NY S05914

Defines "Automated Dispensing Device (ADD)" as a mechanical system used in nursing homes, residential health care facilities, and hospices to package and label patient-specific medications based on pharmacist-verified prescriptions.

Requires pharmacies operating ADDs for controlled substances to obtain a machine-specific DEA registration number and appropriate New York state licensing, while maintaining ownership and control of the device and its contents.

Mandates pharmacies maintain on-site records for at least 10 years including delivery manifests, maintenance logs, personnel access logs, transaction details, and monthly controlled substance inventory reconciliation.

Restricts ADD access to authorized pharmacy and nursing personnel, registered pharmacy technicians, and pharmacy aides; requires prepackaged cartridges to be transported in tamper-evident containers with bar-coding or microchip verification.

Requires continuous video monitoring and pharmacist visual supervision during the loading process, implementation of safety and quality assurance policies, and reporting of any medication losses to the servicing pharmacy's licensing body.