Florida Senate - 2009                          SENATOR AMENDMENT
       Bill No. CS for CS for SB 1144
       
       
       
       
       
       
                                Barcode 242696                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
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                Floor: 2/AD/2R         .                                
             04/23/2009 04:29 PM       .                                
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       Senator Peaden moved the following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete lines 35 - 935
    4  and insert:
    5         Section 1. Subsection (31) of section 499.003, Florida
    6  Statutes, is amended to read:
    7         499.003 Definitions of terms used in this part.—As used in
    8  this part, the term:
    9         (31) “Manufacturer” means:
   10         (a) A person who prepares, derives, manufactures, or
   11  produces a drug, device, or cosmetic;.
   12         (b) The holder or holders of a New Drug Application (NDA),
   13  an Abbreviated New Drug Application (ANDA), a Biologics License
   14  Application (BLA), or a New Animal Drug Application (NADA),
   15  provided such application has become effective or is otherwise
   16  approved consistent with s. 499.023;
   17         (c) A private label distributor for whom the private label
   18  distributor’s prescription drugs are originally manufactured and
   19  labeled for the distributor and have not been repackaged; or the
   20  distribution point for the manufacturer, contract manufacturer,
   21  or private label distributor whether the establishment is a
   22  member of the manufacturer’s affiliated group or is a contract
   23  distribution site.
   24         (d) A person registered under the federal act as a
   25  manufacturer of a prescription drug, who is described in
   26  paragraph (a), paragraph (b), or paragraph (c), who has entered
   27  into a written agreement with another prescription drug
   28  manufacturer that authorizes either manufacturer to distribute
   29  the prescription drug identified in the agreement as the
   30  manufacturer of that drug consistent with the federal act and
   31  its implementing regulations;
   32         (e) A member of an affiliated group that includes, but is
   33  not limited to, persons described in paragraph (a), paragraph
   34  (b), paragraph (c), or paragraph (d), which member distributes
   35  prescription drugs, whether or not obtaining title to the drugs,
   36  only for the manufacturer of the drugs who is also a member of
   37  the affiliated group. As used in this paragraph, the term
   38  “affiliated group” means an affiliated group as defined in s.
   39  1504 of the Internal Revenue Code of 1986, as amended. The
   40  manufacturer must disclose the names of all of its affiliated
   41  group members to the department; or
   42         (f) A person permitted as a third party logistics provider,
   43  only while providing warehousing, distribution, or other
   44  logistics services on behalf of a person described in paragraph
   45  (a), paragraph (b), paragraph (c), paragraph (d), or paragraph
   46  (e).
   47  
   48  The term does not include a pharmacy excludes pharmacies that is
   49  are operating in compliance with pharmacy practice standards as
   50  defined in chapter 465 and rules adopted under that chapter.
   51         Section 2. Paragraphs (a), (c), and (t) of subsection (2)
   52  of section 499.01, Florida Statutes, are amended to read:
   53         499.01 Permits.—
   54         (2) The following permits are established:
   55         (a) Prescription drug manufacturer permit.—A prescription
   56  drug manufacturer permit is required for any person that is a
   57  manufacturer of manufactures a prescription drug and that
   58  manufactures or distributes such prescription drugs in this
   59  state.
   60         1. A person that operates an establishment permitted as a
   61  prescription drug manufacturer may engage in wholesale
   62  distribution of prescription drugs manufactured at that
   63  establishment and must comply with all of the provisions of this
   64  part, except s. 499.01212, and the rules adopted under this
   65  part, except s. 499.01212, that apply to a wholesale
   66  distributor.
   67         2. A prescription drug manufacturer must comply with all
   68  appropriate state and federal good manufacturing practices.
   69         (c) Nonresident prescription drug manufacturer permit.—A
   70  nonresident prescription drug manufacturer permit is required
   71  for any person that is a manufacturer of prescription drugs, or
   72  the distribution point for a manufacturer of prescription drugs
   73  unless permitted as a third party logistics provider, and
   74  located outside of this state, or that is an entity to whom an
   75  approved new drug application has been issued by the United
   76  States Food and Drug Administration, or the contracted
   77  manufacturer of the approved new drug application holder, and
   78  located outside the United States and that, which engages in the
   79  wholesale distribution in this state of such the prescription
   80  drugs it manufactures or is responsible for manufacturing. Each
   81  such manufacturer or entity must be permitted by the department
   82  and comply with all of the provisions required of a wholesale
   83  distributor under this part, except s. 499.01212.
   84         1. A person that distributes prescription drugs for which
   85  the person is not the manufacturer that it did not manufacture
   86  must also obtain an out-of-state prescription drug wholesale
   87  distributor permit or third party logistics provider permit
   88  pursuant to this section to engage in the wholesale distribution
   89  of such the prescription drugs manufactured by another person
   90  and comply with the requirements of an out-of-state prescription
   91  drug wholesale distributor. This subparagraph does not apply to
   92  a manufacturer as defined in s. 499.003(31)(e).
   93         2. Any such person must comply with the licensing or
   94  permitting requirements of the jurisdiction in which the
   95  establishment is located and the federal act, and any product
   96  wholesaled into this state must comply with this part. If a
   97  person intends to import prescription drugs from a foreign
   98  country into this state, the nonresident prescription drug
   99  manufacturer must provide to the department a list identifying
  100  each prescription drug it intends to import and document
  101  approval by the United States Food and Drug Administration for
  102  such importation.
  103         3. A nonresident prescription drug manufacturer permit is
  104  not required for a manufacturer to distribute a prescription
  105  drug active pharmaceutical ingredient that it manufactures to a
  106  prescription drug manufacturer permitted in this state in
  107  limited quantities intended for research and development and not
  108  for resale, or human use other than lawful clinical trials and
  109  biostudies authorized and regulated by federal law. A
  110  manufacturer claiming to be exempt from the permit requirements
  111  of this subparagraph and the prescription drug manufacturer
  112  purchasing and receiving the active pharmaceutical ingredient
  113  shall comply with the recordkeeping requirements of s.
  114  499.0121(6), but not the requirements of s. 499.01212. The
  115  prescription drug manufacturer purchasing and receiving the
  116  active pharmaceutical ingredient shall maintain on file a record
  117  of the FDA registration number; the out-of-state license,
  118  permit, or registration number; and, if available, a copy of the
  119  most current FDA inspection report, for all manufacturers from
  120  whom they purchase active pharmaceutical ingredients under this
  121  section. The department shall specify by rule the allowable
  122  number of transactions within a given period of time and the
  123  amount of active pharmaceutical ingredients that qualify as
  124  limited quantities for purposes of this exemption. The failure
  125  to comply with the requirements of this subparagraph, or rules
  126  adopted by the department to administer this subparagraph, for
  127  the purchase of prescription drug active pharmaceutical
  128  ingredients is a violation of s. 499.005(14).
  129         (t) Health care clinic establishment permit.—Effective
  130  January 1, 2009, a health care clinic establishment permit is
  131  required for the purchase of a prescription drug by a place of
  132  business at one general physical location that provides health
  133  care or veterinary services, which is owned and operated by a
  134  business entity that has been issued a federal employer tax
  135  identification number professional corporation or professional
  136  limited liability company described in chapter 621, or a
  137  corporation that employs a veterinarian as a qualifying
  138  practitioner. For the purpose of this paragraph, the term
  139  “qualifying practitioner” means a licensed health care
  140  practitioner defined in s. 456.001, or a veterinarian licensed
  141  under chapter 474, who is authorized under the appropriate
  142  practice act to prescribe and administer a prescription drug.
  143         1. An establishment must provide, as part of the
  144  application required under s. 499.012, designation of a
  145  qualifying practitioner who will be responsible for complying
  146  with all legal and regulatory requirements related to the
  147  purchase, recordkeeping, storage, and handling of the
  148  prescription drugs. In addition, the designated qualifying
  149  practitioner shall be the practitioner whose name, establishment
  150  address, and license number is used on all distribution
  151  documents for prescription drugs purchased or returned by the
  152  health care clinic establishment. Upon initial appointment of a
  153  qualifying practitioner, the qualifying practitioner and the
  154  health care clinic establishment shall notify the department on
  155  a form furnished by the department within 10 days after such
  156  employment. In addition, the qualifying practitioner and health
  157  care clinic establishment shall notify the department within 10
  158  days after any subsequent change.
  159         2. The health care clinic establishment must employ a
  160  qualifying practitioner at each establishment.
  161         3. In addition to the remedies and penalties provided in
  162  this part, a violation of this chapter by the health care clinic
  163  establishment or qualifying practitioner constitutes grounds for
  164  discipline of the qualifying practitioner by the appropriate
  165  regulatory board.
  166         4. The purchase of prescription drugs by the health care
  167  clinic establishment is prohibited during any period of time
  168  when the establishment does not comply with this paragraph.
  169         5. A health care clinic establishment permit is not a
  170  pharmacy permit or otherwise subject to chapter 465. A health
  171  care clinic establishment that meets the criteria of a modified
  172  Class II institutional pharmacy under s. 465.019 is not eligible
  173  to be permitted under this paragraph.
  174         6. This paragraph does not apply to the purchase of a
  175  prescription drug by prohibit a licensed qualifying practitioner
  176  under his or her license from purchasing prescription drugs.
  177  
  178  ================= T I T L E  A M E N D M E N T ================
  179         And the title is amended as follows:
  180         Delete lines 2 - 13
  181  and insert:
  182         An act relating to prescription drugs; amending s.
  183         499.003, F.S.; revising the definition of the term
  184         “manufacturer” for purposes of the Florida Drug and
  185         Cosmetic Act; requiring certain manufacturers to
  186         disclose the names of affiliated group members to the
  187         Department of Health; amending s. 499.01, F.S.;
  188         revising requirements for a prescription drug
  189         manufacturer permit, nonresident prescription drug
  190         manufacturer permit, and health care clinic
  191         establishment permit; amending s. 499.0121, F.S.;