Virginia Regulatory Town Hall
 
Agency
Department of Health Professions
Board
Board of Pharmacy
 
chapter
Regulations Governing the Practice of Pharmacy [18 VAC 110 ‑ 20]
Guidance Documents
Chapter Information
Description Establishes qualifications for licensure for pharmacies and pharmacists, requirements for renewal of licensure, facilities standards, standards for practice of pharmacy.
State Authority Chapters 33 and 34 of Title 54.1
Federal Authority None entered
Text of Regulation Link to Virginia Administrative Code
Goals of Regulation 1) Achieve high ratings on Customer Service Satisfaction Survey for application process and renewal of licensure.
2) Reduce the number of deficiencies noted on facility inspections.
3) Review regulations for unnecessary barriers to new technology or reduction in pharmacist workloads which might improve error rates and consumer safety.
Meetings There are 1 future meetings that specifically target this chapter for discussion. See all meetings (69) relating to this chapter.

Contact Information
Name / Title: Caroline Juran, RPh  / Executive Director
Address: 9960 Mayland Drive
Suite 300
Richmond, VA 23233-1463
Email Address: caroline.juran@dhp.virginia.gov
Telephone: (804)367-4456    FAX: (804)527-4472    TDD: ()-
Current Actions
Action Title Latest Stage Status
Exclusion of private dwellings or residences from operating locations of controlled substance registrations (CSRs) NOIRA Secretary of Health and Human Resources review in progress.
Exemption of automated dispensing devices stocked solely with emergency or stat-use medications from certain requirements of 18VAC110-20-555 Final Secretary of Health and Human Resources review in progress.
Requirements for use of central fill pharmacy and remote database access Emergency/NOIRA Secretary of Health and Human Resources review in progress.
Allowance for centralized warehouser or wholesale distributor to verify Schedule VI drugs for automated dispensing devices in hospitals Final Secretary of Health and Human Resources review in progress.
Increase in fees Proposed Submitted to the Registrar and awaiting publication (12/30/2024).
Pharmacy working conditions Proposed Comment period is underway and will end on 01/17/2025.
Amendment to clarify application of 18VAC110-20-735 Fast-Track Secretary of Health and Human Resources review in progress.
Implementation of 2021 Periodic Review NOIRA Secretary of Health and Human Resources review in progress.
Prohibition against incentives to transfer prescriptions Final Governor's office review in progress.
December 2024 scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
-
September 2024 scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
-
Replacement of analytic lab regulation for pharmaceutical processors -
Accessible prescription labels
Action is Exempt from Article 2 of the Administrative Process Act
-
Removal of chemicals and drugs currently listed in both regulation and the Code of Virginia -
September 2024 scheduling action to conform to federal scheduling changes December 2023 to September 2024
Action is Exempt from Article 2 of the Administrative Process Act
-

Past Actions
Action Title Latest Stage Status
Conformity of Board scheduling to 2024 General Assembly legislation
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 10/23/2024.
Crisis Stabilization Services and Use of Automated Drug Dispensing Systems and Remote Dispensing Systems Emergency/NOIRA Stage complete. This regulation became effective on 08/12/2024 and expires on 02/11/2026.
Allowances for emergency drugs by EMS agencies Emergency/NOIRA Stage complete. This regulation became effective on 08/20/2024 and expires on 02/19/2026.
June 2024 scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 10/09/2024.
March 2024 scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 10/09/2024.
December 2023 scheduling for conformity with federal action
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 02/28/2024.
December 2023 scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 02/28/2024.
September 2023 scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 01/31/2024.
Implementation of HB2364/SB894 of the 2023 General Assembly regarding Scheduled drugs
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/08/2023.
June 2023 scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 09/27/2023.
March 2023 scheduling and de-scheduling of drugs and chemicals pursuant to federal scheduling actions July 7, 2022 - February 3, 2023
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 08/16/2023.
March 2023 scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 09/27/2023.
Implementation of 2021 legislation for pharmacists initiating treatment Final Stage complete. This regulation became effective on 11/08/2023.
December 2022 scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 04/12/2023.
September 2022 action conforming schedules to federal scheduling actions 2021 – July 6, 2022
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 02/01/2023.
September 2022 scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 02/01/2023.
Implementation of HB193/SB759 regarding Scheduled drugs
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/23/2022.
Implementation of legislation for pharmacists initiating treatment Final Stage complete. This regulation became effective on 12/21/2022.
June 2022 scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 09/14/2022.
Implementation of 2020 legislation for registration of pharmacy technicians Final Stage complete. This regulation became effective on 12/21/2022.
Use of medication carousels and RFID technology Final Stage complete. This regulation became effective on 12/07/2022.
Scheduling chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 02/16/2022.
Scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 09/15/2021.
Scheduling of chemical in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 06/23/2021.
De-scheduling of drug to conform to DEA
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 02/17/2021.
Scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 03/03/2021.
Scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/25/2020.
Reporting of immunizations to VIIS Emergency Stage complete. Emergency regulation expired on 03/21/2022.
Handling fee Fast-Track Stage complete. This regulation became effective on 03/18/2021.
Scheduling for conformity to DEA scheduling
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 08/05/2020.
Placement of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 08/05/2020.
Brown bagging and white bagging Final Stage complete. This regulation became effective on 06/09/2021.
Increase in fees Final Stage complete. This regulation became effective on 10/14/2020.
Scheduling of chemicals
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 12/11/2019.
Periodic review result of Chapters 20 and 50; Promulgation of Chapters 15 and 21 Final Stage complete. This regulation became effective on 12/11/2019.
Scheduling chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 06/26/2019.
Scheduling chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 04/03/2019.
Amending definition of "cold" Fast-Track Stage complete. This regulation became effective on 07/25/2019.
Requirement for applicants and licensees to have an e-profile ID number Final Stage complete. This regulation became effective on 06/26/2019.
Requirement for pharmacy to be operational within 90 days Fast-Track Stage complete. This regulation became effective on 08/22/2019.
Scheduling of drug in Schedule V
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 02/06/2019.
Placement of chemical in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/28/2018.
Controlled substances registration for naloxone and teleprescribing Final Stage complete. This regulation became effective on 01/23/2019.
Scheduling of drugs or chemicals
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 09/05/2018.
Placement of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 06/13/2018.
Chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 02/21/2018.
Response to petitions for rulemaking Final Stage complete. This regulation became effective on 10/31/2018.
Chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 12/13/2017.
Scheduling of chemicals
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 10/04/2017.
Partial fill of Schedule II drugs Fast-Track Stage complete. This regulation became effective on 09/07/2017.
Drug destruction in correctional facilities Fast-Track Stage complete. This regulation became effective on 09/07/2017.
Outsourcing facilities Final Stage complete. This regulation became effective on 06/28/2017.
Scheduling of chemicals
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 06/14/2017.
CE credit for volunteer practice Fast-Track Stage complete. This regulation became effective on 05/05/2017.
Scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 02/22/2017.
Schedling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/16/2016.
Registration of non-resident medical equipment suppliers
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/16/2016.
Addressing hours of continuous work by pharmacists Final Stage complete. This regulation became effective on 02/08/2017.
Scheduling of chemicals
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 09/07/2016.
Inclusion of diazepam rectal gel in emergency kits Fast-Track Stage complete. This regulation became effective on 08/11/2016.
Scheduling of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 06/15/2016.
Repackaging at PACE sites Fast-Track Stage complete. This regulation became effective on 04/21/2016.
Collection sites for disposal of unused drugs Fast-Track Stage complete. This regulation became effective on 03/24/2016.
Scheduling of chemicals
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 12/02/2015.
Placement of chemicals in Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 08/12/2015.
Correction of error
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 06/17/2015.
Placement of specified chemical compounds into Schedule I
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 02/11/2015.
Administrative fees for duplicate licenses and verification Final Stage complete. This regulation became effective on 07/01/2015.
Drugs and emergency medical services agencies Fast-Track Stage complete. This regulation became effective on 07/16/2015.
Nonresident pharmacy renewal date and access by suspended pharmacists to prescription department Fast-Track Stage complete. This regulation became effective on 07/16/2015.
Continuous quality improvement programs Final Stage complete. This regulation became effective on 12/31/2014.
Maintaining floor stock of certain drugs onsite at correctional facilities Fast-Track Stage complete. This regulation became effective on 07/16/2015.
Less restrictive and burdensome record-keeping for on-hold prescriptions Final Stage complete. This regulation became effective on 02/12/2014.
Modifications to requirements for automated dispensing devices for less burdensome process Final Stage complete. This regulation became effective on 02/12/2014.
Administration of drugs by emergency medical services personnel
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 09/25/2013.
Regulatory reform changes Fast-Track Stage complete. This regulation became effective on 09/26/2013.
Change to run-dry requirement for automated counting devices Fast-Track Stage complete. This regulation became effective on 08/02/2013.
Repackaging in CSB's and BHA's Final Stage complete. This regulation became effective on 08/15/2012.
Elimination of alarm system for certain EMS agencies Fast-Track Stage complete. This regulation became effective on 12/22/2011.
Conformity to DEA rules
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 08/04/2010.
Correction of regulation cite and conformity to Code
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 08/04/2010.
Signing of automated dispensing devices in hospitals Fast-Track Stage complete. This regulation became effective on 03/17/2011.
Drug donation program Final Stage complete. This regulation became effective on 11/10/2010.
Standards of conduct Final Stage complete. This regulation became effective on 03/17/2010.
Changes in renewal dates for pharmacies and permitted facilities Final Stage complete. This regulation became effective on 12/23/2009.
Stat-drug boxes in long-term care facilities Fast-Track Stage complete. This regulation became effective on 01/07/2010.
Correction of regulation cite and conformity to Code
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 10/28/2009.
One-time reduction in renewal fees
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 10/28/2009.
Address of record/public address
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 07/01/2009.
Periodic review Final Stage complete. This regulation became effective on 09/02/2009.
Registration of restricted volunteer licensees
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 08/06/2008.
Changes to nuclear pharmacy rules Fast-Track Stage complete. This regulation became effective on 12/11/2008.
Correction of Code cite
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 05/14/2008.
CH 0020 Conformity to compounding law
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 01/23/2008.
Correction of Code cite
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 05/30/2007.
Change in state agency name
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/29/2006.
One-time fee reduction
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/29/2006.
One-time fee reduction
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/29/2006.
Oversight of wholesale distributors Final Stage complete. This regulation became effective on 09/06/2006.
Returned check fee
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 05/03/2006.
Elimination of alarm for alternate delivery sites Fast-Track Stage complete. This regulation became effective on 09/10/2006.
Acceptance of TOEFL iBT Fast-Track Stage complete. This regulation became effective on 10/23/2006.
Fee reduction
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 11/02/2005.
Limitation on refills of Schedule VI drugs Final Stage complete. This regulation became effective on 01/11/2006.
Offsite data entry and DUR for prescriptions Final Stage complete. This regulation became effective on 09/07/2005.
Delegation to an agency subordinate Final Stage complete. This regulation became effective on 05/04/2005.
Exclusion from inventory for state lab – Change in law
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 07/01/2004.
Regulatory review Final Stage complete. This regulation became effective on 08/25/2004.
Repeal of Virginia Formulary
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 07/02/2003.
Changes in pharmacy practice; drugs to indigent patients Final Stage complete. This regulation became effective on 07/16/2003.
Voluntary practice by out-of-state pharmacists Final Stage complete. This regulation became effective on 07/02/2003.
Registration of pharmacy technicians Final Stage complete. This regulation became effective on 02/26/2003.
Increase in fees Final Stage complete. This regulation became effective on 12/04/2002.
Code cite
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 03/27/2002.
Pilot projects Final Stage complete. This regulation became effective on 03/27/2002.
Use of robot technology in hospital pharmacies Final Stage complete. This regulation became effective on 01/17/2001.
Conformity to changes in law
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 08/02/2000.
Pharmacy closings and controlled substance registration for mid-level providers Final Stage complete. This regulation became effective on 10/13/1999.
Automated dispensing devices
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage complete. This regulation became effective on 08/04/1999.

Withdrawn Actions
Action Title Latest Stage Status
Exclusion of private dwellings or residences from operating locations of controlled substance registrations
Deletion of scheduling of certain chemicals now scheduled in Schedule I in the Code
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage withdrawn on 11/18/2021 before Attorney General's office completed its review.
Delivery of dispensed prescriptions; labeling Proposed Stage withdrawn on 09/11/2020 after the comment period had ended.
Definition of electronic prescription
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage withdrawn on 10/31/2017 prior to submitting for AG review.
Compounding requiremenst
Action is Exempt from Article 2 of the Administrative Process Act
Final Stage withdrawn on 11/30/2007 after submission to the Registrar.
Conformity to compounding law
Increase in fees NOIRA Stage withdrawn on 04/14/2000 after the comment period had ended.

Periodic Reviews
Last Activity Status
1/17/2022 Agency Completed Amend
11/3/2015 Agency Completed Amend
10/16/2012 Agency Completed Amend
9/5/2007 Agency Completed Amend
9/1/2001 Agency Completed Amend