Florida Senate - 2008 CS for CS for SB 2756

By the Committees on Judiciary; Health Regulation; and Senator Peaden

590-08217-08 20082756c2

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A bill to be entitled

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

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

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

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section to include administration and enforcement of,

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exemptions from, and purpose of the part; amending and

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

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

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

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revising and providing definitions; amending and

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redesignating provisions in ss. 499.012, 499.029, and

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

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

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provisions to changes made by the act, including the

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substitution of the term "prescription drug" for the term

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

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

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with regard to criminal acts; consolidating criminal act

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

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redesignating ss. 499.0052, 499.00535, 499.00545, 499.069,

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

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section; providing penalties; conforming provisions to

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

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relating to advertising and labeling of drugs, devices,

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and cosmetics to include certain exemptions; amending and

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

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provisions relating to those functions in that section;

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

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

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conforming provisions to changes made by the act;

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

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active pharmaceutical ingredient in bulk form and does not

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bear a label containing certain information; amending ss.

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

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

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providing that the section relates only to permits;

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requiring a permit to operate as a third party logistics

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provider and a health care clinic establishment; providing

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requirements for obtaining a permit to operate in certain

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capacities; deleting certain permit requirements;

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providing an exemption for a nonresident prescription drug

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manufacturer permit; providing requirements for such

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exemption; providing requirements for a third party

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logistics provider permit and a health care clinic

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establishment permit; amending and redesignating

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provisions of ss. 499.013, and 499.014, F.S., relating to

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such functions as provisions of that section; conforming

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provisions and cross-references to changes made by the

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

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relates to permit application requirements; providing that

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a separate establishment permit is not required when a

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permitted prescription drug wholesale distributor operates

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temporary transit storage facilities for the sole purpose

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of storage; amending the provisions to conform; amending

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and redesignating provisions of s. 499.01, F.S., relating

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to such functions as provisions of that section;

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conforming provisions and cross-references to changes made

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by the act; amending s. 499.01201, F.S.; conforming

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provisions to changes made by the act; amending s.

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499.0121, F.S., relating to storage and handling of

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prescription drugs and recordkeeping; directing the

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department to adopt rules requiring a wholesale

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distributor to maintain pedigree papers separate and

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distinct from other required records; deleting a

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requirement that a person who is engaged in the wholesale

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distribution of a prescription drug and who is not the

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manufacturer of that drug provide a pedigree paper to the

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person who receives the drug; deleting the department's

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requirement to adopt rules with regard to recordkeeping by

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affiliated groups; conforming provisions and cross-

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references to changes made by the act; amending and

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

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

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

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references to changes made by the act; creating s.

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

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wholesale distribution of a prescription drug to provide a

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pedigree paper to the person who receives the drug;

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requiring certain information in a pedigree paper;

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requiring a wholesale distributor to maintain and make

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available to the department certain information; providing

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exceptions to the requirement of a pedigree paper;

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

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and veterinary legend drug retail establishments;

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

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

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

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conforming provisions and cross-references to changes made

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

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conforming terminology to changes made by the act;

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

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cross-reference; amending ss. 499.04, F.S.; conforming

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provisions to changes made by the act; amending s.

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

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the act; requiring the department to assess an annual fee

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for a third part logistic provider permit and a health

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care clinic establishment permit; amending s. 499.05,

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F.S.; conforming provisions to changes made by the act;

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requiring the department to adopt rules with regard to

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procedures and forms relating to pedigree paper

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requirements, alternatives to compliance with the

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requirement of certain pedigree papers, and the return of

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prescription drugs purchased before a specified date;

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amending and redesignating provisions of ss. 499.013 and

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

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

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

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

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providing that the section relates to seizure and

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condemnation of drugs, devices, or cosmetics; conforming a

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provision to changes made by the act; amending and

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

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relating to such functions in that section; amending ss.

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

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provisions and cross-references to changes made by the

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

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895.02, and 921.0022, F.S.; conforming provisions to

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changes made by the act; conforming cross-references to

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changes made by the act; providing an effective date.

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

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

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section 499.004, Florida Statutes, is redesignated as subsection

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

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

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amended; section 499.07, Florida Statutes, is redesignated as

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

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

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

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

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read:

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     499.002 Purpose, administration, and enforcement of and

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

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

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

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welfare by protecting the public from injury by product use and

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by merchandising deceit involving drugs, devices, and cosmetics.

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

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far as practicable in conformity with the provisions of, and

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regulations issued under the authority of, the Federal Food,

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

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Commission Act which expressly prohibits the false advertisement

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of drugs, devices, and cosmetics.

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

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laws, and their administration and enforcement, throughout the

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United States.

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     (2) 499.004 Administration and enforcement by

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department.--The department of Health shall administer and

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

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adulteration, misbranding, or false advertising in the

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preparation, manufacture, repackaging, or distribution of drugs,

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devices, and cosmetics.

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

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

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investigation or proceeding conducted by the department under

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

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

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

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documents, or other evidence. The department shall exercise this

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

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

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120.569.

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

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attorney, county attorney, or municipal attorney to whom the

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department or its designated agent reports any violation of this

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part ss. 499.001-499.081 shall cause appropriate proceedings to

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be instituted in the proper courts without delay and to be

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prosecuted in the manner required by law.

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     (5) 499.071 Issuance of warnings for minor

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

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require the department to report, for the institution of

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

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

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interest will be adequately served in the circumstances by a

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suitable written notice or warning.

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     (6) 499.081 Carriers in interstate commerce exempted from

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ss. 499.001-499.081.--Common carriers engaged in interstate

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

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are engaged in the usual course of business as common carriers.

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

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

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

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

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

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

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

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(26), (27), (35), (40), and (41), and, respectively, of that

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

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

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section and amended, to read:

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

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

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     (1)  "Advertisement" means any representation disseminated

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

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

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

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

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

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

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retail pharmacies, warehouses, or repackagers, which are members

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of the same affiliated group. The affiliated group must disclose

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the names of all its members to the department.

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     (3)(2) "Affiliated party" means:

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

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member of a permittee or applicant or a subsidiary or service

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corporation of the permittee or applicant;

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

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

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regardless of whether such person is a partner, shareholder,

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

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employee of the permittee or applicant;

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

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

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

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

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499.012(3); or

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

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5 percent of the permittee or applicant.

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

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certification under this part ss. 499.001-499.081.

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

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receipt before any distribution of a prescription legend drug

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occurs that each transaction listed on the pedigree paper has

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occurred.

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     (a) A wholesale distributor is not required to open a

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sealed, medical convenience kit to authenticate a pedigree paper

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for a prescription drug contained within the kit.

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     (b) Authentication of a prescription drug included in a

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sealed, medical convenience kit shall be limited to verifying the

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transaction and pedigree information received.

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

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

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

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legally sold in the state.

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     (7) "Chain pharmacy warehouse" means a wholesale

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distributor permitted pursuant to s. 499.01 that maintains a

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physical location for prescription drugs that functions solely as

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a central warehouse to perform intracompany transfers of such

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drugs to a member of its affiliated group.

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

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under chapter 465 and purchases prescription drugs for use by a

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limited patient population and not for wholesale distribution or

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

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

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grays.

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

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material that has been or hereafter is exempt under the federal

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act, a material that:

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

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

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otherwise derived, with or without intermediate or final change

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

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or

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

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

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reaction with other substances, of imparting color thereto;

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

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or hereafter is exempt under the federal act.

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

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

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in combination with other gases.

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

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

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as defined in this section, and also means any prescription

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

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which the pedigree paper in existence has been forged,

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

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or misrepresented matter.

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

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soap, that is:

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

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

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any part thereof for cleansing, beautifying, promoting

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attractiveness, or altering the appearance; or

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

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except that the term does not include soap.

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

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"counterfeit drug, counterfeit device, or counterfeit cosmetic"

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

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

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

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

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

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

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device, or cosmetic and which thereby falsely purports or is

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

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distributed by, that other drug, device, or cosmetic

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manufacturer, processor, packer, or distributor.

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

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

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

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other similar or related article, including its components,

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parts, or accessories, which is:

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

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Pharmacopoeia and National Formulary, or any supplement thereof,

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

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

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animals, or

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

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body of humans or other animals,

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and that which does not achieve any of its principal intended

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purposes through chemical action within or on the body of humans

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or other animals and which is not dependent upon being

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metabolized for the achievement of any of its principal intended

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purposes.

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

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

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

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

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

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from a manufacturer to a wholesale distributor, where the

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

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prescription drug and the manufacturer of the prescription drug

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ships the prescription drug directly to a chain pharmacy

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warehouse or a person authorized by law to purchase prescription

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

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defined in s. 465.003.

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

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prescription drugs" means an adulterated drug pursuant to s.

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499.006(10).

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

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

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Pharmacopoeia and National Formulary, official Homeopathic

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

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those publications;

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

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

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animals;

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

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body of humans or other animals; or

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

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

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does not include devices or their components, parts, or

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accessories.

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

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general physical location.

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

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

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

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prescription legend drugs which are owned by another person and

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designated by that person for export, and exports those

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prescription legend drugs.

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

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any person, organization, or business entity that provides

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

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chronic or rehabilitative care, but does not include any

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wholesale distributor or retail pharmacy licensed under state law

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to deal in prescription drugs.

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

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licensed under chapter 395.

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

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IV of chapter 400.

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

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395.002 and licensed under chapter 395.

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

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liners.

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

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

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

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

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

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

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other information also appears on the outside container or

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

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cosmetic or is easily legible through the outside container or

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wrapper.

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

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printed, or graphic matters:

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

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containers or wrappers; or

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

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cosmetic.

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

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

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

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

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

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(c).

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

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printed, or graphic matter upon the immediate container of any

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legend drug prior to its dispensing to an individual patient

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pursuant to a prescription of a practitioner authorized by law to

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prescribe.

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

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compounding, propagation, processing, producing, or fabrication

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of any drug, device, or cosmetic.

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     (31)(28) "Manufacturer" means:

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     (a) A person who prepares, derives, manufactures, or

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produces a drug, device, or cosmetic.

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     (b) The holder or holders of a New Drug Application (NDA),

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an Abbreviated New Drug Application (ANDA), a Biologics License

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Application (BLA), or a New Animal Drug Application (NADA),

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provided such application has become effective or is otherwise

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approved consistent with s. 499.023; a private label distributor

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for whom the private label distributor's prescription drugs are

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originally manufactured and labeled for the distributor and have

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not been repackaged; or the distribution point for the

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manufacturer, contract manufacturer, or private label distributor

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whether the establishment is a member of the manufacturer's

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affiliated group or is a contract distribution site.

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The term excludes pharmacies that are operating in compliance

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with pharmacy practice standards as defined in chapter 465 and

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rules adopted under that chapter.

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     (32)(29) "New drug" means:

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

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is not generally recognized, among experts qualified by

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scientific training and experience to evaluate the safety and

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

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conditions prescribed, recommended, or suggested in the labeling

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of that drug; or

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

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

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effectiveness for use under certain conditions, has been

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

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other than in those investigations, been used to a material

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extent or for a material time under such conditions.

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     (33) "Normal distribution chain" means a wholesale

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distribution of a prescription drug in which the wholesale

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distributor or its wholly owned subsidiary purchases and receives

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the specific unit of the prescription drug directly from the

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manufacturer and distributes the prescription drug directly, or

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through up to two intracompany transfers, to a chain pharmacy

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warehouse or a person authorized by law to purchase prescription

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

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

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"intracompany" means any transaction or transfer between any

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parent, division, or subsidiary wholly owned by a corporate

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entity.

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

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II of chapter 400.

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

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the official United States Pharmacopoeia and National Formulary,

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or any supplement thereto.

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     (36)(31) "Pedigree paper" means:

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

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electronic form approved by the department which contains of

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Health and containing information required by s. 499.01212

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regarding the sale and that records each distribution of any

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given prescription legend drug, from sale by a pharmaceutical

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manufacturer, through acquisition and sale by any wholesaler or

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repackager, until final sale to a pharmacy or other person

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administering or dispensing the drug. The information required to

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be included on the form approved by the department pursuant to

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this paragraph must at least detail the amount of the legend

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

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

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signature; its shipping information, including the name and

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address of each person certifying delivery or receipt of the

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

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another number uniquely identifying the transaction; and a

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certification that the recipient wholesaler has authenticated the

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pedigree papers. If the manufacturer or repackager has uniquely

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serialized the individual legend drug unit, that identifier must

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

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

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available, e-mail contact information of each wholesaler involved

462

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

463

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

464

confirming that a wholesale distributor purchases and receives

465

the specific unit of the prescription drug directly from the

466

manufacturer of the prescription drug and distributes the

467

prescription drug directly, or through an intracompany transfer,

468

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

469

purchase prescription drugs for the purpose of administering or

470

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

471

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

472

wholesale distributor permitted pursuant to s. 499.01 that

473

maintains a physical location for prescription drugs that

474

functions solely as a central warehouse to perform intracompany

475

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

476

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

477

     1. The information required to be included pursuant to this

478

paragraph must include:

479

     a. The following statement: "This wholesale distributor

480

purchased the specific unit of the prescription drug directly

481

from the manufacturer."

482

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

483

name and address of the wholesaler and the purchaser of the

484

prescription drug.

485

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

486

label.

487

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

488

prescription drug.

489

     2. The wholesale distributor must also maintain and make

490

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

491

the prescription drugs, including intracompany transfers; the

492

date of the shipment from the manufacturer to the wholesale

493

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

494

numbers from the manufacturer.

495

496

The department may adopt rules and forms relating to the

497

requirements of this subsection.

498

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

499

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

500

s. 499.012.

501

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

502

venture, syndicate, fiduciary, partnership, corporation, division

503

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

504

public or private institution, association, organization, group,

505

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

506

state, other governmental agency within this state, and any

507

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

508

other group or combination of the foregoing.

509

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

510

465.

511

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

512

465.

513

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

514

originally was in finished packaged form sealed by a manufacturer

515

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

516

or practitioner authorized to dispense pursuant to chapter 465

517

for the purpose of dispensing in the establishment in which the

518

prepackaging occurred.

519

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

520

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

521

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

522

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

523

465.003(8), s. 499.007(13), or subsection (11), subsection (47),

524

or subsection (54).

525

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

526

written, printed, or graphic matter upon the immediate container

527

of any prescription drug prior to its dispensing to an individual

528

patient pursuant to a prescription of a practitioner authorized

529

by law to prescribe.

530

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

531

printed, or graphic matter upon the immediate container of any

532

prescription legend drug dispensed pursuant to a prescription of

533

a practitioner authorized by law to prescribe.

534

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

535

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

536

prescription of a practitioner authorized by law to prescribe.

537

The label of prescription medical oxygen must comply with current

538

labeling requirements for oxygen under the Federal Food, Drug,

539

and Cosmetic Act.

540

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

541

any wholesale distributor that:

542

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

543

volume of its purchases of prescription drugs directly from

544

manufacturers in the previous year; and

545

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

546

fewer than 50 different prescription drug manufacturers in the

547

previous year; or

548

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

549

the Internal Revenue Code, of which the wholesale distributor is

550

a member has, not fewer than 250 employees.

551

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

552

manufacturers a manufacturer" means:

553

     1.  Purchases made by the wholesale distributor directly

554

from the manufacturer of prescription drugs; and

555

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

556

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

557

wholesale distributor is a member, if:

558

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

559

total dollar volume of its purchases of prescription drugs from

560

the manufacturer in the previous year; and

561

     b.  The wholesale distributor discloses to the department

562

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

563

wholesale distributor is a member and the affiliated group agrees

564

in writing to provide records on prescription drug purchases by

565

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

566

the department requests access to such records, regardless of the

567

location where the records are stored.

568

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

569

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

570

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

571

manufacturer or primary distributor thereof, is not misbranded

572

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

573

purchased without a prescription.

574

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

575

changing the container, wrapper, or labeling to further the

576

distribution of the drug, device, or cosmetic.

577

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

578

term excludes pharmacies that are operating in compliance with

579

pharmacy practice standards as defined in chapter 465 and rules

580

adopted under that chapter.

581

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

582

licensed under chapter 465 that purchases prescription drugs at

583

fair market prices and provides prescription services to the

584

public.

585

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

586

a wholesale distributor that is not a primary wholesale

587

distributor wholesaler.

588

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

589

prescription legend drug intended solely for veterinary use. The

590

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

591

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

592

veterinarian."

593

     (40) "Veterinary prescription drug wholesaler" means any

594

person engaged in wholesale distribution of veterinary

595

prescription drugs in or into this state.

596

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

597

prescription drugs to persons other than a consumer or patient,

598

but does not include:

599

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

600

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

601

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

602

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

603

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

604

organization of a prescription drug for its own use from the

605

group purchasing organization or from other hospitals or health

606

care entities that are members of that organization.

607

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

608

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

609

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

610

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

611

affiliate of the organization to the extent otherwise permitted

612

by law.

613

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

614

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

615

hospitals or other health care entities that are under common

616

control. For purposes of this subparagraph section, "common

617

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

618

management and policies of a person or an organization, whether

619

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

620

otherwise.

621

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

622

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

623

government agency or any entity eligible to purchase prescription

624

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

625

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

626

eligible patients of the agency or entity under the following

627

conditions:

628

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

629

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

630

a prescription drug under this subparagraph sub-subparagraph from

631

the State Surgeon General or his or her designee.

632

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

633

authorized by law to administer or dispense prescription drugs.

634

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

635

entity must be a party to and execute the subcontract.

636

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

637

separate and apart from other prescription drug inventory any

638

prescription drugs of the agency or entity in its possession.

639

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

640

and produce immediately for inspection all records of movement or

641

transfer of all the prescription drugs belonging to the agency or

642

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

643

disposition of prescription drugs. Each contractor and

644

subcontractor dispensing or administering these drugs must

645

maintain and produce records documenting the dispensing or

646

administration. Records that are required to be maintained

647

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

648

drugs received and drugs dispensed by prescription number or

649

administered by patient identifier, which must be submitted to

650

the agency or entity quarterly.

651

     f.(VI) The contract provider or subcontractor may

652

administer or dispense the prescription drugs only to the

653

eligible patients of the agency or entity or must return the

654

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

655

provider or subcontractor must require proof from each person

656

seeking to fill a prescription or obtain treatment that the

657

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

658

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

659

records of the contractor or subcontractor required under sub-

660

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

661

     g.(VII) In addition to the departmental inspection

662

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

663

contract provider and subcontractor and all records pertaining to

664

prescription drugs subject to this subparagraph sub-subparagraph

665

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

666

records relating to prescription drugs of a manufacturer under

667

this subparagraph sub-subparagraph shall be subject to audit by

668

the manufacturer of those drugs, without identifying individual

669

patient information.

670

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

671

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

672

accordance with rules established by the department:

673

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

674

among federal, state, or local government health care entities

675

that are under common control and are authorized to purchase such

676

prescription drug.

677

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

678

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

679

emergency medical reasons. For purposes of this subparagraph sub-

680

subparagraph, the term "emergency medical reasons" includes

681

transfers of prescription drugs by a retail pharmacy to another

682

retail pharmacy to alleviate a temporary shortage.

683

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

684

medical director on behalf of a licensed emergency medical

685

services provider to that emergency medical services provider and

686

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

687

license under chapter 401.

688

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

689

prescription drug to the person's prescription drug wholesale

690

supplier.

691

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

692

entity to a charitable organization that has been granted an

693

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

694

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

695

drugs.

696

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

697

authorized to purchase or receive prescription drugs to a person

698

licensed or permitted to handle reverse distributions or

699

destruction under the laws of the jurisdiction in which the

700

person handling the reverse distribution or destruction receives

701

the drug.

702

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

703

other health care entity to a person licensed under this part

704

chapter to repackage prescription drugs for the purpose of

705

repackaging the prescription drug for use by that hospital, or

706

other health care entity and other health care entities that are

707

under common control, if ownership of the prescription drugs

708

remains with the hospital or other health care entity at all

709

times. In addition to the recordkeeping requirements of s.

710

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

711

prescription drugs pursuant to this subparagraph sub-subparagraph

712

must reconcile all drugs transferred and returned and resolve any

713

discrepancies in a timely manner.

714

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

715

manufacturers' representatives or distributors' representatives

716

conducted in accordance with s. 499.028.

717

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

718

components intended for transfusion. As used in this paragraph

719

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

720

single donor and processed either for transfusion or further

721

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

722

the blood separated by physical or mechanical means.

723

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

724

accordance with chapter 465.

725

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

726

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

727

consolidation of all or part of the business of the pharmacies

728

from or with another pharmacy, whether accomplished as a purchase

729

and sale of stock or of business assets.

730

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

731

wholesale distribution of prescription drugs in or into this

732

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

733

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

734

brokers; warehouses, including manufacturers' and distributors'

735

warehouses, chain drug warehouses, and wholesale drug warehouses;

736

independent wholesale drug traders; exporters; retail pharmacies;

737

and the agents thereof that conduct wholesale distributions.

738

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

739

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

740

Florida Statutes, are amended to read:

741

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

742

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

743

this state:

744

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

745

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

746

part ss. 499.001-499.081.

747

     (10)  Forging; counterfeiting; simulating; falsely

748

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

749

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

750

or other identification device authorized or required by rules

751

adopted under this part ss. 499.001-499.081.

752

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

753

advertisement relating to such drug, of any representation or

754

suggestion that an application of the drug is effective when it

755

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

756

499.081 when it does not.

757

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

758

ss. 499.001-499.081.

759

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

760

from a person that is not authorized under this chapter to

761

distribute prescription legend drugs to that purchaser or

762

recipient.

763

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

764

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

765

in which the person receives the drug to purchase or possess

766

prescription legend drugs from the person selling or transferring

767

the prescription legend drug.

768

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

769

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

770

sections.

771

     (19)  Providing the department with false or fraudulent

772

records, or making false or fraudulent statements, regarding any

773

matter within the provisions of this part chapter.

774

     (20) The importation of a prescription legend drug except

775

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

776

Act.

777

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

778

operating without a valid permit when a permit or registration is

779

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

780

     (24) The distribution of a prescription legend device to

781

the patient or ultimate consumer without a prescription or order

782

from a practitioner licensed by law to use or prescribe the

783

device.

784

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

785

pedigree paper as required under this part.

786

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

787

wholesale distribution without having previously received or

788

simultaneously either first receiving a pedigree paper that was

789

attested to as accurate and complete by the wholesale distributor

790

as required under this part or complying with the provisions of

791

s. 499.0121(6)(d)5.

792

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

793

section 499.0052, Florida Statutes, is redesignated as subsection

794

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

795

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

796

amended; section 499.00545, Florida Statutes, is redesignated as

797

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

798

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

799

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

800

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

801

amended, to read:

802

     499.0051 Criminal acts involving contraband or adulterated

803

drugs.--

804

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

805

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

806

wholesale distribution of prescription legend drugs who fails to

807

deliver to another person complete and accurate pedigree papers

808

concerning a prescription legend drug or contraband prescription

809

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

810

transferring the prescription legend drug or contraband

811

prescription legend drug to another person commits a felony of

812

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

813

775.083, or s. 775.084.

814

     (b)  A person engaged in the wholesale distribution of

815

prescription legend drugs who fails to acquire complete and

816

accurate pedigree papers concerning a prescription legend drug or

817

contraband prescription legend drug prior to, or simultaneous

818

with, the receipt of obtaining the prescription legend drug or

819

contraband prescription legend drug from another person commits a

820

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

821

s. 775.083, or s. 775.084.

822

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

823

fails to maintain complete and accurate pedigree papers

824

concerning any prescription legend drug or contraband

825

prescription legend drug in his or her possession commits a

826

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

827

s. 775.083, or s. 775.084.

828

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

829

July 1, 2006:

830

     (a)  A person engaged in the wholesale distribution of

831

prescription legend drugs who is in possession of pedigree papers

832

concerning prescription legend drugs or contraband prescription

833

legend drugs and who fails to authenticate the matters contained

834

in the pedigree papers and who nevertheless attempts to further

835

distribute prescription legend drugs or contraband prescription

836

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

837

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

838

     (b)  A person in possession of pedigree papers concerning

839

prescription legend drugs or contraband prescription legend drugs

840

who falsely swears or certifies that he or she has authenticated

841

the matters contained in the pedigree papers commits a felony of

842

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

843

775.083, or s. 775.084.

844

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

845

knowingly forges, counterfeits, or falsely creates any pedigree

846

paper; who falsely represents any factual matter contained on any

847

pedigree paper; or who knowingly omits to record material

848

information required to be recorded in a pedigree paper, commits

849

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

850

775.082, s. 775.083, or s. 775.084.

851

     (4) KNOWING PURCHASE OR RECEIPT OF PRESCRIPTION LEGEND DRUG

852

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

853

receives from a person not authorized to distribute prescription

854

legend drugs under this chapter a prescription legend drug in a

855

wholesale distribution transaction commits a felony of the second

856

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

857

775.084.

858

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

859

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

860

to a person not authorized to purchase or possess prescription

861

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

862

person receives the drug, a prescription legend drug in a

863

wholesale distribution transaction commits a felony of the second

864

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

865

775.084.

866

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

867

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

868

knowingly in actual or constructive possession of any amount of

869

contraband prescription legend drugs, who knowingly sells or

870

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

871

amount of contraband prescription legend drugs, commits a felony

872

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

873

775.083, or s. 775.084.

874

     (7)499.0052 KNOWING TRAFFICKING IN CONTRABAND PRESCRIPTION

875

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

876

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

877

knowingly in actual or constructive possession of any amount of

878

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

879

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

880

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

881

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

882

a mandatory fine according to the following schedule:

883

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

884

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

885

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

886

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

887

shall pay a mandatory fine of $75,000.

888

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

889

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

890

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

891

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

892

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

893

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

894

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

895

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

896

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

897

fine of $600,000.

898

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

899

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

900

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

901

cost of replacement of the property within a reasonable time

902

after the offense. Amounts of value of separate contraband

903

prescription legend drugs involved in distinct transactions for

904

the distribution of the contraband prescription legend drugs

905

committed pursuant to one scheme or course of conduct, whether

906

involving the same person or several persons, may be aggregated

907

in determining the punishment of the offense.

908

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

909

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

910

or falsely creates any prescription label or prescription legend

911

drug label, or who falsely represents any factual matter

912

contained on any prescription label or prescription legend drug

913

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

914

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

915

     (9)499.00535 KNOWING Sale or purchase of contraband

916

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

917

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

918

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

919

constructive possession of any amount of contraband prescription

920

legend drugs, and whose acts in violation of this subsection

921

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

922

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

923

775.084.

924

     (10)499.00545 Knowing Sale or purchase of contraband

925

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

926

knowingly manufactures, sells, purchases, delivers, or brings

927

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

928

possession of any amount of contraband prescription legend drugs,

929

and whose acts in violation of this subsection section result in

930

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

931

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

932

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

933

     (11)499.069 Criminal punishment for violations of s.

934

499.005 related to devices and cosmetics; dissemination of false

935

advertisement.--

936

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

937

499.005 with respect to a device or cosmetic commits a

938

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

939

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

940

conviction of such person under this subsection section has

941

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

942

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

943

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

944

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

945

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

946

cosmetic commits a felony of the third degree, punishable as

947

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

948

otherwise provided in this part ss. 499.001-499.081.

949

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

950

medium for the dissemination of an advertisement, except the

951

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

952

false advertisement relates, is not liable under this subsection

953

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

954

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

955

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

956

office address of the manufacturer, wholesaler, seller, or

957

advertising agency that asked him or her to disseminate such

958

advertisement.

959

     (12)499.0691 ADULTERATED AND MISBRANDED DRUGS; FALSE

960

ADVERTISEMENT; FAILURE TO MAINTAIN RECORDS RELATING TO DRUGS

961

Criminal punishment for violations related to drugs;

962

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

963

violates any of the following provisions commits a misdemeanor of

964

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

965

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

966

such person under this subsection section has become final, such

967

person commits a misdemeanor of the first degree, punishable as

968

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

969

this part ss. 499.001-499.081:

970

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

971

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

972

misbranded or has otherwise been rendered unfit for human or

973

animal use.

974

     (b)  The adulteration or misbranding of any drug intended

975

for further distribution.

976

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

977

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

978

for pay or otherwise.

979

     (d)  The dissemination of any false or misleading

980

advertisement of a drug.

981

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

982

advertisement relating to such drug, of any representation or

983

suggestion that an application of the drug is effective when it

984

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

985

499.081 when it does not.

986

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

987

from a person that is not authorized under this chapter to

988

distribute compressed medical gases.

989

     (g)  Charging a dispensing fee for dispensing,

990

administering, or distributing a prescription drug sample.

991

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

992

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

993

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

994

or shipping documents related to prescription legend drugs.

995

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

996

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

997

deficiency in pedigree papers.

998

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

999

TRADING DRUG SAMPLES; FAILURE TO MAINTAIN RECORDS RELATING TO

1000

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

1001

following provisions commits a felony of the third degree,

1002

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

1003

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

1004

     (a)  The refusal or constructive refusal to allow:

1005

     1.  The department to enter or inspect an establishment in

1006

which drugs are manufactured, processed, repackaged, sold,

1007

brokered, or held;

1008

     2.  Inspection of any record of that establishment;

1009

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

1010

being used to transport drugs; or

1011

     4.  The department to take samples of any drug.

1012

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

1013

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

1014

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

1015

failure to otherwise comply with s. 499.028.

1016

     (c)  Providing the department with false or fraudulent

1017

records, or making false or fraudulent statements, regarding any

1018

matter within the provisions of this part chapter related to a

1019

drug.

1020

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

1021

and shipping documents, other than pedigree papers, if

1022

applicable, related to the distribution of a prescription legend

1023

drug.

1024

     (e) The importation of a prescription legend drug for

1025

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

1026

Federal Food, Drug, and Cosmetic Act.

1027

     (f) The wholesale distribution of a any prescription drug

1028

that was:

1029

     1.  Purchased by a public or private hospital or other

1030

health care entity; or

1031

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

1032

organization.

1033

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

1034

wholesale distributor wholesaler when a permit is required by

1035

this part ss. 499.001-499.081 for that activity.

1036

     (h)  Knowingly possessing any adulterated or misbranded

1037

prescription legend drug outside of a designated quarantine area.

1038

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

1039

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

1040

560.103(6).

1041

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

1042

the following provisions commits a felony of the second degree,

1043

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

1044

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

1045

     (a)  Knowingly manufacturing, repackaging, selling,

1046

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

1047

adulterated or misbranded or has otherwise been rendered unfit

1048

for human or animal use.

1049

     (b)  Knowingly adulterating a drug that is intended for

1050

further distribution.

1051

     (c)  Knowingly receiving a drug that is adulterated and

1052

delivering or proffering delivery of such drug for pay or

1053

otherwise.

1054

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

1055

counterfeit drug, or selling, dispensing, or knowingly holding

1056

for sale a counterfeit drug.

1057

     (e)  Forging, counterfeiting, simulating, or falsely

1058

representing any drug, or, without the authority of the

1059

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

1060

identification device authorized or required by rules adopted

1061

under this part ss. 499.001-499.081.

1062

     (f)  Knowingly obtaining or attempting to obtain a

1063

prescription drug for wholesale distribution by fraud, deceit,

1064

misrepresentation, or subterfuge, or engaging in

1065

misrepresentation or fraud in the distribution of a drug.

1066

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

1067

prescription drug with the intent to further distribute the

1068

prescription drug.

1069

     (h)  Knowingly distributing a prescription drug that was

1070

previously dispensed by a licensed pharmacy, unless such

1071

distribution was authorized in chapter 465 or the rules adopted

1072

under chapter 465.

1073

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

1074

broadcast licensee, or agency or medium for the dissemination of

1075

an advertisement, except the manufacturer, repackager, wholesale

1076

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

1077

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

1078

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

1079

dissemination by him or her of such false advertisement, unless

1080

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

1081

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

1082

manufacturer, repackager, wholesale distributor wholesaler,

1083

seller, or advertising agency that asked him or her to

1084

disseminate such advertisement.

1085

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

1086

section 499.0055, Florida Statutes, is redesignated as subsection

1087

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

1088

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

1089

amended, to read:

1090

     499.0054  Advertising and labeling of drugs, devices, and

1091

cosmetics; exemptions.--

1092

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

1093

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

1094

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

1095

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

1096

false or misleading in any way.

1097

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

1098

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

1099

part ss. 499.001-499.081.

1100

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

1101

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

1102

cosmetic for which the advertising or labeling is false or

1103

misleading.

1104

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

1105

that is adulterated or misbranded.

1106

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

1107

cosmetic that is falsely advertised or labeled or the delivering

1108

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

1109

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

1110

containing ephedrine, a salt of ephedrine, an isomer of

1111

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

1112

indication of stimulation, mental alertness, weight loss,

1113

appetite control, energy, or other indications not approved by

1114

the pertinent United States Food and Drug Administration Over-

1115

the-Counter Final or Tentative Final Monograph or approved new

1116

drug application under the federal act. In determining compliance

1117

with this requirement, the department may consider the following

1118

factors:

1119

     1.(a) The packaging of the product.

1120

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

1121

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

1122

promotion of the product, including verbal representations at the

1123

point of sale.

1124

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

1125

particular product.

1126

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

1127

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

1128

diseases, or processes:

1129

     1.(a) Blood disorders.

1130

     2.(b) Bone or joint diseases.

1131

     3.(c) Kidney diseases or disorders.

1132

     4.(d) Cancer.

1133

     5.(e) Diabetes.

1134

     6.(f) Gall bladder diseases or disorders.

1135

     7.(g) Heart and vascular diseases.

1136

     8.(h) High blood pressure.

1137

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

1138

apparatus, including hearing loss or deafness.

1139

     10.(j) Mental disease or mental retardation.

1140

     11.(k) Paralysis.

1141

     12.(l) Prostate gland disorders.

1142

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

1143

     14.(n) Baldness.

1144

     15.(o) Endocrine disorders.

1145

     16.(p) Sexual impotence.

1146

     17.(q) Tumors.

1147

     18.(r) Venereal diseases.

1148

     19.(s) Varicose ulcers.

1149

     20.(t) Breast enlargement.

1150

     21.(u) Purifying blood.

1151

     22.(v) Metabolic disorders.

1152

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

1153

immune system.

1154

     24.(x) Extension of life expectancy.

1155

     25.(y) Stress and tension.

1156

     26.(z) Brain stimulation or performance.

1157

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

1158

     28.(bb) Blood flow.

1159

     29.(cc) Depression.

1160

     30.(dd) Human immunodeficiency virus or acquired immune

1161

deficiency syndrome or related disorders or conditions.

1162

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

1163

advertising that an article is approved under this part ss.

1164

499.001-499.081, when such is not the case.

1165

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

1166

determining whether an advertisement is false or misleading, the

1167

department shall review the representations made or suggested by

1168

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

1169

thereof within the advertisement and the extent to which the

1170

advertisement fails to reveal material facts with respect to

1171

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

1172

cosmetic to which the advertisement relates under the conditions

1173

of use prescribed in the labeling or advertisement.

1174

     (3)499.0057 Advertisement exemptions.--

1175

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

1176

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

1177

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

1178

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

1179

indications that are safe and effective indications and the

1180

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

1181

by the United States Food and Drug Administration; or

1182

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

1183

dental, pharmaceutical, or veterinary professions or appears only

1184

in the scientific periodicals of these professions.

1185

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

1186

the rules adopted under this part those sections creates no legal

1187

presumption that a drug or device is safe or effective.

1188

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

1189

499.006, Florida Statutes, are amended to read:

1190

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

1191

adulterated:

1192

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

1193

facilities or controls used for, its manufacture, processing,

1194

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

1195

administered in conformity with, current good manufacturing

1196

practices to assure that the drug meets the requirements of this

1197

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

1198

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

1199

purports or is represented to possess;

1200

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

1201

required pedigree paper is nonexistent, fraudulent, or incomplete

1202

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

1203

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

1204

distributed at any time by a person not authorized under federal

1205

or state law to do so; or

1206

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

1207

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

1208

Act which has been returned by a veterinarian to a limited

1209

prescription drug veterinary wholesale distributor wholesaler.

1210

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

1211

read:

1212

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

1213

misbranded:

1214

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

1215

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

1216

label containing:

1217

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

1218

repackager, or distributor of the finished dosage form of the

1219

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

1220

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

1221

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

1222

patient and requires no further manufacturing or processing other

1223

than packaging, reconstitution, and labeling; and

1224

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

1225

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

1226

this section, reasonable variations are permitted, and the

1227

department shall establish by rule exemptions for small packages.

1228

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

1229

form and does not bear a label containing:

1230

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

1231

repackager, or distributor; and

1232

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

1233

in terms of weight, measure, or numerical count.

1234

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

1235

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

1236

the label or labeling is not prominently placed thereon with such

1237

conspicuousness as compared with other words, statements,

1238

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

1239

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

1240

read and understood under customary conditions of purchase and

1241

use.

1242

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

1243

name recognized in an official compendium and, unless its label

1244

does not bear bears:

1245

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

1246

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

1247

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

1248

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

1249

     (a)  Adequate directions for use; and

1250

     (b)  Adequate warnings against use in those pathological

1251

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

1252

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

1253

unsafe dosage or methods or duration of administration or

1254

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

1255

protection of users.

1256

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

1257

recognized in the official compendium and, unless it is not

1258

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

1259

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

1260

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

1261

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

1262

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

1263

precautions, as the department by rule requires as necessary to

1264

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

1265

any drug recognized in an official compendium until the

1266

department has informed the appropriate body charged with the

1267

revision of such compendium of the need for such packaging or

1268

labeling requirements and that body has failed within a

1269

reasonable time to prescribe such requirements.

1270

     (9)(8) If it is:

1271

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

1272

made, formed, or filled as to be misleading;

1273

     (b)  An imitation of another drug; or

1274

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

1275

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

1276

dosage or with the frequency or duration prescribed, recommended,

1277

or suggested in the labeling of the drug.

1278

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

1279

drug composed wholly or partly of insulin and, unless:

1280

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

1281

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

1282

act, which; and

1283

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

1284

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

1285

drug composed wholly or partly of any kind of antibiotic

1286

requiring certification under the federal act and unless:

1287

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

1288

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

1289

act, which; and

1290

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

1291

1292

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

1293

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

1294

the federal act.

1295

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

1296

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

1297

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

1298

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

1299

use except under the supervision of a practitioner licensed by

1300

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

1301

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

1302

under the professional supervision of a practitioner licensed by

1303

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

1304

     (a)  Upon the written prescription of a practitioner

1305

licensed by law to prescribe such drug;

1306

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

1307

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

1308

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

1309

such refilling is authorized by the prescriber either in the

1310

original prescription or by oral order which is reduced promptly

1311

to writing and filled by the pharmacist.

1312

1313

This subsection does not relieve any person from any requirement

1314

prescribed by law with respect to controlled substances as

1315

defined in the applicable federal and state laws.

1316

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

1317

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

1318

label does not fails to bear the statement:

1319

     (a)  "Caution: Federal Law Prohibits Dispensing Without

1320

Prescription";

1321

     (b)  "Rx Only";

1322

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

1323

     (d)  "Caution: State Law Prohibits Dispensing Without

1324

Prescription."

1325

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

1326

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

1327

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

1328

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

1329

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

1330

unless its packaging and labeling are not in conformity with the

1331

packaging and labeling requirements that apply to such color

1332

additive and are prescribed under the federal act.

1333

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

1334

oral prescription of a practitioner licensed by law to prescribe

1335

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

1336

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

1337

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

1338

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

1339

dispenser or seller, the prescription number and the date the

1340

prescription was written or filled, the name of the prescriber

1341

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

1342

cautionary statements. This exemption does not apply to any drug

1343

dispensed in the course of the conduct of a business of

1344

dispensing drugs pursuant to diagnosis by mail or to any drug

1345

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

1346

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

1347

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

1348

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

1349

and welfare.

1350

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

1351

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

1352

to read:

1353

     499.008  Adulterated cosmetics.--A cosmetic is adulterated:

1354

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

1355

substance that is injurious to users under the conditions of use

1356

prescribed in the labeling or advertisement thereof or under such

1357

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

1358

subsection does not apply to coal-tar hair dye:

1359

     (a)  The label of which bears the following legend

1360

conspicuously displayed thereon: "Caution: This product contains

1361

ingredients which may cause skin irritation on certain

1362

individuals, and a preliminary test according to accompanying

1363

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

1364

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

1365

blindness"; and

1366

     (b)  The labeling of which bears adequate directions for

1367

such preliminary testing.

1368

1369

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

1370

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

1371

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

1372

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

1373

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

1374

499.009, Florida Statutes, are amended to read:

1375

     499.009  Misbranded cosmetics.--A cosmetic is misbranded:

1376

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

1377

label containing:

1378

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

1379

packer, or distributor;

1380

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

1381

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

1382

this paragraph reasonable variations are permitted, and the

1383

department shall establish by rule exemptions for small packages;

1384

and

1385

     (c)  A declaration of ingredients in descending order of

1386

predominance, or as otherwise required by federal law.

1387

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

1388

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

1389

on the label or labeling is not prominently placed thereon with

1390

such conspicuousness as compared with other words, statements,

1391

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

1392

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

1393

read and understood by an individual under customary conditions

1394

of purchase and use.

1395

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

1396

labeling are not in conformity with the packaging and labeling

1397

requirements applicable to that color additive prescribed under

1398

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

1399

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

1400

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

1401

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

1402

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

1403

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

1404

redesignated as the introductory paragraph and paragraphs (d),

1405

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

1406

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

1407

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

1408

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

1409

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

1410

section 499.014, Florida Statutes, is redesignated as paragraph

1411

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

1412

     499.01 Permits; applications; renewal; general

1413

requirements.--

1414

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

1415

person and establishment that intends to operate as:

1416

     (a)  A prescription drug manufacturer;

1417

     (b)  A prescription drug repackager;

1418

     (c) A nonresident prescription drug manufacturer;

1419

     (d) A prescription drug wholesale distributor;

1420

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

1421

distributor;

1422

     (f) A retail pharmacy drug wholesale distributor;

1423

     (g) A restricted prescription drug distributor;

1424

     (h) A complimentary drug distributor;

1425

     (i) A freight forwarder;

1426

     (j) A veterinary prescription drug retail establishment;

1427

     (k) A veterinary prescription drug wholesale distributor;

1428

     (l) A limited prescription drug veterinary wholesale

1429

distributor;

1430

     (m) A medical oxygen retail establishment;

1431

     (n) A compressed medical gas wholesale distributor;

1432

     (o) A compressed medical gas manufacturer;

1433

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

1434

     (d) A compressed medical gas manufacturer;

1435

     (q)(e) A device manufacturer;

1436

     (r)(f) A cosmetic manufacturer;

1437

     (s) A third party logistic provider; or

1438

     (t) A health care clinic establishment.

1439

     (g) A prescription drug wholesaler;

1440

     (h) A veterinary prescription drug wholesaler;

1441

     (i) A compressed medical gas wholesaler;

1442

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

1443

     (k) A nonresident prescription drug manufacturer;

1444

     (l) A freight forwarder;

1445

     (m) A retail pharmacy drug wholesaler;

1446

     (n) A veterinary legend drug retail establishment;

1447

     (o) A medical oxygen retail establishment;

1448

     (p) A complimentary drug distributor;

1449

     (q) A restricted prescription drug distributor; or

1450

     (r) A limited prescription drug veterinary wholesaler.

1451

     (2) The following types of wholesaler permits are

1452

established:

1453

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

1454

drug manufacturer permit is required for any person that

1455

manufactures a prescription drug in this state.

1456

     1. A person that operates an establishment permitted as a

1457

prescription drug manufacturer may engage in wholesale

1458

distribution of prescription drugs manufactured at that

1459

establishment and must comply with all the provisions of this

1460

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

1461

wholesale distributor.

1462

     2. A prescription drug manufacturer must comply with all

1463

appropriate state and federal good manufacturing practices.

1464

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

1465

drug repackager permit is required for any person that repackages

1466

a prescription drug in this state.

1467

     1. A person that operates an establishment permitted as a

1468

prescription drug repackager may engage in wholesale distribution

1469

of prescription drugs repackaged at that establishment and must

1470

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

1471

under this part that apply to a wholesale distributor.

1472

     2. A prescription drug repackager must comply with all

1473

appropriate state and federal good manufacturing practices.

1474

     (c)(e) Nonresident prescription drug manufacturer

1475

permit.--A nonresident prescription drug manufacturer permit is

1476

required for any person that is a manufacturer of prescription

1477

drugs, or the distribution point for a manufacturer of

1478

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

1479

an entity to whom an approved new drug application has been

1480

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

1481

contracted manufacturer of the approved new drug application

1482

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

1483

the wholesale distribution in this state of the prescription

1484

drugs it manufactures or is responsible for manufacturing. Each

1485

such manufacturer or entity must be permitted by the department

1486

and comply with all the provisions required of a wholesale

1487

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

1488

499.01212 s. 499.0121(6)(d).

1489

     1.  A person that distributes prescription drugs that it did

1490

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

1491

drug wholesale distributor wholesaler permit pursuant to this

1492

section to engage in the wholesale distribution of the

1493

prescription drugs manufactured by another person and comply with

1494

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

1495

distributor wholesaler.

1496

     2.  Any such person must comply with the licensing or

1497

permitting requirements of the jurisdiction in which the

1498

establishment is located and the federal act, and any product

1499

wholesaled into this state must comply with this part ss.

1500

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

1501

from a foreign country into this state, the nonresident

1502

prescription drug manufacturer must provide to the department a

1503

list identifying each prescription drug it intends to import and

1504

document approval by the United States Food and Drug

1505

Administration for such importation.

1506

     3. A nonresident prescription drug manufacturer permit is

1507

not required for a manufacturer to distribute a prescription drug

1508

active pharmaceutical ingredient that it manufactures to a

1509

prescription drug manufacturer permitted in this state in limited

1510

quantities intended for research and development and not for

1511

resale, or human use other than lawful clinical trials and

1512

biostudies authorized and regulated by federal law. A

1513

manufacturer claiming to be exempt from the permit requirements

1514

of this subparagraph and the prescription drug manufacturer

1515

purchasing and receiving the active pharmaceutical ingredient

1516

shall comply with the recordkeeping requirements of s.

1517

499.0121(6), but not the requirements of s. 499.01212. The

1518

prescription drug manufacturer purchasing and receiving the

1519

active pharmaceutical ingredient shall maintain on file a record

1520

of the FDA registration number; the out-of-state license, permit,

1521

or registration number; and, if available, a copy of the most

1522

current FDA inspection report, for all manufacturers from whom

1523

they purchase active pharmaceutical ingredients under this

1524

section. The department shall specify by rule the allowable

1525

number of transactions within a given period of time and the

1526

amount of active pharmaceutical ingredients that qualify as

1527

limited quantities for purposes of this exemption. The failure to

1528

comply with the requirements of this subparagraph, or rules

1529

adopted by the department to administer this subparagraph, for

1530

the purchase of prescription drug active pharmaceutical

1531

ingredients is a violation of s. 499.005(14).

1532

     (d)(a) A Prescription drug wholesale distributor

1533

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

1534

wholesaler is a wholesale distributor that may engage in the

1535

wholesale distribution of prescription drugs. A prescription drug

1536

wholesale distributor wholesaler that applies to the department

1537

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

1538

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

1539

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

1540

in a trust account or financial institution, payable to the

1541

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

1542

bond is to secure payment of any administrative penalties imposed

1543

by the department and any fees and costs incurred by the

1544

department regarding that permit which are authorized under state

1545

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

1546

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

1547

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

1548

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

1549

legal proceeding authorized in this part ss. 499.001-499.081

1550

which involves the permittee is concluded, including any appeal,

1551

whichever occurs later. The department may adopt rules for

1552

issuing a prescription drug wholesale distributor-broker

1553

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

1554

distribution of prescription drugs and does not take physical

1555

possession of any prescription drugs.

1556

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

1557

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

1558

drug wholesale distributor wholesaler is a wholesale distributor

1559

located outside this state which engages in the wholesale

1560

distribution of prescription drugs into this state and which must

1561

be permitted by the department and comply with all the provisions

1562

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

1563

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

1564

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

1565

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

1566

equivalent means of security acceptable to the department, such

1567

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

1568

account or financial institution, payable to the Florida Drug,

1569

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

1570

secure payment of any administrative penalties imposed by the

1571

department and any fees and costs incurred by the department

1572

regarding that permit which are authorized under state law and

1573

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

1574

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

1575

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

1576

be valid or until 60 days after any administrative or legal

1577

proceeding authorized in this part ss. 499.001-499.081 which

1578

involves the permittee is concluded, including any appeal,

1579

whichever occurs later.

1580

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

1581

wholesaler must maintain at all times a license or permit to

1582

engage in the wholesale distribution of prescription drugs in

1583

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

1584

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

1585

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

1586

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

1587

establishment that is duly licensed as a prescription drug

1588

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

1589

licensed prescription drug wholesale distributor wholesaler in

1590

this state, if both wholesale distributors wholesalers conduct

1591

wholesale distributions of prescription drugs under the same

1592

business name. The recordkeeping requirements of ss. s.

1593

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

1594

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

1595

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

1596

distributor wholesaler is a retail pharmacy engaged in wholesale

1597

distribution of prescription drugs within this state under the

1598

following conditions:

1599

     1. The pharmacy must obtain a retail pharmacy drug

1600

wholesale distributor wholesaler's permit pursuant to this part

1601

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

1602

sections.

1603

     2.  The wholesale distribution activity does not exceed 30

1604

percent of the total annual purchases of prescription drugs. If

1605

the wholesale distribution activity exceeds the 30-percent

1606

maximum, the pharmacy must obtain a prescription drug wholesale

1607

distributor wholesaler's permit.

1608

     3.  The transfer of prescription drugs that appear in any

1609

schedule contained in chapter 893 is subject to chapter 893 and

1610

the federal Comprehensive Drug Abuse Prevention and Control Act

1611

of 1970.

1612

     4.  The transfer is between a retail pharmacy and another

1613

retail pharmacy, or a Modified Class II institutional pharmacy,

1614

or a health care practitioner licensed in this state and

1615

authorized by law to dispense or prescribe prescription drugs.

1616

     5.  All records of sales of prescription drugs subject to

1617

this section must be maintained separate and distinct from other

1618

records and comply with the recordkeeping requirements of this

1619

part ss. 499.001-499.081.

1620

     (g)499.014 Restricted prescription drug distributor permit

1621

Distribution of legend drugs by hospitals, health care entities,

1622

charitable organizations, and return or destruction companies;

1623

permits, general requirements.--

1624

     (1) A restricted prescription drug distributor permit is

1625

required for any person that engages in the distribution of a

1626

prescription legend drug, which distribution is not considered

1627

"wholesale distribution" under s. 499.003(53)(a) s.

1628

499.012(1)(a)1.

1629

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

1630

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

1631

processing its return or its destruction must obtain a permit as

1632

a restricted prescription drug distributor if such person is not

1633

the person initiating the return, the prescription drug wholesale

1634

supplier of the person initiating the return, or the manufacturer

1635

of the drug.

1636

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

1637

distributions must comply with the requirements for wholesale

1638

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

1639

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

1640

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

1641

prescription drug distributor, or for the renewal of such a

1642

permit, must provide to the department the information required

1643

under s. 499.012 s. 499.01.

1644

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

1645

prescription drug distributors and may adopt rules regarding the

1646

distribution of prescription drugs by hospitals, health care

1647

entities, charitable organizations, or other persons not involved

1648

in wholesale distribution, which rules are necessary for the

1649

protection of the public health, safety, and welfare.

1650

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

1651

drug distributor permit is required for any person that engages

1652

in the distribution of a complimentary drug, subject to the

1653

requirements of s. 499.028.

1654

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

1655

permit is required for any person that engages in the

1656

distribution of a prescription legend drug as a freight forwarder

1657

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

1658

recordkeeping of such distributions must comply with the

1659

requirements for wholesale distributors under s. 499.0121, but

1660

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

1661

freight forwarder must provide the source of the prescription

1662

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

1663

other appropriate documentation to evidence the exportation of

1664

the product.

1665

     (j) Veterinary prescription drug retail establishment

1666

permit.--A veterinary prescription drug retail establishment

1667

permit is required for any person that sells veterinary

1668

prescription drugs to the public but does not include a pharmacy

1669

licensed under chapter 465.

1670

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

1671

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

1672

client-veterinarian relationship with the purchaser's animal.

1673

     2. Veterinary prescription drugs may not be sold in excess

1674

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

1675

indicated on the order.

1676

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

1677

     4. A veterinary prescription drug retail establishment may

1678

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

1679

any controlled substance as defined in chapter 893.

1680

     5. A veterinary prescription drug retail establishment must

1681

sell a veterinary prescription drug in the original, sealed

1682

manufacturer's container with all labeling intact and legible.

1683

The department may adopt by rule additional labeling requirements

1684

for the sale of a veterinary prescription drug.

1685

     6. A veterinary prescription drug retail establishment must

1686

comply with all of the wholesale distribution requirements of s.

1687

499.0121.

1688

     7. Prescription drugs sold by a veterinary prescription

1689

drug retail establishment pursuant to a practitioner's order may

1690

not be returned into the retail establishment's inventory.

1691

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

1692

wholesaler permit.--A veterinary prescription drug wholesale

1693

distributor wholesaler permit is required for any person that

1694

engages in the distribution of veterinary prescription drugs in

1695

or into this state. A veterinary prescription drug wholesale

1696

distributor wholesaler that also distributes prescription drugs

1697

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

1698

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

1699

obtain a permit as a prescription drug wholesale distributor

1700

wholesaler, an out-of-state prescription drug wholesale

1701

distributor wholesaler, or a limited prescription drug veterinary

1702

wholesale distributor wholesaler in lieu of the veterinary

1703

prescription drug wholesale distributor wholesaler permit. A

1704

veterinary prescription drug wholesale distributor wholesaler

1705

must comply with the requirements for wholesale distributors

1706

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

1707

s. 499.0121(6)(d).

1708

     (l)(h) Limited prescription drug veterinary wholesale

1709

distributor wholesaler permit.--Unless engaging in the activities

1710

of and permitted as a prescription drug manufacturer, nonresident

1711

prescription drug manufacturer, prescription drug wholesale

1712

distributor wholesaler, or out-of-state prescription drug

1713

wholesale distributor wholesaler, a limited prescription drug

1714

veterinary wholesale distributor wholesaler permit is required

1715

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

1716

state of veterinary prescription drugs and prescription drugs

1717

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

1718

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

1719

     1.  The person is engaged in the business of wholesaling

1720

prescription and veterinary prescription legend drugs to persons:

1721

     a.  Licensed as veterinarians practicing on a full-time

1722

basis;

1723

     b.  Regularly and lawfully engaged in instruction in

1724

veterinary medicine;

1725

     c.  Regularly and lawfully engaged in law enforcement

1726

activities;

1727

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

1728

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

1729

purposes of instruction in law enforcement activities, research,

1730

or testing.

1731

     2.  No more than 30 percent of total annual prescription

1732

drug sales may be prescription drugs approved for human use which

1733

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

1734

Federal Food, Drug, and Cosmetic Act.

1735

     3. The person does not distribute is not permitted,

1736

licensed, or otherwise authorized in any jurisdiction state to

1737

wholesale prescription drugs subject to, defined by, or described

1738

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

1739

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

1740

use these drugs on or for humans.

1741

     4. A limited prescription drug veterinary wholesale

1742

distributor wholesaler that applies to the department for a new

1743

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

1744

or other equivalent means of security acceptable to the

1745

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

1746

in a trust account or financial institution, payable to the

1747

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

1748

bond is to secure payment of any administrative penalties imposed

1749

by the department and any fees and costs incurred by the

1750

department regarding that permit which are authorized under state

1751

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

1752

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

1753

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

1754

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

1755

legal proceeding authorized in this part ss. 499.001-499.081

1756

which involves the permittee is concluded, including any appeal,

1757

whichever occurs later.

1758

     5. A limited prescription drug veterinary wholesale

1759

distributor wholesaler must maintain at all times a license or

1760

permit to engage in the wholesale distribution of prescription

1761

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

1762

resident.

1763

     6. A limited prescription drug veterinary wholesale

1764

distributor wholesaler must comply with the requirements for

1765

wholesale distributors under ss. s. 499.0121 and 499.01212,

1766

except that a limited prescription drug veterinary wholesale

1767

distributor wholesaler is not required to provide a pedigree

1768

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

1769

wholesale distribution of a prescription drug to a veterinarian.

1770

     7. A limited prescription drug veterinary wholesale

1771

distributor wholesaler may not return to inventory for subsequent

1772

wholesale distribution any prescription drug subject to, defined

1773

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

1774

Cosmetic Act which has been returned by a veterinarian.

1775

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

1776

A limited prescription drug veterinary wholesale distributor

1777

wholesaler permit is not required for an intracompany sale or

1778

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

1779

establishment that is duly licensed to engage in the wholesale

1780

distribution of prescription drugs in its state of residence to a

1781

licensed limited prescription drug veterinary wholesale

1782

distributor wholesaler in this state if both wholesale

1783

distributors wholesalers conduct wholesale distributions of

1784

prescription drugs under the same business name. The

1785

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

1786

must be followed for this transaction.

1787

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

1788

oxygen retail establishment permit is required for any person

1789

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

1790

based on an order from a practitioner authorized by law to

1791

prescribe. The term does not include a pharmacy licensed under

1792

chapter 465.

1793

     1. A medical oxygen retail establishment may not possess,

1794

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

1795

oxygen.

1796

     2. A medical oxygen retail establishment may refill medical

1797

oxygen for an individual patient based on an order from a

1798

practitioner authorized by law to prescribe. A medical oxygen

1799

retail establishment that refills medical oxygen must comply with

1800

all appropriate state and federal good manufacturing practices.

1801

     3. A medical oxygen retail establishment must comply with

1802

all of the wholesale distribution requirements of s. 499.0121.

1803

     4. Prescription medical oxygen sold by a medical oxygen

1804

retail establishment pursuant to a practitioner's order may not

1805

be returned into the retail establishment's inventory.

1806

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

1807

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

1808

distributor wholesaler is a wholesale distributor that is limited

1809

to the wholesale distribution of compressed medical gases to

1810

other than the consumer or patient. The compressed medical gas

1811

must be in the original sealed container that was purchased by

1812

that wholesale distributor wholesaler. A compressed medical gas

1813

wholesale distributor wholesaler may not possess or engage in the

1814

wholesale distribution of any prescription drug other than

1815

compressed medical gases. The department shall adopt rules that

1816

govern the wholesale distribution of prescription medical oxygen

1817

for emergency use. With respect to the emergency use of

1818

prescription medical oxygen, those rules may not be inconsistent

1819

with rules and regulations of federal agencies unless the

1820

Legislature specifically directs otherwise.

1821

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

1822

compressed medical gas manufacturer manufacturer's permit is

1823

required for any person that engages in the manufacture of

1824

compressed medical gases or repackages compressed medical gases

1825

from one container to another.

1826

     1. A compressed medical gas manufacturer permittee may not

1827

manufacture or possess any prescription drug other than

1828

compressed medical gases.

1829

     2. A compressed medical gas manufacturer permittee may

1830

engage in wholesale distribution of compressed medical gases

1831

manufactured at that establishment and must comply with all the

1832

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

1833

under this part those sections that apply to a wholesale

1834

distributor.

1835

     3. A compressed medical gas manufacturer permittee must

1836

comply with all appropriate state and federal good manufacturing

1837

practices.

1838

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

1839

the-counter drug manufacturer manufacturer's permit is required

1840

for any person that engages in the manufacture or repackaging of

1841

an over-the-counter drug.

1842

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

1843

possess or purchase prescription drugs.

1844

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

1845

drug manufacturer manufacturer's permit if it is operating in

1846

compliance with pharmacy practice standards as defined in chapter

1847

465 and the rules adopted under that chapter.

1848

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

1849

comply with all appropriate state and federal good manufacturing

1850

practices.

1851

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

1852

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

1853

the manufacture, repackaging, or assembly of medical devices for

1854

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

1855

the person is engaged only in manufacturing, repackaging, or

1856

assembling a medical device pursuant to a practitioner's order

1857

for a specific patient.

1858

     1.  A manufacturer or repackager of medical devices in this

1859

state must comply with all appropriate state and federal good

1860

manufacturing practices and quality system rules.

1861

     2.  The department shall adopt rules related to storage,

1862

handling, and recordkeeping requirements for manufacturers of

1863

medical devices for human use.

1864

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

1865

manufacturer manufacturer's permit is required for any person

1866

that manufactures or repackages cosmetics in this state. A person

1867

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

1868

not open the container sealed by the manufacturer of the product

1869

is exempt from obtaining a permit under this paragraph.

1870

     (s) Third party logistics provider permit.--A third party

1871

logistics provider permit is required for any person that

1872

contracts with a prescription drug wholesale distributor or

1873

prescription drug manufacturer to provide warehousing,

1874

distribution, or other logistics services on behalf of a

1875

manufacturer or wholesale distributor, but who does not take

1876

title to the prescription drug or have responsibility to direct

1877

the sale or disposition of the prescription drug. Each third

1878

party logistics provider permittee shall comply with all of the

1879

provisions required of a wholesale distributor under this part,

1880

with the exception of s. 499.01212 for those wholesale

1881

distributions described in s. 499.01212(3)(a), and other rules

1882

that the department requires.

1883

     (t) Health care clinic establishment permit.--Effective

1884

January 1, 2009, a health care clinic establishment permit is

1885

required for the purchase of a prescription drug by a place of

1886

business at one general physical location owned and operated by a

1887

professional corporation or professional limited liability

1888

company described in chapter 621, or a corporation that employs a

1889

veterinarian as a qualifying practitioner. For the purpose of

1890

this paragraph, the term "qualifying practitioner" means a

1891

licensed health care practitioner defined in s. 456.001 or a

1892

veterinarian licensed under chapter 474, who is authorized under

1893

the appropriate practice act to prescribe and administer a

1894

prescription drug.

1895

     1. An establishment must provide, as part of the

1896

application required under s. 499.012, designation of a

1897

qualifying practitioner who will be responsible for complying

1898

with all legal and regulatory requirements related to the

1899

purchase, recordkeeping, storage, and handling of the

1900

prescription drugs. In addition, the designated qualifying

1901

practitioner shall be the practitioner whose name, establishment

1902

address, and license number is used on all distribution documents

1903

for prescription drugs purchased or returned by the health care

1904

clinic establishment. Upon initial appointment of a qualifying

1905

practitioner, the qualifying practitioner and the health care

1906

clinic establishment shall notify the department on a form

1907

furnished by the department within 10 days after such employment.

1908

In addition, the qualifying practitioner and health care clinic

1909

establishment shall notify the department within 10 days after

1910

any subsequent change.

1911

     2. The health care clinic establishment must employ a

1912

qualifying practitioner at each establishment.

1913

     3. In addition to the remedies and penalties provided in

1914

this part, a violation of this chapter by the health care clinic

1915

establishment or qualifying practitioner constitutes grounds for

1916

discipline of the qualifying practitioner by the appropriate

1917

regulatory board.

1918

     4. The purchase of prescription drugs by the health care

1919

clinic establishment is prohibited during any period of time when

1920

the establishment does not comply with this paragraph.

1921

     5. A health care clinic establishment permit is not a

1922

pharmacy permit or otherwise subject to chapter 465. A health

1923

care clinic establishment that meets the criteria of a modified

1924

Class II institutional pharmacy under s. 465.019 is not eligible

1925

to be permitted under this paragraph.

1926

     6. This paragraph does not prohibit a qualifying

1927

practitioner from purchasing prescription drugs.

1928

     Section 11.  Section 499.012, Florida Statutes, is amended

1929

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

1930

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

1931

section and amended, to read:

1932

     499.012 Permit application Wholesale distribution;

1933

definitions; permits; applications; general requirements.--

1934

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

1935

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

1936

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

1937

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

1938

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

1939

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

1940

age.

1941

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

1942

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

1943

499.081.

1944

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

1945

manufacture or distribute prescription legend drugs may not use a

1946

name identical to the name used by any other establishment or

1947

licensed person authorized to purchase prescription drugs in this

1948

state, except that a restricted drug distributor permit issued to

1949

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

1950

institutional pharmacy permit is issued and a retail pharmacy

1951

drug wholesale distributor wholesaler will be issued a permit in

1952

the name of its retail pharmacy permit.

1953

     (d)  A permit for a prescription drug manufacturer,

1954

prescription drug repackager, prescription drug wholesale

1955

distributor wholesaler, limited prescription drug veterinary

1956

wholesale distributor wholesaler, or retail pharmacy drug

1957

wholesale distributor wholesaler may not be issued to the address

1958

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

1959

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

1960

issue a prescription drug manufacturer permit to an applicant at

1961

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

1962

health care entity, for the purpose of manufacturing prescription

1963

drugs used in positron emission tomography or other

1964

radiopharmaceuticals, as listed in a rule adopted by the

1965

department pursuant to this paragraph. The purpose of this

1966

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

1967

pharmaceuticals that would pose a significant danger to the

1968

public health if manufactured at a separate establishment address

1969

from the nuclear pharmacy from which the prescription drugs are

1970

dispensed. The department may also issue a retail pharmacy drug

1971

wholesale distributor wholesaler permit to the address of a

1972

community pharmacy licensed under chapter 465 which does not meet

1973

the definition of a closed pharmacy in s. 499.003.

1974

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

1975

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

1976

2003, for any establishment that requires a permit pursuant to

1977

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

1978

a current permit issued by the department for the establishment.

1979

Upon presentation of the requisite permit issued by the

1980

department, an occupational license may be issued by the

1981

municipality or county in which application is made. The

1982

department shall furnish to local agencies responsible for

1983

issuing occupational licenses a current list of all

1984

establishments licensed pursuant to this part ss. 499.001-

1985

499.081.

1986

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

1987

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

1988

that person by completing a new application for the requested

1989

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

1990

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

1991

permit, and meeting the applicable permitting conditions for the

1992

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

1993

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

1994

prescription drug wholesale distributor wholesaler, an out-of-

1995

state prescription drug wholesale distributor wholesaler, or a

1996

retail pharmacy drug wholesale distributor wholesaler shall

1997

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

1998

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

1999

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

2000

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

2001

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

2002

permit must be filed with the department on forms furnished by

2003

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

2004

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

2005

applicant must submit to the department with the application a

2006

statement that swears or affirms that the information is true and

2007

correct.

2008

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

2009

wholesale distributor wholesaler or an out-of-state prescription

2010

drug wholesale distributor wholesaler, an application for a

2011

permit must include:

2012

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

2013

the applicant;

2014

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

2015

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

2016

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

2017

handling, and distribution of prescription drugs;

2018

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

2019

partnership, corporation, or sole proprietorship; and

2020

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

2021

establishment, including:

2022

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

2023

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

2024

of the partnership;

2025

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

2026

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

2027

state of incorporation;

2028

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

2029

proprietor and the name of the business entity;

2030

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

2031

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

2032

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

2033

company was organized; and

2034

     f.  Any other relevant information that the department

2035

requires.

2036

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

2037

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

2038

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

2039

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

2040

sections.

2041

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

2042

must be submitted to the department before the change occurs.

2043

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

2044

following factors in reviewing the qualifications of persons to

2045

be permitted under this part ss. 499.001-499.081:

2046

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

2047

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

2048

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

2049

cosmetic. A plea of nolo contendere constitutes a finding of

2050

guilt for purposes of this subparagraph.

2051

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

2052

agency in any state for any offense that would constitute a

2053

violation of this part ss. 499.001-499.081.

2054

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

2055

state, or local law;

2056

     4.  The applicant's past experience in manufacturing or

2057

distributing drugs, devices, or cosmetics;

2058

     5.  The furnishing by the applicant of false or fraudulent

2059

material in any application made in connection with manufacturing

2060

or distributing drugs, devices, or cosmetics;

2061

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

2062

government of any permit currently or previously held by the

2063

applicant for the manufacture or distribution of any drugs,

2064

devices, or cosmetics;

2065

     7.  Compliance with permitting requirements under any

2066

previously granted permits;

2067

     8.  Compliance with requirements to maintain or make

2068

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

2069

or local law enforcement officials those records required under

2070

this section; and

2071

     9.  Any other factors or qualifications the department

2072

considers relevant to and consistent with the public health and

2073

safety.

2074

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

2075

wholesale distributor wholesalers or an out-of-state prescription

2076

drug wholesale distributor wholesalers:

2077

     (a)  The department shall adopt rules for the biennial

2078

renewal of permits.

2079

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

2080

renewal application and renewal fee if the applicant meets the

2081

requirements established under this part ss. 499.001-499.081 and

2082

the rules adopted under this part those sections.

2083

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

2084

automatically expires 2 years after the last day of the

2085

anniversary month in which the permit was originally issued. A

2086

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

2087

by making application for renewal on forms furnished by the

2088

department and paying the appropriate fees. If a renewal

2089

application and fee are submitted and postmarked after the

2090

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

2091

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

2092

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

2093

date.

2094

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

2095

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

2096

issued pursuant to this part section has expired and cannot be

2097

renewed, before an establishment may engage in activities that

2098

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

2099

establishment must submit an application for a new permit, pay

2100

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

2101

applicable penalties, and be issued a new permit by the

2102

department.

2103

     (6)(7) A permit issued by the department is

2104

nontransferable. Each permit is valid only for the person or

2105

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

2106

sale, assignment, or other transfer, voluntarily or

2107

involuntarily; nor is a permit valid for any establishment other

2108

than the establishment for which it was originally issued.

2109

     (a) A person permitted under this part ss. 499.001-499.081

2110

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

2111

department shall set a change of location fee not to exceed $100.

2112

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

2113

majority of the ownership or controlling interest of a permitted

2114

establishment is transferred or assigned or when a lessee agrees

2115

to undertake or provide services to the extent that legal

2116

liability for operation of the establishment will rest with the

2117

lessee. The application for the new permit must be made before

2118

the date of the sale, transfer, assignment, or lease.

2119

     2.  A permittee that is authorized to distribute

2120

prescription legend drugs may transfer such drugs to the new

2121

owner or lessee under subparagraph 1. only after the new owner or

2122

lessee has been approved for a permit to distribute prescription

2123

legend drugs.

2124

     (c) If an establishment permitted under this part ss.

2125

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

2126

writing before the effective date of closure and must:

2127

     1.  Return the permit to the department;

2128

     2.  If the permittee is authorized to distribute

2129

prescription legend drugs, indicate the disposition of such

2130

drugs, including the name, address, and inventory, and provide

2131

the name and address of a person to contact regarding access to

2132

records that are required to be maintained under this part ss.

2133

499.001-499.081. Transfer of ownership of prescription legend

2134

drugs may be made only to persons authorized to possess

2135

prescription legend drugs under this part ss. 499.001-499.081.

2136

2137

The department may revoke the permit of any person that fails to

2138

comply with the requirements of this subsection.

2139

     (7)(8) A permit must be posted in a conspicuous place on

2140

the licensed premises.

2141

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

2142

a prescription drug wholesale distributor wholesaler or an out-

2143

of-state prescription drug wholesale distributor wholesaler

2144

submitted to the department must include:

2145

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

2146

of the applicant.

2147

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

2148

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

2149

contact persons for each facility used by the applicant for the

2150

storage, handling, and distribution of prescription drugs.

2151

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

2152

partnership, corporation, or sole proprietorship.

2153

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

2154

establishment, including:

2155

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

2156

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

2157

of the partnership.

2158

     3.  If a corporation:

2159

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

2160

and director.

2161

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

2162

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

2163

corporation's state of incorporation.

2164

     c.  The name and address of each shareholder of the

2165

corporation that owns 5 percent or more of the outstanding stock

2166

of the corporation.

2167

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

2168

proprietor and the name of the business entity.

2169

     5.  If a limited liability company:

2170

     a.  The name and address of each member.

2171

     b.  The name and address of each manager.

2172

     c.  The name and address of the limited liability company,

2173

the resident agent of the limited liability company, and the name

2174

of the state in which the limited liability company was

2175

organized.

2176

     (f)  If applicable, the name and address of each member of

2177

the affiliated group of which the applicant is a member.

2178

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

2179

annual dollar volume of prescription drug sales of the applicant,

2180

the estimated annual percentage of the applicant's total company

2181

sales that are prescription drugs, the applicant's estimated

2182

annual total dollar volume of purchases of prescription drugs,

2183

and the applicant's estimated annual total dollar volume of

2184

prescription drug purchases directly from manufacturers.

2185

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

2186

volume of prescription drug sales in the previous year, the total

2187

dollar volume of prescription drug sales made in the previous 6

2188

months, the percentage of total company sales that were

2189

prescription drugs in the previous year, the total dollar volume

2190

of purchases of prescription drugs in the previous year, and the

2191

total dollar volume of prescription drug purchases directly from

2192

manufacturers in the previous year.

2193

2194

Such portions of the information required pursuant to this

2195

paragraph which are a trade secret, as defined in s. 812.081,

2196

shall be maintained by the department as trade secret information

2197

is required to be maintained under s. 499.051.

2198

     (h)  The tax year of the applicant.

2199

     (i)  A copy of the deed for the property on which

2200

applicant's establishment is located, if the establishment is

2201

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

2202

the property on which applicant's establishment is located that

2203

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

2204

establishment is not owned by the applicant.

2205

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

2206

applicant by any other state which authorize the applicant to

2207

purchase or possess prescription drugs.

2208

     (k)  The name of the manager of the establishment that is

2209

applying for the permit or to renew the permit, the next four

2210

highest ranking employees responsible for prescription drug

2211

wholesale operations for the establishment, and the name of all

2212

affiliated parties for the establishment, together with the

2213

personal information statement and fingerprints required pursuant

2214

to subsection (9) (4) for each of such persons.

2215

     (l)  The name of each of the applicant's designated

2216

representatives as required by subsection (16) (11), together

2217

with the personal information statement and fingerprints required

2218

pursuant to subsection (9) (4) for each such person.

2219

     (m) For an applicant that is a secondary wholesale

2220

distributor wholesaler, each of the following:

2221

     1.  A personal background information statement containing

2222

the background information and fingerprints required pursuant to

2223

subsection (9) (4) for each person named in the applicant's

2224

response to paragraphs (k) and (l) and for each affiliated party

2225

of the applicant.

2226

     2.  If any of the five largest shareholders of the

2227

corporation seeking the permit is a corporation, the name,

2228

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

2229

such corporation; the name and address of such corporation; the

2230

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

2231

resident agent's address, and such corporation's state of its

2232

incorporation; and the name and address of each shareholder of

2233

such corporation that owns 5 percent or more of the stock of such

2234

corporation.

2235

     3.  The name and address of all financial institutions in

2236

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

2237

operation of the establishment or to pay for drugs purchased for

2238

the establishment, together with the names of all persons that

2239

are authorized signatories on such accounts. The portions of the

2240

information required pursuant to this subparagraph which are a

2241

trade secret, as defined in s. 812.081, shall be maintained by

2242

the department as trade secret information is required to be

2243

maintained under s. 499.051.

2244

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

2245

used to purchase or finance purchases of prescription drugs or to

2246

finance the premises on which the establishment is to be located.

2247

     5.  If any of the funds identified in subparagraph 4. were

2248

borrowed, copies of all promissory notes or loans used to obtain

2249

such funds.

2250

     (n)  Any other relevant information that the department

2251

requires, including, but not limited to, any information related

2252

to whether the applicant satisfies the definition of a primary

2253

wholesale distributor wholesaler or a secondary wholesale

2254

distributor wholesaler.

2255

     (9)(4)(a) Each person required by subsection (8) (3) to

2256

provide a personal information statement and fingerprints shall

2257

provide the following information to the department on forms

2258

prescribed by the department:

2259

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

2260

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

2261

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

2262

offices held during the past 7 years.

2263

     4.  The principal business and address of any business,

2264

corporation, or other organization in which each such office of

2265

the person was held or in which each such occupation or position

2266

of employment was carried on.

2267

     5.  Whether the person has been, during the past 7 years,

2268

the subject of any proceeding for the revocation of any license

2269

and, if so, the nature of the proceeding and the disposition of

2270

the proceeding.

2271

     6.  Whether, during the past 7 years, the person has been

2272

enjoined, either temporarily or permanently, by a court of

2273

competent jurisdiction from violating any federal or state law

2274

regulating the possession, control, or distribution of

2275

prescription drugs, together with details concerning any such

2276

event.

2277

     7.  A description of any involvement by the person with any

2278

business, including any investments, other than the ownership of

2279

stock in a publicly traded company or mutual fund, during the

2280

past 7 years, which manufactured, administered, prescribed,

2281

distributed, or stored pharmaceutical products and any lawsuits

2282

in which such businesses were named as a party.

2283

     8.  A description of any felony criminal offense of which

2284

the person, as an adult, was found guilty, regardless of whether

2285

adjudication of guilt was withheld or whether the person pled

2286

guilty or nolo contendere. A criminal offense committed in

2287

another jurisdiction which would have been a felony in this state

2288

must be reported. If the person indicates that a criminal

2289

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

2290

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

2291

days after the disposition of the appeal, submit to the

2292

department a copy of the final written order of disposition.

2293

     9.  A photograph of the person taken in the previous 30

2294

days.

2295

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

2296

under procedures specified by the department, together with

2297

payment of an amount equal to the costs incurred by the

2298

department for the criminal record check of the person.

2299

     11.  The name, address, occupation, and date and place of

2300

birth for each member of the person's immediate family who is 18

2301

years of age or older. As used in this subparagraph, the term

2302

"member of the person's immediate family" includes the person's

2303

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

2304

children, and the spouses of the person's siblings.

2305

     12.  Any other relevant information that the department

2306

requires.

2307

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

2308

shall be provided under oath.

2309

     (c)  The department shall submit the fingerprints provided

2310

by a person for initial licensure to the Department of Law

2311

Enforcement for a statewide criminal record check and for

2312

forwarding to the Federal Bureau of Investigation for a national

2313

criminal record check of the person. The department shall submit

2314

the fingerprints provided by a person as a part of a renewal

2315

application to the Department of Law Enforcement for a statewide

2316

criminal record check, and for forwarding to the Federal Bureau

2317

of Investigation for a national criminal record check, for the

2318

initial renewal of a permit after January 1, 2004; for any

2319

subsequent renewal of a permit, the department shall submit the

2320

required information for a statewide and national criminal record

2321

check of the person. Any person who as a part of an initial

2322

permit application or initial permit renewal after January 1,

2323

2004, submits to the department a set of fingerprints required

2324

for the criminal record check required in this paragraph shall

2325

not be required to provide a subsequent set of fingerprints for a

2326

criminal record check to the department, if the person has

2327

undergone a criminal record check as a condition of the issuance

2328

of an initial permit or the initial renewal of a permit of an

2329

applicant after January 1, 2004.

2330

     (10)(5) The department may deny an application for a permit

2331

or refuse to renew a permit for a prescription drug wholesale

2332

distributor wholesaler or an out-of-state prescription drug

2333

wholesale distributor wholesaler if:

2334

     (a)  The applicant has not met the requirements for the

2335

permit.

2336

     (b)  The management, officers, or directors of the applicant

2337

or any affiliated party are found by the department to be

2338

incompetent or untrustworthy.

2339

     (c)  The applicant is so lacking in experience in managing a

2340

wholesale distributor as to make the issuance of the proposed

2341

permit hazardous to the public health.

2342

     (d)  The applicant is so lacking in experience in managing a

2343

wholesale distributor as to jeopardize the reasonable promise of

2344

successful operation of the wholesale distributor.

2345

     (e)  The applicant is lacking in experience in the

2346

distribution of prescription drugs.

2347

     (f)  The applicant's past experience in manufacturing or

2348

distributing prescription drugs indicates that the applicant

2349

poses a public health risk.

2350

     (g)  The applicant is affiliated directly or indirectly

2351

through ownership, control, or other business relations, with any

2352

person or persons whose business operations are or have been

2353

detrimental to the public health.

2354

     (h)  The applicant, or any affiliated party, has been found

2355

guilty of or has pleaded guilty or nolo contendere to any felony

2356

or crime punishable by imprisonment for 1 year or more under the

2357

laws of the United States, any state, or any other country,

2358

regardless of whether adjudication of guilt was withheld.

2359

     (i)  The applicant or any affiliated party has been charged

2360

with a felony in a state or federal court and the disposition of

2361

that charge is pending during the application review or renewal

2362

review period.

2363

     (j)  The applicant has furnished false or fraudulent

2364

information or material in any application made in this state or

2365

any other state in connection with obtaining a permit or license

2366

to manufacture or distribute drugs, devices, or cosmetics.

2367

     (k)  That a federal, state, or local government permit

2368

currently or previously held by the applicant, or any affiliated

2369

party, for the manufacture or distribution of any drugs, devices,

2370

or cosmetics has been disciplined, suspended, or revoked and has

2371

not been reinstated.

2372

     (l)  The applicant does not possess the financial or

2373

physical resources to operate in compliance with the permit being

2374

sought, this chapter, and the rules adopted under this chapter.

2375

     (m)  The applicant or any affiliated party receives,

2376

directly or indirectly, financial support and assistance from a

2377

person who was an affiliated party of a permittee whose permit

2378

was subject to discipline or was suspended or revoked, other than

2379

through the ownership of stock in a publicly traded company or a

2380

mutual fund.

2381

     (n)  The applicant or any affiliated party receives,

2382

directly or indirectly, financial support and assistance from a

2383

person who has been found guilty of any violation of this part

2384

ss. 499.001-499.081 or chapter 465, chapter 501, or chapter 893,

2385

any rules adopted under any of this part those sections or those

2386

chapters, any federal or state drug law, or any felony where the

2387

underlying facts related to drugs, regardless of whether the

2388

person has been pardoned, had her or his civil rights restored,

2389

or had adjudication withheld, other than through the ownership of

2390

stock in a publicly traded company or a mutual fund.

2391

     (o) The applicant for renewal of a permit under s.

2392

499.01(2)(d) paragraph (2)(a) or s. 499.01(2)(e) paragraph (2)(c)

2393

has not actively engaged in the wholesale distribution of

2394

prescription drugs, as demonstrated by the regular and systematic

2395

distribution of prescription drugs throughout the year as

2396

evidenced by not fewer than 12 wholesale distributions in the

2397

previous year and not fewer than three wholesale distributions in

2398

the previous 6 months.

2399

     (p) Information obtained in response to s. 499.01(2)(d)

2400

paragraph (2)(a) or s. 499.01(2)(e) paragraph (2)(c) demonstrates

2401

it would not be in the best interest of the public health,

2402

safety, and welfare to issue a permit.

2403

     (q)  The applicant does not possess the financial standing

2404

and business experience for the successful operation of the

2405

applicant.

2406

     (r)  The applicant or any affiliated party has failed to

2407

comply with the requirements for manufacturing or distributing

2408

prescription drugs under this part ss. 499.001-499.081, similar

2409

federal laws, similar laws in other states, or the rules adopted

2410

under such laws.

2411

     (11)(6) Upon approval of the application by the department

2412

and payment of the required fee, the department shall issue or

2413

renew a prescription drug wholesale distributor wholesaler or an

2414

out-of-state prescription drug wholesale distributor wholesaler

2415

permit to the applicant.

2416

     (12)(7) For a permit permits for a prescription drug

2417

wholesale distributor wholesalers or an out-of-state prescription

2418

drug wholesale distributor wholesalers:

2419

     (a)  The department shall adopt rules for the annual renewal

2420

of permits. At least 90 days before the expiration of a permit,

2421

the department shall forward a permit renewal notification and

2422

renewal application to the prescription drug wholesale

2423

distributor wholesaler or out-of-state prescription drug

2424

wholesale distributor wholesaler at the mailing address of the

2425

permitted establishment on file with the department. The permit

2426

renewal notification must state conspicuously the date on which

2427

the permit for the establishment will expire and that the

2428

establishment may not operate unless the permit for the

2429

establishment is renewed timely.

2430

     (b)  A permit, unless sooner suspended or revoked,

2431

automatically expires 1 year after the last day of the

2432

anniversary month in which the permit was originally issued. A

2433

permit may be renewed by making application for renewal on forms

2434

furnished by the department and paying the appropriate fees. If a

2435

renewal application and fee are submitted and postmarked after 45

2436

days prior to the expiration date of the permit, the permit may

2437

be renewed only upon payment of a late renewal fee of $100, plus

2438

the required renewal fee. A permittee that has submitted a

2439

renewal application in accordance with this paragraph may

2440

continue to operate under its permit, unless the permit is

2441

suspended or revoked, until final disposition of the renewal

2442

application.

2443

     (c)  Failure to renew a permit in accordance with this

2444

section precludes any future renewal of that permit. If a permit

2445

issued pursuant to this section has expired and cannot be

2446

renewed, before an establishment may engage in activities that

2447

require a permit under this part ss. 499.001-499.081, the

2448

establishment must submit an application for a new permit; pay

2449

the applicable application fee, initial permit fee, and all

2450

applicable penalties; and be issued a new permit by the

2451

department.

2452

     (13)(8) A person that engages in wholesale distribution of

2453

prescription drugs in this state must have a wholesale

2454

distributor's permit issued by the department, except as noted in

2455

this section. Each establishment must be separately permitted

2456

except as noted in this subsection.

2457

     (a)  A separate establishment permit is not required when a

2458

permitted prescription drug wholesale distributor wholesaler

2459

consigns a prescription drug to a pharmacy that is permitted

2460

under chapter 465 and located in this state, provided that:

2461

     1. The consignor wholesale distributor wholesaler notifies

2462

the department in writing of the contract to consign prescription

2463

drugs to a pharmacy along with the identity and location of each

2464

consignee pharmacy;

2465

     2.  The pharmacy maintains its permit under chapter 465;

2466

     3. The consignor wholesale distributor wholesaler, which

2467

has no legal authority to dispense prescription drugs, complies

2468

with all wholesale distribution requirements of ss. s. 499.0121

2469

and 499.01212 with respect to the consigned drugs and maintains

2470

records documenting the transfer of title or other completion of

2471

the wholesale distribution of the consigned prescription drugs;

2472

     4.  The distribution of the prescription drug is otherwise

2473

lawful under this chapter and other applicable law;

2474

     5.  Open packages containing prescription drugs within a

2475

pharmacy are the responsibility of the pharmacy, regardless of

2476

how the drugs are titled; and

2477

     6.  The pharmacy dispenses the consigned prescription drug

2478

in accordance with the limitations of its permit under chapter

2479

465 or returns the consigned prescription drug to the consignor

2480

wholesale distributor wholesaler. In addition, a person who holds

2481

title to prescription drugs may transfer the drugs to a person

2482

permitted or licensed to handle the reverse distribution or

2483

destruction of drugs. Any other distribution by and means of the

2484

consigned prescription drug by any person, not limited to the

2485

consignor wholesale distributor wholesaler or consignee pharmacy,

2486

to any other person is prohibited.

2487

     (b)  A wholesale distributor's permit is not required for

2488

the one-time transfer of title of a pharmacy's lawfully acquired

2489

prescription drug inventory by a pharmacy with a valid permit

2490

issued under chapter 465 to a consignor prescription drug

2491

wholesale distributor wholesaler, permitted under this chapter,

2492

in accordance with a written consignment agreement between the

2493

pharmacy and that wholesale distributor wholesaler if: the

2494

permitted pharmacy and the permitted prescription drug wholesale

2495

distributor wholesaler comply with all of the provisions of

2496

paragraph (a) and the prescription drugs continue to be within

2497

the permitted pharmacy's inventory for dispensing in accordance

2498

with the limitations of the pharmacy permit under chapter 465. A

2499

consignor drug wholesale distributor wholesaler may not use the

2500

pharmacy as a wholesale distributor through which it distributes

2501

the prescription legend drugs to other pharmacies. Nothing in

2502

this section is intended to prevent a wholesale drug distributor

2503

from obtaining this inventory in the event of nonpayment by the

2504

pharmacy.

2505

     (c) A separate establishment permit is not required when a

2506

permitted prescription drug wholesale distributor operates

2507

temporary transit storage facilities for the sole purpose of

2508

storage, for a period not to exceed 12 hours, of a delivery of

2509

prescription drugs when the wholesale distributor was temporarily

2510

unable to complete the delivery to the recipient.

2511

     (d)(c) The department shall require information from each

2512

wholesale distributor as part of the permit and renewal of such

2513

permit, as required under s. 499.01 or this section.

2514

     (14)(9) Personnel employed in wholesale distribution must

2515

have appropriate education and experience to enable them to

2516

perform their duties in compliance with state permitting

2517

requirements.

2518

     (15)(10) The name of a permittee or establishment on a

2519

prescription drug wholesale distributor wholesaler permit or an

2520

out-of-state prescription drug wholesale distributor wholesaler

2521

permit may not include any indicia of attainment of any

2522

educational degree, any indicia that the permittee or

2523

establishment possesses a professional license, or any name or

2524

abbreviation that the department determines is likely to cause

2525

confusion or mistake or that the department determines is

2526

deceptive, including that of any other entity authorized to

2527

purchase prescription drugs.

2528

     (16)(11)(a) Each establishment that is issued an initial or

2529

renewal permit as a prescription drug wholesale distributor

2530

wholesaler or an out-of-state prescription drug wholesale

2531

distributor wholesaler must designate in writing to the

2532

department at least one natural person to serve as the designated

2533

representative of the wholesale distributor wholesaler. Such

2534

person must have an active certification as a designated

2535

representative from the department.

2536

     (b)  To be certified as a designated representative, a

2537

natural person must:

2538

     1.  Submit an application on a form furnished by the

2539

department and pay the appropriate fees;

2540

     2.  Be at least 18 years of age;

2541

     3.  Have not less than 2 years of verifiable full-time work

2542

experience in a pharmacy licensed in this state or another state,

2543

where the person's responsibilities included, but were not

2544

limited to, recordkeeping for prescription drugs, or have not

2545

less than 2 years of verifiable full-time managerial experience

2546

with a prescription drug wholesale distributor wholesaler

2547

licensed in this state or in another state;

2548

     4.  Receive a passing score of at least 75 percent on an

2549

examination given by the department regarding federal laws

2550

governing distribution of prescription drugs and this part ss.

2551

499.001-499.081 and the rules adopted by the department governing

2552

the wholesale distribution of prescription drugs. This

2553

requirement shall be effective 1 year after the results of the

2554

initial examination are mailed to the persons that took the

2555

examination. The department shall offer such examinations at

2556

least four times each calendar year; and

2557

     5.  Provide the department with a personal information

2558

statement and fingerprints pursuant to subsection (9)(4).

2559

     (c)  The department may deny an application for

2560

certification as a designated representative or may suspend or

2561

revoke a certification of a designated representative pursuant to

2562

s. 499.067.

2563

     (d)  A designated representative:

2564

     1.  Must be actively involved in and aware of the actual

2565

daily operation of the wholesale distributor.

2566

     2.  Must be employed full time in a managerial position by

2567

the wholesale distributor.

2568

     3.  Must be physically present at the establishment during

2569

normal business hours, except for time periods when absent due to

2570

illness, family illness or death, scheduled vacation, or other

2571

authorized absence.

2572

     4.  May serve as a designated representative for only one

2573

wholesale distributor at any one time.

2574

     (e)  A wholesale distributor must notify the department when

2575

a designated representative leaves the employ of the wholesale

2576

distributor. Such notice must be provided to the department

2577

within 10 business days after the last day of designated

2578

representative's employment with the wholesale distributor.

2579

     (f)  A wholesale distributor may not operate under a

2580

prescription drug wholesale distributor wholesaler permit or an

2581

out-of-state prescription drug wholesale distributor wholesaler

2582

permit for more than 10 business days after the designated

2583

representative leaves the employ of the wholesale distributor,

2584

unless the wholesale distributor employs another designated

2585

representative and notifies the department within 10 business

2586

days of the identity of the new designated representative.

2587

     Section 12.  Section 499.01201, Florida Statutes, is amended

2588

to read:

2589

     499.01201  Agency for Health Care Administration review and

2590

use of statute and rule violation or compliance

2591

data.--Notwithstanding any other provisions of law to the

2592

contrary, the Agency for Health Care Administration may not:

2593

     (1)  Review or use any violation or alleged violation of s.

2594

499.0121(6) or s. 499.01212, or any rules adopted under those

2595

sections that section, as a ground for denying or withholding any

2596

payment of a Medicaid reimbursement to a pharmacy licensed under

2597

chapter 465; or

2598

     (2) Review or use compliance with s. 499.0121(6) or s.

2599

499.01212, or any rules adopted under those sections that

2600

section, as the subject of any audit of Medicaid-related records

2601

held by a pharmacy licensed under chapter 465.

2602

     Section 13.  Section 499.0121, Florida Statutes, is amended,

2603

and subsection (4) of section 499.013, Florida Statutes, is

2604

redesignated as paragraph (d) of subsection (6) of that section

2605

and amended, to read:

2606

     499.0121  Storage and handling of prescription drugs;

2607

recordkeeping.--The department shall adopt rules to implement

2608

this section as necessary to protect the public health, safety,

2609

and welfare. Such rules shall include, but not be limited to,

2610

requirements for the storage and handling of prescription drugs

2611

and for the establishment and maintenance of prescription drug

2612

distribution records.

2613

     (1)  ESTABLISHMENTS.--An establishment at which prescription

2614

drugs are stored, warehoused, handled, held, offered, marketed,

2615

or displayed must:

2616

     (a)  Be of suitable size and construction to facilitate

2617

cleaning, maintenance, and proper operations;

2618

     (b)  Have storage areas designed to provide adequate

2619

lighting, ventilation, temperature, sanitation, humidity, space,

2620

equipment, and security conditions;

2621

     (c)  Have a quarantine area for storage of prescription

2622

drugs that are outdated, damaged, deteriorated, misbranded, or

2623

adulterated, or that are in immediate or sealed, secondary

2624

containers that have been opened;

2625

     (d)  Be maintained in a clean and orderly condition; and

2626

     (e)  Be free from infestation by insects, rodents, birds, or

2627

vermin of any kind.

2628

     (2)  SECURITY.--

2629

     (a)  An establishment that is used for wholesale drug

2630

distribution must be secure from unauthorized entry.

2631

     1.  Access from outside the premises must be kept to a

2632

minimum and be well-controlled.

2633

     2.  The outside perimeter of the premises must be well-

2634

lighted.

2635

     3.  Entry into areas where prescription drugs are held must

2636

be limited to authorized personnel.

2637

     (b)  An establishment that is used for wholesale drug

2638

distribution must be equipped with:

2639

     1.  An alarm system to detect entry after hours; however,

2640

the department may exempt by rule establishments that only hold a

2641

permit as prescription drug wholesale distributor-brokers

2642

wholesaler-brokers and establishments that only handle medical

2643

oxygen; and

2644

     2.  A security system that will provide suitable protection

2645

against theft and diversion. When appropriate, the security

2646

system must provide protection against theft or diversion that is

2647

facilitated or hidden by tampering with computers or electronic

2648

records.

2649

     (c)  Any vehicle that contains prescription drugs must be

2650

secure from unauthorized access to the prescription drugs in the

2651

vehicle.

2652

     (3)  STORAGE.--All prescription drugs shall be stored at

2653

appropriate temperatures and under appropriate conditions in

2654

accordance with requirements, if any, in the labeling of such

2655

drugs, or with requirements in the official compendium.

2656

     (a)  If no storage requirements are established for a

2657

prescription drug, the drug may be held at "controlled" room

2658

temperature, as defined in the official compendium, to help

2659

ensure that its identity, strength, quality, and purity are not

2660

adversely affected.

2661

     (b)  Appropriate manual, electromechanical, or electronic

2662

temperature and humidity recording equipment, devices, or logs

2663

must be used to document proper storage of prescription drugs.

2664

     (c)  The recordkeeping requirements in subsection (6) must

2665

be followed for all stored prescription drugs.

2666

     (4)  EXAMINATION OF MATERIALS AND RECORDS.--

2667

     (a)  Upon receipt, each outside shipping container must be

2668

visually examined for identity and to prevent the acceptance of

2669

contaminated prescription drugs that are otherwise unfit for

2670

distribution. This examination must be adequate to reveal

2671

container damage that would suggest possible contamination or

2672

other damage to the contents.

2673

     (b)  Each outgoing shipment must be carefully inspected for

2674

identity of the prescription drug products and to ensure that

2675

there is no delivery of prescription drugs that have expired or

2676

been damaged in storage or held under improper conditions.

2677

     (c)  The recordkeeping requirements in subsection (6) must

2678

be followed for all incoming and outgoing prescription drugs.

2679

     (d) Upon receipt, a wholesale distributor wholesaler must

2680

review records required under this section for the acquisition of

2681

prescription drugs for accuracy and completeness, considering the

2682

total facts and circumstances surrounding the transactions and

2683

the wholesale distributors involved. This includes authenticating

2684

each transaction listed on a pedigree paper, as defined in s.

2685

499.003(35) s. 499.001(31).

2686

     (5)  RETURNED, DAMAGED, OR OUTDATED PRESCRIPTION DRUGS.--

2687

     (a)1.  Prescription drugs that are outdated, damaged,

2688

deteriorated, misbranded, or adulterated must be quarantined and

2689

physically separated from other prescription drugs until they are

2690

destroyed or returned to their supplier. A quarantine section

2691

must be separate and apart from other sections where prescription

2692

drugs are stored so that prescription drugs in this section are

2693

not confused with usable prescription drugs.

2694

     2.  Prescription drugs must be examined at least every 12

2695

months, and drugs for which the expiration date has passed must

2696

be removed and quarantined.

2697

     (b)  Any prescription drugs of which the immediate or sealed

2698

outer containers or sealed secondary containers have been opened

2699

or used must be identified as such and must be quarantined and

2700

physically separated from other prescription drugs until they are

2701

either destroyed or returned to the supplier.

2702

     (c)  If the conditions under which a prescription drug has

2703

been returned cast doubt on the drug's safety, identity,

2704

strength, quality, or purity, the drug must be destroyed or

2705

returned to the supplier, unless examination, testing, or other

2706

investigation proves that the drug meets appropriate standards of

2707

safety, identity, strength, quality, and purity. In determining

2708

whether the conditions under which a drug has been returned cast

2709

doubt on the drug's safety, identity, strength, quality, or

2710

purity, the wholesale drug distributor must consider, among other

2711

things, the conditions under which the drug has been held,

2712

stored, or shipped before or during its return and the conditions

2713

of the drug and its container, carton, or labeling, as a result

2714

of storage or shipping.

2715

     (d)  The recordkeeping requirements in subsection (6) must

2716

be followed for all outdated, damaged, deteriorated, misbranded,

2717

or adulterated prescription drugs.

2718

     (6)  RECORDKEEPING.--The department shall adopt rules that

2719

require keeping such records of prescription drugs as are

2720

necessary for the protection of the public health.

2721

     (a) Wholesale drug distributors must establish and maintain

2722

inventories and records of all transactions regarding the receipt

2723

and distribution or other disposition of prescription drugs.

2724

These records must provide a complete audit trail from receipt to

2725

sale or other disposition, be readily retrievable for inspection,

2726

and include, at a minimum, the following information:

2727

     1.  The source of the drugs, including the name and

2728

principal address of the seller or transferor, and the address of

2729

the location from which the drugs were shipped;

2730

     2.  The name, principal address, and state license permit or

2731

registration number of the person authorized to purchase

2732

prescription drugs;

2733

     3.  The name, strength, dosage form, and quantity of the

2734

drugs received and distributed or disposed of;

2735

     4.  The dates of receipt and distribution or other

2736

disposition of the drugs; and

2737

     5.  Any financial documentation supporting the transaction.

2738

     (b)  Inventories and records must be made available for

2739

inspection and photocopying by authorized federal, state, or

2740

local officials for a period of 2 years following disposition of

2741

the drugs or 3 years after the creation of the records, whichever

2742

period is longer.

2743

     (c)  Records described in this section that are kept at the

2744

inspection site or that can be immediately retrieved by computer

2745

or other electronic means must be readily available for

2746

authorized inspection during the retention period. Records that

2747

are kept at a central location outside of this state and that are

2748

not electronically retrievable must be made available for

2749

inspection within 2 working days after a request by an authorized

2750

official of a federal, state, or local law enforcement agency.

2751

Records that are maintained at a central location within this

2752

state must be maintained at an establishment that is permitted

2753

pursuant to this part ss. 499.001-499.081 and must be readily

2754

available.

2755

     (d)(4) Each manufacturer or repackager of medical devices,

2756

over-the-counter drugs, or cosmetics must maintain records that

2757

include the name and principal address of the seller or

2758

transferor of the product, the address of the location from which

2759

the product was shipped, the date of the transaction, the name

2760

and quantity of the product involved, and the name and principal

2761

address of the person who purchased the product.

2762

     (e) A wholesale distributor must maintain pedigree papers

2763

separate and distinct from other records required under this

2764

chapter.

2765

     (d)1. Effective July 1, 2006, each person who is engaged in

2766

the wholesale distribution of a prescription drug and who is not

2767

the manufacturer of that drug must, before each wholesale

2768

distribution of such drug, provide to the person who receives the

2769

drug a pedigree paper as defined in s. 499.003(31).

2770

     2. A repackager must comply with this paragraph.

2771

     3. The pedigree paper requirements in this paragraph do not

2772

apply to compressed medical gases or veterinary legend drugs.

2773

     4. Each wholesale distributor of prescription drugs must

2774

maintain separate and distinct from other required records all

2775

statements that are required under subparagraph 1.

2776

     5. Subparagraph 1. is satisfied when a wholesale

2777

distributor takes title to, but not possession of, a prescription

2778

drug and the prescription drug's manufacturer ships the

2779

prescription drug directly to a person authorized by law to

2780

purchase prescription drugs for the purpose of administering or

2781

dispensing the drug, as defined in s. 465.003, or a member of an

2782

affiliated group, as described in paragraph (f), with the

2783

exception of a repackager.

2784

     a. The wholesale distributor must deliver to the recipient

2785

of the prescription drug, within 14 days after the shipment

2786

notification from the manufacturer, an invoice and the following

2787

sworn statement: "This wholesale distributor purchased the

2788

specific unit of the prescription drug listed on the invoice

2789

directly from the manufacturer, and the specific unit of

2790

prescription drug was shipped by the manufacturer directly to a

2791

person authorized by law to administer or dispense the legend

2792

drug, as defined in s. 465.003, Florida Statutes, or a member of

2793

an affiliated group, as described in s. 499.0121(6)(f), Florida

2794

Statutes, with the exception of a repackager." The invoice must

2795

contain a unique cross-reference to the shipping document sent by

2796

the manufacturer to the recipient of the prescription drug.

2797

     b. The manufacturer of the prescription drug shipped

2798

directly to the recipient under this section must provide and the

2799

recipient of the prescription drug must acquire, within 14 days

2800

after receipt of the prescription drug, a shipping document from

2801

the manufacturer that contains, at a minimum:

2802

     (I) The name and address of the manufacturer, including the

2803

point of origin of the shipment, and the names and addresses of

2804

the wholesaler and the purchaser.

2805

     (II) The name of the prescription drug as it appears on the

2806

label.

2807

     (III) The quantity, dosage form, and strength of the

2808

prescription drug.

2809

     (IV) The date of the shipment from the manufacturer.

2810

     c. The wholesale distributor must also maintain and make

2811

available to the department, upon request, the lot number of such

2812

drug if not contained in the shipping document acquired by the

2813

recipient.

2814

     6. Failure of the manufacturer to provide, the recipient to

2815

acquire, or the wholesale distributor to deliver, the

2816

documentation required under subparagraph 5. shall constitute

2817

failure to acquire or deliver a pedigree paper under s. 499.0051.

2818

Forgery by the manufacturer, the recipient, or the wholesale

2819

distributor of the documentation required to be acquired or

2820

delivered under subparagraph 5. shall constitute forgery of a

2821

pedigree paper under s. 499.0051.

2822

     7. The department may, by rule, specify alternatives to

2823

compliance with subparagraph 1. for a prescription drug in the

2824

inventory of a permitted prescription drug wholesaler as of June

2825

30, 2006, and the return of a prescription drug purchased prior

2826

to July 1, 2006. The department may specify time limits for such

2827

alternatives.

2828

     (7)(e) PRESCRIPTION DRUG PURCHASE LIST.--Each wholesale

2829

distributor, except for a manufacturer, shall annually provide

2830

the department with a written list of all wholesale distributors

2831

and manufacturers from whom the wholesale distributor purchases

2832

prescription drugs. A wholesale distributor, except a

2833

manufacturer, shall notify the department not later than 10 days

2834

after any change to either list. Such portions of the information

2835

required pursuant to this subsection paragraph which are a trade

2836

secret, as defined in s. 812.081, shall be maintained by the

2837

department as trade secret information is required to be

2838

maintained under s. 499.051.

2839

     (f)1. This paragraph applies only to an affiliated group,

2840

as defined by s. 1504 of the Internal Revenue Code of 1986, as

2841

amended, which is composed of chain drug entities, including at

2842

least 50 retail pharmacies, warehouses, or repackagers, which are

2843

members of the same affiliated group, if the affiliated group:

2844

     a. Discloses to the department the names of all its

2845

members; and

2846

     b. Agrees in writing to provide records on prescription

2847

drug purchases by members of the affiliated group not later than

2848

48 hours after the department requests such records, regardless

2849

of the location where the records are stored.

2850

     2. Each warehouse within the affiliated group must comply

2851

with all applicable federal and state drug wholesale permit

2852

requirements and must purchase, receive, hold, and distribute

2853

prescription drugs only to a retail pharmacy or warehouse within

2854

the affiliated group. Such a warehouse is exempt from providing a

2855

pedigree paper in accordance with paragraph (d) to its affiliated

2856

group member warehouse or retail pharmacy, provided that:

2857

     a. Any affiliated group member that purchases or receives a

2858

prescription drug from outside the affiliated group must receive

2859

a pedigree paper if the prescription drug is distributed in or

2860

into this state and a pedigree paper is required under this

2861

section and must authenticate the documentation as required in

2862

subsection (4), regardless of whether the affiliated group member

2863

is directly subject to regulation under this chapter; and

2864

     b. The affiliated group makes available to the department

2865

on request all records related to the purchase or acquisition of

2866

prescription drugs by members of the affiliated group, regardless

2867

of the location where the records are stored, if the prescription

2868

drugs were distributed in or into this state.

2869

     3. If a repackager repackages prescription drugs solely for

2870

distribution to its affiliated group members for the exclusive

2871

distribution to and among retail pharmacies that are members of

2872

the affiliated group to which the repackager is a member:

2873

     a. The repackager must:

2874

     (I) In lieu of the written statement required by paragraph

2875

(d), for all repackaged prescription drugs distributed in or into

2876

this state, state in writing under oath with each distribution of

2877

a repackaged prescription drug to an affiliated group member

2878

warehouse or repackager: "All repackaged prescription drugs are

2879

purchased by the affiliated group directly from the manufacturer

2880

or from a prescription drug wholesaler that purchased the

2881

prescription drugs directly from the manufacturer.";

2882

     (II) Purchase all prescription drugs it repackages:

2883

     (A) Directly from the manufacturer; or

2884

     (B) From a prescription drug wholesaler that purchased the

2885

prescription drugs directly from the manufacturer; and

2886

     (III) Maintain records in accordance with this section to

2887

document that it purchased the prescription drugs directly from

2888

the manufacturer or that its prescription drug wholesale supplier

2889

purchased the prescription drugs directly from the manufacturer.

2890

     b. All members of the affiliated group must provide to

2891

agents of the department on request records of purchases by all

2892

members of the affiliated group of prescription drugs that have

2893

been repackaged, regardless of the location where the records are

2894

stored or where the repackager is located.

2895

     (8)(7) WRITTEN POLICIES AND PROCEDURES.--Wholesale drug

2896

distributors must establish, maintain, and adhere to written

2897

policies and procedures, which must be followed for the receipt,

2898

security, storage, inventory, and distribution of prescription

2899

drugs, including policies and procedures for identifying,

2900

recording, and reporting losses or thefts, and for correcting all

2901

errors and inaccuracies in inventories. Wholesale drug

2902

distributors must include in their written policies and

2903

procedures:

2904

     (a)  A procedure whereby the oldest approved stock of a

2905

prescription drug product is distributed first. The procedure may

2906

permit deviation from this requirement, if the deviation is

2907

temporary and appropriate.

2908

     (b)  A procedure to be followed for handling recalls and

2909

withdrawals of prescription drugs. Such procedure must be

2910

adequate to deal with recalls and withdrawals due to:

2911

     1.  Any action initiated at the request of the Food and Drug

2912

Administration or any other federal, state, or local law

2913

enforcement or other government agency, including the department.

2914

     2.  Any voluntary action by the manufacturer or repackager

2915

to remove defective or potentially defective drugs from the

2916

market; or

2917

     3.  Any action undertaken to promote public health and

2918

safety by replacing existing merchandise with an improved product

2919

or new package design.

2920

     (c) A procedure to ensure that wholesale drug distributors

2921

prepare for, protect against, and handle any crisis that affects

2922

security or operation of any facility if a strike, fire, flood,

2923

or other natural disaster, or a local, state, or national

2924

emergency, occurs.

2925

     (d)  A procedure to ensure that any outdated prescription

2926

drugs are segregated from other drugs and either returned to the

2927

manufacturer or repackager or destroyed. This procedure must

2928

provide for written documentation of the disposition of outdated

2929

prescription drugs. This documentation must be maintained for 2

2930

years after disposition of the outdated drugs.

2931

     (9)(8) RESPONSIBLE PERSONS.--Wholesale drug distributors

2932

must establish and maintain lists of officers, directors,

2933

managers, designated representatives, and other persons in charge

2934

of wholesale drug distribution, storage, and handling, including

2935

a description of their duties and a summary of their

2936

qualifications.

2937

     (10)(9) COMPLIANCE WITH FEDERAL, STATE, AND LOCAL LAW.--A

2938

wholesale drug distributor must operate in compliance with

2939

applicable federal, state, and local laws and regulations.

2940

     (a) A wholesale drug distributor must allow the department

2941

and authorized federal, state, and local officials to enter and

2942

inspect its premises and delivery vehicles, and to audit its

2943

records and written operating procedures, at reasonable times and

2944

in a reasonable manner, to the extent authorized by law.

2945

     (b) A wholesale drug distributor that deals in controlled

2946

substances must register with the Drug Enforcement Administration

2947

and must comply with all applicable state, local, and federal

2948

laws. A wholesale drug distributor that distributes any substance

2949

controlled under chapter 893 must notify the department when

2950

registering with the Drug Enforcement Administration pursuant to

2951

that chapter and must provide the department with its DEA number.

2952

     (11)(10) SALVAGING AND REPROCESSING.--A wholesale drug

2953

distributor is subject to any applicable federal, state, or local

2954

laws or regulations that relate to prescription drug product

2955

salvaging or reprocessing.

2956

     (12)(11) SHIPPING AND TRANSPORTATION.--The person

2957

responsible for shipment and transportation of a prescription

2958

drug in a wholesale distribution may use a common carrier; its

2959

own vehicle or employee acting within the scope of employment if

2960

authorized under s. 499.03 for the possession of prescription

2961

drugs in this state; or, in the case of a prescription drug

2962

intended for domestic distribution, an independent contractor who

2963

must be the agent of the authorized seller or recipient

2964

responsible for shipping and transportation as set forth in a

2965

written contract between the parties. A person selling a

2966

prescription drug for export must obtain documentation, such as a

2967

validated airway bill, bill of lading, or other appropriate

2968

documentation that the prescription drug was exported. A person

2969

responsible for shipping or transporting prescription drugs is

2970

not required to maintain documentation from a common carrier that

2971

the designated recipient received the prescription drugs;

2972

however, the person must obtain such documentation from the

2973

common carrier and make it available to the department upon

2974

request of the department.

2975

     (13)(12) DUE DILIGENCE OF SUPPLIERS.--Prior to purchasing

2976

any prescription drugs from another wholesale drug distributor, a

2977

prescription drug wholesale distributor wholesaler, an out-of-

2978

state prescription drug wholesale distributor wholesaler, or a

2979

prescription drug repackager must:

2980

     (a) Enter an agreement with the selling wholesale drug

2981

distributor by which the selling wholesale drug distributor will

2982

indemnify the purchasing wholesale drug distributor for any loss

2983

caused to the purchasing wholesale drug distributor related to

2984

the purchase of drugs from the selling wholesale drug distributor

2985

which are determined to be counterfeit or to have been

2986

distributed in violation of any federal or state law governing

2987

the distribution of drugs.

2988

     (b) Determine that the selling wholesale drug distributor

2989

has insurance coverage of not less than the greater of 1 percent

2990

of the amount of total dollar volume of the prescription drug

2991

sales reported to the department under s. 499.012(8)(g) s.

2992

499.012(3)(g) or $500,000; however the coverage need not exceed

2993

$2 million.

2994

     (c) Obtain information from the selling wholesale drug

2995

distributor, including the length of time the selling wholesale

2996

drug distributor has been licensed in this state, a copy of the

2997

selling wholesale drug distributor's licenses or permits, and

2998

background information concerning the ownership of the selling

2999

wholesale drug distributor, including the experience of the

3000

wholesale distributor in the wholesale distribution of

3001

prescription drugs.

3002

     (d) Verify that the selling wholesale drug distributor's

3003

Florida permit is valid.

3004

     (e) Inspect the selling wholesale drug distributor's

3005

licensed establishment to document that it has a policies and

3006

procedures manual relating to the distribution of drugs, the

3007

appropriate temperature controlled environment for drugs

3008

requiring temperature control, an alarm system, appropriate

3009

access restrictions, and procedures to ensure that records

3010

related to the wholesale distribution of prescription drugs are

3011

maintained as required by law:

3012

     1. Before purchasing any drug from the wholesale drug

3013

distributor, and at least once each subsequent year; or

3014

     2. Before purchasing any drug from the wholesale drug

3015

distributor, and each subsequent year obtain a complete copy of

3016

the most recent inspection report for the establishment which was

3017

prepared by the department or the regulatory authority

3018

responsible for wholesale drug distributors in the state in which

3019

the establishment is located.

3020

     Section 14.  Section 499.01211, Florida Statutes, is amended

3021

to read:

3022

     499.01211 Drug Wholesale Distributor Wholesaler Advisory

3023

Council.--

3024

     (1) There is created the Drug Wholesale Distributor

3025

Wholesaler Advisory Council within the department. The council

3026

shall meet at least once each calendar quarter. Staff for the

3027

council shall be provided by the department. The council shall

3028

consist of 11 members who shall serve without compensation. The

3029

council shall elect a chairperson and a vice chairperson

3030

annually.

3031

     (2)  The State Surgeon General, or his or her designee, and

3032

the Secretary of Health Care Administration, or her or his

3033

designee, shall be members of the council. The State Surgeon

3034

General shall appoint nine additional members to the council who

3035

shall be appointed to a term of 4 years each, as follows:

3036

     (a)  Three different persons each of whom is employed by a

3037

different prescription drug wholesale distributor wholesaler

3038

licensed under this part chapter which operates nationally and is

3039

a primary wholesale distributor wholesaler, as defined in s.

3040

499.003(46) s. 499.012(1)(d).

3041

     (b) One person employed by a prescription drug wholesale

3042

distributor wholesaler licensed under this part chapter which is

3043

a secondary wholesale distributor wholesaler, as defined in s.

3044

499.003(51) s. 499.012(1)(f).

3045

     (c)  One person employed by a retail pharmacy chain located

3046

in this state.

3047

     (d)  One person who is a member of the Board of Pharmacy and

3048

is a pharmacist licensed under chapter 465.

3049

     (e)  One person who is a physician licensed pursuant to

3050

chapter 458 or chapter 459.

3051

     (f)  One person who is an employee of a hospital licensed

3052

pursuant to chapter 395 and is a pharmacist licensed pursuant to

3053

chapter 465.

3054

     (g)  One person who is an employee of a pharmaceutical

3055

manufacturer.

3056

     (3) The council shall review this part ss. 499.001-499.081

3057

and the rules adopted to administer this part ss. 499.001-499.081

3058

annually, provide input to the department regarding all proposed

3059

rules to administer this part ss. 499.001-499.081, make

3060

recommendations to the department to improve the protection of

3061

the prescription drugs and public health, make recommendations to

3062

improve coordination with other states' regulatory agencies and

3063

the federal government concerning the wholesale distribution of

3064

drugs, and make recommendations to minimize the impact of

3065

regulation of the wholesale distribution industry while ensuring

3066

protection of the public health.

3067

     Section 15.  Section 499.01212, Florida Statutes, is created

3068

to read:

3069

     499.01212 Pedigree paper.--

3070

     (1) APPLICATION.--Each person who is engaged in the

3071

wholesale distribution of a prescription drug must, prior to or

3072

simultaneous with each wholesale distribution, provide a pedigree

3073

paper to the person who receives the drug.

3074

     (2) FORMAT.--A pedigree paper must contain the following

3075

information:

3076

     (a) For the wholesale distribution of a prescription drug

3077

within the normal distribution chain:

3078

     1. The following statement: "This wholesale distributor

3079

purchased the specific unit of the prescription drug directly

3080

from the manufacturer."

3081

     2. The manufacturer's national drug code identifier and the

3082

name and address of the wholesale distributor and the purchaser

3083

of the prescription drug.

3084

     3. The name of the prescription drug as it appears on the

3085

label.

3086

     4. The quantity, dosage form, and strength of the

3087

prescription drug.

3088

3089

The wholesale distributor must also maintain and make available

3090

to the department, upon request, the point of origin of the

3091

prescription drugs, including intracompany transfers, the date of

3092

the shipment from the manufacturer to the wholesale distributor,

3093

the lot numbers of such drugs, and the invoice numbers from the

3094

manufacturer.

3095

     (b) For all other wholesale distributions of prescription

3096

drugs:

3097

     1. The quantity, dosage form, and strength of the

3098

prescription drugs.

3099

     2. The lot numbers of the prescription drugs.

3100

     3. The name and address of each owner of the prescription

3101

drug and his or her signature.

3102

     4. Shipping information, including the name and address of

3103

each person certifying delivery or receipt of the prescription

3104

drug.

3105

     5. An invoice number, a shipping document number, or

3106

another number uniquely identifying the transaction.

3107

     6. A certification that the recipient wholesale distributor

3108

has authenticated the pedigree papers.

3109

     7. The unique serialization of the prescription drug, if

3110

the manufacturer or repackager has uniquely serialized the

3111

individual prescription drug unit.

3112

     8. The name, address, telephone number, and, if available,

3113

e-mail contact information of each wholesale distributor involved

3114

in the chain of the prescription drug's custody.

3115

     (3) EXCEPTIONS.--A pedigree paper is not required for:

3116

     (a) The wholesale distribution of a prescription drug by

3117

the manufacturer or by a third party logistics provider

3118

performing a wholesale distribution of a prescription drug for a

3119

manufacturer.

3120

     (b) The wholesale distribution of a prescription drug by a

3121

freight forwarder.

3122

     (c) The wholesale distribution of a prescription drug by a

3123

limited prescription drug veterinary wholesale distributor to a

3124

veterinarian.

3125

     (d) The wholesale distribution of a compressed medical gas.

3126

     (e) The wholesale distribution of a veterinary prescription

3127

drug.

3128

     (f) A drop shipment, provided:

3129

     1. The wholesale distributor delivers to the recipient of

3130

the prescription drug, within 14 days after the shipment

3131

notification from the manufacturer, an invoice and the following

3132

sworn statement: "This wholesale distributor purchased the

3133

specific unit of the prescription drug listed on the invoice

3134

directly from the manufacturer, and the specific unit of

3135

prescription drug was shipped by the manufacturer directly to a

3136

person authorized by law to administer or dispense the legend

3137

drug, as defined in s. 465.003, Florida Statutes, or a member of

3138

an affiliated group, with the exception of a repackager." The

3139

invoice must contain a unique cross-reference to the shipping

3140

document sent by the manufacturer to the recipient of the

3141

prescription drug.

3142

     2. The manufacturer of the prescription drug shipped

3143

directly to the recipient provides and the recipient of the

3144

prescription drug acquires, within 14 days after receipt of the

3145

prescription drug, a shipping document from the manufacturer that

3146

contains, at a minimum:

3147

     a. The name and address of the manufacturer, including the

3148

point of origin of the shipment, and the names and addresses of

3149

the wholesale distributor and the purchaser.

3150

     b. The name of the prescription drug as it appears on the

3151

label.

3152

     c. The quantity, dosage form, and strength of the

3153

prescription drug.

3154

     d. The date of the shipment from the manufacturer.

3155

     3. The wholesale distributor maintains and makes available

3156

to the department, upon request, the lot number of such drug if

3157

not contained in the shipping document acquired by the recipient.

3158

3159

Failure of the manufacturer to provide, the recipient to acquire,

3160

or the wholesale distributor to deliver the documentation

3161

required under this paragraph shall constitute failure to acquire

3162

or deliver a pedigree paper under ss. 499.005(28) and 499.0051.

3163

Forgery by the manufacturer, the recipient, or the wholesale

3164

distributor of the documentation required to be acquired or

3165

delivered under this paragraph shall constitute forgery of a

3166

pedigree paper under s. 499.0051.

3167

     4. The wholesale distributor that takes title to, but not

3168

possession of, the prescription drug is not a member of the

3169

affiliated group that receives the prescription drug directly

3170

from the manufacturer.

3171

     (g) The wholesale distribution of a prescription drug by a

3172

warehouse within an affiliated group to a warehouse or retail

3173

pharmacy within its affiliated group, provided:

3174

     1. Any affiliated group member that purchases or receives a

3175

prescription drug from outside the affiliated group must receive

3176

a pedigree paper if the prescription drug is distributed in or

3177

into this state and a pedigree paper is required under this

3178

section and must authenticate the documentation as required in s.

3179

499.0121(4), regardless of whether the affiliated group member is

3180

directly subject to regulation under this part; and

3181

     2. The affiliated group makes available, within 48 hours,

3182

to the department on request to one or more of its members all

3183

records related to the purchase or acquisition of prescription

3184

drugs by members of the affiliated group, regardless of the

3185

location where the records are stored, if the prescription drugs

3186

were distributed in or into this state.

3187

     (h) The repackaging of prescription drugs by a repackager

3188

solely for distribution to its affiliated group members for the

3189

exclusive distribution to and among retail pharmacies that are

3190

members of the affiliated group to which the repackager is a

3191

member.

3192

     1. The repackager must:

3193

     a. For all repackaged prescription drugs distributed in or

3194

into this state, state in writing under oath with each

3195

distribution of a repackaged prescription drug to an affiliated

3196

group member warehouse or repackager: "All repackaged

3197

prescription drugs are purchased by the affiliated group directly

3198

from the manufacturer or from a prescription drug wholesale

3199

distributor that purchased the prescription drugs directly from

3200

the manufacturer."

3201

     b. Purchase all prescription drugs it repackages:

3202

     (I) Directly from the manufacturer; or

3203

     (II) From a prescription drug wholesale distributor that

3204

purchased the prescription drugs directly from the manufacturer.

3205

     c. Maintain records in accordance with this section to

3206

document that it purchased the prescription drugs directly from

3207

the manufacturer or that its prescription drug wholesale supplier

3208

purchased the prescription drugs directly from the manufacturer.

3209

     2. All members of the affiliated group must provide, within

3210

48 hours, to agents of the department on request to one or more

3211

of its members records of purchases by all members of the

3212

affiliated group of prescription drugs that have been repackaged,

3213

regardless of the location at which the records are stored or at

3214

which the repackager is located.

3215

     Section 16. Section 499.0122, Florida Statutes, is

3216

repealed.

3217

     Section 17. Section 499.013, Florida Statutes, is repealed.

3218

     Section 18.  Subsections (1), (3), (4), (6), (8), and (9) of

3219

section 499.015, Florida Statutes, are amended to read:

3220

     499.015  Registration of drugs, devices, and cosmetics;

3221

issuance of certificates of free sale.--

3222

     (1)(a)  Except for those persons exempted from the

3223

definition of manufacturer in s. 499.003(32) s. 499.003(28), any

3224

person who manufactures, packages, repackages, labels, or

3225

relabels a drug, device, or cosmetic in this state must register

3226

such drug, device, or cosmetic biennially with the department;

3227

pay a fee in accordance with the fee schedule provided by s.

3228

499.041; and comply with this section. The registrant must list

3229

each separate and distinct drug, device, or cosmetic at the time

3230

of registration.

3231

     (b)  The department may not register any product that does

3232

not comply with the Federal Food, Drug, and Cosmetic Act, as

3233

amended, or Title 21 C.F.R. Registration of a product by the

3234

department does not mean that the product does in fact comply

3235

with all provisions of the Federal Food, Drug, and Cosmetic Act,

3236

as amended.

3237

     (3)  Except for those persons exempted from the definition

3238

of manufacturer in s. 499.003(31) s. 499.003(28), a person may

3239

not sell any product that he or she has failed to register in

3240

conformity with this section. Such failure to register subjects

3241

such drug, device, or cosmetic product to seizure and

3242

condemnation as provided in s. 499.062 ss. 499.062-499.064, and

3243

subjects such person to the penalties and remedies provided in

3244

this part ss. 499.001-499.081.

3245

     (4)  Unless a registration is renewed, it expires 2 years

3246

after the last day of the month in which it was issued. The

3247

department may issue a stop-sale notice or order against a person

3248

that is subject to the requirements of this section and that

3249

fails to comply with this section within 31 days after the date

3250

the registration expires. The notice or order shall prohibit such

3251

person from selling or causing to be sold any drugs, devices, or

3252

cosmetics covered by this part ss. 499.001-499.081 until he or

3253

she complies with the requirements of this section.

3254

     (6)  The department may issue a certificate of free sale for

3255

any product that is required to be registered under this part ss.

3256

499.001-499.081.

3257

     (8) Notwithstanding any requirements set forth in this part

3258

ss. 499.001-499.081, a manufacturer of medical devices that is

3259

registered with the federal Food and Drug Administration is

3260

exempt from this section and s. 499.041(6) if:

3261

     (a)  The manufacturer's medical devices are approved for

3262

marketing by, or listed with the federal Food and Drug

3263

Administration in accordance with federal law for commercial

3264

distribution; or

3265

     (b)  The manufacturer subcontracts with a manufacturer of

3266

medical devices to manufacture components of such devices.

3267

     (9)  However, the manufacturer must submit evidence of such

3268

registration, listing, or approval with its initial application

3269

for a permit to do business in this state, as required in s.

3270

499.01 s. 499.013 and any changes to such information previously

3271

submitted at the time of renewal of the permit. Evidence of

3272

approval, listing, and registration by the federal Food and Drug

3273

Administration must include:

3274

     (a)  For Class II devices, a copy of the pre-market

3275

notification letter (510K);

3276

     (b)  For Class III devices, a Federal Drug Administration

3277

pre-market approval number;

3278

     (c)  For a manufacturer who subcontracts with a manufacturer

3279

of medical devices to manufacture components of such devices, a

3280

Federal Drug Administration registration number; or

3281

     (d)  For a manufacturer of medical devices whose devices are

3282

exempt from pre-market approval by the Federal Drug

3283

Administration, a Federal Drug Administration registration

3284

number.

3285

     Section 19.  Subsections (3), (5), and (6) of section

3286

499.024, Florida Statutes, are amended to read:

3287

     499.024  Drug product classification.--The State Surgeon

3288

General shall adopt rules to classify drug products intended for

3289

use by humans which the United States Food and Drug

3290

Administration has not classified in the federal act or the Code

3291

of Federal Regulations.

3292

     (3) Any product that falls under the definition of drug in

3293

s. 499.003(19) definition, s. 499.003(17), may be classified

3294

under the authority of this section. This section does not

3295

subject portable emergency oxygen inhalators to classification;

3296

however, this section does not exempt any person from ss. 499.01

3297

and 499.015.

3298

     (5)  The department may by rule reclassify drugs subject to

3299

this part ss. 499.001-499.081 when such classification action is

3300

necessary to protect the public health.

3301

     (6)  The department may adopt rules that exempt from any

3302

labeling or packaging requirements of this part ss. 499.001-

3303

499.081 drugs classified under this section if those requirements

3304

are not necessary to protect the public health.

3305

     Section 20.  Subsections (7), (12), and (15) of section

3306

499.028, Florida Statutes, are amended to read:

3307

     499.028  Drug samples or complimentary drugs; starter packs;

3308

permits to distribute.--

3309

     (7)  A drug manufacturer or distributor must report to the

3310

department any conviction of itself or of its assigns, agents,

3311

employees, or representatives for a violation of s. 503(c)(1) of

3312

the federal act or of this part ss. 499.001-499.081 because of

3313

the sale, purchase, or trade of a drug sample or the offer to

3314

sell, purchase, or trade a drug sample.

3315

     (12)  The department may suspend or revoke a permit issued

3316

under this section, after giving notice and an opportunity to be

3317

heard pursuant to chapter 120, when:

3318

     (a)  Such permit was obtained by misrepresentation or fraud

3319

or through a mistake of the department.

3320

     (b)  The holder of the permit has distributed or disposed of

3321

any prescription legend drug, directly or through its agents,

3322

employees, or independent contractors, to any person not

3323

authorized to possess such drug.

3324

     (c)  The holder of the permit, or its agents, employees, or

3325

independent contractors, has distributed or possessed any

3326

prescription legend drug except in the usual course of its

3327

business.

3328

     (d)  The holder of the permit, or its agents, employees, or

3329

independent contractors, has distributed any prescription legend

3330

drug that is misbranded or adulterated under this part ss.

3331

499.001-499.081.

3332

     (e)  The holder of the permit, or its agents, employees, or

3333

independent contractors, has distributed any prescription legend

3334

drug without written request, when a written request is required

3335

by this section.

3336

     (f)  The holder of the permit has in its employ, or uses as

3337

agent or independent contractor for the purpose of distributing

3338

or disposing of drugs, any person who has:

3339

     1.  Violated the requirements of this section or any rule

3340

adopted under this section.

3341

     2.  Been convicted in any of the courts of this state, the

3342

United States, or any other state of a felony or any other crime

3343

involving moral turpitude or involving those drugs named or

3344

described in chapter 893.

3345

     (15)  A person may not possess a prescription drug sample

3346

unless:

3347

     (a)  The drug sample was prescribed to her or him as

3348

evidenced by the label required in s. 465.0276(5).

3349

     (b)  She or he is the employee of a complimentary drug

3350

distributor that holds a permit issued under this part ss.

3351

499.001-499.081.

3352

     (c)  She or he is a person to whom prescription drug samples

3353

may be distributed pursuant to this section.

3354

     (d)  He or she is an officer or employee of a federal,

3355

state, or local government acting within the scope of his or her

3356

employment.

3357

     Section 21.  Subsections (2) and (3) of section 499.029,

3358

Florida Statutes, are amended to read:

3359

     499.029  Cancer Drug Donation Program.--

3360

     (2)  There is created a Cancer Drug Donation Program within

3361

the department of Health for the purpose of authorizing and

3362

facilitating the donation of cancer drugs and supplies to

3363

eligible patients.

3364

     (3)  As used in this section:

3365

     (a)  "Cancer drug" means a prescription drug that has been

3366

approved under s. 505 of the federal Food, Drug, and Cosmetic Act

3367

and is used to treat cancer or its side effects or is used to

3368

treat the side effects of a prescription drug used to treat

3369

cancer or its side effects. "Cancer drug" does not include a

3370

substance listed in Schedule II, Schedule III, Schedule IV, or

3371

Schedule V of s. 893.03.

3372

     (b)  "Closed drug delivery system" means a system in which

3373

the actual control of the unit-dose medication package is

3374

maintained by the facility rather than by the individual patient.

3375

     (c) "Department" means the Department of Health.

3376

     (c)(d) "Donor" means a patient or patient representative

3377

who donates cancer drugs or supplies needed to administer cancer

3378

drugs that have been maintained within a closed drug delivery

3379

system; health care facilities, nursing homes, hospices, or

3380

hospitals with closed drug delivery systems; or pharmacies, drug

3381

manufacturers, medical device manufacturers or suppliers, or  

3382

wholesalers of drugs or supplies, in accordance with this

3383

section. "Donor" includes a physician licensed under chapter 458

3384

or chapter 459 who receives cancer drugs or supplies directly

3385

from a drug manufacturer, wholesale distributor drug wholesaler,

3386

or pharmacy.

3387

     (d)(e) "Eligible patient" means a person who the department

3388

determines is eligible to receive cancer drugs from the program.

3389

     (e)(k) "Participant facility" means a class II hospital

3390

pharmacy that has elected to participate in the program and that

3391

accepts donated cancer drugs and supplies under the rules adopted

3392

by the department for the program.

3393

     (f)(n) "Prescribing practitioner" means a physician

3394

licensed under chapter 458 or chapter 459 or any other medical

3395

professional with authority under state law to prescribe cancer

3396

medication.

3397

     (o) "Prescription drug" means a drug as defined in s.

3398

465.003(8).

3399

     (g)(p) "Program" means the Cancer Drug Donation Program

3400

created by this section.

3401

     (h)(q) "Supplies" means any supplies used in the

3402

administration of a cancer drug.

3403

     Section 22.  Subsection (1) of section 499.03, Florida

3404

Statutes, is amended to read:

3405

     499.03  Possession of certain drugs without prescriptions

3406

unlawful; exemptions and exceptions.--

3407

     (1)  A person may not possess, or possess with intent to

3408

sell, dispense, or deliver, any habit-forming, toxic, harmful, or

3409

new drug subject to s. 499.003(32) s. 499.003(29), or

3410

prescription legend drug as defined in s. 499.003(42) s.

3411

499.003(25), unless the possession of the drug has been obtained

3412

by a valid prescription of a practitioner licensed by law to

3413

prescribe the drug. However, this section does not apply to the

3414

delivery of such drugs to persons included in any of the classes

3415

named in this subsection, or to the agents or employees of such

3416

persons, for use in the usual course of their businesses or

3417

practices or in the performance of their official duties, as the

3418

case may be; nor does this section apply to the possession of

3419

such drugs by those persons or their agents or employees for such

3420

use:

3421

     (a)  A licensed pharmacist or any person under the licensed

3422

pharmacist's supervision while acting within the scope of the

3423

licensed pharmacist's practice;

3424

     (b)  A licensed practitioner authorized by law to prescribe

3425

prescription legend drugs or any person under the licensed

3426

practitioner's supervision while acting within the scope of the

3427

licensed practitioner's practice;

3428

     (c) A qualified person who uses prescription legend drugs

3429

for lawful research, teaching, or testing, and not for resale;

3430

     (d)  A licensed hospital or other institution that procures

3431

such drugs for lawful administration or dispensing by

3432

practitioners;

3433

     (e)  An officer or employee of a federal, state, or local

3434

government; or

3435

     (f)  A person that holds a valid permit issued by the

3436

department pursuant to this part ss. 499.001-499.081 which

3437

authorizes that person to possess prescription drugs.

3438

     Section 23.  Section 499.032, Florida Statutes, is amended

3439

to read:

3440

     499.032  Phenylalanine; prescription

3441

required.--Phenylalanine restricted formula is declared to be a

3442

prescription legend drug and may be dispensed only upon the

3443

prescription of a practitioner authorized by law to prescribe

3444

prescription medicinal drugs.

3445

     Section 24.  Subsection (1) of section 499.033, Florida

3446

Statutes, is amended to read:

3447

     499.033  Ephedrine; prescription required.--Ephedrine is

3448

declared to be a prescription drug.

3449

     (1)  Except as provided in subsection (2), any product that

3450

contains any quantity of ephedrine, a salt of ephedrine, an

3451

optical isomer of ephedrine, or a salt of an optical isomer of

3452

ephedrine may be dispensed only upon the prescription of a duly

3453

licensed practitioner authorized by the laws of the state to

3454

prescribe prescription medicinal drugs.

3455

     Section 25.  Subsections (1) and (3) of section 499.039,

3456

Florida Statutes, are amended to read:

3457

     499.039  Sale, distribution, or transfer of harmful chemical

3458

substances; penalties; authority for enforcement.--It is unlawful

3459

for a person to sell, deliver, or give to a person under the age

3460

of 18 years any compound, liquid, or chemical containing toluol,

3461

hexane, trichloroethylene, acetone, toluene, ethyl acetate,

3462

methyl ethyl ketone, trichloroethane, isopropanol, methyl

3463

isobutyl ketone, ethylene glycol monomethyl ether acetate,

3464

cyclohexanone, nitrous oxide, diethyl ether, alkyl nitrites

3465

(butyl nitrite), or any similar substance for the purpose of

3466

inducing by breathing, inhaling, or ingesting a condition of

3467

intoxication or which is intended to distort or disturb the

3468

auditory, visual, or other physical or mental processes.

3469

     (1)  On the first violation of this section, the department

3470

may issue a warning according to s. 499.002(5) s. 499.071, if the

3471

violation has not caused temporary or permanent physical or

3472

mental injury to the user.

3473

     (3) The department of Health shall adopt rules to implement

3474

this section.

3475

     Section 26.  Section 499.04, Florida Statutes, is amended to

3476

read:

3477

     499.04  Fee authority.--The department may collect fees for

3478

all drug, device, and cosmetic applications, permits, product

3479

registrations, and free-sale certificates. The total amount of

3480

fees collected from all permits, applications, product

3481

registrations, and free-sale certificates must be adequate to

3482

fund the expenses incurred by the department in carrying out this

3483

part ss. 499.001-499.081. The department shall, by rule,

3484

establish a schedule of fees that are within the ranges provided

3485

in this section and shall adjust those fees from time to time

3486

based on the costs associated with administering this part ss.

3487

499.001-499.081. The fees are payable to the department to be

3488

deposited into the Florida Drug, Device, and Cosmetic Trust Fund

3489

for the sole purpose of carrying out the provisions of this part

3490

ss. 499.001-499.081.

3491

     Section 27.  Subsections (1) through (5), (8), and (10) of

3492

section 499.041, Florida Statutes, are amended to read:

3493

     499.041  Schedule of fees for drug, device, and cosmetic

3494

applications and permits, product registrations, and free-sale

3495

certificates.--

3496

     (1)  The department shall assess applicants requiring a

3497

manufacturing permit an annual fee within the ranges established

3498

in this section for the specific type of manufacturer.

3499

     (a) The fee for a prescription drug manufacturer

3500

manufacturer's permit may not be less than $500 or more than $750

3501

annually.

3502

     (b) The fee for a device manufacturer manufacturer's permit

3503

may not be less than $500 or more than $600 annually.

3504

     (c) The fee for a cosmetic manufacturer manufacturer's

3505

permit may not be less than $250 or more than $400 annually.

3506

     (d) The fee for an over-the-counter drug manufacturer

3507

manufacturer's permit may not be less than $300 or more than $400

3508

annually.

3509

     (e) The fee for a compressed medical gas manufacturer

3510

manufacturer's permit may not be less than $400 or more than $500

3511

annually.

3512

     (f) The fee for a prescription drug repackager repackager's

3513

permit may not be less than $500 or more than $750 annually.

3514

     (g)  A manufacturer may not be required to pay more than one

3515

fee per establishment to obtain an additional manufacturing

3516

permit, but each manufacturer must pay the highest fee applicable

3517

to his or her operation in each establishment.

3518

     (2)  The department shall assess an applicant that is

3519

required to have a wholesaling permit an annual fee within the

3520

ranges established in this section for the specific type of

3521

wholesaling.

3522

     (a) The fee for a prescription drug wholesale distributor

3523

wholesaler's permit may not be less than $300 or more than $800

3524

annually.

3525

     (b) The fee for a compressed medical gas wholesale

3526

distributor wholesaler's permit may not be less than $200 or more

3527

than $300 annually.

3528

     (c) The fee for an out-of-state prescription drug wholesale

3529

distributor wholesaler's permit may not be less than $300 or more

3530

than $800 annually.

3531

     (d)  The fee for a nonresident prescription drug

3532

manufacturer manufacturer's permit may not be less than $300 or

3533

more than $500 annually.

3534

     (e) The fee for a retail pharmacy drug wholesale

3535

distributor wholesaler's permit may not be less than $35 or more

3536

than $50 annually.

3537

     (f) The fee for a freight forwarder forwarder's permit may

3538

not be less than $200 or more than $300 annually.

3539

     (g) The fee for a veterinary prescription drug wholesale

3540

distributor wholesaler's permit may not be less than $300 or more

3541

than $500 annually.

3542

     (h)  The fee for a limited prescription drug veterinary

3543

wholesale distributor wholesaler's permit may not be less than

3544

$300 or more than $500 annually.

3545

     (i) The fee for a third part logistics provider permit may

3546

not be less than $200 or more than $300 annually.

3547

     (3)  The department shall assess an applicant that is

3548

required to have a retail establishment permit an annual fee

3549

within the ranges established in this section for the specific

3550

type of retail establishment.

3551

     (a) The fee for a veterinary prescription legend drug

3552

retail establishment permit may not be less than $200 or more

3553

than $300 annually.

3554

     (b)  The fee for a medical oxygen retail establishment

3555

permit may not be less than $200 or more than $300 annually.

3556

     (c) The fee for a health care clinic establishment permit

3557

may not be less than $125 or more than $250 annually.

3558

     (4)  The department shall assess an applicant that is

3559

required to have a restricted prescription drug distributor

3560

distributor's permit an annual fee of not less than $200 or more

3561

than $300.

3562

     (5)  In addition to the fee charged for a permit required by

3563

this part ss. 499.001-499.081, the department shall assess

3564

applicants an initial application fee of $150 for each new permit

3565

issued by the department which requires an onsite inspection.

3566

     (8)  The department shall assess an out-of-state

3567

prescription drug wholesale distributor wholesaler applicant or

3568

permittee an onsite inspection fee of not less than $1,000 or

3569

more than $3,000 annually, to be based on the actual cost of the

3570

inspection if an onsite inspection is performed by agents of the

3571

department.

3572

     (10)  The department shall assess other fees as provided in

3573

this part ss. 499.001-499.081.

3574

     Section 28.  Section 499.05, Florida Statutes, is amended;

3575

subsection (3) of section 499.013, Florida Statutes, is

3576

redesignated as paragraph (k) of subsection (1) of that section

3577

and amended; paragraph (b) of subsection (2) of section 499.0122,

3578

Florida Statutes, is redesignated as paragraph (l) of subsection

3579

(1) of that section and amended; and subsection (12) of section

3580

499.012, Florida Statutes, is redesignated as paragraph (m) of

3581

subsection (1) of that section and amended, to read:

3582

     499.05  Rules.--

3583

     (1)  The department shall adopt rules to implement and

3584

enforce this part ss. 499.001-499.081 with respect to:

3585

     (a) The definition of terms used in this part ss. 499.001-

3586

499.081, and used in the rules adopted under this part ss.

3587

499.001-499.081, when the use of the term is not its usual and

3588

ordinary meaning.

3589

     (b)  Labeling requirements for drugs, devices, and

3590

cosmetics.

3591

     (c) The establishment of fees authorized in this part ss.

3592

499.001-499.081.

3593

     (d)  The identification of permits that require an initial

3594

application and onsite inspection or other prerequisites for

3595

permitting which demonstrate that the establishment and person

3596

are in compliance with the requirements of this part ss. 499.001-

3597

499.081.

3598

     (e)  The application processes and forms for product

3599

registration.

3600

     (f)  Procedures for requesting and issuing certificates of

3601

free sale.

3602

     (g)  Inspections and investigations conducted under s.

3603

499.051, and the identification of information claimed to be a

3604

trade secret and exempt from the public records law as provided

3605

in s. 499.051(7).

3606

     (h)  The establishment of a range of penalties, as provided

3607

in s. 499.066 s. 499.006; requirements for notifying persons of

3608

the potential impact of a violation of this part ss. 499.001-

3609

499.081; and a process for the uncontested settlement of alleged

3610

violations.

3611

     (i)  Additional conditions that qualify as an emergency

3612

medical reason under s. 499.003(53)(b)2. s. 499.012(1)(a)2.b.

3613

     (j) Procedures and forms relating to the pedigree paper

3614

requirement of s. 499.01212.

3615

     (k)(3) The department may adopt such rules as are necessary

3616

for The protection of the public health, safety, and welfare

3617

regarding good manufacturing practices that manufacturers and

3618

repackagers must follow to ensure the safety of the products.

3619

     (l)(b) The department shall adopt rules relating to

3620

Information required from each retail establishment pursuant to

3621

s. 499.012(3) s. 499.01(4), including requirements for

3622

prescriptions or orders.

3623

     (m)(12) The department may adopt rules governing The

3624

recordkeeping, storage, and handling with respect to each of the

3625

distributions of prescription drugs specified in s.

3626

499.003(53)(a)-(d) subparagraphs (1)(a)1.-4.

3627

     (n) Alternatives to compliance with s. 499.01212 for a

3628

prescription drug in the inventory of a permitted prescription

3629

drug wholesale distributor as of June 30, 2006, and the return of

3630

a prescription drug purchased prior to July 1, 2006. The

3631

department may specify time limits for such alternatives.

3632

     (2)  With respect to products in interstate commerce, those

3633

rules must not be inconsistent with rules and regulations of

3634

federal agencies unless specifically otherwise directed by the

3635

Legislature.

3636

     (3)  The department shall adopt rules regulating

3637

recordkeeping for and the storage, handling, and distribution of

3638

medical devices and over-the-counter drugs to protect the public

3639

from adulterated products.

3640

     Section 29.  Section 499.051, Florida Statutes, is amended

3641

to read:

3642

     499.051  Inspections and investigations.--

3643

     (1) The agents of the department of Health and of the

3644

Department of Law Enforcement, after they present proper

3645

identification, may inspect, monitor, and investigate any

3646

establishment permitted pursuant to this part ss. 499.001-499.081

3647

during business hours for the purpose of enforcing this part ss.

3648

499.001-499.081, chapters 465, 501, and 893, and the rules of the

3649

department that protect the public health, safety, and welfare.

3650

     (2)  In addition to the authority set forth in subsection

3651

(1), the department and any duly designated officer or employee

3652

of the department may enter and inspect any other establishment

3653

for the purpose of determining compliance with this part ss.

3654

499.001-499.081 and rules adopted under this part those sections

3655

regarding any drug, device, or cosmetic product.

3656

     (3)  Any application for a permit or product registration or

3657

for renewal of such permit or registration made pursuant to this

3658

part ss. 499.001-499.081 and rules adopted under this part those

3659

sections constitutes permission for any entry or inspection of

3660

the premises in order to verify compliance with this part those

3661

sections and rules; to discover, investigate, and determine the

3662

existence of compliance; or to elicit, receive, respond to, and

3663

resolve complaints and violations.

3664

     (4) Any application for a permit made pursuant to s.

3665

499.012 ss. 499.01 and 499.012 and rules adopted under that

3666

section those sections constitutes permission for agents of the

3667

department of Health and the Department of Law Enforcement, after

3668

presenting proper identification, to inspect, review, and copy

3669

any financial document or record related to the manufacture,

3670

repackaging, or distribution of a drug as is necessary to verify

3671

compliance with this part ss. 499.001-499.081 and the rules

3672

adopted by the department to administer this part those sections,

3673

in order to discover, investigate, and determine the existence of

3674

compliance, or to elicit, receive, respond to, and resolve

3675

complaints and violations.

3676

     (5)  The authority to inspect under this section includes

3677

the authority to access, review, and copy any and all financial

3678

documents related to the activity of manufacturing, repackaging,

3679

or distributing prescription drugs.

3680

     (6)  The authority to inspect under this section includes

3681

the authority to secure:

3682

     (a)  Samples or specimens of any drug, device, or cosmetic;

3683

or

3684

     (b)  Such other evidence as is needed for any action to

3685

enforce this part ss. 499.001-499.081 and the rules adopted under

3686

this part those sections.

3687

     (7)  The complaint and all information obtained pursuant to

3688

the investigation by the department are confidential and exempt

3689

from the provisions of s. 119.07(1) and s. 24(a), Art. I of the

3690

State Constitution until the investigation and the enforcement

3691

action are completed. However, trade secret information contained

3692

therein as defined by s. 812.081(1)(c) shall remain confidential

3693

and exempt from the provisions of s. 119.07(1) and s. 24(a), Art.

3694

I of the State Constitution, as long as the information is

3695

retained by the department. This subsection does not prohibit the

3696

department from using such information for regulatory or

3697

enforcement proceedings under this chapter or from providing such

3698

information to any law enforcement agency or any other regulatory

3699

agency. However, the receiving agency shall keep such records

3700

confidential and exempt as provided in this subsection. In

3701

addition, this subsection is not intended to prevent compliance

3702

with the provisions of s. 499.01212 s. 499.0121(6)(d), and the

3703

pedigree papers required in that section subsection shall not be

3704

deemed a trade secret.

3705

     Section 30.  Section 499.052, Florida Statutes, is amended

3706

to read:

3707

     499.052  Records of interstate shipment.--For the purpose of

3708

enforcing this part ss. 499.001-499.081, carriers engaged in

3709

interstate commerce and persons receiving drugs, devices, or

3710

cosmetics in interstate commerce must, upon the request, in the

3711

manner set out below, by an officer or employee duly designated

3712

by the department, permit the officer or employee to have access

3713

to and to copy all records showing the movement in interstate

3714

commerce of any drug, device, or cosmetic, and the quantity,

3715

shipper, and consignee thereof.

3716

     Section 31.  Subsection (4) of section 499.055, Florida

3717

Statutes, is amended to read:

3718

     499.055  Reports and dissemination of information by

3719

department.--

3720

     (4)  The department shall publish on the department's

3721

website and update at least monthly:

3722

     (a) A list of the prescription drug wholesale distributors

3723

wholesalers, out-of-state prescription drug wholesale

3724

distributors wholesalers, and retail pharmacy drug wholesale

3725

distributors wholesalers against whom the department has

3726

initiated enforcement action pursuant to this part ss. 499.001-

3727

499.081 to suspend or revoke a permit, seek an injunction, or

3728

otherwise file an administrative complaint and the permit number

3729

of each such wholesale distributor wholesaler.

3730

     (b) A list of the prescription drug wholesale distributors

3731

wholesalers, out-of-state prescription drug wholesale

3732

distributors wholesalers, and retail pharmacy drug wholesale

3733

distributors wholesalers to which the department has issued a

3734

permit, including the date on which each permit will expire.

3735

     (c) A list of the prescription drug wholesale distributor

3736

wholesalers, out-of-state prescription drug wholesale distributor

3737

wholesalers, and retail pharmacy drug wholesale distributor

3738

wholesalers' permits that have been returned to the department,

3739

were suspended, were revoked, have expired, or were not renewed

3740

in the previous year.

3741

     Section 32.  Subsections (1) and (3) of section 499.06,

3742

Florida Statutes, are amended to read:

3743

     499.06  Embargoing, detaining, or destroying article or

3744

processing equipment which is in violation of law or rule.--

3745

     (1)  When a duly authorized agent of the department finds,

3746

or has probable cause to believe, that any drug, device, or

3747

cosmetic is in violation of any provision of this part ss.

3748

499.001-499.081 or any rule adopted under this part such sections

3749

so as to be dangerous, unwholesome, or fraudulent within the

3750

meaning of this part ss. 499.001-499.081, she or he may issue and

3751

enforce a stop-sale, stop-use, removal, or hold order, which

3752

order gives notice that such article or processing equipment is,

3753

or is suspected of being, in violation and has been detained or

3754

embargoed, and which order warns all persons not to remove, use,

3755

or dispose of such article or processing equipment by sale or

3756

otherwise until permission for removal, use, or disposal is given

3757

by such agent or the court. It is unlawful for any person to

3758

remove, use, or dispose of such detained or embargoed article or

3759

processing equipment by sale or otherwise without such

3760

permission; and such act is a felony of the second degree,

3761

punishable as provided in s. 775.082, s. 775.083, or s. 775.084.

3762

     (3)  If the court finds that the detained or embargoed

3763

article or processing equipment is in violation, such article or

3764

processing equipment shall, after entry of the court order, be

3765

destroyed or made sanitary at the expense of the claimant

3766

thereof, under the supervision of such agent; and all court

3767

costs, fees, and storage and other proper expenses shall be taxed

3768

against the claimant of such article or processing equipment or

3769

her or his agent. However, when the violation can be corrected by

3770

proper labeling of the article or sanitizing of the processing

3771

equipment, and after such costs, fees, and expenses have been

3772

paid and a good and sufficient bond, conditioned that such

3773

article be so labeled or processed or such processing equipment

3774

be so sanitized, has been executed, the court may by order direct

3775

that such article or processing equipment be delivered to the

3776

claimant thereof for such labeling, processing, or sanitizing,

3777

under the supervision of an agent of the department. The expense

3778

of such supervision shall be paid by the claimant. Such bond

3779

shall be returned to the claimant of the article or processing

3780

equipment upon representation to the court by the department that

3781

the article or processing equipment is no longer in violation of

3782

this part ss. 499.001-499.081 and that the expenses of such

3783

supervision have been paid.

3784

     Section 33.  Section 499.062, Florida Statutes, is amended;

3785

section 499.063, Florida Statutes, is redesignated as section (2)

3786

of that section and amended; and section 499.064, Florida

3787

Statutes, is redesignated as paragraphs (a) and (b) of subsection

3788

(2) of that section and amended, to read:

3789

     499.062 Cause for Seizure and condemnation of drugs,

3790

devices, or cosmetics.--

3791

     (1) Any article of any drug, device, or cosmetic that is

3792

adulterated or misbranded under this part ss. 499.001-499.081 is

3793

subject to seizure and condemnation by the department or by its

3794

duly authorized agents designated for that purpose in regard to

3795

drugs, devices, or cosmetics.

3796

     (2)499.063 Seizure; procedure; prohibition on sale or

3797

disposal of article; penalty.--Whenever a duly authorized officer

3798

or employee of the department finds cause, or has probable cause

3799

to believe that cause exists, for the seizure of any drug,

3800

device, or cosmetic, as set out in this part ss. 499.001-499.081,

3801

he or she shall affix to the article a tag, stamp, or other

3802

appropriate marking, giving notice that the article is, or is

3803

suspected of being, subject to seizure under this part ss.

3804

499.001-499.081 and that the article has been detained and seized

3805

by the department. Such officer or employee shall also warn all

3806

persons not to remove or dispose of the article, by sale or

3807

otherwise, until permission is given by the department or the

3808

court. Any person who violates this subsection section is guilty

3809

of a felony of the second degree, punishable as provided in s.

3810

775.082, s. 775.083, or s. 775.084.

3811

     (a)499.064 Condemnation and sale; release of seized

3812

article.--(1) When any article detained or seized under this

3813

subsection s. 499.063 has been found by the department to be

3814

subject to seizure and condemnation under s. 499.063, the

3815

department shall petition the court for an order of condemnation

3816

or sale, as the court directs. The proceeds of the sale of drugs,

3817

devices, and cosmetics, less the legal costs and charges, shall

3818

be deposited into the Florida Drug, Device, and Cosmetic Trust

3819

Fund.

3820

     (b)(2) If the department finds that any article seized

3821

under this subsection s. 499.063 was not subject to seizure under

3822

that section, the department or the designated officer or

3823

employee shall remove the tag or marking.

3824

     Section 34.  Section 499.065, Florida Statutes, is amended

3825

to read:

3826

     499.065 Inspections; imminent danger.--

3827

     (1)  Notwithstanding s. 499.051, the department shall

3828

inspect each prescription drug wholesale distributor

3829

establishment, prescription drug repackager establishment,

3830

veterinary prescription drug wholesale distributor establishment,

3831

limited prescription drug veterinary wholesale distributor

3832

wholesaler establishment, and retail pharmacy drug wholesale

3833

distributor wholesaler establishment that is required to be

3834

permitted under this part chapter as often as necessary to ensure

3835

compliance with applicable laws and rules. The department shall

3836

have the right of entry and access to these facilities at any

3837

reasonable time.

3838

     (2)  To protect the public from prescription drugs that are

3839

adulterated or otherwise unfit for human or animal consumption,

3840

the department may examine, sample, seize, and stop the sale or

3841

use of prescription drugs to determine the condition of those

3842

drugs. The department may immediately seize and remove any

3843

prescription drugs if the State Surgeon General or his or her

3844

designee determines that the prescription drugs represent a

3845

threat to the public health. The owner of any property seized

3846

under this section may, within 10 days after the seizure, apply

3847

to a court of competent jurisdiction for whatever relief is

3848

appropriate. At any time after 10 days, the department may

3849

destroy the drugs as contraband.

3850

     (3)  The department may determine that a prescription drug

3851

wholesale distributor establishment, prescription drug repackager

3852

establishment, veterinary prescription drug wholesale distributor

3853

establishment, limited prescription drug veterinary wholesale

3854

distributor wholesaler establishment, or retail pharmacy drug

3855

wholesale distributor wholesaler establishment that is required

3856

to be permitted under this part chapter is an imminent danger to

3857

the public health and shall require its immediate closure if the

3858

establishment fails to comply with applicable laws and rules and,

3859

because of the failure, presents an imminent threat to the

3860

public's health, safety, or welfare. Any establishment so deemed

3861

and closed shall remain closed until allowed by the department or

3862

by judicial order to reopen.

3863

     (4) For purposes of this section, a refusal to allow entry

3864

to the department for inspection at reasonable times, or a

3865

failure or refusal to provide the department with required

3866

documentation for purposes of inspection, constitutes an imminent

3867

danger to the public health.

3868

     Section 35.  Subsections (1) through (4) of section 499.066,

3869

Florida Statutes, are amended to read:

3870

     499.066  Penalties; remedies.--In addition to other

3871

penalties and other enforcement provisions:

3872

     (1)  The department may institute such suits or other legal

3873

proceedings as are required to enforce any provision of this part

3874

ss. 499.001-499.081. If it appears that a person has violated any

3875

provision of this part ss. 499.001-499.081 for which criminal

3876

prosecution is provided, the department may provide the

3877

appropriate state attorney or other prosecuting agency having

3878

jurisdiction with respect to such prosecution with the relevant

3879

information in the department's possession.

3880

     (2) If any person engaged in any activity covered by this

3881

part ss. 499.001-499.081 violates any provision of this part

3882

those sections, any rule adopted under this part those sections,

3883

or a cease and desist order as provided by this part those

3884

sections, the department may obtain an injunction in the circuit

3885

court of the county in which the violation occurred or in which

3886

the person resides or has its principal place of business, and

3887

may apply in that court for such temporary and permanent orders

3888

as the department considers necessary to restrain the person from

3889

engaging in any such activities until the person complies with

3890

this part ss. 499.001-499.081, the rules adopted under this part

3891

those sections, and the orders of the department authorized by

3892

this part those sections or to mandate compliance with this part

3893

ss. 499.001-499.081, the rules adopted under this part those

3894

sections, and any order or permit issued by the department under

3895

this part those sections.

3896

     (3)  The department may impose an administrative fine, not

3897

to exceed $5,000 per violation per day, for the violation of any

3898

provision of this part ss. 499.001-499.081 or rules adopted under

3899

this part those sections. Each day a violation continues

3900

constitutes a separate violation, and each separate violation is

3901

subject to a separate fine. All amounts collected pursuant to

3902

this section shall be deposited into the Florida Drug, Device,

3903

and Cosmetic Trust Fund and are appropriated for the use of the

3904

department in administering this part ss. 499.001-499.081. In

3905

determining the amount of the fine to be levied for a violation,

3906

the department shall consider:

3907

     (a)  The severity of the violation;

3908

     (b)  Any actions taken by the person to correct the

3909

violation or to remedy complaints; and

3910

     (c)  Any previous violations.

3911

     (4)  The department shall deposit any rewards, fines, or

3912

collections that are due the department and which derive from

3913

joint enforcement activities with other state and federal

3914

agencies which relate to this part ss. 499.001-499.081, chapter

3915

893, or the federal act, into the Florida Drug, Device, and

3916

Cosmetic Trust Fund. The proceeds of those rewards, fines, and

3917

collections are appropriated for the use of the department in

3918

administering this part ss. 499.001-499.081.

3919

     Section 36.  Section 499.0661, Florida Statutes, is amended

3920

to read:

3921

     499.0661  Cease and desist orders; removal of certain

3922

persons.--

3923

     (1)(2) CEASE AND DESIST ORDERS.--

3924

     (a)  In addition to any authority otherwise provided in this

3925

chapter, the department may issue and serve a complaint stating

3926

charges upon any permittee or upon any affiliated party, whenever

3927

the department has reasonable cause to believe that the person or

3928

individual named therein is engaging in or has engaged in conduct

3929

that is:

3930

     1.  An act that demonstrates a lack of fitness or

3931

trustworthiness to engage in the business authorized under the

3932

permit issued pursuant to this part ss. 499.001-499.081, is

3933

hazardous to the public health, or constitutes business

3934

operations that are a detriment to the public health;

3935

     2. A violation of any provision of this part ss. 499.001-

3936

499.081;

3937

     3.  A violation of any rule of the department;

3938

     4.  A violation of any order of the department; or

3939

     5.  A breach of any written agreement with the department.

3940

     (b)  The complaint must contain a statement of facts and

3941

notice of opportunity for a hearing pursuant to ss. 120.569 and

3942

120.57.

3943

     (c)  If a hearing is not requested within the time allowed

3944

by ss. 120.569 and 120.57, or if a hearing is held and the

3945

department finds that any of the charges are proven, the

3946

department may enter an order directing the permittee or the

3947

affiliated party named in the complaint to cease and desist from

3948

engaging in the conduct complained of and take corrective action

3949

to remedy the effects of past improper conduct and assure future

3950

compliance.

3951

     (d)  A contested or default cease and desist order is

3952

effective when reduced to writing and served upon the permittee

3953

or affiliated party named therein. An uncontested cease and

3954

desist order is effective as agreed.

3955

     (e)  Whenever the department finds that conduct described in

3956

paragraph (a) is likely to cause an immediate threat to the

3957

public health, it may issue an emergency cease and desist order

3958

requiring the permittee or any affiliated party to immediately

3959

cease and desist from engaging in the conduct complained of and

3960

to take corrective and remedial action. The emergency order is

3961

effective immediately upon service of a copy of the order upon

3962

the permittee or affiliated party named therein and remains

3963

effective for 90 days. If the department begins nonemergency

3964

cease and desist proceedings under this subsection, the emergency

3965

order remains effective until the conclusion of the proceedings

3966

under ss. 120.569 and 120.57.

3967

     (2)(3) REMOVAL OF AFFILIATED PARTIES BY THE DEPARTMENT.--

3968

     (a)  The department may issue and serve a complaint stating

3969

charges upon any affiliated party and upon the permittee involved

3970

whenever the department has reason to believe that an affiliated

3971

party is engaging in or has engaged in conduct that constitutes:

3972

     1.  An act that demonstrates a lack of fitness or

3973

trustworthiness to engage in the business authorized under the

3974

permit issued pursuant to this part ss. 499.001-499.081, is

3975

hazardous to the public health, or constitutes business

3976

operations that are a detriment to the public health;

3977

     2. A willful violation of this part ss. 499.001-499.081;

3978

however, if the violation constitutes a misdemeanor, a complaint

3979

may not be served as provided in this section until the

3980

affiliated party is notified in writing of the matter of the

3981

violation and has been afforded a reasonable period of time, as

3982

set forth in the notice, to correct the violation and has failed

3983

to do so;

3984

     3.  A violation of any other law involving fraud or moral

3985

turpitude which constitutes a felony;

3986

     4.  A willful violation of any rule of the department;

3987

     5.  A willful violation of any order of the department; or

3988

     6.  A material misrepresentation of fact, made knowingly and

3989

willfully or made with reckless disregard for the truth of the

3990

matter.

3991

     (b)  The complaint must contain a statement of facts and

3992

notice of opportunity for a hearing pursuant to ss. 120.569 and

3993

120.57.

3994

     (c)  If a hearing is not requested within the time allotted

3995

by ss. 120.569 and 120.57, or if a hearing is held and the

3996

department finds that any of the charges in the complaint are

3997

proven true, the department may enter an order removing the

3998

affiliated party or restricting or prohibiting participation by

3999

the person in the affairs of that permittee or of any other

4000

permittee.

4001

     (d)  A contested or default order of removal, restriction,

4002

or prohibition is effective when reduced to writing and served on

4003

the permittee and the affiliated party. An uncontested order of

4004

removal, restriction, or prohibition is effective as agreed.

4005

     (e)1.  The chief executive officer, designated

4006

representative, or the person holding the equivalent office, of a

4007

permittee shall promptly notify the department if she or he has

4008

actual knowledge that any affiliated party is charged with a

4009

felony in a state or federal court.

4010

     2.  Whenever any affiliated party is charged with a felony

4011

in a state or federal court or with the equivalent of a felony in

4012

the courts of any foreign country with which the United States

4013

maintains diplomatic relations, and the charge alleges violation

4014

of any law involving prescription drugs, pharmaceuticals, fraud,

4015

theft, or moral turpitude, the department may enter an emergency

4016

order suspending the affiliated party or restricting or

4017

prohibiting participation by the affiliated party in the affairs

4018

of the particular permittee or of any other permittee upon

4019

service of the order upon the permittee and the affiliated party

4020

charged. The order must contain notice of opportunity for a

4021

hearing pursuant to ss. 120.569 and 120.57, where the affiliated

4022

party may request a postsuspension hearing to show that continued

4023

service to or participation in the affairs of the permittee does

4024

not pose a threat to the public health or the interests of the

4025

permittee and does not threaten to impair public confidence in

4026

the permittee. In accordance with applicable departmental rules,

4027

the department shall notify the affiliated party whether the

4028

order suspending or prohibiting the person from participation in

4029

the affairs of a permittee will be rescinded or otherwise

4030

modified. The emergency order remains in effect, unless otherwise

4031

modified by the department, until the criminal charge is disposed

4032

of. The acquittal of the person charged, or the final, unappealed

4033

dismissal of all charges against the person, dissolves the

4034

emergency order but does not prohibit the department from

4035

instituting proceedings under paragraph (a). If the person

4036

charged is convicted or pleads guilty or nolo contendere, whether

4037

or not an adjudication of guilt is entered by the court, the

4038

emergency order shall become final.

4039

     (f)  Any affiliated party removed pursuant to this section

4040

is not eligible for reemployment by the permittee or to be an

4041

affiliated party of any permittee except upon the written consent

4042

of the department. Any affiliated party who is removed,

4043

restricted, or prohibited from participating in the affairs of a

4044

permittee pursuant to this section may petition the department

4045

for modification or termination of the removal, restriction, or

4046

prohibition.

4047

     Section 37.  Section 499.067, Florida Statutes, is amended

4048

to read:

4049

     499.067  Denial, suspension, or revocation of permit,

4050

certification, or registration.--

4051

     (1)(a)  The department may deny, suspend, or revoke a permit

4052

if it finds that there has been a substantial failure to comply

4053

with this part ss. 499.001-499.081 or chapter 465, chapter 501,

4054

or chapter 893, the rules adopted under this part any of those

4055

sections or those chapters, any final order of the department, or

4056

applicable federal laws or regulations or other state laws or

4057

rules governing drugs, devices, or cosmetics.

4058

     (b)  The department may deny an application for a permit or

4059

certification, or suspend or revoke a permit or certification, if

4060

the department finds that:

4061

     1.  The applicant is not of good moral character or that it

4062

would be a danger or not in the best interest of the public

4063

health, safety, and welfare if the applicant were issued a permit

4064

or certification.

4065

     2.  The applicant has not met the requirements for the

4066

permit or certification.

4067

     3.  The applicant is not eligible for a permit or

4068

certification for any of the reasons enumerated in s. 499.012 s.

4069

499.01 or s. 499.012(5).

4070

     4. The applicant, permittee, or person certified under s.

4071

499.012(16) s. 499.012(11) demonstrates any of the conditions

4072

enumerated in s. 499.012 s. 499.01 or s. 499.012(5).

4073

     5. The applicant, permittee, or person certified under s.

4074

499.012(16) s. 499.012(11) has committed any violation of ss.

4075

499.005-499.0054.

4076

     (2)  The department may deny, suspend, or revoke any

4077

registration required by the provisions of this part ss. 499.001-

4078

499.081 for the violation of any provision of this part ss.

4079

499.001-499.081 or of any rules adopted under this part those

4080

sections.

4081

     (3)  The department may revoke or suspend a permit:

4082

     (a)  If the permit was obtained by misrepresentation or

4083

fraud or through a mistake of the department;

4084

     (b)  If the permit was procured, or attempted to be

4085

procured, for any other person by making or causing to be made

4086

any false representation; or

4087

     (c) If the permittee has violated any provision of this

4088

part ss. 499.001-499.081 or rules adopted under this part those

4089

sections.

4090

     (4) If any permit issued under this part ss. 499.001-

4091

499.081 is revoked or suspended, the owner, manager, operator, or

4092

proprietor of the establishment shall cease to operate as the

4093

permit authorized, from the effective date of the suspension or

4094

revocation until the person is again registered with the

4095

department and possesses the required permit. If a permit is

4096

revoked or suspended, the owner, manager, or proprietor shall

4097

remove all signs and symbols that identify the operation as

4098

premises permitted as a drug wholesaling establishment; drug,

4099

device, or cosmetic manufacturing establishment; or retail

4100

establishment. The department shall determine the length of time

4101

for which the permit is to be suspended. If a permit is revoked,

4102

the person that owns or operates the establishment may not apply

4103

for any permit under this part ss. 499.001-499.081 for a period

4104

of 1 year after the date of the revocation. A revocation of a

4105

permit may be permanent if the department considers that to be in

4106

the best interest of the public health.

4107

     (5)  The department may deny, suspend, or revoke a permit

4108

issued under this part ss. 499.001-499.081 which authorizes the

4109

permittee to purchase prescription drugs, if any owner, officer,

4110

employee, or other person who participates in administering or

4111

operating the establishment has been found guilty of any

4112

violation of this part ss. 499.001-499.081 or chapter 465,

4113

chapter 501, or chapter 893, any rules adopted under this part

4114

any of those sections or those chapters, or any federal or state

4115

drug law, regardless of whether the person has been pardoned, had

4116

her or his civil rights restored, or had adjudication withheld.

4117

     (6)  The department shall deny, suspend, or revoke the

4118

permit of any person or establishment if the assignment, sale,

4119

transfer, or lease of an establishment permitted under this part

4120

ss. 499.001-499.081 will avoid an administrative penalty, civil

4121

action, or criminal prosecution.

4122

     (7)  Notwithstanding s. 120.60(5), if a permittee fails to

4123

comply with s. 499.012(6) s. 499.01(7), the department may revoke

4124

the permit of the permittee and shall provide notice of the

4125

intended agency action by posting a notice at the department's

4126

headquarters and by mailing a copy of the notice of intended

4127

agency action by certified mail to the most recent mailing

4128

address on record with the department and, if the permittee is

4129

not a natural person, to the permittee's registered agent on file

4130

with the Department of State.

4131

     Section 38.  Paragraph (a) of subsection (1) of section

4132

409.9201, Florida Statutes, is amended to read:

4133

     409.9201  Medicaid fraud.--

4134

     (1)  As used in this section, the term:

4135

     (a) "Prescription Legend drug" means any drug, including,

4136

but not limited to, finished dosage forms or active ingredients

4137

that are subject to, defined by, or described by s. 503(b) of the

4138

Federal Food, Drug, and Cosmetic Act or by s. 465.003(8), s.

4139

499.007(13) s. 499.007(12), or s. 499.003(45) or (52) s.

4140

499.0122(1)(b) or (c).

4141

4142

The value of individual items of the legend drugs or goods or

4143

services involved in distinct transactions committed during a

4144

single scheme or course of conduct, whether involving a single

4145

person or several persons, may be aggregated when determining the

4146

punishment for the offense.

4147

     Section 39.  Paragraph (c) of subsection (9) of section

4148

460.403, Florida Statutes, is amended to read:

4149

     460.403  Definitions.--As used in this chapter, the term:

4150

     (9)

4151

     (c)1.  Chiropractic physicians may adjust, manipulate, or

4152

treat the human body by manual, mechanical, electrical, or

4153

natural methods; by the use of physical means or physiotherapy,

4154

including light, heat, water, or exercise; by the use of

4155

acupuncture; or by the administration of foods, food

4156

concentrates, food extracts, and items for which a prescription

4157

is not required and may apply first aid and hygiene, but

4158

chiropractic physicians are expressly prohibited from prescribing

4159

or administering to any person any legend drug except as

4160

authorized under subparagraph 2., from performing any surgery

4161

except as stated herein, or from practicing obstetrics.

4162

     2.  Notwithstanding the prohibition against prescribing and

4163

administering legend drugs under subparagraph 1., or s.

4164

499.01(2)(m) s. 499.0122, pursuant to board rule chiropractic

4165

physicians may order, store, and administer, for emergency

4166

purposes only at the chiropractic physician's office or place of

4167

business, prescription medical oxygen and may also order, store,

4168

and administer the following topical anesthetics in aerosol form:

4169

     a.  Any solution consisting of 25 percent ethylchloride and

4170

75 percent dichlorodifluoromethane.

4171

     b.  Any solution consisting of 15 percent

4172

dichlorodifluoromethane and 85 percent

4173

trichloromonofluoromethane.

4174

4175

However, this paragraph does not authorize a chiropractic

4176

physician to prescribe medical oxygen as defined in chapter 499.

4177

     Section 40.  Subsection (3) of section 465.0265, Florida

4178

Statutes, is amended to read:

4179

     465.0265  Centralized prescription filling.--

4180

     (3)  The filling, delivery, and return of a prescription by

4181

one pharmacy for another pursuant to this section shall not be

4182

construed as the filling of a transferred prescription as set

4183

forth in s. 465.026 or as a wholesale distribution as set forth

4184

in s. 499.003(53) s. 499.012(1)(a).

4185

     Section 41.  Section 794.075, Florida Statutes, is amended

4186

to read:

4187

     794.075  Sexual predators; erectile dysfunction drugs.--

4188

     (1)  A person may not possess a prescription drug, as

4189

defined in s. 499.003(42) s. 499.003(25), for the purpose of

4190

treating erectile dysfunction if the person is designated as a

4191

sexual predator under s. 775.21.

4192

     (2)  A person who violates a provision of this section for

4193

the first time commits a misdemeanor of the second degree,

4194

punishable as provided in s. 775.082 or s. 775.083. A person who

4195

violates a provision of this section a second or subsequent time

4196

commits a misdemeanor of the first degree, punishable as provided

4197

in s. 775.082 or s. 775.083.

4198

     Section 42.  Paragraph (a) of subsection (1) of section

4199

895.02, Florida Statutes, is amended to read:

4200

     895.02  Definitions.--As used in ss. 895.01-895.08, the

4201

term:

4202

     (1)  "Racketeering activity" means to commit, to attempt to

4203

commit, to conspire to commit, or to solicit, coerce, or

4204

intimidate another person to commit:

4205

     (a)  Any crime that is chargeable by indictment or

4206

information under the following provisions of the Florida

4207

Statutes:

4208

     1.  Section 210.18, relating to evasion of payment of

4209

cigarette taxes.

4210

     2.  Section 403.727(3)(b), relating to environmental

4211

control.

4212

     3.  Section 409.920 or s. 409.9201, relating to Medicaid

4213

fraud.

4214

     4.  Section 414.39, relating to public assistance fraud.

4215

     5.  Section 440.105 or s. 440.106, relating to workers'

4216

compensation.

4217

     6.  Section 443.071(4), relating to creation of a fictitious

4218

employer scheme to commit unemployment compensation fraud.

4219

     7.  Section 465.0161, relating to distribution of medicinal

4220

drugs without a permit as an Internet pharmacy.

4221

     8. Section 499.0051 Sections 499.0051, 499.0052, 499.00535,

4222

499.00545, and 499.0691, relating to crimes involving contraband

4223

and adulterated drugs.

4224

     9.  Part IV of chapter 501, relating to telemarketing.

4225

     10.  Chapter 517, relating to sale of securities and

4226

investor protection.

4227

     11.  Section 550.235, s. 550.3551, or s. 550.3605, relating

4228

to dogracing and horseracing.

4229

     12.  Chapter 550, relating to jai alai frontons.

4230

     13.  Section 551.109, relating to slot machine gaming.

4231

     14.  Chapter 552, relating to the manufacture, distribution,

4232

and use of explosives.

4233

     15.  Chapter 560, relating to money transmitters, if the

4234

violation is punishable as a felony.

4235

     16.  Chapter 562, relating to beverage law enforcement.

4236

     17.  Section 624.401, relating to transacting insurance

4237

without a certificate of authority, s. 624.437(4)(c)1., relating

4238

to operating an unauthorized multiple-employer welfare

4239

arrangement, or s. 626.902(1)(b), relating to representing or

4240

aiding an unauthorized insurer.

4241

     18.  Section 655.50, relating to reports of currency

4242

transactions, when such violation is punishable as a felony.

4243

     19.  Chapter 687, relating to interest and usurious

4244

practices.

4245

     20.  Section 721.08, s. 721.09, or s. 721.13, relating to

4246

real estate timeshare plans.

4247

     21.  Chapter 782, relating to homicide.

4248

     22.  Chapter 784, relating to assault and battery.

4249

     23.  Chapter 787, relating to kidnapping or human

4250

trafficking.

4251

     24.  Chapter 790, relating to weapons and firearms.

4252

     25.  Section 796.03, s. 796.035, s. 796.04, s. 796.045, s.

4253

796.05, or s. 796.07, relating to prostitution and sex

4254

trafficking.

4255

     26.  Chapter 806, relating to arson.

4256

     27.  Section 810.02(2)(c), relating to specified burglary of

4257

a dwelling or structure.

4258

     28.  Chapter 812, relating to theft, robbery, and related

4259

crimes.

4260

     29.  Chapter 815, relating to computer-related crimes.

4261

     30.  Chapter 817, relating to fraudulent practices, false

4262

pretenses, fraud generally, and credit card crimes.

4263

     31.  Chapter 825, relating to abuse, neglect, or

4264

exploitation of an elderly person or disabled adult.

4265

     32.  Section 827.071, relating to commercial sexual

4266

exploitation of children.

4267

     33.  Chapter 831, relating to forgery and counterfeiting.

4268

     34.  Chapter 832, relating to issuance of worthless checks

4269

and drafts.

4270

     35.  Section 836.05, relating to extortion.

4271

     36.  Chapter 837, relating to perjury.

4272

     37.  Chapter 838, relating to bribery and misuse of public

4273

office.

4274

     38.  Chapter 843, relating to obstruction of justice.

4275

     39.  Section 847.011, s. 847.012, s. 847.013, s. 847.06, or

4276

s. 847.07, relating to obscene literature and profanity.

4277

     40.  Section 849.09, s. 849.14, s. 849.15, s. 849.23, or s.

4278

849.25, relating to gambling.

4279

     41.  Chapter 874, relating to criminal street gangs.

4280

     42.  Chapter 893, relating to drug abuse prevention and

4281

control.

4282

     43.  Chapter 896, relating to offenses related to financial

4283

transactions.

4284

     44.  Sections 914.22 and 914.23, relating to tampering with

4285

a witness, victim, or informant, and retaliation against a

4286

witness, victim, or informant.

4287

     45.  Sections 918.12 and 918.13, relating to tampering with

4288

jurors and evidence.

4289

     Section 43.  Paragraphs (d), (f), (h), (i), and (j) of

4290

subsection (3) of section 921.0022, Florida Statutes, are amended

4291

to read:

4292

     921.0022  Criminal Punishment Code; offense severity ranking

4293

chart.--

4294

     (3)  OFFENSE SEVERITY RANKING CHART

4295

     (d)  LEVEL 4

4296

FloridaStatuteFelonyDegreeDescription

4297

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.

4298

499.0051(1)3rdFailure to maintain or deliver pedigree papers.

4299

499.0051(2)3rdFailure to authenticate pedigree papers.

4300

499.0051(6)2ndKnowing sale or delivery, or possession with intent to sell, contraband prescription legend drugs.

4301

784.07(2)(b)3rdBattery of law enforcement officer, firefighter, intake officer, etc.

4302

784.074(1)(c)3rdBattery of sexually violent predators facility staff.

4303

784.0753rdBattery on detention or commitment facility staff.

4304

784.0783rdBattery of facility employee by throwing, tossing, or expelling certain fluids or materials.

4305

784.08(2)(c)3rdBattery on a person 65 years of age or older.

4306

784.081(3)3rdBattery on specified official or employee.

4307

784.082(3)3rdBattery by detained person on visitor or other detainee.

4308

784.083(3)3rdBattery on code inspector.

4309

784.0853rdBattery of child by throwing, tossing, projecting, or expelling certain fluids or materials.

4310

787.03(1)3rdInterference with custody; wrongly takes minor from appointed guardian.

4311

787.04(2)3rdTake, entice, or remove child beyond state limits with criminal intent pending custody proceedings.

4312

787.04(3)3rdCarrying child beyond state lines with criminal intent to avoid producing child at custody hearing or delivering to designated person.

4313

790.115(1)3rdExhibiting firearm or weapon within 1,000 feet of a school.

4314

790.115(2)(b)3rdPossessing electric weapon or device, destructive device, or other weapon on school property.

4315

790.115(2)(c)3rdPossessing firearm on school property.

4316

800.04(7)(d)3rdLewd or lascivious exhibition; offender less than 18 years.

4317

810.02(4)(a)3rdBurglary, or attempted burglary, of an unoccupied structure; unarmed; no assault or battery.

4318

810.02(4)(b)3rdBurglary, or attempted burglary, of an unoccupied conveyance; unarmed; no assault or battery.

4319

810.063rdBurglary; possession of tools.

4320

810.08(2)(c)3rdTrespass on property, armed with firearm or dangerous weapon.

4321

812.014(2)(c)3.3rdGrand theft, 3rd degree $10,000 or more but less than $20,000.

4322

812.014(2)(c)4.-10.3rdGrand theft, 3rd degree, a will, firearm, motor vehicle, livestock, etc.

4323

812.0195(2)3rdDealing in stolen property by use of the Internet; property stolen $300 or more.

4324

817.563(1)3rdSell or deliver substance other than controlled substance agreed upon, excluding s. 893.03(5) drugs.

4325

817.568(2)(a)3rdFraudulent use of personal identification information.

4326

817.625(2)(a)3rdFraudulent use of scanning device or reencoder.

4327

828.125(1)2ndKill, maim, or cause great bodily harm or permanent breeding disability to any registered horse or cattle.

4328

837.02(1)3rdPerjury in official proceedings.

4329

837.021(1)3rdMake contradictory statements in official proceedings.

4330

838.0223rdOfficial misconduct.

4331

839.13(2)(a)3rdFalsifying records of an individual in the care and custody of a state agency.

4332

839.13(2)(c)3rdFalsifying records of the Department of Children and Family Services.

4333

843.0213rdPossession of a concealed handcuff key by a person in custody.

4334

843.0253rdDeprive law enforcement, correctional, or correctional probation officer of means of protection or communication.

4335

843.15(1)(a)3rdFailure to appear while on bail for felony (bond estreature or bond jumping).

4336

874.05(1)3rdEncouraging or recruiting another to join a criminal street gang.

4337

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).

4338

914.14(2)3rdWitnesses accepting bribes.

4339

914.22(1)3rdForce, threaten, etc., witness, victim, or informant.

4340

914.23(2)3rdRetaliation against a witness, victim, or informant, no bodily injury.

4341

918.123rdTampering with jurors.

4342

934.2153rdUse of two-way communications device to facilitate commission of a crime.

4343

4344

     (f)  LEVEL 6

4345

FloridaStatuteFelonyDegreeDescription

4346

316.193(2)(b)3rdFelony DUI, 4th or subsequent conviction.

4347

499.0051(3)2ndKnowing forgery of pedigree papers.

4348

499.0051(4)2ndKnowing purchase or receipt of prescription legend drug from unauthorized person.

4349

499.0051(5)2ndKnowing sale or transfer of prescription legend drug to unauthorized person.

4350

775.0875(1)3rdTaking firearm from law enforcement officer.

4351

784.021(1)(a)3rdAggravated assault; deadly weapon without intent to kill.

4352

784.021(1)(b)3rdAggravated assault; intent to commit felony.

4353

784.0413rdFelony battery; domestic battery by strangulation.

4354

784.048(3)3rdAggravated stalking; credible threat.

4355

784.048(5)3rdAggravated stalking of person under 16.

4356

784.07(2)(c)2ndAggravated assault on law enforcement officer.

4357

784.074(1)(b)2ndAggravated assault on sexually violent predators facility staff.

4358

784.08(2)(b)2ndAggravated assault on a person 65 years of age or older.

4359

784.081(2)2ndAggravated assault on specified official or employee.

4360

784.082(2)2ndAggravated assault by detained person on visitor or other detainee.

4361

784.083(2)2ndAggravated assault on code inspector.

4362

787.02(2)3rdFalse imprisonment; restraining with purpose other than those in s. 787.01.

4363

790.115(2)(d)2ndDischarging firearm or weapon on school property.

4364

790.161(2)2ndMake, possess, or throw destructive device with intent to do bodily harm or damage property.

4365

790.164(1)2ndFalse report of deadly explosive, weapon of mass destruction, or act of arson or violence to state property.

4366

790.192ndShooting or throwing deadly missiles into dwellings, vessels, or vehicles.

4367

794.011(8)(a)3rdSolicitation of minor to participate in sexual activity by custodial adult.

4368

794.05(1)2ndUnlawful sexual activity with specified minor.

4369

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.

4370

800.04(6)(b)2ndLewd or lascivious conduct; offender 18 years of age or older.

4371

806.031(2)2ndArson resulting in great bodily harm to firefighter or any other person.

4372

810.02(3)(c)2ndBurglary of occupied structure; unarmed; no assault or battery.

4373

812.014(2)(b)1.2ndProperty stolen $20,000 or more, but less than $100,000, grand theft in 2nd degree.

4374

812.014(6)2ndTheft; property stolen $3,000 or more; coordination of others.

4375

812.015(9)(a)2ndRetail theft; property stolen $300 or more; second or subsequent conviction.

4376

812.015(9)(b)2ndRetail theft; property stolen $3,000 or more; coordination of others.

4377

812.13(2)(c)2ndRobbery, no firearm or other weapon (strong-arm robbery).

4378

817.034(4)(a)1.1stCommunications fraud, value greater than $50,000.

4379

817.4821(5)2ndPossess cloning paraphernalia with intent to create cloned cellular telephones.

4380

825.102(1)3rdAbuse of an elderly person or disabled adult.

4381

825.102(3)(c)3rdNeglect of an elderly person or disabled adult.

4382

825.1025(3)3rdLewd or lascivious molestation of an elderly person or disabled adult.

4383

825.103(2)(c)3rdExploiting an elderly person or disabled adult and property is valued at less than $20,000.

4384

827.03(1)3rdAbuse of a child.

4385

827.03(3)(c)3rdNeglect of a child.

4386

827.071(2)&(3)2ndUse or induce a child in a sexual performance, or promote or direct such performance.

4387

836.052ndThreats; extortion.

4388

836.102ndWritten threats to kill or do bodily injury.

4389

843.123rdAids or assists person to escape.

4390

847.0135(2)3rdFacilitates sexual conduct of or with a minor or the visual depiction of such conduct.

4391

914.232ndRetaliation against a witness, victim, or informant, with bodily injury.

4392

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.

4393

944.402ndEscapes.

4394

944.463rdHarboring, concealing, aiding escaped prisoners.

4395

944.47(1)(a)5.2ndIntroduction of contraband (firearm, weapon, or explosive) into correctional facility.

4396

951.22(1)3rdIntoxicating drug, firearm, or weapon introduced into county facility.

4397

4398

     (h)  LEVEL 8

4399

FloridaStatuteFelonyDegreeDescription

4400

316.193(3)(c)3.a.2ndDUI manslaughter.

4401

316.1935(4)(b)1stAggravated fleeing or attempted eluding with serious bodily injury or death.

4402

327.35(3)(c)3.2ndVessel BUI manslaughter.

4403

499.0051(8) 499.0051(7)1stKnowing forgery of prescription labels or prescription legend drug labels.

4404

499.0051(7) 499.00521stKnowing trafficking in contraband prescription legend drugs.

4405

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.

4406

560.125(5)(b)2ndMoney transmitter business by unauthorized person, currency or payment instruments totaling or exceeding $20,000, but less than $100,000.

4407

655.50(10)(b)2.2ndFailure to report financial transactions totaling or exceeding $20,000, but less than $100,000 by financial institutions.

4408

777.03(2)(a)1stAccessory after the fact, capital felony.

4409

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.

4410

782.051(2)1stAttempted felony murder while perpetrating or attempting to perpetrate a felony not enumerated in s. 782.04(3).

4411

782.071(1)(b)1stCommitting vehicular homicide and failing to render aid or give information.

4412

782.072(2)1stCommitting vessel homicide and failing to render aid or give information.

4413

790.161(3)1stDischarging a destructive device which results in bodily harm or property damage.

4414

794.011(5)2ndSexual battery, victim 12 years or over, offender does not use physical force likely to cause serious injury.

4415

794.08(3)2ndFemale genital mutilation, removal of a victim younger than 18 years of age from this state.

4416

800.04(4)2ndLewd or lascivious battery.

4417

806.01(1)1stMaliciously damage dwelling or structure by fire or explosive, believing person in structure.

4418

810.02(2)(a)1st,PBLBurglary with assault or battery.

4419

810.02(2)(b)1st,PBLBurglary; armed with explosives or dangerous weapon.

4420

810.02(2)(c)1stBurglary of a dwelling or structure causing structural damage or $1,000 or more property damage.

4421

812.014(2)(a)2.1stProperty stolen; cargo valued at $50,000 or more, grand theft in 1st degree.

4422

812.13(2)(b)1stRobbery with a weapon.

4423

812.135(2)(c)1stHome-invasion robbery, no firearm, deadly weapon, or other weapon.

4424

817.568(6)2ndFraudulent use of personal identification information of an individual under the age of 18.

4425

825.102(2)2ndAggravated abuse of an elderly person or disabled adult.

4426

825.1025(2)2ndLewd or lascivious battery upon an elderly person or disabled adult.

4427

825.103(2)(a)1stExploiting an elderly person or disabled adult and property is valued at $100,000 or more.

4428

837.02(2)2ndPerjury in official proceedings relating to prosecution of a capital felony.

4429

837.021(2)2ndMaking contradictory statements in official proceedings relating to prosecution of a capital felony.

4430

860.121(2)(c)1stShooting at or throwing any object in path of railroad vehicle resulting in great bodily harm.

4431

860.161stAircraft piracy.

4432

893.13(1)(b)1stSell or deliver in excess of 10 grams of any substance specified in s. 893.03(1)(a) or (b).

4433

893.13(2)(b)1stPurchase in excess of 10 grams of any substance specified in s. 893.03(1)(a) or (b).

4434

893.13(6)(c)1stPossess in excess of 10 grams of any substance specified in s. 893.03(1)(a) or (b).

4435

893.135(1)(a)2.1stTrafficking in cannabis, more than 2,000 lbs., less than 10,000 lbs.

4436

893.135(1)(b)1.b.1stTrafficking in cocaine, more than 200 grams, less than 400 grams.

4437

893.135(1)(c)1.b.1stTrafficking in illegal drugs, more than 14 grams, less than 28 grams.

4438

893.135(1)(d)1.b.1stTrafficking in phencyclidine, more than 200 grams, less than 400 grams.

4439

893.135(1)(e)1.b.1stTrafficking in methaqualone, more than 5 kilograms, less than 25 kilograms.

4440

893.135(1)(f)1.b.1stTrafficking in amphetamine, more than 28 grams, less than 200 grams.

4441

893.135(1)(g)1.b.1stTrafficking in flunitrazepam, 14 grams or more, less than 28 grams.

4442

893.135(1)(h)1.b.1stTrafficking in gamma-hydroxybutyric acid (GHB), 5 kilograms or more, less than 10 kilograms.

4443

893.135(1)(j)1.b.1stTrafficking in 1,4-Butanediol, 5 kilograms or more, less than 10 kilograms.

4444

893.135(1)(k)2.b.1stTrafficking in Phenethylamines, 200 grams or more, less than 400 grams.

4445

895.03(1)1stUse or invest proceeds derived from pattern of racketeering activity.

4446

895.03(2)1stAcquire or maintain through racketeering activity any interest in or control of any enterprise or real property.

4447

895.03(3)1stConduct or participate in any enterprise through pattern of racketeering activity.

4448

896.101(5)(b)2ndMoney laundering, financial transactions totaling or exceeding $20,000, but less than $100,000.

4449

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.

4450

4451

     (i)  LEVEL 9

4452

FloridaStatuteFelonyDegreeDescription

4453

316.193(3)(c)3.b.1stDUI manslaughter; failing to render aid or give information.

4454

327.35(3)(c)3.b.1stBUI manslaughter; failing to render aid or give information.

4455

499.0051(9) 499.005351stKnowing sale or purchase of contraband prescription legend drugs resulting in great bodily harm.

4456

560.123(8)(b)3.1stFailure to report currency or payment instruments totaling or exceeding $100,000 by money transmitter.

4457

560.125(5)(c)1stMoney transmitter business by unauthorized person, currency, or payment instruments totaling or exceeding $100,000.

4458

655.50(10)(b)3.1stFailure to report financial transactions totaling or exceeding $100,000 by financial institution.

4459

775.08441stAggravated white collar crime.

4460

782.04(1)1stAttempt, conspire, or solicit to commit premeditated murder.

4461

782.04(3)1st,PBLAccomplice to murder in connection with arson, sexual battery, robbery, burglary, and other specified felonies.

4462

782.051(1)1stAttempted felony murder while perpetrating or attempting to perpetrate a felony enumerated in s. 782.04(3).

4463

782.07(2)1stAggravated manslaughter of an elderly person or disabled adult.

4464

787.01(1)(a)1.1st,PBLKidnapping; hold for ransom or reward or as a shield or hostage.

4465

787.01(1)(a)2.1st,PBLKidnapping with intent to commit or facilitate commission of any felony.

4466

787.01(1)(a)4.1st,PBLKidnapping with intent to interfere with performance of any governmental or political function.

4467

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.

4468

790.1611stAttempted capital destructive device offense.

4469

790.166(2)1st,PBLPossessing, selling, using, or attempting to use a weapon of mass destruction.

4470

794.011(2)1stAttempted sexual battery; victim less than 12 years of age.

4471

794.011(2)LifeSexual battery; offender younger than 18 years and commits sexual battery on a person less than 12 years.

4472

794.011(4)1stSexual battery; victim 12 years or older, certain circumstances.

4473

794.011(8)(b)1stSexual battery; engage in sexual conduct with minor 12 to 18 years by person in familial or custodial authority.

4474

794.08(2)1stFemale genital mutilation; victim younger than 18 years of age.

4475

800.04(5)(b)LifeLewd or lascivious molestation; victim less than 12 years; offender 18 years or older.

4476

812.13(2)(a)1st,PBLRobbery with firearm or other deadly weapon.

4477

812.133(2)(a)1st,PBLCarjacking; firearm or other deadly weapon.

4478

812.135(2)(b)1stHome-invasion robbery with weapon.

4479

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.

4480

827.03(2)1stAggravated child abuse.

4481

847.0145(1)1stSelling, or otherwise transferring custody or control, of a minor.

4482

847.0145(2)1stPurchasing, or otherwise obtaining custody or control, of a minor.

4483

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.

4484

893.1351stAttempted capital trafficking offense.

4485

893.135(1)(a)3.1stTrafficking in cannabis, more than 10,000 lbs.

4486

893.135(1)(b)1.c.1stTrafficking in cocaine, more than 400 grams, less than 150 kilograms.

4487

893.135(1)(c)1.c.1stTrafficking in illegal drugs, more than 28 grams, less than 30 kilograms.

4488

893.135(1)(d)1.c.1stTrafficking in phencyclidine, more than 400 grams.

4489

893.135(1)(e)1.c.1stTrafficking in methaqualone, more than 25 kilograms.

4490

893.135(1)(f)1.c.1stTrafficking in amphetamine, more than 200 grams.

4491

893.135(1)(h)1.c.1stTrafficking in gamma-hydroxybutyric acid (GHB), 10 kilograms or more.

4492

893.135(1)(j)1.c.1stTrafficking in 1,4-Butanediol, 10 kilograms or more.

4493

893.135(1)(k)2.c.1stTrafficking in Phenethylamines, 400 grams or more.

4494

896.101(5)(c)1stMoney laundering, financial instruments totaling or exceeding $100,000.

4495

896.104(4)(a)3.1stStructuring transactions to evade reporting or registration requirements, financial transactions totaling or exceeding $100,000.

4496

4497

     (j)  LEVEL 10

4498

FloridaStatuteFelonyDegreeDescription

4499

499.0051(10) 499.005451stKnowing sale or purchase of contraband prescription legend drugs resulting in death.

4500

782.04(2)1st,PBLUnlawful killing of human; act is homicide, unpremeditated.

4501

787.01(1)(a)3.1st,PBLKidnapping; inflict bodily harm upon or terrorize victim.

4502

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.

4503

782.07(3)1stAggravated manslaughter of a child.

4504

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.

4505

812.135(2)(a)1st,PBLHome-invasion robbery with firearm or other deadly weapon.

4506

876.321stTreason against the state.

4507

4508

     Section 44.  This act shall take effect July 1, 2008.

CODING: Words stricken are deletions; words underlined are additions.