321—24.30 (231D) Medications.
	 24.30(1) Each program shall have a written medication policy that includes the following:
	  a.   	 Participants shall self-administer medications unless:
	 (1) 	 The prescription states that the participant is not to self-administer the medication; or
	 (2) 	 The participant or, if applicable, the legal representative, delegates administration to the program by contractual agreement or signed service plan. The program shall not prohibit a participant from self-administering medications.
	  b.   	 Participants shall keep their own medications in their possession unless:
	 (1) 	 The prescription states that the medication is to be stored by the program; or
	 (2) 	 The participant or, if applicable, the legal representative delegates partial or complete control of medications to the program by contractual agreement or signed service plan.
	  c.   	 The program shall list in the participant’s record any medications to be stored or administered by the program.
	  d.   	 When partial or complete control of medication is delegated to the program by the participant, appropriate staff may transfer medication from the original prescription containers into medication reminder boxes or medication cups in the participant’s presence.
	 24.30(2) When the medications are administered or stored by the program, the following requirements shall apply:
	  a.   	 The administration of medications shall be provided by an Iowa-licensed registered nurse or advanced registered nurse practitioner registered in Iowa or the authorized agent in accordance with 655—subrule 6.2(5) and 655—subrule 6.3(1) and Iowa Code chapter 155A.
	  b.   	 The program shall document any medication the program has agreed to administer or store.
	  c.   	 The medications shall be kept in a locked place or container that is not accessible to persons other than employees responsible for the administration or storage of such medications.
	  d.   	 The medications shall be labeled and maintained in compliance with label instructions and state and federal laws.
	  e.   	 No person other than the dispensing pharmacist shall alter a prescription label.
	  f.   	 The program shall follow a written policy that complies with federal and state codes and administrative rules regarding controlled substances.
	  g.   	 The program shall follow written policies and procedures for narcotic medications in accordance with Iowa Code chapter 155A.