(1) A medical assistance facility must have pharmaceutical services that meet the needs of the patients and comply with the following standards:

(a) The facility must have either a pharmacy directed by a registered pharmacist or a drug storage area under the supervision of a consulting pharmacist who must develop, supervise, and coordinate all the pharmacy services activities.

(b) The pharmacy or drug storage area must be administered in accordance with accepted professional principles.

(c) When a pharmacist is not available, drugs and biological may be removed from the pharmacy or storage area only by personnel designated in writing in medical staff and pharmaceutical services policies, in accordance with federal and state law.

(d) All compounding, packaging, and dispensing of drugs and biologicals must be under the supervision of a pharmacist and performed in a manner consistent with federal and state law.

(e) Drugs and biologicals must be kept in a locked storage area.

(f) Outdated, mislabeled, or otherwise unusable drugs and biologicals must be removed from the facility and destroyed; and

(g) Drug administration errors, adverse drug reactions, and incompatibilities must be immediately reported to the attending practitioner.