This site contains important information updates and resource documents as well as helpful tools developed by the Virginia Regional EMS Medication Kit Transition Workgroup to assist Peninsulas EMS Agencies successfully navigate the transition from Hospital stocked Regional EMS Medication Kits to EMS Agency stocked kits.
Health Systems are moving towards EMS agency ownership of Medication Drug Kits due to regulatory changes from the FDA Drug Supply Chain and Security Act of 2013, which is scheduled to be enforceable on November 27, 2024, and the Protecting Patient Access to Emergency Medications Act of 2017, which may ultimately require additional paperwork for the transfer of Schedule II medications.
The PEMS Regional Medication Kit (Drug Box) Exchange System, which has been operational for nearly four decades, must; therefore, end. Discussions regarding the Health Systems role during transition are underway. Regardless, EMS agencies in the PEMS Region must understand that they will require a Controlled Substance Registry (CSR) for Class II through VI Medications, and an EMS Agency DEA license for the purchase and storage of medications for EMS agency drug boxes.
Specific questions regarding the PEMS Regional EMS Medication Kit Transition can be directed to Travis Veach, EMS Field Coordinator - Operations at This email address is being protected from spambots. You need JavaScript enabled to view it..
PEMS Information Updates
01-23-24 PEMS Urgent Update on Changes to the Regional EMS Medication Kit Exchange System
05 03 24 EMS Advisory Board Medication Workgoup Report Final
05-04-24 PEMS Med Kit Update EMS Agency Letter
Resources
DSCSA 582g1 Exemptions for Connected tps Oct 2024 final signed
Waivers and Exemptions Beyond the Stabilization Period FDA
Linbeck DEA registration for OMDs 9 24 24
Virginia BOP FAQ Emergency Regulations 7 24 2024
Pharmacy Emergency Regulations Allowances for Emergency Drugs by EMS Agencies 8 20 24 to 2 19 26
DEA Notice of Proposed Rules for EMS Drug Kits
FDA Guidance Document Draft Identifying Trading Partners Under the Drug Supply Chain Security Act
EMS Replenishment DEA, DSCSA and Anti-Kickback Requirements November 2023
Hospital System and Virginia Society of Health System Pharmacists Updates
04-16-24 EMS Drug Kit Joint Message VHHA VSHP
CHKDHS Letter of Intent Peninsulas EMS Final NJL CF Signed 4 12 24
Bon Secours Hampton Roads Letter to PEMS
Sentara Health Letter of Intent Peninsulas EMS Council
VA Regional EMS Medication Kit Transition Workgroup Tools - SEE BELOW
Workgroup/Tool Team Membership
Virginia's Regional Medication Kit Transition Workgroup Membership 04 8 24
Tool Teams Virginia Regional EMS Medication Kit Transition Workgroup Updated 3 11 24
CSR Certification and DEA Licensure Tools
NEW Board of Pharmacy Controlled Substance Registration Application 8 2024
Pharmacy Controlled Substances Registration Inspection Report Revised 8 20 2024
Process for disposition of existing EMS drug kits from hospital to EMS agencies final 8 23 24 (1)
Westmoreland EMS Pharmacy Tutorial
EMS Agency Controlled Substances Policy and Procedure Example
CSR ODEMSA Guide for Controlled Substance Registration Certificate Application EMS agency 5 2 24
CSR 18VAC110 20 710 Requirements for storage and security for controlled
DEA Licensing Steps Williamsburg EMS
DEA Record Keeping Requirements Tip Sheet
DEA Biennial Controlled Substance II V inventory Form
DEA CSOS Guide Cardinal Distribution
DEA Initial Opening Controlled Substance II V inventory Form
DEA Ordering CII Medications with DEA 222 Form
Policies and Procedures Tools
Medication Policy and Procedure Guidance for Virginia EMS Agencies 6 6 2024
Sample Policy 303 ALS Controlled Substances Revised 01-26-24
Tool Preventing Diversion of Controlled Substances
Tool Sample Controlled Suibstance Tracking Log
Tool Ordering CII Medications with DEA 222 Form
Tool CSOS Guide Cardinal Distribution
Tool Drug Inventory Management for EMS Agencies Boundtree
Tool Controlled Substances Daily Log Example
Tool Creating Order LIsts Templates Cardinal Order Express
Sample Policy Resupply of EMS Agencies
Sample Policy LA County Medicaton Procurement Policy and Procedure
Sample Policy MCFRS Controlled Substance Use and Security
Sample Policy EMS Pharmacy Manual
Sample Policy Controlled Substance Policy
Sample Policy EMS Equipment and Supply Ordering
Sample Policy C6 EMS Controlled Substance Programt 3 1 20
Sample Policy Controlled Substance 2018
Sample Policy 439 00 Controlled Substances
Sample Policy 303 ALS Controlled Substances revised 12624
Purchasing Tools
Virginia EMS Medication Purchasing Tool Kit 7 23 24
Virginia EMS Medication Purchasing Tool Kit 20240510
Financial Assistance Tools
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