Florida Senate - 2008 CS for SB 2756

By the Committee on Health Regulation; and Senator Peaden

588-06443-08 20082756c1

1

A bill to be entitled

2

An act relating to drugs, devices, and cosmetics; amending

3

and reorganizing provisions in part I of ch. 499, F.S.;

4

amending s. 499.002, F.S.; expanding the provisions of the

5

section to include administration and enforcement of,

6

exemptions from, and purpose of the part; amending and

7

redesignating ss. 499.004, 499.0053, 499.07, 499.071, and

8

499.081, F.S., as provisions in that section relating to

9

such functions to conform; amending s. 499.003, F.S.;

10

revising and providing definitions; amending and

11

redesignating provisions in ss. 499.012, 499.029, and

12

499.0661, F.S., relating to definitions, as provisions of

13

that section; amending s. 499.005, F.S.; conforming

14

provisions to changes made by the act, including the

15

substitution of the term "prescription drug" for the term

16

"legend drug"; amending s. 499.0051, F.S.; substituting

17

the term "prescription drug" for the term "legend drug"

18

with regard to criminal acts; consolidating criminal act

19

provisions of part I of ch. 499, F.S.; amending and

20

redesignating ss. 499.0052, 499.00535, 499.00545, 499.069,

21

and 499.0691, F.S., as criminal offense provisions in that

22

section; providing penalties; conforming provisions to

23

changes made by the act; amending s. 499.0054, F.S.,

24

relating to advertising and labeling of drugs, devices,

25

and cosmetics to include certain exemptions; amending and

26

redesignating ss. 499.0055 and 499.0057, F.S., as

27

provisions relating to those functions in that section;

28

amending s. 499.006, F.S.; conforming provisions to

29

changes made by the act; amending s. 499.007, F.S.;

30

conforming provisions to changes made by the act;

31

providing that a drug or device is misbranded if it is an

32

active pharmaceutical ingredient in bulk form and does not

33

bear a label containing certain information; amending ss.

34

499.008 and 499.009, F.S.; conforming provisions to

35

changes made by the act; amending s. 499.01, F.S.;

36

providing that the section relates only to permits;

37

providing requirements for obtaining a permit to operate

38

in certain capacities; deleting certain permit

39

requirements; amending and redesignating provisions of ss.

40

499.012, 499.013, and 499.014, F.S., relating to such

41

functions as provisions of that section; conforming

42

provisions and cross-references to changes made by the

43

act; amending s. 499.012, F.S.; providing that the section

44

relates to permit application requirements; amending the

45

provisions to conform; amending and redesignating

46

provisions of s. 499.01, F.S., relating to such functions

47

as provisions of that section; conforming provisions and

48

cross-references to changes made by the act; amending s.

49

499.01201, F.S.; conforming provisions to changes made by

50

the act; amending s. 499.0121, F.S., relating to storage

51

and handling of prescription drugs and recordkeeping;

52

directing the department to adopt rules requiring a

53

wholesale distributor to maintain pedigree papers separate

54

and distinct from other required records; deleting a

55

requirement that a person who is engaged in the wholesale

56

distribution of a prescription drug and who is not the

57

manufacturer of that drug provide a pedigree paper to the

58

person who receives the drug; deleting the department's

59

requirement to adopt rules with regard to recordkeeping by

60

affiliated groups; conforming provisions and cross-

61

references to changes made by the act; amending and

62

redesignating a provision of s. 499.013, F.S., relating to

63

such functions as a provision of that section; amending s.

64

499.01211, F.S.; conforming provisions and cross-

65

references to changes made by the act; creating s.

66

499.01212, F.S.; requiring a person who is engaged in the

67

wholesale distribution of a prescription drug to provide a

68

pedigree paper to the person who receives the drug;

69

requiring certain information in a pedigree paper;

70

requiring a wholesale distributor to maintain and make

71

available to the department certain information; providing

72

exceptions to the requirement of a pedigree paper;

73

repealing s. 499.0122, F.S., relating to medical oxygen

74

and veterinary legend drug retail establishments;

75

repealing s. 499.013, F.S., relating to manufacturers and

76

repackagers of drugs, devices, and cosmetics; amending ss.

77

499.015, 499.024, 499.028, 499.029, and 499.03, F.S.;

78

conforming provisions and cross-references to changes made

79

by the act; amending ss. 499.032 and 499.033, F.S.;

80

conforming terminology to changes made by the act;

81

amending s. 499.039, F.S.; conforming a provision and

82

cross-reference; amending ss. 499.04 and 499.041, F.S.;

83

conforming provisions to changes made by the act; amending

84

s. 499.05, F.S.; conforming provisions to changes made by

85

the act; requiring the department to adopt rules with

86

regard to procedures and forms relating to pedigree paper

87

requirements, alternatives to compliance with the

88

requirement of certain pedigree papers, and the return of

89

prescription drugs purchased before a specified date;

90

amending and redesignating provisions of ss. 499.013 and

91

499.0122, F.S., as provisions relating to rulemaking

92

functions of that section; amending ss. 499.051, 499.052,

93

499.055, and 499.06, F.S.; conforming provisions to

94

changes made by the act; amending s. 499.062, F.S.;

95

providing that the section relates to seizure and

96

condemnation of drugs, devices, or cosmetics; conforming a

97

provision to changes made by the act; amending and

98

redesignating ss. 499.063 and 499.064, F.S., as provisions

99

relating to such functions in that section; amending ss.

100

499.065, 499.066, 499.0661, and 499.067, F.S.; conforming

101

provisions and cross-references to changes made by the

102

act; amending ss. 409.9201, 460.403, 465.0265, 794.075,

103

895.02, and 921.0022, F.S.; conforming cross-references to

104

changes made by the act; providing an effective date.

105

106

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

107

108

     Section 1.  Section 499.002, Florida Statutes, is amended;

109

section 499.004, Florida Statutes, is redesignated as subsection

110

(2) of that section and amended; section 499.0053, Florida

111

Statutes, is redesignated as subsection (3) of that section and

112

amended; section 499.07, Florida Statutes, is redesignated as

113

subsection (4) of that section and amended; section 499.071,

114

Florida Statutes, is redesignated as subsection (5) of that

115

section and amended; and section 499.081, Florida Statutes, is

116

redesignated as subsection (6) of that section and amended, to

117

read:

118

     499.002 Purpose, administration, and enforcement of and

119

exemption from this part ss. 499.001-499.081.--

120

     (1) This part is Sections 499.001-499.081 are intended to:

121

     (a)(1) Safeguard the public health and promote the public

122

welfare by protecting the public from injury by product use and

123

by merchandising deceit involving drugs, devices, and cosmetics.

124

     (b)(2) Provide uniform legislation to be administered so

125

far as practicable in conformity with the provisions of, and

126

regulations issued under the authority of, the Federal Food,

127

Drug, and Cosmetic Act and that portion of the Federal Trade

128

Commission Act which expressly prohibits the false advertisement

129

of drugs, devices, and cosmetics.

130

     (c)(3) Promote thereby uniformity of such state and federal

131

laws, and their administration and enforcement, throughout the

132

United States.

133

     (2) 499.004 Administration and enforcement by

134

department.--The department of Health shall administer and

135

enforce this part ss. 499.001-499.081 to prevent fraud,

136

adulteration, misbranding, or false advertising in the

137

preparation, manufacture, repackaging, or distribution of drugs,

138

devices, and cosmetics.

139

     (3) 499.0053 Power to administer oaths, take depositions,

140

and issue and serve subpoenas.--For the purpose of any

141

investigation or proceeding conducted by the department under

142

this part ss. 499.001-499.081, the department may administer

143

oaths, take depositions, issue and serve subpoenas, and compel

144

the attendance of witnesses and the production of books, papers,

145

documents, or other evidence. The department shall exercise this

146

power on its own initiative. Challenges to, and enforcement of,

147

the subpoenas and orders shall be handled as provided in s.

148

120.569.

149

     (4) 499.07 Duty of prosecuting officer.--Each state

150

attorney, county attorney, or municipal attorney to whom the

151

department or its designated agent reports any violation of this

152

part ss. 499.001-499.081 shall cause appropriate proceedings to

153

be instituted in the proper courts without delay and to be

154

prosecuted in the manner required by law.

155

     (5) 499.071 Issuance of warnings for minor

156

violations.--This part does Sections 499.001-499.081 do not

157

require the department to report, for the institution of

158

proceedings under this part ss. 499.001-499.081, minor violations

159

of this part ss. 499.001-499.081 when it believes that the public

160

interest will be adequately served in the circumstances by a

161

suitable written notice or warning.

162

     (6) 499.081 Carriers in interstate commerce exempted from

163

ss. 499.001-499.081.--Carriers engaged in interstate commerce are

164

not subject to this part ss. 499.001-499.081 if they are engaged

165

in the usual course of business as carriers.

166

     Section 2.  Section 499.003, Florida Statutes, is amended;

167

paragraphs (a) through (f) of subsection (1) of section 499.012,

168

Florida Statutes, are redesignated as subsections (55), (56),

169

(52), and (48), paragraph (c) of subsection (48), and subsection

170

(53), respectively, of that section and amended; paragraphs (f)

171

through (j) and (l) through (n) of subsection (3) of section

172

499.029, Florida Statutes, are redesignated as subsections (25),

173

(23), (26), (27), (35), (40), (41), and (43), respectively, of

174

that section and amended; and subsection (1) of section 499.0661,

175

Florida Statutes, is redesignated as subsection (38) of that

176

section and amended, to read:

177

     499.003 Definitions of terms used in this part ss. 499.001-

178

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

179

     (1)  "Advertisement" means any representation disseminated

180

in any manner or by any means, other than by labeling, for the

181

purpose of inducing, or which is likely to induce, directly or

182

indirectly, the purchase of drugs, devices, or cosmetics.

183

     (2) "Affiliated group" means an affiliated group as defined

184

by s. 1504 of the Internal Revenue Code of 1986, as amended,

185

which is composed of chain drug entities, including at least 50

186

retail pharmacies, warehouses, or repackagers, which are members

187

of the same affiliated group. The affiliated group must disclose

188

the names of all its members to the department.

189

     (3)(2) "Affiliated party" means:

190

     (a)  A director, officer, trustee, partner, or committee

191

member of a permittee or applicant or a subsidiary or service

192

corporation of the permittee or applicant;

193

     (b)  A person who, directly or indirectly, manages,

194

controls, or oversees the operation of a permittee or applicant,

195

regardless of whether such person is a partner, shareholder,

196

manager, member, officer, director, independent contractor, or

197

employee of the permittee or applicant;

198

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

199

personal information statement pursuant to s. 499.012(9) s.

200

499.012(4) or is required to be identified in an application for

201

a permit or to renew a permit pursuant to s. 499.012(8) s.

202

499.012(3); or

203

     (d)  The five largest natural shareholders that own at least

204

5 percent of the permittee or applicant.

205

     (4)(3) "Applicant" means a person applying for a permit or

206

certification under this part ss. 499.001-499.081.

207

     (5)(4) "Authenticate" means to affirmatively verify upon

208

receipt before any distribution of a prescription legend drug

209

occurs that each transaction listed on the pedigree paper

210

described in s. 499.01212(2)(b) has occurred. A wholesale

211

distributor is not required to open a sealed, medical convenience

212

kit to authenticate a pedigree paper for a prescription drug

213

contained within the kit.

214

     (6)(5) "Certificate of free sale" means a document prepared

215

by the department which certifies a drug, device, or cosmetic,

216

that is registered with the department, as one that can be

217

legally sold in the state.

218

     (7) "Chain pharmacy warehouse" means a wholesale

219

distributor permitted pursuant to s. 499.01 that maintains a

220

physical location for prescription drugs that functions solely as

221

a central warehouse to perform intracompany transfers of such

222

drugs to a member of its affiliated group.

223

     (8)(6) "Closed pharmacy" means a pharmacy that is licensed

224

under chapter 465 and purchases prescription drugs for use by a

225

limited patient population and not for wholesale distribution or

226

sale to the public. The term does not include retail pharmacies.

227

     (9)(7) "Color" includes black, white, and intermediate

228

grays.

229

     (10)(8) "Color additive" means, with the exception of any

230

material that has been or hereafter is exempt under the federal

231

act, a material that:

232

     (a)  Is a dye pigment, or other substance, made by a process

233

of synthesis or similar artifice, or extracted, isolated, or

234

otherwise derived, with or without intermediate or final change

235

of identity from a vegetable, animal, mineral, or other source;

236

or

237

     (b)  When added or applied to a drug or cosmetic or to the

238

human body, or any part thereof, is capable alone, or through

239

reaction with other substances, of imparting color thereto;

240

241

except that the term does not include any material which has been

242

or hereafter is exempt under the federal act.

243

     (11)(9) "Compressed medical gas" means any liquefied or

244

vaporized gas that is a prescription drug, whether it is alone or

245

in combination with other gases.

246

     (12)(10) "Contraband prescription legend drug" means any

247

adulterated drug, as defined in s. 499.006, any counterfeit drug,

248

as defined in this section, and also means any prescription

249

legend drug for which a pedigree paper does not exist, or for

250

which the pedigree paper in existence has been forged,

251

counterfeited, falsely created, or contains any altered, false,

252

or misrepresented matter.

253

     (13)(11) "Cosmetic" means an article, with the exception of

254

soap, that is:

255

     (a)  Intended to be rubbed, poured, sprinkled, or sprayed

256

on; introduced into; or otherwise applied to the human body or

257

any part thereof for cleansing, beautifying, promoting

258

attractiveness, or altering the appearance; or

259

     (b) Intended for use as a component of any such article;

260

261

except that the term does not include soap.

262

     (14)(12) "Counterfeit drug," "counterfeit device," or

263

"counterfeit drug, counterfeit device, or counterfeit cosmetic"

264

means a drug, device, or cosmetic which, or the container, seal,

265

or labeling of which, without authorization, bears the trademark,

266

trade name, or other identifying mark, imprint, or device, or any

267

likeness thereof, of a drug, device, or cosmetic manufacturer,

268

processor, packer, or distributor other than the person that in

269

fact manufactured, processed, packed, or distributed that drug,

270

device, or cosmetic and which thereby falsely purports or is

271

represented to be the product of, or to have been packed or

272

distributed by, that other drug, device, or cosmetic

273

manufacturer, processor, packer, or distributor.

274

     (15)(13) "Department" means the Department of Health.

275

     (16)(14) "Device" means any instrument, apparatus,

276

implement, machine, contrivance, implant, in vitro reagent, or

277

other similar or related article, including its components,

278

parts, or accessories, which is:

279

     (a)  Recognized in the current edition of the United States

280

Pharmacopoeia and National Formulary, or any supplement thereof,

281

     (b)  Intended for use in the diagnosis, cure, mitigation,

282

treatment, therapy, or prevention of disease in humans or other

283

animals, or

284

     (c)  Intended to affect the structure or any function of the

285

body of humans or other animals,

286

287

and that which does not achieve any of its principal intended

288

purposes through chemical action within or on the body of humans

289

or other animals and which is not dependent upon being

290

metabolized for the achievement of any of its principal intended

291

purposes.

292

     (17)(15) "Distribute or distribution" or "distribution"

293

means to sell; offer to sell; give away; transfer, whether by

294

passage of title, physical movement, or both; deliver; or offer

295

to deliver. The term does not mean to administer or dispense.

296

     (18) "Drop shipment" means the sale of a prescription drug

297

from a manufacturer to a wholesale distributor, where the

298

wholesale distributor takes title to, but not possession of, the

299

prescription drug and the manufacturer of the prescription drug

300

ships the prescription drug directly to a chain pharmacy

301

warehouse or a person authorized by law to purchase prescription

302

drugs for the purpose of administering or dispensing the drug, as

303

defined in s. 465.003.

304

     (16) "Diverted from the legal channels of distribution for

305

prescription drugs" means an adulterated drug pursuant to s.

306

499.006(10).

307

     (19)(17) "Drug" means an article that is:

308

     (a)  Recognized in the current edition of the United States

309

Pharmacopoeia and National Formulary, official Homeopathic

310

Pharmacopoeia of the United States, or any supplement to any of

311

those publications;

312

     (b)  Intended for use in the diagnosis, cure, mitigation,

313

treatment, therapy, or prevention of disease in humans or other

314

animals;

315

     (c)  Intended to affect the structure or any function of the

316

body of humans or other animals; or

317

     (d)  Intended for use as a component of any article

318

specified in paragraph (a), paragraph (b), or paragraph (c), but

319

does not include devices or their components, parts, or

320

accessories.

321

     (20)(18) "Establishment" means a place of business at one

322

general physical location.

323

     (21)(19) "Federal act" means the Federal Food, Drug, and

324

Cosmetic Act, 21 U.S.C. ss. 301 et seq.; 52 Stat. 1040 et seq.

325

     (22)(20) "Freight forwarder" means a person who receives

326

prescription legend drugs which are owned by another person and

327

designated by that person for export, and exports those

328

prescription legend drugs.

329

     (23)(g) "Health care clinic" means a health care clinic

330

licensed under part X of chapter 400.

331

     (24)(21) "Health care entity" means a closed pharmacy or

332

any person, organization, or business entity that provides

333

diagnostic, medical, surgical, or dental treatment or care, or

334

chronic or rehabilitative care, but does not include any

335

wholesale distributor or retail pharmacy licensed under state law

336

to deal in prescription drugs.

337

     (25)(f) "Health care facility" means a health care facility

338

licensed under chapter 395.

339

     (26)(h) "Hospice" means a corporation licensed under part

340

IV of chapter 400.

341

     (27)(i) "Hospital" means a facility as defined in s.

342

395.002 and licensed under chapter 395.

343

     (28)(22) "Immediate container" does not include package

344

liners.

345

     (29)(23) "Label" means a display of written, printed, or

346

graphic matter upon the immediate container of any drug, device,

347

or cosmetic. A requirement made by or under authority of this

348

part ss. 499.001-499.081 or rules adopted under this part those

349

sections that any word, statement, or other information appear on

350

the label is not complied with unless such word, statement, or

351

other information also appears on the outside container or

352

wrapper, if any, of the retail package of such drug, device, or

353

cosmetic or is easily legible through the outside container or

354

wrapper.

355

     (30)(24) "Labeling" means all labels and other written,

356

printed, or graphic matters:

357

     (a)  Upon a drug, device, or cosmetic, or any of its

358

containers or wrappers; or

359

     (b)  Accompanying or related to such drug, device, or

360

cosmetic.

361

     (25) "Legend drug," "prescription drug," or "medicinal

362

drug" means any drug, including, but not limited to, finished

363

dosage forms, or active ingredients subject to, defined by, or

364

described by s. 503(b) of the Federal Food, Drug, and Cosmetic

365

Act or s. 465.003(8), s. 499.007(12), or s. 499.0122(1)(b) or

366

(c).

367

     (26) "Legend drug label" means any display of written,

368

printed, or graphic matter upon the immediate container of any

369

legend drug prior to its dispensing to an individual patient

370

pursuant to a prescription of a practitioner authorized by law to

371

prescribe.

372

     (31)(27) "Manufacture" means the preparation, deriving,

373

compounding, propagation, processing, producing, or fabrication

374

of any drug, device, or cosmetic.

375

     (32)(28) "Manufacturer" means a person who prepares,

376

derives, manufactures, or produces a drug, device, or cosmetic.

377

"Manufacturer" also means the holder or holders of a New Drug

378

Application (NDA), an Abbreviated New Drug Application (ANDA), a

379

Biologics License Application (BLA), or a New Animal Drug

380

Application (NADA), provided that such application has become

381

effective or is otherwise approved consistent with s. 499.023; a

382

private label distributor for whom the private label

383

distributor's prescription drugs are originally manufactured and

384

labeled for the distributor and have not been repackaged; or the

385

distribution point for the manufacturer, contract manufacturer or

386

private label distributor whether the establishment is a member

387

of the manufacturer's affiliated group or is a contract

388

distribution site.

389

390

The term excludes pharmacies that are operating in compliance

391

with pharmacy practice standards as defined in chapter 465 and

392

rules adopted under that chapter.

393

     (33)(29) "New drug" means:

394

     (a)  Any drug the composition of which is such that the drug

395

is not generally recognized, among experts qualified by

396

scientific training and experience to evaluate the safety and

397

effectiveness of drugs, as safe and effective for use under the

398

conditions prescribed, recommended, or suggested in the labeling

399

of that drug; or

400

     (b)  Any drug the composition of which is such that the

401

drug, as a result of investigations to determine its safety and

402

effectiveness for use under certain conditions, has been

403

recognized for use under such conditions, but which drug has not,

404

other than in those investigations, been used to a material

405

extent or for a material time under such conditions.

406

     (34) "Normal distribution chain" means a wholesale

407

distribution of a prescription drug where the wholesale

408

distributor or its wholly owned subsidiary purchases and receives

409

the specific unit of the prescription drug directly from the

410

manufacturer and distributes the prescription drug directly, or

411

through up to two intracompany transfers, to a chain pharmacy

412

warehouse or a person authorized by law to purchase prescription

413

drugs for the purpose of administering or dispensing the drug, as

414

defined in s. 465.003. For purposes of this subsection,

415

"intracompany transfer" means any transaction or transfer between

416

any parent, division, or subsidiary wholly owned by a corporate

417

entity.

418

     (35)(j) "Nursing home" means a facility licensed under part

419

II of chapter 400.

420

     (36)(30) "Official compendium" means the current edition of

421

the official United States Pharmacopoeia and National Formulary,

422

or any supplement thereto.

423

     (37)(31) "Pedigree paper" means:

424

     (a) Effective July 1, 2006, a document in written or

425

electronic form approved by the department that contains of

426

Health and containing information required by s. 499.01212

427

regarding the sale and that records each distribution of any

428

given prescription legend drug., from sale by a pharmaceutical

429

manufacturer, through acquisition and sale by any wholesaler or

430

repackager, until final sale to a pharmacy or other person

431

administering or dispensing the drug. The information required to

432

be included on the form approved by the department pursuant to

433

this paragraph must at least detail the amount of the legend

434

drug; its dosage form and strength; its lot numbers; the name and

435

address of each owner of the legend drug and his or her

436

signature; its shipping information, including the name and

437

address of each person certifying delivery or receipt of the

438

legend drug; an invoice number, a shipping document number, or

439

another number uniquely identifying the transaction; and a

440

certification that the recipient wholesaler has authenticated the

441

pedigree papers. If the manufacturer or repackager has uniquely

442

serialized the individual legend drug unit, that identifier must

443

also be included on the form approved pursuant to this paragraph.

444

It must also include the name, address, telephone number and, if

445

available, e-mail contact information of each wholesaler involved

446

in the chain of the legend drug's custody; or

447

     (b) A statement, under oath, in written or electronic form,

448

confirming that a wholesale distributor purchases and receives

449

the specific unit of the prescription drug directly from the

450

manufacturer of the prescription drug and distributes the

451

prescription drug directly, or through an intracompany transfer,

452

to a chain pharmacy warehouse or a person authorized by law to

453

purchase prescription drugs for the purpose of administering or

454

dispensing the drug, as defined in s. 465.003. For purposes of

455

this subsection, the term "chain pharmacy warehouse" means a

456

wholesale distributor permitted pursuant to s. 499.01 that

457

maintains a physical location for prescription drugs that

458

functions solely as a central warehouse to perform intracompany

459

transfers of such drugs to a member of its affiliated group as

460

described in s. 499.0121(6)(f)1.

461

     1. The information required to be included pursuant to this

462

paragraph must include:

463

     a. The following statement: "This wholesale distributor

464

purchased the specific unit of the prescription drug directly

465

from the manufacturer."

466

     b. The manufacturer's national drug code identifier and the

467

name and address of the wholesaler and the purchaser of the

468

prescription drug.

469

     c. The name of the prescription drug as it appears on the

470

label.

471

     d. The quantity, dosage form, and strength of the

472

prescription drug.

473

     2. The wholesale distributor must also maintain and make

474

available to the department, upon request, the point of origin of

475

the prescription drugs, including intracompany transfers; the

476

date of the shipment from the manufacturer to the wholesale

477

distributor; the lot numbers of such drugs; and the invoice

478

numbers from the manufacturer.

479

480

The department may adopt rules and forms relating to the

481

requirements of this subsection.

482

     (38)(1) DEFINITION.--As used in this section, the term

483

"Permittee" means any person holding a permit issued pursuant to

484

s. 499.012.

485

     (39)(32) "Person" means any individual, child, joint

486

venture, syndicate, fiduciary, partnership, corporation, division

487

of a corporation, firm, trust, business trust, company, estate,

488

public or private institution, association, organization, group,

489

city, county, city and county, political subdivision of this

490

state, other governmental agency within this state, and any

491

representative, agent, or agency of any of the foregoing, or any

492

other group or combination of the foregoing.

493

     (40) "Person authorized by law" to "purchase," "posses,"

494

"administer" or "receive" prescription or legend drugs means:

495

     (a) A person authorized by law to administer the drug, as

496

defined in s. 465.003; and

497

     (b) An entity of which a person authorized by law to

498

administer the drug, as defined in s. 465.003, is a member,

499

officer, employee or agent, including but not limited to, a

500

professional corporation or a professional limited liability

501

company described in chapter 621 of the Business Organizations

502

Code, provided that:

503

     1. The entity provides to the seller of the drug with a

504

copy of the license under which the person authorized to

505

administer the drug may purchase the drug;

506

     2. The entity designates, to the seller of the drug, a

507

person employed by the entity who will be responsible for

508

complying with all legal and regulatory requirements with respect

509

to the purchase, storage and handling of the drug; and

510

     3. If the entity fails to designate the person described in

511

subparagraph 2., the person whose license was provided to the

512

seller under subparagraph 1. is deemed the person responsible for

513

complying with all legal and regulatory requirements with respect

514

to the purchase, storage and handling of the drug.

515

     (41)(l) "Pharmacist" means a person licensed under chapter

516

465.

517

     (42)(m) "Pharmacy" means an entity licensed under chapter

518

465.

519

     (43)(33) "Prepackaged drug product" means a drug that

520

originally was in finished packaged form sealed by a manufacturer

521

and that is placed in a properly labeled container by a pharmacy

522

or practitioner authorized to dispense pursuant to chapter 465

523

for the purpose of dispensing in the establishment in which the

524

prepackaging occurred.

525

     (44)(n) "Prescribing practitioner" means a physician

526

licensed under chapter 458 or chapter 459 or any other medical

527

professional with authority under state law to prescribe cancer

528

medication.

529

     (45) "Prescription drug" means a prescription, medicinal,

530

or legend drug, including, but not limited to, finished dosage

531

forms or active ingredients subject to, defined by, or described

532

by s. 503(b) of the Federal Food, Drug, and Cosmetic Act or s.

533

465.003(8), s. 499.007(13), or subsection (11), subsection (48),

534

or subsection (55).

535

     (46) "Prescription drug label" means any display of

536

written, printed, or graphic matter upon the immediate container

537

of any prescription drug prior to its dispensing to an individual

538

patient pursuant to a prescription of a practitioner authorized

539

by law to prescribe.

540

     (47)(34) "Prescription label" means any display of written,

541

printed, or graphic matter upon the immediate container of any

542

prescription legend drug dispensed pursuant to a prescription of

543

a practitioner authorized by law to prescribe.

544

     (48)(35) "Prescription medical oxygen" means oxygen USP

545

which is a drug that can only be sold on the order or

546

prescription of a practitioner authorized by law to prescribe.

547

The label of prescription medical oxygen must comply with current

548

labeling requirements for oxygen under the Federal Food, Drug,

549

and Cosmetic Act.

550

     (49)(d) "Primary wholesale distributor wholesaler" means

551

any wholesale distributor that:

552

     (a)1. Purchased 90 percent or more of the total dollar

553

volume of its purchases of prescription drugs directly from

554

manufacturers in the previous year; and

555

     (b)1.2.a. Directly purchased prescription drugs from not

556

fewer than 50 different prescription drug manufacturers in the

557

previous year; or

558

     2.b. Has, or the affiliated group, as defined in s. 1504 of

559

the Internal Revenue Code, of which the wholesale distributor is

560

a member has, not fewer than 250 employees.

561

     (c)(e) For purposes of this subsection, "directly from

562

manufacturers a manufacturer" means:

563

     1.  Purchases made by the wholesale distributor directly

564

from the manufacturer of prescription drugs; and

565

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

566

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

567

wholesale distributor is a member, if:

568

     a.  The affiliated group purchases 90 percent or more of the

569

total dollar volume of its purchases of prescription drugs from

570

the manufacturer in the previous year; and

571

     b.  The wholesale distributor discloses to the department

572

the names of all members of the affiliated group of which the

573

wholesale distributor is a member and the affiliated group agrees

574

in writing to provide records on prescription drug purchases by

575

the members of the affiliated group not later than 48 hours after

576

the department requests access to such records, regardless of the

577

location where the records are stored.

578

     (50)(36) "Proprietary drug," or "OTC drug," means a patent

579

or over-the-counter drug in its unbroken, original package, which

580

drug is sold to the public by, or under the authority of, the

581

manufacturer or primary distributor thereof, is not misbranded

582

under the provisions of this part ss. 499.001-499.081, and can be

583

purchased without a prescription.

584

     (51)(37) "Repackage" includes repacking or otherwise

585

changing the container, wrapper, or labeling to further the

586

distribution of the drug, device, or cosmetic.

587

     (52)(38) "Repackager" means a person who repackages. The

588

term excludes pharmacies that are operating in compliance with

589

pharmacy practice standards as defined in chapter 465 and rules

590

adopted under that chapter.

591

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

592

licensed under chapter 465 that purchases prescription drugs at

593

fair market prices and provides prescription services to the

594

public.

595

     (54)(f) "Secondary wholesale distributor wholesaler" means

596

a wholesale distributor that is not a primary wholesale

597

distributor wholesaler.

598

     (55)(39) "Veterinary prescription drug" means a

599

prescription legend drug intended solely for veterinary use. The

600

label of the drug must bear the statement, "Caution: Federal law

601

restricts this drug to sale by or on the order of a licensed

602

veterinarian."

603

     (40) "Veterinary prescription drug wholesaler" means any

604

person engaged in wholesale distribution of veterinary

605

prescription drugs in or into this state.

606

     (56)(a) "Wholesale distribution" means distribution of

607

prescription drugs to persons other than a consumer or patient,

608

but does not include:

609

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

610

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

611

accordance with s. 499.01(2)(g) s. 499.014:

612

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

613

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

614

organization of a prescription drug for its own use from the

615

group purchasing organization or from other hospitals or health

616

care entities that are members of that organization.

617

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

618

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

619

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

620

Revenue Code of 1986, as amended and revised, to a nonprofit

621

affiliate of the organization to the extent otherwise permitted

622

by law.

623

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

624

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

625

hospitals or other health care entities that are under common

626

control. For purposes of this subparagraph section, "common

627

control" means the power to direct or cause the direction of the

628

management and policies of a person or an organization, whether

629

by ownership of stock, by voting rights, by contract, or

630

otherwise.

631

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

632

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

633

government agency or any entity eligible to purchase prescription

634

drugs at public health services prices pursuant to Pub. L. No.

635

102-585, s. 602 to a contract provider or its subcontractor for

636

eligible patients of the agency or entity under the following

637

conditions:

638

     a.(I) The agency or entity must obtain written

639

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

640

a prescription drug under this subparagraph sub-subparagraph from

641

the State Surgeon General or his or her designee.

642

     b.(II) The contract provider or subcontractor must be

643

authorized by law to administer or dispense prescription drugs.

644

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

645

entity must be a party to and execute the subcontract.

646

     d.(IV) A contract provider or subcontractor must maintain

647

separate and apart from other prescription drug inventory any

648

prescription drugs of the agency or entity in its possession.

649

     e.(V) The contract provider and subcontractor must maintain

650

and produce immediately for inspection all records of movement or

651

transfer of all the prescription drugs belonging to the agency or

652

entity, including, but not limited to, the records of receipt and

653

disposition of prescription drugs. Each contractor and

654

subcontractor dispensing or administering these drugs must

655

maintain and produce records documenting the dispensing or

656

administration. Records that are required to be maintained

657

include, but are not limited to, a perpetual inventory itemizing

658

drugs received and drugs dispensed by prescription number or

659

administered by patient identifier, which must be submitted to

660

the agency or entity quarterly.

661

     f.(VI) The contract provider or subcontractor may

662

administer or dispense the prescription drugs only to the

663

eligible patients of the agency or entity or must return the

664

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

665

provider or subcontractor must require proof from each person

666

seeking to fill a prescription or obtain treatment that the

667

person is an eligible patient of the agency or entity and must,

668

at a minimum, maintain a copy of this proof as part of the

669

records of the contractor or subcontractor required under sub-

670

subparagraph e. sub-sub-subparagraph (V).

671

     g.(VII) In addition to the departmental inspection

672

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

673

contract provider and subcontractor and all records pertaining to

674

prescription drugs subject to this subparagraph sub-subparagraph

675

shall be subject to inspection by the agency or entity. All

676

records relating to prescription drugs of a manufacturer under

677

this subparagraph sub-subparagraph shall be subject to audit by

678

the manufacturer of those drugs, without identifying individual

679

patient information.

680

     (b)2. Any of the following activities, which is not a

681

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

682

accordance with rules established by the department:

683

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

684

among federal, state, or local government health care entities

685

that are under common control and are authorized to purchase such

686

prescription drug.

687

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

688

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

689

emergency medical reasons. For purposes of this subparagraph sub-

690

subparagraph, the term "emergency medical reasons" includes

691

transfers of prescription drugs by a retail pharmacy to another

692

retail pharmacy to alleviate a temporary shortage.

693

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

694

medical director on behalf of a licensed emergency medical

695

services provider to that emergency medical services provider and

696

its transport vehicles for use in accordance with the provider's

697

license under chapter 401.

698

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

699

prescription drug to the person's prescription drug wholesale

700

supplier.

701

     5.e. The donation of a prescription drug by a health care

702

entity to a charitable organization that has been granted an

703

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

704

1986, as amended, and that is authorized to possess prescription

705

drugs.

706

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

707

authorized to purchase or receive prescription drugs to a person

708

licensed or permitted to handle reverse distributions or

709

destruction under the laws of the jurisdiction in which the

710

person handling the reverse distribution or destruction receives

711

the drug.

712

     7.g. The transfer of a prescription drug by a hospital or

713

other health care entity to a person licensed under this part

714

chapter to repackage prescription drugs for the purpose of

715

repackaging the prescription drug for use by that hospital, or

716

other health care entity and other health care entities that are

717

under common control, if ownership of the prescription drugs

718

remains with the hospital or other health care entity at all

719

times. In addition to the recordkeeping requirements of s.

720

499.0121(6), the hospital or health care entity that transfers

721

prescription drugs pursuant to this subparagraph sub-subparagraph

722

must reconcile all drugs transferred and returned and resolve any

723

discrepancies in a timely manner.

724

     (c)3. The distribution of prescription drug samples by

725

manufacturers' representatives or distributors' representatives

726

conducted in accordance with s. 499.028.

727

     (d)4. The sale, purchase, or trade of blood and blood

728

components intended for transfusion. As used in this paragraph

729

subparagraph, the term "blood" means whole blood collected from a

730

single donor and processed either for transfusion or further

731

manufacturing, and the term "blood components" means that part of

732

the blood separated by physical or mechanical means.

733

     (e)5. The lawful dispensing of a prescription drug in

734

accordance with chapter 465.

735

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

736

between pharmacies as a result of a sale, transfer, merger, or

737

consolidation of all or part of the business of the pharmacies

738

from or with another pharmacy, whether accomplished as a purchase

739

and sale of stock or of business assets.

740

     (57)(b) "Wholesale distributor" means any person engaged in

741

wholesale distribution of prescription drugs in or into this

742

state, including, but not limited to, manufacturers; repackagers;

743

own-label distributors; jobbers; private-label distributors;

744

brokers; warehouses, including manufacturers' and distributors'

745

warehouses, chain drug warehouses, and wholesale drug warehouses;

746

independent wholesale drug traders; exporters; retail pharmacies;

747

and the agents thereof that conduct wholesale distributions.

748

     Section 3.  Subsections (4), (10), (11), (12), (14), (15),

749

(18), (19), (20), (22), (24), (28), and (29) of section 499.005,

750

Florida Statutes, are amended to read:

751

     499.005  Prohibited acts.--It is unlawful for a person to

752

perform or cause the performance of any of the following acts in

753

this state:

754

     (4)  The sale, distribution, purchase, trade, holding, or

755

offering of any drug, device, or cosmetic in violation of this

756

part ss. 499.001-499.081.

757

     (10)  Forging; counterfeiting; simulating; falsely

758

representing any drug, device, or cosmetic; or, without the

759

authority of the manufacturer, using any mark, stamp, tag, label,

760

or other identification device authorized or required by rules

761

adopted under this part ss. 499.001-499.081.

762

     (11)  The use, on the labeling of any drug or in any

763

advertisement relating to such drug, of any representation or

764

suggestion that an application of the drug is effective when it

765

is not or that the drug complies with this part ss. 499.001-

766

499.081 when it does not.

767

     (12) The possession of any drug in violation of this part

768

ss. 499.001-499.081.

769

     (14) The purchase or receipt of a prescription legend drug

770

from a person that is not authorized under this chapter to

771

distribute prescription legend drugs to that purchaser or

772

recipient.

773

     (15) The sale or transfer of a prescription legend drug to

774

a person that is not authorized under the law of the jurisdiction

775

in which the person receives the drug to purchase or possess

776

prescription legend drugs from the person selling or transferring

777

the prescription legend drug.

778

     (18) Failure to maintain records as required by this part

779

ss. 499.001-499.081 and rules adopted under this part those

780

sections.

781

     (19)  Providing the department with false or fraudulent

782

records, or making false or fraudulent statements, regarding any

783

matter within the provisions of this part chapter.

784

     (20) The importation of a prescription legend drug except

785

as provided by s. 801(d) of the Federal Food, Drug, and Cosmetic

786

Act.

787

     (22)  Failure to obtain a permit or registration, or

788

operating without a valid permit when a permit or registration is

789

required by this part ss. 499.001-499.081 for that activity.

790

     (24) The distribution of a prescription legend device to

791

the patient or ultimate consumer without a prescription or order

792

from a practitioner licensed by law to use or prescribe the

793

device.

794

     (28) Failure to acquire obtain or deliver pass on a

795

pedigree paper as required under this part.

796

     (29)  The receipt of a prescription drug pursuant to a

797

wholesale distribution without having previously received or

798

simultaneously either first receiving a pedigree paper that was

799

attested to as accurate and complete by the wholesale distributor

800

as required under this part or complying with the provisions of

801

s. 499.0121(6)(d)5.

802

     Section 4.  Section 499.0051, Florida Statutes, is amended;

803

section 499.0052, Florida Statutes, is redesignated as subsection

804

(7) of that section and amended; section 499.00535, Florida

805

Statutes, is redesignated as subsection (9) of that section and

806

amended; section 499.00545, Florida Statutes, is redesignated as

807

subsection (10) of that section and amended; section 499.069,

808

Florida Statutes, is redesignated as subsection (11) of that

809

section and amended; and section 499.0691, Florida Statutes, is

810

redesignated as subsections (12) through (15) of that section and

811

amended, to read:

812

     499.0051 Criminal acts involving contraband or adulterated

813

drugs.--

814

     (1)  FAILURE TO MAINTAIN OR DELIVER PEDIGREE PAPERS.--

815

     (a)  A person, other than a manufacturer, engaged in the

816

wholesale distribution of prescription legend drugs who fails to

817

deliver to another person complete and accurate pedigree papers

818

concerning a prescription legend drug or contraband prescription

819

legend drug prior to, or simultaneous with, the transfer of

820

transferring the prescription legend drug or contraband

821

prescription legend drug to another person commits a felony of

822

the third degree, punishable as provided in s. 775.082, s.

823

775.083, or s. 775.084.

824

     (b)  A person engaged in the wholesale distribution of

825

prescription legend drugs who fails to acquire complete and

826

accurate pedigree papers concerning a prescription legend drug or

827

contraband prescription legend drug prior to, or simultaneous

828

with, the receipt of obtaining the prescription legend drug or

829

contraband prescription legend drug from another person commits a

830

felony of the third degree, punishable as provided in s. 775.082,

831

s. 775.083, or s. 775.084.

832

     (c)  Any person who knowingly destroys, alters, conceals, or

833

fails to maintain complete and accurate pedigree papers

834

concerning any prescription legend drug or contraband

835

prescription legend drug in his or her possession commits a

836

felony of the third degree, punishable as provided in s. 775.082,

837

s. 775.083, or s. 775.084.

838

     (2)  FAILURE TO AUTHENTICATE PEDIGREE PAPERS.--Effective

839

July 1, 2006:

840

     (a)  A person engaged in the wholesale distribution of

841

prescription legend drugs who is in possession of pedigree papers

842

concerning prescription legend drugs or contraband prescription

843

legend drugs and who fails to authenticate the matters contained

844

in the pedigree papers and who nevertheless attempts to further

845

distribute prescription legend drugs or contraband prescription

846

legend drugs commits a felony of the third degree, punishable as

847

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

848

     (b)  A person in possession of pedigree papers concerning

849

prescription legend drugs or contraband prescription legend drugs

850

who falsely swears or certifies that he or she has authenticated

851

the matters contained in the pedigree papers commits a felony of

852

the third degree, punishable as provided in s. 775.082, s.

853

775.083, or s. 775.084.

854

     (3) KNOWING FORGERY OF PEDIGREE PAPERS.--A person who

855

knowingly forges, counterfeits, or falsely creates any pedigree

856

paper; who falsely represents any factual matter contained on any

857

pedigree paper; or who knowingly omits to record material

858

information required to be recorded in a pedigree paper, commits

859

a felony of the second degree, punishable as provided in s.

860

775.082, s. 775.083, or s. 775.084.

861

     (4) KNOWING PURCHASE OR RECEIPT OF PRESCRIPTION LEGEND DRUG

862

FROM UNAUTHORIZED PERSON.--A person who knowingly purchases or

863

receives from a person not authorized to distribute prescription

864

legend drugs under this chapter a prescription legend drug in a

865

wholesale distribution transaction commits a felony of the second

866

degree, punishable as provided in s. 775.082, s. 775.083, or s.

867

775.084.

868

     (5) KNOWING SALE OR TRANSFER OF PRESCRIPTION LEGEND DRUG TO

869

UNAUTHORIZED PERSON.--A person who knowingly sells or transfers

870

to a person not authorized to purchase or possess prescription

871

legend drugs, under the law of the jurisdiction in which the

872

person receives the drug, a prescription legend drug in a

873

wholesale distribution transaction commits a felony of the second

874

degree, punishable as provided in s. 775.082, s. 775.083, or s.

875

775.084.

876

     (6) KNOWING SALE OR DELIVERY, OR POSSESSION WITH INTENT TO

877

SELL, CONTRABAND PRESCRIPTION LEGEND DRUGS.--A person who is

878

knowingly in actual or constructive possession of any amount of

879

contraband prescription legend drugs, who knowingly sells or

880

delivers, or who possesses with intent to sell or deliver any

881

amount of contraband prescription legend drugs, commits a felony

882

of the second degree, punishable as provided in s. 775.082, s.

883

775.083, or s. 775.084.

884

     (7)499.0052 KNOWING TRAFFICKING IN CONTRABAND PRESCRIPTION

885

LEGEND DRUGS.--A person who knowingly sells, purchases,

886

manufactures, delivers, or brings into this state, or who is

887

knowingly in actual or constructive possession of any amount of

888

contraband prescription legend drugs valued at $25,000 or more

889

commits a felony of the first degree, punishable as provided in

890

s. 775.082, s. 775.083, or s. 775.084.

891

     (a) Upon conviction, each defendant shall be ordered to pay

892

a mandatory fine according to the following schedule:

893

     1.(1) If the value of contraband prescription legend drugs

894

involved is $25,000 or more, but less than $100,000, the

895

defendant shall pay a mandatory fine of $25,000. If the defendant

896

is a corporation or other person that is not a natural person, it

897

shall pay a mandatory fine of $75,000.

898

     2.(2) If the value of contraband prescription legend drugs

899

involved is $100,000 or more, but less than $250,000, the

900

defendant shall pay a mandatory fine of $100,000. If the

901

defendant is a corporation or other person that is not a natural

902

person, it shall pay a mandatory fine of $300,000.

903

     3.(3) If the value of contraband prescription legend drugs

904

involved is $250,000 or more, the defendant shall pay a mandatory

905

fine of $200,000. If the defendant is a corporation or other

906

person that is not a natural person, it shall pay a mandatory

907

fine of $600,000.

908

     (b) As used in this subsection section, the term "value"

909

means the market value of the property at the time and place of

910

the offense or, if such cannot be satisfactorily ascertained, the

911

cost of replacement of the property within a reasonable time

912

after the offense. Amounts of value of separate contraband

913

prescription legend drugs involved in distinct transactions for

914

the distribution of the contraband prescription legend drugs

915

committed pursuant to one scheme or course of conduct, whether

916

involving the same person or several persons, may be aggregated

917

in determining the punishment of the offense.

918

     (8)(7) KNOWING FORGERY OF PRESCRIPTION OR PRESCRIPTION

919

LEGEND DRUG LABELS.--A person who knowingly forges, counterfeits,

920

or falsely creates any prescription label or prescription legend

921

drug label, or who falsely represents any factual matter

922

contained on any prescription label or prescription legend drug

923

label, commits a felony of the first degree, punishable as

924

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

925

     (9)499.00535 KNOWING Sale or purchase of contraband

926

prescription legend drugs resulting in great bodily harm.--A

927

person who knowingly sells, purchases, manufactures, delivers, or

928

brings into this state, or who is knowingly in actual or

929

constructive possession of any amount of contraband prescription

930

legend drugs, and whose acts in violation of this subsection

931

section result in great bodily harm to a person, commits a felony

932

of the first degree, as provided in s. 775.082, s. 775.083, or s.

933

775.084.

934

     (10)499.00545 Knowing Sale or purchase of contraband

935

prescription legend drugs resulting in death.--A person who

936

knowingly manufactures, sells, purchases, delivers, or brings

937

into this state, or who is knowingly in actual or constructive

938

possession of any amount of contraband prescription legend drugs,

939

and whose acts in violation of this subsection section result in

940

the death of a person, commits a felony of the first degree,

941

punishable by a term of years not exceeding life, as provided in

942

s. 775.082, s. 775.083, or s. 775.084.

943

     (11)499.069 Criminal punishment for VIOLATIONS OF S.

944

499.005 RELATED TO DEVICES AND COSMETICS; DISSEMINATION OF FALSE

945

ADVERTISEMENT.--

946

     (a)(1) Any person who violates any of the provisions of s.

947

499.005 with respect to a device or cosmetic commits a

948

misdemeanor of the second degree, punishable as provided in s.

949

775.082 or s. 775.083; but, if the violation is committed after a

950

conviction of such person under this subsection section has

951

become final, such person is guilty of a misdemeanor of the first

952

degree, punishable as provided in s. 775.082 or s. 775.083 or as

953

otherwise provided in this part ss. 499.001-499.081, except that

954

any person who violates s. 499.005(8) or (10) subsection (8) or

955

subsection (10) of s. 499.005 with respect to a device or

956

cosmetic commits a felony of the third degree, punishable as

957

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

958

otherwise provided in this part ss. 499.001-499.081.

959

     (b)(2) A publisher, radio broadcast licensee, or agency or

960

medium for the dissemination of an advertisement, except the

961

manufacturer, wholesaler, or seller of the article to which a

962

false advertisement relates, is not liable under this subsection

963

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

964

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

965

of the department, to furnish to the department the name and post

966

office address of the manufacturer, wholesaler, seller, or

967

advertising agency that asked him or her to disseminate such

968

advertisement.

969

     (12)499.0691 ADULTERATED AND MISBRANDED DRUGS; FALSE

970

ADVERTISEMENT; FAILURE TO MAINTAIN RECORDS RELATING TO DRUGS

971

Criminal punishment for violations related to drugs;

972

dissemination of false advertisement.--(1) Any person who

973

violates any of the following provisions commits a misdemeanor of

974

the second degree, punishable as provided in s. 775.082 or s.

975

775.083; but, if the violation is committed after a conviction of

976

such person under this subsection section has become final, such

977

person commits a misdemeanor of the first degree, punishable as

978

provided in s. 775.082 or s. 775.083, or as otherwise provided in

979

this part ss. 499.001-499.081:

980

     (a)  The manufacture, repackaging, sale, delivery, or

981

holding or offering for sale of any drug that is adulterated or

982

misbranded or has otherwise been rendered unfit for human or

983

animal use.

984

     (b)  The adulteration or misbranding of any drug intended

985

for further distribution.

986

     (c)  The receipt of any drug that is adulterated or

987

misbranded, and the delivery or proffered delivery of such drug,

988

for pay or otherwise.

989

     (d)  The dissemination of any false or misleading

990

advertisement of a drug.

991

     (e)  The use, on the labeling of any drug or in any

992

advertisement relating to such drug, of any representation or

993

suggestion that an application of the drug is effective when it

994

is not or that the drug complies with this part ss. 499.001-

995

499.081 when it does not.

996

     (f)  The purchase or receipt of a compressed medical gas

997

from a person that is not authorized under this chapter to

998

distribute compressed medical gases.

999

     (g)  Charging a dispensing fee for dispensing,

1000

administering, or distributing a prescription drug sample.

1001

     (h)  The failure to maintain records related to a drug as

1002

required by this part ss. 499.001-499.081 and rules adopted under

1003

this part those sections, except for pedigree papers, invoices,

1004

or shipping documents related to prescription legend drugs.

1005

     (i) The possession of any drug in violation of this part

1006

ss. 499.001-499.081, except if the violation relates to a

1007

deficiency in pedigree papers.

1008

     (13) REFUSAL TO ALLOW INSPECTION; SELLING, PURCHASING, OR

1009

TRADING DRUG SAMPLES; FAILURE TO MAINTAIN RECORDS RELATING TO

1010

PRESCRIPTION DRUGS.--(2) Any person who violates any of the

1011

following provisions commits a felony of the third degree,

1012

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

1013

or as otherwise provided in this part: ss. 499.001-499.081.

1014

     (a)  The refusal or constructive refusal to allow:

1015

     1.  The department to enter or inspect an establishment in

1016

which drugs are manufactured, processed, repackaged, sold,

1017

brokered, or held;

1018

     2.  Inspection of any record of that establishment;

1019

     3.  The department to enter and inspect any vehicle that is

1020

being used to transport drugs; or

1021

     4.  The department to take samples of any drug.

1022

     (b)  The sale, purchase, or trade, or the offer to sell,

1023

purchase, or trade, a drug sample as defined in s. 499.028; the

1024

distribution of a drug sample in violation of s. 499.028; or the

1025

failure to otherwise comply with s. 499.028.

1026

     (c)  Providing the department with false or fraudulent

1027

records, or making false or fraudulent statements, regarding any

1028

matter within the provisions of this part chapter related to a

1029

drug.

1030

     (d)  The failure to receive, maintain, or provide invoices

1031

and shipping documents, other than pedigree papers, if

1032

applicable, related to the distribution of a prescription legend

1033

drug.

1034

     (e) The importation of a prescription legend drug for

1035

wholesale distribution, except as provided by s. 801(d) of the

1036

Federal Food, Drug, and Cosmetic Act.

1037

     (f) The wholesale distribution of a any prescription drug

1038

that was:

1039

     1.  Purchased by a public or private hospital or other

1040

health care entity; or

1041

     2.  Donated or supplied at a reduced price to a charitable

1042

organization.

1043

     (g)  The failure to obtain a permit as a prescription drug

1044

wholesale distributor wholesaler when a permit is required by

1045

this part ss. 499.001-499.081 for that activity.

1046

     (h)  Knowingly possessing any adulterated or misbranded

1047

prescription legend drug outside of a designated quarantine area.

1048

     (i) The purchase or sale of a prescription drug drugs for

1049

wholesale distribution in exchange for currency, as defined in s.

1050

560.103(6).

1051

     (14) OTHER VIOLATIONS.--(3) Any person who violates any of

1052

the following provisions commits a felony of the second degree,

1053

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

1054

or as otherwise provided in this part: ss. 499.001-499.081.

1055

     (a)  Knowingly manufacturing, repackaging, selling,

1056

delivering, or holding or offering for sale any drug that is

1057

adulterated or misbranded or has otherwise been rendered unfit

1058

for human or animal use.

1059

     (b)  Knowingly adulterating a drug that is intended for

1060

further distribution.

1061

     (c)  Knowingly receiving a drug that is adulterated and

1062

delivering or proffering delivery of such drug for pay or

1063

otherwise.

1064

     (d)  Committing any act that causes a drug to be a

1065

counterfeit drug, or selling, dispensing, or knowingly holding

1066

for sale a counterfeit drug.

1067

     (e)  Forging, counterfeiting, simulating, or falsely

1068

representing any drug, or, without the authority of the

1069

manufacturer, using any mark, stamp, tag, label, or other

1070

identification device authorized or required by rules adopted

1071

under this part ss. 499.001-499.081.

1072

     (f)  Knowingly obtaining or attempting to obtain a

1073

prescription drug for wholesale distribution by fraud, deceit,

1074

misrepresentation, or subterfuge, or engaging in

1075

misrepresentation or fraud in the distribution of a drug.

1076

     (g)  Removing a pharmacy's dispensing label from a dispensed

1077

prescription drug with the intent to further distribute the

1078

prescription drug.

1079

     (h)  Knowingly distributing a prescription drug that was

1080

previously dispensed by a licensed pharmacy, unless such

1081

distribution was authorized in chapter 465 or the rules adopted

1082

under chapter 465.

1083

     (15) FALSE ADVERTISEMENT.--(4) A publisher, radio

1084

broadcast licensee, or agency or medium for the dissemination of

1085

an advertisement, except the manufacturer, repackager, wholesale

1086

distributor wholesaler, or seller of the article to which a false

1087

advertisement relates, is not liable under subsection (12),

1088

subsection (13), or subsection (14) this section by reason of the

1089

dissemination by him or her of such false advertisement, unless

1090

he or she has refused, on the request of the department, to

1091

furnish to the department the name and post office address of the

1092

manufacturer, repackager, wholesale distributor wholesaler,

1093

seller, or advertising agency that asked him or her to

1094

disseminate such advertisement.

1095

     Section 5.  Section 499.0054, Florida Statutes, is amended;

1096

section 499.0055, Florida Statutes, is redesignated as subsection

1097

(2) of that section and amended; and section 499.0057, Florida

1098

Statutes, is redesignated as subsection (3) of that section and

1099

amended, to read:

1100

     499.0054  Advertising and labeling of drugs, devices, and

1101

cosmetics; exemptions.--

1102

     (1) It is a violation of the Florida Drug and Cosmetic Act

1103

to perform or cause the performance of any of the following acts:

1104

     (a)(1) The dissemination of any false advertisement of any

1105

drug, device, or cosmetic. An advertisement is false if it is

1106

false or misleading in any way.

1107

     (b)(2) The distribution in commerce of any drug, device, or

1108

cosmetic, if its labeling or advertising is in violation of this

1109

part ss. 499.001-499.081.

1110

     (c)(3) The manufacturing, repackaging, packaging, selling,

1111

delivery, holding, or offering for sale of any drug, device, or

1112

cosmetic for which the advertising or labeling is false or

1113

misleading.

1114

     (d)(4) The advertising of any drug, device, or cosmetic

1115

that is adulterated or misbranded.

1116

     (e)(5) The receiving in commerce of any drug, device, or

1117

cosmetic that is falsely advertised or labeled or the delivering

1118

or proffering for delivery of any such drug, device, or cosmetic.

1119

     (f)(6) The advertising or labeling of any product

1120

containing ephedrine, a salt of ephedrine, an isomer of

1121

ephedrine, or a salt of an isomer of ephedrine, for the

1122

indication of stimulation, mental alertness, weight loss,

1123

appetite control, energy, or other indications not approved by

1124

the pertinent United States Food and Drug Administration Over-

1125

the-Counter Final or Tentative Final Monograph or approved new

1126

drug application under the federal act. In determining compliance

1127

with this requirement, the department may consider the following

1128

factors:

1129

     1.(a) The packaging of the product.

1130

     2.(b) The name and labeling of the product.

1131

     3.(c) The manner of distribution, advertising, and

1132

promotion of the product, including verbal representations at the

1133

point of sale.

1134

     4.(d) The duration, scope, and significance of abuse of the

1135

particular product.

1136

     (g)(7) The advertising of any drug or device represented to

1137

have any effect in any of the following conditions, disorders,

1138

diseases, or processes:

1139

     1.(a) Blood disorders.

1140

     2.(b) Bone or joint diseases.

1141

     3.(c) Kidney diseases or disorders.

1142

     4.(d) Cancer.

1143

     5.(e) Diabetes.

1144

     6.(f) Gall bladder diseases or disorders.

1145

     7.(g) Heart and vascular diseases.

1146

     8.(h) High blood pressure.

1147

     9.(i) Diseases or disorders of the ear or auditory

1148

apparatus, including hearing loss or deafness.

1149

     10.(j) Mental disease or mental retardation.

1150

     11.(k) Paralysis.

1151

     12.(l) Prostate gland disorders.

1152

     13.(m) Conditions of the scalp affecting hair loss.

1153

     14.(n) Baldness.

1154

     15.(o) Endocrine disorders.

1155

     16.(p) Sexual impotence.

1156

     17.(q) Tumors.

1157

     18.(r) Venereal diseases.

1158

     19.(s) Varicose ulcers.

1159

     20.(t) Breast enlargement.

1160

     21.(u) Purifying blood.

1161

     22.(v) Metabolic disorders.

1162

     23.(w) Immune system disorders or conditions affecting the

1163

immune system.

1164

     24.(x) Extension of life expectancy.

1165

     25.(y) Stress and tension.

1166

     26.(z) Brain stimulation or performance.

1167

     27.(aa) The body's natural defense mechanisms.

1168

     28.(bb) Blood flow.

1169

     29.(cc) Depression.

1170

     30.(dd) Human immunodeficiency virus or acquired immune

1171

deficiency syndrome or related disorders or conditions.

1172

     (h)(8) The representation or suggestion in labeling or

1173

advertising that an article is approved under this part ss.

1174

499.001-499.081, when such is not the case.

1175

     (2)499.0055 False or misleading advertisement.--In

1176

determining whether an advertisement is false or misleading, the

1177

department shall review the representations made or suggested by

1178

statement, word, design, device, sound, or any combination

1179

thereof within the advertisement and the extent to which the

1180

advertisement fails to reveal material facts with respect to

1181

consequences that can result from the use of the drug, device, or

1182

cosmetic to which the advertisement relates under the conditions

1183

of use prescribed in the labeling or advertisement.

1184

     (3)499.0057 Advertisement exemptions.--

1185

     (a)(1) An advertisement that is not prohibited under

1186

paragraph (1)(a) s. 499.0054(1) is not prohibited under paragraph

1187

(1)(g) s. 499.0054(7) if it is disseminated:

1188

     1. To the public solely to advertise the product for those

1189

indications that are safe and effective indications and the

1190

product is safe and effective for self-medication, as established

1191

by the United States Food and Drug Administration; or

1192

     2. if it is disseminated Only to members of the medical,

1193

dental, pharmaceutical, or veterinary professions or appears only

1194

in the scientific periodicals of these professions.

1195

     (b)(2) Compliance with this part ss. 499.001-499.081 and

1196

the rules adopted under this part those sections creates no legal

1197

presumption that a drug or device is safe or effective.

1198

     Section 6.  Subsections (3), (10), and (11) of section

1199

499.006, Florida Statutes, are amended to read:

1200

     499.006  Adulterated drug or device.--A drug or device is

1201

adulterated:

1202

     (3)  If it is a drug and the methods used in, or the

1203

facilities or controls used for, its manufacture, processing,

1204

packing, or holding do not conform to, or are not operated or

1205

administered in conformity with, current good manufacturing

1206

practices to assure that the drug meets the requirements of this

1207

part ss. 499.001-499.081 and that the drug has the identity and

1208

strength, and meets the standard of quality and purity, which it

1209

purports or is represented to possess;

1210

     (10) If it is a prescription legend drug for which the

1211

required pedigree paper is nonexistent, fraudulent, or incomplete

1212

under the requirements of this part ss. 499.001-499.081 or

1213

applicable rules, or that has been purchased, held, sold, or

1214

distributed at any time by a person not authorized under federal

1215

or state law to do so; or

1216

     (11)  If it is a prescription drug subject to, defined by,

1217

or described by s. 503(b) of the Federal Food, Drug, and Cosmetic

1218

Act which has been returned by a veterinarian to a limited

1219

prescription drug veterinary wholesale distributor wholesaler.

1220

     Section 7.  Section 499.007, Florida Statutes, is amended to

1221

read:

1222

     499.007  Misbranded drug or device.--A drug or device is

1223

misbranded:

1224

     (1)  If its labeling is in any way false or misleading.

1225

     (2) Unless, If in package form, it does not bear bears a

1226

label containing:

1227

     (a)  The name and place of business of the manufacturer,

1228

repackager, or distributor of the finished dosage form of the

1229

drug. For the purpose of this paragraph, the finished dosage form

1230

of a prescription medicinal drug is that form of the drug which

1231

is, or is intended to be, dispensed or administered to the

1232

patient and requires no further manufacturing or processing other

1233

than packaging, reconstitution, and labeling; and

1234

     (b)  An accurate statement of the quantity of the contents

1235

in terms of weight, measure, or numerical count.; However, under

1236

this section, reasonable variations are permitted, and the

1237

department shall establish by rule exemptions for small packages.

1238

     (3) If it is an active pharmaceutical ingredient in bulk

1239

form and does not bear a label containing:

1240

     (a) The name and place of business of the manufacturer,

1241

repackager, or distributor; and

1242

     (b) An accurate statement of the quantity of the contents

1243

in terms of weight, measure, or numerical count.

1244

     (4)(3) If any word, statement, or other information

1245

required by or under this part ss. 499.001-499.081 to appear on

1246

the label or labeling is not prominently placed thereon with such

1247

conspicuousness as compared with other words, statements,

1248

designs, or devices in the labeling, and in such terms, as to

1249

render the word, statement, or other information likely to be

1250

read and understood under customary conditions of purchase and

1251

use.

1252

     (5)(4) If it is a drug and is not designated solely by a

1253

name recognized in an official compendium and, unless its label

1254

does not bear bears:

1255

     (a)  The common or usual name of the drug, if any; and

1256

     (b)  In case it is fabricated from two or more ingredients,

1257

the common or usual name and quantity of each active ingredient.

1258

     (6)(5) If Unless its labeling does not bear bears:

1259

     (a)  Adequate directions for use; and

1260

     (b)  Adequate warnings against use in those pathological

1261

conditions in which its use may be dangerous to health or against

1262

use by children if its use may be dangerous to health, or against

1263

unsafe dosage or methods or duration of administration or

1264

application, in such manner and form as are necessary for the

1265

protection of users.

1266

     (7)(6) If it purports to be a drug the name of which is

1267

recognized in the official compendium and, unless it is not

1268

packaged and labeled as prescribed therein.; However, the method

1269

of packaging may be modified with the consent of the department.

1270

     (8)(7) If it has been found by the department to be a drug

1271

liable to deterioration and, unless it is not packaged in such

1272

form and manner, and its label bears a statement of such

1273

precautions, as the department by rule requires as necessary to

1274

protect the public health. Such rule may not be established for

1275

any drug recognized in an official compendium until the

1276

department has informed the appropriate body charged with the

1277

revision of such compendium of the need for such packaging or

1278

labeling requirements and that body has failed within a

1279

reasonable time to prescribe such requirements.

1280

     (9)(8) If it is:

1281

     (a)  A drug and its container or finished dosage form is so

1282

made, formed, or filled as to be misleading;

1283

     (b)  An imitation of another drug; or

1284

     (c)  Offered for sale under the name of another drug.

1285

     (10)(9) If it is dangerous to health when used in the

1286

dosage or with the frequency or duration prescribed, recommended,

1287

or suggested in the labeling of the drug.

1288

     (11)(10) If it is, purports to be, or is represented as a

1289

drug composed wholly or partly of insulin and, unless:

1290

     (a) it is not from a batch with respect to which a

1291

certificate has been issued pursuant to s. 506 of the federal

1292

act, which; and

1293

     (b) The certificate is in effect with respect to the drug.

1294

     (12)(11) If it is, purports to be, or is represented as a

1295

drug composed wholly or partly of any kind of antibiotic

1296

requiring certification under the federal act and unless:

1297

     (a) it is not from a batch with respect to which a

1298

certificate has been issued pursuant to s. 507 of the federal

1299

act, which; and

1300

     (b) the certificate is in effect with respect to the drug.;

1301

1302

However, this subsection does not apply to any drug or class of

1303

drugs exempted by regulations adopted under s. 507(c) or (d) of

1304

the federal act.

1305

     (13)(12) If it is a drug intended for use by humans which

1306

is a habit-forming drug or which, because of its toxicity or

1307

other potentiality for harmful effect, or the method of its use,

1308

or the collateral measures necessary to its use, is not safe for

1309

use except under the supervision of a practitioner licensed by

1310

law to administer such drugs,; or which is limited by an

1311

effective application under s. 505 of the federal act to use

1312

under the professional supervision of a practitioner licensed by

1313

law to prescribe such drug, if unless it is not dispensed only:

1314

     (a)  Upon the written prescription of a practitioner

1315

licensed by law to prescribe such drug;

1316

     (b)  Upon an oral prescription of such practitioner, which

1317

is reduced promptly to writing and filled by the pharmacist; or

1318

     (c)  By refilling any such written or oral prescription, if

1319

such refilling is authorized by the prescriber either in the

1320

original prescription or by oral order which is reduced promptly

1321

to writing and filled by the pharmacist.

1322

1323

This subsection does not relieve any person from any requirement

1324

prescribed by law with respect to controlled substances as

1325

defined in the applicable federal and state laws.

1326

     (14)(13) If it is a drug that is subject to paragraph

1327

(13)(12)(a), and if, at any time before it is dispensed, its

1328

label does not fails to bear the statement:

1329

     (a)  "Caution: Federal Law Prohibits Dispensing Without

1330

Prescription";

1331

     (b)  "Rx Only";

1332

     (c)  The prescription symbol followed by the word "Only"; or

1333

     (d)  "Caution: State Law Prohibits Dispensing Without

1334

Prescription."

1335

     (15)(14) If it is a drug that is not subject to paragraph

1336

(13)(12)(a), if at any time before it is dispensed its label

1337

bears the statement of caution required in subsection (14) (13).

1338

     (16)(15) If it is a color additive, the intended use of

1339

which in or on drugs is for the purpose of coloring only and,

1340

unless its packaging and labeling are not in conformity with the

1341

packaging and labeling requirements that apply to such color

1342

additive and are prescribed under the federal act.

1343

     (17) A drug dispensed by filling or refilling a written or

1344

oral prescription of a practitioner licensed by law to prescribe

1345

such drug is exempt from the requirements of this section, except

1346

subsections (1), (9) (8), (11) (10), and (12) (11) and the

1347

packaging requirements of subsections (7) (6) and (8) (7), if the

1348

drug bears a label that contains the name and address of the

1349

dispenser or seller, the prescription number and the date the

1350

prescription was written or filled, the name of the prescriber

1351

and the name of the patient, and the directions for use and

1352

cautionary statements. This exemption does not apply to any drug

1353

dispensed in the course of the conduct of a business of

1354

dispensing drugs pursuant to diagnosis by mail or to any drug

1355

dispensed in violation of subsection (13) (12). The department

1356

may, by rule, exempt drugs subject to s. 499.062 ss. 499.062-

1357

499.064 from subsection (13) (12) if compliance with that

1358

subsection is not necessary to protect the public health, safety,

1359

and welfare.

1360

     Section 8.  Subsection (1) of section 499.008, Florida

1361

Statutes, is amended and subsection (5) is added to that section

1362

to read:

1363

     499.008  Adulterated cosmetics.--A cosmetic is adulterated:

1364

     (1)  If it bears or contains any poisonous or deleterious

1365

substance that is injurious to users under the conditions of use

1366

prescribed in the labeling or advertisement thereof or under such

1367

conditions of use as are customary or usual; however, this

1368

subsection does not apply to coal-tar hair dye:

1369

     (a)  The label of which bears the following legend

1370

conspicuously displayed thereon: "Caution: This product contains

1371

ingredients which may cause skin irritation on certain

1372

individuals, and a preliminary test according to accompanying

1373

directions should first be made. This product must not be used

1374

for dyeing the eyelashes or eyebrows; to do so may cause

1375

blindness"; and

1376

     (b)  The labeling of which bears adequate directions for

1377

such preliminary testing.

1378

1379

For the purposes of this subsection and subsection (4), the term

1380

"hair dye" does not include eyelash dyes or eyebrow dyes.

1381

     (5) For the purposes of subsections (1) and (4), the term

1382

"hair dye" does not include eyelash dyes or eyebrow dyes.

1383

     Section 9.  Subsections (2), (3), and (5) of section

1384

499.009, Florida Statutes, are amended to read:

1385

     499.009  Misbranded cosmetics.--A cosmetic is misbranded:

1386

     (2) Unless, If in package form, it does not bear bears a

1387

label containing:

1388

     (a)  The name and place of business of the manufacturer,

1389

packer, or distributor;

1390

     (b)  An accurate statement of the quantity of the contents

1391

in terms of weight, measure, or numerical count; however, under

1392

this paragraph reasonable variations are permitted, and the

1393

department shall establish by rule exemptions for small packages;

1394

and

1395

     (c)  A declaration of ingredients in descending order of

1396

predominance, or as otherwise required by federal law.

1397

     (3)  If any word, statement, or other information required

1398

by or under authority of this part ss. 499.001-499.081 to appear

1399

on the label or labeling is not prominently placed thereon with

1400

such conspicuousness as compared with other words, statements,

1401

designs, or devices in the labeling, and in such terms, as to

1402

render the word, statement, or other information likely to be

1403

read and understood by an individual under customary conditions

1404

of purchase and use.

1405

     (5) Unless, If it is a color additive, its packaging and

1406

labeling are not in conformity with the packaging and labeling

1407

requirements applicable to that color additive prescribed under

1408

the federal act. This subsection does not apply to packages of

1409

color additives that, with respect to their use for cosmetics,

1410

are marketed and intended for use only in or on hair dyes.

1411

     Section 10.  Section 499.01, Florida Statutes, is amended;

1412

the introductory paragraph and paragraphs (a) through (h) of

1413

subsection (2) of section 499.012, Florida Statutes, are

1414

redesignated as the introductory paragraph and paragraphs (d),

1415

(n), (e), (f), (c), (i), (k), and (l), respectively, of

1416

subsection (2) of that section and amended; paragraphs (b)

1417

through (e) of subsection (2) of section 499.013, Florida

1418

Statutes, are redesignated as paragraphs (p), (o), (q), and (r),

1419

respectively, of subsection (2) of that section and amended; and

1420

section 499.014, Florida Statutes, is redesignated as paragraph

1421

(g) of subsection (2) of that section and amended, to read:

1422

     499.01 Permits; applications; renewal; general

1423

requirements.--

1424

     (1)  Prior to operating, a permit is required for each

1425

person and establishment that intends to operate as:

1426

     (a)  A prescription drug manufacturer;

1427

     (b)  A prescription drug repackager;

1428

     (c) A nonresident prescription drug manufacturer;

1429

     (d) A prescription drug wholesale distributor;

1430

     (e) An out-of-state prescription drug wholesale

1431

distributor;

1432

     (f) A retail pharmacy drug wholesale distributor;

1433

     (g) A restricted prescription drug distributor;

1434

     (h) A complimentary drug distributor;

1435

     (i) A freight forwarder;

1436

     (j) A veterinary prescription drug retail establishment;

1437

     (k) A veterinary prescription drug wholesale distributor;

1438

     (l) A limited prescription drug veterinary wholesale

1439

distributor;

1440

     (m) A medical oxygen retail establishment;

1441

     (n) A compressed medical gas wholesale distributor;

1442

     (o) A compressed medical gas manufacturer;

1443

     (p)(c) An over-the-counter drug manufacturer;

1444

     (d) A compressed medical gas manufacturer;

1445

     (q)(e) A device manufacturer; or

1446

     (r)(f) A cosmetic manufacturer.;

1447

     (g) A prescription drug wholesaler;

1448

     (h) A veterinary prescription drug wholesaler;

1449

     (i) A compressed medical gas wholesaler;

1450

     (j) An out-of-state prescription drug wholesaler;

1451

     (k) A nonresident prescription drug manufacturer;

1452

     (l) A freight forwarder;

1453

     (m) A retail pharmacy drug wholesaler;

1454

     (n) A veterinary legend drug retail establishment;

1455

     (o) A medical oxygen retail establishment;

1456

     (p) A complimentary drug distributor;

1457

     (q) A restricted prescription drug distributor; or

1458

     (r) A limited prescription drug veterinary wholesaler.

1459

     (2) The following types of wholesaler permits are

1460

established:

1461

     (a) Prescription drug manufacturer permit.--A prescription

1462

drug manufacturer permit is required for any person that

1463

manufactures a prescription drug in this state.

1464

     1. A person that operates an establishment permitted as a

1465

prescription drug manufacturer may engage in wholesale

1466

distribution of prescription drugs manufactured at that

1467

establishment and must comply with all the provisions of this

1468

part and the rules adopted under this part that apply to a

1469

wholesale distributor.

1470

     2. A prescription drug manufacturer must comply with all

1471

appropriate state and federal good manufacturing practices.

1472

     (b) Prescription drug repackager permit.--A prescription

1473

drug repackager permit is required for any person that repackages

1474

a prescription drug in this state.

1475

     1. A person that operates an establishment permitted as a

1476

prescription drug repackager may engage in wholesale distribution

1477

of prescription drugs repackaged at that establishment and must

1478

comply with all the provisions of this part and the rules adopted

1479

under this part that apply to a wholesale distributor.

1480

     2. A prescription drug repackager must comply with all

1481

appropriate state and federal good manufacturing practices.

1482

     (c)(e) Nonresident prescription drug manufacturer

1483

permit.--A nonresident prescription drug manufacturer permit is

1484

required for any person that is a manufacturer of prescription

1485

drugs, or the distribution point for a manufacturer of

1486

prescription drugs, and located outside of this state, or that is

1487

an entity to whom an approved new drug application has been

1488

issued by the United States Food and Drug Administration, or the

1489

contracted manufacturer of the approved new drug application

1490

holder, and located outside the United States, which engages in

1491

the wholesale distribution in this state of the prescription

1492

drugs it manufactures or is responsible for manufacturing. Each

1493

such manufacturer or entity must be permitted by the department

1494

and comply with all the provisions required of a wholesale

1495

distributor under this part ss. 499.001-499.081, except s.

1496

499.01212 s. 499.0121(6)(d).

1497

     1.  A person that distributes prescription drugs that it did

1498

not manufacture must also obtain an out-of-state prescription

1499

drug wholesale distributor wholesaler permit pursuant to this

1500

section to engage in the wholesale distribution of the

1501

prescription drugs manufactured by another person and comply with

1502

the requirements of an out-of-state prescription drug wholesale

1503

distributor wholesaler.

1504

     2.  Any such person must comply with the licensing or

1505

permitting requirements of the jurisdiction in which the

1506

establishment is located and the federal act, and any product

1507

wholesaled into this state must comply with this part ss.

1508

499.001-499.081. If a person intends to import prescription drugs

1509

from a foreign country into this state, the nonresident

1510

prescription drug manufacturer must provide to the department a

1511

list identifying each prescription drug it intends to import and

1512

document approval by the United States Food and Drug

1513

Administration for such importation.

1514

     (d)(a) A Prescription drug wholesale distributor

1515

wholesaler's permit.--A prescription drug wholesale distributor

1516

wholesaler is a wholesale distributor that may engage in the

1517

wholesale distribution of prescription drugs. A prescription drug

1518

wholesale distributor wholesaler that applies to the department

1519

for a new permit or the renewal of a permit must submit a bond of

1520

$100,000, or other equivalent means of security acceptable to the

1521

department, such as an irrevocable letter of credit or a deposit

1522

in a trust account or financial institution, payable to the

1523

Florida Drug, Device, and Cosmetic Trust Fund. The purpose of the

1524

bond is to secure payment of any administrative penalties imposed

1525

by the department and any fees and costs incurred by the

1526

department regarding that permit which are authorized under state

1527

law and which the permittee fails to pay 30 days after the fine

1528

or costs become final. The department may make a claim against

1529

such bond or security until 1 year after the permittee's license

1530

ceases to be valid or until 60 days after any administrative or

1531

legal proceeding authorized in this part ss. 499.001-499.081

1532

which involves the permittee is concluded, including any appeal,

1533

whichever occurs later. The department may adopt rules for

1534

issuing a prescription drug wholesale distributor-broker

1535

wholesaler-broker permit to a person who engages in the wholesale

1536

distribution of prescription drugs and does not take physical

1537

possession of any prescription drugs.

1538

     (e)(c) An Out-of-state prescription drug wholesale

1539

distributor wholesaler's permit.--An out-of-state prescription

1540

drug wholesale distributor wholesaler is a wholesale distributor

1541

located outside this state which engages in the wholesale

1542

distribution of prescription drugs into this state and which must

1543

be permitted by the department and comply with all the provisions

1544

required of a wholesale distributor under this part ss. 499.001-

1545

499.081. An out-of-state prescription drug wholesale distributor

1546

wholesaler that applies to the department for a new permit or the

1547

renewal of a permit must submit a bond of $100,000, or other

1548

equivalent means of security acceptable to the department, such

1549

as an irrevocable letter of credit or a deposit in a trust

1550

account or financial institution, payable to the Florida Drug,

1551

Device, and Cosmetic Trust Fund. The purpose of the bond is to

1552

secure payment of any administrative penalties imposed by the

1553

department and any fees and costs incurred by the department

1554

regarding that permit which are authorized under state law and

1555

which the permittee fails to pay 30 days after the fine or costs

1556

become final. The department may make a claim against such bond

1557

or security until 1 year after the permittee's license ceases to

1558

be valid or until 60 days after any administrative or legal

1559

proceeding authorized in this part ss. 499.001-499.081 which

1560

involves the permittee is concluded, including any appeal,

1561

whichever occurs later.

1562

     1. The out-of-state prescription drug wholesale distributor

1563

wholesaler must maintain at all times a license or permit to

1564

engage in the wholesale distribution of prescription drugs in

1565

compliance with laws of the state in which it is a resident.

1566

     2. An out-of-state prescription drug wholesale distributor

1567

wholesaler's permit is not required for an intracompany sale or

1568

transfer of a prescription drug from an out-of-state

1569

establishment that is duly licensed as a prescription drug

1570

wholesale distributor wholesaler, in its state of residence, to a

1571

licensed prescription drug wholesale distributor wholesaler in

1572

this state, if both wholesale distributors wholesalers conduct

1573

wholesale distributions of prescription drugs under the same

1574

business name. The recordkeeping requirements of ss. s.

1575

499.0121(6) and 499.01212 must be followed for this transaction.

1576

     (f)(d) A Retail pharmacy drug wholesale distributor

1577

wholesaler's permit.--A retail pharmacy drug wholesale

1578

distributor wholesaler is a retail pharmacy engaged in wholesale

1579

distribution of prescription drugs within this state under the

1580

following conditions:

1581

     1. The pharmacy must obtain a retail pharmacy drug

1582

wholesale distributor wholesaler's permit pursuant to this part

1583

ss. 499.001-499.081 and the rules adopted under this part those

1584

sections.

1585

     2.  The wholesale distribution activity does not exceed 30

1586

percent of the total annual purchases of prescription drugs. If

1587

the wholesale distribution activity exceeds the 30-percent

1588

maximum, the pharmacy must obtain a prescription drug wholesale

1589

distributor wholesaler's permit.

1590

     3.  The transfer of prescription drugs that appear in any

1591

schedule contained in chapter 893 is subject to chapter 893 and

1592

the federal Comprehensive Drug Abuse Prevention and Control Act

1593

of 1970.

1594

     4.  The transfer is between a retail pharmacy and another

1595

retail pharmacy, or a Modified Class II institutional pharmacy,

1596

or a health care practitioner licensed in this state and

1597

authorized by law to dispense or prescribe prescription drugs.

1598

     5.  All records of sales of prescription drugs subject to

1599

this section must be maintained separate and distinct from other

1600

records and comply with the recordkeeping requirements of this

1601

part ss. 499.001-499.081.

1602

     (g)499.014 Restricted prescription drug distributor permit

1603

Distribution of legend drugs by hospitals, health care entities,

1604

charitable organizations, and return or destruction companies;

1605

permits, general requirements.--

1606

     (1) A restricted prescription drug distributor permit is

1607

required for any person that engages in the distribution of a

1608

prescription legend drug, which distribution is not considered

1609

"wholesale distribution" under s. 499.003(56)(a) s.

1610

499.012(1)(a)1.

1611

     1.(2) A person who engages in the receipt or distribution

1612

of a prescription legend drug in this state for the purpose of

1613

processing its return or its destruction must obtain a permit as

1614

a restricted prescription drug distributor if such person is not

1615

the person initiating the return, the prescription drug wholesale

1616

supplier of the person initiating the return, or the manufacturer

1617

of the drug.

1618

     2.(3) Storage, handling, and recordkeeping of these

1619

distributions must comply with the requirements for wholesale

1620

distributors under s. 499.0121, but not except those set forth in

1621

s. 499.01212 s. 499.0121(6)(d).

1622

     3.(4) A person who applies for a permit as a restricted

1623

prescription drug distributor, or for the renewal of such a

1624

permit, must provide to the department the information required

1625

under s. 499.012 s. 499.01.

1626

     4.(5) The department may issue permits to restricted

1627

prescription drug distributors and may adopt rules regarding the

1628

distribution of prescription drugs by hospitals, health care

1629

entities, charitable organizations, or other persons not involved

1630

in wholesale distribution, which rules are necessary for the

1631

protection of the public health, safety, and welfare.

1632

     (h) Complimentary drug distributor permit.--A complimentary

1633

drug distributor permit is required for any person that engages

1634

in the distribution of a complimentary drug, subject to the

1635

requirements of s. 499.028.

1636

     (i)(f) Freight forwarder permit.--A freight forwarder

1637

permit is required for any person that engages in the

1638

distribution of a prescription legend drug as a freight forwarder

1639

unless the person is a common carrier. The storage, handling, and

1640

recordkeeping of such distributions must comply with the

1641

requirements for wholesale distributors under s. 499.0121, but

1642

not except those set forth in s. 499.01212 s. 499.0121(6)(d). A

1643

freight forwarder must provide the source of the prescription

1644

legend drugs with a validated airway bill, bill of lading, or

1645

other appropriate documentation to evidence the exportation of

1646

the product.

1647

     (j) Veterinary prescription drug retail establishment

1648

permit.--A veterinary prescription drug retail establishment

1649

permit is required for any person that sells veterinary

1650

prescription drugs to the public but does not include a pharmacy

1651

licensed under chapter 465.

1652

     1. The sale to the public must be based on a valid written

1653

order from a veterinarian licensed in this state who has a valid

1654

client-veterinarian relationship with the purchaser's animal.

1655

     2. Veterinary prescription drugs may not be sold in excess

1656

of the amount clearly indicated on the order or beyond the date

1657

indicated on the order.

1658

     3. An order may not be valid for more than 1 year.

1659

     4. A veterinary prescription drug retail establishment may

1660

not purchase, sell, trade, or possess human prescription drugs or

1661

any controlled substance as defined in chapter 893.

1662

     5. A veterinary prescription drug retail establishment must

1663

sell a veterinary prescription drug in the original, sealed

1664

manufacturer's container with all labeling intact and legible.

1665

The department may adopt by rule additional labeling requirements

1666

for the sale of a veterinary prescription drug.

1667

     6. A veterinary prescription drug retail establishment must

1668

comply with all of the wholesale distribution requirements of s.

1669

499.0121.

1670

     7. Prescription drugs sold by a veterinary prescription

1671

drug retail establishment pursuant to a practitioner's order may

1672

not be returned into the retail establishment's inventory.

1673

     (k)(g) A veterinary prescription drug wholesale distributor

1674

wholesaler permit.--A veterinary prescription drug wholesale

1675

distributor wholesaler permit is required for any person that

1676

engages in the distribution of veterinary prescription drugs in

1677

or into this state. A veterinary prescription drug wholesale

1678

distributor wholesaler that also distributes prescription drugs

1679

subject to, defined by, or described by s. 503(b) of the Federal

1680

Food, Drug, and Cosmetic Act which it did not manufacture must

1681

obtain a permit as a prescription drug wholesale distributor

1682

wholesaler, an out-of-state prescription drug wholesale

1683

distributor wholesaler, or a limited prescription drug veterinary

1684

wholesale distributor wholesaler in lieu of the veterinary

1685

prescription drug wholesale distributor wholesaler permit. A

1686

veterinary prescription drug wholesale distributor wholesaler

1687

must comply with the requirements for wholesale distributors

1688

under s. 499.0121, but not except those set forth in s. 499.01212

1689

s. 499.0121(6)(d).

1690

     (l)(h) Limited prescription drug veterinary wholesale

1691

distributor wholesaler permit.--Unless engaging in the activities

1692

of and permitted as a prescription drug manufacturer, nonresident

1693

prescription drug manufacturer, prescription drug wholesale

1694

distributor wholesaler, or out-of-state prescription drug

1695

wholesale distributor wholesaler, a limited prescription drug

1696

veterinary wholesale distributor wholesaler permit is required

1697

for any person that engages in the distribution in or into this

1698

state of veterinary prescription drugs and prescription drugs

1699

subject to, defined by, or described by s. 503(b) of the Federal

1700

Food, Drug, and Cosmetic Act under the following conditions:

1701

     1.  The person is engaged in the business of wholesaling

1702

prescription and veterinary prescription legend drugs to persons:

1703

     a.  Licensed as veterinarians practicing on a full-time

1704

basis;

1705

     b.  Regularly and lawfully engaged in instruction in

1706

veterinary medicine;

1707

     c.  Regularly and lawfully engaged in law enforcement

1708

activities;

1709

     d.  For use in research not involving clinical use; or

1710

     e.  For use in chemical analysis or physical testing or for

1711

purposes of instruction in law enforcement activities, research,

1712

or testing.

1713

     2.  No more than 30 percent of total annual prescription

1714

drug sales may be prescription drugs approved for human use which

1715

are subject to, defined by, or described by s. 503(b) of the

1716

Federal Food, Drug, and Cosmetic Act.

1717

     3. The person does not distribute is not permitted,

1718

licensed, or otherwise authorized in any jurisdiction state to

1719

wholesale prescription drugs subject to, defined by, or described

1720

by s. 503(b) of the Federal Food, Drug, and Cosmetic Act to any

1721

person who is authorized to sell, distribute, purchase, trade, or

1722

use these drugs on or for humans.

1723

     4. A limited prescription drug veterinary wholesale

1724

distributor wholesaler that applies to the department for a new

1725

permit or the renewal of a permit must submit a bond of $20,000,

1726

or other equivalent means of security acceptable to the

1727

department, such as an irrevocable letter of credit or a deposit

1728

in a trust account or financial institution, payable to the

1729

Florida Drug, Device, and Cosmetic Trust Fund. The purpose of the

1730

bond is to secure payment of any administrative penalties imposed

1731

by the department and any fees and costs incurred by the

1732

department regarding that permit which are authorized under state

1733

law and which the permittee fails to pay 30 days after the fine

1734

or costs become final. The department may make a claim against

1735

such bond or security until 1 year after the permittee's license

1736

ceases to be valid or until 60 days after any administrative or

1737

legal proceeding authorized in this part ss. 499.001-499.081

1738

which involves the permittee is concluded, including any appeal,

1739

whichever occurs later.

1740

     5. A limited prescription drug veterinary wholesale

1741

distributor wholesaler must maintain at all times a license or

1742

permit to engage in the wholesale distribution of prescription

1743

drugs in compliance with laws of the state in which it is a

1744

resident.

1745

     6. A limited prescription drug veterinary wholesale

1746

distributor wholesaler must comply with the requirements for

1747

wholesale distributors under ss. s. 499.0121 and 499.01212,

1748

except that a limited prescription drug veterinary wholesale

1749

distributor wholesaler is not required to provide a pedigree

1750

paper as required by s. 499.01212 s. 499.0121(6)(d) upon the

1751

wholesale distribution of a prescription drug to a veterinarian.

1752

     7. A limited prescription drug veterinary wholesale

1753

distributor wholesaler may not return to inventory for subsequent

1754

wholesale distribution any prescription drug subject to, defined

1755

by, or described by s. 503(b) of the Federal Food, Drug, and

1756

Cosmetic Act which has been returned by a veterinarian.

1757

     8. An out-of-state prescription drug wholesaler's permit or

1758

A limited prescription drug veterinary wholesale distributor

1759

wholesaler permit is not required for an intracompany sale or

1760

transfer of a prescription drug from an out-of-state

1761

establishment that is duly licensed to engage in the wholesale

1762

distribution of prescription drugs in its state of residence to a

1763

licensed limited prescription drug veterinary wholesale

1764

distributor wholesaler in this state if both wholesale

1765

distributors wholesalers conduct wholesale distributions of

1766

prescription drugs under the same business name. The

1767

recordkeeping requirements of ss. s. 499.0121(6) and 499.01212

1768

must be followed for this transaction.

1769

     (m) Medical oxygen retail establishment permit.--A medical

1770

oxygen retail establishment permit is required for any person

1771

that sells medical oxygen to patients only. The sale must be

1772

based on an order from a practitioner authorized by law to

1773

prescribe. The term does not include a pharmacy licensed under

1774

chapter 465.

1775

     1. A medical oxygen retail establishment may not possess,

1776

purchase, sell, or trade any prescription drug other than medical

1777

oxygen.

1778

     2. A medical oxygen retail establishment may refill medical

1779

oxygen for an individual patient based on an order from a

1780

practitioner authorized by law to prescribe. A medical oxygen

1781

retail establishment that refills medical oxygen must comply with

1782

all appropriate state and federal good manufacturing practices.

1783

     3. A medical oxygen retail establishment must comply with

1784

all of the wholesale distribution requirements of s. 499.0121.

1785

     4. Prescription medical oxygen sold by a medical oxygen

1786

retail establishment pursuant to a practitioner's order may not

1787

be returned into the retail establishment's inventory.

1788

     (n)(b) A compressed medical gas wholesale distributor

1789

wholesaler's permit.--A compressed medical gas wholesale

1790

distributor wholesaler is a wholesale distributor that is limited

1791

to the wholesale distribution of compressed medical gases to

1792

other than the consumer or patient. The compressed medical gas

1793

must be in the original sealed container that was purchased by

1794

that wholesale distributor wholesaler. A compressed medical gas

1795

wholesale distributor wholesaler may not possess or engage in the

1796

wholesale distribution of any prescription drug other than

1797

compressed medical gases. The department shall adopt rules that

1798

govern the wholesale distribution of prescription medical oxygen

1799

for emergency use. With respect to the emergency use of

1800

prescription medical oxygen, those rules may not be inconsistent

1801

with rules and regulations of federal agencies unless the

1802

Legislature specifically directs otherwise.

1803

     (o)(c) Compressed medical gas manufacturer permit.--A

1804

compressed medical gas manufacturer manufacturer's permit is

1805

required for any person that engages in the manufacture of

1806

compressed medical gases or repackages compressed medical gases

1807

from one container to another.

1808

     1. A compressed medical gas manufacturer permittee may not

1809

manufacture or possess any prescription drug other than

1810

compressed medical gases.

1811

     2. A compressed medical gas manufacturer permittee may

1812

engage in wholesale distribution of compressed medical gases

1813

manufactured at that establishment and must comply with all the

1814

provisions of this part ss. 499.001-499.081 and the rules adopted

1815

under this part those sections that apply to a wholesale

1816

distributor.

1817

     3. A compressed medical gas manufacturer permittee must

1818

comply with all appropriate state and federal good manufacturing

1819

practices.

1820

     (p)(b) Over-the-counter drug manufacturer permit.--An over-

1821

the-counter drug manufacturer manufacturer's permit is required

1822

for any person that engages in the manufacture or repackaging of

1823

an over-the-counter drug.

1824

     1. An over-the-counter drug manufacturer permittee may not

1825

possess or purchase prescription drugs.

1826

     2.  A pharmacy is exempt from obtaining an over-the-counter

1827

drug manufacturer manufacturer's permit if it is operating in

1828

compliance with pharmacy practice standards as defined in chapter

1829

465 and the rules adopted under that chapter.

1830

     3. An over-the-counter drug manufacturer permittee must

1831

comply with all appropriate state and federal good manufacturing

1832

practices.

1833

     (q)(d) Device manufacturer permit.--A device manufacturer

1834

manufacturer's permit is required for any person that engages in

1835

the manufacture, repackaging, or assembly of medical devices for

1836

human use in this state, except that a permit is not required if

1837

the person is engaged only in manufacturing, repackaging, or

1838

assembling a medical device pursuant to a practitioner's order

1839

for a specific patient.

1840

     1.  A manufacturer or repackager of medical devices in this

1841

state must comply with all appropriate state and federal good

1842

manufacturing practices and quality system rules.

1843

     2.  The department shall adopt rules related to storage,

1844

handling, and recordkeeping requirements for manufacturers of

1845

medical devices for human use.

1846

     (r)(e) Cosmetic manufacturer permit.--A cosmetic

1847

manufacturer manufacturer's permit is required for any person

1848

that manufactures or repackages cosmetics in this state. A person

1849

that only labels or changes the labeling of a cosmetic but does

1850

not open the container sealed by the manufacturer of the product

1851

is exempt from obtaining a permit under this paragraph.

1852

     Section 11.  Section 499.012, Florida Statutes, is amended

1853

and subsections (2) through (8) of section 499.01, Florida

1854

States, are redesignated as subsections (1) through (7) of that

1855

section and amended, to read:

1856

     499.012 Permit application Wholesale distribution;

1857

definitions; permits; applications; general requirements.--

1858

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

1859

     (2)(a) A permit issued pursuant to this part ss. 499.001-

1860

499.081 may be issued only to a natural person who is at least 18

1861

years of age or to an applicant that is not a natural person if

1862

each person who, directly or indirectly, manages, controls, or

1863

oversees the operation of that applicant is at least 18 years of

1864

age.

1865

     (b)  An establishment that is a place of residence may not

1866

receive a permit and may not operate under this part ss. 499.001-

1867

499.081.

1868

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

1869

manufacture or distribute prescription legend drugs may not use a

1870

name identical to the name used by any other establishment or

1871

licensed person authorized to purchase prescription drugs in this

1872

state, except that a restricted drug distributor permit issued to

1873

a health care entity will be issued in the name in which the

1874

institutional pharmacy permit is issued and a retail pharmacy

1875

drug wholesale distributor wholesaler will be issued a permit in

1876

the name of its retail pharmacy permit.

1877

     (d)  A permit for a prescription drug manufacturer,

1878

prescription drug repackager, prescription drug wholesale

1879

distributor wholesaler, limited prescription drug veterinary

1880

wholesale distributor wholesaler, or retail pharmacy drug

1881

wholesale distributor wholesaler may not be issued to the address

1882

of a health care entity or to a pharmacy licensed under chapter

1883

465, except as provided in this paragraph. The department may

1884

issue a prescription drug manufacturer permit to an applicant at

1885

the same address as a licensed nuclear pharmacy, which is a

1886

health care entity, for the purpose of manufacturing prescription

1887

drugs used in positron emission tomography or other

1888

radiopharmaceuticals, as listed in a rule adopted by the

1889

department pursuant to this paragraph. The purpose of this

1890

exemption is to assure availability of state-of-the-art

1891

pharmaceuticals that would pose a significant danger to the

1892

public health if manufactured at a separate establishment address

1893

from the nuclear pharmacy from which the prescription drugs are

1894

dispensed. The department may also issue a retail pharmacy drug

1895

wholesale distributor wholesaler permit to the address of a

1896

community pharmacy licensed under chapter 465 which does not meet

1897

the definition of a closed pharmacy in s. 499.003.

1898

     (e)  A county or municipality may not issue an occupational

1899

license for any licensing period beginning on or after October 1,

1900

2003, for any establishment that requires a permit pursuant to

1901

this part ss. 499.001-499.081, unless the establishment exhibits

1902

a current permit issued by the department for the establishment.

1903

Upon presentation of the requisite permit issued by the

1904

department, an occupational license may be issued by the

1905

municipality or county in which application is made. The

1906

department shall furnish to local agencies responsible for

1907

issuing occupational licenses a current list of all

1908

establishments licensed pursuant to this part ss. 499.001-

1909

499.081.

1910

     (2)(3) Notwithstanding subsection (6) (7), a permitted

1911

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

1912

that person by completing a new application for the requested

1913

permit, paying the amount of the difference in the permit fees if

1914

the fee for the new permit is more than the fee for the original

1915

permit, and meeting the applicable permitting conditions for the

1916

new permit type. The new permit expires on the expiration date of

1917

the original permit being changed; however, a new permit for a

1918

prescription drug wholesale distributor wholesaler, an out-of-

1919

state prescription drug wholesale distributor wholesaler, or a

1920

retail pharmacy drug wholesale distributor wholesaler shall

1921

expire on the expiration date of the original permit or 1 year

1922

after the date of issuance of the new permit, whichever is

1923

earlier. A refund may not be issued if the fee for the new permit

1924

is less than the fee that was paid for the original permit.

1925

     (3)(4) A written application for a permit or to renew a

1926

permit must be filed with the department on forms furnished by

1927

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

1928

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

1929

applicant must submit to the department with the application a

1930

statement that swears or affirms that the information is true and

1931

correct.

1932

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

1933

wholesale distributor wholesaler or an out-of-state prescription

1934

drug wholesale distributor wholesaler, an application for a

1935

permit must include:

1936

     1.  The name, full business address, and telephone number of

1937

the applicant;

1938

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

1939

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

1940

persons for each facility used by the applicant for the storage,

1941

handling, and distribution of prescription drugs;

1942

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

1943

partnership, corporation, or sole proprietorship; and

1944

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

1945

establishment, including:

1946

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

1947

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

1948

of the partnership;

1949

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

1950

officer and director, the corporate names, and the name of the

1951

state of incorporation;

1952

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

1953

proprietor and the name of the business entity;

1954

     e.  If a limited liability company, the name of each member,

1955

the name of each manager, the name of the limited liability

1956

company, and the name of the state in which the limited liability

1957

company was organized; and

1958

     f.  Any other relevant information that the department

1959

requires.

1960

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

1961

payment of the required fee, the department shall issue a permit

1962

to the applicant, if the applicant meets the requirements of this

1963

part ss. 499.001-499.081 and rules adopted under this part those

1964

sections.

1965

     (c)  Any change in information required under paragraph (a)

1966

must be submitted to the department before the change occurs.

1967

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

1968

following factors in reviewing the qualifications of persons to

1969

be permitted under this part ss. 499.001-499.081:

1970

     1.  The applicant's having been found guilty, regardless of

1971

adjudication, in a court of this state or other jurisdiction, of

1972

a violation of a law that directly relates to a drug, device, or

1973

cosmetic. A plea of nolo contendere constitutes a finding of

1974

guilt for purposes of this subparagraph.

1975

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

1976

agency in any state for any offense that would constitute a

1977

violation of this part ss. 499.001-499.081.

1978

     3.  Any felony conviction of the applicant under a federal,

1979

state, or local law;

1980

     4.  The applicant's past experience in manufacturing or

1981

distributing drugs, devices, or cosmetics;

1982

     5.  The furnishing by the applicant of false or fraudulent

1983

material in any application made in connection with manufacturing

1984

or distributing drugs, devices, or cosmetics;

1985

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

1986

government of any permit currently or previously held by the

1987

applicant for the manufacture or distribution of any drugs,

1988

devices, or cosmetics;

1989

     7.  Compliance with permitting requirements under any

1990

previously granted permits;

1991

     8.  Compliance with requirements to maintain or make

1992

available to the state permitting authority or to federal, state,

1993

or local law enforcement officials those records required under

1994

this section; and

1995

     9.  Any other factors or qualifications the department

1996

considers relevant to and consistent with the public health and

1997

safety.

1998

     (5)(6) Except for a permit permits for a prescription drug

1999

wholesale distributor wholesalers or an out-of-state prescription

2000

drug wholesale distributor wholesalers:

2001

     (a)  The department shall adopt rules for the biennial

2002

renewal of permits.

2003

     (b)  The department shall renew a permit upon receipt of the

2004

renewal application and renewal fee if the applicant meets the

2005

requirements established under this part ss. 499.001-499.081 and

2006

the rules adopted under this part those sections.

2007

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

2008

automatically expires 2 years after the last day of the

2009

anniversary month in which the permit was originally issued. A

2010

permit issued under this part ss. 499.001-499.081 may be renewed

2011

by making application for renewal on forms furnished by the

2012

department and paying the appropriate fees. If a renewal

2013

application and fee are submitted and postmarked after the

2014

expiration date of the permit, the permit may be renewed only

2015

upon payment of a late renewal delinquent fee of $100, plus the

2016

required renewal fee, not later than 60 days after the expiration

2017

date.

2018

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

2019

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

2020

issued pursuant to this part section has expired and cannot be

2021

renewed, before an establishment may engage in activities that

2022

require a permit under this part ss. 499.001-499.081, the

2023

establishment must submit an application for a new permit, pay

2024

the applicable application fee, the initial permit fee, and all

2025

applicable penalties, and be issued a new permit by the

2026

department.

2027

     (6)(7) A permit issued by the department is

2028

nontransferable. Each permit is valid only for the person or

2029

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

2030

sale, assignment, or other transfer, voluntarily or

2031

involuntarily; nor is a permit valid for any establishment other

2032

than the establishment for which it was originally issued.

2033

     (a) A person permitted under this part ss. 499.001-499.081

2034

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

2035

department shall set a change of location fee not to exceed $100.

2036

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

2037

majority of the ownership or controlling interest of a permitted

2038

establishment is transferred or assigned or when a lessee agrees

2039

to undertake or provide services to the extent that legal

2040

liability for operation of the establishment will rest with the

2041

lessee. The application for the new permit must be made before

2042

the date of the sale, transfer, assignment, or lease.

2043

     2.  A permittee that is authorized to distribute

2044

prescription legend drugs may transfer such drugs to the new

2045

owner or lessee under subparagraph 1. only after the new owner or

2046

lessee has been approved for a permit to distribute prescription

2047

legend drugs.

2048

     (c) If an establishment permitted under this part ss.

2049

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

2050

writing before the effective date of closure and must:

2051

     1.  Return the permit to the department;

2052

     2.  If the permittee is authorized to distribute

2053

prescription legend drugs, indicate the disposition of such

2054

drugs, including the name, address, and inventory, and provide

2055

the name and address of a person to contact regarding access to

2056

records that are required to be maintained under this part ss.

2057

499.001-499.081. Transfer of ownership of prescription legend

2058

drugs may be made only to persons authorized to possess

2059

prescription legend drugs under this part ss. 499.001-499.081.

2060

2061

The department may revoke the permit of any person that fails to

2062

comply with the requirements of this subsection.

2063

     (7)(8) A permit must be posted in a conspicuous place on

2064

the licensed premises.

2065

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

2066

a prescription drug wholesale distributor wholesaler or an out-

2067

of-state prescription drug wholesale distributor wholesaler

2068

submitted to the department must include:

2069

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

2070

of the applicant.

2071

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

2072

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

2073

contact persons for each facility used by the applicant for the

2074

storage, handling, and distribution of prescription drugs.

2075

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

2076

partnership, corporation, or sole proprietorship.

2077

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

2078

establishment, including:

2079

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

2080

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

2081

of the partnership.

2082

     3.  If a corporation:

2083

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

2084

and director.

2085

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

2086

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

2087

corporation's state of incorporation.

2088

     c.  The name and address of each shareholder of the

2089

corporation that owns 5 percent or more of the outstanding stock

2090

of the corporation.

2091

     4.  If a sole proprietorship, the full name of the sole

2092

proprietor and the name of the business entity.

2093

     5.  If a limited liability company:

2094

     a.  The name and address of each member.

2095

     b.  The name and address of each manager.

2096

     c.  The name and address of the limited liability company,

2097

the resident agent of the limited liability company, and the name

2098

of the state in which the limited liability company was

2099

organized.

2100

     (f)  If applicable, the name and address of each member of

2101

the affiliated group of which the applicant is a member.

2102

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

2103

annual dollar volume of prescription drug sales of the applicant,

2104

the estimated annual percentage of the applicant's total company

2105

sales that are prescription drugs, the applicant's estimated

2106

annual total dollar volume of purchases of prescription drugs,

2107

and the applicant's estimated annual total dollar volume of

2108

prescription drug purchases directly from manufacturers.

2109

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

2110

volume of prescription drug sales in the previous year, the total

2111

dollar volume of prescription drug sales made in the previous 6

2112

months, the percentage of total company sales that were

2113

prescription drugs in the previous year, the total dollar volume

2114

of purchases of prescription drugs in the previous year, and the

2115

total dollar volume of prescription drug purchases directly from

2116

manufacturers in the previous year.

2117

2118

Such portions of the information required pursuant to this

2119

paragraph which are a trade secret, as defined in s. 812.081,

2120

shall be maintained by the department as trade secret information

2121

is required to be maintained under s. 499.051.

2122

     (h)  The tax year of the applicant.

2123

     (i)  A copy of the deed for the property on which

2124

applicant's establishment is located, if the establishment is

2125

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

2126

the property on which applicant's establishment is located that

2127

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

2128

establishment is not owned by the applicant.

2129

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

2130

applicant by any other state which authorize the applicant to

2131

purchase or possess prescription drugs.

2132

     (k)  The name of the manager of the establishment that is

2133

applying for the permit or to renew the permit, the next four

2134

highest ranking employees responsible for prescription drug

2135

wholesale operations for the establishment, and the name of all

2136

affiliated parties for the establishment, together with the

2137

personal information statement and fingerprints required pursuant

2138

to subsection (9) (4) for each of such persons.

2139

     (l)  The name of each of the applicant's designated

2140

representatives as required by subsection (16) (11), together

2141

with the personal information statement and fingerprints required

2142

pursuant to subsection (9) (4) for each such person.

2143

     (m) For an applicant that is a secondary wholesale

2144

distributor wholesaler, each of the following:

2145

     1.  A personal background information statement containing

2146

the background information and fingerprints required pursuant to

2147

subsection (9) (4) for each person named in the applicant's

2148

response to paragraphs (k) and (l) and for each affiliated party

2149

of the applicant.

2150

     2.  If any of the five largest shareholders of the

2151

corporation seeking the permit is a corporation, the name,

2152

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

2153

such corporation; the name and address of such corporation; the

2154

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

2155

resident agent's address, and such corporation's state of its

2156

incorporation; and the name and address of each shareholder of

2157

such corporation that owns 5 percent or more of the stock of such

2158

corporation.

2159

     3.  The name and address of all financial institutions in

2160

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

2161

operation of the establishment or to pay for drugs purchased for

2162

the establishment, together with the names of all persons that

2163

are authorized signatories on such accounts. The portions of the

2164

information required pursuant to this subparagraph which are a

2165

trade secret, as defined in s. 812.081, shall be maintained by

2166

the department as trade secret information is required to be

2167

maintained under s. 499.051.

2168

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

2169

used to purchase or finance purchases of prescription drugs or to

2170

finance the premises on which the establishment is to be located.

2171

     5.  If any of the funds identified in subparagraph 4. were

2172

borrowed, copies of all promissory notes or loans used to obtain

2173

such funds.

2174

     (n)  Any other relevant information that the department

2175

requires, including, but not limited to, any information related

2176

to whether the applicant satisfies the definition of a primary

2177

wholesale distributor wholesaler or a secondary wholesale

2178

distributor wholesaler.

2179

     (9)(4)(a) Each person required by subsection (8) (3) to

2180

provide a personal information statement and fingerprints shall

2181

provide the following information to the department on forms

2182

prescribed by the department:

2183

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

2184

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

2185

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

2186

offices held during the past 7 years.

2187

     4.  The principal business and address of any business,

2188

corporation, or other organization in which each such office of

2189

the person was held or in which each such occupation or position

2190

of employment was carried on.

2191

     5.  Whether the person has been, during the past 7 years,

2192

the subject of any proceeding for the revocation of any license

2193

and, if so, the nature of the proceeding and the disposition of

2194

the proceeding.

2195

     6.  Whether, during the past 7 years, the person has been

2196

enjoined, either temporarily or permanently, by a court of

2197

competent jurisdiction from violating any federal or state law

2198

regulating the possession, control, or distribution of

2199

prescription drugs, together with details concerning any such

2200

event.

2201

     7.  A description of any involvement by the person with any

2202

business, including any investments, other than the ownership of

2203

stock in a publicly traded company or mutual fund, during the

2204

past 7 years, which manufactured, administered, prescribed,

2205

distributed, or stored pharmaceutical products and any lawsuits

2206

in which such businesses were named as a party.

2207

     8.  A description of any felony criminal offense of which

2208

the person, as an adult, was found guilty, regardless of whether

2209

adjudication of guilt was withheld or whether the person pled

2210

guilty or nolo contendere. A criminal offense committed in

2211

another jurisdiction which would have been a felony in this state

2212

must be reported. If the person indicates that a criminal

2213

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

2214

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

2215

days after the disposition of the appeal, submit to the

2216

department a copy of the final written order of disposition.

2217

     9.  A photograph of the person taken in the previous 30

2218

days.

2219

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

2220

under procedures specified by the department, together with

2221

payment of an amount equal to the costs incurred by the

2222

department for the criminal record check of the person.

2223

     11.  The name, address, occupation, and date and place of

2224

birth for each member of the person's immediate family who is 18

2225

years of age or older. As used in this subparagraph, the term

2226

"member of the person's immediate family" includes the person's

2227

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

2228

children, and the spouses of the person's siblings.

2229

     12.  Any other relevant information that the department

2230

requires.

2231

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

2232

shall be provided under oath.

2233

     (c)  The department shall submit the fingerprints provided

2234

by a person for initial licensure to the Department of Law

2235

Enforcement for a statewide criminal record check and for

2236

forwarding to the Federal Bureau of Investigation for a national

2237

criminal record check of the person. The department shall submit

2238

the fingerprints provided by a person as a part of a renewal

2239

application to the Department of Law Enforcement for a statewide

2240

criminal record check, and for forwarding to the Federal Bureau

2241

of Investigation for a national criminal record check, for the

2242

initial renewal of a permit after January 1, 2004; for any

2243

subsequent renewal of a permit, the department shall submit the

2244

required information for a statewide and national criminal record

2245

check of the person. Any person who as a part of an initial

2246

permit application or initial permit renewal after January 1,

2247

2004, submits to the department a set of fingerprints required

2248

for the criminal record check required in this paragraph shall

2249

not be required to provide a subsequent set of fingerprints for a

2250

criminal record check to the department, if the person has

2251

undergone a criminal record check as a condition of the issuance

2252

of an initial permit or the initial renewal of a permit of an

2253

applicant after January 1, 2004.

2254

     (10)(5) The department may deny an application for a permit

2255

or refuse to renew a permit for a prescription drug wholesale

2256

distributor wholesaler or an out-of-state prescription drug

2257

wholesale distributor wholesaler if:

2258

     (a)  The applicant has not met the requirements for the

2259

permit.

2260

     (b)  The management, officers, or directors of the applicant

2261

or any affiliated party are found by the department to be

2262

incompetent or untrustworthy.

2263

     (c)  The applicant is so lacking in experience in managing a

2264

wholesale distributor as to make the issuance of the proposed

2265

permit hazardous to the public health.

2266

     (d)  The applicant is so lacking in experience in managing a

2267

wholesale distributor as to jeopardize the reasonable promise of

2268

successful operation of the wholesale distributor.

2269

     (e)  The applicant is lacking in experience in the

2270

distribution of prescription drugs.

2271

     (f)  The applicant's past experience in manufacturing or

2272

distributing prescription drugs indicates that the applicant

2273

poses a public health risk.

2274

     (g)  The applicant is affiliated directly or indirectly

2275

through ownership, control, or other business relations, with any

2276

person or persons whose business operations are or have been

2277

detrimental to the public health.

2278

     (h)  The applicant, or any affiliated party, has been found

2279

guilty of or has pleaded guilty or nolo contendere to any felony

2280

or crime punishable by imprisonment for 1 year or more under the

2281

laws of the United States, any state, or any other country,

2282

regardless of whether adjudication of guilt was withheld.

2283

     (i)  The applicant or any affiliated party has been charged

2284

with a felony in a state or federal court and the disposition of

2285

that charge is pending during the application review or renewal

2286

review period.

2287

     (j)  The applicant has furnished false or fraudulent

2288

information or material in any application made in this state or

2289

any other state in connection with obtaining a permit or license

2290

to manufacture or distribute drugs, devices, or cosmetics.

2291

     (k)  That a federal, state, or local government permit

2292

currently or previously held by the applicant, or any affiliated

2293

party, for the manufacture or distribution of any drugs, devices,

2294

or cosmetics has been disciplined, suspended, or revoked and has

2295

not been reinstated.

2296

     (l)  The applicant does not possess the financial or

2297

physical resources to operate in compliance with the permit being

2298

sought, this chapter, and the rules adopted under this chapter.

2299

     (m)  The applicant or any affiliated party receives,

2300

directly or indirectly, financial support and assistance from a

2301

person who was an affiliated party of a permittee whose permit

2302

was subject to discipline or was suspended or revoked, other than

2303

through the ownership of stock in a publicly traded company or a

2304

mutual fund.

2305

     (n)  The applicant or any affiliated party receives,

2306

directly or indirectly, financial support and assistance from a

2307

person who has been found guilty of any violation of this part

2308

ss. 499.001-499.081 or chapter 465, chapter 501, or chapter 893,

2309

any rules adopted under any of this part those sections or those

2310

chapters, any federal or state drug law, or any felony where the

2311

underlying facts related to drugs, regardless of whether the

2312

person has been pardoned, had her or his civil rights restored,

2313

or had adjudication withheld, other than through the ownership of

2314

stock in a publicly traded company or a mutual fund.

2315

     (o) The applicant for renewal of a permit under s.

2316

499.01(2)(d) paragraph (2)(a) or s. 499.01(2)(e) paragraph (2)(c)

2317

has not actively engaged in the wholesale distribution of

2318

prescription drugs, as demonstrated by the regular and systematic

2319

distribution of prescription drugs throughout the year as

2320

evidenced by not fewer than 12 wholesale distributions in the

2321

previous year and not fewer than three wholesale distributions in

2322

the previous 6 months.

2323

     (p) Information obtained in response to s. 499.01(2)(d)

2324

paragraph (2)(a) or s. 499.01(2)(e) paragraph (2)(c) demonstrates

2325

it would not be in the best interest of the public health,

2326

safety, and welfare to issue a permit.

2327

     (q)  The applicant does not possess the financial standing

2328

and business experience for the successful operation of the

2329

applicant.

2330

     (r)  The applicant or any affiliated party has failed to

2331

comply with the requirements for manufacturing or distributing

2332

prescription drugs under this part ss. 499.001-499.081, similar

2333

federal laws, similar laws in other states, or the rules adopted

2334

under such laws.

2335

     (11)(6) Upon approval of the application by the department

2336

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

2337

renew a prescription drug wholesale distributor wholesaler or an

2338

out-of-state prescription drug wholesale distributor wholesaler

2339

permit to the applicant.

2340

     (12)(7) For a permit permits for a prescription drug

2341

wholesale distributor wholesalers or an out-of-state prescription

2342

drug wholesale distributor wholesalers:

2343

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

2344

of permits. At least 90 days before the expiration of a permit,

2345

the department shall forward a permit renewal notification and

2346

renewal application to the prescription drug wholesale

2347

distributor wholesaler or out-of-state prescription drug

2348

wholesale distributor wholesaler at the mailing address of the

2349

permitted establishment on file with the department. The permit

2350

renewal notification must state conspicuously the date on which

2351

the permit for the establishment will expire and that the

2352

establishment may not operate unless the permit for the

2353

establishment is renewed timely.

2354

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

2355

automatically expires 1 year after the last day of the

2356

anniversary month in which the permit was originally issued. A

2357

permit may be renewed by making application for renewal on forms

2358

furnished by the department and paying the appropriate fees. If a

2359

renewal application and fee are submitted and postmarked after 45

2360

days prior to the expiration date of the permit, the permit may

2361

be renewed only upon payment of a late renewal fee of $100, plus

2362

the required renewal fee. A permittee that has submitted a

2363

renewal application in accordance with this paragraph may

2364

continue to operate under its permit, unless the permit is

2365

suspended or revoked, until final disposition of the renewal

2366

application.

2367

     (c)  Failure to renew a permit in accordance with this

2368

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

2369

issued pursuant to this section has expired and cannot be

2370

renewed, before an establishment may engage in activities that

2371

require a permit under this part ss. 499.001-499.081, the

2372

establishment must submit an application for a new permit; pay

2373

the applicable application fee, initial permit fee, and all

2374

applicable penalties; and be issued a new permit by the

2375

department.

2376

     (13)(8) A person that engages in wholesale distribution of

2377

prescription drugs in this state must have a wholesale

2378

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

2379

this section. Each establishment must be separately permitted

2380

except as noted in this subsection.

2381

     (a)  A separate establishment permit is not required when a

2382

permitted prescription drug wholesale distributor wholesaler

2383

consigns a prescription drug to a pharmacy that is permitted

2384

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

2385

     1. The consignor wholesale distributor wholesaler notifies

2386

the department in writing of the contract to consign prescription

2387

drugs to a pharmacy along with the identity and location of each

2388

consignee pharmacy;

2389

     2.  The pharmacy maintains its permit under chapter 465;

2390

     3. The consignor wholesale distributor wholesaler, which

2391

has no legal authority to dispense prescription drugs, complies

2392

with all wholesale distribution requirements of ss. s. 499.0121

2393

and 499.01212 with respect to the consigned drugs and maintains

2394

records documenting the transfer of title or other completion of

2395

the wholesale distribution of the consigned prescription drugs;

2396

     4.  The distribution of the prescription drug is otherwise

2397

lawful under this chapter and other applicable law;

2398

     5.  Open packages containing prescription drugs within a

2399

pharmacy are the responsibility of the pharmacy, regardless of

2400

how the drugs are titled; and

2401

     6.  The pharmacy dispenses the consigned prescription drug

2402

in accordance with the limitations of its permit under chapter

2403

465 or returns the consigned prescription drug to the consignor

2404

wholesale distributor wholesaler. In addition, a person who holds

2405

title to prescription drugs may transfer the drugs to a person

2406

permitted or licensed to handle the reverse distribution or

2407

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

2408

consigned prescription drug by any person, not limited to the

2409

consignor wholesale distributor wholesaler or consignee pharmacy,

2410

to any other person is prohibited.

2411

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

2412

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

2413

prescription drug inventory by a pharmacy with a valid permit

2414

issued under chapter 465 to a consignor prescription drug

2415

wholesale distributor wholesaler, permitted under this chapter,

2416

in accordance with a written consignment agreement between the

2417

pharmacy and that wholesale distributor wholesaler if: the

2418

permitted pharmacy and the permitted prescription drug wholesale

2419

distributor wholesaler comply with all of the provisions of

2420

paragraph (a) and the prescription drugs continue to be within

2421

the permitted pharmacy's inventory for dispensing in accordance

2422

with the limitations of the pharmacy permit under chapter 465. A

2423

consignor drug wholesale distributor wholesaler may not use the

2424

pharmacy as a wholesale distributor through which it distributes

2425

the prescription legend drugs to other pharmacies. Nothing in

2426

this section is intended to prevent a wholesale drug distributor

2427

from obtaining this inventory in the event of nonpayment by the

2428

pharmacy.

2429

     (c)  The department shall require information from each

2430

wholesale distributor as part of the permit and renewal of such

2431

permit, as required under s. 499.01 or this section.

2432

     (14)(9) Personnel employed in wholesale distribution must

2433

have appropriate education and experience to enable them to

2434

perform their duties in compliance with state permitting

2435

requirements.

2436

     (15)(10) The name of a permittee or establishment on a

2437

prescription drug wholesale distributor wholesaler permit or an

2438

out-of-state prescription drug wholesale distributor wholesaler

2439

permit may not include any indicia of attainment of any

2440

educational degree, any indicia that the permittee or

2441

establishment possesses a professional license, or any name or

2442

abbreviation that the department determines is likely to cause

2443

confusion or mistake or that the department determines is

2444

deceptive, including that of any other entity authorized to

2445

purchase prescription drugs.

2446

     (16)(11)(a) Each establishment that is issued an initial or

2447

renewal permit as a prescription drug wholesale distributor

2448

wholesaler or an out-of-state prescription drug wholesale

2449

distributor wholesaler must designate in writing to the

2450

department at least one natural person to serve as the designated

2451

representative of the wholesale distributor wholesaler. Such

2452

person must have an active certification as a designated

2453

representative from the department.

2454

     (b)  To be certified as a designated representative, a

2455

natural person must:

2456

     1.  Submit an application on a form furnished by the

2457

department and pay the appropriate fees;

2458

     2.  Be at least 18 years of age;

2459

     3.  Have not less than 2 years of verifiable full-time work

2460

experience in a pharmacy licensed in this state or another state,

2461

where the person's responsibilities included, but were not

2462

limited to, recordkeeping for prescription drugs, or have not

2463

less than 2 years of verifiable full-time managerial experience

2464

with a prescription drug wholesale distributor wholesaler

2465

licensed in this state or in another state;

2466

     4.  Receive a passing score of at least 75 percent on an

2467

examination given by the department regarding federal laws

2468

governing distribution of prescription drugs and this part ss.

2469

499.001-499.081 and the rules adopted by the department governing

2470

the wholesale distribution of prescription drugs. This

2471

requirement shall be effective 1 year after the results of the

2472

initial examination are mailed to the persons that took the

2473

examination. The department shall offer such examinations at

2474

least four times each calendar year; and

2475

     5.  Provide the department with a personal information

2476

statement and fingerprints pursuant to subsection (9)(4).

2477

     (c)  The department may deny an application for

2478

certification as a designated representative or may suspend or

2479

revoke a certification of a designated representative pursuant to

2480

s. 499.067.

2481

     (d)  A designated representative:

2482

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

2483

daily operation of the wholesale distributor.

2484

     2.  Must be employed full time in a managerial position by

2485

the wholesale distributor.

2486

     3.  Must be physically present at the establishment during

2487

normal business hours, except for time periods when absent due to

2488

illness, family illness or death, scheduled vacation, or other

2489

authorized absence.

2490

     4.  May serve as a designated representative for only one

2491

wholesale distributor at any one time.

2492

     (e)  A wholesale distributor must notify the department when

2493

a designated representative leaves the employ of the wholesale

2494

distributor. Such notice must be provided to the department

2495

within 10 business days after the last day of designated

2496

representative's employment with the wholesale distributor.

2497

     (f)  A wholesale distributor may not operate under a

2498

prescription drug wholesale distributor wholesaler permit or an

2499

out-of-state prescription drug wholesale distributor wholesaler

2500

permit for more than 10 business days after the designated

2501

representative leaves the employ of the wholesale distributor,

2502

unless the wholesale distributor employs another designated

2503

representative and notifies the department within 10 business

2504

days of the identity of the new designated representative.

2505

     Section 12.  Section 499.01201, Florida Statutes, is amended

2506

to read:

2507

     499.01201  Agency for Health Care Administration review and

2508

use of statute and rule violation or compliance

2509

data.--Notwithstanding any other provisions of law to the

2510

contrary, the Agency for Health Care Administration may not:

2511

     (1)  Review or use any violation or alleged violation of s.

2512

499.0121(6) or s. 499.01212, or any rules adopted under those

2513

sections that section, as a ground for denying or withholding any

2514

payment of a Medicaid reimbursement to a pharmacy licensed under

2515

chapter 465; or

2516

     (2) Review or use compliance with s. 499.0121(6) or s.

2517

499.01212, or any rules adopted under those sections that

2518

section, as the subject of any audit of Medicaid-related records

2519

held by a pharmacy licensed under chapter 465.

2520

     Section 13.  Section 499.0121, Florida Statutes, is amended,

2521

and subsection (4) of section 499.013, Florida Statutes, is

2522

redesignated as paragraph (d) of subsection (6) of that section

2523

and amended, to read:

2524

     499.0121  Storage and handling of prescription drugs;

2525

recordkeeping.--The department shall adopt rules to implement

2526

this section as necessary to protect the public health, safety,

2527

and welfare. Such rules shall include, but not be limited to,

2528

requirements for the storage and handling of prescription drugs

2529

and for the establishment and maintenance of prescription drug

2530

distribution records.

2531

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

2532

drugs are stored, warehoused, handled, held, offered, marketed,

2533

or displayed must:

2534

     (a)  Be of suitable size and construction to facilitate

2535

cleaning, maintenance, and proper operations;

2536

     (b)  Have storage areas designed to provide adequate

2537

lighting, ventilation, temperature, sanitation, humidity, space,

2538

equipment, and security conditions;

2539

     (c)  Have a quarantine area for storage of prescription

2540

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

2541

adulterated, or that are in immediate or sealed, secondary

2542

containers that have been opened;

2543

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

2544

     (e)  Be free from infestation by insects, rodents, birds, or

2545

vermin of any kind.

2546

     (2)  SECURITY.--

2547

     (a)  An establishment that is used for wholesale drug

2548

distribution must be secure from unauthorized entry.

2549

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

2550

minimum and be well-controlled.

2551

     2.  The outside perimeter of the premises must be well-

2552

lighted.

2553

     3.  Entry into areas where prescription drugs are held must

2554

be limited to authorized personnel.

2555

     (b)  An establishment that is used for wholesale drug

2556

distribution must be equipped with:

2557

     1.  An alarm system to detect entry after hours; however,

2558

the department may exempt by rule establishments that only hold a

2559

permit as prescription drug wholesale distributor-brokers

2560

wholesaler-brokers and establishments that only handle medical

2561

oxygen; and

2562

     2.  A security system that will provide suitable protection

2563

against theft and diversion. When appropriate, the security

2564

system must provide protection against theft or diversion that is

2565

facilitated or hidden by tampering with computers or electronic

2566

records.

2567

     (c)  Any vehicle that contains prescription drugs must be

2568

secure from unauthorized access to the prescription drugs in the

2569

vehicle.

2570

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

2571

appropriate temperatures and under appropriate conditions in

2572

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

2573

drugs, or with requirements in the official compendium.

2574

     (a)  If no storage requirements are established for a

2575

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

2576

temperature, as defined in the official compendium, to help

2577

ensure that its identity, strength, quality, and purity are not

2578

adversely affected.

2579

     (b)  Appropriate manual, electromechanical, or electronic

2580

temperature and humidity recording equipment, devices, or logs

2581

must be used to document proper storage of prescription drugs.

2582

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

2583

be followed for all stored prescription drugs.

2584

     (4)  EXAMINATION OF MATERIALS AND RECORDS.--

2585

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

2586

visually examined for identity and to prevent the acceptance of

2587

contaminated prescription drugs that are otherwise unfit for

2588

distribution. This examination must be adequate to reveal

2589

container damage that would suggest possible contamination or

2590

other damage to the contents.

2591

     (b)  Each outgoing shipment must be carefully inspected for

2592

identity of the prescription drug products and to ensure that

2593

there is no delivery of prescription drugs that have expired or

2594

been damaged in storage or held under improper conditions.

2595

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

2596

be followed for all incoming and outgoing prescription drugs.

2597

     (d) Upon receipt, a wholesale distributor wholesaler must

2598

review records required under this section for the acquisition of

2599

prescription drugs for accuracy and completeness, considering the

2600

total facts and circumstances surrounding the transactions and

2601

the wholesale distributors involved. This includes authenticating

2602

each transaction listed on a pedigree paper, as defined in s.

2603

499.003(37) s. 499.001(31).

2604

     (5)  RETURNED, DAMAGED, OR OUTDATED PRESCRIPTION DRUGS.--

2605

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

2606

deteriorated, misbranded, or adulterated must be quarantined and

2607

physically separated from other prescription drugs until they are

2608

destroyed or returned to their supplier. A quarantine section

2609

must be separate and apart from other sections where prescription

2610

drugs are stored so that prescription drugs in this section are

2611

not confused with usable prescription drugs.

2612

     2.  Prescription drugs must be examined at least every 12

2613

months, and drugs for which the expiration date has passed must

2614

be removed and quarantined.

2615

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

2616

outer containers or sealed secondary containers have been opened

2617

or used must be identified as such and must be quarantined and

2618

physically separated from other prescription drugs until they are

2619

either destroyed or returned to the supplier.

2620

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

2621

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

2622

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

2623

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

2624

investigation proves that the drug meets appropriate standards of

2625

safety, identity, strength, quality, and purity. In determining

2626

whether the conditions under which a drug has been returned cast

2627

doubt on the drug's safety, identity, strength, quality, or

2628

purity, the wholesale drug distributor must consider, among other

2629

things, the conditions under which the drug has been held,

2630

stored, or shipped before or during its return and the conditions

2631

of the drug and its container, carton, or labeling, as a result

2632

of storage or shipping.

2633

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

2634

be followed for all outdated, damaged, deteriorated, misbranded,

2635

or adulterated prescription drugs.

2636

     (6)  RECORDKEEPING.--The department shall adopt rules that

2637

require keeping such records of prescription drugs as are

2638

necessary for the protection of the public health.

2639

     (a) Wholesale drug distributors must establish and maintain

2640

inventories and records of all transactions regarding the receipt

2641

and distribution or other disposition of prescription drugs.

2642

These records must provide a complete audit trail from receipt to

2643

sale or other disposition, be readily retrievable for inspection,

2644

and include, at a minimum, the following information:

2645

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

2646

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

2647

the location from which the drugs were shipped;

2648

     2.  The name, principal address, and state license permit or

2649

registration number of the person authorized to purchase

2650

prescription drugs;

2651

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

2652

drugs received and distributed or disposed of;

2653

     4.  The dates of receipt and distribution or other

2654

disposition of the drugs; and

2655

     5.  Any financial documentation supporting the transaction.

2656

     (b)  Inventories and records must be made available for

2657

inspection and photocopying by authorized federal, state, or

2658

local officials for a period of 2 years following disposition of

2659

the drugs or 3 years after the creation of the records, whichever

2660

period is longer.

2661

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

2662

inspection site or that can be immediately retrieved by computer

2663

or other electronic means must be readily available for

2664

authorized inspection during the retention period. Records that

2665

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

2666

not electronically retrievable must be made available for

2667

inspection within 2 working days after a request by an authorized

2668

official of a federal, state, or local law enforcement agency.

2669

Records that are maintained at a central location within this

2670

state must be maintained at an establishment that is permitted

2671

pursuant to this part ss. 499.001-499.081 and must be readily

2672

available.

2673

     (d)(4) Each manufacturer or repackager of medical devices,

2674

over-the-counter drugs, or cosmetics must maintain records that

2675

include the name and principal address of the seller or

2676

transferor of the product, the address of the location from which

2677

the product was shipped, the date of the transaction, the name

2678

and quantity of the product involved, and the name and principal

2679

address of the person who purchased the product.

2680

     (e) A wholesale distributor must maintain pedigree papers

2681

separate and distinct from other records required under this

2682

chapter.

2683

     (d)1. Effective July 1, 2006, each person who is engaged in

2684

the wholesale distribution of a prescription drug and who is not

2685

the manufacturer of that drug must, before each wholesale

2686

distribution of such drug, provide to the person who receives the

2687

drug a pedigree paper as defined in s. 499.003(31).

2688

     2. A repackager must comply with this paragraph.

2689

     3. The pedigree paper requirements in this paragraph do not

2690

apply to compressed medical gases or veterinary legend drugs.

2691

     4. Each wholesale distributor of prescription drugs must

2692

maintain separate and distinct from other required records all

2693

statements that are required under subparagraph 1.

2694

     5. Subparagraph 1. is satisfied when a wholesale

2695

distributor takes title to, but not possession of, a prescription

2696

drug and the prescription drug's manufacturer ships the

2697

prescription drug directly to a person authorized by law to

2698

purchase prescription drugs for the purpose of administering or

2699

dispensing the drug, as defined in s. 465.003, or a member of an

2700

affiliated group, as described in paragraph (f), with the

2701

exception of a repackager.

2702

     a. The wholesale distributor must deliver to the recipient

2703

of the prescription drug, within 14 days after the shipment

2704

notification from the manufacturer, an invoice and the following

2705

sworn statement: "This wholesale distributor purchased the

2706

specific unit of the prescription drug listed on the invoice

2707

directly from the manufacturer, and the specific unit of

2708

prescription drug was shipped by the manufacturer directly to a

2709

person authorized by law to administer or dispense the legend

2710

drug, as defined in s. 465.003, Florida Statutes, or a member of

2711

an affiliated group, as described in s. 499.0121(6)(f), Florida

2712

Statutes, with the exception of a repackager." The invoice must

2713

contain a unique cross-reference to the shipping document sent by

2714

the manufacturer to the recipient of the prescription drug.

2715

     b. The manufacturer of the prescription drug shipped

2716

directly to the recipient under this section must provide and the

2717

recipient of the prescription drug must acquire, within 14 days

2718

after receipt of the prescription drug, a shipping document from

2719

the manufacturer that contains, at a minimum:

2720

     (I) The name and address of the manufacturer, including the

2721

point of origin of the shipment, and the names and addresses of

2722

the wholesaler and the purchaser.

2723

     (II) The name of the prescription drug as it appears on the

2724

label.

2725

     (III) The quantity, dosage form, and strength of the

2726

prescription drug.

2727

     (IV) The date of the shipment from the manufacturer.

2728

     c. The wholesale distributor must also maintain and make

2729

available to the department, upon request, the lot number of such

2730

drug if not contained in the shipping document acquired by the

2731

recipient.

2732

     6. Failure of the manufacturer to provide, the recipient to

2733

acquire, or the wholesale distributor to deliver, the

2734

documentation required under subparagraph 5. shall constitute

2735

failure to acquire or deliver a pedigree paper under s. 499.0051.

2736

Forgery by the manufacturer, the recipient, or the wholesale

2737

distributor of the documentation required to be acquired or

2738

delivered under subparagraph 5. shall constitute forgery of a

2739

pedigree paper under s. 499.0051.

2740

     7. The department may, by rule, specify alternatives to

2741

compliance with subparagraph 1. for a prescription drug in the

2742

inventory of a permitted prescription drug wholesaler as of June

2743

30, 2006, and the return of a prescription drug purchased prior

2744

to July 1, 2006. The department may specify time limits for such

2745

alternatives.

2746

     (7)(e) PRESCRIPTION DRUG PURCHASE LIST.--Each wholesale

2747

distributor, except for a manufacturer, shall annually provide

2748

the department with a written list of all wholesale distributors

2749

and manufacturers from whom the wholesale distributor purchases

2750

prescription drugs. A wholesale distributor, except a

2751

manufacturer, shall notify the department not later than 10 days

2752

after any change to either list. Such portions of the information

2753

required pursuant to this subsection paragraph which are a trade

2754

secret, as defined in s. 812.081, shall be maintained by the

2755

department as trade secret information is required to be

2756

maintained under s. 499.051.

2757

     (f)1. This paragraph applies only to an affiliated group,

2758

as defined by s. 1504 of the Internal Revenue Code of 1986, as

2759

amended, which is composed of chain drug entities, including at

2760

least 50 retail pharmacies, warehouses, or repackagers, which are

2761

members of the same affiliated group, if the affiliated group:

2762

     a. Discloses to the department the names of all its

2763

members; and

2764

     b. Agrees in writing to provide records on prescription

2765

drug purchases by members of the affiliated group not later than

2766

48 hours after the department requests such records, regardless

2767

of the location where the records are stored.

2768

     2. Each warehouse within the affiliated group must comply

2769

with all applicable federal and state drug wholesale permit

2770

requirements and must purchase, receive, hold, and distribute

2771

prescription drugs only to a retail pharmacy or warehouse within

2772

the affiliated group. Such a warehouse is exempt from providing a

2773

pedigree paper in accordance with paragraph (d) to its affiliated

2774

group member warehouse or retail pharmacy, provided that:

2775

     a. Any affiliated group member that purchases or receives a

2776

prescription drug from outside the affiliated group must receive

2777

a pedigree paper if the prescription drug is distributed in or

2778

into this state and a pedigree paper is required under this

2779

section and must authenticate the documentation as required in

2780

subsection (4), regardless of whether the affiliated group member

2781

is directly subject to regulation under this chapter; and

2782

     b. The affiliated group makes available to the department

2783

on request all records related to the purchase or acquisition of

2784

prescription drugs by members of the affiliated group, regardless

2785

of the location where the records are stored, if the prescription

2786

drugs were distributed in or into this state.

2787

     3. If a repackager repackages prescription drugs solely for

2788

distribution to its affiliated group members for the exclusive

2789

distribution to and among retail pharmacies that are members of

2790

the affiliated group to which the repackager is a member:

2791

     a. The repackager must:

2792

     (I) In lieu of the written statement required by paragraph

2793

(d), for all repackaged prescription drugs distributed in or into

2794

this state, state in writing under oath with each distribution of

2795

a repackaged prescription drug to an affiliated group member

2796

warehouse or repackager: "All repackaged prescription drugs are

2797

purchased by the affiliated group directly from the manufacturer

2798

or from a prescription drug wholesaler that purchased the

2799

prescription drugs directly from the manufacturer.";

2800

     (II) Purchase all prescription drugs it repackages:

2801

     (A) Directly from the manufacturer; or

2802

     (B) From a prescription drug wholesaler that purchased the

2803

prescription drugs directly from the manufacturer; and

2804

     (III) Maintain records in accordance with this section to

2805

document that it purchased the prescription drugs directly from

2806

the manufacturer or that its prescription drug wholesale supplier

2807

purchased the prescription drugs directly from the manufacturer.

2808

     b. All members of the affiliated group must provide to

2809

agents of the department on request records of purchases by all

2810

members of the affiliated group of prescription drugs that have

2811

been repackaged, regardless of the location where the records are

2812

stored or where the repackager is located.

2813

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

2814

distributors must establish, maintain, and adhere to written

2815

policies and procedures, which must be followed for the receipt,

2816

security, storage, inventory, and distribution of prescription

2817

drugs, including policies and procedures for identifying,

2818

recording, and reporting losses or thefts, and for correcting all

2819

errors and inaccuracies in inventories. Wholesale drug

2820

distributors must include in their written policies and

2821

procedures:

2822

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

2823

prescription drug product is distributed first. The procedure may

2824

permit deviation from this requirement, if the deviation is

2825

temporary and appropriate.

2826

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

2827

withdrawals of prescription drugs. Such procedure must be

2828

adequate to deal with recalls and withdrawals due to:

2829

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

2830

Administration or any other federal, state, or local law

2831

enforcement or other government agency, including the department.

2832

     2.  Any voluntary action by the manufacturer or repackager

2833

to remove defective or potentially defective drugs from the

2834

market; or

2835

     3.  Any action undertaken to promote public health and

2836

safety by replacing existing merchandise with an improved product

2837

or new package design.

2838

     (c) A procedure to ensure that wholesale drug distributors

2839

prepare for, protect against, and handle any crisis that affects

2840

security or operation of any facility if a strike, fire, flood,

2841

or other natural disaster, or a local, state, or national

2842

emergency, occurs.

2843

     (d)  A procedure to ensure that any outdated prescription

2844

drugs are segregated from other drugs and either returned to the

2845

manufacturer or repackager or destroyed. This procedure must

2846

provide for written documentation of the disposition of outdated

2847

prescription drugs. This documentation must be maintained for 2

2848

years after disposition of the outdated drugs.

2849

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

2850

must establish and maintain lists of officers, directors,

2851

managers, designated representatives, and other persons in charge

2852

of wholesale drug distribution, storage, and handling, including

2853

a description of their duties and a summary of their

2854

qualifications.

2855

     (10)(9) COMPLIANCE WITH FEDERAL, STATE, AND LOCAL LAW.--A

2856

wholesale drug distributor must operate in compliance with

2857

applicable federal, state, and local laws and regulations.

2858

     (a) A wholesale drug distributor must allow the department

2859

and authorized federal, state, and local officials to enter and

2860

inspect its premises and delivery vehicles, and to audit its

2861

records and written operating procedures, at reasonable times and

2862

in a reasonable manner, to the extent authorized by law.

2863

     (b) A wholesale drug distributor that deals in controlled

2864

substances must register with the Drug Enforcement Administration

2865

and must comply with all applicable state, local, and federal

2866

laws. A wholesale drug distributor that distributes any substance

2867

controlled under chapter 893 must notify the department when

2868

registering with the Drug Enforcement Administration pursuant to

2869

that chapter and must provide the department with its DEA number.

2870

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

2871

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

2872

laws or regulations that relate to prescription drug product

2873

salvaging or reprocessing.

2874

     (12)(11) SHIPPING AND TRANSPORTATION.--The person

2875

responsible for shipment and transportation of a prescription

2876

drug in a wholesale distribution may use a common carrier; its

2877

own vehicle or employee acting within the scope of employment if

2878

authorized under s. 499.03 for the possession of prescription

2879

drugs in this state; or, in the case of a prescription drug

2880

intended for domestic distribution, an independent contractor who

2881

must be the agent of the authorized seller or recipient

2882

responsible for shipping and transportation as set forth in a

2883

written contract between the parties. A person selling a

2884

prescription drug for export must obtain documentation, such as a

2885

validated airway bill, bill of lading, or other appropriate

2886

documentation that the prescription drug was exported. A person

2887

responsible for shipping or transporting prescription drugs is

2888

not required to maintain documentation from a common carrier that

2889

the designated recipient received the prescription drugs;

2890

however, the person must obtain such documentation from the

2891

common carrier and make it available to the department upon

2892

request of the department.

2893

     (13)(12) DUE DILIGENCE OF SUPPLIERS.--Prior to purchasing

2894

any prescription drugs from another wholesale drug distributor, a

2895

prescription drug wholesale distributor wholesaler, an out-of-

2896

state prescription drug wholesale distributor wholesaler, or a

2897

prescription drug repackager must:

2898

     (a) Enter an agreement with the selling wholesale drug

2899

distributor by which the selling wholesale drug distributor will

2900

indemnify the purchasing wholesale drug distributor for any loss

2901

caused to the purchasing wholesale drug distributor related to

2902

the purchase of drugs from the selling wholesale drug distributor

2903

which are determined to be counterfeit or to have been

2904

distributed in violation of any federal or state law governing

2905

the distribution of drugs.

2906

     (b) Determine that the selling wholesale drug distributor

2907

has insurance coverage of not less than the greater of 1 percent

2908

of the amount of total dollar volume of the prescription drug

2909

sales reported to the department under s. 499.012(8)(g) s.

2910

499.012(3)(g) or $500,000; however the coverage need not exceed

2911

$2 million.

2912

     (c) Obtain information from the selling wholesale drug

2913

distributor, including the length of time the selling wholesale

2914

drug distributor has been licensed in this state, a copy of the

2915

selling wholesale drug distributor's licenses or permits, and

2916

background information concerning the ownership of the selling

2917

wholesale drug distributor, including the experience of the

2918

wholesale distributor in the wholesale distribution of

2919

prescription drugs.

2920

     (d) Verify that the selling wholesale drug distributor's

2921

Florida permit is valid.

2922

     (e) Inspect the selling wholesale drug distributor's

2923

licensed establishment to document that it has a policies and

2924

procedures manual relating to the distribution of drugs, the

2925

appropriate temperature controlled environment for drugs

2926

requiring temperature control, an alarm system, appropriate

2927

access restrictions, and procedures to ensure that records

2928

related to the wholesale distribution of prescription drugs are

2929

maintained as required by law:

2930

     1. Before purchasing any drug from the wholesale drug

2931

distributor, and at least once each subsequent year; or

2932

     2. Before purchasing any drug from the wholesale drug

2933

distributor, and each subsequent year obtain a complete copy of

2934

the most recent inspection report for the establishment which was

2935

prepared by the department or the regulatory authority

2936

responsible for wholesale drug distributors in the state in which

2937

the establishment is located.

2938

     Section 14.  Section 499.01211, Florida Statutes, is amended

2939

to read:

2940

     499.01211 Drug Wholesale Distributor Wholesaler Advisory

2941

Council.--

2942

     (1) There is created the Drug Wholesale Distributor

2943

Wholesaler Advisory Council within the department. The council

2944

shall meet at least once each calendar quarter. Staff for the

2945

council shall be provided by the department. The council shall

2946

consist of 11 members who shall serve without compensation. The

2947

council shall elect a chairperson and a vice chairperson

2948

annually.

2949

     (2)  The State Surgeon General, or his or her designee, and

2950

the Secretary of Health Care Administration, or her or his

2951

designee, shall be members of the council. The State Surgeon

2952

General shall appoint nine additional members to the council who

2953

shall be appointed to a term of 4 years each, as follows:

2954

     (a)  Three different persons each of whom is employed by a

2955

different prescription drug wholesale distributor wholesaler

2956

licensed under this part chapter which operates nationally and is

2957

a primary wholesale distributor wholesaler, as defined in s.

2958

499.003(49) s. 499.012(1)(d).

2959

     (b) One person employed by a prescription drug wholesale

2960

distributor wholesaler licensed under this part chapter which is

2961

a secondary wholesale distributor wholesaler, as defined in s.

2962

499.003(54) s. 499.012(1)(f).

2963

     (c)  One person employed by a retail pharmacy chain located

2964

in this state.

2965

     (d)  One person who is a member of the Board of Pharmacy and

2966

is a pharmacist licensed under chapter 465.

2967

     (e)  One person who is a physician licensed pursuant to

2968

chapter 458 or chapter 459.

2969

     (f)  One person who is an employee of a hospital licensed

2970

pursuant to chapter 395 and is a pharmacist licensed pursuant to

2971

chapter 465.

2972

     (g)  One person who is an employee of a pharmaceutical

2973

manufacturer.

2974

     (3) The council shall review this part ss. 499.001-499.081

2975

and the rules adopted to administer this part ss. 499.001-499.081

2976

annually, provide input to the department regarding all proposed

2977

rules to administer this part ss. 499.001-499.081, make

2978

recommendations to the department to improve the protection of

2979

the prescription drugs and public health, make recommendations to

2980

improve coordination with other states' regulatory agencies and

2981

the federal government concerning the wholesale distribution of

2982

drugs, and make recommendations to minimize the impact of

2983

regulation of the wholesale distribution industry while ensuring

2984

protection of the public health.

2985

     Section 15.  Section 499.01212, Florida Statutes, is created

2986

to read:

2987

     499.01212 Pedigree paper.--

2988

     (1) APPLICATION.--Each person who is engaged in the

2989

wholesale distribution of a prescription drug must, prior to or

2990

simultaneous with each wholesale distribution, provide a pedigree

2991

paper to the person who receives the drug.

2992

     (2) FORMAT.--A pedigree paper must contain the following

2993

information:

2994

     (a) For the wholesale distribution of a prescription drug

2995

within the normal distribution chain:

2996

     1. The following statement: "This wholesale distributor

2997

purchased the specific unit of the prescription drug directly

2998

from the manufacturer."

2999

     2. The name of the prescription drug as it appears on the

3000

label.

3001

     3. The quantity, dosage form, and strength of the

3002

prescription drug.

3003

3004

The wholesale distributor must also maintain and make available

3005

to the department, upon request, the point of origin of the

3006

prescription drugs, including intracompany transfers, the date of

3007

the shipment from the manufacturer to the wholesale distributor,

3008

the lot numbers of such drugs, and the invoice numbers from the

3009

manufacturer.

3010

     (b) For all other wholesale distributions of prescription

3011

drugs:

3012

     1. The quantity, dosage form, and strength of the

3013

prescription drugs.

3014

     2. The lot numbers of the prescription drugs.

3015

     3. The name and address of each owner of the prescription

3016

drug and his or her signature.

3017

     4. Shipping information, including the name and address of

3018

each person certifying delivery or receipt of the prescription

3019

drug.

3020

     5. An invoice number, a shipping document number, or

3021

another number uniquely identifying the transaction.

3022

     6. A certification that the recipient wholesale distributor

3023

has authenticated the pedigree papers.

3024

     7. The unique serialization of the prescription drug, if

3025

the manufacturer or repackager has uniquely serialized the

3026

individual prescription drug unit.

3027

     8. The name, address, telephone number, and, if available,

3028

e-mail contact information of each wholesale distributor involved

3029

in the chain of the prescription drug's custody.

3030

     (3) EXCEPTIONS.--A pedigree paper is not required for:

3031

     (a) The wholesale distribution of a prescription drug by

3032

the manufacturer.

3033

     (b) The wholesale distribution of a compressed medical gas.

3034

     (c) The wholesale distribution of a veterinary prescription

3035

drug.

3036

     (d) A drop shipment, provided:

3037

     1. The wholesale distributor delivers to the recipient of

3038

the prescription drug, within 14 days after the shipment

3039

notification from the manufacturer, an invoice and the following

3040

sworn statement: "This wholesale distributor purchased the

3041

specific unit of the prescription drug listed on the invoice

3042

directly from the manufacturer, and the specific unit of

3043

prescription drug was shipped by the manufacturer directly to a

3044

person authorized by law to administer or dispense the legend

3045

drug, as defined in s. 465.003, Florida Statutes, or a member of

3046

an affiliated group, with the exception of a repackager." The

3047

invoice must contain a unique cross-reference to the shipping

3048

document sent by the manufacturer to the recipient of the

3049

prescription drug.

3050

     2. The manufacturer of the prescription drug shipped

3051

directly to the recipient provides and the recipient of the

3052

prescription drug acquires, within 14 days after receipt of the

3053

prescription drug, a shipping document from the manufacturer that

3054

contains, at a minimum:

3055

     a. The name and address of the manufacturer, including the

3056

point of origin of the shipment, and the names and addresses of

3057

the wholesale distributor and the purchaser.

3058

     b. The name of the prescription drug as it appears on the

3059

label.

3060

     c. The quantity, dosage form, and strength of the

3061

prescription drug.

3062

     d. The date of the shipment from the manufacturer.

3063

     3. The wholesale distributor maintains and makes available

3064

to the department, upon request, the lot number of such drug if

3065

not contained in the shipping document acquired by the recipient.

3066

3067

Failure of the manufacturer to provide, the recipient to acquire,

3068

or the wholesale distributor to deliver the documentation

3069

required under this paragraph shall constitute failure to acquire

3070

or deliver a pedigree paper under ss. 499.005(28) and 499.0051.

3071

Forgery by the manufacturer, the recipient, or the wholesale

3072

distributor of the documentation required to be acquired or

3073

delivered under this paragraph shall constitute forgery of a

3074

pedigree paper under s. 499.0051.

3075

     4. The wholesale distributor that takes title to, but not

3076

possession of, the prescription drug is not a member of the

3077

affiliated group that receives the prescription drug directly

3078

from the manufacturer.

3079

     (e) The wholesale distribution of a prescription drug by a

3080

warehouse within an affiliated group to a warehouse or retail

3081

pharmacy within its affiliated group, provided:

3082

     1. Any affiliated group member that purchases or receives a

3083

prescription drug from outside the affiliated group must receive

3084

a pedigree paper if the prescription drug is distributed in or

3085

into this state and a pedigree paper is required under this

3086

section and must authenticate the documentation as required in s.

3087

499.0121(4), regardless of whether the affiliated group member is

3088

directly subject to regulation under this part; and

3089

     2. The affiliated group makes available, within 48 hours,

3090

to the department on request to one or more of its members all

3091

records related to the purchase or acquisition of prescription

3092

drugs by members of the affiliated group, regardless of the

3093

location where the records are stored, if the prescription drugs

3094

were distributed in or into this state.

3095

     (f) The repackaging of prescription drugs by a repackager

3096

solely for distribution to its affiliated group members for the

3097

exclusive distribution to and among retail pharmacies that are

3098

members of the affiliated group to which the repackager is a

3099

member.

3100

     1. The repackager must:

3101

     a. For all repackaged prescription drugs distributed in or

3102

into this state, state in writing under oath with each

3103

distribution of a repackaged prescription drug to an affiliated

3104

group member warehouse or repackager: "All repackaged

3105

prescription drugs are purchased by the affiliated group directly

3106

from the manufacturer or from a prescription drug wholesale

3107

distributor that purchased the prescription drugs directly from

3108

the manufacturer."

3109

     b. Purchase all prescription drugs it repackages:

3110

     (I) Directly from the manufacturer; or

3111

     (II) From a prescription drug wholesale distributor that

3112

purchased the prescription drugs directly from the manufacturer.

3113

     c. Maintain records in accordance with this section to

3114

document that it purchased the prescription drugs directly from

3115

the manufacturer or that its prescription drug wholesale supplier

3116

purchased the prescription drugs directly from the manufacturer.

3117

     2. All members of the affiliated group must provide, within

3118

48 hours, to agents of the department on request to one or more

3119

of its members records of purchases by all members of the

3120

affiliated group of prescription drugs that have been repackaged,

3121

regardless of the location at which the records are stored or at

3122

which the repackager is located.

3123

     Section 16. Section 499.0122, Florida Statutes, is

3124

repealed.

3125

     Section 17. Section 499.013, Florida Statutes, is repealed.

3126

     Section 18.  Subsections (1), (3), (4), (6), (8), and (9) of

3127

section 499.015, Florida Statutes, are amended to read:

3128

     499.015  Registration of drugs, devices, and cosmetics;

3129

issuance of certificates of free sale.--

3130

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

3131

definition of manufacturer in s. 499.003(32) s. 499.003(28), any

3132

person who manufactures, packages, repackages, labels, or

3133

relabels a drug, device, or cosmetic in this state must register

3134

such drug, device, or cosmetic biennially with the department;

3135

pay a fee in accordance with the fee schedule provided by s.

3136

499.041; and comply with this section. The registrant must list

3137

each separate and distinct drug, device, or cosmetic at the time

3138

of registration.

3139

     (b)  The department may not register any product that does

3140

not comply with the Federal Food, Drug, and Cosmetic Act, as

3141

amended, or Title 21 C.F.R. Registration of a product by the

3142

department does not mean that the product does in fact comply

3143

with all provisions of the Federal Food, Drug, and Cosmetic Act,

3144

as amended.

3145

     (3)  Except for those persons exempted from the definition

3146

of manufacturer in s. 499.003(32) s. 499.003(28), a person may

3147

not sell any product that he or she has failed to register in

3148

conformity with this section. Such failure to register subjects

3149

such drug, device, or cosmetic product to seizure and

3150

condemnation as provided in s. 499.062 ss. 499.062-499.064, and

3151

subjects such person to the penalties and remedies provided in

3152

this part ss. 499.001-499.081.

3153

     (4)  Unless a registration is renewed, it expires 2 years

3154

after the last day of the month in which it was issued. The

3155

department may issue a stop-sale notice or order against a person

3156

that is subject to the requirements of this section and that

3157

fails to comply with this section within 31 days after the date

3158

the registration expires. The notice or order shall prohibit such

3159

person from selling or causing to be sold any drugs, devices, or

3160

cosmetics covered by this part ss. 499.001-499.081 until he or

3161

she complies with the requirements of this section.

3162

     (6)  The department may issue a certificate of free sale for

3163

any product that is required to be registered under this part ss.

3164

499.001-499.081.

3165

     (8) Notwithstanding any requirements set forth in this part

3166

ss. 499.001-499.081, a manufacturer of medical devices that is

3167

registered with the federal Food and Drug Administration is

3168

exempt from this section and s. 499.041(6) if:

3169

     (a)  The manufacturer's medical devices are approved for

3170

marketing by, or listed with the federal Food and Drug

3171

Administration in accordance with federal law for commercial

3172

distribution; or

3173

     (b)  The manufacturer subcontracts with a manufacturer of

3174

medical devices to manufacture components of such devices.

3175

     (9)  However, the manufacturer must submit evidence of such

3176

registration, listing, or approval with its initial application

3177

for a permit to do business in this state, as required in s.

3178

499.01 s. 499.013 and any changes to such information previously

3179

submitted at the time of renewal of the permit. Evidence of

3180

approval, listing, and registration by the federal Food and Drug

3181

Administration must include:

3182

     (a)  For Class II devices, a copy of the pre-market

3183

notification letter (510K);

3184

     (b)  For Class III devices, a Federal Drug Administration

3185

pre-market approval number;

3186

     (c)  For a manufacturer who subcontracts with a manufacturer

3187

of medical devices to manufacture components of such devices, a

3188

Federal Drug Administration registration number; or

3189

     (d)  For a manufacturer of medical devices whose devices are

3190

exempt from pre-market approval by the Federal Drug

3191

Administration, a Federal Drug Administration registration

3192

number.

3193

     Section 19.  Subsections (3), (5), and (6) of section

3194

499.024, Florida Statutes, are amended to read:

3195

     499.024  Drug product classification.--The State Surgeon

3196

General shall adopt rules to classify drug products intended for

3197

use by humans which the United States Food and Drug

3198

Administration has not classified in the federal act or the Code

3199

of Federal Regulations.

3200

     (3) Any product that falls under the definition of drug in

3201

s. 499.003(19) definition, s. 499.003(17), may be classified

3202

under the authority of this section. This section does not

3203

subject portable emergency oxygen inhalators to classification;

3204

however, this section does not exempt any person from ss. 499.01

3205

and 499.015.

3206

     (5)  The department may by rule reclassify drugs subject to

3207

this part ss. 499.001-499.081 when such classification action is

3208

necessary to protect the public health.

3209

     (6)  The department may adopt rules that exempt from any

3210

labeling or packaging requirements of this part ss. 499.001-

3211

499.081 drugs classified under this section if those requirements

3212

are not necessary to protect the public health.

3213

     Section 20.  Subsections (7), (12), and (15) of section

3214

499.028, Florida Statutes, are amended to read:

3215

     499.028  Drug samples or complimentary drugs; starter packs;

3216

permits to distribute.--

3217

     (7)  A drug manufacturer or distributor must report to the

3218

department any conviction of itself or of its assigns, agents,

3219

employees, or representatives for a violation of s. 503(c)(1) of

3220

the federal act or of this part ss. 499.001-499.081 because of

3221

the sale, purchase, or trade of a drug sample or the offer to

3222

sell, purchase, or trade a drug sample.

3223

     (12)  The department may suspend or revoke a permit issued

3224

under this section, after giving notice and an opportunity to be

3225

heard pursuant to chapter 120, when:

3226

     (a)  Such permit was obtained by misrepresentation or fraud

3227

or through a mistake of the department.

3228

     (b)  The holder of the permit has distributed or disposed of

3229

any prescription legend drug, directly or through its agents,

3230

employees, or independent contractors, to any person not

3231

authorized to possess such drug.

3232

     (c)  The holder of the permit, or its agents, employees, or

3233

independent contractors, has distributed or possessed any

3234

prescription legend drug except in the usual course of its

3235

business.

3236

     (d)  The holder of the permit, or its agents, employees, or

3237

independent contractors, has distributed any prescription legend

3238

drug that is misbranded or adulterated under this part ss.

3239

499.001-499.081.

3240

     (e)  The holder of the permit, or its agents, employees, or

3241

independent contractors, has distributed any prescription legend

3242

drug without written request, when a written request is required

3243

by this section.

3244

     (f)  The holder of the permit has in its employ, or uses as

3245

agent or independent contractor for the purpose of distributing

3246

or disposing of drugs, any person who has:

3247

     1.  Violated the requirements of this section or any rule

3248

adopted under this section.

3249

     2.  Been convicted in any of the courts of this state, the

3250

United States, or any other state of a felony or any other crime

3251

involving moral turpitude or involving those drugs named or

3252

described in chapter 893.

3253

     (15)  A person may not possess a prescription drug sample

3254

unless:

3255

     (a)  The drug sample was prescribed to her or him as

3256

evidenced by the label required in s. 465.0276(5).

3257

     (b)  She or he is the employee of a complimentary drug

3258

distributor that holds a permit issued under this part ss.

3259

499.001-499.081.

3260

     (c)  She or he is a person to whom prescription drug samples

3261

may be distributed pursuant to this section.

3262

     (d)  He or she is an officer or employee of a federal,

3263

state, or local government acting within the scope of his or her

3264

employment.

3265

     Section 21.  Subsections (2) and (3) of section 499.029,

3266

Florida Statutes, are amended to read:

3267

     499.029  Cancer Drug Donation Program.--

3268

     (2)  There is created a Cancer Drug Donation Program within

3269

the department of Health for the purpose of authorizing and

3270

facilitating the donation of cancer drugs and supplies to

3271

eligible patients.

3272

     (3)  As used in this section:

3273

     (a)  "Cancer drug" means a prescription drug that has been

3274

approved under s. 505 of the federal Food, Drug, and Cosmetic Act

3275

and is used to treat cancer or its side effects or is used to

3276

treat the side effects of a prescription drug used to treat

3277

cancer or its side effects. "Cancer drug" does not include a

3278

substance listed in Schedule II, Schedule III, Schedule IV, or

3279

Schedule V of s. 893.03.

3280

     (b)  "Closed drug delivery system" means a system in which

3281

the actual control of the unit-dose medication package is

3282

maintained by the facility rather than by the individual patient.

3283

     (c) "Department" means the Department of Health.

3284

     (c)(d) "Donor" means a patient or patient representative

3285

who donates cancer drugs or supplies needed to administer cancer

3286

drugs that have been maintained within a closed drug delivery

3287

system; health care facilities, nursing homes, hospices, or

3288

hospitals with closed drug delivery systems; or pharmacies, drug

3289

manufacturers, medical device manufacturers or suppliers, or  

3290

wholesalers of drugs or supplies, in accordance with this

3291

section. "Donor" includes a physician licensed under chapter 458

3292

or chapter 459 who receives cancer drugs or supplies directly

3293

from a drug manufacturer, wholesale distributor drug wholesaler,

3294

or pharmacy.

3295

     (d)(e) "Eligible patient" means a person who the department

3296

determines is eligible to receive cancer drugs from the program.

3297

     (e)(k) "Participant facility" means a class II hospital

3298

pharmacy that has elected to participate in the program and that

3299

accepts donated cancer drugs and supplies under the rules adopted

3300

by the department for the program.

3301

     (o) "Prescription drug" means a drug as defined in s.

3302

465.003(8).

3303

     (f)(p) "Program" means the Cancer Drug Donation Program

3304

created by this section.

3305

     (g)(q) "Supplies" means any supplies used in the

3306

administration of a cancer drug.

3307

     Section 22.  Subsection (1) of section 499.03, Florida

3308

Statutes, is amended to read:

3309

     499.03  Possession of certain drugs without prescriptions

3310

unlawful; exemptions and exceptions.--

3311

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

3312

sell, dispense, or deliver, any habit-forming, toxic, harmful, or

3313

new drug subject to s. 499.003(33) s. 499.003(29), or

3314

prescription legend drug as defined in s. 499.003(45) s.

3315

499.003(25), unless the possession of the drug has been obtained

3316

by a valid prescription of a practitioner licensed by law to

3317

prescribe the drug. However, this section does not apply to the

3318

delivery of such drugs to persons included in any of the classes

3319

named in this subsection, or to the agents or employees of such

3320

persons, for use in the usual course of their businesses or

3321

practices or in the performance of their official duties, as the

3322

case may be; nor does this section apply to the possession of

3323

such drugs by those persons or their agents or employees for such

3324

use:

3325

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

3326

pharmacist's supervision while acting within the scope of the

3327

licensed pharmacist's practice;

3328

     (b)  A licensed practitioner authorized by law to prescribe

3329

prescription legend drugs or any person under the licensed

3330

practitioner's supervision while acting within the scope of the

3331

licensed practitioner's practice;

3332

     (c) A qualified person who uses prescription legend drugs

3333

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

3334

     (d)  A licensed hospital or other institution that procures

3335

such drugs for lawful administration or dispensing by

3336

practitioners;

3337

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

3338

government; or

3339

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

3340

department pursuant to this part ss. 499.001-499.081 which

3341

authorizes that person to possess prescription drugs.

3342

     Section 23.  Section 499.032, Florida Statutes, is amended

3343

to read:

3344

     499.032  Phenylalanine; prescription

3345

required.--Phenylalanine restricted formula is declared to be a

3346

prescription legend drug and may be dispensed only upon the

3347

prescription of a practitioner authorized by law to prescribe

3348

prescription medicinal drugs.

3349

     Section 24.  Subsection (1) of section 499.033, Florida

3350

Statutes, is amended to read:

3351

     499.033  Ephedrine; prescription required.--Ephedrine is

3352

declared to be a prescription drug.

3353

     (1)  Except as provided in subsection (2), any product that

3354

contains any quantity of ephedrine, a salt of ephedrine, an

3355

optical isomer of ephedrine, or a salt of an optical isomer of

3356

ephedrine may be dispensed only upon the prescription of a duly

3357

licensed practitioner authorized by the laws of the state to

3358

prescribe prescription medicinal drugs.

3359

     Section 25.  Subsections (1) and (3) of section 499.039,

3360

Florida Statutes, are amended to read:

3361

     499.039  Sale, distribution, or transfer of harmful chemical

3362

substances; penalties; authority for enforcement.--It is unlawful

3363

for a person to sell, deliver, or give to a person under the age

3364

of 18 years any compound, liquid, or chemical containing toluol,

3365

hexane, trichloroethylene, acetone, toluene, ethyl acetate,

3366

methyl ethyl ketone, trichloroethane, isopropanol, methyl

3367

isobutyl ketone, ethylene glycol monomethyl ether acetate,

3368

cyclohexanone, nitrous oxide, diethyl ether, alkyl nitrites

3369

(butyl nitrite), or any similar substance for the purpose of

3370

inducing by breathing, inhaling, or ingesting a condition of

3371

intoxication or which is intended to distort or disturb the

3372

auditory, visual, or other physical or mental processes.

3373

     (1)  On the first violation of this section, the department

3374

may issue a warning according to s. 499.002(5) s. 499.071, if the

3375

violation has not caused temporary or permanent physical or

3376

mental injury to the user.

3377

     (3) The department of Health shall adopt rules to implement

3378

this section.

3379

     Section 26.  Section 499.04, Florida Statutes, is amended to

3380

read:

3381

     499.04  Fee authority.--The department may collect fees for

3382

all drug, device, and cosmetic applications, permits, product

3383

registrations, and free-sale certificates. The total amount of

3384

fees collected from all permits, applications, product

3385

registrations, and free-sale certificates must be adequate to

3386

fund the expenses incurred by the department in carrying out this

3387

part ss. 499.001-499.081. The department shall, by rule,

3388

establish a schedule of fees that are within the ranges provided

3389

in this section and shall adjust those fees from time to time

3390

based on the costs associated with administering this part ss.

3391

499.001-499.081. The fees are payable to the department to be

3392

deposited into the Florida Drug, Device, and Cosmetic Trust Fund

3393

for the sole purpose of carrying out the provisions of this part

3394

ss. 499.001-499.081.

3395

     Section 27.  Subsections (1) through (5), (8), and (10) of

3396

section 499.041, Florida Statutes, are amended to read:

3397

     499.041  Schedule of fees for drug, device, and cosmetic

3398

applications and permits, product registrations, and free-sale

3399

certificates.--

3400

     (1)  The department shall assess applicants requiring a

3401

manufacturing permit an annual fee within the ranges established

3402

in this section for the specific type of manufacturer.

3403

     (a) The fee for a prescription drug manufacturer

3404

manufacturer's permit may not be less than $500 or more than $750

3405

annually.

3406

     (b) The fee for a device manufacturer manufacturer's permit

3407

may not be less than $500 or more than $600 annually.

3408

     (c) The fee for a cosmetic manufacturer manufacturer's

3409

permit may not be less than $250 or more than $400 annually.

3410

     (d) The fee for an over-the-counter drug manufacturer

3411

manufacturer's permit may not be less than $300 or more than $400

3412

annually.

3413

     (e) The fee for a compressed medical gas manufacturer

3414

manufacturer's permit may not be less than $400 or more than $500

3415

annually.

3416

     (f) The fee for a prescription drug repackager repackager's

3417

permit may not be less than $500 or more than $750 annually.

3418

     (g)  A manufacturer may not be required to pay more than one

3419

fee per establishment to obtain an additional manufacturing

3420

permit, but each manufacturer must pay the highest fee applicable

3421

to his or her operation in each establishment.

3422

     (2)  The department shall assess an applicant that is

3423

required to have a wholesaling permit an annual fee within the

3424

ranges established in this section for the specific type of

3425

wholesaling.

3426

     (a) The fee for a prescription drug wholesale distributor

3427

wholesaler's permit may not be less than $300 or more than $800

3428

annually.

3429

     (b) The fee for a compressed medical gas wholesale

3430

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

3431

than $300 annually.

3432

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

3433

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

3434

than $800 annually.

3435

     (d)  The fee for a nonresident prescription drug

3436

manufacturer manufacturer's permit may not be less than $300 or

3437

more than $500 annually.

3438

     (e) The fee for a retail pharmacy drug wholesale

3439

distributor wholesaler's permit may not be less than $35 or more

3440

than $50 annually.

3441

     (f) The fee for a freight forwarder forwarder's permit may

3442

not be less than $200 or more than $300 annually.

3443

     (g) The fee for a veterinary prescription drug wholesale

3444

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

3445

than $500 annually.

3446

     (h)  The fee for a limited prescription drug veterinary

3447

wholesale distributor wholesaler's permit may not be less than

3448

$300 or more than $500 annually.

3449

     (3)  The department shall assess an applicant that is

3450

required to have a retail establishment permit an annual fee

3451

within the ranges established in this section for the specific

3452

type of retail establishment.

3453

     (a) The fee for a veterinary prescription legend drug

3454

retail establishment permit may not be less than $200 or more

3455

than $300 annually.

3456

     (b)  The fee for a medical oxygen retail establishment

3457

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

3458

     (4)  The department shall assess an applicant that is

3459

required to have a restricted prescription drug distributor

3460

distributor's permit an annual fee of not less than $200 or more

3461

than $300.

3462

     (5)  In addition to the fee charged for a permit required by

3463

this part ss. 499.001-499.081, the department shall assess

3464

applicants an initial application fee of $150 for each new permit

3465

issued by the department which requires an onsite inspection.

3466

     (8)  The department shall assess an out-of-state

3467

prescription drug wholesale distributor wholesaler applicant or

3468

permittee an onsite inspection fee of not less than $1,000 or

3469

more than $3,000 annually, to be based on the actual cost of the

3470

inspection if an onsite inspection is performed by agents of the

3471

department.

3472

     (10)  The department shall assess other fees as provided in

3473

this part ss. 499.001-499.081.

3474

     Section 28.  Section 499.05, Florida Statutes, is amended;

3475

subsection (3) of section 499.013, Florida Statutes, is

3476

redesignated as paragraph (k) of subsection (1) of that section

3477

and amended; paragraph (b) of subsection (2) of section 499.0122,

3478

Florida Statutes, is redesignated as paragraph (l) of subsection

3479

(1) of that section and amended; and subsection (12) of section

3480

499.012, Florida Statutes, is redesignated as paragraph (m) of

3481

subsection (1) of that section and amended, to read:

3482

     499.05  Rules.--

3483

     (1)  The department shall adopt rules to implement and

3484

enforce this part ss. 499.001-499.081 with respect to:

3485

     (a) The definition of terms used in this part ss. 499.001-

3486

499.081, and used in the rules adopted under this part ss.

3487

499.001-499.081, when the use of the term is not its usual and

3488

ordinary meaning.

3489

     (b)  Labeling requirements for drugs, devices, and

3490

cosmetics.

3491

     (c) The establishment of fees authorized in this part ss.

3492

499.001-499.081.

3493

     (d)  The identification of permits that require an initial

3494

application and onsite inspection or other prerequisites for

3495

permitting which demonstrate that the establishment and person

3496

are in compliance with the requirements of this part ss. 499.001-

3497

499.081.

3498

     (e)  The application processes and forms for product

3499

registration.

3500

     (f)  Procedures for requesting and issuing certificates of

3501

free sale.

3502

     (g)  Inspections and investigations conducted under s.

3503

499.051, and the identification of information claimed to be a

3504

trade secret and exempt from the public records law as provided

3505

in s. 499.051(7).

3506

     (h)  The establishment of a range of penalties, as provided

3507

in s. 499.066 s. 499.006; requirements for notifying persons of

3508

the potential impact of a violation of this part ss. 499.001-

3509

499.081; and a process for the uncontested settlement of alleged

3510

violations.

3511

     (i)  Additional conditions that qualify as an emergency

3512

medical reason under s. 499.003(56)(b)2. s. 499.012(1)(a)2.b.

3513

     (j) Procedures and forms relating to the pedigree paper

3514

requirement of s. 499.01212.

3515

     (k)(3) The department may adopt such rules as are necessary

3516

for The protection of the public health, safety, and welfare

3517

regarding good manufacturing practices that manufacturers and

3518

repackagers must follow to ensure the safety of the products.

3519

     (l)(b) The department shall adopt rules relating to

3520

Information required from each retail establishment pursuant to

3521

s. 499.012(3) s. 499.01(4), including requirements for

3522

prescriptions or orders.

3523

     (m)(12) The department may adopt rules governing The

3524

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

3525

distributions of prescription drugs specified in s.

3526

499.003(56)(a)-(d) subparagraphs (1)(a)1.-4.

3527

     (n) Alternatives to compliance with s. 499.01212 for a

3528

prescription drug in the inventory of a permitted prescription

3529

drug wholesale distributor as of June 30, 2006, and the return of

3530

a prescription drug purchased prior to July 1, 2006. The

3531

department may specify time limits for such alternatives.

3532

     (2)  With respect to products in interstate commerce, those

3533

rules must not be inconsistent with rules and regulations of

3534

federal agencies unless specifically otherwise directed by the

3535

Legislature.

3536

     (3)  The department shall adopt rules regulating

3537

recordkeeping for and the storage, handling, and distribution of

3538

medical devices and over-the-counter drugs to protect the public

3539

from adulterated products.

3540

     Section 29.  Section 499.051, Florida Statutes, is amended

3541

to read:

3542

     499.051  Inspections and investigations.--

3543

     (1) The agents of the department of Health and of the

3544

Department of Law Enforcement, after they present proper

3545

identification, may inspect, monitor, and investigate any

3546

establishment permitted pursuant to this part ss. 499.001-499.081

3547

during business hours for the purpose of enforcing this part ss.

3548

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

3549

department that protect the public health, safety, and welfare.

3550

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

3551

(1), the department and any duly designated officer or employee

3552

of the department may enter and inspect any other establishment

3553

for the purpose of determining compliance with this part ss.

3554

499.001-499.081 and rules adopted under this part those sections

3555

regarding any drug, device, or cosmetic product.

3556

     (3)  Any application for a permit or product registration or

3557

for renewal of such permit or registration made pursuant to this

3558

part ss. 499.001-499.081 and rules adopted under this part those

3559

sections constitutes permission for any entry or inspection of

3560

the premises in order to verify compliance with this part those

3561

sections and rules; to discover, investigate, and determine the

3562

existence of compliance; or to elicit, receive, respond to, and

3563

resolve complaints and violations.

3564

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

3565

499.012 ss. 499.01 and 499.012 and rules adopted under that

3566

section those sections constitutes permission for agents of the

3567

department of Health and the Department of Law Enforcement, after

3568

presenting proper identification, to inspect, review, and copy

3569

any financial document or record related to the manufacture,

3570

repackaging, or distribution of a drug as is necessary to verify

3571

compliance with this part ss. 499.001-499.081 and the rules

3572

adopted by the department to administer this part those sections,

3573

in order to discover, investigate, and determine the existence of

3574

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

3575

complaints and violations.

3576

     (5)  The authority to inspect under this section includes

3577

the authority to access, review, and copy any and all financial

3578

documents related to the activity of manufacturing, repackaging,

3579

or distributing prescription drugs.

3580

     (6)  The authority to inspect under this section includes

3581

the authority to secure:

3582

     (a)  Samples or specimens of any drug, device, or cosmetic;

3583

or

3584

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

3585

enforce this part ss. 499.001-499.081 and the rules adopted under

3586

this part those sections.

3587

     (7)  The complaint and all information obtained pursuant to

3588

the investigation by the department are confidential and exempt

3589

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

3590

State Constitution until the investigation and the enforcement

3591

action are completed. However, trade secret information contained

3592

therein as defined by s. 812.081(1)(c) shall remain confidential

3593

and exempt from the provisions of s. 119.07(1) and s. 24(a), Art.

3594

I of the State Constitution, as long as the information is

3595

retained by the department. This subsection does not prohibit the

3596

department from using such information for regulatory or

3597

enforcement proceedings under this chapter or from providing such

3598

information to any law enforcement agency or any other regulatory

3599

agency. However, the receiving agency shall keep such records

3600

confidential and exempt as provided in this subsection. In

3601

addition, this subsection is not intended to prevent compliance

3602

with the provisions of s. 499.01212 s. 499.0121(6)(d), and the

3603

pedigree papers required in that section subsection shall not be

3604

deemed a trade secret.

3605

     Section 30.  Section 499.052, Florida Statutes, is amended

3606

to read:

3607

     499.052  Records of interstate shipment.--For the purpose of

3608

enforcing this part ss. 499.001-499.081, carriers engaged in

3609

interstate commerce and persons receiving drugs, devices, or

3610

cosmetics in interstate commerce must, upon the request, in the

3611

manner set out below, by an officer or employee duly designated

3612

by the department, permit the officer or employee to have access

3613

to and to copy all records showing the movement in interstate

3614

commerce of any drug, device, or cosmetic, and the quantity,

3615

shipper, and consignee thereof.

3616

     Section 31.  Subsection (4) of section 499.055, Florida

3617

Statutes, is amended to read:

3618

     499.055  Reports and dissemination of information by

3619

department.--

3620

     (4)  The department shall publish on the department's

3621

website and update at least monthly:

3622

     (a) A list of the prescription drug wholesale distributors

3623

wholesalers, out-of-state prescription drug wholesale

3624

distributors wholesalers, and retail pharmacy drug wholesale

3625

distributors wholesalers against whom the department has

3626

initiated enforcement action pursuant to this part ss. 499.001-

3627

499.081 to suspend or revoke a permit, seek an injunction, or

3628

otherwise file an administrative complaint and the permit number

3629

of each such wholesale distributor wholesaler.

3630

     (b) A list of the prescription drug wholesale distributors

3631

wholesalers, out-of-state prescription drug wholesale

3632

distributors wholesalers, and retail pharmacy drug wholesale

3633

distributors wholesalers to which the department has issued a

3634

permit, including the date on which each permit will expire.

3635

     (c) A list of the prescription drug wholesale distributor

3636

wholesalers, out-of-state prescription drug wholesale distributor

3637

wholesalers, and retail pharmacy drug wholesale distributor

3638

wholesalers' permits that have been returned to the department,

3639

were suspended, were revoked, have expired, or were not renewed

3640

in the previous year.

3641

     Section 32.  Subsections (1) and (3) of section 499.06,

3642

Florida Statutes, are amended to read:

3643

     499.06  Embargoing, detaining, or destroying article or

3644

processing equipment which is in violation of law or rule.--

3645

     (1)  When a duly authorized agent of the department finds,

3646

or has probable cause to believe, that any drug, device, or

3647

cosmetic is in violation of any provision of this part ss.

3648

499.001-499.081 or any rule adopted under this part such sections

3649

so as to be dangerous, unwholesome, or fraudulent within the

3650

meaning of this part ss. 499.001-499.081, she or he may issue and

3651

enforce a stop-sale, stop-use, removal, or hold order, which

3652

order gives notice that such article or processing equipment is,

3653

or is suspected of being, in violation and has been detained or

3654

embargoed, and which order warns all persons not to remove, use,

3655

or dispose of such article or processing equipment by sale or

3656

otherwise until permission for removal, use, or disposal is given

3657

by such agent or the court. It is unlawful for any person to

3658

remove, use, or dispose of such detained or embargoed article or

3659

processing equipment by sale or otherwise without such

3660

permission; and such act is a felony of the second degree,

3661

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

3662

     (3)  If the court finds that the detained or embargoed

3663

article or processing equipment is in violation, such article or

3664

processing equipment shall, after entry of the court order, be

3665

destroyed or made sanitary at the expense of the claimant

3666

thereof, under the supervision of such agent; and all court

3667

costs, fees, and storage and other proper expenses shall be taxed

3668

against the claimant of such article or processing equipment or

3669

her or his agent. However, when the violation can be corrected by

3670

proper labeling of the article or sanitizing of the processing

3671

equipment, and after such costs, fees, and expenses have been

3672

paid and a good and sufficient bond, conditioned that such

3673

article be so labeled or processed or such processing equipment

3674

be so sanitized, has been executed, the court may by order direct

3675

that such article or processing equipment be delivered to the

3676

claimant thereof for such labeling, processing, or sanitizing,

3677

under the supervision of an agent of the department. The expense

3678

of such supervision shall be paid by the claimant. Such bond

3679

shall be returned to the claimant of the article or processing

3680

equipment upon representation to the court by the department that

3681

the article or processing equipment is no longer in violation of

3682

this part ss. 499.001-499.081 and that the expenses of such

3683

supervision have been paid.

3684

     Section 33.  Section 499.062, Florida Statutes, is amended;

3685

section 499.063, Florida Statutes, is redesignated as section (2)

3686

of that section and amended; and section 499.064, Florida

3687

Statutes, is redesignated as paragraphs (a) and (b) of subsection

3688

(2) of that section and amended, to read:

3689

     499.062 Cause for Seizure and condemnation of drugs,

3690

devices, or cosmetics.--

3691

     (1) Any article of any drug, device, or cosmetic that is

3692

adulterated or misbranded under this part ss. 499.001-499.081 is

3693

subject to seizure and condemnation by the department or by its

3694

duly authorized agents designated for that purpose in regard to

3695

drugs, devices, or cosmetics.

3696

     (2)499.063 Seizure; procedure; prohibition on sale or

3697

disposal of article; penalty.--Whenever a duly authorized officer

3698

or employee of the department finds cause, or has probable cause

3699

to believe that cause exists, for the seizure of any drug,

3700

device, or cosmetic, as set out in this part ss. 499.001-499.081,

3701

he or she shall affix to the article a tag, stamp, or other

3702

appropriate marking, giving notice that the article is, or is

3703

suspected of being, subject to seizure under this part ss.

3704

499.001-499.081 and that the article has been detained and seized

3705

by the department. Such officer or employee shall also warn all

3706

persons not to remove or dispose of the article, by sale or

3707

otherwise, until permission is given by the department or the

3708

court. Any person who violates this subsection section is guilty

3709

of a felony of the second degree, punishable as provided in s.

3710

775.082, s. 775.083, or s. 775.084.

3711

     (a)499.064 Condemnation and sale; release of seized

3712

article.--(1) When any article detained or seized under this

3713

subsection s. 499.063 has been found by the department to be

3714

subject to seizure and condemnation under s. 499.063, the

3715

department shall petition the court for an order of condemnation

3716

or sale, as the court directs. The proceeds of the sale of drugs,

3717

devices, and cosmetics, less the legal costs and charges, shall

3718

be deposited into the Florida Drug, Device, and Cosmetic Trust

3719

Fund.

3720

     (b)(2) If the department finds that any article seized

3721

under this subsection s. 499.063 was not subject to seizure under

3722

that section, the department or the designated officer or

3723

employee shall remove the tag or marking.

3724

     Section 34.  Section 499.065, Florida Statutes, is amended

3725

to read:

3726

     499.065 Inspections; imminent danger.--

3727

     (1)  Notwithstanding s. 499.051, the department shall

3728

inspect each prescription drug wholesale distributor

3729

establishment, prescription drug repackager establishment,

3730

veterinary prescription drug wholesale distributor establishment,

3731

limited prescription drug veterinary wholesale distributor

3732

wholesaler establishment, and retail pharmacy drug wholesale

3733

distributor wholesaler establishment that is required to be

3734

permitted under this part chapter as often as necessary to ensure

3735

compliance with applicable laws and rules. The department shall

3736

have the right of entry and access to these facilities at any

3737

reasonable time.

3738

     (2)  To protect the public from prescription drugs that are

3739

adulterated or otherwise unfit for human or animal consumption,

3740

the department may examine, sample, seize, and stop the sale or

3741

use of prescription drugs to determine the condition of those

3742

drugs. The department may immediately seize and remove any

3743

prescription drugs if the State Surgeon General or his or her

3744

designee determines that the prescription drugs represent a

3745

threat to the public health. The owner of any property seized

3746

under this section may, within 10 days after the seizure, apply

3747

to a court of competent jurisdiction for whatever relief is

3748

appropriate. At any time after 10 days, the department may

3749

destroy the drugs as contraband.

3750

     (3)  The department may determine that a prescription drug

3751

wholesale distributor establishment, prescription drug repackager

3752

establishment, veterinary prescription drug wholesale distributor

3753

establishment, limited prescription drug veterinary wholesale

3754

distributor wholesaler establishment, or retail pharmacy drug

3755

wholesale distributor wholesaler establishment that is required

3756

to be permitted under this part chapter is an imminent danger to

3757

the public health and shall require its immediate closure if the

3758

establishment fails to comply with applicable laws and rules and,

3759

because of the failure, presents an imminent threat to the

3760

public's health, safety, or welfare. Any establishment so deemed

3761

and closed shall remain closed until allowed by the department or

3762

by judicial order to reopen.

3763

     (4) For purposes of this section, a refusal to allow entry

3764

to the department for inspection at reasonable times, or a

3765

failure or refusal to provide the department with required

3766

documentation for purposes of inspection, constitutes an imminent

3767

danger to the public health.

3768

     Section 35.  Subsections (1) through (4) of section 499.066,

3769

Florida Statutes, are amended to read:

3770

     499.066  Penalties; remedies.--In addition to other

3771

penalties and other enforcement provisions:

3772

     (1)  The department may institute such suits or other legal

3773

proceedings as are required to enforce any provision of this part

3774

ss. 499.001-499.081. If it appears that a person has violated any

3775

provision of this part ss. 499.001-499.081 for which criminal

3776

prosecution is provided, the department may provide the

3777

appropriate state attorney or other prosecuting agency having

3778

jurisdiction with respect to such prosecution with the relevant

3779

information in the department's possession.

3780

     (2) If any person engaged in any activity covered by this

3781

part ss. 499.001-499.081 violates any provision of this part

3782

those sections, any rule adopted under this part those sections,

3783

or a cease and desist order as provided by this part those

3784

sections, the department may obtain an injunction in the circuit

3785

court of the county in which the violation occurred or in which

3786

the person resides or has its principal place of business, and

3787

may apply in that court for such temporary and permanent orders

3788

as the department considers necessary to restrain the person from

3789

engaging in any such activities until the person complies with

3790

this part ss. 499.001-499.081, the rules adopted under this part

3791

those sections, and the orders of the department authorized by

3792

this part those sections or to mandate compliance with this part

3793

ss. 499.001-499.081, the rules adopted under this part those

3794

sections, and any order or permit issued by the department under

3795

this part those sections.

3796

     (3)  The department may impose an administrative fine, not

3797

to exceed $5,000 per violation per day, for the violation of any

3798

provision of this part ss. 499.001-499.081 or rules adopted under

3799

this part those sections. Each day a violation continues

3800

constitutes a separate violation, and each separate violation is

3801

subject to a separate fine. All amounts collected pursuant to

3802

this section shall be deposited into the Florida Drug, Device,

3803

and Cosmetic Trust Fund and are appropriated for the use of the

3804

department in administering this part ss. 499.001-499.081. In

3805

determining the amount of the fine to be levied for a violation,

3806

the department shall consider:

3807

     (a)  The severity of the violation;

3808

     (b)  Any actions taken by the person to correct the

3809

violation or to remedy complaints; and

3810

     (c)  Any previous violations.

3811

     (4)  The department shall deposit any rewards, fines, or

3812

collections that are due the department and which derive from

3813

joint enforcement activities with other state and federal

3814

agencies which relate to this part ss. 499.001-499.081, chapter

3815

893, or the federal act, into the Florida Drug, Device, and

3816

Cosmetic Trust Fund. The proceeds of those rewards, fines, and

3817

collections are appropriated for the use of the department in

3818

administering this part ss. 499.001-499.081.

3819

     Section 36.  Section 499.0661, Florida Statutes, is amended

3820

to read:

3821

     499.0661  Cease and desist orders; removal of certain

3822

persons.--

3823

     (1)(2) CEASE AND DESIST ORDERS.--

3824

     (a)  In addition to any authority otherwise provided in this

3825

chapter, the department may issue and serve a complaint stating

3826

charges upon any permittee or upon any affiliated party, whenever

3827

the department has reasonable cause to believe that the person or

3828

individual named therein is engaging in or has engaged in conduct

3829

that is:

3830

     1.  An act that demonstrates a lack of fitness or

3831

trustworthiness to engage in the business authorized under the

3832

permit issued pursuant to this part ss. 499.001-499.081, is

3833

hazardous to the public health, or constitutes business

3834

operations that are a detriment to the public health;

3835

     2. A violation of any provision of this part ss. 499.001-

3836

499.081;

3837

     3.  A violation of any rule of the department;

3838

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

3839

     5.  A breach of any written agreement with the department.

3840

     (b)  The complaint must contain a statement of facts and

3841

notice of opportunity for a hearing pursuant to ss. 120.569 and

3842

120.57.

3843

     (c)  If a hearing is not requested within the time allowed

3844

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

3845

department finds that any of the charges are proven, the

3846

department may enter an order directing the permittee or the

3847

affiliated party named in the complaint to cease and desist from

3848

engaging in the conduct complained of and take corrective action

3849

to remedy the effects of past improper conduct and assure future

3850

compliance.

3851

     (d)  A contested or default cease and desist order is

3852

effective when reduced to writing and served upon the permittee

3853

or affiliated party named therein. An uncontested cease and

3854

desist order is effective as agreed.

3855

     (e)  Whenever the department finds that conduct described in

3856

paragraph (a) is likely to cause an immediate threat to the

3857

public health, it may issue an emergency cease and desist order

3858

requiring the permittee or any affiliated party to immediately

3859

cease and desist from engaging in the conduct complained of and

3860

to take corrective and remedial action. The emergency order is

3861

effective immediately upon service of a copy of the order upon

3862

the permittee or affiliated party named therein and remains

3863

effective for 90 days. If the department begins nonemergency

3864

cease and desist proceedings under this subsection, the emergency

3865

order remains effective until the conclusion of the proceedings

3866

under ss. 120.569 and 120.57.

3867

     (2)(3) REMOVAL OF AFFILIATED PARTIES BY THE DEPARTMENT.--

3868

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

3869

charges upon any affiliated party and upon the permittee involved

3870

whenever the department has reason to believe that an affiliated

3871

party is engaging in or has engaged in conduct that constitutes:

3872

     1.  An act that demonstrates a lack of fitness or

3873

trustworthiness to engage in the business authorized under the

3874

permit issued pursuant to this part ss. 499.001-499.081, is

3875

hazardous to the public health, or constitutes business

3876

operations that are a detriment to the public health;

3877

     2. A willful violation of this part ss. 499.001-499.081;

3878

however, if the violation constitutes a misdemeanor, a complaint

3879

may not be served as provided in this section until the

3880

affiliated party is notified in writing of the matter of the

3881

violation and has been afforded a reasonable period of time, as

3882

set forth in the notice, to correct the violation and has failed

3883

to do so;

3884

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

3885

turpitude which constitutes a felony;

3886

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

3887

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

3888

     6.  A material misrepresentation of fact, made knowingly and

3889

willfully or made with reckless disregard for the truth of the

3890

matter.

3891

     (b)  The complaint must contain a statement of facts and

3892

notice of opportunity for a hearing pursuant to ss. 120.569 and

3893

120.57.

3894

     (c)  If a hearing is not requested within the time allotted

3895

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

3896

department finds that any of the charges in the complaint are

3897

proven true, the department may enter an order removing the

3898

affiliated party or restricting or prohibiting participation by

3899

the person in the affairs of that permittee or of any other

3900

permittee.

3901

     (d)  A contested or default order of removal, restriction,

3902

or prohibition is effective when reduced to writing and served on

3903

the permittee and the affiliated party. An uncontested order of

3904

removal, restriction, or prohibition is effective as agreed.

3905

     (e)1.  The chief executive officer, designated

3906

representative, or the person holding the equivalent office, of a

3907

permittee shall promptly notify the department if she or he has

3908

actual knowledge that any affiliated party is charged with a

3909

felony in a state or federal court.

3910

     2.  Whenever any affiliated party is charged with a felony

3911

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

3912

the courts of any foreign country with which the United States

3913

maintains diplomatic relations, and the charge alleges violation

3914

of any law involving prescription drugs, pharmaceuticals, fraud,

3915

theft, or moral turpitude, the department may enter an emergency

3916

order suspending the affiliated party or restricting or

3917

prohibiting participation by the affiliated party in the affairs

3918

of the particular permittee or of any other permittee upon

3919

service of the order upon the permittee and the affiliated party

3920

charged. The order must contain notice of opportunity for a

3921

hearing pursuant to ss. 120.569 and 120.57, where the affiliated

3922

party may request a postsuspension hearing to show that continued

3923

service to or participation in the affairs of the permittee does

3924

not pose a threat to the public health or the interests of the

3925

permittee and does not threaten to impair public confidence in

3926

the permittee. In accordance with applicable departmental rules,

3927

the department shall notify the affiliated party whether the

3928

order suspending or prohibiting the person from participation in

3929

the affairs of a permittee will be rescinded or otherwise

3930

modified. The emergency order remains in effect, unless otherwise

3931

modified by the department, until the criminal charge is disposed

3932

of. The acquittal of the person charged, or the final, unappealed

3933

dismissal of all charges against the person, dissolves the

3934

emergency order but does not prohibit the department from

3935

instituting proceedings under paragraph (a). If the person

3936

charged is convicted or pleads guilty or nolo contendere, whether

3937

or not an adjudication of guilt is entered by the court, the

3938

emergency order shall become final.

3939

     (f)  Any affiliated party removed pursuant to this section

3940

is not eligible for reemployment by the permittee or to be an

3941

affiliated party of any permittee except upon the written consent

3942

of the department. Any affiliated party who is removed,

3943

restricted, or prohibited from participating in the affairs of a

3944

permittee pursuant to this section may petition the department

3945

for modification or termination of the removal, restriction, or

3946

prohibition.

3947

     Section 37.  Section 499.067, Florida Statutes, is amended

3948

to read:

3949

     499.067  Denial, suspension, or revocation of permit,

3950

certification, or registration.--

3951

     (1)(a)  The department may deny, suspend, or revoke a permit

3952

if it finds that there has been a substantial failure to comply

3953

with this part ss. 499.001-499.081 or chapter 465, chapter 501,

3954

or chapter 893, the rules adopted under this part any of those

3955

sections or those chapters, any final order of the department, or

3956

applicable federal laws or regulations or other state laws or

3957

rules governing drugs, devices, or cosmetics.

3958

     (b)  The department may deny an application for a permit or

3959

certification, or suspend or revoke a permit or certification, if

3960

the department finds that:

3961

     1.  The applicant is not of good moral character or that it

3962

would be a danger or not in the best interest of the public

3963

health, safety, and welfare if the applicant were issued a permit

3964

or certification.

3965

     2.  The applicant has not met the requirements for the

3966

permit or certification.

3967

     3.  The applicant is not eligible for a permit or

3968

certification for any of the reasons enumerated in s. 499.012 s.

3969

499.01 or s. 499.012(5).

3970

     4. The applicant, permittee, or person certified under s.

3971

499.012(16) s. 499.012(11) demonstrates any of the conditions

3972

enumerated in s. 499.012 s. 499.01 or s. 499.012(5).

3973

     5. The applicant, permittee, or person certified under s.

3974

499.012(16) s. 499.012(11) has committed any violation of ss.

3975

499.005-499.0054.

3976

     (2)  The department may deny, suspend, or revoke any

3977

registration required by the provisions of this part ss. 499.001-

3978

499.081 for the violation of any provision of this part ss.

3979

499.001-499.081 or of any rules adopted under this part those

3980

sections.

3981

     (3)  The department may revoke or suspend a permit:

3982

     (a)  If the permit was obtained by misrepresentation or

3983

fraud or through a mistake of the department;

3984

     (b)  If the permit was procured, or attempted to be

3985

procured, for any other person by making or causing to be made

3986

any false representation; or

3987

     (c) If the permittee has violated any provision of this

3988

part ss. 499.001-499.081 or rules adopted under this part those

3989

sections.

3990

     (4) If any permit issued under this part ss. 499.001-

3991

499.081 is revoked or suspended, the owner, manager, operator, or

3992

proprietor of the establishment shall cease to operate as the

3993

permit authorized, from the effective date of the suspension or

3994

revocation until the person is again registered with the

3995

department and possesses the required permit. If a permit is

3996

revoked or suspended, the owner, manager, or proprietor shall

3997

remove all signs and symbols that identify the operation as

3998

premises permitted as a drug wholesaling establishment; drug,

3999

device, or cosmetic manufacturing establishment; or retail

4000

establishment. The department shall determine the length of time

4001

for which the permit is to be suspended. If a permit is revoked,

4002

the person that owns or operates the establishment may not apply

4003

for any permit under this part ss. 499.001-499.081 for a period

4004

of 1 year after the date of the revocation. A revocation of a

4005

permit may be permanent if the department considers that to be in

4006

the best interest of the public health.

4007

     (5)  The department may deny, suspend, or revoke a permit

4008

issued under this part ss. 499.001-499.081 which authorizes the

4009

permittee to purchase prescription drugs, if any owner, officer,

4010

employee, or other person who participates in administering or

4011

operating the establishment has been found guilty of any

4012

violation of this part ss. 499.001-499.081 or chapter 465,

4013

chapter 501, or chapter 893, any rules adopted under this part

4014

any of those sections or those chapters, or any federal or state

4015

drug law, regardless of whether the person has been pardoned, had

4016

her or his civil rights restored, or had adjudication withheld.

4017

     (6)  The department shall deny, suspend, or revoke the

4018

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

4019

transfer, or lease of an establishment permitted under this part

4020

ss. 499.001-499.081 will avoid an administrative penalty, civil

4021

action, or criminal prosecution.

4022

     (7)  Notwithstanding s. 120.60(5), if a permittee fails to

4023

comply with s. 499.012(6) s. 499.01(7), the department may revoke

4024

the permit of the permittee and shall provide notice of the

4025

intended agency action by posting a notice at the department's

4026

headquarters and by mailing a copy of the notice of intended

4027

agency action by certified mail to the most recent mailing

4028

address on record with the department and, if the permittee is

4029

not a natural person, to the permittee's registered agent on file

4030

with the Department of State.

4031

     Section 38.  Paragraph (a) of subsection (1) of section

4032

409.9201, Florida Statutes, is amended to read:

4033

     409.9201  Medicaid fraud.--

4034

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

4035

     (a)  "Legend drug" means any drug, including, but not

4036

limited to, finished dosage forms or active ingredients that are

4037

subject to, defined by, or described by s. 503(b) of the Federal

4038

Food, Drug, and Cosmetic Act or by s. 465.003(8), s. 499.007(13)

4039

s. 499.007(12), or s. 499.003(48) or (55) s. 499.0122(1)(b) or

4040

(c).

4041

4042

The value of individual items of the legend drugs or goods or

4043

services involved in distinct transactions committed during a

4044

single scheme or course of conduct, whether involving a single

4045

person or several persons, may be aggregated when determining the

4046

punishment for the offense.

4047

     Section 39.  Paragraph (c) of subsection (9) of section

4048

460.403, Florida Statutes, is amended to read:

4049

     460.403  Definitions.--As used in this chapter, the term:

4050

     (9)

4051

     (c)1.  Chiropractic physicians may adjust, manipulate, or

4052

treat the human body by manual, mechanical, electrical, or

4053

natural methods; by the use of physical means or physiotherapy,

4054

including light, heat, water, or exercise; by the use of

4055

acupuncture; or by the administration of foods, food

4056

concentrates, food extracts, and items for which a prescription

4057

is not required and may apply first aid and hygiene, but

4058

chiropractic physicians are expressly prohibited from prescribing

4059

or administering to any person any legend drug except as

4060

authorized under subparagraph 2., from performing any surgery

4061

except as stated herein, or from practicing obstetrics.

4062

     2.  Notwithstanding the prohibition against prescribing and

4063

administering legend drugs under subparagraph 1., or s.

4064

499.01(2)(m) s. 499.0122, pursuant to board rule chiropractic

4065

physicians may order, store, and administer, for emergency

4066

purposes only at the chiropractic physician's office or place of

4067

business, prescription medical oxygen and may also order, store,

4068

and administer the following topical anesthetics in aerosol form:

4069

     a.  Any solution consisting of 25 percent ethylchloride and

4070

75 percent dichlorodifluoromethane.

4071

     b.  Any solution consisting of 15 percent

4072

dichlorodifluoromethane and 85 percent

4073

trichloromonofluoromethane.

4074

4075

However, this paragraph does not authorize a chiropractic

4076

physician to prescribe medical oxygen as defined in chapter 499.

4077

     Section 40.  Subsection (3) of section 465.0265, Florida

4078

Statutes, is amended to read:

4079

     465.0265  Centralized prescription filling.--

4080

     (3)  The filling, delivery, and return of a prescription by

4081

one pharmacy for another pursuant to this section shall not be

4082

construed as the filling of a transferred prescription as set

4083

forth in s. 465.026 or as a wholesale distribution as set forth

4084

in s. 499.003(56) s. 499.012(1)(a).

4085

     Section 41.  Section 794.075, Florida Statutes, is amended

4086

to read:

4087

     794.075  Sexual predators; erectile dysfunction drugs.--

4088

     (1)  A person may not possess a prescription drug, as

4089

defined in s. 499.003(45) s. 499.003(25), for the purpose of

4090

treating erectile dysfunction if the person is designated as a

4091

sexual predator under s. 775.21.

4092

     (2)  A person who violates a provision of this section for

4093

the first time commits a misdemeanor of the second degree,

4094

punishable as provided in s. 775.082 or s. 775.083. A person who

4095

violates a provision of this section a second or subsequent time

4096

commits a misdemeanor of the first degree, punishable as provided

4097

in s. 775.082 or s. 775.083.

4098

     Section 42.  Paragraph (a) of subsection (1) of section

4099

895.02, Florida Statutes, is amended to read:

4100

     895.02  Definitions.--As used in ss. 895.01-895.08, the

4101

term:

4102

     (1)  "Racketeering activity" means to commit, to attempt to

4103

commit, to conspire to commit, or to solicit, coerce, or

4104

intimidate another person to commit:

4105

     (a)  Any crime that is chargeable by indictment or

4106

information under the following provisions of the Florida

4107

Statutes:

4108

     1.  Section 210.18, relating to evasion of payment of

4109

cigarette taxes.

4110

     2.  Section 403.727(3)(b), relating to environmental

4111

control.

4112

     3.  Section 409.920 or s. 409.9201, relating to Medicaid

4113

fraud.

4114

     4.  Section 414.39, relating to public assistance fraud.

4115

     5.  Section 440.105 or s. 440.106, relating to workers'

4116

compensation.

4117

     6.  Section 443.071(4), relating to creation of a fictitious

4118

employer scheme to commit unemployment compensation fraud.

4119

     7.  Section 465.0161, relating to distribution of medicinal

4120

drugs without a permit as an Internet pharmacy.

4121

     8. Section 499.0051 Sections 499.0051, 499.0052, 499.00535,

4122

499.00545, and 499.0691, relating to crimes involving contraband

4123

and adulterated drugs.

4124

     9.  Part IV of chapter 501, relating to telemarketing.

4125

     10.  Chapter 517, relating to sale of securities and

4126

investor protection.

4127

     11.  Section 550.235, s. 550.3551, or s. 550.3605, relating

4128

to dogracing and horseracing.

4129

     12.  Chapter 550, relating to jai alai frontons.

4130

     13.  Section 551.109, relating to slot machine gaming.

4131

     14.  Chapter 552, relating to the manufacture, distribution,

4132

and use of explosives.

4133

     15.  Chapter 560, relating to money transmitters, if the

4134

violation is punishable as a felony.

4135

     16.  Chapter 562, relating to beverage law enforcement.

4136

     17.  Section 624.401, relating to transacting insurance

4137

without a certificate of authority, s. 624.437(4)(c)1., relating

4138

to operating an unauthorized multiple-employer welfare

4139

arrangement, or s. 626.902(1)(b), relating to representing or

4140

aiding an unauthorized insurer.

4141

     18.  Section 655.50, relating to reports of currency

4142

transactions, when such violation is punishable as a felony.

4143

     19.  Chapter 687, relating to interest and usurious

4144

practices.

4145

     20.  Section 721.08, s. 721.09, or s. 721.13, relating to

4146

real estate timeshare plans.

4147

     21.  Chapter 782, relating to homicide.

4148

     22.  Chapter 784, relating to assault and battery.

4149

     23.  Chapter 787, relating to kidnapping or human

4150

trafficking.

4151

     24.  Chapter 790, relating to weapons and firearms.

4152

     25.  Section 796.03, s. 796.035, s. 796.04, s. 796.045, s.

4153

796.05, or s. 796.07, relating to prostitution and sex

4154

trafficking.

4155

     26.  Chapter 806, relating to arson.

4156

     27.  Section 810.02(2)(c), relating to specified burglary of

4157

a dwelling or structure.

4158

     28.  Chapter 812, relating to theft, robbery, and related

4159

crimes.

4160

     29.  Chapter 815, relating to computer-related crimes.

4161

     30.  Chapter 817, relating to fraudulent practices, false

4162

pretenses, fraud generally, and credit card crimes.

4163

     31.  Chapter 825, relating to abuse, neglect, or

4164

exploitation of an elderly person or disabled adult.

4165

     32.  Section 827.071, relating to commercial sexual

4166

exploitation of children.

4167

     33.  Chapter 831, relating to forgery and counterfeiting.

4168

     34.  Chapter 832, relating to issuance of worthless checks

4169

and drafts.

4170

     35.  Section 836.05, relating to extortion.

4171

     36.  Chapter 837, relating to perjury.

4172

     37.  Chapter 838, relating to bribery and misuse of public

4173

office.

4174

     38.  Chapter 843, relating to obstruction of justice.

4175

     39.  Section 847.011, s. 847.012, s. 847.013, s. 847.06, or

4176

s. 847.07, relating to obscene literature and profanity.

4177

     40.  Section 849.09, s. 849.14, s. 849.15, s. 849.23, or s.

4178

849.25, relating to gambling.

4179

     41.  Chapter 874, relating to criminal street gangs.

4180

     42.  Chapter 893, relating to drug abuse prevention and

4181

control.

4182

     43.  Chapter 896, relating to offenses related to financial

4183

transactions.

4184

     44.  Sections 914.22 and 914.23, relating to tampering with

4185

a witness, victim, or informant, and retaliation against a

4186

witness, victim, or informant.

4187

     45.  Sections 918.12 and 918.13, relating to tampering with

4188

jurors and evidence.

4189

     Section 43.  Paragraphs (d), (f), (h), (i), and (j) of

4190

subsection (3) of section 921.0022, Florida Statutes, are amended

4191

to read:

4192

     921.0022  Criminal Punishment Code; offense severity ranking

4193

chart.--

4194

     (3)  OFFENSE SEVERITY RANKING CHART

4195

     (d)  LEVEL 4

4196

FloridaStatuteFelonyDegreeDescription

4197

316.1935(3)(a)2ndDriving at high speed or with wanton disregard for safety while fleeing or attempting to elude law enforcement officer who is in a patrol vehicle with siren and lights activated.

4198

499.0051(1)3rdFailure to maintain or deliver pedigree papers.

4199

499.0051(2)3rdFailure to authenticate pedigree papers.

4200

499.0051(6)2ndKnowing sale or delivery, or possession with intent to sell, contraband prescription legend drugs.

4201

784.07(2)(b)3rdBattery of law enforcement officer, firefighter, intake officer, etc.

4202

784.074(1)(c)3rdBattery of sexually violent predators facility staff.

4203

784.0753rdBattery on detention or commitment facility staff.

4204

784.0783rdBattery of facility employee by throwing, tossing, or expelling certain fluids or materials.

4205

784.08(2)(c)3rdBattery on a person 65 years of age or older.

4206

784.081(3)3rdBattery on specified official or employee.

4207

784.082(3)3rdBattery by detained person on visitor or other detainee.

4208

784.083(3)3rdBattery on code inspector.

4209

784.0853rdBattery of child by throwing, tossing, projecting, or expelling certain fluids or materials.

4210

787.03(1)3rdInterference with custody; wrongly takes minor from appointed guardian.

4211

787.04(2)3rdTake, entice, or remove child beyond state limits with criminal intent pending custody proceedings.

4212

787.04(3)3rdCarrying child beyond state lines with criminal intent to avoid producing child at custody hearing or delivering to designated person.

4213

790.115(1)3rdExhibiting firearm or weapon within 1,000 feet of a school.

4214

790.115(2)(b)3rdPossessing electric weapon or device, destructive device, or other weapon on school property.

4215

790.115(2)(c)3rdPossessing firearm on school property.

4216

800.04(7)(d)3rdLewd or lascivious exhibition; offender less than 18 years.

4217

810.02(4)(a)3rdBurglary, or attempted burglary, of an unoccupied structure; unarmed; no assault or battery.

4218

810.02(4)(b)3rdBurglary, or attempted burglary, of an unoccupied conveyance; unarmed; no assault or battery.

4219

810.063rdBurglary; possession of tools.

4220

810.08(2)(c)3rdTrespass on property, armed with firearm or dangerous weapon.

4221

812.014(2)(c)3.3rdGrand theft, 3rd degree $10,000 or more but less than $20,000.

4222

812.014(2)(c)4.-10.3rdGrand theft, 3rd degree, a will, firearm, motor vehicle, livestock, etc.

4223

812.0195(2)3rdDealing in stolen property by use of the Internet; property stolen $300 or more.

4224

817.563(1)3rdSell or deliver substance other than controlled substance agreed upon, excluding s. 893.03(5) drugs.

4225

817.568(2)(a)3rdFraudulent use of personal identification information.

4226

817.625(2)(a)3rdFraudulent use of scanning device or reencoder.

4227

828.125(1)2ndKill, maim, or cause great bodily harm or permanent breeding disability to any registered horse or cattle.

4228

837.02(1)3rdPerjury in official proceedings.

4229

837.021(1)3rdMake contradictory statements in official proceedings.

4230

838.0223rdOfficial misconduct.

4231

839.13(2)(a)3rdFalsifying records of an individual in the care and custody of a state agency.

4232

839.13(2)(c)3rdFalsifying records of the Department of Children and Family Services.

4233

843.0213rdPossession of a concealed handcuff key by a person in custody.

4234

843.0253rdDeprive law enforcement, correctional, or correctional probation officer of means of protection or communication.

4235

843.15(1)(a)3rdFailure to appear while on bail for felony (bond estreature or bond jumping).

4236

874.05(1)3rdEncouraging or recruiting another to join a criminal street gang.

4237

893.13(2)(a)1.2ndPurchase of cocaine (or other s. 893.03(1)(a), (b), or (d), (2)(a), (2)(b), or (2)(c)4. drugs).

4238

914.14(2)3rdWitnesses accepting bribes.

4239

914.22(1)3rdForce, threaten, etc., witness, victim, or informant.

4240

914.23(2)3rdRetaliation against a witness, victim, or informant, no bodily injury.

4241

918.123rdTampering with jurors.

4242

934.2153rdUse of two-way communications device to facilitate commission of a crime.

4243

4244

     (f)  LEVEL 6

4245

FloridaStatuteFelonyDegreeDescription

4246

316.193(2)(b)3rdFelony DUI, 4th or subsequent conviction.

4247

499.0051(3)2ndKnowing forgery of pedigree papers.

4248

499.0051(4)2ndKnowing purchase or receipt of prescription legend drug from unauthorized person.

4249

499.0051(5)2ndKnowing sale or transfer of prescription legend drug to unauthorized person.

4250

775.0875(1)3rdTaking firearm from law enforcement officer.

4251

784.021(1)(a)3rdAggravated assault; deadly weapon without intent to kill.

4252

784.021(1)(b)3rdAggravated assault; intent to commit felony.

4253

784.0413rdFelony battery; domestic battery by strangulation.

4254

784.048(3)3rdAggravated stalking; credible threat.

4255

784.048(5)3rdAggravated stalking of person under 16.

4256

784.07(2)(c)2ndAggravated assault on law enforcement officer.

4257

784.074(1)(b)2ndAggravated assault on sexually violent predators facility staff.

4258

784.08(2)(b)2ndAggravated assault on a person 65 years of age or older.

4259

784.081(2)2ndAggravated assault on specified official or employee.

4260

784.082(2)2ndAggravated assault by detained person on visitor or other detainee.

4261

784.083(2)2ndAggravated assault on code inspector.

4262

787.02(2)3rdFalse imprisonment; restraining with purpose other than those in s. 787.01.

4263

790.115(2)(d)2ndDischarging firearm or weapon on school property.

4264

790.161(2)2ndMake, possess, or throw destructive device with intent to do bodily harm or damage property.

4265

790.164(1)2ndFalse report of deadly explosive, weapon of mass destruction, or act of arson or violence to state property.

4266

790.192ndShooting or throwing deadly missiles into dwellings, vessels, or vehicles.

4267

794.011(8)(a)3rdSolicitation of minor to participate in sexual activity by custodial adult.

4268

794.05(1)2ndUnlawful sexual activity with specified minor.

4269

800.04(5)(d)3rdLewd or lascivious molestation; victim 12 years of age or older but less than 16 years; offender less than 18 years.

4270

800.04(6)(b)2ndLewd or lascivious conduct; offender 18 years of age or older.

4271

806.031(2)2ndArson resulting in great bodily harm to firefighter or any other person.

4272

810.02(3)(c)2ndBurglary of occupied structure; unarmed; no assault or battery.

4273

812.014(2)(b)1.2ndProperty stolen $20,000 or more, but less than $100,000, grand theft in 2nd degree.

4274

812.014(6)2ndTheft; property stolen $3,000 or more; coordination of others.

4275

812.015(9)(a)2ndRetail theft; property stolen $300 or more; second or subsequent conviction.

4276

812.015(9)(b)2ndRetail theft; property stolen $3,000 or more; coordination of others.

4277

812.13(2)(c)2ndRobbery, no firearm or other weapon (strong-arm robbery).

4278

817.034(4)(a)1.1stCommunications fraud, value greater than $50,000.

4279

817.4821(5)2ndPossess cloning paraphernalia with intent to create cloned cellular telephones.

4280

825.102(1)3rdAbuse of an elderly person or disabled adult.

4281

825.102(3)(c)3rdNeglect of an elderly person or disabled adult.

4282

825.1025(3)3rdLewd or lascivious molestation of an elderly person or disabled adult.

4283

825.103(2)(c)3rdExploiting an elderly person or disabled adult and property is valued at less than $20,000.

4284

827.03(1)3rdAbuse of a child.

4285

827.03(3)(c)3rdNeglect of a child.

4286

827.071(2)&(3)2ndUse or induce a child in a sexual performance, or promote or direct such performance.

4287

836.052ndThreats; extortion.

4288

836.102ndWritten threats to kill or do bodily injury.

4289

843.123rdAids or assists person to escape.

4290

847.0135(2)3rdFacilitates sexual conduct of or with a minor or the visual depiction of such conduct.

4291

914.232ndRetaliation against a witness, victim, or informant, with bodily injury.

4292

944.35(3)(a)2.3rdCommitting malicious battery upon or inflicting cruel or inhuman treatment on an inmate or offender on community supervision, resulting in great bodily harm.

4293

944.402ndEscapes.

4294

944.463rdHarboring, concealing, aiding escaped prisoners.

4295

944.47(1)(a)5.2ndIntroduction of contraband (firearm, weapon, or explosive) into correctional facility.

4296

951.22(1)3rdIntoxicating drug, firearm, or weapon introduced into county facility.

4297

4298

     (h)  LEVEL 8

4299

FloridaStatuteFelonyDegreeDescription

4300

316.193(3)(c)3.a.2ndDUI manslaughter.

4301

316.1935(4)(b)1stAggravated fleeing or attempted eluding with serious bodily injury or death.

4302

327.35(3)(c)3.2ndVessel BUI manslaughter.

4303

499.0051(8) 499.0051(7)1stKnowing forgery of prescription labels or prescription legend drug labels.

4304

499.0051(7) 499.00521stKnowing trafficking in contraband prescription legend drugs.

4305

560.123(8)(b)2.2ndFailure to report currency or payment instruments totaling or exceeding $20,000, but less than $100,000 by money transmitter.

4306

560.125(5)(b)2ndMoney transmitter business by unauthorized person, currency or payment instruments totaling or exceeding $20,000, but less than $100,000.

4307

655.50(10)(b)2.2ndFailure to report financial transactions totaling or exceeding $20,000, but less than $100,000 by financial institutions.

4308

777.03(2)(a)1stAccessory after the fact, capital felony.

4309

782.04(4)2ndKilling of human without design when engaged in act or attempt of any felony other than arson, sexual battery, robbery, burglary, kidnapping, aircraft piracy, or unlawfully discharging bomb.

4310

782.051(2)1stAttempted felony murder while perpetrating or attempting to perpetrate a felony not enumerated in s. 782.04(3).

4311

782.071(1)(b)1stCommitting vehicular homicide and failing to render aid or give information.

4312

782.072(2)1stCommitting vessel homicide and failing to render aid or give information.

4313

790.161(3)1stDischarging a destructive device which results in bodily harm or property damage.

4314

794.011(5)2ndSexual battery, victim 12 years or over, offender does not use physical force likely to cause serious injury.

4315

794.08(3)2ndFemale genital mutilation, removal of a victim younger than 18 years of age from this state.

4316

800.04(4)2ndLewd or lascivious battery.

4317

806.01(1)1stMaliciously damage dwelling or structure by fire or explosive, believing person in structure.

4318

810.02(2)(a)1st,PBLBurglary with assault or battery.

4319

810.02(2)(b)1st,PBLBurglary; armed with explosives or dangerous weapon.

4320

810.02(2)(c)1stBurglary of a dwelling or structure causing structural damage or $1,000 or more property damage.

4321

812.014(2)(a)2.1stProperty stolen; cargo valued at $50,000 or more, grand theft in 1st degree.

4322

812.13(2)(b)1stRobbery with a weapon.

4323

812.135(2)(c)1stHome-invasion robbery, no firearm, deadly weapon, or other weapon.

4324

817.568(6)2ndFraudulent use of personal identification information of an individual under the age of 18.

4325

825.102(2)2ndAggravated abuse of an elderly person or disabled adult.

4326

825.1025(2)2ndLewd or lascivious battery upon an elderly person or disabled adult.

4327

825.103(2)(a)1stExploiting an elderly person or disabled adult and property is valued at $100,000 or more.

4328

837.02(2)2ndPerjury in official proceedings relating to prosecution of a capital felony.

4329

837.021(2)2ndMaking contradictory statements in official proceedings relating to prosecution of a capital felony.

4330

860.121(2)(c)1stShooting at or throwing any object in path of railroad vehicle resulting in great bodily harm.

4331

860.161stAircraft piracy.

4332

893.13(1)(b)1stSell or deliver in excess of 10 grams of any substance specified in s. 893.03(1)(a) or (b).

4333

893.13(2)(b)1stPurchase in excess of 10 grams of any substance specified in s. 893.03(1)(a) or (b).

4334

893.13(6)(c)1stPossess in excess of 10 grams of any substance specified in s. 893.03(1)(a) or (b).

4335

893.135(1)(a)2.1stTrafficking in cannabis, more than 2,000 lbs., less than 10,000 lbs.

4336

893.135(1)(b)1.b.1stTrafficking in cocaine, more than 200 grams, less than 400 grams.

4337

893.135(1)(c)1.b.1stTrafficking in illegal drugs, more than 14 grams, less than 28 grams.

4338

893.135(1)(d)1.b.1stTrafficking in phencyclidine, more than 200 grams, less than 400 grams.

4339

893.135(1)(e)1.b.1stTrafficking in methaqualone, more than 5 kilograms, less than 25 kilograms.

4340

893.135(1)(f)1.b.1stTrafficking in amphetamine, more than 28 grams, less than 200 grams.

4341

893.135(1)(g)1.b.1stTrafficking in flunitrazepam, 14 grams or more, less than 28 grams.

4342

893.135(1)(h)1.b.1stTrafficking in gamma-hydroxybutyric acid (GHB), 5 kilograms or more, less than 10 kilograms.

4343

893.135(1)(j)1.b.1stTrafficking in 1,4-Butanediol, 5 kilograms or more, less than 10 kilograms.

4344

893.135(1)(k)2.b.1stTrafficking in Phenethylamines, 200 grams or more, less than 400 grams.

4345

895.03(1)1stUse or invest proceeds derived from pattern of racketeering activity.

4346

895.03(2)1stAcquire or maintain through racketeering activity any interest in or control of any enterprise or real property.

4347

895.03(3)1stConduct or participate in any enterprise through pattern of racketeering activity.

4348

896.101(5)(b)2ndMoney laundering, financial transactions totaling or exceeding $20,000, but less than $100,000.

4349

896.104(4)(a)2.2ndStructuring transactions to evade reporting or registration requirements, financial transactions totaling or exceeding $20,000 but less than $100,000.

4350

4351

     (i)  LEVEL 9

4352

FloridaStatuteFelonyDegreeDescription

4353

316.193(3)(c)3.b.1stDUI manslaughter; failing to render aid or give information.

4354

327.35(3)(c)3.b.1stBUI manslaughter; failing to render aid or give information.

4355

499.0051(9) 499.005351stKnowing sale or purchase of contraband prescription legend drugs resulting in great bodily harm.

4356

560.123(8)(b)3.1stFailure to report currency or payment instruments totaling or exceeding $100,000 by money transmitter.

4357

560.125(5)(c)1stMoney transmitter business by unauthorized person, currency, or payment instruments totaling or exceeding $100,000.

4358

655.50(10)(b)3.1stFailure to report financial transactions totaling or exceeding $100,000 by financial institution.

4359

775.08441stAggravated white collar crime.

4360

782.04(1)1stAttempt, conspire, or solicit to commit premeditated murder.

4361

782.04(3)1st,PBLAccomplice to murder in connection with arson, sexual battery, robbery, burglary, and other specified felonies.

4362

782.051(1)1stAttempted felony murder while perpetrating or attempting to perpetrate a felony enumerated in s. 782.04(3).

4363

782.07(2)1stAggravated manslaughter of an elderly person or disabled adult.

4364

787.01(1)(a)1.1st,PBLKidnapping; hold for ransom or reward or as a shield or hostage.

4365

787.01(1)(a)2.1st,PBLKidnapping with intent to commit or facilitate commission of any felony.

4366

787.01(1)(a)4.1st,PBLKidnapping with intent to interfere with performance of any governmental or political function.

4367

787.02(3)(a)1stFalse imprisonment; child under age 13; perpetrator also commits aggravated child abuse, sexual battery, or lewd or lascivious battery, molestation, conduct, or exhibition.

4368

790.1611stAttempted capital destructive device offense.

4369

790.166(2)1st,PBLPossessing, selling, using, or attempting to use a weapon of mass destruction.

4370

794.011(2)1stAttempted sexual battery; victim less than 12 years of age.

4371

794.011(2)LifeSexual battery; offender younger than 18 years and commits sexual battery on a person less than 12 years.

4372

794.011(4)1stSexual battery; victim 12 years or older, certain circumstances.

4373

794.011(8)(b)1stSexual battery; engage in sexual conduct with minor 12 to 18 years by person in familial or custodial authority.

4374

794.08(2)1stFemale genital mutilation; victim younger than 18 years of age.

4375

800.04(5)(b)LifeLewd or lascivious molestation; victim less than 12 years; offender 18 years or older.

4376

812.13(2)(a)1st,PBLRobbery with firearm or other deadly weapon.

4377

812.133(2)(a)1st,PBLCarjacking; firearm or other deadly weapon.

4378

812.135(2)(b)1stHome-invasion robbery with weapon.

4379

817.568(7)2nd,PBLFraudulent use of personal identification information of an individual under the age of 18 by his or her parent, legal guardian, or person exercising custodial authority.

4380

827.03(2)1stAggravated child abuse.

4381

847.0145(1)1stSelling, or otherwise transferring custody or control, of a minor.

4382

847.0145(2)1stPurchasing, or otherwise obtaining custody or control, of a minor.

4383

859.011stPoisoning or introducing bacteria, radioactive materials, viruses, or chemical compounds into food, drink, medicine, or water with intent to kill or injure another person.

4384

893.1351stAttempted capital trafficking offense.

4385

893.135(1)(a)3.1stTrafficking in cannabis, more than 10,000 lbs.

4386

893.135(1)(b)1.c.1stTrafficking in cocaine, more than 400 grams, less than 150 kilograms.

4387

893.135(1)(c)1.c.1stTrafficking in illegal drugs, more than 28 grams, less than 30 kilograms.

4388

893.135(1)(d)1.c.1stTrafficking in phencyclidine, more than 400 grams.

4389

893.135(1)(e)1.c.1stTrafficking in methaqualone, more than 25 kilograms.

4390

893.135(1)(f)1.c.1stTrafficking in amphetamine, more than 200 grams.

4391

893.135(1)(h)1.c.1stTrafficking in gamma-hydroxybutyric acid (GHB), 10 kilograms or more.

4392

893.135(1)(j)1.c.1stTrafficking in 1,4-Butanediol, 10 kilograms or more.

4393

893.135(1)(k)2.c.1stTrafficking in Phenethylamines, 400 grams or more.

4394

896.101(5)(c)1stMoney laundering, financial instruments totaling or exceeding $100,000.

4395

896.104(4)(a)3.1stStructuring transactions to evade reporting or registration requirements, financial transactions totaling or exceeding $100,000.

4396

4397

     (j)  LEVEL 10

4398

FloridaStatuteFelonyDegreeDescription

4399

499.0051(10) 499.005451stKnowing sale or purchase of contraband prescription legend drugs resulting in death.

4400

782.04(2)1st,PBLUnlawful killing of human; act is homicide, unpremeditated.

4401

787.01(1)(a)3.1st,PBLKidnapping; inflict bodily harm upon or terrorize victim.

4402

787.01(3)(a)LifeKidnapping; child under age 13, perpetrator also commits aggravated child abuse, sexual battery, or lewd or lascivious battery, molestation, conduct, or exhibition.

4403

782.07(3)1stAggravated manslaughter of a child.

4404

794.011(3)LifeSexual battery; victim 12 years or older, offender uses or threatens to use deadly weapon or physical force to cause serious injury.

4405

812.135(2)(a)1st,PBLHome-invasion robbery with firearm or other deadly weapon.

4406

876.321stTreason against the state.

4407

4408

     Section 44.  This act shall take effect July 1, 2008.

CODING: Words stricken are deletions; words underlined are additions.