657—11.32(124,147A,155A)  Disposition of controlled substances. Disposition of controlled substances shall be pursuant to the requirements of this rule, rule 657—11.29(124,147A,155A), 657—Chapter 10, and federal regulations. Records shall be maintained at the primary program site and, if the service program is pharmacy-based, records shall be maintained at the pharmacy.
	11.32(1) Outdated, adulterated, or unwanted supply. Controlled substances shall not be destroyed except as provided in subrule 11.32(2). Any drug that requires disposition shall be quarantined until the drug can be returned to the responsible individual. The responsible individual shall ensure the proper disposition of controlled substances according to the following procedures:
	a. 	The responsible individual shall utilize the services of a DEA-registered and Iowa-licensed disposal firm (reverse distributor), or
	b. 	The responsible individual shall utilize such other means determined and approved by the board.
	11.32(2) Administration wastage. Except as otherwise specifically provided by federal or state law or rules of the board, the unused portion of a controlled substance resulting from administration to a patient may be destroyed or otherwise disposed of by the administering service program personnel, the medical director, or a pharmacist. Any wastage of a controlled substance shall be conducted in the presence of a responsible adult witness who is an authorized service program employee, a member of the professional or technician pharmacy staff, or a licensed health care professional. A written or electronic record of controlled substance wastage shall be created and maintained at the primary program site and, if the service program is pharmacy-based, at the pharmacy, for a minimum of two years following the disposition. The record shall include the signatures or other unique identification of the witness and of the individual destroying or otherwise disposing of the wastage of the controlled substance and shall identify the following:
	a. 	The controlled substance wasted;
	b. 	The date of destruction or other disposition;
	c. 	The quantity or estimated quantity of the wasted controlled substance;
	d. 	The source of the controlled substance, including identification of the patient to whom the substance was administered; and
	e. 	If either individual involved in the wastage is not identified in the service program identification log, the legibly printed first and last names and title of the individual.
[ARC 9786B, IAB 10/5/11, effective 11/9/11; ARC 3101C, IAB 6/7/17, effective 7/12/17]