Rules & Regulations of the State of Tennessee Title 1140 - Pharmacy
Here’s an overview of Title 1140 – Pharmacy (Rules & Regulations of Tennessee), current through March 23, 2025:
📚 Overview of Chapters
1140‑01 Introductory Rules
Contains definitions, licensing requirements for pharmacists, technicians, and pharmacies, renewal procedures, fees, controlled substance registration, sterile product registration, and security standards (regulations.justia.com, tnpharm.org).
1140‑02 Professional Conduct & Responsibilities
Outlines ethical duties: prioritize patient safety, dispense quality medications, maintain professional knowledge, avoid unethical conduct or self-dealing (regulations.justia.com, law.cornell.edu).
1140‑03 Standards of Practice
Covers record-keeping for patient profiles, prescription order protocols (e.g., written/verbal orders), and patient safety practices (regulations.justia.com).
1140‑04 to 1140‑17
Regulate specialized practices such as institutional/infusion pharmacy sites, continuing education, nuclear pharmacies, compounding, penalties, manufacturing, controlled substances monitoring, long-term care pharmacies, hormonal contraceptive dispensing, third-party logistics, etc. (regulations.justia.com).
Example Highlights
Licensing & Fees (1140‑01‑.10)
Pharmacist application: $50 + exam cost
Pharmacist registration/renewal: $125 biennially
Technician registration: $55; renewal: $75
Pharmacy site registration: $300 biennially
Manufacturers/distributors fee: $525 biennially (regulations.justia.com, law.cornell.edu)
Pharmacy Site Requirements (1140‑01‑.13)
Must maintain clean, secure, well-lit premises.
Remodeled/new pharmacies require consultation area (enforced since July 1998/Jan 2000).
Prescription department must be ≥180 sq ft, have hot/cold water, refrigeration, secure barriers, and controlled access by authorized personnel only (regulations.justia.com, law.cornell.edu).
Professional Conduct (1140‑02‑.01)
Pharmacists must deliver only quality medications, uphold knowledge, follow laws, avoid disrepute and unethical practices (law.cornell.edu).
Standards of Practice (1140‑03)
Maintain patient record systems.
Written prescriptions must be signed; verbal orders must be promptly documented in writing (casetext.com, casetext.com).
Additional Points
Pharmacist‑Technician Ratio
Tennessee allows up to 1 pharmacist per 2 technicians, increasing to 1:4 if at least 2 technicians are certified (en.wikipedia.org).
Compounding (1140‑07)
Requires adherence to USP or FDA GMP standards; pharmacies must keep compounding records, lot numbers, beyond‑use dates, etc., available for inspection (nabp.pharmacy).
✅ Wrap-Up
These regulations comprehensively govern:
Licensing – who can practice and how.
Professional ethics & conduct.
Operational standards – facility requirements, record‑keeping, compounding, dispensing procedures.
Specialized rules – for compounding, institutional care, sterile products, controlled substances, etc.
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