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A bill to be entitled |
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An act relating to pharmaceutical wholesalers; amending s. |
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499.003, F.S.; defining "affiliated party"; amending s. |
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499.005, F.S.; prohibiting acts relating to previously |
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dispensed drugs; amending s. 499.01, F.S.; revising permit |
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requirements; amending s. 499.012, F.S.; providing |
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definitions; providing additional permit requirements for |
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prescription drug wholesalers, out-of-state prescription |
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drug wholesalers, and retail pharmacy drug wholesalers; |
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providing for renewal on an annual basis; requiring |
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designation of a natural person as a wholesaler's |
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representative; amending s. 499.0121, F.S.; providing for |
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wholesale distributor due diligence; requiring reporting |
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with respect to previous sales of prescription drugs, |
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including high-risk prescription drugs; requiring |
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wholesale distributors to submit annually a list of the |
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wholesalers from whom they purchase drugs; prohibiting a |
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wholesale drug distributor from paying for any drug with |
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currency; creating s. 499.0125, F.S.; creating the Drug |
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Wholesaler Advisory Council; providing for the council's |
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organization, powers, and duties; amending ss. 499.015, |
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499.024, and 499.03, F.S.; conforming cross references; |
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amending s. 499.041, F.S.; increasing permit fees for |
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prescription drug wholesalers, out-of-state prescription |
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drug wholesalers, and retail pharmacy drug wholesalers; |
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amending s. 499.05, F.S.; conforming a cross reference; |
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amending s. 499.051, F.S.; expanding authority of the |
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Department of Health and the Department of Law Enforcement |
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to inspect financial records and investigate complaints |
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and violations; creating s. 499.0671, F.S.; providing |
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enforcement provisions, including cease and desist orders |
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and removal of affiliated parties; amending s. 499.069, |
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F.S.; providing penalties; providing an effective date. |
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Be It Enacted by the Legislature of the State of Florida: |
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Section 1. Subsections (2) through (28) of section |
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499.003, Florida Statutes, are renumbered as subsections (3) |
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through (29), respectively, and a new subsection (2) is added to |
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said section, to read: |
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499.003 Definitions of terms used in ss. 499.001- |
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499.081.--As used in ss. 499.001-499.081, the term: |
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(2) "Affiliated party" means any person who directs or |
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participates in the conduct of the affairs of a permittee or |
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applicant pursuant to s. 499.012 and who is:
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(a) A director, officer, employee, trustee, committee |
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member, or controlling stockholder of a permittee or applicant |
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or a subsidiary or service corporation of the permittee or |
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applicant;
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(b) A person who has filed or is required to file a |
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personal information statement pursuant to s. 499.012(4) or is |
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required to be identified in an application for a permit or to |
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renew a permit pursuant to s. 499.012(3); or
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(c) A stockholder who participates in the conduct of the |
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affairs of the permittee or applicant.
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Section 2. Subsections (26) and (27) are added to section |
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499.005, Florida Statutes, to read: |
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499.005 Prohibited acts.--It is unlawful to perform or |
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cause the performance of any of the following acts in this |
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state: |
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(26) Removing the label of a pharmacy licensed pursuant to |
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chapter 465 from a dispensed prescription drug with the intent |
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to further distribute the prescription drug.
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(27) Knowing distribution of a prescription drug that was |
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previously dispensed by a pharmacy licensed pursuant to chapter |
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465, unless such distribution was authorized in chapter 465 or |
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the rules adopted thereunder.
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Section 3. Section 499.01, Florida Statutes, is amended to |
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read: |
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499.01 Permits; applications; renewal; general |
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requirements.-- |
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(1) A permit is required for each establishment that |
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operates as a:
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(a) Prescription drug manufacturer;
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(b) Over-the-counter drug manufacturer;
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(c) Compressed medical gas manufacturer;
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(d) Device manufacturer;
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(e) Cosmetic manufacturer;
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(f) Prescription drug wholesaler;
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(g) Compressed medical gas wholesaler;
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(h) Out-of-state prescription drug wholesaler;
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(i) Retail pharmacy drug wholesaler;
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(j) Veterinary legend drug retail establishment;
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(k) Medical oxygen retail establishment;
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(l) Complimentary drug distributor; or
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(m) Restricted prescription drug distributor.
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(1) Any person that is required under ss. 499.001-499.081 |
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to have a permit must apply to the department on forms furnished |
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by the department.
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(2)(a) A permit issued pursuant to ss. 499.001-499.081 may |
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be issued only to an individual who is at least 18 years of age |
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or to a corporation that is registered pursuant to chapter 607 |
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or chapter 617 and each officer of which is at least 18 years of |
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age. |
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(b) An establishment that is a place of residence may not |
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receive a permit and may not operate under ss. 499.001-499.081. |
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(c) A person that applies for or renews a permit to |
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manufacture or distribute legend drugs may not use a name |
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identical to the name used by any other establishment or |
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licensed person authorized to purchase prescription drugs in |
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this state, except that a restricted drug distributor permit |
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issued to a health care entity will be issued in the name in |
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which the institutional pharmacy permit is issued and a retail |
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pharmacy drug wholesaler will be issued a permit in the name of |
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its retail pharmacy permit. |
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(d) A permit is required for each establishment that |
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operates as a:
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1. Prescription drug manufacturer;
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2. Over-the-counter drug manufacturer;
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3. Compressed medical gas manufacturer;
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4. Device manufacturer;
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5. Cosmetic manufacturer;
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6. Prescription drug wholesaler;
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7. Compressed medical gas wholesaler;
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8. Out-of-state prescription drug wholesaler;
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9. Retail pharmacy drug wholesaler;
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10. Veterinary legend drug retail establishment;
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11. Medical oxygen retail establishment;
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12. Complimentary drug distributor; or
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13. Restricted prescription drug distributor.
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(d)(e)A permit for a prescription drug manufacturer, |
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prescription drug wholesaler, or retail pharmacy drugwholesaler |
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may not be issued to the address of a health care entity. |
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(3)(f) Notwithstanding subsection (7)(4), a permitted |
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person in good standing may change the type of permit issued to |
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that person by completing a new application for the requested |
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permit, paying the amount of the difference in the permit fees |
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if the fee for the new permit is more than the fee for the |
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original permit, and meeting the applicable permitting |
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conditions for the new permit type. The new permit expires on |
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the expiration date of the original permit being changed, |
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provided, however, that a new permit for a prescription drug |
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wholesaler, an out-of-state prescription drug wholesaler, or a |
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retail pharmacy drug wholesaler shall expire on the expiration |
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date of the original permit or 1 year after the date of issuance |
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of the new permit, whichever is earlier. A refund may not be |
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issued if the biennial fee for the new permit is less than the |
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fee that was paid for the original permit for which a fee was |
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paid. |
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(4)(2)A written application for a permit shall be filed |
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with the department on forms furnished by the department.The |
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department shall establish, by rule, the form and content of the |
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application to obtain or renew a permit. The applicant must |
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submit to the department with the application a statement that |
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swears or affirms that the information contained in the |
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applicationis true and correct. |
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(5)(a) Except for a permit for a prescription drug |
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wholesaler, an out-of-state prescription drug wholesaler, or a |
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retail pharmacy drug wholesaler, an application for a permit |
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must includeInformation that an applicant must provide |
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includes, but need not be limited to: |
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1. The name, full business address, and telephone number |
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of the applicant; |
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2. All trade or business names used by the applicant; |
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3. The address, telephone numbers, and the names of |
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contact persons for each facility used by the applicant for the |
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storage, handling, and distribution of prescription drugs; |
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4. The type of ownership or operation, such as a |
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partnership, corporation, or sole proprietorship; and |
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5. The names of the owner and the operator of the |
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establishment, including: |
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a. If an individual, the name of the individual; |
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b. If a partnership, the name of each partner and the name |
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of the partnership; |
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c. If a corporation, the name and title of each corporate |
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officer and director, the corporate names, and the name of the |
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state of incorporation; |
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d. If a sole proprietorship, the full name of the sole |
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proprietor and the name of the business entity; and |
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e. Any other relevant information that the department |
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requires. |
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(b) Upon approval of the application by the department and |
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payment of the required fee, the department shall issue a permit |
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to the applicant, if the applicant meets the requirements of ss. |
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499.001-499.081 and rules adopted under those sections. |
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(c) Any change in information required under paragraph (a) |
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must be submitted to the department before the change occurs. |
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(d) The department shall consider, at a minimum, the |
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following factors in reviewing the qualifications of persons to |
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be permitted under ss. 499.001-499.081: |
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1. The applicant's having been found guilty, regardless of |
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adjudication, in a court of this state or other jurisdiction, of |
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a violation of a law that directly relates to a drug, device, or |
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cosmetic. A plea of nolo contendere constitutes a finding of |
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guilt for purposes of this subparagraph. |
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2. The applicant's having been disciplined by a regulatory |
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agency in any state for any offense that would constitute a |
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violation of ss. 499.001-499.081. |
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3. Any felony conviction of the applicant under a federal, |
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state, or local law; |
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4. The applicant's past experience in manufacturing or |
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distributing drugs, devices, or cosmetics; |
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5. The furnishing by the applicant of false or fraudulent |
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material in any application made in connection with |
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manufacturing or distributing drugs, devices, or cosmetics; |
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6. Suspension or revocation by a federal, state, or local |
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government of any permit currently or previously held by the |
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applicant for the manufacture or distribution of any drugs, |
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devices, or cosmetics; |
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7. Compliance with permitting requirements under any |
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previously granted permits; |
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8. Compliance with requirements to maintain or make |
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available to the state permitting authority or to federal, |
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state, or local law enforcement officials those records required |
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under this section; and |
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9. Any other factors or qualifications the department |
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considers relevant to and consistent with the public health and |
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safety. |
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(6)(3)Except for permits for prescription drug |
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wholesalers, out-of-state prescription drug wholesalers, and |
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retail pharmacy drug wholesalers: |
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(a)The department shall adopt rules for the biennial |
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renewal of permits. |
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(b)(a)The department shall renew a permit upon receipt of |
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the renewal application and renewal fee if the applicant meets |
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the requirements established under ss. 499.001-499.081 and the |
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rules adopted under those sections. |
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(c)(b)A permit, unless sooner suspended or revoked, |
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automatically expires 2 years after the last day of the |
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anniversary month in which the permit was originally issued. A |
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permit issued under ss. 499.001-499.081 must be renewed by |
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making application for renewal on forms furnished by the |
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department and paying the appropriate fees. If a renewal |
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application and fee are not submitted and postmarked by the |
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expiration date of the permit, the permit may be reinstated only |
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upon payment of a delinquent fee of $100, plus the required |
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renewal fee, within 60 days after the expiration date. |
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(d)(c)Failure to renew a permit in accordance with this |
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section precludes any future renewal of that permit. Continuing |
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to engage in activities that require a permit under ss. 499.001- |
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499.081 requires a new permit application and payment of an |
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application fee, initial permit fee, and applicable penalties. |
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(7)(4)A permit issued by the department is |
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nontransferable. Each permit is valid only for the person or |
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governmental unit to which it is issued and is not subject to |
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sale, assignment, or other transfer, voluntarily or |
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involuntarily; nor is a permit valid for any establishment other |
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than the establishment for which it was originally issued. |
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(a) A person permitted under ss. 499.001-499.081 must |
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notify the department before making a change of address. The |
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department shall set a change of location fee not to exceed |
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$100. |
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(b)1. An application for a new permit is required when a |
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majority of the ownership or controlling interest of a permitted |
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establishment is transferred or assigned or when a lessee agrees |
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to undertake or provide services to the extent that legal |
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liability for operation of the establishment will rest with the |
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lessee. The application for the new permit must be made before |
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the date of the sale, transfer, assignment, or lease. |
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2. A permittee that is authorized to distribute legend |
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drugs may transfer such drugs to the new owner or lessee under |
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subparagraph 1. only after the new owner or lessee has been |
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approved for a permit to distribute legend drugs. |
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(c) The department shall deny, suspend, or revoke the |
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permit of any person or establishment if the assignment, sale, |
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transfer, or lease of an establishment permitted under ss. |
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499.001-499.081 will avoid an administrative penalty, civil |
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action, or criminal prosecution. |
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(d) If an establishment permitted under ss. 499.001- |
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499.081 closes, the owner must notify the department in writing |
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before the effective date of closure and must: |
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1. Return the permit to the department; |
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2. If the permittee is authorized to distribute legend |
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drugs, indicate the disposition of such drugs, including the |
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name, address, and inventory, and provide the name and address |
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of a person to contact regarding access to records that are |
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required to be maintained under ss. 499.001-499.081. Transfer of |
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ownership of legend drugs may be made only to persons authorized |
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to possess legend drugs under ss. 499.001-499.081. |
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(8)(5)A permit must be posted in a conspicuous place on |
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the licensed premise. |
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Section 4. Section 499.012, Florida Statutes, is amended |
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to read: |
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499.012 Wholesale distribution; definitions; permits; |
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applications;general requirements.-- |
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(1) As used in this section, the term: |
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(a) "Wholesale distribution" means distribution of |
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prescription drugs to persons other than a consumer or patient, |
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but does not include: |
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1. Any of the following activities, which is not a |
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violation of s. 499.005(21) if such activity is conducted in |
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accordance with s. 499.014: |
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a. The purchase or other acquisition by a hospital or |
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other health care entity that is a member of a group purchasing |
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organization of a prescription drug for its own use from the |
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group purchasing organization or from other hospitals or health |
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care entities that are members of that organization. |
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b. The sale, purchase, or trade of a prescription drug or |
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an offer to sell, purchase, or trade a prescription drug by a |
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charitable organization described in s. 501(c)(3) of the |
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Internal Revenue Code of 1986, as amended and revised, to a |
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nonprofit affiliate of the organization to the extent otherwise |
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permitted by law. |
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c. The sale, purchase, or trade of a prescription drug or |
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an offer to sell, purchase, or trade a prescription drug among |
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hospitals or other health care entities that are under common |
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control. For purposes of this section, "common control" means |
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the power to direct or cause the direction of the management and |
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policies of a person or an organization, whether by ownership of |
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stock, by voting rights, by contract, or otherwise. |
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d. The sale, purchase, trade, or other transfer of a |
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prescription drug from or for any federal, state, or local |
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government agency or any entity eligible to purchase |
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prescription drugs at public health services prices pursuant to |
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Pub. L. No. 102-585, s. 602 to a contract provider or its |
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subcontractor for eligible patients of the agency or entity |
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under the following conditions: |
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(I) The agency or entity must obtain written authorization |
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for the sale, purchase, trade, or other transfer of a |
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prescription drug under this sub-subparagraph from the Secretary |
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of Health or his or her designee. |
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(II) The contract provider or subcontractor must be |
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authorized by law to administer or dispense prescription drugs. |
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(III) In the case of a subcontractor, the agency or entity |
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must be a party to and execute the subcontract. |
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(IV) A contract provider or subcontractor must maintain |
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separate and apart from other prescription drug inventory any |
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prescription drugs of the agency or entity in its possession. |
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(V) The contract provider and subcontractor must maintain |
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and produce immediately for inspection all records of movement |
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or transfer of all the prescription drugs belonging to the |
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agency or entity, including, but not limited to, the records of |
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receipt and disposition of prescription drugs. Each contractor |
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and subcontractor dispensing or administering these drugs must |
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maintain and produce records documenting the dispensing or |
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administration. Records that are required to be maintained |
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include, but are not limited to, a perpetual inventory itemizing |
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drugs received and drugs dispensed by prescription number or |
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administered by patient identifier, which must be submitted to |
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the agency or entity quarterly. |
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(VI) The contract provider or subcontractor may administer |
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or dispense the prescription drugs only to the eligible patients |
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of the agency or entity or must return the prescription drugs |
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for or to the agency or entity. The contract provider or |
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subcontractor must require proof from each person seeking to |
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fill a prescription or obtain treatment that the person is an |
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eligible patient of the agency or entity and must, at a minimum, |
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maintain a copy of this proof as part of the records of the |
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contractor or subcontractor required under sub-sub-subparagraph |
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(V). |
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(VII) In addition to the departmental inspection authority |
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set forth in s. 499.051, the establishment of the contract |
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provider and subcontractor and all records pertaining to |
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prescription drugs subject to this sub-subparagraph shall be |
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subject to inspection by the agency or entity. All records |
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relating to prescription drugs of a manufacturer under this sub- |
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subparagraph shall be subject to audit by the manufacturer of |
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those drugs, without identifying individual patient information. |
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2. Any of the following activities, which is not a |
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violation of s. 499.005(21) if such activity is conducted in |
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accordance with rules established by the department: |
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a. The sale, purchase, or trade of a prescription drug |
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among federal, state, or local government health care entities |
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that are under common control and are authorized to purchase |
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such prescription drug. |
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b. The sale, purchase, or trade of a prescription drug or |
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an offer to sell, purchase, or trade a prescription drug for |
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emergency medical reasons. For purposes of this sub- |
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subparagraph, the term "emergency medical reasons" includes |
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transfers of prescription drugs by a retail pharmacy to another |
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retail pharmacy to alleviate a temporary shortage. |
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c. The transfer of a prescription drug acquired by a |
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medical director on behalf of a licensed emergency medical |
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services provider to that emergency medical services provider |
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and its transport vehicles for use in accordance with the |
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provider's license under chapter 401. |
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d. The revocation of a sale or the return of a |
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prescription drug to the person's prescription drug wholesale |
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supplier. |
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e. The donation of a prescription drug by a health care |
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entity to a charitable organization that has been granted an |
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exemption under s. 501(c)(3) of the Internal Revenue Code of |
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1986, as amended, and that is authorized to possess prescription |
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drugs. |
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f. The transfer of a prescription drug by a person |
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authorized to purchase or receive prescription drugs to a person |
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licensed or permitted to handle reverse distributions or |
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destruction under the laws of the jurisdiction in which the |
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person handling the reverse distribution or destruction receives |
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the drug. |
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3. The distribution of prescription drug samples by |
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manufacturers' representatives or distributors' representatives |
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conducted in accordance with s. 499.028. |
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4. The sale, purchase, or trade of blood and blood |
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components intended for transfusion. As used in this |
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subparagraph, the term "blood" means whole blood collected from |
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a single donor and processed either for transfusion or further |
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manufacturing, and the term "blood components" means that part |
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of the blood separated by physical or mechanical means. |
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5. The lawful dispensing of a prescription drug in |
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accordance with chapter 465. |
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(b) "Wholesale distributor" means any person engaged in |
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wholesale distribution of prescription drugs in or into this |
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state, including, but not limited to, manufacturers; repackers; |
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own-label distributors; jobbers; private-label distributors; |
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brokers; warehouses, including manufacturers' and distributors' |
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warehouses, chain drug warehouses, and wholesale drug |
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warehouses; independent wholesale drug traders; exporters; |
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retail pharmacies; and the agents thereof that conduct wholesale |
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distributions. |
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(c) "Retail pharmacy" means a community pharmacy licensed |
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under chapter 465 that purchases prescription drugs at fair |
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market prices and provides prescription services to the public. |
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(d) "Primary wholesaler" means any wholesale distributor |
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that purchased 90 percent or more of its prescription drugs |
406
|
directly from a manufacturer, in the immediately preceding 12 |
407
|
calendar months.
|
408
|
(e) "Directly from a manufacturer" means:
|
409
|
1. Purchases made by the wholesale distributor directly |
410
|
from the manufacturer of prescription drugs.
|
411
|
2. Transfers from a member of an affiliated group, as |
412
|
defined in s. 1504 of the Internal Revenue Code, of which the |
413
|
wholesale distributor is a member, if:
|
414
|
a. The affiliated group purchases 90 percent or more of |
415
|
all of its prescription drugs from a manufacturer.
|
416
|
b. The wholesale distributor discloses to the department |
417
|
the names of all members of the affiliated group of which the |
418
|
wholesale distributor is a member and the affiliated group |
419
|
agrees in writing to provide records on such transfers not later |
420
|
than 48 hours after the department requests access to such |
421
|
records, regardless of the location where the records are |
422
|
stored.
|
423
|
(f) "Secondary wholesaler" means a wholesale distributor |
424
|
that is not a primary wholesaler.
|
425
|
(2) The following types of wholesaler permits are |
426
|
established: |
427
|
(a) A prescription drug wholesaler's permit. A |
428
|
prescription drug wholesaler is a wholesale distributor that may |
429
|
engage in the wholesale distribution of prescription drugs. A |
430
|
prescription drug wholesaler that applies to the department |
431
|
after July 1, 2003January 1, 1993, must submit a bond or letter |
432
|
of credit of $100,000$200, payable to the Florida Drug, Device, |
433
|
and Cosmetic Trust Fund. This bond will be refunded to the |
434
|
permittee when the permit is returned to the department and the |
435
|
permittee ceases to function as a business. If a permittee that |
436
|
fails to notify the department before changing the address of |
437
|
the business, fails to notify the department before closing the |
438
|
business, fails to pay any administrative fine levied by the |
439
|
department within 30 days after any such fine becomes final,or |
440
|
fails to notify the department before a change of ownership, the |
441
|
department shall collect the applicable administrative fines |
442
|
from the bond's suretyforfeits its bond. The department may |
443
|
adopt rules for issuing a prescription drug wholesaler-broker |
444
|
permit to a person who engages in the wholesale distribution of |
445
|
prescription drugs and does not take physical possession of any |
446
|
prescription drugs. |
447
|
(b) A compressed medical gas wholesaler's permit. A |
448
|
compressed medical gas wholesaler is a wholesale distributor |
449
|
that is limited to the wholesale distribution of compressed |
450
|
medical gases to other than the consumer or patient. The |
451
|
compressed medical gas must be in the original sealed container |
452
|
that was purchased by that wholesaler. A compressed medical gas |
453
|
wholesaler may not possess or engage in the wholesale |
454
|
distribution of any prescription drug other than compressed |
455
|
medical gases. The department shall adopt rules that govern the |
456
|
wholesale distribution of prescription medical oxygen for |
457
|
emergency use. With respect to the emergency use of prescription |
458
|
medical oxygen, those rules may not be inconsistent with rules |
459
|
and regulations of federal agencies unless the Legislature |
460
|
specifically directs otherwise. |
461
|
(c) An out-of-state prescription drug wholesaler's permit. |
462
|
An out-of-state prescription drug wholesaler is a wholesale |
463
|
distributor located outside this state which engages in the |
464
|
wholesale distribution of prescription drugs into this state and |
465
|
which must be permitted by the department and comply with all |
466
|
the provisions required of a wholesale distributor under ss. |
467
|
499.001-499.081. An out-of-state prescription drug wholesaler |
468
|
that applies to the department after July 1, 2003, must submit a |
469
|
bond or letter of credit of $100,000, payable to the Florida |
470
|
Drug, Device, and Cosmetic Trust Fund. This bond shall be |
471
|
refunded to the permittee when the permit is returned to the |
472
|
department and the permittee ceases to function as a business. |
473
|
If a permittee fails to notify the department before changing |
474
|
the address of the business, fails to notify the department |
475
|
before closing the business, fails to pay any administrative |
476
|
fine levied by the department within 30 days after any such fine |
477
|
becomes final, or fails to notify the department before a change |
478
|
of ownership, the department shall collect the applicable |
479
|
administrative fines from the bond's surety. |
480
|
1. The out-of-state drug wholesaler must maintain at all |
481
|
times a license or permit to engage in the wholesale |
482
|
distribution of prescription drugs in compliance with laws of |
483
|
the state in which it is a resident. |
484
|
2. An out-of-state prescription drug wholesaler's permit |
485
|
is not required for an intracompany sale or transfer of a |
486
|
prescription drug from an out-of-state establishment that is |
487
|
duly licensed as a prescription drug wholesaler, in its state of |
488
|
residence, to a licensed prescription drug wholesaler in this |
489
|
state, if both wholesalers are under common control. The |
490
|
recordkeeping requirements of s. 499.0121(7)(6)must be followed |
491
|
for this transaction. |
492
|
3. The department may adopt rules that allow out-of-state |
493
|
drug wholesalers to obtain a drug wholesale permit on the basis |
494
|
of reciprocity to the extent that an out-of-state drug |
495
|
wholesaler:
|
496
|
a. Possesses a valid permit granted by another state that |
497
|
has requirements comparable to those that a drug wholesaler in |
498
|
this state must meet as prerequisites to obtaining a permit |
499
|
under the laws of this state.
|
500
|
b. Can show that the other state from which the wholesaler |
501
|
holds a permit would extend reciprocal treatment under its own |
502
|
laws to a drug wholesaler of this state.
|
503
|
(d) A retail pharmacy drugwholesaler's permit. A retail |
504
|
pharmacy drugwholesaler is a retail pharmacy engaged in |
505
|
wholesale distribution of prescription drugs within this state |
506
|
under the following conditions: |
507
|
1. The pharmacy must obtain a retail pharmacy drug |
508
|
wholesaler's permit pursuant to ss. 499.001-499.081 and the |
509
|
rules adopted under those sections. |
510
|
2. The wholesale distribution activity does not exceed 30 |
511
|
percent of the total annual purchases of prescription drugs. If |
512
|
the wholesale distribution activity exceeds the 30-percent |
513
|
maximum, the pharmacy must obtain a prescription drug |
514
|
wholesaler's permit. |
515
|
3. The transfer of prescription drugs that appear in any |
516
|
schedule contained in chapter 893 is subject to chapter 893 and |
517
|
the federal Comprehensive Drug Abuse Prevention and Control Act |
518
|
of 1970. |
519
|
4. The transfer is between a retail pharmacy and another |
520
|
retail pharmacy, or a Modified Class II institutional pharmacy, |
521
|
or a health care practitioner licensed in this state and |
522
|
authorized by law to dispense or prescribe prescription drugs. |
523
|
5. All records of sales of prescription drugs subject to |
524
|
this section must be maintained separate and distinct from other |
525
|
records and comply with the recordkeeping requirements of ss. |
526
|
499.001-499.081. |
527
|
(3) An application for a permit or to renew a permit for a |
528
|
prescription drug wholesaler, an out-of-state prescription drug |
529
|
wholesaler, or a retail pharmacy drug wholesaler submitted to |
530
|
the department on or after July 1, 2003, must include:
|
531
|
(a) The name, full business address, and telephone number |
532
|
of the applicant.
|
533
|
(b) All trade or business names used by the applicant.
|
534
|
(c) The address, telephone numbers, and names of contact |
535
|
persons for each facility used by the applicant for the storage, |
536
|
handling, and distribution of prescription drugs.
|
537
|
(d) The type of ownership or operation, such as a |
538
|
partnership, corporation, or sole proprietorship.
|
539
|
(e) The names of the owner and the operator of the |
540
|
establishment, including:
|
541
|
1. If an individual, the name of the individual.
|
542
|
2. If a partnership, the name of each partner and the name |
543
|
of the partnership.
|
544
|
3. If a corporation:
|
545
|
a. The name, address, and title of each corporate officer |
546
|
and director.
|
547
|
b. The name and address of the corporation, resident agent |
548
|
of the corporation, the resident agent's address, and the |
549
|
corporation's state of incorporation.
|
550
|
c. The name and address of each shareholder of the |
551
|
corporation that owns 5 percent or more of the outstanding stock |
552
|
of the corporation.
|
553
|
d. If a sole proprietorship, the full name of the sole |
554
|
proprietor and the name of the business entity.
|
555
|
(f)1. For an application for a new permit, the estimated |
556
|
annual dollar volume of prescription drug sales of the applicant |
557
|
and the estimated percentage of applicant's total company sales |
558
|
that are prescription drugs.
|
559
|
2. For an application to renew a permit, the total dollar |
560
|
volume of prescription drug sales in the previous year, the |
561
|
total dollar volume of prescription drug sales made in the |
562
|
previous 6 months, the percentage of total company sales that |
563
|
were prescription drugs, the total dollar volume of purchases of |
564
|
prescription drugs, and the total volume of prescription drug |
565
|
purchases made directly from the manufacturers of prescription |
566
|
drugs. However, if the prescription drug wholesaler, out-of- |
567
|
state prescription drug wholesaler, or retail pharmacy drug |
568
|
wholesaler made no sales of prescription drugs in the previous 6 |
569
|
months, the permit may not be renewed.
|
570
|
(g) The tax year of the applicant.
|
571
|
(h) A copy of the deed for the property on which the |
572
|
applicant's establishment is located, if the establishment is |
573
|
owned by the applicant, or a copy of the applicant's lease for |
574
|
the property on which the applicant's establishment is located |
575
|
that has an original term of not less than 1 calendar year, if |
576
|
the establishment is not owned by the applicant.
|
577
|
(i) A list of all licenses and permits issued to the |
578
|
applicant by any other state which authorize the applicant to |
579
|
purchase or possess prescription drugs, except when the |
580
|
applicant is applying for a retail pharmacy drug wholesaler |
581
|
permit.
|
582
|
(j) The name of the manager of the establishment that is |
583
|
applying for the permit or to renew the permit and the next four |
584
|
highest ranking employees responsible for prescription drug |
585
|
wholesale operations, together with the personal information |
586
|
statement and fingerprints required pursuant to subsection (4) |
587
|
for each of such persons.
|
588
|
(k) The name of the applicant's initial wholesaler's |
589
|
representative as required by subsection (6), together with the |
590
|
personal information statement and fingerprints required |
591
|
pursuant to subsection ( 4) for that person.
|
592
|
(l) For each applicant that is a secondary wholesaler, |
593
|
each of the following:
|
594
|
1. A personal background information statement containing |
595
|
the background information and fingerprints required pursuant to |
596
|
subsection (4) for each person named in applicant's response to |
597
|
paragraphs (a)-(i) and for each affiliated party of the |
598
|
applicant.
|
599
|
2. If any of the five largest shareholders of the |
600
|
corporation seeking the permit is a corporation, the name, |
601
|
address, and title of each corporate officer and director of |
602
|
each such corporation, the name and address of such corporation, |
603
|
the name of such corporation's resident agent, such |
604
|
corporation's resident agent's address and such corporation's |
605
|
state of its incorporation, and the name and address of each |
606
|
shareholder of such corporation that owns 5 percent or more of |
607
|
the stock of such corporation.
|
608
|
3. The name and address of all financial institutions in |
609
|
which the applicant has an account which is used to pay for the |
610
|
operation of the establishment or to pay for drugs purchased for |
611
|
the establishment, together with the names of all persons that |
612
|
are authorized signatories on such accounts.
|
613
|
4. The sources of all funds and the amounts of such funds |
614
|
used to purchase or finance purchases of prescription drugs or |
615
|
to finance the premises on which the establishment is to be |
616
|
located.
|
617
|
5. If any of the funds identified in subparagraph 3. were |
618
|
borrowed, copies of all promissory notes or loans used to obtain |
619
|
such funds.
|
620
|
(m) Any other relevant information that the department |
621
|
requires.
|
622
|
(4)(a) Each person required by subsection (3) to provide a |
623
|
personal information statement and fingerprints shall provide |
624
|
the following information to the department on forms prescribed |
625
|
by the department:
|
626
|
1. The person's places of residence for the past 7 years.
|
627
|
2. The person's date and place of birth.
|
628
|
3. The person's occupations, positions of employment, and |
629
|
offices held during the past 7 years.
|
630
|
4. The principal business and address of any business, |
631
|
corporation, or other organization in which each such office of |
632
|
the person was held or in which each such occupation or position |
633
|
of employment was carried on.
|
634
|
5. Whether the person was, at any time during such 7-year |
635
|
period, convicted of or pleaded nolo contendere to any criminal |
636
|
offense other than a traffic violation, regardless of whether |
637
|
adjudication of guilt was withheld, and a description of the |
638
|
circumstances involved with the criminal offense. A criminal |
639
|
offense committed in another state which would have been a |
640
|
felony in this state must be reported.
|
641
|
6. Whether the person has been, during such 7-year period, |
642
|
the subject of any proceeding for the revocation of any license |
643
|
and, if so, the nature of the proceeding and the disposition of |
644
|
the proceeding.
|
645
|
7. Whether, during the 7-year period, the person has been |
646
|
the subject of any proceeding under the federal Bankruptcy Act |
647
|
or whether, during the 7-year period, any corporation, |
648
|
partnership, firm, trust, or association in which the person was |
649
|
a director, officer, trustee, partner, or other official has |
650
|
been subject to any such proceeding, either during the time in |
651
|
which the person was a director, officer, trustee, partner, or |
652
|
other official or within 12 months thereafter.
|
653
|
8. Whether, during the 7-year period, the person has been |
654
|
enjoined, either temporarily or permanently, by a court of |
655
|
competent jurisdiction from violating any federal or state law |
656
|
regulating the possession, control, or distribution of |
657
|
prescription drugs, together with details as to any such event.
|
658
|
9. A description of any involvement by the person with any |
659
|
business, including any investments (other than the ownership of |
660
|
stock in a publicly traded company or mutual fund), during the |
661
|
7-year period, that manufactured, administered, prescribed, |
662
|
distributed, or stored pharmaceutical products.
|
663
|
10. The names of, dates of attendance at, and degrees |
664
|
awarded by all postsecondary education institutions attended by |
665
|
the person.
|
666
|
11. A description of all lawsuits in which the person was |
667
|
a party during the 7-year period.
|
668
|
12. A description of any criminal offense of which the |
669
|
person was found guilty, regardless of whether adjudication of |
670
|
guilt was withheld, or to which the person pleaded guilty or |
671
|
nolo contendere. A criminal offense committed in another |
672
|
jurisdiction which would have been a felony in this state must |
673
|
be reported. If the person indicates that a criminal conviction |
674
|
is under appeal and submits a copy of the notice of appeal of |
675
|
that criminal offense, the applicant must, within 15 days after |
676
|
the disposition of the appeal, submit to the department a copy |
677
|
of the final written order of disposition.
|
678
|
13. A photograph of the person taken in the previous 30 |
679
|
days.
|
680
|
14. A set of fingerprints for the person on a form and |
681
|
under procedures specified by the department together with |
682
|
payment of an amount equal to the costs incurred by the |
683
|
department for a national criminal background check of the |
684
|
person.
|
685
|
15. The names, addresses, occupations, and date and place |
686
|
of birth for the members of the person's immediate family and a |
687
|
description of any criminal offense, other than a traffic |
688
|
infraction, which any of such persons was convicted during the |
689
|
7-year period, regardless of whether adjudication of guilt was |
690
|
withheld, or to which the person pleaded guilty or nolo |
691
|
contendere. A criminal offense committed in another jurisdiction |
692
|
which would have been a felony in this state must be reported. |
693
|
For the purposes of this subsection, the "members of the |
694
|
person's immediate family" includes the person's spouse, |
695
|
children, parents, siblings, the spouses of the person's |
696
|
children, and the spouses of the person's siblings.
|
697
|
16. Any other relevant information that the department |
698
|
requires.
|
699
|
(b) The information required pursuant to paragraph (a) |
700
|
shall be provided under oath.
|
701
|
(c) The department shall submit the fingerprints provided |
702
|
by a person for initial licensure to the Department of Law |
703
|
Enforcement for a statewide criminal history check, and the |
704
|
Department of Law Enforcement shall forward the fingerprints to |
705
|
the Federal Bureau of Investigation for a national criminal |
706
|
history check of the person. The department shall submit the |
707
|
fingerprints provided by a person as a part of a renewal |
708
|
application to the Department of Law Enforcement for a statewide |
709
|
criminal background history check, and the Department of Law |
710
|
Enforcement shall forward the fingerprints to the Federal Bureau |
711
|
of Investigation for a national criminal background history |
712
|
check, for the initial renewal of a permit after July 1, 2003. |
713
|
For any subsequent renewal of a permit, the department shall |
714
|
submit the required information for a statewide criminal history |
715
|
check of the person. Any person who, as a part of an initial |
716
|
permit application or initial permit renewal after July 1, 2003, |
717
|
submits to the department a set of fingerprints required for the |
718
|
criminal history check required in this subsection shall not be |
719
|
required to provide a subsequent set of fingerprints for a |
720
|
criminal history check to the department, if the person has |
721
|
undergone a criminal history check as a condition of the |
722
|
issuance of an initial permit or the initial renewal of a permit |
723
|
after July 1, 2003.
|
724
|
(5)(a) The department shall consider, at a minimum, the |
725
|
following factors in reviewing the qualifications of persons to |
726
|
be permitted pursuant to this section:
|
727
|
1. The applicant's having been found guilty, regardless of |
728
|
adjudication, in a court of this state or other jurisdiction, of |
729
|
a violation of a law that directly relates to a drug, device, or |
730
|
cosmetic. A plea of nolo contendere constitutes a finding of |
731
|
guilt for purposes of this subparagraph.
|
732
|
2. The applicant's past experience in distributing drugs.
|
733
|
3. The applicant's compliance with permitting requirements |
734
|
under any previously granted permits.
|
735
|
4. The applicant's compliance with requirements to |
736
|
maintain or make available to the state permitting authority or |
737
|
to federal, state, or local law enforcement officials those |
738
|
records required under this section.
|
739
|
5. The applicant or any affiliated party of the applicant |
740
|
has been disciplined by a regulatory agency in any state for any |
741
|
offense that would constitute a violation of ss. 499.001- |
742
|
499.081.
|
743
|
6. Any other factors or qualifications the department |
744
|
considers relevant to and consistent with the public health and |
745
|
safety.
|
746
|
(b) The department shall not approve a permit or renew a |
747
|
permit for a prescription drug wholesaler, an out-of-state |
748
|
prescription drug wholesaler, or a retail pharmacy drug |
749
|
wholesaler, if the department finds:
|
750
|
1. The management, officers, or directors of the applicant |
751
|
or any affiliated party are found by the department to be |
752
|
incompetent or untrustworthy;
|
753
|
2. The applicant is so lacking in experience in managing a |
754
|
wholesale distributor as to make the issuance of the proposed |
755
|
permit hazardous to the public health;
|
756
|
3. The applicant is so lacking in experience in managing a |
757
|
wholesale distributor as to jeopardize the reasonable promise of |
758
|
successful operation of the wholesale distributor;
|
759
|
4. It has good reason to believe the applicant is |
760
|
affiliated directly or indirectly, through ownership, control, |
761
|
or other business relations, with any person or persons whose |
762
|
business operations are or have been marked to the detriment of |
763
|
the public health or by bad faith;
|
764
|
5. The applicant, or any affiliated party, has been found |
765
|
guilty of or has pleaded guilty or nolo contendere to any felony |
766
|
or crime punishable by imprisonment for 1 year or more under the |
767
|
laws of the United States, any state, or any other country, |
768
|
regardless of whether adjudication of guilt was withheld;
|
769
|
6. The applicant has furnished false or fraudulent |
770
|
material in any application made in connection with |
771
|
manufacturing or distributing drugs, devices, or cosmetics; or
|
772
|
7. That a federal, state, or local government permit |
773
|
currently or previously held by the applicant, or any affiliated |
774
|
party, for the manufacture or distribution of any drugs, |
775
|
devices, or cosmetics has been suspended or revoked and has not |
776
|
been reinstated.
|
777
|
(c) The department shall not approve or renew any permit |
778
|
for any prescription drug wholesaler, out-of-state prescription |
779
|
drug wholesaler, or retail pharmacy drug wholesaler if any |
780
|
affiliated party who exercises or has the ability to exercise |
781
|
effective control of the applicant, or who influences or has the |
782
|
ability to influence the transaction of the business of the |
783
|
applicant, does not possess the financial standing and business |
784
|
experience for the successful operation of the applicant.
|
785
|
(d) The department shall suspend or revoke the permit and |
786
|
shall deny the renewal of the permit of any prescription drug |
787
|
wholesaler, out-of-state prescription drug wholesaler, or retail |
788
|
pharmacy drug wholesaler if any affiliated party who exercises |
789
|
or has the ability to exercise effective control of the |
790
|
applicant, or who influences or has the ability to influence the |
791
|
transaction of the business of the applicant, has been found |
792
|
guilty or pleaded guilty or nolo contendere to any felony or |
793
|
crime punishable by imprisonment for 1 year or more under the |
794
|
laws of the United States, any state, or any other country, |
795
|
regardless of whether adjudication of guilt was withheld.
|
796
|
(e) The department shall suspend or revoke the permit and |
797
|
shall deny the renewal of the permit of any prescription drug |
798
|
wholesaler, out-of-state prescription drug wholesaler, or retail |
799
|
pharmacy drug wholesaler in this state if any affiliated party |
800
|
who exercises or has the ability to exercise effective control |
801
|
of the permittee or applicant, or who influences or has the |
802
|
ability to influence the transaction of the business of the |
803
|
permittee or applicant, the department has good reason to |
804
|
believe is now or was in the past affiliated directly or |
805
|
indirectly, through ownership interest of 5 percent or more |
806
|
control, with any business, corporation, or other entity that |
807
|
has been found guilty of or has pleaded guilty or nolo |
808
|
contendere to any felony or crime punishable by imprisonment for |
809
|
1 year or more under the laws of the United States, any state, |
810
|
or any other country, regardless of whether adjudication of |
811
|
guilt was withheld.
|
812
|
(f) Upon approval of the application by the department and |
813
|
payment of the required fee, the department shall issue or renew |
814
|
a prescription drug wholesaler, out-of-state prescription drug |
815
|
wholesaler, or retail pharmacy drug wholesaler permit to the |
816
|
applicant, if the applicant meets the requirements of ss. |
817
|
499.001-499.081 and rules adopted under those sections.
|
818
|
(6) For permits for prescription drug wholesalers, out-of- |
819
|
state prescription drug wholesalers, and retail pharmacy drug |
820
|
wholesalers:
|
821
|
(a) The department shall adopt rules for the annual |
822
|
renewal of permits. At least 90 days before the expiration of a |
823
|
permit, the department shall forward a permit renewal |
824
|
notification and renewal application to the prescription drug |
825
|
wholesaler, out-of-state prescription drug wholesaler, and |
826
|
retail pharmacy drug wholesaler at the address of the permitted |
827
|
establishment. The permit renewal notification must state |
828
|
conspicuously the date on which the permit for the establishment |
829
|
will expire and that the establishment may not operate unless |
830
|
the permit for the establishment is renewed timely.
|
831
|
(b) The department shall renew a permit upon receipt of |
832
|
the renewal application and renewal fee if the applicant meets |
833
|
the requirements established under ss. 499.001-499.081 and the |
834
|
rules adopted under those sections.
|
835
|
(c) A permit, unless sooner suspended or revoked, |
836
|
automatically expires 1 year after the last day of the |
837
|
anniversary month in which the permit was originally issued. |
838
|
Such permit must be renewed by making application for renewal on |
839
|
forms furnished by the department and paying the appropriate |
840
|
fees. If a renewal application and fee are not submitted and |
841
|
postmarked by the expiration date of the permit, the permit may |
842
|
be reinstated only upon payment of a delinquent fee of $100, |
843
|
plus the required renewal fee, within 60 days after the |
844
|
expiration date.
|
845
|
(d) Failure to renew a permit in accordance with this |
846
|
section precludes any future renewal of that permit. If a permit |
847
|
issued pursuant to this section has expired and cannot be |
848
|
renewed, before an establishment may continue to engage in |
849
|
activities that require a permit under ss. 499.001-499.081, the |
850
|
establishment must submit an application for a new permit, pay |
851
|
the applicable application fee, initial permit fee, and all |
852
|
applicable penalties.
|
853
|
(7)A person that engages in wholesale distribution of |
854
|
prescription drugs in this state must have a wholesale |
855
|
distributor's permit issued by the department, except as noted |
856
|
in this section. Each establishment must be separately permitted |
857
|
except as noted in this subsection. |
858
|
(a) A separate establishment permit is not required when a |
859
|
permitted prescription drug wholesaler consigns a prescription |
860
|
drug to a pharmacy that is permitted under chapter 465 and |
861
|
located in this state, provided that: |
862
|
1. The consignor wholesaler notifies the department in |
863
|
writing of the contract to consign prescription drugs to a |
864
|
pharmacy along with the identity and location of each consignee |
865
|
pharmacy; |
866
|
2. The pharmacy maintains its permit under chapter 465; |
867
|
3. The consignor wholesaler, which has no legal authority |
868
|
to dispense prescription drugs, complies with all wholesale |
869
|
distribution requirements of s. 499.0121 with respect to the |
870
|
consigned drugs and maintains records documenting the transfer |
871
|
of title or other completion of the wholesale distribution of |
872
|
the consigned prescription drugs; |
873
|
4. The distribution of the prescription drug is otherwise |
874
|
lawful under this chapter and other applicable law; |
875
|
5. Open packages containing prescription drugs within a |
876
|
pharmacy are the responsibility of the pharmacy, regardless of |
877
|
how the drugs are titled; and |
878
|
6. The pharmacy dispenses the consigned prescription drug |
879
|
in accordance with the limitations of its permit under chapter |
880
|
465 or returns the consigned prescription drug to the consignor |
881
|
wholesaler. In addition, a person who holds title to |
882
|
prescription drugs may transfer the drugs to a person permitted |
883
|
or licensed to handle the reverse distribution or destruction of |
884
|
drugs. Any other distribution by and means of the consigned |
885
|
prescription drug by any person, not limited to the consignor |
886
|
wholesaler or consignee pharmacy, to any other person is |
887
|
prohibited. |
888
|
(b) A wholesale distributor's permit is not required for |
889
|
the one-time transfer of title of a pharmacy's lawfully acquired |
890
|
prescription drug inventory by a pharmacy with a valid permit |
891
|
issued under chapter 465 to a consignor prescription drug |
892
|
wholesaler, permitted under this chapter, in accordance with a |
893
|
written consignment agreement between the pharmacy and that |
894
|
wholesaler if: the permitted pharmacy and the permitted |
895
|
prescription drug wholesaler comply with all of the provisions |
896
|
of paragraph (a) and the prescription drugs continue to be |
897
|
within the permitted pharmacy's inventory for dispensing in |
898
|
accordance with the limitations of the pharmacy permit under |
899
|
chapter 465. A consignor drug wholesaler may not use the |
900
|
pharmacy as a wholesale distributor through which it distributes |
901
|
the legend drugs to other pharmacies. Nothing in this section is |
902
|
intended to prevent a wholesale drug distributor from obtaining |
903
|
this inventory in the event of nonpayment by the pharmacy. |
904
|
(c) The department shall require information from each |
905
|
wholesale distributor as part of the permit and renewal of such |
906
|
permit, as required under s. 499.01. |
907
|
(8)(4)Personnel employed in wholesale distribution must |
908
|
have appropriate education and experience to enable them to |
909
|
perform their duties in compliance with state permitting |
910
|
requirements. |
911
|
(9)(a) Each establishment that is issued a prescription |
912
|
drug wholesaler's permit, an out-of-state prescription drug |
913
|
permit, or a retail pharmacy drug wholesaler's permit must |
914
|
designate in writing to the department at least one natural |
915
|
person to serve as the wholesaler's representative.
|
916
|
(b) Each such natural person must meet the following |
917
|
qualifications:
|
918
|
1. Is at least 18 years of age.
|
919
|
2. Has at least 2 years' experience working full-time in a |
920
|
pharmacy or with a wholesale distributor that holds a |
921
|
prescription drug wholesaler permit or that holds an out-of- |
922
|
state wholesaler permit.
|
923
|
3. Has received a passing score of at least 75 percent on |
924
|
an examination given by the department regarding federal laws |
925
|
governing distribution of prescription drugs and ss. 499.001- |
926
|
499.081 and the rules adopted by the department governing the |
927
|
wholesale distribution of prescription drugs. Such requirement |
928
|
shall be effective 1 year after the results of the initial |
929
|
examination are mailed to the persons that took the examination. |
930
|
The department shall offer such examinations at least four times |
931
|
each calendar year. A pharmacist licensed under chapter 465 |
932
|
shall be exempt from the requirements of this subparagraph.
|
933
|
4. Has provided the department with a personal information |
934
|
statement and fingerprints pursuant to subsection (4).
|
935
|
(c) The wholesaler's representative:
|
936
|
1. Must be actively involved in and aware of the actual |
937
|
daily operation of the wholesale distributor.
|
938
|
2. Must be employed full-time in a managerial position |
939
|
with the wholesale distributor.
|
940
|
3. Must be physically present at the establishment during |
941
|
normal business hours, except for time periods when absent due |
942
|
to illness, family illness or death, scheduled vacation, or |
943
|
other authorized absence.
|
944
|
4. May serve as a wholesaler's representative for only one |
945
|
wholesale distributor at one time.
|
946
|
(d) A wholesale distributor must notify the department |
947
|
when a wholesale representative leaves the employ of the |
948
|
wholesale distributor. Such notice must be provided within 10 |
949
|
business days after the last day of the wholesale |
950
|
representative's employment with the wholesale distributor.
|
951
|
(e) A wholesale distributor may not operate under a |
952
|
prescription drug permit or an out-of-state prescription drug |
953
|
permit for more than 10 business days after the wholesale |
954
|
representative leaves the employ of the wholesale distributor, |
955
|
unless the wholesale distributor employs another wholesaler's |
956
|
representative.
|
957
|
(10)(5)The department may adopt rules governing the |
958
|
recordkeeping, storage, and handling with respect to each of the |
959
|
distributions of prescription drugs specified in subparagraphs |
960
|
(1)(a)1.-4. |
961
|
Section 5. Section 499.0121, Florida Statutes, is amended |
962
|
to read: |
963
|
499.0121 Storage and handling of prescription drugs; |
964
|
wholesale distributor due diligence;recordkeeping.--The |
965
|
department shall adopt rules to implement this section as |
966
|
necessary to protect the public health, safety, and welfare. |
967
|
Such rules shall include, but not be limited to, requirements |
968
|
for the storage and handling of prescription drugs, for the due |
969
|
diligence that wholesale distributors must perform on their |
970
|
suppliers,and for the establishment and maintenance of |
971
|
prescription drug distribution records. |
972
|
(1) ESTABLISHMENTS.--An establishment at which |
973
|
prescription drugs are stored, warehoused, handled, held, |
974
|
offered, marketed, or displayed must: |
975
|
(a) Be of suitable size and construction to facilitate |
976
|
cleaning, maintenance, and proper operations; |
977
|
(b) Have storage areas designed to provide adequate |
978
|
lighting, ventilation, temperature, sanitation, humidity, space, |
979
|
equipment, and security conditions; |
980
|
(c) Have a quarantine area for storage of prescription |
981
|
drugs that are outdated, damaged, deteriorated, misbranded, or |
982
|
adulterated, or that are in immediate or sealed, secondary |
983
|
containers that have been opened; |
984
|
(d) Be maintained in a clean and orderly condition; and |
985
|
(e) Be free from infestation by insects, rodents, birds, |
986
|
or vermin of any kind. |
987
|
(2) SECURITY.-- |
988
|
(a) An establishment that is used for wholesale drug |
989
|
distribution must be secure from unauthorized entry. |
990
|
1. Access from outside the premises must be kept to a |
991
|
minimum and be well-controlled. |
992
|
2. The outside perimeter of the premises must be well- |
993
|
lighted. |
994
|
3. Entry into areas where prescription drugs are held must |
995
|
be limited to authorized personnel. |
996
|
(b) An establishment that is used for wholesale drug |
997
|
distribution must be equipped with: |
998
|
1. An alarm system to detect entry after hours; however, |
999
|
the department may exempt by rule establishments that only hold |
1000
|
a permit as prescription drug wholesaler-brokers and |
1001
|
establishments that only handle medical oxygen; and |
1002
|
2. A security system that will provide suitable protection |
1003
|
against theft and diversion. When appropriate, the security |
1004
|
system must provide protection against theft or diversion that |
1005
|
is facilitated or hidden by tampering with computers or |
1006
|
electronic records. |
1007
|
(c) Any vehicle that contains prescription drugs must be |
1008
|
secure from unauthorized access to the prescription drugs in the |
1009
|
vehicle. |
1010
|
(3) STORAGE.--All prescription drugs shall be stored at |
1011
|
appropriate temperatures and under appropriate conditions in |
1012
|
accordance with requirements, if any, in the labeling of such |
1013
|
drugs, or with requirements in the official compendium. |
1014
|
(a) If no storage requirements are established for a |
1015
|
prescription drug, the drug may be held at "controlled" room |
1016
|
temperature, as defined in the official compendium, to help |
1017
|
ensure that its identity, strength, quality, and purity are not |
1018
|
adversely affected. |
1019
|
(b) Appropriate manual, electromechanical, or electronic |
1020
|
temperature and humidity recording equipment, devices, or logs |
1021
|
must be used to document proper storage of prescription drugs. |
1022
|
(c) The recordkeeping requirements in subsection (6) must |
1023
|
be followed for all stored prescription drugs. |
1024
|
(4) EXAMINATION OF MATERIALS.-- |
1025
|
(a) Upon receipt, each outside shipping container must be |
1026
|
visually examined for identity and to prevent the acceptance of |
1027
|
contaminated prescription drugs that are otherwise unfit for |
1028
|
distribution. This examination must be adequate to reveal |
1029
|
container damage that would suggest possible contamination or |
1030
|
other damage to the contents. |
1031
|
(b) Each outgoing shipment must be carefully inspected for |
1032
|
identity of the prescription drug products and to ensure that |
1033
|
there is no delivery of prescription drugs that have expired or |
1034
|
been damaged in storage or held under improper conditions. |
1035
|
(c) The recordkeeping requirements in subsection (6) must |
1036
|
be followed for all incoming and outgoing prescription drugs. |
1037
|
(5) DUE DILIGENCE.--
|
1038
|
(a) Prior to purchasing any prescription drugs from |
1039
|
another wholesale drug distributor, a wholesale drug distributor |
1040
|
must:
|
1041
|
1. Enter an agreement with the selling wholesale drug |
1042
|
distributor by which the selling wholesale drug distributor will |
1043
|
indemnify the purchasing wholesale drug distributor for any loss |
1044
|
caused to the purchasing wholesale drug distributor related to |
1045
|
the purchase of drugs from the selling wholesale drug |
1046
|
distributor that are determined to be counterfeit or to have |
1047
|
been distributed in violation of any federal or state law |
1048
|
governing the distribution of drugs.
|
1049
|
2. Determine that the selling wholesale drug distributor |
1050
|
has insurance coverage of not less than the greater of 1 percent |
1051
|
of the amount of total dollar volume of the prescription drug |
1052
|
sales reported to the department pursuant to paragraph (7)(f) or |
1053
|
$500,000, provided such coverage does not have to exceed $2 |
1054
|
million.
|
1055
|
3. Obtain information about the selling wholesale drug |
1056
|
distributor, including the length of time the selling wholesale |
1057
|
drug distributor has been licensed in Florida, a copy of the |
1058
|
selling wholesale drug distributor's licenses or permits, and |
1059
|
appropriate background information concerning the selling |
1060
|
wholesale drug distributor.
|
1061
|
4. Verify that the selling wholesale drug distributor's |
1062
|
Florida permit is valid.
|
1063
|
5. Inspect the selling wholesale drug distributor's |
1064
|
licensed establishment to document that it has a policies and |
1065
|
procedures manual relating to the distribution of drugs, the |
1066
|
appropriate temperature controlled environment for drugs |
1067
|
requiring temperature control, an alarm system, appropriate |
1068
|
access restrictions, and procedures to ensure that records |
1069
|
related to the wholesale distribution of prescription drugs are |
1070
|
maintained as required by law before:
|
1071
|
a. Purchasing any drug from the wholesale drug |
1072
|
distributor, and at least once each subsequent year; or
|
1073
|
b. Purchasing any drug from the wholesale drug |
1074
|
distributor, and each subsequent year obtaining a complete copy |
1075
|
of the most recent annual inspection report for the |
1076
|
establishment that was prepared by the department or the |
1077
|
regulatory authority responsible for wholesale drug distributors |
1078
|
in the state in which the establishment is located and that |
1079
|
indicates that no regulatory violations were found at the |
1080
|
establishment.
|
1081
|
(b) The department shall publish on the department's |
1082
|
website:
|
1083
|
1. A list of the prescription drug wholesalers, out-of- |
1084
|
state prescription drug wholesalers, and retail pharmacy drug |
1085
|
wholesalers against whom the department has initiated |
1086
|
enforcement action pursuant to ss. 499.001–499.081 and their |
1087
|
permit numbers.
|
1088
|
2. A list of all prescription drug wholesalers, out-of- |
1089
|
state prescription drug wholesalers, and retail pharmacy drug |
1090
|
wholesalers to which the department has issued a permit together |
1091
|
with the date on which each permit will expire.
|
1092
|
3. A list of all prescription drug wholesaler, out-of- |
1093
|
state prescription drug wholesaler, and retail pharmacy drug |
1094
|
wholesaler permits that became inactive, were suspended, were |
1095
|
revoked or were not renewed in the previous year.
|
1096
|
(6)(5)RETURNED, DAMAGED, OR OUTDATED PRESCRIPTION |
1097
|
DRUGS.-- |
1098
|
(a)1. Prescription drugs that are outdated, damaged, |
1099
|
deteriorated, misbranded, or adulterated must be quarantined and |
1100
|
physically separated from other prescription drugs until they |
1101
|
are destroyed or returned to their supplier. A quarantine |
1102
|
section must be separate and apart from other sections where |
1103
|
prescription drugs are stored so that prescription drugs in this |
1104
|
section are not confused with usable prescription drugs. |
1105
|
2. Prescription drugs must be examined at least every 12 |
1106
|
months, and drugs for which the expiration date has passed must |
1107
|
be removed and quarantined. |
1108
|
(b) Any prescription drugs of which the immediate or |
1109
|
sealed outer containers or sealed secondary containers have been |
1110
|
opened or used must be identified as such and must be |
1111
|
quarantined and physically separated from other prescription |
1112
|
drugs until they are either destroyed or returned to the |
1113
|
supplier. |
1114
|
(c) If the conditions under which a prescription drug has |
1115
|
been returned cast doubt on the drug's safety, identity, |
1116
|
strength, quality, or purity, the drug must be destroyed or |
1117
|
returned to the supplier, unless examination, testing, or other |
1118
|
investigation proves that the drug meets appropriate standards |
1119
|
of safety, identity, strength, quality, and purity. In |
1120
|
determining whether the conditions under which a drug has been |
1121
|
returned cast doubt on the drug's safety, identity, strength, |
1122
|
quality, or purity, the wholesale drug distributor must |
1123
|
consider, among other things, the conditions under which the |
1124
|
drug has been held, stored, or shipped before or during its |
1125
|
return and the conditions of the drug and its container, carton, |
1126
|
or labeling, as a result of storage or shipping. |
1127
|
(d) The recordkeeping requirements in subsection (6) must |
1128
|
be followed for all outdated, damaged, deteriorated, misbranded, |
1129
|
or adulterated prescription drugs. |
1130
|
(7)(6)RECORDKEEPING.--The department shall adopt rules |
1131
|
that require keeping such records of prescription drugs as are |
1132
|
necessary for the protection of the public health. |
1133
|
(a) Wholesale drug distributors must establish and |
1134
|
maintain inventories and records of all transactions regarding |
1135
|
the receipt and distribution or other disposition of |
1136
|
prescription drugs. These records must provide a complete audit |
1137
|
trail from receipt to sale or other disposition, be readily |
1138
|
retrievable for inspection, and include, at a minimum, the |
1139
|
following information: |
1140
|
1. The source of the drugs, including the name and |
1141
|
principal address of the seller or transferor, and the address |
1142
|
of the location from which the drugs were shipped; |
1143
|
2. The name, principal address, and state license permit |
1144
|
or registration number of the person authorized to purchase |
1145
|
prescription drugs; |
1146
|
3. The name, strength, dosage form, and quantity of the |
1147
|
drugs received and distributed or disposed of; and |
1148
|
4. The dates of receipt and distribution or other |
1149
|
disposition of the drugs. |
1150
|
(b) Inventories and records must be made available for |
1151
|
inspection and photocopying by authorized federal, state, or |
1152
|
local officials for a period of 2 years following disposition of |
1153
|
the drugs. |
1154
|
(c) Records described in this section that are kept at the |
1155
|
inspection site or that can be immediately retrieved by computer |
1156
|
or other electronic means must be readily available for |
1157
|
authorized inspection during the retention period. Records that |
1158
|
are kept at a central location outside of this state and that |
1159
|
are not electronically retrievable must be made available for |
1160
|
inspection within 2 working days after a request by an |
1161
|
authorized official of a federal, state, or local law |
1162
|
enforcement agency. Records that are maintained at a central |
1163
|
location within this state must be maintained at an |
1164
|
establishment that is permitted pursuant to ss. 499.001-499.081 |
1165
|
and must be readily available. |
1166
|
(d)1. Each person who is engaged in the wholesale |
1167
|
distribution of a prescription drug, and who is not an |
1168
|
authorized distributor of record for the drug manufacturer's |
1169
|
productsof such drug, must provide to each wholesale |
1170
|
distributor of such drug, before the sale is made to such |
1171
|
wholesale distributor, a written statement under oath |
1172
|
identifying each previous sale of the drug back to the last |
1173
|
authorized distributor of record, the lot number of the drug, |
1174
|
and the sales invoice number of the invoice evidencing the sale |
1175
|
of the drug. The written statement identifying all sales of such |
1176
|
drug must accompany the drug for each subsequent wholesale |
1177
|
distribution of the drug to the nextawholesale distributor. |
1178
|
The department shall adopt rules relating to the requirements of |
1179
|
this written statement. |
1180
|
2. Each wholesale distributor of prescription drugs must |
1181
|
maintain separate and distinct from other required records all |
1182
|
statements that are required under subparagraph 1. and paragraph |
1183
|
(e).
|
1184
|
3. Each manufacturer of a prescription drug sold in this |
1185
|
state must maintain at its corporate offices a current list of |
1186
|
authorized distributors and must make such list available to the |
1187
|
department upon request. |
1188
|
(e)1. Notwithstanding paragraph (d), each person who is |
1189
|
engaged in the wholesale distribution of a high-risk |
1190
|
prescription drug must provide to each wholesale distributor of |
1191
|
such high-risk prescription drug, before any sale of such high- |
1192
|
risk prescription drug is made to such wholesale distributor, a |
1193
|
written statement under oath identifying each previous sale of |
1194
|
the high-risk prescription drug back to the manufacturer of the |
1195
|
high-risk prescription drug, the lot number of the high-risk |
1196
|
prescription drug, and the sales invoice number of the invoice |
1197
|
evidencing each previous sale of the high-risk prescription |
1198
|
drug. The written statement identifying all sales of such high- |
1199
|
risk prescription drug must accompany the high-risk prescription |
1200
|
drug for each subsequent wholesale distribution of the high-risk |
1201
|
prescription drug to a wholesale distributor. The department |
1202
|
shall adopt rules relating to the requirements of this written |
1203
|
statement.
|
1204
|
2. For the purposes of this paragraph, a "high-risk |
1205
|
prescription drug" is a specific drug on the list of drugs |
1206
|
adopted by the department by rule each of which is a specific |
1207
|
drug seized by the department on at least five separate |
1208
|
occasions because such drug was adulterated, counterfeited, or |
1209
|
diverted from legal prescription drug distribution channels and |
1210
|
the department has begun an administrative action to revoke the |
1211
|
permits of two or more wholesale distributors that engaged in |
1212
|
the illegal distribution of that specific drug.
|
1213
|
(f) Each wholesale distributor, except for a manufacturer, |
1214
|
shall annually provide the department with a written list of all |
1215
|
prescription drug wholesalers and out-of-state prescription drug |
1216
|
wholesalers from whom the wholesale distributor purchases drugs. |
1217
|
A wholesale distributor, except a manufacturer, shall notify the |
1218
|
department not later than 10 days after any change to said list.
|
1219
|
|
1220
|
For the purposes of this subsection, the term "authorized |
1221
|
distributors of record" means those distributors with whom a |
1222
|
manufacturer has established an ongoing relationship to |
1223
|
distribute the manufacturer's products, without regard to |
1224
|
whether the wholesale distributor acquired the products directly |
1225
|
from the manufacturer. An ongoing relationship is deemed to |
1226
|
exist when a wholesale distributor is listed on the |
1227
|
manufacturer's current list of authorized distributors or when a |
1228
|
wholesale distributor has made at least three purchases of a |
1229
|
manufacturer's products directly from that manufacturer within a |
1230
|
6-month period from the date for which the authorized |
1231
|
distributor-of-record relationship is claimed. |
1232
|
(8)(7)WRITTEN POLICIES AND PROCEDURES.--Wholesale drug |
1233
|
distributors must establish, maintain, and adhere to written |
1234
|
policies and procedures, which must be followed for the receipt, |
1235
|
security, storage, inventory, and distribution of prescription |
1236
|
drugs, including policies and procedures for identifying, |
1237
|
recording, and reporting losses or thefts, and for correcting |
1238
|
all errors and inaccuracies in inventories. Wholesale drug |
1239
|
distributors must include in their written policies and |
1240
|
procedures: |
1241
|
(a) A procedure whereby the oldest approved stock of a |
1242
|
prescription drug product is distributed first. The procedure |
1243
|
may permit deviation from this requirement, if the deviation is |
1244
|
temporary and appropriate. |
1245
|
(b) A procedure to be followed for handling recalls and |
1246
|
withdrawals of prescription drugs. Such procedure must be |
1247
|
adequate to deal with recalls and withdrawals due to: |
1248
|
1. Any action initiated at the request of the Food and |
1249
|
Drug Administration or any other federal, state, or local law |
1250
|
enforcement or other government agency, including the |
1251
|
department. |
1252
|
2. Any voluntary action by the manufacturer to remove |
1253
|
defective or potentially defective drugs from the market; or |
1254
|
3. Any action undertaken to promote public health and |
1255
|
safety by replacing existing merchandise with an improved |
1256
|
product or new package design. |
1257
|
(c) A procedure to ensure that wholesale drug distributors |
1258
|
prepare for, protect against, and handle any crisis that affects |
1259
|
security or operation of any facility if a strike, fire, flood, |
1260
|
or other natural disaster, or a local, state, or national |
1261
|
emergency, occurs. |
1262
|
(d) A procedure to ensure that any outdated prescription |
1263
|
drugs are segregated from other drugs and either returned to the |
1264
|
manufacturer or destroyed. This procedure must provide for |
1265
|
written documentation of the disposition of outdated |
1266
|
prescription drugs. This documentation must be maintained for 2 |
1267
|
years after disposition of the outdated drugs. |
1268
|
(9)(8)RESPONSIBLE PERSONS.--Wholesale drug distributors |
1269
|
must establish and maintain lists of officers, directors, |
1270
|
managers, wholesaler's representatives,and other persons in |
1271
|
charge of wholesale drug distribution, storage, and handling, |
1272
|
including a description of their duties and a summary of their |
1273
|
qualifications. |
1274
|
(10)(9)COMPLIANCE WITH FEDERAL, STATE, AND LOCAL LAW.--A |
1275
|
wholesale drug distributor must operate in compliance with |
1276
|
applicable federal, state, and local laws and regulations. |
1277
|
(a) A wholesale drug distributor must allow the department |
1278
|
and authorized federal, state, and local officials to enter and |
1279
|
inspect its premises and delivery vehicles, and to audit its |
1280
|
records and written operating procedures, at reasonable times |
1281
|
and in a reasonable manner, to the extent authorized by law. |
1282
|
(b) A wholesale drug distributor that deals in controlled |
1283
|
substances must register with the Drug Enforcement |
1284
|
Administration and must comply with all applicable state, local, |
1285
|
and federal laws. A wholesale drug distributor that distributes |
1286
|
any substance controlled under chapter 893 must notify the |
1287
|
department when registering with the Drug Enforcement |
1288
|
Administration pursuant to that chapter and must provide the |
1289
|
department with its DEA number. |
1290
|
(c) A wholesale drug distributor shall not pay for any |
1291
|
drug with currency, as defined in s. 560.103(6).
|
1292
|
(11)(10)SALVAGING AND REPROCESSING.--A wholesale drug |
1293
|
distributor is subject to any applicable federal, state, or |
1294
|
local laws or regulations that relate to prescription drug |
1295
|
product salvaging or reprocessing. |
1296
|
Section 6. Paragraphs (b) and (c) of subsection (2) of |
1297
|
section 499.0122, Florida Statutes, are amended to read: |
1298
|
499.0122 Medical oxygen and veterinary legend drug retail |
1299
|
establishments; definitions, permits, general requirements.-- |
1300
|
(2) |
1301
|
(b) The department shall adopt rules relating to |
1302
|
information required from each retail establishment pursuant to |
1303
|
s. 499.01(4) and (5)(2), including requirements for |
1304
|
prescriptions or orders. |
1305
|
(c) A retail establishment must comply with all of the |
1306
|
wholesale distribution requirements of s. 499.0121 except those |
1307
|
set forth in s. 499.0121(7)(6)(d) and (e). |
1308
|
Section 7. Section 499.0125, Florida Statutes, is created |
1309
|
to read: |
1310
|
499.0125 Drug Wholesaler Advisory Council.--
|
1311
|
(1) There is created the Drug Wholesaler Advisory Council |
1312
|
in the department. The council shall meet at least three times |
1313
|
each year. Staff for the council shall be provided by the |
1314
|
department. The council shall consist of nine members who shall |
1315
|
serve without compensation.
|
1316
|
(2) The secretary of the department shall appoint three |
1317
|
members, one of whom must be a pharmacist licensed pursuant to |
1318
|
chapter 465 who is employed in a retail pharmacy drug wholesaler |
1319
|
licensed pursuant to this chapter, one of whom must be a person |
1320
|
employed by a prescription drug wholesaler licensed pursuant to |
1321
|
this chapter, and one of whom must be the department employee |
1322
|
responsible for supervising the administration of ss. 499.001– |
1323
|
499.081. The Speaker of the House of Representatives shall |
1324
|
appoint three members, one of whom must be a person |
1325
|
knowledgeable about the pharmaceutical distribution industry who |
1326
|
is employed by a primary wholesaler, as defined in s. |
1327
|
499.012(1)(d), that is licensed pursuant to this chapter, one of |
1328
|
whom must be an employee of a retail pharmacy chain located in |
1329
|
Florida, and one of whom must be a member of the Florida House |
1330
|
of Representatives. The President of the Senate shall appoint |
1331
|
three members, one of whom must be a person knowledgeable about |
1332
|
the pharmaceutical distribution industry who is employed by a |
1333
|
secondary wholesaler, as defined in s. 499.012(1)(f), that is |
1334
|
licensed pursuant to this chapter, one of whom must be an |
1335
|
employee of a retail grocery chain that operates a retail |
1336
|
pharmacy in Florida, and one of whom must be a member of the |
1337
|
Senate. The members of the council shall elect a chair and a |
1338
|
vice chair who will serve a term of 1 year each.
|
1339
|
(3) The council shall review ss. 499.001-499.081 and the |
1340
|
rules adopted to implement ss. 499.001–499.081 annually, provide |
1341
|
input to the department regarding all proposed rules to |
1342
|
implement ss. 499.001–499.081, make recommendations to the |
1343
|
department to improve the protection of prescription drugs and |
1344
|
the public health, improve the technology and means used in the |
1345
|
wholesale distribution of drugs, make recommendations to improve |
1346
|
coordination with other states' regulatory agencies and the |
1347
|
Federal Government concerning wholesale distribution of drugs, |
1348
|
and make recommendations to minimize the impact of regulation of |
1349
|
the wholesale distribution industry while ensuring protection of |
1350
|
the public health. |
1351
|
Section 8. Paragraph (a) of subsection (1) and subsection |
1352
|
(3) of section 499.015, Florida Statutes, are amended to read: |
1353
|
499.015 Registration of drugs, devices, and cosmetics; |
1354
|
issuance of certificates of free sale.-- |
1355
|
(1)(a) Except for those persons exempted from the |
1356
|
definition in s. 499.003(22)(21), any person who manufactures, |
1357
|
packages, repackages, labels, or relabels a drug, device, or |
1358
|
cosmetic in this state must register such drug, device, or |
1359
|
cosmetic biennially with the department; pay a fee in accordance |
1360
|
with the fee schedule provided by s. 499.041; and comply with |
1361
|
this section. The registrant must list each separate and |
1362
|
distinct drug, device, or cosmetic at the time of registration. |
1363
|
(3) Except for those persons exempted from the definition |
1364
|
in s. 499.003(22)(21), a person may not sell any product that he |
1365
|
or she has failed to register in conformity with this section. |
1366
|
Such failure to register subjects such drug, device, or cosmetic |
1367
|
product to seizure and condemnation as provided in ss. 499.062- |
1368
|
499.064, and subjects such person to the penalties and remedies |
1369
|
provided in ss. 499.001-499.081. |
1370
|
Section 9. Subsection (3) of section 499.024, Florida |
1371
|
Statutes, is amended to read: |
1372
|
499.024 Drug product classification.--The secretary shall |
1373
|
adopt rules to classify drug products intended for use by humans |
1374
|
which the United States Food and Drug Administration has not |
1375
|
classified in the federal act or the Code of Federal |
1376
|
Regulations. |
1377
|
(3) Any product that falls under the drug definition, s. |
1378
|
499.003(13)(12), may be classified under the authority of this |
1379
|
section. This section does not subject portable emergency oxygen |
1380
|
inhalators to classification; however, this section does not |
1381
|
exempt any person from ss. 499.01 and 499.015. |
1382
|
Section 10. Subsection (1) of section 499.03, Florida |
1383
|
Statutes, is amended to read: |
1384
|
499.03 Possession of new drugs or legend drugs without |
1385
|
prescriptions unlawful; exemptions and exceptions.-- |
1386
|
(1) A person may not possess, or possess with intent to |
1387
|
sell, dispense, or deliver, any habit-forming, toxic, harmful, |
1388
|
or new drug subject to s. 499.003(23)(22), or legend drug as |
1389
|
defined in s. 499.003(20)(19), unless the possession of the drug |
1390
|
has been obtained by a valid prescription of a practitioner |
1391
|
licensed by law to prescribe the drug. However, this section |
1392
|
does not apply to the delivery of such drugs to persons included |
1393
|
in any of the classes named in this subsection, or to the agents |
1394
|
or employees of such persons, for use in the usual course of |
1395
|
their businesses or practices or in the performance of their |
1396
|
official duties, as the case may be; nor does this section apply |
1397
|
to the possession of such drugs by those persons or their agents |
1398
|
or employees for such use: |
1399
|
(a) A licensed pharmacist or any person under the licensed |
1400
|
pharmacist's supervision while acting within the scope of the |
1401
|
licensed pharmacist's practice; |
1402
|
(b) A licensed practitioner authorized by law to prescribe |
1403
|
legend drugs or any person under the licensed practitioner's |
1404
|
supervision while acting within the scope of the licensed |
1405
|
practitioner's practice; |
1406
|
(c) A qualified person who uses legend drugs for lawful |
1407
|
research, teaching, or testing, and not for resale; |
1408
|
(d) A licensed hospital or other institution that procures |
1409
|
such drugs for lawful administration or dispensing by |
1410
|
practitioners; |
1411
|
(e) An officer or employee of a federal, state, or local |
1412
|
government; or |
1413
|
(f) A person that holds a valid permit issued by the |
1414
|
department pursuant to ss. 499.001-499.081 which authorizes that |
1415
|
person to possess prescription drugs. |
1416
|
Section 11. Subsection (2) and subsection (4) of section |
1417
|
499.041, Florida Statutes, are amended to read: |
1418
|
499.041 Schedule of fees for drug, device, and cosmetic |
1419
|
applications and permits, product registrations, and free-sale |
1420
|
certificates.-- |
1421
|
(2) The department shall assess an applicant that is |
1422
|
required to have a wholesaling permit an annual fee within the |
1423
|
ranges established in this section for the specific type of |
1424
|
wholesaling. |
1425
|
(a) The fee for a prescription drug wholesaler's permit |
1426
|
may not be less than $300 or more than $800$400annually; |
1427
|
(b) The fee for a compressed medical gas wholesaler's |
1428
|
permit may not be less than $200 or more than $300 annually; |
1429
|
(c) The fee for an out-of-state prescription drug |
1430
|
wholesaler's permit may not be less than $300$200 or more than |
1431
|
$600$300annually; |
1432
|
(d) The fee for a retail pharmacy drugwholesaler's permit |
1433
|
may not be less than $35 or more than $100$50annually. |
1434
|
(4) The department shall assess an applicant that is |
1435
|
required to have a restricted prescription drug distributor's |
1436
|
permit an annual fee of not less than $200 or more than $600 |
1437
|
$300. |
1438
|
Section 12. Paragraph (g) of subsection (1) of section |
1439
|
499.05, Florida Statutes, is amended to read: |
1440
|
499.05 Rules.-- |
1441
|
(1) The department shall adopt rules to implement and |
1442
|
enforce ss. 499.001-499.081 with respect to: |
1443
|
(g) Inspections and investigations conducted under s. |
1444
|
499.051, and the identification of information claimed to be a |
1445
|
trade secret and exempt from the public records law as provided |
1446
|
in s. 499.051(6)(5). |
1447
|
Section 13. Section 499.051, Florida Statutes, is amended |
1448
|
to read: |
1449
|
499.051 Inspections and investigations.-- |
1450
|
(1) The agents of the Department of Health and of the |
1451
|
Department of Law Enforcement, after they present proper |
1452
|
identification, may inspect, monitor, and investigate any |
1453
|
establishment permitted pursuant to ss. 499.001-499.081 during |
1454
|
business hours for the purpose of enforcing ss. 499.001-499.081, |
1455
|
chapters 465, 501, and 893, and the rules of the department that |
1456
|
protect the public health, safety, and welfare. |
1457
|
(2) In addition to the authority set forth in subsection |
1458
|
(1), the department and any duly designated officer or employee |
1459
|
of the department may enter and inspect any other establishment |
1460
|
for the purpose of determining compliance with ss. 499.001- |
1461
|
499.081 and rules adopted under those sections regarding any |
1462
|
drug, device, or cosmetic product. The authority to enter and |
1463
|
inspect does not extend to the practice of the profession of |
1464
|
pharmacy, as defined in chapter 465 and the rules adopted under |
1465
|
that chapter, in a pharmacy permitted under chapter 465. The |
1466
|
Department of Business and Professional Regulation shall conduct |
1467
|
routine inspections of retail pharmacy drugwholesalers at the |
1468
|
time of the regular pharmacy permit inspection and shall send |
1469
|
the inspection report regarding drug wholesale activity to the |
1470
|
Department of Health. |
1471
|
(3) Any application for a permit or product registration |
1472
|
or for renewal of such permit or registration made pursuant to |
1473
|
ss. 499.001-499.081 and rules adopted under those sections |
1474
|
constitutes permission for any entry or inspection of the |
1475
|
premises in order to verify compliance with those sections and |
1476
|
rules; to discover, investigate, and determine the existence of |
1477
|
compliance; or to elicit, receive, respond to, and resolve |
1478
|
complaints and violations. |
1479
|
(4) Any application for a permit made pursuant to s. |
1480
|
499.012 and rules adopted under those sections constitutes |
1481
|
permission for agents of the Department of Health and the |
1482
|
Department of Law Enforcement, after they present proper |
1483
|
identification, to inspect and copy any financial document or |
1484
|
record related to the distribution of a drug as is necessary to |
1485
|
verify compliance with ss. 499.001–499.081 and the rules adopted |
1486
|
by the department to implement those sections, to discover, |
1487
|
investigate, and determine the existence of compliance, or to |
1488
|
elicit, receive, respond to, and resolve complaints and |
1489
|
violations.
|
1490
|
(5)(4)The authority to inspect under this section |
1491
|
includes the authority to secure: |
1492
|
(a) Samples or specimens of any drug, device, or cosmetic; |
1493
|
or |
1494
|
(b) Such other evidence as is needed for any action to |
1495
|
enforce ss. 499.001-499.081 and the rules adopted under those |
1496
|
sections. |
1497
|
(6)(5)The complaint and all information obtained pursuant |
1498
|
to the investigation by the department are confidential and |
1499
|
exempt from the provisions of s. 119.07(1) and s. 24(a), Art. I |
1500
|
of the State Constitution until the investigation and the |
1501
|
enforcement action are completed. However, trade secret |
1502
|
information contained therein as defined by s. 812.081(1)(c) |
1503
|
shall remain confidential and exempt from the provisions of s. |
1504
|
119.07(1) and s. 24(a), Art. I of the State Constitution, as |
1505
|
long as the information is retained by the department. This |
1506
|
subsection does not prohibit the department from using such |
1507
|
information for regulatory or enforcement proceedings under this |
1508
|
chapter or from providing such information to any law |
1509
|
enforcement agency or any other regulatory agency. However, the |
1510
|
receiving agency shall keep such records confidential and exempt |
1511
|
as provided in this subsection. In addition, this subsection is |
1512
|
not intended to prevent compliance with the provisions of s. |
1513
|
499.0121(7)(6)(d) or (e), and the pedigree papers required in |
1514
|
that subsection shall not be deemed a trade secret. |
1515
|
Section 14. Section 499.0671, Florida Statutes, is created |
1516
|
to read: |
1517
|
499.0671 Enforcement; cease and desist orders; removal of |
1518
|
certain persons.--
|
1519
|
(1) DEFINITION.--For the purposes of this section, the |
1520
|
term "permittee" means any person holding a permit issued |
1521
|
pursuant to s. 499.021.
|
1522
|
(2) ENFORCEMENT GENERALLY.--The department may institute |
1523
|
such suits or other legal proceedings as may be required to |
1524
|
enforce any provision of ss. 499.001 – 499-081. If it appears |
1525
|
that any person has violated any provision of ss. 499.001- |
1526
|
499.081 for which criminal prosecution is provided, the |
1527
|
department shall provide the appropriate state attorney or other |
1528
|
prosecuting agency having jurisdiction with respect to such |
1529
|
prosecution with the relevant information in its possession.
|
1530
|
(3) CEASE AND DESIST ORDERS.--
|
1531
|
(a) The department may issue and serve a complaint stating |
1532
|
charges upon any permittee or upon any affiliated party, |
1533
|
whenever the department has reasonable cause to believe that the |
1534
|
person or individual named therein is engaging in or has engaged |
1535
|
in conduct that is:
|
1536
|
1. An act that demonstrates a lack of fitness or |
1537
|
trustworthiness to engage in the business authorized under the |
1538
|
permit issued pursuant to ss. 499.001-499.081, is hazardous to |
1539
|
the public health, or constitutes business operations that are a |
1540
|
detriment to the public health, stockholders, investors, |
1541
|
creditors, or the public;
|
1542
|
2. A violation of any provision of ss. 499.001-499.081;
|
1543
|
3. A violation of any rule of the department;
|
1544
|
4. A violation of any order of the department; or
|
1545
|
5. A breach of any written agreement with the department.
|
1546
|
(b) The complaint shall contain a statement of facts and |
1547
|
notice of opportunity for a hearing pursuant to ss. 120.569 and |
1548
|
120.57.
|
1549
|
(c) If no hearing is requested within the time allowed by |
1550
|
ss. 120.569 and 120.57, or if a hearing is held and the |
1551
|
department finds that any of the charges are proven, the |
1552
|
department may enter an order directing the permittee or the |
1553
|
affiliated party named in the complaint to cease and desist from |
1554
|
engaging in the conduct complained of and take corrective action |
1555
|
to remedy the effects of past improper conduct and ensure future |
1556
|
compliance.
|
1557
|
(d) If the permittee or affiliated party named in the |
1558
|
order fails to respond to the complaint within the time allotted |
1559
|
by ss. 120.569 and 120.57, the failure constitutes a default and |
1560
|
justifies the entry of a cease and desist order.
|
1561
|
(e) A contested or default cease and desist order is |
1562
|
effective when reduced to writing and served upon the permittee |
1563
|
or affiliated party named therein. An uncontested cease and |
1564
|
desist order is effective as agreed.
|
1565
|
(f) Whenever the department finds that conduct described |
1566
|
in paragraph (a) is likely to cause an immediate threat to the |
1567
|
public health, it may issue an emergency cease and desist order |
1568
|
requiring the licensee or any affiliated party to immediately |
1569
|
cease and desist from engaging in the conduct complained of and |
1570
|
to take corrective and remedial action. The emergency order is |
1571
|
effective immediately upon service of a copy of the order upon |
1572
|
the permittee or affiliated party named therein and remains |
1573
|
effective for 90 days. If the department begins nonemergency |
1574
|
cease and desist proceedings under this subsection, the |
1575
|
emergency order remains effective until the conclusion of the |
1576
|
proceedings under ss. 120.569 and 120.57.
|
1577
|
(4) REMOVAL OF AFFILIATED PARTIES BY THE DEPARTMENT.--
|
1578
|
(a) The department may issue and serve a complaint stating |
1579
|
charges upon any affiliated party and upon the licensee |
1580
|
involved, whenever the department has reason to believe that an |
1581
|
affiliated party is engaging in or has engaged in conduct that |
1582
|
constitutes:
|
1583
|
1. An act that demonstrates a lack of fitness or |
1584
|
trustworthiness to engage in the business authorized under the |
1585
|
permit issued pursuant to ss. 499.001-499.081, is hazardous to |
1586
|
the public health, or constitutes business operations that are a |
1587
|
detriment to the public health, stockholders, investors, |
1588
|
creditors, or the public;
|
1589
|
2. A willful violation of ss. 499-001–499.081; however, if |
1590
|
the violation constitutes a misdemeanor, no complaint shall be |
1591
|
served as provided in this section until the affiliated party is |
1592
|
notified in writing of the matter of the violation and has been |
1593
|
afforded a reasonable period of time, as set forth in the |
1594
|
notice, to correct the violation and has failed to do so;
|
1595
|
3. A violation of any other law involving fraud or moral |
1596
|
turpitude that constitutes a felony;
|
1597
|
4. A willful violation of any rule of the department;
|
1598
|
5. A willful violation of any order of the department;
|
1599
|
6. A material misrepresentation of fact, made knowingly |
1600
|
and willfully or made with reckless disregard for the truth of |
1601
|
the matter; or
|
1602
|
7. An act of commission or omission or a practice which is |
1603
|
a breach of trust or a breach of fiduciary duty.
|
1604
|
(b) The complaint shall contain a statement of facts and |
1605
|
notice of opportunity for a hearing pursuant to ss. 120.569 and |
1606
|
120.57.
|
1607
|
(c) If no hearing is requested within the time allotted by |
1608
|
ss. 120.569 and 120.57, or if a hearing is held and the |
1609
|
department finds that any of the charges in the complaint are |
1610
|
proven true and that:
|
1611
|
1. The permittee has suffered or will likely suffer loss |
1612
|
or other damage;
|
1613
|
2. The interests of the permittee' stockholders or |
1614
|
creditors, or the public are, or could be, seriously prejudiced |
1615
|
by reason of the violation or act or breach of fiduciary duty;
|
1616
|
3. The affiliated party has received financial gain by |
1617
|
reason of the violation, act, or breach of fiduciary duty; or
|
1618
|
4. The violation, act, or breach of fiduciary duty is one |
1619
|
involving personal dishonesty on the part of the affiliated |
1620
|
party or the conduct jeopardizes or could reasonably be |
1621
|
anticipated to jeopardize the public health or financial |
1622
|
soundness of the permittee, |
1623
|
|
1624
|
the department may enter an order removing the affiliated party |
1625
|
or restricting or prohibiting participation by the person in the |
1626
|
affairs of that particular permittee or of any other permittee.
|
1627
|
(d) If the affiliated party fails to respond to the |
1628
|
complaint within the time allotted by ss. 120.569 and 120.57, |
1629
|
the failure constitutes a default and justifies the entry of an |
1630
|
order of removal, suspension, or restriction.
|
1631
|
(e) A contested or default order of removal, restriction, |
1632
|
or prohibition is effective when reduced to writing and served |
1633
|
on the licensee and the affiliated party. An uncontested order |
1634
|
of removal, restriction, or prohibition is effective as agreed.
|
1635
|
(f)1. The chief executive officer, designated |
1636
|
representative, or the person holding the equivalent office, of |
1637
|
a permittee shall promptly notify the department if she or he |
1638
|
has actual knowledge that any affiliated party is charged with a |
1639
|
felony in a state or federal court.
|
1640
|
2. Whenever any affiliated party is charged with a felony |
1641
|
in a state or federal court or with the equivalent of a felony |
1642
|
in the courts of any foreign country with which the United |
1643
|
States maintains diplomatic relations, and the charge alleges |
1644
|
violation of any law involving prescription drugs, |
1645
|
pharmaceuticals, fraud, theft, or moral turpitude, the |
1646
|
department may enter an emergency order suspending the |
1647
|
affiliated party or restricting or prohibiting participation by |
1648
|
the affiliated party in the affairs of the particular permittee |
1649
|
or of any other permittee upon service of the order upon the |
1650
|
permittee and the affiliated party charged. The order shall |
1651
|
contain notice of opportunity for a hearing pursuant to ss. |
1652
|
120.569 and 120.57, where the affiliated party may request a |
1653
|
postsuspension hearing to show that continued service to or |
1654
|
participation in the affairs of the licensee does not pose a |
1655
|
threat to the public health or the interests of the permittee |
1656
|
and does not threaten to impair public confidence in the |
1657
|
permittee. In accordance with applicable departmental rules, the |
1658
|
department shall notify the affiliated party whether the order |
1659
|
suspending or prohibiting the person from participation in the |
1660
|
affairs of a permittee will be rescinded or otherwise modified. |
1661
|
The emergency order remains in effect, unless otherwise modified |
1662
|
by the department, until the criminal charge is disposed of. The |
1663
|
acquittal of the person charged, or the final, unappealed |
1664
|
dismissal of all charges against the person, dissolves the |
1665
|
emergency order, but does not prohibit the department from |
1666
|
instituting proceedings under paragraph (a). If the person |
1667
|
charged is convicted or pleads guilty or nolo contendere, |
1668
|
whether or not an adjudication of guilt is entered by the court, |
1669
|
the emergency order shall become final. |
1670
|
(g) Any affiliated party removed from office pursuant to |
1671
|
this section is not eligible for reemployment by the permittee |
1672
|
or reelection or appointment to the position, to any other |
1673
|
official position in any licensee in this state except upon the |
1674
|
written consent of the department. Any affiliated party who is |
1675
|
removed, restricted, or prohibited from participation in the |
1676
|
affairs of a permittee pursuant to this section may petition the |
1677
|
department for modification or termination of the removal, |
1678
|
restriction, or prohibition.
|
1679
|
(h) Resignation or termination of an affiliated party does |
1680
|
not affect the department's jurisdiction to proceed under this |
1681
|
subsection. |
1682
|
Section 15. Section 499.069, Florida Statutes, is amended |
1683
|
to read: |
1684
|
499.069 Punishment for violations of s. 499.005; |
1685
|
dissemination of false advertisement.-- |
1686
|
(1) Any person who violates any of the provisions of s. |
1687
|
499.005 is guilty of a misdemeanor of the second degree, |
1688
|
punishable as provided in s. 775.082 or s. 775.083; but, if the |
1689
|
violation is committed after a conviction of such person under |
1690
|
this section has become final, such person is guilty of a |
1691
|
misdemeanor of the first degree, punishable as provided in s. |
1692
|
775.082 or s. 775.083 or as otherwise provided in ss. 499.001- |
1693
|
499.081, except that any person who violates subsection (8), |
1694
|
subsection (9),subsection (10), subsection (14), subsection |
1695
|
(15), or subsection (17), subsection (18), subsection (19), |
1696
|
subsection (20), subsection (21), subsection (22), subsection |
1697
|
(26), or subsection (27)of s. 499.005 is guilty of a felony of |
1698
|
the secondthirddegree, punishable as provided in s. 775.082, |
1699
|
s. 775.083, or s. 775.084, or as otherwise provided in ss. |
1700
|
499.001-499.081. |
1701
|
(2) A person is not subject to the penalties of subsection |
1702
|
(1) for having violated any of the provisions of s. 499.005 if |
1703
|
he or she establishes a guaranty or undertaking, which guaranty |
1704
|
or undertaking is signed by and contains the name and address of |
1705
|
the person residing in the state, or the manufacturer, from whom |
1706
|
he or she received the article in good faith, to the effect that |
1707
|
such article is not adulterated or misbranded within the meaning |
1708
|
of ss. 499.001-499.081, citing such sections. |
1709
|
(3) A publisher, radio broadcast licensee, or agency or |
1710
|
medium for the dissemination of an advertisement, except the |
1711
|
manufacturer, wholesaler, or seller of the article to which a |
1712
|
false advertisement relates, is not liable under this section by |
1713
|
reason of the dissemination by him or her of such false |
1714
|
advertisement, unless he or she has refused, on the request of |
1715
|
the department, to furnish to the department the name and post |
1716
|
office address of the manufacturer, wholesaler, seller, or |
1717
|
advertising agency that asked him or her to disseminate such |
1718
|
advertisement. |
1719
|
Section 16. This act shall take effect July 1, 2003. |