Florida Senate - 2012                        COMMITTEE AMENDMENT
       Bill No. SB 1006
       
       
       
       
       
       
                                Barcode 416374                          
       
                              LEGISLATIVE ACTION                        
                    Senate             .             House              
                  Comm: RCS            .                                
                  02/27/2012           .                                
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       The Committee on Health Regulation (Norman) recommended the
       following:
       
    1         Senate Amendment (with title amendment)
    2  
    3         Delete everything after the enacting clause
    4  and insert:
    5         Section 1. Subsections (17), (19), (20), and (43) of
    6  section 499.003, Florida Statutes, are amended to read:
    7         499.003 Definitions of terms used in this part.—As used in
    8  this part, the term:
    9         (17) “Distribute” or “distribution” means to sell; offer to
   10  sell; give away; transfer, whether by passage of title, physical
   11  movement, or both; deliver; or offer to deliver. The term does
   12  not mean to administer or dispense and does not include the
   13  billing and invoicing activities that commonly follow a
   14  wholesale distribution transaction.
   15         (19) “Drug” means an article that is:
   16         (a) Recognized in the current edition of the United States
   17  Pharmacopoeia and National Formulary, official Homeopathic
   18  Pharmacopoeia of the United States, or any supplement to any of
   19  those publications;
   20         (b) Intended for use in the diagnosis, cure, mitigation,
   21  treatment, therapy, or prevention of disease in humans or other
   22  animals;
   23         (c) Intended to affect the structure or any function of the
   24  body of humans or other animals; or
   25         (d) Intended for use as a component of any article
   26  specified in paragraph (a), paragraph (b), or paragraph (c), and
   27  includes active pharmaceutical ingredients, but does not include
   28  devices or their components, parts, or accessories. For purposes
   29  of this paragraph, an “active pharmaceutical ingredient”
   30  includes any substance or mixture of substances intended,
   31  represented, or labeled for use in drug manufacturing that
   32  furnishes or is intended to furnish, in a finished dosage form,
   33  any pharmacological activity or other direct effect in the
   34  diagnosis, cure, mitigation, treatment, therapy, or prevention
   35  of disease in humans or other animals, or to affect the
   36  structure or any function of the body of humans or other
   37  animals.
   38         (20) “Establishment” means a place of business which is at
   39  one general physical location and may extend to one or more
   40  contiguous suites, units, floors, or buildings operated and
   41  controlled exclusively by entities under common operation and
   42  control. Where multiple buildings are under common exclusive
   43  ownership, operation, and control, an intervening thoroughfare
   44  does not affect the contiguous nature of the buildings. For
   45  purposes of permitting, each suite, unit, floor, or building
   46  must be identified in the most recent permit application.
   47         (43) “Prescription drug” means a prescription, medicinal,
   48  or legend drug, including, but not limited to, finished dosage
   49  forms or active pharmaceutical ingredients subject to, defined
   50  by, or described by s. 503(b) of the Federal Food, Drug, and
   51  Cosmetic Act or s. 465.003(8), s. 499.007(13), or subsection
   52  (11), subsection (46), or subsection (53), except that an active
   53  pharmaceutical ingredient is a prescription drug only if
   54  substantially all finished dosage forms in which it may be
   55  lawfully dispensed or administered in this state are also
   56  prescription drugs.
   57         Section 2. Paragraphs (c) and (e) of subsection (2) of
   58  section 499.01, Florida Statutes, are amended, and subsection
   59  (3) is added to that section, to read:
   60         499.01 Permits.—
   61         (2) The following permits are established:
   62         (c) Nonresident prescription drug manufacturer permit.—A
   63  nonresident prescription drug manufacturer permit is required
   64  for any person that is a manufacturer of prescription drugs,
   65  unless permitted as a third party logistics provider, located
   66  outside of this state or outside the United States and that
   67  engages in the wholesale distribution in this state of such
   68  prescription drugs. Each such manufacturer must be permitted by
   69  the department and comply with all of the provisions required of
   70  a wholesale distributor under this part, except s. 499.01212.
   71         1. A person that distributes prescription drugs for which
   72  the person is not the manufacturer must also obtain an out-of
   73  state prescription drug wholesale distributor permit or third
   74  party logistics provider permit pursuant to this section to
   75  engage in the wholesale distribution of such prescription drugs.
   76  This subparagraph does not apply to a manufacturer as defined in
   77  s. 499.003(31)(e).
   78         2. Any such person must comply with the licensing or
   79  permitting requirements of the jurisdiction in which the
   80  establishment is located and the federal act, and any product
   81  wholesaled into this state must comply with this part. If a
   82  person intends to import prescription drugs from a foreign
   83  country into this state, the nonresident prescription drug
   84  manufacturer must provide to the department a list identifying
   85  each prescription drug it intends to import and document
   86  approval by the United States Food and Drug Administration for
   87  such importation.
   88         3. A nonresident prescription drug manufacturer permit is
   89  not required for a manufacturer to distribute a prescription
   90  drug active pharmaceutical ingredient that it manufactures to a
   91  prescription drug manufacturer permitted in this state in
   92  limited quantities intended for research and development and not
   93  for resale, or human use other than lawful clinical trials and
   94  biostudies authorized and regulated by federal law. A
   95  manufacturer claiming to be exempt from the permit requirements
   96  of this subparagraph and the prescription drug manufacturer
   97  purchasing and receiving the active pharmaceutical ingredient
   98  shall comply with the recordkeeping requirements of s.
   99  499.0121(6), but not the requirements of s. 499.01212. The
  100  prescription drug manufacturer purchasing and receiving the
  101  active pharmaceutical ingredient shall maintain on file a record
  102  of the FDA registration number; the out-of-state license,
  103  permit, or registration number; and, if available, a copy of the
  104  most current FDA inspection report, for all manufacturers from
  105  whom they purchase active pharmaceutical ingredients under this
  106  section. The department shall specify by rule the allowable
  107  number of transactions within a given period of time and the
  108  amount of active pharmaceutical ingredients that qualify as
  109  limited quantities for purposes of this exemption. The failure
  110  to comply with the requirements of this subparagraph, or rules
  111  adopted by the department to administer this subparagraph, for
  112  the purchase of prescription drug active pharmaceutical
  113  ingredients is a violation of s. 499.005(14).
  114         (e) Out-of-state prescription drug wholesale distributor
  115  permit.—An out-of-state prescription drug wholesale distributor
  116  is a wholesale distributor located outside this state which
  117  engages in the wholesale distribution of prescription drugs into
  118  this state and which must be permitted by the department and
  119  comply with all the provisions required of a wholesale
  120  distributor under this part. An out-of-state prescription drug
  121  wholesale distributor that applies to the department for a new
  122  permit or the renewal of a permit must submit a bond of
  123  $100,000, or other equivalent means of security acceptable to
  124  the department, such as an irrevocable letter of credit or a
  125  deposit in a trust account or financial institution, payable to
  126  the Florida Drug, Device, and Cosmetic Trust Fund. The purpose
  127  of the bond is to secure payment of any administrative penalties
  128  imposed by the department and any fees and costs incurred by the
  129  department regarding that permit which are authorized under
  130  state law and which the permittee fails to pay 30 days after the
  131  fine or costs become final. The department may make a claim
  132  against such bond or security until 1 year after the permittee’s
  133  license ceases to be valid or until 60 days after any
  134  administrative or legal proceeding authorized in this part which
  135  involves the permittee is concluded, including any appeal,
  136  whichever occurs later.
  137         1. The out-of-state prescription drug wholesale distributor
  138  must maintain at all times a license or permit to engage in the
  139  wholesale distribution of prescription drugs in compliance with
  140  laws of the state in which it is a resident.
  141         2. An out-of-state prescription drug wholesale distributor
  142  permit is not required for an intracompany sale or transfer of a
  143  prescription drug from an out-of-state establishment that is
  144  duly licensed as a prescription drug wholesale distributor, in
  145  its state of residence, to a licensed prescription drug
  146  wholesale distributor in this state, if both wholesale
  147  distributors conduct wholesale distributions of prescription
  148  drugs under the same business name. The recordkeeping
  149  requirements of ss. 499.0121(6) and 499.01212 must be followed
  150  for this transaction.
  151         (3)(a) A permit issued under this part is not required to
  152  distribute a prescription drug active pharmaceutical ingredient
  153  from an establishment located in the United States to an
  154  establishment located in this state permitted as a prescription
  155  drug manufacturer under this part for use by the recipient in
  156  preparing, deriving, processing, producing, or fabricating a
  157  prescription drug finished dosage form at the establishment in
  158  this state where the product is received under an approved and
  159  otherwise valid New Drug Approval Application, Abbreviated New
  160  Drug Application, New Animal Drug Application, or Therapeutic
  161  Biologic Application, provided that the application, active
  162  pharmaceutical ingredient, or finished dosage form has not been
  163  withdrawn or removed from the market in this country for public
  164  health reasons.
  165         1. Any distributor claiming exemption from permitting
  166  requirements pursuant to this paragraph shall maintain a
  167  license, permit, or registration to engage in the wholesale
  168  distribution of prescription drugs under the laws of the state
  169  from which the product is distributed.
  170         2. Any distributor claiming exemption from permitting
  171  requirements pursuant to this paragraph and the prescription
  172  drug manufacturer purchasing and receiving the active
  173  pharmaceutical ingredient shall comply with the recordkeeping
  174  requirements of s. 499.0121(6), but not the requirements of s.
  175  499.01212.
  176         (b) A permit issued under this part is not required to
  177  distribute limited quantities of a prescription drug that has
  178  not been repackaged from an establishment located in the United
  179  States to an establishment located in this state permitted as a
  180  prescription drug manufacturer under this part for research and
  181  development or to a holder of a letter of exemption issued by
  182  the department under s. 499.03(4) for research, teaching, or
  183  testing. The department shall define “limited quantities” by
  184  rule and may include the allowable number of transactions within
  185  a given period of time and the amounts of prescription drugs
  186  distributed into the state for purposes of this exemption.
  187         1. Any distributor claiming exemption from permitting
  188  requirements pursuant to this paragraph shall maintain a
  189  license, permit, or registration to engage in the wholesale
  190  distribution of prescription drugs under the laws of the state
  191  from which the product is distributed.
  192         2. All purchasers and recipients of any prescription drugs
  193  distributed pursuant to this paragraph shall ensure that the
  194  products are not resold or used, directly or indirectly, on
  195  humans except in lawful clinical trials and biostudies
  196  authorized and regulated by federal law.
  197         3. Any distributor claiming exemption from permitting
  198  requirements pursuant to this paragraph, and the purchaser and
  199  recipient of the prescription drug, shall comply with the
  200  recordkeeping requirements of s. 499.0121(6), but not the
  201  requirements of s. 499.01212.
  202         4. The immediate package or container of any active
  203  pharmaceutical ingredient distributed into the state that is
  204  intended for teaching, testing, research, and development shall
  205  bear a label prominently displaying the statement: “Caution:
  206  Research, Teaching, or Testing Only – Not for Manufacturing,
  207  Compounding, or Resale.”
  208         (c) An out-of-state prescription drug wholesale distributor
  209  permit is not required for an intracompany sale or transfer of a
  210  prescription drug from an out-of-state establishment that is
  211  duly licensed as a prescription drug wholesale distributor in
  212  its state of residence to a licensed prescription drug wholesale
  213  distributor in this state, if both wholesale distributors
  214  conduct wholesale distributions of prescription drugs under the
  215  same business name. The recordkeeping requirements of ss.
  216  499.0121(6) and 499.01212 must be followed for such
  217  transactions.
  218         (d) Persons receiving prescription drugs from a source
  219  claimed to be exempt from permitting requirements under this
  220  subsection shall maintain on file:
  221         1. A record of the FDA establishment registration number,
  222  if any;
  223         2. The resident state prescription drug wholesale
  224  distribution license, permit, or registration number; and
  225         3. A copy of the most recent resident state or FDA
  226  inspection report, for all distributors and establishments whom
  227  they purchase or receive prescription drugs under this
  228  subsection.
  229         (e) All persons claiming exemption from permitting
  230  requirements pursuant to this subsection who engage in the
  231  distribution of prescription drugs within or into the state are
  232  subject to this part, including ss. 499.005 and 499.0051, and
  233  shall make available, within 48 hours, to the department on
  234  request all records related to any prescription drugs
  235  distributed under this subsection, including those records
  236  described in s. 499.051(4), regardless of the location where the
  237  records are stored.
  238         (f) A person purchasing and receiving a prescription drug
  239  from a person claimed to be exempt from licensing requirements
  240  pursuant to this subsection shall report to the department in
  241  writing within 14 days after receiving any product that is
  242  misbranded or adulterated or that fails to meet minimum
  243  standards set forth in the official compendium or state or
  244  federal good manufacturing practices for identity, purity,
  245  potency, or sterility, regardless of whether the product is
  246  thereafter rehabilitated, quarantined, returned, or destroyed.
  247         (g) The department may adopt rules to administer this
  248  subsection which are necessary for the protection of the public
  249  health, safety, and welfare. Failure to comply with the
  250  requirements of this subsection, or rules adopted by the
  251  department to administer this subsection, is a violation of s.
  252  499.005(14), and a knowing failure is a violation of s.
  253  499.0051(4).
  254         (h) This subsection does not relieve any person from any
  255  requirement prescribed by law with respect to controlled
  256  substances as defined in the applicable federal and state laws.
  257         Section 3. This act shall take effect July 1, 2012.
  258  
  259  ================= T I T L E  A M E N D M E N T ================
  260         And the title is amended as follows:
  261         Delete everything before the enacting clause
  262  and insert:
  263                        A bill to be entitled                      
  264         An act relating to prescription drug wholesale
  265         regulations; amending s. 499.003, F.S.; revising the
  266         definitions of the terms “distribute” or
  267         “distribution,” “drug,” “establishment,” and
  268         “prescription drug”; amending s. 499.01, F.S.;
  269         deleting provisions relating to an exemption from
  270         nonresident prescription drug manufacturer permit
  271         requirements; deleting provisions relating to an
  272         exemption from out-of-state prescription drug
  273         wholesale distributor permit requirements for
  274         intracompany sale or transfer of prescription drugs;
  275         providing an exemption from permit requirements for
  276         the distribution into this state of prescription drug
  277         active pharmaceutical ingredients for incorporation
  278         into prescription drugs in finished dosage form;
  279         requiring a distributor claiming such exemption to
  280         maintain a valid license, permit, or registration in
  281         the state from which the prescription drug was
  282         distributed; requiring compliance with certain
  283         recordkeeping requirements; exempting compliance with
  284         pedigree paper requirements; providing an exemption
  285         from permit requirements for distribution into this
  286         state of limited quantities of a prescription drug
  287         that has not been repackaged, for research and
  288         development or to a holder of a letter of exemption
  289         issued by the Department of Business and Professional
  290         Regulation for research, teaching, or testing;
  291         granting the department authority to define “limited
  292         quantities” by rule and limit therein the number of
  293         transactions and amount of prescription drugs
  294         distributed into the state; requiring a distributor
  295         claiming such exemption to maintain a valid license,
  296         permit, or registration in the state from which the
  297         prescription drug was distributed; requiring all
  298         purchasers and recipients of such prescription drugs
  299         to ensure the products are not resold or used on
  300         humans except in lawful clinical trials and
  301         biostudies; requiring compliance with certain
  302         recordkeeping requirements; exempting compliance from
  303         pedigree paper requirements; providing labeling
  304         requirements for active pharmaceutical ingredients
  305         distributed within the state for teaching, testing,
  306         research, and development; exempting from out-of-state
  307         prescription drug wholesale distributor permit
  308         requirements intracompany transactions or the sale of
  309         prescription drugs from an out-of-state distributor to
  310         a distributor in this state if both distributors
  311         conduct wholesale distributions under the same
  312         business name; requiring compliance with recordkeeping
  313         and pedigree paper requirements; allowing distributors
  314         and recipients of prescription drugs claiming
  315         exemption from certain permitting requirements to
  316         maintain on file their FDA registration number,
  317         resident state distributor license or permit number,
  318         and most recent resident state or FDA inspection
  319         report; providing that persons claiming such
  320         exemptions are subject to part I of chapter 499, F.S.,
  321         the Florida Drug and Cosmetic Act; requiring persons
  322         claiming such exemptions to make all records regarding
  323         prescription drug distribution available to the
  324         department, upon request, within 48 hours; requiring
  325         submission of a report of mishandled or adulterated
  326         prescription drugs within 14 days after receipt of
  327         such drugs; authorizing the department to adopt rules;
  328         providing that failure to comply with requirements or
  329         rules governing such exemptions constitutes unlawful
  330         purchase or receipt of a prescription drug from a
  331         person not authorized to distribute prescription drugs
  332         to that purchaser or recipient; providing that knowing
  333         failure to comply with such requirements constitutes
  334         unlawful sale, distribution, purchase, trade, holding,
  335         or offering of a drug; providing penalties; providing
  336         construction with respect to federal and state laws
  337         relating to controlled substances; providing an
  338         effective date.