum, the:</text>
        <paragraph num="(i)">
          <text>Conditions under which the prescription drug has been held, stored, or shipped before or during its return; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Condition of the prescription drug and its container, carton, or labeling, as a result of storage or shipping.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(4)">
      <text>Prescription Devices.</text>
      <paragraph num="(a)">
        <text>If the conditions under which a prescription device has been returned cast doubt on the prescription device's safety, identity, or quality, then the wholesale distributor shall destroy or return the prescription device to the supplier, unless examination, testing, or other investigation proves that the prescription device meets appropriate standards of safety, identity, strength, and quality.</text>
      </paragraph>
      <paragraph num="(b)">
        <text>In determining whether the conditions under which a prescription device has been returned cast doubt on the prescription device's safety, identity, or quality, the wholesale distributor shall consider, among other things, the:</text>
        <paragraph num="(i)">
          <text>Conditions under which the prescription device has been held, stored, or shipped before or during its return; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Condition of the prescription device and its container, carton, or labeling, as a result of storage or shipping.</text>
        </paragraph>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>A wholesale distributor shall follow the record-keeping requirements in Regulation .07 of this chapter for outdated, damaged, deteriorated, misbranded, or adulterated prescription drugs or devices.</text>
    </paragraph>
  </paragraph>
</regulation>