NY A06182

Defines "automated dispensing device (ADD)" as a mechanical system for packaging and labeling patient-specific medications in nursing homes, residential health care facilities, and hospices for administration by licensed health care professionals

Requires ADDs and their contents to remain property of a registered pharmacy, with pharmacies obtaining machine-specific DEA registration numbers and appropriate New York state licensing for controlled substance dispensing

Mandates pharmacies maintain records for at least 10 years including delivery manifests, maintenance logs, and electronic data tracking all personnel access, transactions, and monthly controlled substance inventory reconciliations

Restricts ADD access to authorized pharmacy personnel, licensed nursing staff, registered pharmacy technicians, and pharmacy aides as designated by facility administration and the pharmacist-in-charge

Requires continuous video monitoring of ADDs at facilities and visual supervision by a pharmacist during loading, with all medications dispensed only pursuant to valid patient-specific prescriptions or orders