| 1 | A bill to be entitled |
| 2 | An act relating to prescription drugs; amending s. |
| 3 | 499.003, F.S.; revising the definition of the term |
| 4 | "manufacturer" for purposes of the Florida Drug and |
| 5 | Cosmetic Act; amending s. 499.01, F.S.; revising |
| 6 | requirements for a prescription drug manufacturer permit, |
| 7 | nonresident prescription drug manufacturer permit, and |
| 8 | health care clinic establishment permit; amending s. |
| 9 | 499.0121, F.S.; requiring a wholesale distributor to |
| 10 | maintain pedigree papers separately from other records of |
| 11 | prescription drugs under certain circumstances; providing |
| 12 | an effective date. |
| 13 |
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| 14 | Be It Enacted by the Legislature of the State of Florida: |
| 15 |
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| 16 | Section 1. Subsection (31) of section 499.003, Florida |
| 17 | Statutes, is amended to read: |
| 18 | 499.003 Definitions of terms used in this part.--As used |
| 19 | in this part, the term: |
| 20 | (31) "Manufacturer" means: |
| 21 | (a) A person who prepares, derives, manufactures, or |
| 22 | produces a drug, device, or cosmetic. |
| 23 | (b) The holder or holders of a New Drug Application (NDA), |
| 24 | an Abbreviated New Drug Application (ANDA), a Biologics License |
| 25 | Application (BLA), or a New Animal Drug Application (NADA), |
| 26 | provided such application has become effective or is otherwise |
| 27 | approved consistent with s. 499.023.; |
| 28 | (c) A private label distributor for whom the private label |
| 29 | distributor's prescription drugs are originally manufactured and |
| 30 | labeled for the distributor and have not been repackaged; or the |
| 31 | distribution point for the manufacturer, contract manufacturer, |
| 32 | or private label distributor whether the establishment is a |
| 33 | member of the manufacturer's affiliated group or is a contract |
| 34 | distribution site. |
| 35 | (d) A person registered under the federal act as a |
| 36 | manufacturer who enters into an agreement with a manufacturer |
| 37 | described in paragraph (a), paragraph (b), or paragraph (c), |
| 38 | which agreement authorizes either manufacturer, consistent with |
| 39 | the federal act, to distribute a prescription drug as the |
| 40 | manufacturer of the drug. |
| 41 | (e) A member of an affiliated group that includes persons |
| 42 | described in paragraph (a), paragraph (b), paragraph (c), or |
| 43 | paragraph (d), which member distributes prescription drugs |
| 44 | manufactured only by members of the affiliated group. As used in |
| 45 | this paragraph, the term "affiliated group" means an affiliated |
| 46 | group as defined in s. 1504 of the Internal Revenue Code of |
| 47 | 1986, as amended. |
| 48 |
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| 49 | The term does not include a pharmacy excludes pharmacies that is |
| 50 | are operating in compliance with pharmacy practice standards as |
| 51 | defined in chapter 465 and rules adopted under that chapter. |
| 52 | Section 2. Paragraphs (a), (c), and (t) of subsection (2) |
| 53 | of section 499.01, Florida Statutes, are amended to read: |
| 54 | 499.01 Permits.-- |
| 55 | (2) The following permits are established: |
| 56 | (a) Prescription drug manufacturer permit.--A prescription |
| 57 | drug manufacturer permit is required for any person that is a |
| 58 | manufacturer of manufactures a prescription drug and that |
| 59 | manufactures or distributes such prescription drugs in this |
| 60 | state. |
| 61 | 1. A person that operates an establishment permitted as a |
| 62 | prescription drug manufacturer may engage in wholesale |
| 63 | distribution of prescription drugs manufactured at that |
| 64 | establishment and must comply with all of the provisions of this |
| 65 | part, except s. 499.01212, and the rules adopted under this |
| 66 | part, except s. 499.01212, that apply to a wholesale |
| 67 | distributor. |
| 68 | 2. A prescription drug manufacturer must comply with all |
| 69 | appropriate state and federal good manufacturing practices. |
| 70 | (c) Nonresident prescription drug manufacturer permit.--A |
| 71 | nonresident prescription drug manufacturer permit is required |
| 72 | for any person that is a manufacturer of prescription drugs, or |
| 73 | the distribution point for a manufacturer of prescription drugs |
| 74 | unless permitted as a third party logistics provider, and |
| 75 | located outside of this state, or that is an entity to whom an |
| 76 | approved new drug application has been issued by the United |
| 77 | States Food and Drug Administration, or the contracted |
| 78 | manufacturer of the approved new drug application holder, and |
| 79 | located outside the United States and that, which engages in the |
| 80 | wholesale distribution in this state of such the prescription |
| 81 | drugs it manufactures or is responsible for manufacturing. Each |
| 82 | such manufacturer or entity must be permitted by the department |
| 83 | and comply with all of the provisions required of a wholesale |
| 84 | distributor under this part, except s. 499.01212. |
| 85 | 1. A person that distributes prescription drugs for which |
| 86 | the person is not the manufacturer that it did not manufacture |
| 87 | must also obtain an out-of-state prescription drug wholesale |
| 88 | distributor permit or third party logistics provider permit |
| 89 | pursuant to this section to engage in the wholesale distribution |
| 90 | of such the prescription drugs manufactured by another person |
| 91 | and comply with the requirements of an out-of-state prescription |
| 92 | drug wholesale distributor. This subparagraph does not apply to |
| 93 | a manufacturer as defined in s. 499.003(31)(e). |
| 94 | 2. Any such person must comply with the licensing or |
| 95 | permitting requirements of the jurisdiction in which the |
| 96 | establishment is located and the federal act, and any product |
| 97 | wholesaled into this state must comply with this part. If a |
| 98 | person intends to import prescription drugs from a foreign |
| 99 | country into this state, the nonresident prescription drug |
| 100 | manufacturer must provide to the department a list identifying |
| 101 | each prescription drug it intends to import and document |
| 102 | approval by the United States Food and Drug Administration for |
| 103 | such importation. |
| 104 | 3. A nonresident prescription drug manufacturer permit is |
| 105 | not required for a manufacturer to distribute a prescription |
| 106 | drug active pharmaceutical ingredient that it manufactures to a |
| 107 | prescription drug manufacturer permitted in this state in |
| 108 | limited quantities intended for research and development and not |
| 109 | for resale, or human use other than lawful clinical trials and |
| 110 | biostudies authorized and regulated by federal law. A |
| 111 | manufacturer claiming to be exempt from the permit requirements |
| 112 | of this subparagraph and the prescription drug manufacturer |
| 113 | purchasing and receiving the active pharmaceutical ingredient |
| 114 | shall comply with the recordkeeping requirements of s. |
| 115 | 499.0121(6), but not the requirements of s. 499.01212. The |
| 116 | prescription drug manufacturer purchasing and receiving the |
| 117 | active pharmaceutical ingredient shall maintain on file a record |
| 118 | of the FDA registration number; the out-of-state license, |
| 119 | permit, or registration number; and, if available, a copy of the |
| 120 | most current FDA inspection report, for all manufacturers from |
| 121 | whom they purchase active pharmaceutical ingredients under this |
| 122 | section. The department shall specify by rule the allowable |
| 123 | number of transactions within a given period of time and the |
| 124 | amount of active pharmaceutical ingredients that qualify as |
| 125 | limited quantities for purposes of this exemption. The failure |
| 126 | to comply with the requirements of this subparagraph, or rules |
| 127 | adopted by the department to administer this subparagraph, for |
| 128 | the purchase of prescription drug active pharmaceutical |
| 129 | ingredients is a violation of s. 499.005(14). |
| 130 | (t) Health care clinic establishment permit.--Effective |
| 131 | January 1, 2009, a health care clinic establishment permit is |
| 132 | required for the purchase of a prescription drug by a business |
| 133 | entity as defined in s. 606.03 that operates place of business |
| 134 | at one general physical location, provides health care or |
| 135 | veterinary services, and owned and operated by a professional |
| 136 | corporation or professional limited liability company described |
| 137 | in chapter 621, or a corporation that employs a veterinarian as |
| 138 | a qualifying practitioner. A health care clinic establishment is |
| 139 | not required to obtain a permit if a qualifying practitioner |
| 140 | employed by the establishment obtains prescription drugs under |
| 141 | his or her license in accordance with s. 499.03(1)(b). For the |
| 142 | purpose of this paragraph, the term "qualifying practitioner" |
| 143 | means a licensed health care practitioner defined in s. 456.001, |
| 144 | or a veterinarian licensed under chapter 474, who is authorized |
| 145 | under the appropriate practice act to prescribe and administer a |
| 146 | prescription drug. |
| 147 | 1. An establishment must provide, as part of the |
| 148 | application required under s. 499.012, designation of a |
| 149 | qualifying practitioner who will be responsible for complying |
| 150 | with all legal and regulatory requirements related to the |
| 151 | purchase, recordkeeping, storage, and handling of the |
| 152 | prescription drugs. In addition, the designated qualifying |
| 153 | practitioner shall be the practitioner whose name, establishment |
| 154 | address, and license number is used on all distribution |
| 155 | documents for prescription drugs purchased or returned by the |
| 156 | health care clinic establishment. Upon initial appointment of a |
| 157 | qualifying practitioner, the qualifying practitioner and the |
| 158 | health care clinic establishment shall notify the department on |
| 159 | a form furnished by the department within 10 days after such |
| 160 | employment. In addition, the qualifying practitioner and health |
| 161 | care clinic establishment shall notify the department within 10 |
| 162 | days after any subsequent change. |
| 163 | 2. The health care clinic establishment must employ a |
| 164 | qualifying practitioner at each establishment. |
| 165 | 3. In addition to the remedies and penalties provided in |
| 166 | this part, a violation of this chapter by the health care clinic |
| 167 | establishment or qualifying practitioner constitutes grounds for |
| 168 | discipline of the qualifying practitioner by the appropriate |
| 169 | regulatory board. |
| 170 | 4. The purchase of prescription drugs by the health care |
| 171 | clinic establishment is prohibited during any period of time |
| 172 | when the establishment does not comply with this paragraph. |
| 173 | 5. A health care clinic establishment permit is not a |
| 174 | pharmacy permit or otherwise subject to chapter 465. A health |
| 175 | care clinic establishment that meets the criteria of a modified |
| 176 | Class II institutional pharmacy under s. 465.019 is not eligible |
| 177 | to be permitted under this paragraph. |
| 178 | 6. This paragraph does not prohibit a licensed qualifying |
| 179 | practitioner from obtaining purchasing prescription drugs under |
| 180 | his or her license in accordance with s. 499.03(1)(b). |
| 181 | Section 3. Paragraph (e) of subsection (6) of section |
| 182 | 499.0121, Florida Statutes, is amended to read: |
| 183 | 499.0121 Storage and handling of prescription drugs; |
| 184 | recordkeeping.-- |
| 185 | (6) RECORDKEEPING.--The department shall adopt rules that |
| 186 | require keeping such records of prescription drugs as are |
| 187 | necessary for the protection of the public health. |
| 188 | (e) When pedigree papers are required by this part, a |
| 189 | wholesale distributor must maintain the pedigree papers separate |
| 190 | and distinct from other records required under this part |
| 191 | chapter. |
| 192 | Section 4. This act shall take effect October 1, 2009. |