Senate Bill sb2312

CODING: Words stricken are deletions; words underlined are additions.
    Florida Senate - 2003                                  SB 2312

    By Senator Peaden





    2-1382-03                                          See HB 1481

  1                      A bill to be entitled

  2         An act relating to pharmaceutical wholesalers;

  3         amending s. 499.003, F.S.; defining the term

  4         "affiliated party"; amending s. 499.005, F.S.;

  5         prohibiting acts relating to previously

  6         dispensed drugs; amending s. 499.01, F.S.;

  7         revising permit requirements; amending s.

  8         499.012, F.S.; providing definitions; providing

  9         additional permit requirements for prescription

10         drug wholesalers, out-of-state prescription

11         drug wholesalers, and retail pharmacy drug

12         wholesalers; providing for renewal on an annual

13         basis; requiring designation of a natural

14         person as a wholesaler's representative;

15         amending s. 499.0121, F.S.; providing for

16         wholesale distributor due diligence; requiring

17         reporting with respect to previous sales of

18         prescription drugs, including high-risk

19         prescription drugs; requiring wholesale

20         distributors to submit annually a list of the

21         wholesalers from whom they purchase drugs;

22         prohibiting a wholesale drug distributor from

23         paying for any drug with currency; creating s.

24         499.0125, F.S.; creating the Drug Wholesaler

25         Advisory Council; providing for the council's

26         organization, powers, and duties; amending ss.

27         499.015, 499.024, and 499.03, F.S.; conforming

28         cross-references; amending s. 499.041, F.S.;

29         increasing permit fees for prescription drug

30         wholesalers, out-of-state prescription drug

31         wholesalers, and retail pharmacy drug

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         wholesalers; amending s. 499.05, F.S.;

 2         conforming a cross-reference; amending s.

 3         499.051, F.S.; expanding authority of the

 4         Department of Health and the Department of Law

 5         Enforcement to inspect financial records and

 6         investigate complaints and violations; creating

 7         s. 499.0671, F.S.; providing enforcement

 8         provisions, including cease and desist orders

 9         and removal of affiliated parties; amending s.

10         499.069, F.S.; providing penalties; providing

11         an effective date.

12  

13  Be It Enacted by the Legislature of the State of Florida:

14  

15         Section 1.  Subsections (2) through (28) of section

16  499.003, Florida Statutes, are renumbered as subsections (3)

17  through (29), respectively, and a new subsection (2) is added

18  to that section, to read:

19         499.003  Definitions of terms used in ss.

20  499.001-499.081.--As used in ss. 499.001-499.081, the term:

21         (2)  "Affiliated party" means any person who directs or

22  participates in the conduct of the affairs of a permittee or

23  applicant pursuant to s. 499.012 and who is:

24         (a)  A director, officer, employee, trustee, committee

25  member, or controlling stockholder of a permittee or applicant

26  or a subsidiary or service corporation of the permittee or

27  applicant;

28         (b)  A person who has filed or is required to file a

29  personal information statement pursuant to s. 499.012(4) or is

30  required to be identified in an application for a permit or to

31  renew a permit pursuant to s. 499.012(3); or

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (c)  A stockholder who participates in the conduct of

 2  the affairs of the permittee or applicant.

 3         Section 2.  Subsections (26) and (27) are added to

 4  section 499.005, Florida Statutes, to read:

 5         499.005  Prohibited acts.--It is unlawful to perform or

 6  cause the performance of any of the following acts in this

 7  state:

 8         (26)  Removing the label of a pharmacy licensed

 9  pursuant to chapter 465 from a dispensed prescription drug

10  with the intent to further distribute the prescription drug.

11         (27)  Knowing distribution of a prescription drug that

12  was previously dispensed by a pharmacy licensed pursuant to

13  chapter 465, unless such distribution was authorized in

14  chapter 465 or the rules adopted thereunder.

15         Section 3.  Section 499.01, Florida Statutes, is

16  amended to read:

17         499.01  Permits; applications; renewal; general

18  requirements.--

19         (1)  A permit is required for each establishment that

20  operates as a:

21         (a)  Prescription drug manufacturer;

22         (b)  Over-the-counter drug manufacturer;

23         (c)  Compressed medical gas manufacturer;

24         (d)  Device manufacturer;

25         (e)  Cosmetic manufacturer;

26         (f)  Prescription drug wholesaler;

27         (g)  Compressed medical gas wholesaler;

28         (h)  Out-of-state prescription drug wholesaler;

29         (i)  Retail pharmacy drug wholesaler;

30         (j)  Veterinary legend drug retail establishment;

31         (k)  Medical oxygen retail establishment;

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (l)  Complimentary drug distributor; or

 2         (m)  Restricted prescription drug distributor.

 3         (1)  Any person that is required under ss.

 4  499.001-499.081 to have a permit must apply to the department

 5  on forms furnished by the department.

 6         (2)(a)  A permit issued pursuant to ss. 499.001-499.081

 7  may be issued only to an individual who is at least 18 years

 8  of age or to a corporation that is registered pursuant to

 9  chapter 607 or chapter 617 and each officer of which is at

10  least 18 years of age.

11         (b)  An establishment that is a place of residence may

12  not receive a permit and may not operate under ss.

13  499.001-499.081.

14         (c)  A person that applies for or renews a permit to

15  manufacture or distribute legend drugs may not use a name

16  identical to the name used by any other establishment or

17  licensed person authorized to purchase prescription drugs in

18  this state, except that a restricted drug distributor permit

19  issued to a health care entity will be issued in the name in

20  which the institutional pharmacy permit is issued and a retail

21  pharmacy drug wholesaler will be issued a permit in the name

22  of its retail pharmacy permit.

23         (d)  A permit is required for each establishment that

24  operates as a:

25         1.  Prescription drug manufacturer;

26         2.  Over-the-counter drug manufacturer;

27         3.  Compressed medical gas manufacturer;

28         4.  Device manufacturer;

29         5.  Cosmetic manufacturer;

30         6.  Prescription drug wholesaler;

31         7.  Compressed medical gas wholesaler;

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         8.  Out-of-state prescription drug wholesaler;

 2         9.  Retail pharmacy drug wholesaler;

 3         10.  Veterinary legend drug retail establishment;

 4         11.  Medical oxygen retail establishment;

 5         12.  Complimentary drug distributor; or

 6         13.  Restricted prescription drug distributor.

 7         (d)(e)  A permit for a prescription drug manufacturer,

 8  prescription drug wholesaler, or retail pharmacy drug

 9  wholesaler may not be issued to the address of a health care

10  entity.

11         (3)(f)  Notwithstanding subsection (7) (4), a permitted

12  person in good standing may change the type of permit issued

13  to that person by completing a new application for the

14  requested permit, paying the amount of the difference in the

15  permit fees if the fee for the new permit is more than the fee

16  for the original permit, and meeting the applicable permitting

17  conditions for the new permit type. The new permit expires on

18  the expiration date of the original permit being changed,

19  provided, however, that a new permit for a prescription drug

20  wholesaler, an out-of-state prescription drug wholesaler, or a

21  retail pharmacy drug wholesaler shall expire on the expiration

22  date of the original permit or 1 year after the date of

23  issuance of the new permit, whichever is earlier. A refund may

24  not be issued if the biennial fee for the new permit is less

25  than the fee that was paid for the original permit for which a

26  fee was paid.

27         (4)(2)  A written application for a permit shall be

28  filed with the department on forms furnished by the

29  department. The department shall establish, by rule, the form

30  and content of the application to obtain or renew a permit.

31  The applicant must submit to the department with the

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  application a statement that swears or affirms that the

 2  information contained in the application is true and correct.

 3         (5)(a)  Except for a permit for a prescription drug

 4  wholesaler, an out-of-state prescription drug wholesaler, or a

 5  retail pharmacy drug wholesaler, an application for a permit

 6  must include Information that an applicant must provide

 7  includes, but need not be limited to:

 8         1.  The name, full business address, and telephone

 9  number of the applicant;

10         2.  All trade or business names used by the applicant;

11         3.  The address, telephone numbers, and the names of

12  contact persons for each facility used by the applicant for

13  the storage, handling, and distribution of prescription drugs;

14         4.  The type of ownership or operation, such as a

15  partnership, corporation, or sole proprietorship; and

16         5.  The names of the owner and the operator of the

17  establishment, including:

18         a.  If an individual, the name of the individual;

19         b.  If a partnership, the name of each partner and the

20  name of the partnership;

21         c.  If a corporation, the name and title of each

22  corporate officer and director, the corporate names, and the

23  name of the state of incorporation;

24         d.  If a sole proprietorship, the full name of the sole

25  proprietor and the name of the business entity; and

26         e.  Any other relevant information that the department

27  requires.

28         (b)  Upon approval of the application by the department

29  and payment of the required fee, the department shall issue a

30  permit to the applicant, if the applicant meets the

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  requirements of ss. 499.001-499.081 and rules adopted under

 2  those sections.

 3         (c)  Any change in information required under paragraph

 4  (a) must be submitted to the department before the change

 5  occurs.

 6         (d)  The department shall consider, at a minimum, the

 7  following factors in reviewing the qualifications of persons

 8  to be permitted under ss. 499.001-499.081:

 9         1.  The applicant's having been found guilty,

10  regardless of adjudication, in a court of this state or other

11  jurisdiction, of a violation of a law that directly relates to

12  a drug, device, or cosmetic. A plea of nolo contendere

13  constitutes a finding of guilt for purposes of this

14  subparagraph.

15         2.  The applicant's having been disciplined by a

16  regulatory agency in any state for any offense that would

17  constitute a violation of ss. 499.001-499.081.

18         3.  Any felony conviction of the applicant under a

19  federal, state, or local law;

20         4.  The applicant's past experience in manufacturing or

21  distributing drugs, devices, or cosmetics;

22         5.  The furnishing by the applicant of false or

23  fraudulent material in any application made in connection with

24  manufacturing or distributing drugs, devices, or cosmetics;

25         6.  Suspension or revocation by a federal, state, or

26  local government of any permit currently or previously held by

27  the applicant for the manufacture or distribution of any

28  drugs, devices, or cosmetics;

29         7.  Compliance with permitting requirements under any

30  previously granted permits;

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         8.  Compliance with requirements to maintain or make

 2  available to the state permitting authority or to federal,

 3  state, or local law enforcement officials those records

 4  required under this section; and

 5         9.  Any other factors or qualifications the department

 6  considers relevant to and consistent with the public health

 7  and safety.

 8         (6)(3)  Except for permits for prescription drug

 9  wholesalers, out-of-state prescription drug wholesalers, and

10  retail pharmacy drug wholesalers:

11         (a)  The department shall adopt rules for the biennial

12  renewal of permits.

13         (b)(a)  The department shall renew a permit upon

14  receipt of the renewal application and renewal fee if the

15  applicant meets the requirements established under ss.

16  499.001-499.081 and the rules adopted under those sections.

17         (c)(b)  A permit, unless sooner suspended or revoked,

18  automatically expires 2 years after the last day of the

19  anniversary month in which the permit was originally issued. A

20  permit issued under ss. 499.001-499.081 must be renewed by

21  making application for renewal on forms furnished by the

22  department and paying the appropriate fees. If a renewal

23  application and fee are not submitted and postmarked by the

24  expiration date of the permit, the permit may be reinstated

25  only upon payment of a delinquent fee of $100, plus the

26  required renewal fee, within 60 days after the expiration

27  date.

28         (d)(c)  Failure to renew a permit in accordance with

29  this section precludes any future renewal of that permit.

30  Continuing to engage in activities that require a permit under

31  ss. 499.001-499.081 requires a new permit application and

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  payment of an application fee, initial permit fee, and

 2  applicable penalties.

 3         (7)(4)  A permit issued by the department is

 4  nontransferable. Each permit is valid only for the person or

 5  governmental unit to which it is issued and is not subject to

 6  sale, assignment, or other transfer, voluntarily or

 7  involuntarily; nor is a permit valid for any establishment

 8  other than the establishment for which it was originally

 9  issued.

10         (a)  A person permitted under ss. 499.001-499.081 must

11  notify the department before making a change of address. The

12  department shall set a change of location fee not to exceed

13  $100.

14         (b)1.  An application for a new permit is required when

15  a majority of the ownership or controlling interest of a

16  permitted establishment is transferred or assigned or when a

17  lessee agrees to undertake or provide services to the extent

18  that legal liability for operation of the establishment will

19  rest with the lessee. The application for the new permit must

20  be made before the date of the sale, transfer, assignment, or

21  lease.

22         2.  A permittee that is authorized to distribute legend

23  drugs may transfer such drugs to the new owner or lessee under

24  subparagraph 1. only after the new owner or lessee has been

25  approved for a permit to distribute legend drugs.

26         (c)  The department shall deny, suspend, or revoke the

27  permit of any person or establishment if the assignment, sale,

28  transfer, or lease of an establishment permitted under ss.

29  499.001-499.081 will avoid an administrative penalty, civil

30  action, or criminal prosecution.

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (d)  If an establishment permitted under ss.

 2  499.001-499.081 closes, the owner must notify the department

 3  in writing before the effective date of closure and must:

 4         1.  Return the permit to the department;

 5         2.  If the permittee is authorized to distribute legend

 6  drugs, indicate the disposition of such drugs, including the

 7  name, address, and inventory, and provide the name and address

 8  of a person to contact regarding access to records that are

 9  required to be maintained under ss. 499.001-499.081. Transfer

10  of ownership of legend drugs may be made only to persons

11  authorized to possess legend drugs under ss. 499.001-499.081.

12         (8)(5)  A permit must be posted in a conspicuous place

13  on the licensed premise.

14         Section 4.  Section 499.012, Florida Statutes, is

15  amended to read:

16         499.012  Wholesale distribution; definitions; permits;

17  applications; general requirements.--

18         (1)  As used in this section, the term:

19         (a)  "Wholesale distribution" means distribution of

20  prescription drugs to persons other than a consumer or

21  patient, but does not include:

22         1.  Any of the following activities, which is not a

23  violation of s. 499.005(21) if such activity is conducted in

24  accordance with s. 499.014:

25         a.  The purchase or other acquisition by a hospital or

26  other health care entity that is a member of a group

27  purchasing organization of a prescription drug for its own use

28  from the group purchasing organization or from other hospitals

29  or health care entities that are members of that organization.

30         b.  The sale, purchase, or trade of a prescription drug

31  or an offer to sell, purchase, or trade a prescription drug by

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  a charitable organization described in s. 501(c)(3) of the

 2  Internal Revenue Code of 1986, as amended and revised, to a

 3  nonprofit affiliate of the organization to the extent

 4  otherwise permitted by law.

 5         c.  The sale, purchase, or trade of a prescription drug

 6  or an offer to sell, purchase, or trade a prescription drug

 7  among hospitals or other health care entities that are under

 8  common control. For purposes of this section, "common control"

 9  means the power to direct or cause the direction of the

10  management and policies of a person or an organization,

11  whether by ownership of stock, by voting rights, by contract,

12  or otherwise.

13         d.  The sale, purchase, trade, or other transfer of a

14  prescription drug from or for any federal, state, or local

15  government agency or any entity eligible to purchase

16  prescription drugs at public health services prices pursuant

17  to Pub. L. No. 102-585, s. 602 to a contract provider or its

18  subcontractor for eligible patients of the agency or entity

19  under the following conditions:

20         (I)  The agency or entity must obtain written

21  authorization for the sale, purchase, trade, or other transfer

22  of a prescription drug under this sub-subparagraph from the

23  Secretary of Health or his or her designee.

24         (II)  The contract provider or subcontractor must be

25  authorized by law to administer or dispense prescription

26  drugs.

27         (III)  In the case of a subcontractor, the agency or

28  entity must be a party to and execute the subcontract.

29         (IV)  A contract provider or subcontractor must

30  maintain separate and apart from other prescription drug

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  inventory any prescription drugs of the agency or entity in

 2  its possession.

 3         (V)  The contract provider and subcontractor must

 4  maintain and produce immediately for inspection all records of

 5  movement or transfer of all the prescription drugs belonging

 6  to the agency or entity, including, but not limited to, the

 7  records of receipt and disposition of prescription drugs. Each

 8  contractor and subcontractor dispensing or administering these

 9  drugs must maintain and produce records documenting the

10  dispensing or administration. Records that are required to be

11  maintained include, but are not limited to, a perpetual

12  inventory itemizing drugs received and drugs dispensed by

13  prescription number or administered by patient identifier,

14  which must be submitted to the agency or entity quarterly.

15         (VI)  The contract provider or subcontractor may

16  administer or dispense the prescription drugs only to the

17  eligible patients of the agency or entity or must return the

18  prescription drugs for or to the agency or entity. The

19  contract provider or subcontractor must require proof from

20  each person seeking to fill a prescription or obtain treatment

21  that the person is an eligible patient of the agency or entity

22  and must, at a minimum, maintain a copy of this proof as part

23  of the records of the contractor or subcontractor required

24  under sub-sub-subparagraph (V).

25         (VII)  In addition to the departmental inspection

26  authority set forth in s. 499.051, the establishment of the

27  contract provider and subcontractor and all records pertaining

28  to prescription drugs subject to this sub-subparagraph shall

29  be subject to inspection by the agency or entity. All records

30  relating to prescription drugs of a manufacturer under this

31  sub-subparagraph shall be subject to audit by the manufacturer

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  of those drugs, without identifying individual patient

 2  information.

 3         2.  Any of the following activities, which is not a

 4  violation of s. 499.005(21) if such activity is conducted in

 5  accordance with rules established by the department:

 6         a.  The sale, purchase, or trade of a prescription drug

 7  among federal, state, or local government health care entities

 8  that are under common control and are authorized to purchase

 9  such prescription drug.

10         b.  The sale, purchase, or trade of a prescription drug

11  or an offer to sell, purchase, or trade a prescription drug

12  for emergency medical reasons. For purposes of this

13  sub-subparagraph, the term "emergency medical reasons"

14  includes transfers of prescription drugs by a retail pharmacy

15  to another retail pharmacy to alleviate a temporary shortage.

16         c.  The transfer of a prescription drug acquired by a

17  medical director on behalf of a licensed emergency medical

18  services provider to that emergency medical services provider

19  and its transport vehicles for use in accordance with the

20  provider's license under chapter 401.

21         d.  The revocation of a sale or the return of a

22  prescription drug to the person's prescription drug wholesale

23  supplier.

24         e.  The donation of a prescription drug by a health

25  care entity to a charitable organization that has been granted

26  an exemption under s. 501(c)(3) of the Internal Revenue Code

27  of 1986, as amended, and that is authorized to possess

28  prescription drugs.

29         f.  The transfer of a prescription drug by a person

30  authorized to purchase or receive prescription drugs to a

31  person licensed or permitted to handle reverse distributions

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  or destruction under the laws of the jurisdiction in which the

 2  person handling the reverse distribution or destruction

 3  receives the drug.

 4         3.  The distribution of prescription drug samples by

 5  manufacturers' representatives or distributors'

 6  representatives conducted in accordance with s. 499.028.

 7         4.  The sale, purchase, or trade of blood and blood

 8  components intended for transfusion. As used in this

 9  subparagraph, the term "blood" means whole blood collected

10  from a single donor and processed either for transfusion or

11  further manufacturing, and the term "blood components" means

12  that part of the blood separated by physical or mechanical

13  means.

14         5.  The lawful dispensing of a prescription drug in

15  accordance with chapter 465.

16         (b)  "Wholesale distributor" means any person engaged

17  in wholesale distribution of prescription drugs in or into

18  this state, including, but not limited to, manufacturers;

19  repackers; own-label distributors; jobbers; private-label

20  distributors; brokers; warehouses, including manufacturers'

21  and distributors' warehouses, chain drug warehouses, and

22  wholesale drug warehouses; independent wholesale drug traders;

23  exporters; retail pharmacies; and the agents thereof that

24  conduct wholesale distributions.

25         (c)  "Retail pharmacy" means a community pharmacy

26  licensed under chapter 465 that purchases prescription drugs

27  at fair market prices and provides prescription services to

28  the public.

29         (d)  "Primary wholesaler" means any wholesale

30  distributor that purchased 90 percent or more of its

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  prescription drugs directly from a manufacturer, in the

 2  immediately preceding 12 calendar months.

 3         (e)  "Directly from a manufacturer" means:

 4         1.  Purchases made by the wholesale distributor

 5  directly from the manufacturer of prescription drugs.

 6         2.  Transfers from a member of an affiliated group, as

 7  defined in s. 1504 of the Internal Revenue Code, of which the

 8  wholesale distributor is a member, if:

 9         a.  The affiliated group purchases 90 percent or more

10  of all of its prescription drugs from a manufacturer.

11         b.  The wholesale distributor discloses to the

12  department the names of all members of the affiliated group of

13  which the wholesale distributor is a member and the affiliated

14  group agrees in writing to provide records on such transfers

15  not later than 48 hours after the department requests access

16  to such records, regardless of the location where the records

17  are stored.

18         (f)  "Secondary wholesaler" means a wholesale

19  distributor that is not a primary wholesaler.

20         (2)  The following types of wholesaler permits are

21  established:

22         (a)  A prescription drug wholesaler's permit. A

23  prescription drug wholesaler is a wholesale distributor that

24  may engage in the wholesale distribution of prescription

25  drugs. A prescription drug wholesaler that applies to the

26  department after July 1, 2003 January 1, 1993, must submit a

27  bond or letter of credit of $100,000 $200, payable to the

28  Florida Drug, Device, and Cosmetic Trust Fund. This bond will

29  be refunded to the permittee when the permit is returned to

30  the department and the permittee ceases to function as a

31  business. If a permittee that fails to notify the department

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  before changing the address of the business, fails to notify

 2  the department before closing the business, fails to pay any

 3  administrative fine levied by the department within 30 days

 4  after any such fine becomes final, or fails to notify the

 5  department before a change of ownership, the department shall

 6  collect the applicable administrative fines from the bond's

 7  surety forfeits its bond. The department may adopt rules for

 8  issuing a prescription drug wholesaler-broker permit to a

 9  person who engages in the wholesale distribution of

10  prescription drugs and does not take physical possession of

11  any prescription drugs.

12         (b)  A compressed medical gas wholesaler's permit. A

13  compressed medical gas wholesaler is a wholesale distributor

14  that is limited to the wholesale distribution of compressed

15  medical gases to other than the consumer or patient. The

16  compressed medical gas must be in the original sealed

17  container that was purchased by that wholesaler. A compressed

18  medical gas wholesaler may not possess or engage in the

19  wholesale distribution of any prescription drug other than

20  compressed medical gases. The department shall adopt rules

21  that govern the wholesale distribution of prescription medical

22  oxygen for emergency use. With respect to the emergency use of

23  prescription medical oxygen, those rules may not be

24  inconsistent with rules and regulations of federal agencies

25  unless the Legislature specifically directs otherwise.

26         (c)  An out-of-state prescription drug wholesaler's

27  permit. An out-of-state prescription drug wholesaler is a

28  wholesale distributor located outside this state which engages

29  in the wholesale distribution of prescription drugs into this

30  state and which must be permitted by the department and comply

31  with all the provisions required of a wholesale distributor

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  under ss. 499.001-499.081. An out-of-state prescription drug

 2  wholesaler that applies to the department after July 1, 2003,

 3  must submit a bond or letter of credit of $100,000, payable to

 4  the Florida Drug, Device, and Cosmetic Trust Fund. This bond

 5  shall be refunded to the permittee when the permit is returned

 6  to the department and the permittee ceases to function as a

 7  business. If a permittee fails to notify the department before

 8  changing the address of the business, fails to notify the

 9  department before closing the business, fails to pay any

10  administrative fine levied by the department within 30 days

11  after any such fine becomes final, or fails to notify the

12  department before a change of ownership, the department shall

13  collect the applicable administrative fines from the bond's

14  surety.

15         1.  The out-of-state drug wholesaler must maintain at

16  all times a license or permit to engage in the wholesale

17  distribution of prescription drugs in compliance with laws of

18  the state in which it is a resident.

19         2.  An out-of-state prescription drug wholesaler's

20  permit is not required for an intracompany sale or transfer of

21  a prescription drug from an out-of-state establishment that is

22  duly licensed as a prescription drug wholesaler, in its state

23  of residence, to a licensed prescription drug wholesaler in

24  this state, if both wholesalers are under common control. The

25  recordkeeping requirements of s. 499.0121(7)(6) must be

26  followed for this transaction.

27         3.  The department may adopt rules that allow

28  out-of-state drug wholesalers to obtain a drug wholesale

29  permit on the basis of reciprocity to the extent that an

30  out-of-state drug wholesaler:

31  

                                  17

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         a.  Possesses a valid permit granted by another state

 2  that has requirements comparable to those that a drug

 3  wholesaler in this state must meet as prerequisites to

 4  obtaining a permit under the laws of this state.

 5         b.  Can show that the other state from which the

 6  wholesaler holds a permit would extend reciprocal treatment

 7  under its own laws to a drug wholesaler of this state.

 8         (d)  A retail pharmacy drug wholesaler's permit. A

 9  retail pharmacy drug wholesaler is a retail pharmacy engaged

10  in wholesale distribution of prescription drugs within this

11  state under the following conditions:

12         1.  The pharmacy must obtain a retail pharmacy drug

13  wholesaler's permit pursuant to ss. 499.001-499.081 and the

14  rules adopted under those sections.

15         2.  The wholesale distribution activity does not exceed

16  30 percent of the total annual purchases of prescription

17  drugs. If the wholesale distribution activity exceeds the

18  30-percent maximum, the pharmacy must obtain a prescription

19  drug wholesaler's permit.

20         3.  The transfer of prescription drugs that appear in

21  any schedule contained in chapter 893 is subject to chapter

22  893 and the federal Comprehensive Drug Abuse Prevention and

23  Control Act of 1970.

24         4.  The transfer is between a retail pharmacy and

25  another retail pharmacy, or a Modified Class II institutional

26  pharmacy, or a health care practitioner licensed in this state

27  and authorized by law to dispense or prescribe prescription

28  drugs.

29         5.  All records of sales of prescription drugs subject

30  to this section must be maintained separate and distinct from

31  

                                  18

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  other records and comply with the recordkeeping requirements

 2  of ss. 499.001-499.081.

 3         (3)  An application for a permit or to renew a permit

 4  for a prescription drug wholesaler, an out-of-state

 5  prescription drug wholesaler, or a retail pharmacy drug

 6  wholesaler submitted to the department on or after July 1,

 7  2003, must include:

 8         (a)  The name, full business address, and telephone

 9  number of the applicant.

10         (b)  All trade or business names used by the applicant.

11         (c)  The address, telephone numbers, and names of

12  contact persons for each facility used by the applicant for

13  the storage, handling, and distribution of prescription drugs.

14         (d)  The type of ownership or operation, such as a

15  partnership, corporation, or sole proprietorship.

16         (e)  The names of the owner and the operator of the

17  establishment, including:

18         1.  If an individual, the name of the individual.

19         2.  If a partnership, the name of each partner and the

20  name of the partnership.

21         3.  If a corporation:

22         a.  The name, address, and title of each corporate

23  officer and director.

24         b.  The name and address of the corporation, resident

25  agent of the corporation, the resident agent's address, and

26  the corporation's state of incorporation.

27         c.  The name and address of each shareholder of the

28  corporation that owns 5 percent or more of the outstanding

29  stock of the corporation.

30         d.  If a sole proprietorship, the full name of the sole

31  proprietor and the name of the business entity.

                                  19

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (f)1.  For an application for a new permit, the

 2  estimated annual dollar volume of prescription drug sales of

 3  the applicant and the estimated percentage of applicant's

 4  total company sales that are prescription drugs.

 5         2.  For an application to renew a permit, the total

 6  dollar volume of prescription drug sales in the previous year,

 7  the total dollar volume of prescription drug sales made in the

 8  previous 6 months, the percentage of total company sales that

 9  were prescription drugs, the total dollar volume of purchases

10  of prescription drugs, and the total volume of prescription

11  drug purchases made directly from the manufacturers of

12  prescription drugs. However, if the prescription drug

13  wholesaler, out-of-state prescription drug wholesaler, or

14  retail pharmacy drug wholesaler made no sales of prescription

15  drugs in the previous 6 months, the permit may not be renewed.

16         (g)  The tax year of the applicant.

17         (h)  A copy of the deed for the property on which the

18  applicant's establishment is located, if the establishment is

19  owned by the applicant, or a copy of the applicant's lease for

20  the property on which the applicant's establishment is located

21  that has an original term of not less than 1 calendar year, if

22  the establishment is not owned by the applicant.

23         (i)  A list of all licenses and permits issued to the

24  applicant by any other state which authorize the applicant to

25  purchase or possess prescription drugs, except when the

26  applicant is applying for a retail pharmacy drug wholesaler

27  permit.

28         (j)  The name of the manager of the establishment that

29  is applying for the permit or to renew the permit and the next

30  four highest ranking employees responsible for prescription

31  drug wholesale operations, together with the personal

                                  20

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  information statement and fingerprints required pursuant to

 2  subsection (4) for each of such persons.

 3         (k)  The name of the applicant's initial wholesaler's

 4  representative as required by subsection (6), together with

 5  the personal information statement and fingerprints required

 6  pursuant to subsection (4) for that person.

 7         (l)  For each applicant that is a secondary wholesaler,

 8  each of the following:

 9         1.  A personal background information statement

10  containing the background information and fingerprints

11  required pursuant to subsection (4) for each person named in

12  applicant's response to paragraphs (a)-(i) and for each

13  affiliated party of the applicant.

14         2.  If any of the five largest shareholders of the

15  corporation seeking the permit is a corporation, the name,

16  address, and title of each corporate officer and director of

17  each such corporation, the name and address of such

18  corporation, the name of such corporation's resident agent,

19  such corporation's resident agent's address and such

20  corporation's state of its incorporation, and the name and

21  address of each shareholder of such corporation that owns 5

22  percent or more of the stock of such corporation.

23         3.  The name and address of all financial institutions

24  in which the applicant has an account which is used to pay for

25  the operation of the establishment or to pay for drugs

26  purchased for the establishment, together with the names of

27  all persons that are authorized signatories on such accounts.

28         4.  The sources of all funds and the amounts of such

29  funds used to purchase or finance purchases of prescription

30  drugs or to finance the premises on which the establishment is

31  to be located.

                                  21

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         5.  If any of the funds identified in subparagraph 3.

 2  were borrowed, copies of all promissory notes or loans used to

 3  obtain such funds.

 4         (m)  Any other relevant information that the department

 5  requires.

 6         (4)(a)  Each person required by subsection (3) to

 7  provide a personal information statement and fingerprints

 8  shall provide the following information to the department on

 9  forms prescribed by the department:

10         1.  The person's places of residence for the past 7

11  years.

12         2.  The person's date and place of birth.

13         3.  The person's occupations, positions of employment,

14  and offices held during the past 7 years.

15         4.  The principal business and address of any business,

16  corporation, or other organization in which each such office

17  of the person was held or in which each such occupation or

18  position of employment was carried on.

19         5.  Whether the person was, at any time during such

20  7-year period, convicted of or pleaded nolo contendere to any

21  criminal offense other than a traffic violation, regardless of

22  whether adjudication of guilt was withheld, and a description

23  of the circumstances involved with the criminal offense. A

24  criminal offense committed in another state which would have

25  been a felony in this state must be reported.

26         6.  Whether the person has been, during such 7-year

27  period, the subject of any proceeding for the revocation of

28  any license and, if so, the nature of the proceeding and the

29  disposition of the proceeding.

30         7.  Whether, during the 7-year period, the person has

31  been the subject of any proceeding under the federal

                                  22

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  Bankruptcy Act or whether, during the 7-year period, any

 2  corporation, partnership, firm, trust, or association in which

 3  the person was a director, officer, trustee, partner, or other

 4  official has been subject to any such proceeding, either

 5  during the time in which the person was a director, officer,

 6  trustee, partner, or other official or within 12 months

 7  thereafter.

 8         8.  Whether, during the 7-year period, the person has

 9  been enjoined, either temporarily or permanently, by a court

10  of competent jurisdiction from violating any federal or state

11  law regulating the possession, control, or distribution of

12  prescription drugs, together with details as to any such

13  event.

14         9.  A description of any involvement by the person with

15  any business, including any investments (other than the

16  ownership of stock in a publicly traded company or mutual

17  fund), during the 7-year period, that manufactured,

18  administered, prescribed, distributed, or stored

19  pharmaceutical products.

20         10.  The names of, dates of attendance at, and degrees

21  awarded by all postsecondary education institutions attended

22  by the person.

23         11.  A description of all lawsuits in which the person

24  was a party during the 7-year period.

25         12.  A description of any criminal offense of which the

26  person was found guilty, regardless of whether adjudication of

27  guilt was withheld, or to which the person pleaded guilty or

28  nolo contendere. A criminal offense committed in another

29  jurisdiction which would have been a felony in this state must

30  be reported. If the person indicates that a criminal

31  conviction is under appeal and submits a copy of the notice of

                                  23

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  appeal of that criminal offense, the applicant must, within 15

 2  days after the disposition of the appeal, submit to the

 3  department a copy of the final written order of disposition.

 4         13.  A photograph of the person taken in the previous

 5  30 days.

 6         14.  A set of fingerprints for the person on a form and

 7  under procedures specified by the department together with

 8  payment of an amount equal to the costs incurred by the

 9  department for a national criminal background check of the

10  person.

11         15.  The names, addresses, occupations, and date and

12  place of birth for the members of the person's immediate

13  family and a description of any criminal offense, other than a

14  traffic infraction, which any of such persons was convicted

15  during the 7-year period, regardless of whether adjudication

16  of guilt was withheld, or to which the person pleaded guilty

17  or nolo contendere. A criminal offense committed in another

18  jurisdiction which would have been a felony in this state must

19  be reported.  For the purposes of this subsection, the

20  "members of the person's immediate family" includes the

21  person's spouse, children, parents, siblings, the spouses of

22  the person's children, and the spouses of the person's

23  siblings.

24         16.  Any other relevant information that the department

25  requires.

26         (b)  The information required pursuant to paragraph (a)

27  shall be provided under oath.

28         (c)  The department shall submit the fingerprints

29  provided by a person for initial licensure to the Department

30  of Law Enforcement for a statewide criminal history check, and

31  the Department of Law Enforcement shall forward the

                                  24

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  fingerprints to the Federal Bureau of Investigation for a

 2  national criminal history check of the person. The department

 3  shall submit the fingerprints provided by a person as a part

 4  of a renewal application to the Department of Law Enforcement

 5  for a statewide criminal background history check, and the

 6  Department of Law Enforcement shall forward the fingerprints

 7  to the Federal Bureau of Investigation for a national criminal

 8  background history check, for the initial renewal of a permit

 9  after July 1, 2003. For any subsequent renewal of a permit,

10  the department shall submit the required information for a

11  statewide criminal history check of the person. Any person

12  who, as a part of an initial permit application or initial

13  permit renewal after July 1, 2003, submits to the department a

14  set of fingerprints required for the criminal history check

15  required in this subsection shall not be required to provide a

16  subsequent set of fingerprints for a criminal history check to

17  the department, if the person has undergone a criminal history

18  check as a condition of the issuance of an initial permit or

19  the initial renewal of a permit after July 1, 2003.

20         (5)(a)  The department shall consider, at a minimum,

21  the following factors in reviewing the qualifications of

22  persons to be permitted pursuant to this section:

23         1.  The applicant's having been found guilty,

24  regardless of adjudication, in a court of this state or other

25  jurisdiction, of a violation of a law that directly relates to

26  a drug, device, or cosmetic. A plea of nolo contendere

27  constitutes a finding of guilt for purposes of this

28  subparagraph.

29         2.  The applicant's past experience in distributing

30  drugs.

31  

                                  25

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         3.  The applicant's compliance with permitting

 2  requirements under any previously granted permits.

 3         4.  The applicant's compliance with requirements to

 4  maintain or make available to the state permitting authority

 5  or to federal, state, or local law enforcement officials those

 6  records required under this section.

 7         5.  The applicant or any affiliated party of the

 8  applicant has been disciplined by a regulatory agency in any

 9  state for any offense that would constitute a violation of ss.

10  499.001-499.081.

11         6.  Any other factors or qualifications the department

12  considers relevant to and consistent with the public health

13  and safety.

14         (b)  The department shall not approve a permit or renew

15  a permit for a prescription drug wholesaler, an out-of-state

16  prescription drug wholesaler, or a retail pharmacy drug

17  wholesaler, if the department finds:

18         1.  The management, officers, or directors of the

19  applicant or any affiliated party are found by the department

20  to be incompetent or untrustworthy;

21         2.  The applicant is so lacking in experience in

22  managing a wholesale distributor as to make the issuance of

23  the proposed permit hazardous to the public health;

24         3.  The applicant is so lacking in experience in

25  managing a wholesale distributor as to jeopardize the

26  reasonable promise of successful operation of the wholesale

27  distributor;

28         4.  It has good reason to believe the applicant is

29  affiliated directly or indirectly, through ownership, control,

30  or other business relations, with any person or persons whose

31  

                                  26

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  business operations are or have been marked to the detriment

 2  of the public health or by bad faith;

 3         5.  The applicant, or any affiliated party, has been

 4  found guilty of or has pleaded guilty or nolo contendere to

 5  any felony or crime punishable by imprisonment for 1 year or

 6  more under the laws of the United States, any state, or any

 7  other country, regardless of whether adjudication of guilt was

 8  withheld;

 9         6.  The applicant has furnished false or fraudulent

10  material in any application made in connection with

11  manufacturing or distributing drugs, devices, or cosmetics; or

12         7.  That a federal, state, or local government permit

13  currently or previously held by the applicant, or any

14  affiliated party, for the manufacture or distribution of any

15  drugs, devices, or cosmetics has been suspended or revoked and

16  has not been reinstated.

17         (c)  The department shall not approve or renew any

18  permit for any prescription drug wholesaler, out-of-state

19  prescription drug wholesaler, or retail pharmacy drug

20  wholesaler if any affiliated party who exercises or has the

21  ability to exercise effective control of the applicant, or who

22  influences or has the ability to influence the transaction of

23  the business of the applicant, does not possess the financial

24  standing and business experience for the successful operation

25  of the applicant.

26         (d)  The department shall suspend or revoke the permit

27  and shall deny the renewal of the permit of any prescription

28  drug wholesaler, out-of-state prescription drug wholesaler, or

29  retail pharmacy drug wholesaler if any affiliated party who

30  exercises or has the ability to exercise effective control of

31  the applicant, or who influences or has the ability to

                                  27

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  influence the transaction of the business of the applicant,

 2  has been found guilty or pleaded guilty or nolo contendere to

 3  any felony or crime punishable by imprisonment for 1 year or

 4  more under the laws of the United States, any state, or any

 5  other country, regardless of whether adjudication of guilt was

 6  withheld.

 7         (e)  The department shall suspend or revoke the permit

 8  and shall deny the renewal of the permit of any prescription

 9  drug wholesaler, out-of-state prescription drug wholesaler, or

10  retail pharmacy drug wholesaler in this state if any

11  affiliated party who exercises or has the ability to exercise

12  effective control of the permittee or applicant, or who

13  influences or has the ability to influence the transaction of

14  the business of the permittee or applicant, the department has

15  good reason to believe is now or was in the past affiliated

16  directly or indirectly, through ownership interest of 5

17  percent or more control, with any business, corporation, or

18  other entity that has been found guilty of or has pleaded

19  guilty or nolo contendere to any felony or crime punishable by

20  imprisonment for 1 year or more under the laws of the United

21  States, any state, or any other country, regardless of whether

22  adjudication of guilt was withheld.

23         (f)  Upon approval of the application by the department

24  and payment of the required fee, the department shall issue or

25  renew a prescription drug wholesaler, out-of-state

26  prescription drug wholesaler, or retail pharmacy drug

27  wholesaler permit to the applicant, if the applicant meets the

28  requirements of ss. 499.001-499.081 and rules adopted under

29  those sections.

30  

31  

                                  28

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (6)  For permits for prescription drug wholesalers,

 2  out-of-state prescription drug wholesalers, and retail

 3  pharmacy drug wholesalers:

 4         (a)  The department shall adopt rules for the annual

 5  renewal of permits. At least 90 days before the expiration of

 6  a permit, the department shall forward a permit renewal

 7  notification and renewal application to the prescription drug

 8  wholesaler, out-of-state prescription drug wholesaler, and

 9  retail pharmacy drug wholesaler at the address of the

10  permitted establishment. The permit renewal notification must

11  state conspicuously the date on which the permit for the

12  establishment will expire and that the establishment may not

13  operate unless the permit for the establishment is renewed

14  timely.

15         (b)  The department shall renew a permit upon receipt

16  of the renewal application and renewal fee if the applicant

17  meets the requirements established under ss. 499.001-499.081

18  and the rules adopted under those sections.

19         (c)  A permit, unless sooner suspended or revoked,

20  automatically expires 1 year after the last day of the

21  anniversary month in which the permit was originally issued.

22  Such permit must be renewed by making application for renewal

23  on forms furnished by the department and paying the

24  appropriate fees. If a renewal application and fee are not

25  submitted and postmarked by the expiration date of the permit,

26  the permit may be reinstated only upon payment of a delinquent

27  fee of $100, plus the required renewal fee, within 60 days

28  after the expiration date.

29         (d)  Failure to renew a permit in accordance with this

30  section precludes any future renewal of that permit. If a

31  permit issued pursuant to this section has expired and cannot

                                  29

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  be renewed, before an establishment may continue to engage in

 2  activities that require a permit under ss. 499.001-499.081,

 3  the establishment must submit an application for a new permit,

 4  pay the applicable application fee, initial permit fee, and

 5  all applicable penalties.

 6         (7)  A person that engages in wholesale distribution of

 7  prescription drugs in this state must have a wholesale

 8  distributor's permit issued by the department, except as noted

 9  in this section. Each establishment must be separately

10  permitted except as noted in this subsection.

11         (a)  A separate establishment permit is not required

12  when a permitted prescription drug wholesaler consigns a

13  prescription drug to a pharmacy that is permitted under

14  chapter 465 and located in this state, provided that:

15         1.  The consignor wholesaler notifies the department in

16  writing of the contract to consign prescription drugs to a

17  pharmacy along with the identity and location of each

18  consignee pharmacy;

19         2.  The pharmacy maintains its permit under chapter

20  465;

21         3.  The consignor wholesaler, which has no legal

22  authority to dispense prescription drugs, complies with all

23  wholesale distribution requirements of s. 499.0121 with

24  respect to the consigned drugs and maintains records

25  documenting the transfer of title or other completion of the

26  wholesale distribution of the consigned prescription drugs;

27         4.  The distribution of the prescription drug is

28  otherwise lawful under this chapter and other applicable law;

29         5.  Open packages containing prescription drugs within

30  a pharmacy are the responsibility of the pharmacy, regardless

31  of how the drugs are titled; and

                                  30

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         6.  The pharmacy dispenses the consigned prescription

 2  drug in accordance with the limitations of its permit under

 3  chapter 465 or returns the consigned prescription drug to the

 4  consignor wholesaler. In addition, a person who holds title to

 5  prescription drugs may transfer the drugs to a person

 6  permitted or licensed to handle the reverse distribution or

 7  destruction of drugs. Any other distribution by and means of

 8  the consigned prescription drug by any person, not limited to

 9  the consignor wholesaler or consignee pharmacy, to any other

10  person is prohibited.

11         (b)  A wholesale distributor's permit is not required

12  for the one-time transfer of title of a pharmacy's lawfully

13  acquired prescription drug inventory by a pharmacy with a

14  valid permit issued under chapter 465 to a consignor

15  prescription drug wholesaler, permitted under this chapter, in

16  accordance with a written consignment agreement between the

17  pharmacy and that wholesaler if: the permitted pharmacy and

18  the permitted prescription drug wholesaler comply with all of

19  the provisions of paragraph (a) and the prescription drugs

20  continue to be within the permitted pharmacy's inventory for

21  dispensing in accordance with the limitations of the pharmacy

22  permit under chapter 465. A consignor drug wholesaler may not

23  use the pharmacy as a wholesale distributor through which it

24  distributes the legend drugs to other pharmacies. Nothing in

25  this section is intended to prevent a wholesale drug

26  distributor from obtaining this inventory in the event of

27  nonpayment by the pharmacy.

28         (c)  The department shall require information from each

29  wholesale distributor as part of the permit and renewal of

30  such permit, as required under s. 499.01.

31  

                                  31

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (8)(4)  Personnel employed in wholesale distribution

 2  must have appropriate education and experience to enable them

 3  to perform their duties in compliance with state permitting

 4  requirements.

 5         (9)(a)  Each establishment that is issued a

 6  prescription drug wholesaler's permit, an out-of-state

 7  prescription drug permit, or a retail pharmacy drug

 8  wholesaler's permit must designate in writing to the

 9  department at least one natural person to serve as the

10  wholesaler's representative.

11         (b)  Each such natural person must meet the following

12  qualifications:

13         1.  Is at least 18 years of age.

14         2.  Has at least 2 years' experience working full-time

15  in a pharmacy or with a wholesale distributor that holds a

16  prescription drug wholesaler permit or that holds an

17  out-of-state wholesaler permit.

18         3.  Has received a passing score of at least 75 percent

19  on an examination given by the department regarding federal

20  laws governing distribution of prescription drugs and ss.

21  499.001-499.081 and the rules adopted by the department

22  governing the wholesale distribution of prescription drugs.

23  Such requirement shall be effective 1 year after the results

24  of the initial examination are mailed to the persons that took

25  the examination. The department shall offer such examinations

26  at least four times each calendar year. A pharmacist licensed

27  under chapter 465 shall be exempt from the requirements of

28  this subparagraph.

29         4.  Has provided the department with a personal

30  information statement and fingerprints pursuant to subsection

31  (4).

                                  32

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (c)  The wholesaler's representative:

 2         1.  Must be actively involved in and aware of the

 3  actual daily operation of the wholesale distributor.

 4         2.  Must be employed full-time in a managerial position

 5  with the wholesale distributor.

 6         3.  Must be physically present at the establishment

 7  during normal business hours, except for time periods when

 8  absent due to illness, family illness or death, scheduled

 9  vacation, or other authorized absence.

10         4.  May serve as a wholesaler's representative for only

11  one wholesale distributor at one time.

12         (d)  A wholesale distributor must notify the department

13  when a wholesale representative leaves the employ of the

14  wholesale distributor. Such notice must be provided within 10

15  business days after the last day of the wholesale

16  representative's employment with the wholesale distributor.

17         (e)  A wholesale distributor may not operate under a

18  prescription drug permit or an out-of-state prescription drug

19  permit for more than 10 business days after the wholesale

20  representative leaves the employ of the wholesale distributor,

21  unless the wholesale distributor employs another wholesaler's

22  representative.

23         (10)(5)  The department may adopt rules governing the

24  recordkeeping, storage, and handling with respect to each of

25  the distributions of prescription drugs specified in

26  subparagraphs (1)(a)1.-4.

27         Section 5.  Section 499.0121, Florida Statutes, is

28  amended to read:

29         499.0121  Storage and handling of prescription drugs;

30  wholesale distributor due diligence; recordkeeping.--The

31  department shall adopt rules to implement this section as

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  necessary to protect the public health, safety, and welfare.

 2  Such rules shall include, but not be limited to, requirements

 3  for the storage and handling of prescription drugs, for the

 4  due diligence that wholesale distributors must perform on

 5  their suppliers, and for the establishment and maintenance of

 6  prescription drug distribution records.

 7         (1)  ESTABLISHMENTS.--An establishment at which

 8  prescription drugs are stored, warehoused, handled, held,

 9  offered, marketed, or displayed must:

10         (a)  Be of suitable size and construction to facilitate

11  cleaning, maintenance, and proper operations;

12         (b)  Have storage areas designed to provide adequate

13  lighting, ventilation, temperature, sanitation, humidity,

14  space, equipment, and security conditions;

15         (c)  Have a quarantine area for storage of prescription

16  drugs that are outdated, damaged, deteriorated, misbranded, or

17  adulterated, or that are in immediate or sealed, secondary

18  containers that have been opened;

19         (d)  Be maintained in a clean and orderly condition;

20  and

21         (e)  Be free from infestation by insects, rodents,

22  birds, or vermin of any kind.

23         (2)  SECURITY.--

24         (a)  An establishment that is used for wholesale drug

25  distribution must be secure from unauthorized entry.

26         1.  Access from outside the premises must be kept to a

27  minimum and be well-controlled.

28         2.  The outside perimeter of the premises must be

29  well-lighted.

30         3.  Entry into areas where prescription drugs are held

31  must be limited to authorized personnel.

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (b)  An establishment that is used for wholesale drug

 2  distribution must be equipped with:

 3         1.  An alarm system to detect entry after hours;

 4  however, the department may exempt by rule establishments that

 5  only hold a permit as prescription drug wholesaler-brokers and

 6  establishments that only handle medical oxygen; and

 7         2.  A security system that will provide suitable

 8  protection against theft and diversion. When appropriate, the

 9  security system must provide protection against theft or

10  diversion that is facilitated or hidden by tampering with

11  computers or electronic records.

12         (c)  Any vehicle that contains prescription drugs must

13  be secure from unauthorized access to the prescription drugs

14  in the vehicle.

15         (3)  STORAGE.--All prescription drugs shall be stored

16  at appropriate temperatures and under appropriate conditions

17  in accordance with requirements, if any, in the labeling of

18  such drugs, or with requirements in the official compendium.

19         (a)  If no storage requirements are established for a

20  prescription drug, the drug may be held at "controlled" room

21  temperature, as defined in the official compendium, to help

22  ensure that its identity, strength, quality, and purity are

23  not adversely affected.

24         (b)  Appropriate manual, electromechanical, or

25  electronic temperature and humidity recording equipment,

26  devices, or logs must be used to document proper storage of

27  prescription drugs.

28         (c)  The recordkeeping requirements in subsection (6)

29  must be followed for all stored prescription drugs.

30         (4)  EXAMINATION OF MATERIALS.--

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (a)  Upon receipt, each outside shipping container must

 2  be visually examined for identity and to prevent the

 3  acceptance of contaminated prescription drugs that are

 4  otherwise unfit for distribution. This examination must be

 5  adequate to reveal container damage that would suggest

 6  possible contamination or other damage to the contents.

 7         (b)  Each outgoing shipment must be carefully inspected

 8  for identity of the prescription drug products and to ensure

 9  that there is no delivery of prescription drugs that have

10  expired or been damaged in storage or held under improper

11  conditions.

12         (c)  The recordkeeping requirements in subsection (6)

13  must be followed for all incoming and outgoing prescription

14  drugs.

15         (5)  DUE DILIGENCE.--

16         (a)  Prior to purchasing any prescription drugs from

17  another wholesale drug distributor, a wholesale drug

18  distributor must:

19         1.  Enter an agreement with the selling wholesale drug

20  distributor by which the selling wholesale drug distributor

21  will indemnify the purchasing wholesale drug distributor for

22  any loss caused to the purchasing wholesale drug distributor

23  related to the purchase of drugs from the selling wholesale

24  drug distributor that are determined to be counterfeit or to

25  have been distributed in violation of any federal or state law

26  governing the distribution of drugs.

27         2.  Determine that the selling wholesale drug

28  distributor has insurance coverage of not less than the

29  greater of 1 percent of the amount of total dollar volume of

30  the prescription drug sales reported to the department

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  pursuant to paragraph (7)(f) or $500,000, provided such

 2  coverage does not have to exceed $2 million.

 3         3.  Obtain information about the selling wholesale drug

 4  distributor, including the length of time the selling

 5  wholesale drug distributor has been licensed in Florida, a

 6  copy of the selling wholesale drug distributor's licenses or

 7  permits, and appropriate background information concerning the

 8  selling wholesale drug distributor.

 9         4.  Verify that the selling wholesale drug

10  distributor's Florida permit is valid.

11         5.  Inspect the selling wholesale drug distributor's

12  licensed establishment to document that it has a policies and

13  procedures manual relating to the distribution of drugs, the

14  appropriate temperature controlled environment for drugs

15  requiring temperature control, an alarm system, appropriate

16  access restrictions, and procedures to ensure that records

17  related to the wholesale distribution of prescription drugs

18  are maintained as required by law before:

19         a.  Purchasing any drug from the wholesale drug

20  distributor, and at least once each subsequent year; or

21         b.  Purchasing any drug from the wholesale drug

22  distributor, and each subsequent year obtaining a complete

23  copy of the most recent annual inspection report for the

24  establishment that was prepared by the department or the

25  regulatory authority responsible for wholesale drug

26  distributors in the state in which the establishment is

27  located and that indicates that no regulatory violations were

28  found at the establishment.

29         (b)  The department shall publish on the department's

30  website:

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         1.  A list of the prescription drug wholesalers,

 2  out-of-state prescription drug wholesalers, and retail

 3  pharmacy drug wholesalers against whom the department has

 4  initiated enforcement action pursuant to ss. 499.001 499.081

 5  and their permit numbers.

 6         2.  A list of all prescription drug wholesalers,

 7  out-of-state prescription drug wholesalers, and retail

 8  pharmacy drug wholesalers to which the department has issued a

 9  permit together with the date on which each permit will

10  expire.

11         3.  A list of all prescription drug wholesaler,

12  out-of-state prescription drug wholesaler, and retail pharmacy

13  drug wholesaler permits that became inactive, were suspended,

14  were revoked or were not renewed in the previous year.

15         (6)(5)  RETURNED, DAMAGED, OR OUTDATED PRESCRIPTION

16  DRUGS.--

17         (a)1.  Prescription drugs that are outdated, damaged,

18  deteriorated, misbranded, or adulterated must be quarantined

19  and physically separated from other prescription drugs until

20  they are destroyed or returned to their supplier. A quarantine

21  section must be separate and apart from other sections where

22  prescription drugs are stored so that prescription drugs in

23  this section are not confused with usable prescription drugs.

24         2.  Prescription drugs must be examined at least every

25  12 months, and drugs for which the expiration date has passed

26  must be removed and quarantined.

27         (b)  Any prescription drugs of which the immediate or

28  sealed outer containers or sealed secondary containers have

29  been opened or used must be identified as such and must be

30  quarantined and physically separated from other prescription

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  drugs until they are either destroyed or returned to the

 2  supplier.

 3         (c)  If the conditions under which a prescription drug

 4  has been returned cast doubt on the drug's safety, identity,

 5  strength, quality, or purity, the drug must be destroyed or

 6  returned to the supplier, unless examination, testing, or

 7  other investigation proves that the drug meets appropriate

 8  standards of safety, identity, strength, quality, and purity.

 9  In determining whether the conditions under which a drug has

10  been returned cast doubt on the drug's safety, identity,

11  strength, quality, or purity, the wholesale drug distributor

12  must consider, among other things, the conditions under which

13  the drug has been held, stored, or shipped before or during

14  its return and the conditions of the drug and its container,

15  carton, or labeling, as a result of storage or shipping.

16         (d)  The recordkeeping requirements in subsection (6)

17  must be followed for all outdated, damaged, deteriorated,

18  misbranded, or adulterated prescription drugs.

19         (7)(6)  RECORDKEEPING.--The department shall adopt

20  rules that require keeping such records of prescription drugs

21  as are necessary for the protection of the public health.

22         (a)  Wholesale drug distributors must establish and

23  maintain inventories and records of all transactions regarding

24  the receipt and distribution or other disposition of

25  prescription drugs. These records must provide a complete

26  audit trail from receipt to sale or other disposition, be

27  readily retrievable for inspection, and include, at a minimum,

28  the following information:

29         1.  The source of the drugs, including the name and

30  principal address of the seller or transferor, and the address

31  of the location from which the drugs were shipped;

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         2.  The name, principal address, and state license

 2  permit or registration number of the person authorized to

 3  purchase prescription drugs;

 4         3.  The name, strength, dosage form, and quantity of

 5  the drugs received and distributed or disposed of; and

 6         4.  The dates of receipt and distribution or other

 7  disposition of the drugs.

 8         (b)  Inventories and records must be made available for

 9  inspection and photocopying by authorized federal, state, or

10  local officials for a period of 2 years following disposition

11  of the drugs.

12         (c)  Records described in this section that are kept at

13  the inspection site or that can be immediately retrieved by

14  computer or other electronic means must be readily available

15  for authorized inspection during the retention period. Records

16  that are kept at a central location outside of this state and

17  that are not electronically retrievable must be made available

18  for inspection within 2 working days after a request by an

19  authorized official of a federal, state, or local law

20  enforcement agency. Records that are maintained at a central

21  location within this state must be maintained at an

22  establishment that is permitted pursuant to ss.

23  499.001-499.081 and must be readily available.

24         (d)1.  Each person who is engaged in the wholesale

25  distribution of a prescription drug, and who is not an

26  authorized distributor of record for the drug manufacturer's

27  products of such drug, must provide to each wholesale

28  distributor of such drug, before the sale is made to such

29  wholesale distributor, a written statement under oath

30  identifying each previous sale of the drug back to the last

31  authorized distributor of record, the lot number of the drug,

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  and the sales invoice number of the invoice evidencing the

 2  sale of the drug. The written statement identifying all sales

 3  of such drug must accompany the drug for each subsequent

 4  wholesale distribution of the drug to the next a wholesale

 5  distributor. The department shall adopt rules relating to the

 6  requirements of this written statement.

 7         2.  Each wholesale distributor of prescription drugs

 8  must maintain separate and distinct from other required

 9  records all statements that are required under subparagraph 1.

10  and paragraph (e).

11         3.  Each manufacturer of a prescription drug sold in

12  this state must maintain at its corporate offices a current

13  list of authorized distributors and must make such list

14  available to the department upon request.

15         (e)1.  Notwithstanding paragraph (d), each person who

16  is engaged in the wholesale distribution of a high-risk

17  prescription drug must provide to each wholesale distributor

18  of such high-risk prescription drug, before any sale of such

19  high-risk prescription drug is made to such wholesale

20  distributor, a written statement under oath identifying each

21  previous sale of the high-risk prescription drug back to the

22  manufacturer of the high-risk prescription drug, the lot

23  number of the high-risk prescription drug, and the sales

24  invoice number of the invoice evidencing each previous sale of

25  the high-risk prescription drug. The written statement

26  identifying all sales of such high-risk prescription drug must

27  accompany the high-risk prescription drug for each subsequent

28  wholesale distribution of the high-risk prescription drug to a

29  wholesale distributor. The department shall adopt rules

30  relating to the requirements of this written statement.

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         2.  For the purposes of this paragraph, a "high-risk

 2  prescription drug" is a specific drug on the list of drugs

 3  adopted by the department by rule each of which is a specific

 4  drug seized by the department on at least five separate

 5  occasions because such drug was adulterated, counterfeited, or

 6  diverted from legal prescription drug distribution channels

 7  and the department has begun an administrative action to

 8  revoke the permits of two or more wholesale distributors that

 9  engaged in the illegal distribution of that specific drug.

10         (f)  Each wholesale distributor, except for a

11  manufacturer, shall annually provide the department with a

12  written list of all prescription drug wholesalers and

13  out-of-state prescription drug wholesalers from whom the

14  wholesale distributor purchases drugs. A wholesale

15  distributor, except a manufacturer, shall notify the

16  department not later than 10 days after any change to said

17  list.

18  

19  For the purposes of this subsection, the term "authorized

20  distributors of record" means those distributors with whom a

21  manufacturer has established an ongoing relationship to

22  distribute the manufacturer's products, without regard to

23  whether the wholesale distributor acquired the products

24  directly from the manufacturer. An ongoing relationship is

25  deemed to exist when a wholesale distributor is listed on the

26  manufacturer's current list of authorized distributors or when

27  a wholesale distributor has made at least three purchases of a

28  manufacturer's products directly from that manufacturer within

29  a 6-month period from the date for which the authorized

30  distributor-of-record relationship is claimed.

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (8)(7)  WRITTEN POLICIES AND PROCEDURES.--Wholesale

 2  drug distributors must establish, maintain, and adhere to

 3  written policies and procedures, which must be followed for

 4  the receipt, security, storage, inventory, and distribution of

 5  prescription drugs, including policies and procedures for

 6  identifying, recording, and reporting losses or thefts, and

 7  for correcting all errors and inaccuracies in inventories.

 8  Wholesale drug distributors must include in their written

 9  policies and procedures:

10         (a)  A procedure whereby the oldest approved stock of a

11  prescription drug product is distributed first. The procedure

12  may permit deviation from this requirement, if the deviation

13  is temporary and appropriate.

14         (b)  A procedure to be followed for handling recalls

15  and withdrawals of prescription drugs. Such procedure must be

16  adequate to deal with recalls and withdrawals due to:

17         1.  Any action initiated at the request of the Food and

18  Drug Administration or any other federal, state, or local law

19  enforcement or other government agency, including the

20  department.

21         2.  Any voluntary action by the manufacturer to remove

22  defective or potentially defective drugs from the market; or

23         3.  Any action undertaken to promote public health and

24  safety by replacing existing merchandise with an improved

25  product or new package design.

26         (c)  A procedure to ensure that wholesale drug

27  distributors prepare for, protect against, and handle any

28  crisis that affects security or operation of any facility if a

29  strike, fire, flood, or other natural disaster, or a local,

30  state, or national emergency, occurs.

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (d)  A procedure to ensure that any outdated

 2  prescription drugs are segregated from other drugs and either

 3  returned to the manufacturer or destroyed. This procedure must

 4  provide for written documentation of the disposition of

 5  outdated prescription drugs. This documentation must be

 6  maintained for 2 years after disposition of the outdated

 7  drugs.

 8         (9)(8)  RESPONSIBLE PERSONS.--Wholesale drug

 9  distributors must establish and maintain lists of officers,

10  directors, managers, wholesaler's representatives, and other

11  persons in charge of wholesale drug distribution, storage, and

12  handling, including a description of their duties and a

13  summary of their qualifications.

14         (10)(9)  COMPLIANCE WITH FEDERAL, STATE, AND LOCAL

15  LAW.--A wholesale drug distributor must operate in compliance

16  with applicable federal, state, and local laws and

17  regulations.

18         (a)  A wholesale drug distributor must allow the

19  department and authorized federal, state, and local officials

20  to enter and inspect its premises and delivery vehicles, and

21  to audit its records and written operating procedures, at

22  reasonable times and in a reasonable manner, to the extent

23  authorized by law.

24         (b)  A wholesale drug distributor that deals in

25  controlled substances must register with the Drug Enforcement

26  Administration and must comply with all applicable state,

27  local, and federal laws. A wholesale drug distributor that

28  distributes any substance controlled under chapter 893 must

29  notify the department when registering with the Drug

30  Enforcement Administration pursuant to that chapter and must

31  provide the department with its DEA number.

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (c)  A wholesale drug distributor shall not pay for any

 2  drug with currency, as defined in s. 560.103(6).

 3         (11)(10)  SALVAGING AND REPROCESSING.--A wholesale drug

 4  distributor is subject to any applicable federal, state, or

 5  local laws or regulations that relate to prescription drug

 6  product salvaging or reprocessing.

 7         Section 6.  Paragraphs (b) and (c) of subsection (2) of

 8  section 499.0122, Florida Statutes, are amended to read:

 9         499.0122  Medical oxygen and veterinary legend drug

10  retail establishments; definitions, permits, general

11  requirements.--

12         (2)

13         (b)  The department shall adopt rules relating to

14  information required from each retail establishment pursuant

15  to s. 499.01(4) and (5)(2), including requirements for

16  prescriptions or orders.

17         (c)  A retail establishment must comply with all of the

18  wholesale distribution requirements of s. 499.0121 except

19  those set forth in s. 499.0121(7)(6) (d) and (e).

20         Section 7.  Section 499.0125, Florida Statutes, is

21  created to read:

22         499.0125  Drug Wholesaler Advisory Council.--

23         (1)  There is created the Drug Wholesaler Advisory

24  Council in the department. The council shall meet at least

25  three times each year. Staff for the council shall be provided

26  by the department. The council shall consist of nine members

27  who shall serve without compensation.

28         (2)  The secretary of the department shall appoint

29  three members, one of whom must be a pharmacist licensed

30  pursuant to chapter 465 who is employed in a retail pharmacy

31  drug wholesaler licensed pursuant to this chapter, one of whom

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  must be a person employed by a prescription drug wholesaler

 2  licensed pursuant to this chapter, and one of whom must be the

 3  department employee responsible for supervising the

 4  administration of ss. 499.001-499.081. The Speaker of the

 5  House of Representatives shall appoint three members, one of

 6  whom must be a person knowledgeable about the pharmaceutical

 7  distribution industry who is employed by a primary wholesaler,

 8  as defined in s. 499.012(1)(d), that is licensed pursuant to

 9  this chapter, one of whom must be an employee of a retail

10  pharmacy chain located in Florida, and one of whom must be a

11  member of the Florida House of Representatives. The President

12  of the Senate shall appoint three members, one of whom must be

13  a person knowledgeable about the pharmaceutical distribution

14  industry who is employed by a secondary wholesaler, as defined

15  in s. 499.012(1)(f), that is licensed pursuant to this

16  chapter, one of whom must be an employee of a retail grocery

17  chain that operates a retail pharmacy in Florida, and one of

18  whom must be a member of the Senate. The members of the

19  council shall elect a chair and a vice chair who will serve a

20  term of 1 year each.

21         (3)  The council shall review ss. 499.001-499.081 and

22  the rules adopted to implement ss. 499.001-499.081 annually,

23  provide input to the department regarding all proposed rules

24  to implement ss. 499.001-499.081, make recommendations to the

25  department to improve the protection of prescription drugs and

26  the public health, improve the technology and means used in

27  the wholesale distribution of drugs, make recommendations to

28  improve coordination with other states' regulatory agencies

29  and the Federal Government concerning wholesale distribution

30  of drugs, and make recommendations to minimize the impact of

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  regulation of the wholesale distribution industry while

 2  ensuring protection of the public health.

 3         Section 8.  Paragraph (a) of subsection (1) and

 4  subsection (3) of section 499.015, Florida Statutes, are

 5  amended to read:

 6         499.015  Registration of drugs, devices, and cosmetics;

 7  issuance of certificates of free sale.--

 8         (1)(a)  Except for those persons exempted from the

 9  definition in s. 499.003(22)(21), any person who manufactures,

10  packages, repackages, labels, or relabels a drug, device, or

11  cosmetic in this state must register such drug, device, or

12  cosmetic biennially with the department; pay a fee in

13  accordance with the fee schedule provided by s. 499.041; and

14  comply with this section. The registrant must list each

15  separate and distinct drug, device, or cosmetic at the time of

16  registration.

17         (3)  Except for those persons exempted from the

18  definition in s. 499.003(22)(21), a person may not sell any

19  product that he or she has failed to register in conformity

20  with this section. Such failure to register subjects such

21  drug, device, or cosmetic product to seizure and condemnation

22  as provided in ss. 499.062-499.064, and subjects such person

23  to the penalties and remedies provided in ss. 499.001-499.081.

24         Section 9.  Subsection (3) of section 499.024, Florida

25  Statutes, is amended to read:

26         499.024  Drug product classification.--The secretary

27  shall adopt rules to classify drug products intended for use

28  by humans which the United States Food and Drug Administration

29  has not classified in the federal act or the Code of Federal

30  Regulations.

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (3)  Any product that falls under the drug definition,

 2  s. 499.003(13)(12), may be classified under the authority of

 3  this section. This section does not subject portable emergency

 4  oxygen inhalators to classification; however, this section

 5  does not exempt any person from ss. 499.01 and 499.015.

 6         Section 10.  Subsection (1) of section 499.03, Florida

 7  Statutes, is amended to read:

 8         499.03  Possession of new drugs or legend drugs without

 9  prescriptions unlawful; exemptions and exceptions.--

10         (1)  A person may not possess, or possess with intent

11  to sell, dispense, or deliver, any habit-forming, toxic,

12  harmful, or new drug subject to s. 499.003(23)(22), or legend

13  drug as defined in s. 499.003(20)(19), unless the possession

14  of the drug has been obtained by a valid prescription of a

15  practitioner licensed by law to prescribe the drug. However,

16  this section does not apply to the delivery of such drugs to

17  persons included in any of the classes named in this

18  subsection, or to the agents or employees of such persons, for

19  use in the usual course of their businesses or practices or in

20  the performance of their official duties, as the case may be;

21  nor does this section apply to the possession of such drugs by

22  those persons or their agents or employees for such use:

23         (a)  A licensed pharmacist or any person under the

24  licensed pharmacist's supervision while acting within the

25  scope of the licensed pharmacist's practice;

26         (b)  A licensed practitioner authorized by law to

27  prescribe legend drugs or any person under the licensed

28  practitioner's supervision while acting within the scope of

29  the licensed practitioner's practice;

30         (c)  A qualified person who uses legend drugs for

31  lawful research, teaching, or testing, and not for resale;

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (d)  A licensed hospital or other institution that

 2  procures such drugs for lawful administration or dispensing by

 3  practitioners;

 4         (e)  An officer or employee of a federal, state, or

 5  local government; or

 6         (f)  A person that holds a valid permit issued by the

 7  department pursuant to ss. 499.001-499.081 which authorizes

 8  that person to possess prescription drugs.

 9         Section 11.  Subsection (2) and subsection (4) of

10  section 499.041, Florida Statutes, are amended to read:

11         499.041  Schedule of fees for drug, device, and

12  cosmetic applications and permits, product registrations, and

13  free-sale certificates.--

14         (2)  The department shall assess an applicant that is

15  required to have a wholesaling permit an annual fee within the

16  ranges established in this section for the specific type of

17  wholesaling.

18         (a)  The fee for a prescription drug wholesaler's

19  permit may not be less than $300 or more than $800 $400

20  annually;

21         (b)  The fee for a compressed medical gas wholesaler's

22  permit may not be less than $200 or more than $300 annually;

23         (c)  The fee for an out-of-state prescription drug

24  wholesaler's permit may not be less than $300 $200 or more

25  than $600 $300 annually;

26         (d)  The fee for a retail pharmacy drug wholesaler's

27  permit may not be less than $35 or more than $100 $50

28  annually.

29         (4)  The department shall assess an applicant that is

30  required to have a restricted prescription drug distributor's

31  

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  permit an annual fee of not less than $200 or more than $600

 2  $300.

 3         Section 12.  Paragraph (g) of subsection (1) of section

 4  499.05, Florida Statutes, is amended to read:

 5         499.05  Rules.--

 6         (1)  The department shall adopt rules to implement and

 7  enforce ss. 499.001-499.081 with respect to:

 8         (g)  Inspections and investigations conducted under s.

 9  499.051, and the identification of information claimed to be a

10  trade secret and exempt from the public records law as

11  provided in s. 499.051(6)(5).

12         Section 13.  Section 499.051, Florida Statutes, is

13  amended to read:

14         499.051  Inspections and investigations.--

15         (1)  The agents of the Department of Health and of the

16  Department of Law Enforcement, after they present proper

17  identification, may inspect, monitor, and investigate any

18  establishment permitted pursuant to ss. 499.001-499.081 during

19  business hours for the purpose of enforcing ss.

20  499.001-499.081, chapters 465, 501, and 893, and the rules of

21  the department that protect the public health, safety, and

22  welfare.

23         (2)  In addition to the authority set forth in

24  subsection (1), the department and any duly designated officer

25  or employee of the department may enter and inspect any other

26  establishment for the purpose of determining compliance with

27  ss. 499.001-499.081 and rules adopted under those sections

28  regarding any drug, device, or cosmetic product. The authority

29  to enter and inspect does not extend to the practice of the

30  profession of pharmacy, as defined in chapter 465 and the

31  rules adopted under that chapter, in a pharmacy permitted

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  under chapter 465. The Department of Business and Professional

 2  Regulation shall conduct routine inspections of retail

 3  pharmacy drug wholesalers at the time of the regular pharmacy

 4  permit inspection and shall send the inspection report

 5  regarding drug wholesale activity to the Department of Health.

 6         (3)  Any application for a permit or product

 7  registration or for renewal of such permit or registration

 8  made pursuant to ss. 499.001-499.081 and rules adopted under

 9  those sections constitutes permission for any entry or

10  inspection of the premises in order to verify compliance with

11  those sections and rules; to discover, investigate, and

12  determine the existence of compliance; or to elicit, receive,

13  respond to, and resolve complaints and violations.

14         (4)  Any application for a permit made pursuant to s.

15  499.012 and rules adopted under those sections constitutes

16  permission for agents of the Department of Health and the

17  Department of Law Enforcement, after they present proper

18  identification, to inspect and copy any financial document or

19  record related to the distribution of a drug as is necessary

20  to verify compliance with ss. 499.001-499.081 and the rules

21  adopted by the department to implement those sections, to

22  discover, investigate, and determine the existence of

23  compliance, or to elicit, receive, respond to, and resolve

24  complaints and violations.

25         (5)(4)  The authority to inspect under this section

26  includes the authority to secure:

27         (a)  Samples or specimens of any drug, device, or

28  cosmetic; or

29         (b)  Such other evidence as is needed for any action to

30  enforce ss. 499.001-499.081 and the rules adopted under those

31  sections.

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1         (6)(5)  The complaint and all information obtained

 2  pursuant to the investigation by the department are

 3  confidential and exempt from the provisions of s. 119.07(1)

 4  and s. 24(a), Art. I of the State Constitution until the

 5  investigation and the enforcement action are completed.

 6  However, trade secret information contained therein as defined

 7  by s. 812.081(1)(c) shall remain confidential and exempt from

 8  the provisions of s. 119.07(1) and s. 24(a), Art. I of the

 9  State Constitution, as long as the information is retained by

10  the department. This subsection does not prohibit the

11  department from using such information for regulatory or

12  enforcement proceedings under this chapter or from providing

13  such information to any law enforcement agency or any other

14  regulatory agency. However, the receiving agency shall keep

15  such records confidential and exempt as provided in this

16  subsection. In addition, this subsection is not intended to

17  prevent compliance with the provisions of s. 499.0121(7)

18  (6)(d) or (e), and the pedigree papers required in that

19  subsection shall not be deemed a trade secret.

20         Section 14.  Section 499.0671, Florida Statutes, is

21  created to read:

22         499.0671  Enforcement; cease and desist orders; removal

23  of certain persons.--

24         (1)  DEFINITION.--For the purposes of this section, the

25  term "permittee" means any person holding a permit issued

26  pursuant to s. 499.021.

27         (2)  ENFORCEMENT GENERALLY.--The department may

28  institute such suits or other legal proceedings as may be

29  required to enforce any provision of ss. 499.001-499.081. If

30  it appears that any person has violated any provision of ss.

31  499.001-499.081 for which criminal prosecution is provided,

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  the department shall provide the appropriate state attorney or

 2  other prosecuting agency having jurisdiction with respect to

 3  such prosecution with the relevant information in its

 4  possession.

 5         (3)  CEASE AND DESIST ORDERS.--

 6         (a)  The department may issue and serve a complaint

 7  stating charges upon any permittee or upon any affiliated

 8  party, whenever the department has reasonable cause to believe

 9  that the person or individual named therein is engaging in or

10  has engaged in conduct that is:

11         1.  An act that demonstrates a lack of fitness or

12  trustworthiness to engage in the business authorized under the

13  permit issued pursuant to ss. 499.001-499.081, is hazardous to

14  the public health, or constitutes business operations that are

15  a detriment to the public health, stockholders, investors,

16  creditors, or the public;

17         2.  A violation of any provision of ss.

18  499.001-499.081;

19         3.  A violation of any rule of the department;

20         4.  A violation of any order of the department; or

21         5.  A breach of any written agreement with the

22  department.

23         (b)  The complaint shall contain a statement of facts

24  and notice of opportunity for a hearing pursuant to ss.

25  120.569 and 120.57.

26         (c)  If no hearing is requested within the time allowed

27  by ss. 120.569 and 120.57, or if a hearing is held and the

28  department finds that any of the charges are proven, the

29  department may enter an order directing the permittee or the

30  affiliated party named in the complaint to cease and desist

31  from engaging in the conduct complained of and take corrective

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  action to remedy the effects of past improper conduct and

 2  ensure future compliance.

 3         (d)  If the permittee or affiliated party named in the

 4  order fails to respond to the complaint within the time

 5  allotted by ss. 120.569 and 120.57, the failure constitutes a

 6  default and justifies the entry of a cease and desist order.

 7         (e)  A contested or default cease and desist order is

 8  effective when reduced to writing and served upon the

 9  permittee or affiliated party named therein. An uncontested

10  cease and desist order is effective as agreed.

11         (f)  Whenever the department finds that conduct

12  described in paragraph (a) is likely to cause an immediate

13  threat to the public  health, it may issue an emergency cease

14  and desist order requiring the licensee or any affiliated

15  party to immediately cease and desist from engaging in the

16  conduct complained of and to take corrective and remedial

17  action. The emergency order is effective immediately upon

18  service of a copy of the order upon the permittee or

19  affiliated party named therein and remains effective for 90

20  days. If the department begins nonemergency cease and desist

21  proceedings under this subsection, the emergency order remains

22  effective until the conclusion of the proceedings under ss.

23  120.569 and 120.57.

24         (4)  REMOVAL OF AFFILIATED PARTIES BY THE DEPARTMENT.--

25         (a)  The department may issue and serve a complaint

26  stating charges upon any affiliated party and upon the

27  licensee involved, whenever the department has reason to

28  believe that an affiliated party is engaging in or has engaged

29  in conduct that constitutes:

30         1.  An act that demonstrates a lack of fitness or

31  trustworthiness to engage in the business authorized under the

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  permit issued pursuant to ss. 499.001-499.081, is hazardous to

 2  the public health, or constitutes business operations that are

 3  a detriment to the public health, stockholders, investors,

 4  creditors, or the public;

 5         2.  A willful violation of ss. 499.001-499.081;

 6  however, if the violation constitutes a misdemeanor, no

 7  complaint shall be served as provided in this section until

 8  the affiliated party is notified in writing of the matter of

 9  the violation and has been afforded a reasonable period of

10  time, as set forth in the notice, to correct the violation and

11  has failed to do so;

12         3.  A violation of any other law involving fraud or

13  moral turpitude that constitutes a felony;

14         4.  A willful violation of any rule of the department;

15         5.  A willful violation of any order of the department;

16         6.  A material misrepresentation of fact, made

17  knowingly and willfully or made with reckless disregard for

18  the truth of the matter; or

19         7.  An act of commission or omission or a practice

20  which is a breach of trust or a breach of fiduciary duty.

21         (b)  The complaint shall contain a statement of facts

22  and notice of opportunity for a hearing pursuant to ss.

23  120.569 and 120.57.

24         (c)  If no hearing is requested within the time

25  allotted by ss. 120.569 and 120.57, or if a hearing is held

26  and the department finds that any of the charges in the

27  complaint are proven true and that:

28         1.  The permittee has suffered or will likely suffer

29  loss or other damage;

30         2.  The interests of the permittees' stockholders or

31  creditors, or the public are, or could be, seriously

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  prejudiced by reason of the violation or act or breach of

 2  fiduciary duty;

 3         3.  The affiliated party has received financial gain by

 4  reason of the violation, act, or breach of fiduciary duty; or

 5         4.  The violation, act, or breach of fiduciary duty is

 6  one involving personal dishonesty on the part of the

 7  affiliated party or the conduct jeopardizes or could

 8  reasonably be anticipated to jeopardize the public health or

 9  financial soundness of the permittee,

10  

11  the department may enter an order removing the affiliated

12  party or restricting or prohibiting participation by the

13  person in the affairs of that particular permittee or of any

14  other permittee.

15         (d)  If the affiliated party fails to respond to the

16  complaint within the time allotted by ss. 120.569 and 120.57,

17  the failure constitutes a default and justifies the entry of

18  an order of removal, suspension, or restriction.

19         (e)  A contested or default order of removal,

20  restriction, or prohibition is effective when reduced to

21  writing and served on the licensee and the affiliated party.

22  An uncontested order of removal, restriction, or prohibition

23  is effective as agreed.

24         (f)1.  The chief executive officer, designated

25  representative, or the person holding the equivalent office,

26  of a permittee shall promptly notify the department if she or

27  he has actual knowledge that any affiliated party is charged

28  with a felony in a state or federal court.

29         2.  Whenever any affiliated party is charged with a

30  felony in a state or federal court or with the equivalent of a

31  felony in the courts of any foreign country with which the

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  United States maintains diplomatic relations, and the charge

 2  alleges violation of any law involving prescription drugs,

 3  pharmaceuticals, fraud, theft, or moral turpitude, the

 4  department may enter an emergency order suspending the

 5  affiliated party or restricting or prohibiting participation

 6  by the affiliated party in the affairs of the particular

 7  permittee or of any other permittee upon service of the order

 8  upon the permittee and the affiliated party charged. The order

 9  shall contain notice of opportunity for a hearing pursuant to

10  ss. 120.569 and 120.57, where the affiliated party may request

11  a postsuspension hearing to show that continued service to or

12  participation in the affairs of the licensee does not pose a

13  threat to the public health or the interests of the permittee

14  and does not threaten to impair public confidence in the

15  permittee. In accordance with applicable departmental rules,

16  the department shall notify the affiliated party whether the

17  order suspending or prohibiting the person from participation

18  in the affairs of a permittee will be rescinded or otherwise

19  modified. The emergency order remains in effect, unless

20  otherwise modified by the department, until the criminal

21  charge is disposed of. The acquittal of the person charged, or

22  the final, unappealed dismissal of all charges against the

23  person, dissolves the emergency order, but does not prohibit

24  the department from instituting proceedings under paragraph

25  (a). If the person charged is convicted or pleads guilty or

26  nolo contendere, whether or not an adjudication of guilt is

27  entered by the court, the emergency order shall become final.

28         (g)  Any affiliated party removed from office pursuant

29  to this section is not eligible for reemployment by the

30  permittee or reelection or appointment to the position,  to

31  any other official position in any licensee in this state

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  except upon the written consent of the department. Any

 2  affiliated party who is removed, restricted, or prohibited

 3  from participation in the affairs of a permittee pursuant to

 4  this section may petition the department for modification or

 5  termination of the removal, restriction, or prohibition.

 6         (h)  Resignation or termination of an affiliated party

 7  does not affect the department's jurisdiction to proceed under

 8  this subsection.

 9         Section 15.  Section 499.069, Florida Statutes, is

10  amended to read:

11         499.069  Punishment for violations of s. 499.005;

12  dissemination of false advertisement.--

13         (1)  Any person who violates any of the provisions of

14  s. 499.005 is guilty of a misdemeanor of the second degree,

15  punishable as provided in s. 775.082 or s. 775.083; but, if

16  the violation is committed after a conviction of such person

17  under this section has become final, such person is guilty of

18  a misdemeanor of the first degree, punishable as provided in

19  s. 775.082 or s. 775.083 or as otherwise provided in ss.

20  499.001-499.081, except that any person who violates

21  subsection (8), subsection (9), subsection (10), subsection

22  (14), subsection (15), or subsection (17), subsection (18),

23  subsection (19), subsection (20), subsection (21), subsection

24  (22), subsection (26), or subsection (27) of s. 499.005 is

25  guilty of a felony of the second third degree, punishable as

26  provided in s. 775.082, s. 775.083, or s. 775.084, or as

27  otherwise provided in ss. 499.001-499.081.

28         (2)  A person is not subject to the penalties of

29  subsection (1) for having violated any of the provisions of s.

30  499.005 if he or she establishes a guaranty or undertaking,

31  which guaranty or undertaking is signed by and contains the

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    Florida Senate - 2003                                  SB 2312
    2-1382-03                                          See HB 1481




 1  name and address of the person residing in the state, or the

 2  manufacturer, from whom he or she received the article in good

 3  faith, to the effect that such article is not adulterated or

 4  misbranded within the meaning of ss. 499.001-499.081, citing

 5  such sections.

 6         (3)  A publisher, radio broadcast licensee, or agency

 7  or medium for the dissemination of an advertisement, except

 8  the manufacturer, wholesaler, or seller of the article to

 9  which a false advertisement relates, is not liable under this

10  section by reason of the dissemination by him or her of such

11  false advertisement, unless he or she has refused, on the

12  request of the department, to furnish to the department the

13  name and post office address of the manufacturer, wholesaler,

14  seller, or advertising agency that asked him or her to

15  disseminate such advertisement.

16         Section 16.  This act shall take effect July 1, 2003.

17  

18  

19  

20  

21  

22  

23  

24  

25  

26  

27  

28  

29  

30  

31  

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