(1) The facility must have written policy, procedure and practice approved by the department which provide for the proper management of pharmaceuticals and address the following subjects:

(a) a formulary developed for the facility;

(b) prescription practices, including requirements that:

(i) psychotropic medications are prescribed only when clinically indicated as one facet of a program of therapy;

(ii) "stop order" time periods are required for all medications; and

(iii) the prescribing provider reevaluates a prescription prior to its renewal;

(c) procedures for medication receipt, storage, dispensing and administration or distribution;

(d) maximum security storage and periodic inventory of all controlled substances, syringes and needles;

(e) dispensing of medicine in conformance with appropriate federal and state law;

(f) administration of medication by persons properly trained and under the supervision of the health authority and facility administrator or designee; and

(g) accountability for administering or distributing medications in a timely manner, according to physician orders.