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                                                      PRINTER'S NO. 1418

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 1260 Session of 1997


        INTRODUCED BY ALLEN, THOMAS, ITKIN, OLASZ, ARGALL, LUCYK, BOYES,
           PERZEL, JOSEPHS, KAISER, GANNON, TANGRETTI, KENNEY, STERN,
           CAWLEY, M. COHEN, HARHART, BOSCOLA, WALKO, COWELL, FLEAGLE,
           ROBERTS, TRICH, TRELLO, CURRY, LAUGHLIN, DEMPSEY, STEIL,
           PHILLIPS, BROWN, VAN HORNE, JAROLIN, TRUE, TIGUE, DeLUCA,
           SEMMEL, CORRIGAN, GIGLIOTTI, SHANER, COLAIZZO, YOUNGBLOOD,
           BENNINGHOFF, BATTISTO, HESS, HERSHEY, PETRARCA, SURRA, HASAY,
           HALUSKA, LaGROTTA, WOGAN AND LESCOVITZ, APRIL 9, 1997

        REFERRED TO COMMITTEE ON PROFESSIONAL LICENSURE, APRIL 9, 1997

                                     AN ACT

     1  Relating to the regulation of the practice of pharmacy; and
     2     making repeals.

     3                         TABLE OF CONTENTS
     4  Chapter 1.  Preliminary Provisions
     5  Section 101.  Short title.
     6  Section 102.  Legislative declaration.
     7  Section 103.  Statement of purpose.
     8  Section 104.  Definitions.
     9  Section 105.  Construction of act.
    10  Chapter 3.  State Board of Pharmacy
    11  Section 301.  Pennsylvania State Board of Pharmacy.
    12  Section 302.  Membership.
    13  Section 303.  Qualification.
    14  Section 304.  Appointment.
    15  Section 305.  Terms of office.

     1  Section 306.  Removal.
     2  Section 307.  Organization.
     3  Section 308.  Compensation of board members.
     4  Section 309.  Meetings.
     5  Section 310.  Executive director.
     6  Section 311.  Employees.
     7  Section 312.  Rules and regulations.
     8  Section 313.  Powers and responsibilities.
     9  Section 314.  Communication to licensees.
    10  Section 315.  Annual report.
    11  Chapter 5.  Pharmacists and Pharmacies
    12  Subchapter A.  Pharmacists
    13  Section 501.  Declaration.
    14  Section 502.  Licensing of pharmacists.
    15  Section 503.  Prerequisites for pharmacist license.
    16  Section 504.  Examinations.
    17  Section 505.  Internship.
    18  Section 506.  Qualifications for reciprocal license transfer.
    19  Section 507.  Renewal of licenses.
    20  Section 508.  Continuing pharmacy education.
    21  Section 509.  Reporting multiple licensures.
    22  Subchapter C.  Pharmacies
    23  Section 521.  Licensing of pharmacies.
    24  Section 522.  Renewal of pharmacy permit.
    25  Section 523.  Permit required for operation.
    26  Section 524.  Display of ownership information.
    27  Section 525.  Extraterritorial pharmacy permits.
    28  Section 526.  Regulatory power over pharmacies.
    29  Chapter 7.  Enforcement
    30  Section 701.  Refusal to grant, revocation and suspension
    19970H1260B1418                  - 2 -

     1                 of licenses and permits.
     2  Section 702.  Temporary suspension.
     3  Section 703.  Automatic suspension.
     4  Section 704.  Impaired licensee.
     5  Section 705.  Reinstatement.
     6  Section 706.  No bar to criminal action.
     7  Section 707.  Administrative Agency Law.
     8  Section 708.  Board action.
     9  Section 709.  Pharmacy permits.
    10  Section 710.  Return of license or permit.
    11  Section 711.  Hearings.
    12  Section 712.  Docket and other records.
    13  Chapter 9.  Pharmacist Practice
    14  Section 901.  Practice of pharmacy.
    15  Section 902.  Pharmacy is health care service.
    16  Section 903.  Drug regimen review.
    17  Section 904.  Disease state management.
    18  Section 905.  Collaborative care agreements.
    19  Section 906.  Compensation.
    20  Section 907.  Pharmacy technicians.
    21  Section 908.  Prescriptions.
    22  Section 909.  Emergency refills.
    23  Section 910.  Impaired pharmacist or pharmacist intern.
    24  Chapter 11.  Unlawful Activities
    25  Section 1101.  Unlawful acts.
    26  Section 1102.  Criminal penalties.
    27  Section 1103.  Additional civil penalty.
    28  Chapter 13.  Fiscal Affairs
    29  Section 1301.  Setting of fees.
    30  Section 1302.  Account and fees disposition.
    19970H1260B1418                  - 3 -

     1  Section 1303.  Annual submissions.
     2  Section 1304.  Hiring of pharmacy inspectors.
     3  Chapter 15.  Miscellaneous Provisions
     4  Section 1501.  Board members.
     5  Section 1502.  Rules and regulations.
     6  Section 1503.  Current licensees.
     7  Section 1504.  Severability.
     8  Section 1505.  Repeals.
     9  Section 1506.  Effective date.
    10     The General Assembly of the Commonwealth of Pennsylvania
    11  hereby enacts as follows:
    12                             CHAPTER 1
    13                       PRELIMINARY PROVISIONS
    14  Section 101.  Short title.
    15     This act shall be known and may be cited as the Pharmacy
    16  Practice Act.
    17  Section 102.  Legislative declaration.
    18     It is declared to be a matter of public interest and concern
    19  that the practice of pharmacy, as defined in this act, merit and
    20  receive the confidence of the public. It is further declared
    21  that only qualified persons be permitted to engage in the
    22  practice of pharmacy in the Commonwealth of Pennsylvania.
    23  Section 103.  Statement of purpose.
    24     It is the purpose of this act to promote, preserve and
    25  protect the public health, safety and welfare by the effective
    26  control and regulation of the practice of pharmacy through:
    27         (1)  The licensure of pharmacists.
    28         (2)  The licensure of pharmacist interns.
    29         (3)  The registration of technicians.
    30         (4)  The licensure, control and regulation of all sites
    19970H1260B1418                  - 4 -

     1     or persons who are required to obtain a license or permit
     2     from the board, whether located in or out of the
     3     Commonwealth, that deliver, dispense, administer, distribute,
     4     manufacture, promote or sell drugs within this Commonwealth.
     5  Section 104.  Definitions.
     6     The following words and phrases when used in this act shall
     7  have the meanings given to them in this section unless the
     8  context clearly indicates otherwise:
     9     "Administer."  The direct introduction of or the application
    10  of a drug into or on the body of a patient or research subject
    11  by injection, inhalation, ingestion or any other means.
    12     "Beyond-use date."  A date determined by a pharmacist and
    13  placed on a prescription label at the time dispensing that is
    14  intended to indicate to the patient or caregiver a time beyond
    15  which the contents of that prescription are not recommended for
    16  use.
    17     "Board."  The Pennsylvania State Board of Pharmacy.
    18     "Collaborative care agreement."  A written agreement or
    19  protocol between a licensed prescriber and a pharmacist
    20  authorizing that pharmacist to:
    21         (1)  Initiate, modify, monitor, continue or discontinue
    22     drug therapy.
    23         (2)  Administer medications.
    24         (3)  Order and perform laboratory or other diagnostic
    25     tests in accordance with regulations adopted by the
    26     Pennsylvania State Board of Pharmacy.
    27     "Collaborative pharmacy practice."  The practice of pharmacy
    28  whereby a pharmacist has jointly agreed to work in conjunction
    29  with one or more licensed prescribers under a protocol whereby
    30  the pharmacist may perform certain patient care functions
    19970H1260B1418                  - 5 -

     1  authorized by the practitioner or practitioners under certain
     2  specified conditions or limitations, including, but not limited
     3  to, the initiating, continuing or discontinuing of drug therapy;
     4  the administration of drugs; and the ordering and/or the
     5  performing of laboratory tests which may be necessarily incident
     6  to the treatment.
     7     "Compounding."  The preparation, mixing, assembling,
     8  packaging or labeling of a drug pursuant to or in anticipation
     9  of a valid prescription drug order, including, but not limited
    10  to, packaging, intravenous admixture or manual combination of
    11  drug ingredients.
    12     "Confidential information."  Information relevant to a
    13  patient's health care which is acquired by the pharmacist
    14  incident to a professional relationship. Confidential
    15  information is privileged and may be released only to the
    16  patient, or to a third party upon the authorization of the
    17  patient, or where such release is necessary to protect the
    18  patient's health and well-being, or to such other persons or
    19  government agencies authorized by law to receive that
    20  information.
    21     "Controlled substance."  Any drug designated as such under
    22  the provisions of the act of April 14, 1972 (P.L.233, No.64),
    23  known as The Controlled Substance, Drug, Device and Cosmetic
    24  Act.
    25     "Deliver" or "delivery."  The actual, constructive or
    26  attempted transfer of a drug or device from one person to
    27  another, whether or not for consideration.
    28     "Device."  An instrument, apparatus, implement, machine,
    29  contrivance, implant, in vitro reagent or other similar or
    30  related article, including any component part or accessory,
    19970H1260B1418                  - 6 -

     1  which is required under Federal or State law to be prescribed by
     2  a health practitioner and dispensed by a pharmacist.
     3     "Disease state management."  A comprehensive, integrated
     4  approach to patient care based upon the natural course of
     5  disease which emphasizes treatments designed to address an
     6  illness with maximum efficiency.
     7     "Dispense" or "dispensing."  The procedure entailing the
     8  interpretation of a health practitioner's medical order or a
     9  prescription drug order for a drug or device and pursuant to
    10  that order, the proper selection, measuring, labeling and
    11  packaging of a drug or device in a proper container for
    12  subsequent administration to or use by a patient.
    13     "Distribute."  The delivery of a drug or device other than by
    14  administering or dispensing.
    15     "Drug."
    16         (1)  Articles, including radioactive substances,
    17     recognized as drugs in any official compendium, or supplement
    18     thereto, or designated from time to time by the Pennsylvania
    19     State Board of Pharmacy for use in the diagnosis, cure,
    20     mitigation, treatment, or prevention of disease in humans or
    21     other animals.
    22         (2)  Articles, other than food, intended to affect the
    23     structure or any function of the body of humans or other
    24     animals.
    25         (3)  Articles intended for use as a component of any
    26     articles specified in paragraphs (1) and (2), but not
    27     including devices or their component parts or accessories.
    28     "Drug regimen review."  Any retrospective, concurrent and
    29  prospective review by a pharmacist of a patient's drug-related
    30  therapy, including, but not limited to, evaluation of any or all
    19970H1260B1418                  - 7 -

     1  of the following areas:
     2         (1)  Known allergies.
     3         (2)  Rational therapy-contraindications.
     4         (3)  Appropriate dose and route of administration.
     5         (4)  Appropriate directions for use.
     6         (5)  Duplicative therapies.
     7         (6)  Potential misuse or abuse.
     8         (7)  Drug-drug, drug-food, drug-disease and drug-clinical
     9     laboratory interactions.
    10         (8)  Adverse drug reactions.
    11         (9)  Drug utilization review and optimal therapeutic
    12     outcomes.
    13     "Electronic data transmission."  The transmission of
    14  information in electronic form or the transmission of the exact
    15  visual image of a document by way of electronic equipment.
    16     "Emergency refill prescription."  A refill of a prescription
    17  which is essential to the continuation of therapy for which that
    18  refill has not been authorized and for which the pharmacist
    19  notifies the prescriber within 72 hours, of dispensing that
    20  prescription that an emergency refill prescription has been
    21  dispensed.
    22     "Federal act."  The Federal Food, Drug and Cosmetic Act (52
    23  Stat. 1040, 21 U.S.C. § 301 et seq.)
    24     "Health care provider" or "health practitioner."  An
    25  individual licensed by the Commonwealth to provide patient care
    26  under the authority of a professional practice act, and includes
    27  licensed prescribers and health care providers or health
    28  practitioners.
    29     "Home infusion pharmacy."  A pharmacy which compounds
    30  solutions for direct administration to a patient in a private
    19970H1260B1418                  - 8 -

     1  residence, long-term care facility, hospice or similar setting
     2  by means of parenteral, intravenous, intramuscular,
     3  subcutaneous, or intraspinal infusion.
     4     "Immediate supervision."  A level of control which assures
     5  that the pharmacist has the ultimate responsibility for the
     6  accuracy, safety and patient outcomes with respect to the
     7  actions of pharmacy technicians and pharmacist interns and the
     8  use of automation in all practice settings.
     9     "Impaired professional support group."  A peer assistance
    10  group whose goals are to direct an impaired colleague into
    11  treatment.
    12     "Labeling."  The process of preparing and affixing a label to
    13  any drug container, which label shall include all information
    14  required by Federal and State law, rule or regulation.
    15     "Licensed prescriber."  A physician, dentist, veterinarian,
    16  podiatrist, or other individual duly authorized and licensed by
    17  law to independently prescribe drugs, including prescription
    18  drugs.
    19     "Long-term care facility."  A nursing home, retirement care
    20  facility, mental care facility or other facility or institution
    21  which provides extended health care to resident patients.
    22     "Managing drug therapy."  Adjusting a drug regimen; changing
    23  the duration of therapy; adjusting drug strength, frequency of
    24  administration and/or route; and the initiation or
    25  discontinuation of therapy, including the administration of
    26  drugs.
    27     "Manufacturer."  Any person, except a pharmacist compounding
    28  in the normal course of professional practice within this
    29  Commonwealth, engaged in the commercial production, preparation,
    30  propagation, compounding, conversion, or processing of a drug,
    19970H1260B1418                  - 9 -

     1  either directly or indirectly, by extraction from substances of
     2  natural origin or independently by means of chemical synthesis,
     3  or both, and includes any packaging or repackaging of a drug or
     4  the labeling or relabeling of the drug container.
     5     "Medical order."  A lawful order by a specifically identified
     6  health practitioner for a specifically identified patient.
     7     "Nonprescription drug."  A drug which may be sold without
     8  prescription and which is labeled for use by the consumer in
     9  accordance with the requirements of the laws and rules of the
    10  Federal Government and this Commonwealth.
    11     "Nonresident pharmacy."  A pharmacy located outside this
    12  Commonwealth.
    13     "Patient counseling."  The process of the communication of
    14  information between the pharmacist and the patient, including,
    15  but not limited to, both verbal and written information as
    16  defined in the rules of the Pennsylvania State Board of Pharmacy
    17  in order to promote the proper use of any drug and to enhance
    18  drug therapy.
    19     "Person."  An individual, corporation, partnership,
    20  association, or any other legal entity including government.
    21     "Pharmacist."  A health care provider or practitioner
    22  currently licensed by the Pennsylvania State Board of Pharmacy
    23  to engage in the practice of pharmacy.
    24     "Pharmacist care" or "pharmaceutical care" or "pharmacy
    25  care." The provision, by a pharmacist, of drug therapy and other
    26  patient care services to achieve patient outcomes which improve
    27  the patient's quality of life as it is related to the cure or
    28  prevention of a disease, elimination or reduction of a patient's
    29  symptoms, or arresting or slowing of a disease process.
    30     "Pharmacist intern."  An individual licensed by the
    19970H1260B1418                 - 10 -

     1  Pennsylvania State Board of Pharmacy to engage in the practice
     2  of pharmacy under the immediate supervision of a licensed
     3  pharmacist and who makes satisfactory progress toward meeting
     4  the requirements for licensure as a pharmacist.
     5     "Pharmacy."  Any place within this Commonwealth which is
     6  properly issued a permit by the Pennsylvania State Board of
     7  Pharmacy where drugs, devices, radiopharmaceuticals and
     8  diagnostic agents for human or animal consumption are stored,
     9  dispensed or compounded, or any place outside this Commonwealth
    10  where drugs, devices, radiopharmaceuticals and diagnostic agents
    11  for human and animal consumption are dispensed to residents of
    12  this Commonwealth. The term "pharmacy" shall not include the
    13  operation of a manufacturer or distributor as defined in the Act
    14  of April 14, 1972 (P.L.233, No.64), known as The Controlled
    15  Substance, Drug, Device and Cosmetic Act. Within an institution
    16  the term "pharmacy" refers to all organized pharmacy service
    17  within that institution.
    18     "Pharmacy practice site."  Any place within or outside this
    19  Commonwealth where the practice of pharmacy is provided to
    20  residents of this Commonwealth.
    21     "Pharmacy technician."  An individual who is registered with
    22  the board and who may assist in the practice of pharmacy under
    23  the immediate supervision of a licensed pharmacist.
    24     "Practice of pharmacy,"  The provision of health care
    25  services by a pharmacist, including, but not limited to:
    26         (1)  The interpretation, evaluation and implementation of
    27     medical orders.
    28         (2)  The delivering, dispensing or distributing of
    29     prescription drugs.
    30         (3)  Participation in drug and device selection.
    19970H1260B1418                 - 11 -

     1         (4)  Drug administration.
     2         (5)  Drug regimen review.
     3         (6)  Drug or drug-related research.
     4         (7)  The provision of pharmacist care in all areas
     5     including primary care.
     6         (8)  Compounding.
     7         (9)  Proper and safe storage of drugs and devices.
     8         (10)  Managing drug therapy.
     9         (11)  Participation in collaborative care agreements.
    10         (12)  Maintaining proper records.
    11         (13)  Patient counseling.
    12         (14)  Performing physical assessment.
    13         (15)  Ordering and performing laboratory or other
    14     diagnostic tests.
    15         (16)  Disease state management.
    16         (17)  Any other acts, services, operations or
    17     transactions necessary or incident to providing pharmacist
    18     care.
    19     "Preceptor."  An individual who is currently licensed as a
    20  pharmacist by the Pennsylvania State Board of Pharmacy, meets
    21  the qualifications as a preceptor under the rules of the board,
    22  has filed with the board any application or documentation and
    23  the board may require and participates in the instructional
    24  training of pharmacy interns.
    25     "Prescription drug" or "legend drug" or "nonproprietary
    26  drug." Any drug which is required by any applicable Federal or
    27  State law or regulation to be dispensed only pursuant to a
    28  prescription drug order or which is restricted to use by health
    29  practitioners.
    30     "Prescription drug order."  A lawful order issued by a duly
    19970H1260B1418                 - 12 -

     1  licensed health practitioner for drugs, drug-related devices or
     2  treatment for a human or animal, including orders issued through
     3  collaborative care agreements.
     4     "Primary care."  A pharmacist's activities in patient
     5  education, health promotion, assistance in the selection of and
     6  use of over-the-counter drugs and appliances for the treatment
     7  of common diseases and injuries; drug selection under protocol;
     8  nutrition; and any other activities falling within the
     9  pharmacist's statutory or regulatory scope of practice.
    10     "Protocol."  A written document that describes the nature and
    11  scope of the drug therapy management to be carried out by the
    12  pharmacist or other health practitioner.
    13     "Wholesaler."  Any person within this Commonwealth who
    14  legally buys drugs for resale or distribution to persons other
    15  than patients or consumers.
    16  Section 105.  Construction of act.
    17     This act shall be liberally construed to carry out these
    18  objectives and purposes.
    19                             CHAPTER 3
    20                PENNSYLVANIA STATE BOARD OF PHARMACY
    21  Section 301. Pennsylvania State Board of Pharmacy.
    22     The responsibility for enforcement of the provisions of this
    23  act is hereby vested in the Pennsylvania State Board of
    24  Pharmacy. The board shall have all the powers, duties and
    25  authority specifically granted by or necessary for the
    26  enforcement of this act, as well as any other powers, duties and
    27  authorities that may be granted by law.
    28  Section 302.  Membership.
    29     Beginning with any vacancies existing on the effective date
    30  of this act, and as terms expire or vacancies occur thereafter,
    19970H1260B1418                 - 13 -

     1  the board shall consist of:
     2         (1)  The Commissioner of Professional and Occupational
     3     Affairs.
     4         (2)  The Director of the Bureau of Consumer Protection in
     5     the Office of Attorney General or a designee of the director.
     6         (3)  Two persons representing the public at large.
     7         (4)  Seven persons who are licensed to practice pharmacy
     8     in this Commonwealth. Of the seven appointees under this
     9     paragraph:
    10             (i)  Two pharmacists shall be appointed from
    11         independent retail pharmacies.
    12             (ii)  Two pharmacists shall be appointed who are
    13         employees of retail chain pharmacies which operate five
    14         or more pharmacies licensed within this Commonwealth.
    15             (iii)  One pharmacist shall be appointed from an
    16         acute care institutional pharmacy.
    17             (iv)  Two pharmacists shall be appointed who are each
    18         involved in one of the following areas:
    19                 (A)  Long-term care pharmacy or consulting
    20             pharmacy.
    21                 (B)  Pharmacy education at an accredited school
    22             or college of pharmacy, as recognized by the board,
    23             within this Commonwealth.
    24                 (C)  Nuclear pharmacy, home health care practice
    25             or any other specialty recognized by the board and
    26             not yet represented.
    27  Section 303.  Qualification.
    28     Each pharmacist member of the board shall at the time of
    29  appointment:
    30         (1)  Be a resident of this Commonwealth for not less than
    19970H1260B1418                 - 14 -

     1     one year.
     2         (2)  Must have been registered as a pharmacist in this
     3     Commonwealth for at least five years immediately preceding
     4     appointment.
     5         (3)  The public members of the board shall have been
     6     residents of this Commonwealth for not less than two years at
     7     the time of their appointment, shall have attained the age of
     8     majority, and shall not be, nor shall ever have been, a
     9     pharmacist, or the spouse of a pharmacist, or a person who
    10     has ever had any material financial interest in the provision
    11     of pharmacy services or who has engaged in any activity
    12     directly related to the practice of pharmacy.
    13  Section 304.  Appointment.
    14     Nominations for appointment to the board may be made to the
    15  Governor by any individual, any professional pharmacy
    16  association within this Commonwealth or any other entity. All
    17  professional and public members of the board shall be appointed
    18  by the Governor with the advice and consent of a majority of the
    19  members elected to the Senate.
    20  Section 305.  Terms of office.
    21     (a)  Regular term.--Except as provided in subsection (b), the
    22  terms of each professional member and each public member of the
    23  Board shall be four years, or until a successor has been
    24  appointed and qualified, but not longer than six months beyond
    25  the four-year period. In the event that any member shall die or
    26  resign or otherwise become disqualified during that member's
    27  term, a successor shall be appointed in the same way and with
    28  the same qualifications as the original member and shall hold
    29  office for the unexpired portion of the term.
    30     (b)  Terms to be staggered.--The terms of the professional
    19970H1260B1418                 - 15 -

     1  and public members of the board shall be staggered, so that the
     2  terms of no more than three members shall expire in any year.
     3  Each member shall serve until a successor is appointed and
     4  qualified as provided in subsection (a).
     5     (c)  Existing board members.--The present members of the
     6  board on the effective date of this act shall serve the balance
     7  of their terms.
     8     (d)  Reappointment.--No professional or public member of the
     9  board shall be eligible for appointment to serve more than three
    10  consecutive full terms. The completion of the unexpired portion
    11  of a full term shall not constitute a full term for purposes of
    12  this subsection. Any present board member appointed initially
    13  for a term of less than four years shall be eligible to serve
    14  for three additional full terms.
    15     (e)  Vacancies.--Any vacancy which occurs in the membership
    16  of the board for any reason, shall be filled by the Governor in
    17  the manner provided for appointment of board members in section
    18  304.
    19  Section 306.  Removal.
    20     (a)  Grounds for removal.--A board member may be removed
    21  pursuant to the procedure set forth in subsection (b), upon one
    22  or more of the following grounds:
    23         (1)  The refusal or inability for any reason of a board
    24     member to perform the duties as a member of the board in an
    25     efficient, responsible, and professional manner.
    26         (2)  The misuse of office by a member of the board to
    27     obtain personal, pecuniary, or material gain or advantage for
    28     that member or another person through such office.
    29         (3)  The violation by any member of the board of laws
    30     governing the practice of pharmacy or the distribution of
    19970H1260B1418                 - 16 -

     1     drugs and/or devices.
     2         (4)  The failure of the board member to attend three
     3     consecutive board meetings unless the Commissioner of
     4     Professional and Occupational Affairs, upon written request
     5     from that member, finds that member should be excused from a
     6     meeting because of illness or the death of a family member,
     7     or other valid reason.
     8         (5)  The failure of a public member to attend two
     9     consecutive statutorily mandated training seminars under
    10     section 813(e) of the Act of April 9, 1929 (P.L.177, No.175),
    11     known as The Administrative Code of 1929, unless the
    12     Commissioner of Professional and Occupational Affairs, upon
    13     written request from the public member, finds that the public
    14     member should be excused from a meeting because of illness or
    15     the death of a family member, or other valid reason.
    16     (b)  Procedure.--Removal of a member of the board shall be in
    17  accordance with 2 Pa.C.S. Ch. 5 Subch. A (relating to practice
    18  and procedure of Commonwealth agencies).
    19  Section 307.  Organization.
    20     (a)  Officers.--The board shall elect from its members a
    21  chairperson and any other officers deemed appropriate and
    22  necessary to conduct the business of the board. The chair of the
    23  board shall preside at all meetings of the board and shall be
    24  responsible for the performance of all of the duties and
    25  functions of the board required or permitted by this act. Each
    26  additional officer elected by the board shall perform those
    27  duties normally associated with that position and any other
    28  duties assigned by the board.
    29     (b)  Terms of office for officers.--Officers elected by the
    30  board shall serve terms of one year commencing with the day of
    19970H1260B1418                 - 17 -

     1  their election and ending upon election of their successors, and
     2  shall serve no more than two consecutive full terms in each
     3  office to which they are elected.
     4  Section 308.  Compensation of board members.
     5     Each member of the board, except the Commissioner of
     6  Professional and Occupational Affairs and the Director of the
     7  Bureau of Consumer Protection, shall receive $250 per day when
     8  actually attending to the work of the board. Members shall also
     9  receive timely reimbursement for reasonable traveling, lodging
    10  and other necessary expenses incurred in the performance of
    11  their duties in accordance with Commonwealth regulations.
    12  Section 309.  Meetings.
    13     (a)  Regular meetings.--The board shall meet at least once
    14  every two months and at any additional times that may be
    15  necessary to conduct the business of the board. Any additional
    16  meetings may be called by the chairperson of the board or by
    17  two-thirds of the members of the board.
    18     (b)  Place of meeting.--The board shall meet at such place as
    19  it may, from time to time, determine. The place for each meeting
    20  shall be determined prior to giving notice of that meeting to
    21  each member. The place of a meeting may not be changed after
    22  notice is given without adequate prior to all members of the
    23  board.
    24     (c)  Quorum.--A majority of the members of the board serving
    25  in accordance with law shall constitute a quorum for the
    26  purposes of conducting the business of the board. Except for
    27  temporary and automatic suspensions under this act, a member may
    28  not be counted as part of a quorum or vote on any issue unless
    29  that member is physically in attendance at the meeting.
    30     (d)  Open meetings.--All board meetings and hearings shall be
    19970H1260B1418                 - 18 -

     1  open to the public. The board may, in its discretion and
     2  according to law, conduct any portion of its meeting in
     3  executive session, closed to the public. Executive sessions may
     4  not be utilized during hearings or discussion of current
     5  regulations or development of regulations.
     6  Section 310.  Executive director.
     7     (a)  Selection.--The board shall select and employ, with the
     8  approval of the Commissioner of Professional and Occupational
     9  Affairs, an executive director who shall be a full-time employee
    10  and who shall be a pharmacist licensed in this Commonwealth. The
    11  executive director shall be paid such compensation as determined
    12  by the board to be commensurate with the level of compensation
    13  paid other executive directors to professional licensing boards
    14  in this Commonwealth.
    15     (b)  Duties.--The executive director shall have the following
    16  duties:
    17         (1)  Establish guidelines and information, with the
    18     concurrence of the board, for training of inspectors within
    19     the Department of State who are responsible for inspecting
    20     pharmacies.
    21         (2)  Assist the board in revising and promulgating
    22     regulations.
    23         (3)  Review recorded minutes and proceedings of all board
    24     meetings and be the custodian of such documents.
    25         (4)  Maintain a record of policies set by the board and
    26     disseminate that information to all board licensees.
    27         (5)  Perform any other duties the board may request.
    28  The executive director shall be provided adequate facilities,
    29  staff and pharmacy inspectors to perform the aforesaid
    30  functions.
    19970H1260B1418                 - 19 -

     1  Section 311.  Employees.
     2     The board may, in its discretion, employ persons in addition
     3  to the executive director in such other positions or capacities
     4  as it deems necessary for the proper conduct of board business
     5  and to fulfill the board's responsibilities as defined by this
     6  act.
     7  Section 312.  Rules and regulations.
     8     The board shall, within 180 days of the effective date of
     9  this act and at times necessary thereafter promulgate, adopt,
    10  amend and repeal rules and/or regulations as deemed necessary by
    11  the board for the proper administration and enforcement of this
    12  act. Rules and regulations shall be promulgated in accordance
    13  with the procedures specified in the act of July 31, 1968
    14  (P.L.769, No.240), referred to as the Commonwealth Documents
    15  Law, and the act of June 25, 1982 (P.L.633, No.181), known as
    16  the Regulatory Review Act.
    17  Section 313.  Powers and responsibilities.
    18     The board shall have sole responsibility for the control and
    19  regulation of the practice of pharmacy in this Commonwealth,
    20  including, but not limited to, the following:
    21         (1)  To determine the nature of examinations for any
    22     applicant for a pharmacist license.
    23         (2)  To examine, inspect and investigate all applications
    24     and all applicants for licensure as pharmacists, pharmacies
    25     or pharmacy interns, or registration as pharmacy technicians,
    26     and to grant certificates of licensure or registration to all
    27     applicants whom it shall judge to be properly qualified.
    28         (3)  To renew licenses to engage in the practice of
    29     pharmacy and to operate a pharmacy.
    30         (4)  To establish and enforce compliance with
    19970H1260B1418                 - 20 -

     1     professional standards of conduct of pharmacists engaged in
     2     the practice of pharmacy.
     3         (5)  To determine and issue standards for recognition and
     4     approval of degree programs of schools and colleges of
     5     pharmacy whose graduates shall be eligible for licensure in
     6     this Commonwealth, and to specific and enforce requirements
     7     for practical training, including internship.
     8         (6)  To enforce those provisions of this act relating to
     9     the conduct or competence of pharmacists practicing in this
    10     Commonwealth and to suspend, revoke or restrict licenses to
    11     engage in the practice of pharmacy.
    12         (7)  To prepare position descriptions, to employ a
    13     minimum of eight pharmacy inspectors, or more of such
    14     inspectors if the board deems necessary, who shall be
    15     pharmacists licensed in this Commonwealth.
    16         (8)  To retain appropriate consultants to assist it for
    17     any purpose which it may deem necessary, subject to the
    18     limitation that the board may not delegate any of its final
    19     decision making responsibilities to any consultant.
    20         (9)  To investigate or cause to be investigated all
    21     violations of the provisions of this act and its regulations
    22     and to cause prosecutions to be instituted in the courts upon
    23     advice from the Office of Attorney General.
    24         (10)  To inspect any pharmacy licensed by this
    25     Commonwealth at reasonable hours for the purpose of
    26     determining if any provisions of the laws governing the legal
    27     distribution of drugs or devices for the practice of pharmacy
    28     are being violated. The board, its officers, inspectors and
    29     representatives shall cooperate with all agencies charged
    30     with the enforcement of the laws of the United States, of
    19970H1260B1418                 - 21 -

     1     this Commonwealth and of all other states relating to drugs,
     2     devices and the practice of pharmacy.
     3         (11)  To make or order inspections of other places in
     4     which drugs or devices are stored, held, compounded,
     5     dispensed or sold to a consumer, and to take and analyze any
     6     drugs or devices and to seize and condemn any drugs or
     7     devices which are adulterated, misbranded, or stored, held,
     8     dispensed, distributed, or compounded in violation of the
     9     provisions of this act or the provisions of the act of April
    10     14, 1972 (P.L.233, No.64), known as The Controlled Substance,
    11     Drug, Device and Cosmetic Act.
    12         (12)  To establish minimum specifications for the
    13     physical facilities, technical equipment, environment,
    14     supplies, personnel and procedures, for the storage,
    15     compounding and/or dispensing of drugs or devices and for the
    16     monitoring of drug therapy.
    17         (13) To establish minimum standards for maintaining the
    18     integrity and confidentiality of prescription information and
    19     other patient care information.
    20         (14)  To conduct hearings for the revocation or
    21     suspension of licenses, permits or registrations, for which
    22     hearings the board shall have the power to subpoena
    23     witnesses.
    24         (15)  To assist the regularly constituted enforcement
    25     agencies of this Commonwealth in enforcing all laws
    26     pertaining to drugs, controlled substances and the practice
    27     of pharmacy.
    28         (16)  To have authority to issue subpoenas, upon
    29     application of an attorney responsible for representing the
    30     Commonwealth in disciplinary matters before the board, for
    19970H1260B1418                 - 22 -

     1     the purpose of investigating alleged violations of the
     2     disciplinary provisions administered by the board.
     3             (i)  The board shall have the power to subpoena
     4         witnesses, to administer oaths, to examine witnesses and
     5         to take such testimony or compel the production of such
     6         books, records, papers and documents as it may deem
     7         necessary or proper in, and pertinent to, any proceeding,
     8         investigation or hearing held or had by it.
     9             (ii)  Patient records may not be subpoenaed without
    10         the consent of the patient or without order of a court of
    11         competent jurisdiction on a showing that the records are
    12         reasonably necessary for the conduct of the
    13         investigation.
    14             (iii)  The court may impose such limitations on the
    15         scope of the subpoena as are necessary to prevent
    16         unnecessary intrusion into a patient confidential
    17         situation.
    18             (iv)  The board is authorized to apply to
    19         Commonwealth Court to enforce its subpoenas.
    20         (17)  In addition to its appropriation from the
    21     Commonwealth, to receive and expend funds from parties other
    22     than the Commonwealth, subject to the following restrictions:
    23             (i)  The funds are awarded for the pursuit of a
    24         specific objective which the board is authorized to
    25         accomplish by this act, or which the board is qualified
    26         to accomplish by reason of its jurisdiction or
    27         professional expertise.
    28             (ii)    Activities connected with or occasioned by
    29         the expenditure of these funds do not interfere with the
    30         performance of the board's duties and responsibilities
    19970H1260B1418                 - 23 -

     1         and do not conflict with the exercise of the board's
     2         powers as specified by this act.
     3             (iii)  The funds are kept in a separate special
     4         account and periodic reports are made to the Commissioner
     5         of Professional and Occupational Affairs concerning the
     6         board's receipt and expenditure of such funds.
     7  The powers and duties of the board, as enumerated in this
     8  section, shall not be applicable to manufacturers or
     9  distributors as defined in the act of April 14, 1972 (P.L.233,
    10  No.64), known as The Controlled Substance, Drug, Device and
    11  Cosmetic Act.
    12  Section 314.  Communication to licensees.
    13     The board shall at least every six months, and more
    14  frequently if necessary, convey relevant information concerning
    15  this act, rules or regulations promulgated thereunder, and the
    16  practice of pharmacy to all pharmacists and pharmacies
    17  registered in this Commonwealth and any nonresident pharmacies
    18  licensed by the board.
    19  Section 315.  Annual report.
    20     The board shall submit annually a report to the Consumer
    21  Protection and Professional Licensure Committee of the Senate
    22  and the Professional Licensure Committee of the House of
    23  Representatives containing a description of the types of
    24  complaints received, the status of cases, any board action which
    25  has been taken and the length of time from the initial complaint
    26  to final board resolution.
    27                             CHAPTER 5
    28                     PHARMACISTS AND PHARMACIES
    29                            SUBCHAPTER A
    30                            PHARMACISTS
    19970H1260B1418                 - 24 -

     1  Section 501.  Declaration.
     2     The practice of pharmacy in this Commonwealth is hereby
     3  declared to be a health care professional practice in which the
     4  pharmacist is considered a health care provider affecting the
     5  public health, safety and welfare, and is subject to regulation
     6  and control in the public interest.
     7  Section 502.  Licensing of pharmacists.
     8     Except as otherwise provided in this act, it shall be
     9  unlawful for any individual to engage in the practice of
    10  pharmacy within this Commonwealth unless that individual is
    11  currently licensed to practice pharmacy pursuant to the
    12  provisions of this act.
    13  Section 503.  Prerequisites for pharmacist license.
    14     The board may license as a pharmacist any person who has
    15  filed an application therefore, subscribed by the person under
    16  oath or affirmation, containing such information as the board
    17  may by regulation require, and who:
    18         (1)  Has satisfied the board that the applicant is of
    19     good moral and professional character, and not unfit or
    20     unable to practice pharmacy by reason of the extent or manner
    21     of the applicant's use of alcoholic beverages or controlled
    22     substances or by reason of a physical or mental disability.
    23         (2)  Holds an entry level practice degree in pharmacy
    24     granted by a school or college of pharmacy which is
    25     accredited by an accrediting body recognized by the board.
    26         (3)  Has completed an internship or other equivalent
    27     program which has been approved by the board or has
    28     demonstrated experience in the practice of pharmacy which
    29     meets or exceeds the minimum internship requirements of the
    30     board.
    19970H1260B1418                 - 25 -

     1         (4)  Has satisfactorily passed such examinations as
     2     required by the board.
     3         (5)  Has paid the fee specified by the board for the
     4     examination and any related materials and has paid for the
     5     issuance of the license.
     6         (6)  Has not been convicted of any felonious act
     7     prohibited by the act of April 14, 1972 (P.L.233, No.64),
     8     known as The Controlled Substance, Drug, Device and Cosmetic
     9     Act, or convicted of a felony relating to a controlled
    10     substance in a court of law of the United States or any other
    11     state, territory or country unless all of the following
    12     criteria are satisfied:
    13             (i)  At least ten years have elapsed from the date of
    14         conviction.
    15             (ii)  The applicant satisfactorily demonstrates to
    16         the board that the applicant has made significant
    17         progress in personal rehabilitation since the conviction
    18         such that licensure of that applicant should not be
    19         expected to create a substantial risk of harm to the
    20         health and safety of patients or the public or a
    21         substantial risk of further criminal violations.
    22             (iii)  The applicant otherwise satisfies the
    23         qualifications contained in or authorized by this act.
    24     An applicant's statement on the application declaring the
    25     absence of a conviction shall be deemed satisfactory evidence
    26     of the absence of a conviction, unless the board has evidence
    27     to the contrary.
    28  Section 504.  Examinations.
    29     (a)  Schedule of examinations.--The board shall, at least
    30  once each year, examine in the practice of pharmacy all
    19970H1260B1418                 - 26 -

     1  applicants who:
     2         (1)  Have completed their education requirements.
     3         (2)  Make application for examination pursuant to
     4     regulations promulgated by the board.
     5         (3)  Shall be otherwise eligible for licensure.
     6     (b)  Content of examination.--The examination shall be
     7  prepared to measure the competence of the applicant to engage in
     8  the practice of pharmacy. The board may employ, cooperate with
     9  or contract with any organization or consultant or professional
    10  testing organization for the preparation, administration and
    11  grading of the examination, but the board shall retain the sole
    12  discretional responsibility for determining which applicants
    13  have successfully passed an examination.
    14     (c)  Reexamination.--In case of failure at a first
    15  examination, the applicant shall have within two years the
    16  privilege of a second and third examination. In case of failure
    17  with the third examination, the applicant shall have the
    18  privilege of examination only after satisfactorily completing
    19  additional preparation as directed and approved by the board.
    20  Section 505.  Internship.
    21     (a)  Requirement.--To ensure proficiency in the practical
    22  aspects of pharmacy, the board shall, by regulation, prescribe
    23  internship requirements which must be satisfactorily completed
    24  prior to the issuance of a pharmacist license.
    25     (b)  Supervision of intern.--To assure adequate practical
    26  instruction, pharmacist internship experience as required under
    27  this act shall be obtained under the immediate supervision of a
    28  pharmacist meeting the requirements established by the board.
    29     (c)  Examination to obtain pharmacist license.--Each
    30  pharmacist intern applying for examination shall pay to the
    19970H1260B1418                 - 27 -

     1  board an examination fee established by the board through
     2  regulation. Upon passing the required examination and complying
     3  with all the rules and regulations of the board and the
     4  provisions of this act, the board shall grant the applicant
     5  licensure as a pharmacist and issue a license qualifying the
     6  applicant to enter into the practice of pharmacy. This license
     7  shall not be issued until a fee established by the board through
     8  regulation shall be paid to the board.
     9  Section 506.  Qualifications for reciprocal license transfer.
    10     (a)  Procedure.--The board may, without examination, license
    11  as a pharmacist any individual who, at the time of filing an
    12  application for licensure, is licensed as a pharmacist in any
    13  other state, territory or possession of the United States;
    14  provided that that individual shall meet those standards
    15  established by the board by regulation and meet all of the
    16  following criteria:
    17         (1)  Produce evidence satisfactory to the board of having
    18     had the required secondary and professional education and
    19     training, including internship.
    20         (2)  Be of good character and morals as required of
    21     applicants for licensure under the provisions of this act.
    22         (3)  At the time of initial licensure as a pharmacist
    23     have all the qualifications necessary to have been eligible
    24     for licensure as a pharmacist in this Commonwealth at the
    25     time of licensure in the other state.
    26         (4)  Have presented to the board proof of initial
    27     licensure by examination and proof that such license is in
    28     good standing.
    29         (5)  Not be eligible for reciprocal license transfer
    30     unless the state in which that individual is licensed shall
    19970H1260B1418                 - 28 -

     1     under similar conditions grant reciprocal licensure as a
     2     pharmacist without examination to pharmacists duly licensed
     3     by examination in this Commonwealth.
     4     (b)  Fee.--Every application under this subsection shall be
     5  accompanied by a fee established by the board through regulation
     6  for the application and expense of investigation by the board. A
     7  fee established by the board through regulation shall be paid
     8  for the license and certificate prior to its approval and
     9  issuance by the board.
    10  Section 507.  Renewal of licenses.
    11     The board shall provide for, regulate and require all
    12  individuals licensed as pharmacists to renew their licenses
    13  biennially. The board shall prescribe the form of the renewal
    14  application and the information required to be submitted by all
    15  applicants, including proof of continuing education. The
    16  applicant shall file with the board the renewal application
    17  accompanied by a biennial license fee established by the board
    18  through regulation. An additional fee established by the board
    19  through regulation shall be paid for late licensure renewal of a
    20  pharmacist.
    21  Section 508.  Continuing pharmacy education.
    22     (a) General rule.--Continuing pharmacy education as the board
    23  may require shall be a prerequisite for licensure renewal.
    24     (b)  Requirements.--The board shall have authority to:
    25         (1)  Define, by regulation, the requirements for
    26     continuing education.
    27         (2)  Approve programs of continuing education.
    28         (3)  Adopt rules and regulations necessary to carry out
    29     and enforce this section, which shall include the methods of
    30     determining approved programs and any required fees.
    19970H1260B1418                 - 29 -

     1  Section 509.  Reporting multiple licensure.
     2     Any licensed pharmacist of this Commonwealth who is also
     3  licensed to practice pharmacy in any other state, territory or
     4  country shall report this information to the board on the
     5  biennial registration application. Any disciplinary action in
     6  any other state, territory and country shall be reported to the
     7  board on the biennial renewal application or within 90 days of
     8  final disposition, whichever is sooner. Multiple licensure shall
     9  be noted by the board on the pharmacist's record, and such
    10  state, territory or country shall be notified by the board of
    11  any disciplinary actions taken against said pharmacist in this
    12  Commonwealth.
    13                            SUBCHAPTER C
    14                             PHARMACIES
    15  Section 521.  Licensing of pharmacies.
    16     (a)  General rule.--The board shall issue a permit to any
    17  person to conduct a pharmacy:
    18         (1)  Who has filed an application to operate a pharmacy.
    19         (2)  Who has subscribed the application under oath or
    20     affirmation.
    21         (3)  Who provides all information the board may require.
    22         (4)  Who pays any fee established by the board by
    23     regulation.
    24         (5)  Whose proposed pharmacy complies with all
    25     regulations of the board and with all requirements of this
    26     act.
    27     (b)  Additional information.--Each applicant for a permit
    28  shall provide sufficient evidence to the board that the proposed
    29  pharmacy:
    30         (1)  Has the necessary reference materials, current
    19970H1260B1418                 - 30 -

     1     supplements to these reference materials and the professional
     2     equipment, technical equipment and other pharmaceutical
     3     equipment which such reference materials, supplements and
     4     equipment have been determined by the board as necessary to
     5     meet the needs of the practice of pharmacy for the area and
     6     type of practice to protect the health and welfare of the
     7     citizens of this Commonwealth.
     8         (2)  Has sufficient physical facilities, including
     9     equipment, size, space and sanitation for adequately
    10     providing pharmacist care and distributing and dispensing
    11     drugs and devices consistent with the protection of the
    12     public health, safety and welfare as the board may by
    13     regulation establish.
    14         (3)  Contains a suitable book or file in which shall be
    15     preserved, for a period of not less than two years, every
    16     prescription compounded or dispensed therein.
    17         (4)  Will be under the immediate supervision of a
    18     pharmacist licensed in this Commonwealth at all times that
    19     the pharmacy is open for business.
    20         (5)  (i)  If the applicant is an individual or
    21         partnership, that the individual or co-partner, if not a
    22         pharmacist, has not previously been found or pleaded
    23         guilty or nolo contendere to any crime concerning the
    24         practice of pharmacy or involving moral turpitude.
    25             (ii)  If the applicant is an individual or
    26         partnership and a pharmacist, that that pharmacist is
    27         presently licensed by the board.
    28             (iii)  If the applicant is an association, that no
    29         director or officer has been found or pleaded guilty or
    30         nolo contendere to said crimes or had a pharmacy or
    19970H1260B1418                 - 31 -

     1         pharmacist's license revoked or renewal refused for
     2         cause.
     3         (6)  If the applicant is a corporation, that no director,
     4     officer or person having a beneficial interest of more than
     5     ten percent of the stock has been found or pleaded guilty or
     6     nolo contendere to said crimes or had a pharmacy or
     7     pharmacist's license revoked or renewal refused for cause.
     8         (7)  All applicants shall be of good moral and
     9     professional character. In determining this qualification,
    10     the board may take into consideration, among other things,
    11     the conduct and operation of other pharmacies conducted by
    12     the applicant.
    13     (c)  Supervision.--Every pharmacy shall be under the
    14  supervision and management of a pharmacist duly licensed in this
    15  Commonwealth.
    16     (d)  Display of license.--All licenses and permits issued
    17  under the provisions of this act shall be displayed in a
    18  conspicuous place in the pharmacy for which they were issued.
    19     (e)  Separate applications for each pharmacy.--Separate
    20  applications and permits shall be required for each pharmacy.
    21  Each permit shall be issued bearing the name of the pharmacist
    22  who will be in charge of that pharmacy as defined by regulation
    23  and who will be responsible for all operations involving the
    24  practice of pharmacy in that pharmacy.
    25     (f)  Fees.--All applications for a permit to conduct a
    26  pharmacy shall be accompanied by an initial registration fee
    27  established by the board by regulation.
    28     (g)  Expiration.--All permits granted under this section,
    29  unless sooner revoked or suspended, shall expire on the date set
    30  forth in the permit. The board may promulgate regulations
    19970H1260B1418                 - 32 -

     1  authorizing the application by a personal representative of a
     2  deceased grantee for an extension of the deceased grantee's
     3  permit for a period not to exceed one year from the date of
     4  death.
     5  Section 522.  Renewal of pharmacy permit.
     6     The board shall renew each permit for the succeeding
     7  biennium, unless the board shall have given ten days' previous
     8  notice to the applicant for the permit of objections to the
     9  renewal based upon a finding or plea of guilty or nolo
    10  contendere by the applicant, its partners or officers, to a
    11  violation of any of the laws of the United States or of this
    12  Commonwealth relating to the practice of pharmacy or to the
    13  enforcement of controlled substances or involving moral
    14  turpitude, upon payment of a fee established by the board by
    15  regulation for each pharmacy. The application for renewal shall
    16  be made on or before September 1 of each odd-numbered year.
    17  Section 523.  Permit required for operation.
    18     No person shall operate a pharmacy until that person has been
    19  granted a pharmacy permit by the board.
    20  Section 524.  Display of ownership information.
    21     The full name or names of the proprietor, or if a
    22  partnership, the partners, or if an association or corporation,
    23  the name of the pharmacist manager, must be conspicuously
    24  displayed in the pharmacy along with any corporate association
    25  or duly registered fictitious name.
    26  Section 525.  Extraterritorial pharmacy permits.
    27     (a)  Requirement.--Any person, entity, pharmacy or pharmacist
    28  located outside of this Commonwealth who ships, mails,
    29  distributes, dispenses or delivers prescription drugs or devices
    30  to individuals within this Commonwealth shall be required to
    19970H1260B1418                 - 33 -

     1  obtain a pharmacy permit from the board.
     2     (b)  Waiver.--If the person, entity, pharmacy or pharmacist
     3  holds a valid pharmacy permit issued by the state in which that
     4  pharmacy is operated, the board may waive any requirements
     5  imposed upon pharmacies within this Commonwealth if the waiver
     6  of these requirements will not endanger the public health,
     7  safety or welfare of the citizens of this Commonwealth.
     8     (c)  Nonlicensure, no waiver.--If the person or entity does
     9  not hold a valid pharmacy permit from the jurisdiction in which
    10  the person or entity is operating, then the board shall mandate
    11  that all requirements imposed upon pharmacies in this
    12  Commonwealth be met by the person or entity desiring to ship,
    13  mail, dispense, distribute or deliver prescription drugs or
    14  devices within this Commonwealth.
    15     (d)  Registered agent.--Each person, entity, pharmacy or
    16  pharmacist located outside of this Commonwealth who ships,
    17  mails, dispenses, distributes or delivers prescription drugs or
    18  devices in this Commonwealth shall designate a registered agent
    19  in this Commonwealth for service of process. Any such person,
    20  entity, pharmacy or pharmacist who does not so designate a
    21  registered agent shall be deemed to have designated the
    22  Secretary of State of this Commonwealth to be its true and
    23  lawful attorney, upon whom may be served all legal process in
    24  any action or proceeding against such person, entity, pharmacy
    25  or pharmacist growing out of or arising from such shipping,
    26  mailing, dispensing, distributing or delivery. A copy of any
    27  such service of process shall be mailed to such person, entity,
    28  pharmacy or pharmacist by the board by certified mail, return
    29  receipt requested, postage prepaid, at the address designated on
    30  the application for licensure in this Commonwealth. If any such
    19970H1260B1418                 - 34 -

     1  person, entity, pharmacy or pharmacist is not licensed by the
     2  board, service on the Secretary of State only shall be
     3  sufficient service for legal purposes.
     4  Section 526.  Regulatory power over pharmacies.
     5     The board may promulgate regulations designed to insure
     6  methods of operation and conduct which protect the public health
     7  and welfare.
     8                             CHAPTER 7
     9                            ENFORCEMENT
    10  Section 701.  Refusal to grant, revocation and suspension of
    11                 licenses and permits.
    12     The board shall have the power to refuse to grant, refuse to
    13  renew, suspend, revoke or restrict the license of any pharmacist
    14  or pharmacist intern upon one or more of the following grounds:
    15         (1)  Unprofessional conduct as that term is defined by
    16     the rules of the board.
    17         (2)  Unfit to practice pharmacy because of intemperance
    18     in the use of alcoholic beverages, controlled substances or
    19     any other substance which impairs the intellect and judgment
    20     to such an extent as to impair the performance of
    21     professional duties.
    22         (3)  Unfit or unable to practice pharmacy by reason of a
    23     physical or mental disease or disability. In enforcing this
    24     paragraph, the board shall, upon probable cause, have
    25     authority to compel a pharmacist or a pharmacist intern to
    26     submit to a mental or physical examination by physicians or
    27     psychologists approved by the board. Failure to submit to
    28     such examination when directed by the board, unless such
    29     failure is due to circumstances beyond the individual's
    30     control, shall constitute an admission of the allegations
    19970H1260B1418                 - 35 -

     1     against him or her, consequent upon which a default and final
     2     order may be entered without the taking of testimony or
     3     presentation of evidence. A pharmacist or a pharmacist intern
     4     affected under this paragraph shall at reasonable intervals
     5     be afforded an opportunity to demonstrate that the pharmacist
     6     or pharmacist intern can resume a competent practice of
     7     pharmacy with reasonable skill and safety to patients.
     8         (4)  Procured a license through fraud, misrepresentation
     9     or deceit.
    10         (5)  Been found guilty, pleaded guilty, entered a plea of
    11     nolo contendere, or received probation without verdict,
    12     disposition in lieu of trial or an Accelerated Rehabilitative
    13     Disposition in the disposition of one or more of the
    14     following:
    15             (i) A felony.
    16             (ii)  Any offense involving moral turpitude or gross
    17         immorality.
    18             (iii)  Violation of the pharmacy or drug laws of this
    19         Commonwealth or rules and regulations pertaining thereto;
    20         or of pharmacy laws, rules and regulations of the Federal
    21         government or of any other state.
    22         (6)  Violated or knowingly permitted the violation of any
    23     provision of this act or regulation of the board.
    24         (7)  Knowingly:
    25             (i)  Allowed, aided or abetted an individual to
    26         engage in the practice of pharmacy without a license.
    27             (ii)  Aided or abetted an individual to assist in the
    28         practice of pharmacy without having registered with the
    29         board; or falsely used the title of pharmacist or
    30         pharmacist intern. Nothing contained in this paragraph
    19970H1260B1418                 - 36 -

     1         shall prohibit pharmacist interns or registered pharmacy
     2         technicians from assisting in the practice of pharmacy
     3         under the immediate supervision of a licensed pharmacist
     4         provided such assistance is consistent with proper
     5         pharmacy practices and with board regulations.
     6         (8)  Willfully deceiving or attempting to deceive the
     7     board or its agents with respect to any significant matter
     8     under investigation by the board.
     9         (9)  Advertising of prices for drugs and pharmaceutical
    10     services to the public which does not conform with Federal
    11     laws or regulations or with the laws or regulations of this
    12     Commonwealth, or which is untrue, false, misleading or
    13     deceptive.
    14         (10)  Public assertion or implication of professional
    15     superiority in the practice of pharmacy.
    16         (11)  Paying rebates to physicians or other persons, or
    17     the entering into of any agreement with a medical
    18     practitioner or any other person for the payment or
    19     acceptance of compensation in any form for the recommending
    20     of the professional services of either party.
    21         (12)  Entering into any agreement with a licensed medical
    22     practitioner for the compounding or dispensing of secret
    23     formula (coded) prescriptions.
    24         (13)  Misbranding or adulteration of any drug or device,
    25     or the sale, distribution, or dispensing of any misbranded or
    26     adulterated drug or device as defined in the Act of April 14,
    27     1972 (P.L. 233, No. 64), known as The Controlled Substance,
    28     Drug, Device and Cosmetic Act.
    29         (14)  Displaying or permitting the display of his or her
    30     certificate of licensure and/or current registration document
    19970H1260B1418                 - 37 -

     1     in a pharmacy of which he or she is not the proprietor or is
     2     not employed.
     3         (15)  For any holder of a current pocket registration
     4     card to fail, when practicing, to have the card available for
     5     inspection by an authorized agent of the board.
     6         (16)  The acceptance back and redistribution of any
     7     unused drug or part thereof as defined by regulations.
     8         (17)  Accept employment as a pharmacist, or share or
     9     receive compensation in any form arising out of, or
    10     incidental to, his or her professional activities from any
    11     person who orders said pharmacist, directly or indirectly, to
    12     engage in any aspect of the practice of pharmacy in
    13     contravention of any provision of this act or regulation of
    14     the board.
    15         (18)  Had a license to practice pharmacy suspended,
    16     revoked or refused, or received other disciplinary action by
    17     the proper pharmacist licensing authority of another state,
    18     territory or country.
    19         (19)  Acted in such a manner as to present an immediate
    20     and clear danger to the public health or safety.
    21         (20)  Is guilty of incompetence, gross negligence or
    22     other malpractice, or the departure from, or failure to
    23     conform to, the standards of acceptable pharmacy practice, in
    24     which case actual injury need not be established.
    25         (21)  Knowing that a pharmacist or pharmacist intern is
    26     incapable of engaging in the practice of pharmacy or that a
    27     pharmacy technician is incapable of assisting in the practice
    28     of pharmacy, with reasonable skill, competence, and safety to
    29     the public, and failing to report any relevant information to
    30     the board.
    19970H1260B1418                 - 38 -

     1         (22)  Engaging in any conduct which subverts or attempts
     2     to subvert any licensing examination or the administration of
     3     any licensing exam.
     4         (23)  Failing to pay the costs assessed in a disciplinary
     5     hearing.
     6  Section 702.  Temporary suspension.
     7     (a)  Authorization.--A license duly issued under this act may
     8  be temporarily suspended under circumstances as determined by
     9  the board to be an immediate and clear danger to the public
    10  health and safety. The board shall issue an order to that effect
    11  without a hearing, but upon due notice to the licensee concerned
    12  at his or her last known address, which shall include a written
    13  statement of all allegations against the licensee. The case of a
    14  temporary suspension pursuant to this section, hearings, appeals
    15  from, and rulings resulting therefrom, need not comply with the
    16  provisions of 2 Pa.C.S. § 103 (relating to Administrative Agency
    17  Law).
    18     (b)  Commencement of formal proceedings.--The board shall
    19  thereupon commence formal action to suspend, revoke or restrict
    20  the license of the person concerned, as otherwise provided for
    21  in this act. All actions shall be taken promptly and without
    22  delay.
    23     (c)  Preliminary hearing.--Within 30 days following the
    24  issuance of an order temporarily suspending a license, the board
    25  shall conduct or cause to be conducted a preliminary hearing to
    26  determine that there is a prima facie case supporting the
    27  suspension. The licensee whose license has been temporarily
    28  suspended may be present at the preliminary hearing and may be
    29  represented by counsel, cross-examine witnesses, inspect
    30  physical evidence, call witnesses, offer evidence and testimony
    19970H1260B1418                 - 39 -

     1  and make record of the proceedings. If it is determined that
     2  there is not a prima facie case, the suspended license shall be
     3  immediately restored.
     4     (d)  Duration of temporary suspension.--The temporary
     5  suspension shall remain in effect until vacated by the board,
     6  but in no event longer than 180 days.
     7  Section 703.  Automatic suspension.
     8     A pharmacist license or a pharmacist intern license issued
     9  under this act shall be automatically suspended upon the legal
    10  commitment to an institution of a licensee or registrant because
    11  of mental incompetency from any cause upon filing with the board
    12  a certified copy of such commitment, or upon the conviction of a
    13  felony under the Act of April 14, 1972 (P.L.233, No.64), known
    14  as The Controlled Substance, Drug, Device and Cosmetic Act, or
    15  conviction of an offense under the laws of another jurisdiction,
    16  which if committed in this Commonwealth would be a felony under
    17  The Controlled Substance, Drug, Device and Cosmetic Act.
    18  Automatic suspension under this section shall not be stayed
    19  pending any appeal of conviction. Restoration of such license or
    20  registration shall be made as hereinafter provided in the case
    21  of revocation or suspension of such license or registration.
    22  Section 704.  Impaired licensee.
    23     (a)  Board action.--When an impaired pharmacist or pharmacist
    24  intern is subject to disciplinary action, the board may defer
    25  and ultimately dismiss any of the types of corrective action set
    26  forth in this act for an impaired professional so long as the
    27  pharmacist or pharmacist intern is progressing satisfactorily in
    28  an approved treatment program and in an impaired professional
    29  support group recognized by the board.
    30     (b)  Information disclosure to board.--If an impaired
    19970H1260B1418                 - 40 -

     1  pharmacist or pharmacist intern enters an approved treatment
     2  program and an impaired professional support group, the approved
     3  program provider shall, upon request, disclose to a professional
     4  consultant appointed and employed by the board as hereinafter
     5  described, such information in his or her possession regarding
     6  the impaired pharmacist or pharmacist intern in treatment, when
     7  the program provider is not prohibited from disclosing such
     8  information by an act of the United States, this Commonwealth or
     9  another state.
    10     (c)  Agreement by licensee.--An impaired pharmacist or
    11  pharmacist intern who enrolls in an approved treatment program
    12  shall enter into either:
    13         (1) An agreement with the peer assistance group which
    14     will monitor the licensee's progress, monitor compliance with
    15     the terms of the agreement and monitor adherence to any
    16     limitations on the practice of pharmacy as required by the
    17     terms of the agreement so as to protect the public.
    18         (2)  An agreement with the board under which the
    19     pharmacist's or pharmacist intern's license shall be
    20     suspended or revoked, but enforcement of that suspension or
    21     revocation shall be stayed for the length of time the
    22     impaired pharmacist or pharmacist intern remains in the
    23     treatment program and makes satisfactory progress, complies
    24     with the terms of the agreement and adheres to any
    25     limitations on his or her practice imposed by the board to
    26     protect the public.
    27  Failure to enter into one of the agreements shall disqualify the
    28  impaired professional from the impaired pharmacist or pharmacist
    29  intern program and shall activate an immediate investigation and
    30  disciplinary proceeding by the board.
    19970H1260B1418                 - 41 -

     1     (d)  Lack of satisfactory progress.--If, in the opinion of
     2  the professional consultant after consultation with the program
     3  provider and/or the peer assistance group, an impaired
     4  pharmacist or pharmacist intern who is enrolled in an approved
     5  treatment program or the peer assistance program and has entered
     6  into an agreement under subsection (a) has not progressed
     7  satisfactorily, the professional consultant shall disclose to
     8  the board all information in the consultant's possession
     9  regarding said pharmacist or pharmacist intern, and the board
    10  shall institute proceedings to determine if the stay of the
    11  enforcement of the suspension or revocation of the impaired
    12  pharmacist's or pharmacist intern's license shall be vacated if
    13  the licensee has executed a board agreement. If the licensee has
    14  not executed a board agreement but has executed an agreement
    15  with the peer assistance program, the board shall immediately
    16  institute proceedings to determine if the impaired pharmacist's
    17  or pharmacist intern's license should be revoked or suspended.
    18  Section 705.  Reinstatement.
    19     (a)  Petition.--Any person whose license to practice pharmacy
    20  in this Commonwealth has been suspended, revoked or restricted
    21  pursuant to this act, whether voluntarily or by action of the
    22  board, shall have the right, after any statutorily mandated
    23  period of time, or, if no statutory limitation exists, at
    24  reasonable intervals, to petition the board for reinstatement of
    25  such license.
    26     (b)  Forms.--Such petition shall be made in writing and in
    27  the form prescribed by the board.
    28     (c)  Board procedures.--Upon investigation and hearing, the
    29  board may, in its discretion, grant or deny such petition, or it
    30  may modify its original findings to reflect any circumstances
    19970H1260B1418                 - 42 -

     1  which have changed sufficiently to warrant such modifications.
     2  The board, also at its discretion, may require such person to
     3  pass an examination for reentry into the practice of pharmacy.
     4     (d)  Nonreinstatment for revocation.--Unless ordered to do so
     5  by Commonwealth Court or an appeal therefrom, the board shall
     6  not reinstate the license of a person to the practice of
     7  pharmacy pursuant to this act which license has been revoked.
     8  Any person whose license has been revoked may apply for
     9  reinstatement after a period of five years from the date of
    10  revocation, but must meet all of the licensing qualifications of
    11  this act for the license applied for, to include the examination
    12  requirement.
    13  Section 706.  No bar to criminal action.
    14     Nothing herein shall be construed as barring criminal
    15  prosecutions for violations of this act.
    16  Section 707.  Administrative Agency Law.
    17     All final decisions of the board shall be subject to judicial
    18  review pursuant to 2 Pa.C.S. § 103 (relating to Administrative
    19  Agency Law).
    20  Section 708.  Board action.
    21     When the board finds that the license of any pharmacist or
    22  pharmacist intern may be refused, revoked or suspended under the
    23  terms of this section, the board may:
    24         (1)  Deny the application for a license.
    25         (2)  Administer a public reprimand.
    26         (3)  Revoke, suspend, limit or otherwise restrict the
    27     license as determined by the board.
    28         (4)  Require the licensee to submit to the care,
    29     counseling or treatment of a physician or a psychologist
    30     designated by the board, or enter into an appropriate
    19970H1260B1418                 - 43 -

     1     treatment program as determined by the board.
     2         (5)  Suspend enforcement of its findings thereof and
     3     place the licensee on probation with the right to vacate the
     4     probationary order for noncompliance, unless such suspension
     5     is otherwise prohibited by this act.
     6  Section 709.  Pharmacy permits.
     7     The board shall have the power to refuse, revoke or suspend
     8  the permit of any pharmacy upon proof satisfactory to it that
     9  any of the following occurred:
    10         (1)  The permit was procured through fraud,
    11     misrepresentation or deceit.
    12         (2)  The holder or partner or officer thereof has
    13     violated any of the provisions of this act, regulations of
    14     the board or any provisions of the act of April 14, 1972
    15     (P.L.433, No.64), known as The Controlled Substance, Drug,
    16     Device or Cosmetic Act, or the Federal act, or has ordered a
    17     pharmacist, pharmacist intern or pharmacy technician in the
    18     employ of that pharmacy to engage in any aspect of the
    19     practice of pharmacy in contravention of any provisions of
    20     the aforesaid acts or regulations.
    21         (3)  The holder of the pharmacy permit sold, dispensed or
    22     caused or allowed to be sold or dispensed any controlled
    23     substance or nonproprietary drug, except by a licensed
    24     pharmacist.
    25         (4)  Upon the suspension or revocation of a license of a
    26     pharmacist or pharmacist intern employed by said pharmacy, it
    27     is shown that the illegal acts of the pharmacist or
    28     pharmacist intern were within the knowledge or should have
    29     been within the knowledge of the permit holder, partner or
    30     officer.
    19970H1260B1418                 - 44 -

     1         (5)  The holder of the pharmacy permit, after issuance of
     2     a permit, fails to continue to comply with all requirements
     3     of Subchapter C of Chapter 5.
     4  Section 710.  Return of license or permit.
     5     Any individual or entity whose license to practice pharmacy
     6  or registration to assist in the practice of pharmacy is
     7  revoked, suspended or not renewed shall return the license or
     8  registration certificate to the offices of the board within ten
     9  days after receipt of notice of such action.
    10  Section 711.  Hearings.
    11     (a)  Notice of determination.--Upon refusal of the board to
    12  issue any license or permit, written notices of the grounds
    13  supporting such decision shall be given to the applicant, either
    14  personally or by registered or certified mail, return receipt
    15  requested, and the board shall accord the applicant opportunity
    16  of a hearing, upon written request received within 15 days from
    17  the date of giving the written notice.
    18     (b)  Investigation.--The board may, upon its own motion, and
    19  shall, promptly, upon the verified complaint in writing of any
    20  person setting forth specifically the wrongful act or acts
    21  complained of, investigate any alleged violations of this act by
    22  any persons, and shall have the power temporarily to suspend or
    23  permanently revoke licenses or permit issued by the board under
    24  the provisions of this act at any time when, after due
    25  proceedings as provided, it shall find the holder thereof to
    26  have been guilty of any violation of the provisions of this act
    27  or the rules or regulations of the board.
    28     (c)  Conduct of hearings.--Hearings, appeals and rulings
    29  resulting therefrom, unless otherwise provided in this act,
    30  shall be in accordance with the provisions of the 2 Pa.C.S. §
    19970H1260B1418                 - 45 -

     1  103 (relating to Administrative Agency Law).
     2     (d)  Presence of board member.--A majority of the board shall
     3  designate the member or members to be present at each hearing.
     4  Subsequent to each hearing, the notes of testimony shall be
     5  transcribed and a copy of the transcription shall be given to
     6  each member of the board who shall review the same prior to
     7  voting thereon. All decisions shall be reached by a majority
     8  vote of the entire board. The board shall, by regulation,
     9  establish and publish procedural rules concerning the conduct of
    10  hearings.
    11  Section 712.  Docket and other records.
    12     The board shall maintain in its office a docket or other
    13  record of the rulings and decisions upon all complaints filed
    14  with it and all investigations instituted by it. The board shall
    15  also give immediate written notice of such rulings or decisions
    16  to the licensee affected thereby and where the investigation
    17  shall have been instituted by complaint filed, to the party or
    18  parties by whom the complaint was made. If such ruling shall be
    19  to the prejudice or shall injuriously affect the licensee, the
    20  board shall also state in the notice the date upon which the
    21  ruling shall become effective. If the licensee, at such time,
    22  cannot be found, his or her whereabouts being unknown, such
    23  notice may be given by the board by advertisement inserted in
    24  one issue of a newspaper of general circulation published within
    25  the county which was designated by the licensee as his or her
    26  mailing address. When any revocation or suspension shall become
    27  final, the board shall publish notice thereof in one issue of
    28  one or more newspapers of general circulation published within
    29  the county in which the licensee was engaged in the practice of
    30  pharmacy at the time of such revocation or suspension.
    19970H1260B1418                 - 46 -

     1                             CHAPTER 9
     2                        PHARMACIST PRACTICE
     3  Section 901. Practice of pharmacy.
     4     The practice of pharmacy in this Commonwealth is hereby
     5  declared a health care professional practice in which the
     6  pharmacist is considered a health care provider affecting the
     7  public health, safety and welfare and is subject to regulation
     8  and control in the public interest. It is declared to be a
     9  matter of public interest and concern that the practice of
    10  pharmacy, as defined in this act, merit and receive the
    11  confidence of the public and that only qualified persons be
    12  permitted to engage in the practice of pharmacy in this
    13  Commonwealth.
    14  Section 902.  Pharmacy is health care service.
    15     The practice of pharmacy is the provision of health care
    16  services by a pharmacist including, but not limited to, the
    17  interpretation, evaluation and implementation of medical orders;
    18  the delivering, dispensing or distributing of prescription
    19  drugs; participation in drug and device selection; drug
    20  administration; drug regimen review; drug or drug-related
    21  research; provision of pharmacist care in all areas including
    22  primary care; compounding; proper and safe storage of drugs and
    23  devices; managing drug therapy; participation in collaborative
    24  care agreements; maintaining proper records; patient counseling,
    25  physical assessment; order and perform laboratory or other
    26  diagnostic tests; disease state management; and such acts,
    27  services, operations or transactions necessary or incident to
    28  providing pharmacist care.
    29  Section 903.  Drug regimen review.
    30     In all practice care settings a pharmacist shall:
    19970H1260B1418                 - 47 -

     1         (1)  Perform a drug regimen review prior to dispensing a
     2     prescription.
     3         (2)  Maintain a patient history in compliance with
     4     regulations of the board for each patient for whom
     5     prescriptions are dispensed.
     6         (3)  Offer to provide drug information to the patient,
     7     caregiver or patient's agent in compliance with regulations
     8     of the board.
     9  Section 904.  Disease state management.
    10     In all practice care settings a pharmacist who has completed
    11  a certified program may perform disease state management
    12  through a comprehensive, integrated systems approach to both
    13  care and reimbursement based upon natural course of disease
    14  which emphasizes treatments designed to address an illness with
    15  maximum efficiency.
    16  Section 905.  Collaborative care agreements.
    17     (a)  Authority to enter.--A pharmacist shall be permitted to
    18  enter into a collaborative care agreement with a licensed
    19  prescriber. A pharmacist may be permitted to initiate, modify or
    20  discontinue prescription drug therapy, administer medications
    21  and order or perform laboratory tests as appropriate pursuant to
    22  written protocols contained in a collaborative care agreement
    23  with a licensed prescriber in this Commonwealth. The
    24  collaborative care agreement shall contain a written protocol
    25  specifically authorizing the pharmacist to initiate, modify or
    26  discontinue drug therapy, to administer medications and to order
    27  or perform laboratory tests, all in accordance with regulations
    28  adopted by the board.
    29     (b)  Licensed prescriber.--The licensed prescriber who is a
    30  party to the collaborative care agreement shall be in active
    19970H1260B1418                 - 48 -

     1  practice, and the scope of the agreement shall be within the
     2  scope of the licensed prescriber's current practice.
     3     (c)  Content of written protocol.--The protocol required in
     4  the collaborative care agreement shall include:
     5         (1)   A statement identifying the licensed prescriber and
     6     the pharmacist who is a party to the agreement.
     7         (2)  A statement of the types of therapeutic decisions
     8     that the pharmacist is authorized to make which may include,
     9     but are not limited to, a statement of the types of diseases,
    10     drugs or drug categories involved and general statement of
    11     the procedures, decision criteria or plan the pharmacist is
    12     to follow when exercising the licensed prescriber's authority
    13     pursuant to the collaborative care agreement.
    14         (3)  A statement of the activities the pharmacist is to
    15     follow in the course of exercising the authority granted
    16     under the collaborative care agreement, including
    17     documentation of decisions made and a plan for communication
    18     or feedback to the licensed prescriber concerning specific
    19     decisions made.
    20         (4)  A statement that describes appropriate mechanisms
    21     for reporting to the licensed prescriber the monitoring
    22     activities of the pharmacist and the results of treatment.
    23     (d)  Review.--The collaborative care agreement and protocols
    24  contained therein shall be reviewed at least every two years and
    25  shall be modified or revised whenever necessary.
    26     (e)  Regulatory authority.--The board shall adopt regulations
    27  to assure for the protection of the health and welfare of
    28  patients treated pursuant to a collaborative care agreement.
    29  Section 906.  Compensation.
    30     Pharmacists performing services under sections 903, 904 and
    19970H1260B1418                 - 49 -

     1  905 shall be compensated for such services.
     2  Section 907.  Pharmacy technicians.
     3     (a)  Use.--Pharmacy technicians may be utilized to assist
     4  pharmacists in the preparation of prescriptions and drug orders
     5  in compliance with regulations adopted by the board.
     6     (b)  Training.--Technicians may be trained at any licensed
     7  pharmacy or trained through educational programs provided by
     8  colleges, universities, professional associations, private
     9  schools or other entities.
    10     (c)  Registration.--Pharmacy technicians must register with
    11  the board on a form prescribed by the board and pay a
    12  registration fee as determined by the board.
    13     (d)  Pharmacist supervision.--Pharmacy technicians shall work
    14  only under the immediate supervision of a licensed pharmacist
    15  who may supervise no more than three pharmacy technicians in any
    16  setting or a higher number of pharmacy technicians if in the
    17  best interest of assuring the health and safety of patients and
    18  if permitted by the regulations of the board.
    19     (e)  Prohibited activities.--Pharmacy technicians shall be
    20  prohibited from performing those functions requiring the skill
    21  and competence of a licensed pharmacist such as, but not limited
    22  to, performing drug regimen reviews, providing drug information
    23  and/or patient counseling to patients or caregivers or the
    24  monitoring of drug therapy.
    25  Section 908.  Prescriptions.
    26     (a)  Transmission.--Prescriptions and drug orders may be
    27  written by the health practitioner, transmitted by telephone to
    28  the pharmacy by the health practitioner or his or her agent,
    29  transmitted to the pharmacy by facsimile provided there is no
    30  prohibition in Federal or State law prohibiting facsimile
    19970H1260B1418                 - 50 -

     1  transmission of prescription or drug orders for the specific
     2  drug involved or transmitted by electronic data transmission
     3  from the health practitioner directly to the pharmacy. The board
     4  shall establish regulations governing the use of facsimile or
     5  electronic data transmission to assure for the protection of the
     6  public health and safety and to provide adequate security to
     7  assure confidentiality of such information and data.
     8     (b)  Transfer between pharmacies.--A prescription may be
     9  transferred between pharmacies in this Commonwealth pursuant to
    10  the following requirements and any regulations of the board:
    11         (1)  The prescription is for a drug which is lawfully
    12     refillable.
    13         (2)  The drug is not a Schedule II controlled substance.
    14         (3)  An original or new prescription is not required from
    15     the prescriber by law.
    16         (4)  The pharmacist transferring the prescription cancels
    17     the original prescription in his or her records and indicates
    18     on the prescription records to whom the prescription was
    19     transferred, including the name of the pharmacy, the date of
    20     the transfer and the name or initials of the transferring
    21     pharmacist.
    22         (5)  The pharmacist receiving the transferred
    23     prescription:
    24             (i)  Notes on the prescription that it is a
    25         transferred prescription.
    26             (ii)  Records all of the following on the
    27         prescription records in addition to other information
    28         required by law:
    29                 (A)  Date of issuance of original prescription.
    30                 (B)  Date of original filling of prescription and
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     1             date of last refill.
     2                 (C)  Original number of refills authorized on
     3             prescription.
     4                 (D)  Number of valid refills remaining.
     5             (iii)  Notes the location and file number of the
     6         original prescription.
     7             (iv)  Notes the name of the pharmacy and pharmacist
     8         from whom the prescription was transferred.
     9         (6)  A pharmacist may transfer a prescription to another
    10     pharmacist employed by the same corporation without regard to
    11     the requirements of paragraphs (4) and (5) provided that both
    12     pharmacists have access to the same computerized prescription
    13     transfer system which contains the prescription refill
    14     records and incorporates procedures to prevent unauthorized
    15     refills.
    16  Section 909.  Emergency refills.
    17     A pharmacist shall be permitted to provide an emergency
    18  refill of a prescription that would otherwise not be legally
    19  refillable only pursuant to all of the following terms and
    20  conditions:
    21         (1)  The pharmacist first attempts to obtain an
    22     authorization from the authorized prescriber but cannot
    23     contact the prescriber.
    24         (2)  The drug which is the subject of the refill is
    25     essential to the continuation of therapy and, in the
    26     pharmacist's professional judgment, the interruption of the
    27     therapy might reasonably produce an undesirable health
    28     consequence, be detrimental to the patient's welfare or cause
    29     physical or mental discomfort.
    30         (3)  The drug which is the subject of the refill is not a
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     1     controlled substance.
     2         (4)  The pharmacist enters on the back of the
     3     prescription or on another appropriate, uniformly maintained
     4     and readily retrievable record, the date and quantity of the
     5     refill and the pharmacist must verify the prescription.
     6         (5)  The pharmacist provides no more than a 72-hour
     7     emergency supply of the medication in conformity with the
     8     prescribed directions for use.
     9         (6)  Within 72 hours of dispensing the refill, the
    10     pharmacist notified the prescriber that an emergency
    11     prescription had been dispensed and the quantity of drug
    12     provided to the patient.
    13  Section 910.  Impaired pharmacist or pharmacist intern.
    14     (a)  Board power.--In addition to the provision of section
    15  704, the board, with the approval of the Commissioner of
    16  Professional and Occupational Affairs, shall appoint and fix
    17  compensation of a professional consultant who is a licensee of
    18  the board with education and experience in the identification,
    19  treatment and rehabilitation of persons with chemical, physical
    20  and mental impairments. Such consultants shall be accountable to
    21  the board and shall act as a liaison between the board and
    22  treatment programs, such as alcohol and drug treatment programs
    23  licensed by the Department of Health, psychological counseling
    24  and impaired professional support groups approved by the board
    25  and which provide services to licensees under this act.
    26     (b)  Required report.--Any hospital or health care facility,
    27  peer or colleague who has substantial evidence that a pharmacist
    28  or pharmacist intern has an active, addictive disease for which
    29  the pharmacist or pharmacist intern is not receiving treatment,
    30  is diverting a controlled substance for personal use or is
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     1  mentally or physically incompetent to carry out the duties of
     2  his or her license or certificate shall make or cause to be made
     3  a report to the board except that any person or facility who
     4  acts in a treatment capacity to an impaired pharmacist in an
     5  approved treatment program is exempt from the mandatory
     6  reporting requirements of this subsection. Any person or
     7  facility who reports in good faith and without malice shall be
     8  immune from any civil or criminal liability resulting from such
     9  report. Failure to provide such report within a reasonable time
    10  from receipt of such knowledge of impairment shall subject the
    11  person or facility to a fine not to exceed $1,000. The board
    12  shall levy such penalty only after affording the accused party
    13  the opportunity for a hearing, as provided in 2 Pa.C.S.
    14  (relating to administrative law and procedure).
    15     (c)  Report by provider.--An approved program provider who
    16  makes disclosure to the board pursuant to the requirements of
    17  this act shall not be subject to civil liability for such
    18  disclosure or its consequences.
    19                             CHAPTER 11
    20                        UNLAWFUL ACTIVITIES
    21  Section 1101.  Unlawful acts.
    22     It shall be unlawful for:
    23         (1)  Any person to procure or attempt to procure a
    24     license, permit or certificate for himself or herself or for
    25     any other person by making or causing to be made any false
    26     representations.
    27         (2)  Any person not duly licensed as a pharmacist
    28     pursuant to this act to engage in the practice of pharmacy,
    29     except a pharmacy intern or such other authorized personnel
    30     under the immediate personal supervision of a pharmacist,
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     1     provided that nothing herein shall be construed to prevent a
     2     duly licensed medical practitioner from administering any
     3     drug to his or her own patients after diagnosis or treatment
     4     of the patient, nor shall anything herein prevent any person
     5     from selling or distributing at retail household remedies or
     6     proprietary medicines when the same are offered for sale or
     7     sold in the original manufacturer's package which was
     8     prepared for sale to consumers.
     9         (3)  Any unlicensed person to operate or conduct, or to
    10     have charge or to supervise any pharmacy. For violation of
    11     this section, the owner of the pharmacy shall be equally
    12     liable as principle.
    13         (4)  Any person to represent that person to be licensed
    14     under this act when in fact that person is not licensed.
    15         (5)  Any person to knowingly prevent or refuse to permit
    16     any member of the board or its duly authorized agents to
    17     enter a pharmacy or any other place where drugs or devices
    18     are kept, stored, dispensed or distributed to a patient or
    19     consumer for the purpose of lawful inspection or other
    20     purposes in accordance with the provisions of this act and
    21     regulations pursuant thereto.
    22         (6)  Any person whose license, permit or certification
    23     has been revoked, suspended or refused renewal to fail to
    24     deliver the license, permit or certificate to the board
    25     within ten days after receipt of notice of such action.
    26         (7)  Any person to sell at auction drugs or devices in
    27     bulk or in open or unopened packages, unless such sale has
    28     been approved in advance by the board and unless such sale
    29     shall be under the personal supervision of a licensed
    30     pharmacist appointed by the board and whose fee shall be paid
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     1     by the seller.
     2         (8)  Any person, firm or corporation to use the title
     3     "pharmacist," "pharmacist care," "pharmacy care,"
     4     "pharmaceutical care," "assistant pharmacist," "druggist,"
     5     "apothecary" or similar terms except a person duly licensed
     6     as a pharmacist in this Commonwealth or any person to conduct
     7     or transact business under a name which contains as part
     8     thereof the words "drug store," "pharmacy," "drugs,"
     9     "medicine store," "medicines," "drug shop," "apothecary,"
    10     "pharmaceutical" or any term having a similar meaning, or in
    11     any manner by advertisement, display or show globes or
    12     otherwise describe or refer to the place of the conducted
    13     business or person unless the place is a pharmacy duly issued
    14     a permit by the board.
    15         (9)  Any person who buys, sells or causes to be sold or
    16     offers for sale any drug or device which bears or which
    17     package bears, or originally did bear, the inscription
    18     "sample" or "not for resale" or "for investigational or
    19     experimental use only" or other similar words, except where a
    20     cost is incurred in the bona fide acquisition of an
    21     investigational or experimental drug.
    22         (10)  Any person using to that person's own advantage or
    23     revealing to anyone other than the board, its duly authorized
    24     representatives or to the courts when relevant to any
    25     judicial proceeding under this act, any information acquired
    26     under authority of this act or concerning any method or
    27     process which is a trade secret.
    28         (11)  Any pharmacist or owner of a pharmacy advertising
    29     or promoting prices for drugs and pharmaceutical services to
    30     the public which do not conform to Federal and State laws and
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     1     regulations.
     2         (12)  Any person who knowingly and willfully forges or
     3     counterfeits upon any goods, wares or merchandise the private
     4     stamps or labels of any mechanic or manufacturer with intent
     5     to defraud the purchasers or manufacturers of any goods,
     6     wares or merchandise, or keeps in possession or conceals any
     7     goods, wares or merchandise or keeps in control, custody or
     8     possession any punch plate, stone or other thing in the
     9     likeness of any punch plate or stone designated for the
    10     printing or imprinting of the private stamps or labels of any
    11     mechanic or manufacturer, or who vends any goods, wares or
    12     merchandise having thereon any forged or counterfeited stamps
    13     or labels purporting to be the stamps or labels of any
    14     mechanic or manufacturer, knowing the same to be forged or
    15     counterfeited.
    16         (13)  Any person by himself or herself or through another
    17     to procure or attempt to procure for himself or herself or
    18     another any drug:
    19             (i)  By fraud, deceit, misrepresentation or
    20         subterfuge.
    21             (ii)  By the forgery or alteration of a prescription
    22         or any written order.
    23             (iii)  By the concealment of material facts.
    24             (iv)  By the use of a false statement and a
    25         prescription order or report.
    26         (14)  Any person to deliver a prescription medication by
    27     mail or otherwise to a patient within this Commonwealth
    28     unless the prescription is filled or refilled in a pharmacy
    29     licensed by the board.
    30         (15)  One or more licensed prescribers to have a
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     1     proprietary or beneficial interest in a pharmacy sufficient
     2     to permit them to exercise supervision or control over a
     3     pharmacist working in the pharmacy in his or her professional
     4     responsibilities and duties.
     5  Section 1102.  Criminal penalties.
     6     Any person who violates any of the provisions of section 1101
     7  shall be guilty of a misdemeanor and shall, upon conviction, be
     8  sentenced to pay a fine of not more than $5,000, or to
     9  imprisonment for not more than one year, or both and for each
    10  subsequent offense, shall be sentenced to pay a fine of not more
    11  than $15,000, or to imprisonment for not more than three years,
    12  or both.
    13  Section 1103.  Additional civil penalty.
    14     In addition to any other civil remedy or criminal penalty
    15  provided for in this act, the board may levy a civil penalty of
    16  up $1,000 on any current licensee who violates any provision of
    17  this act or on any person who practices pharmacy without being
    18  properly licensed to do so under this act. The board shall levy
    19  such penalty only after affording the accused party the
    20  opportunity for a hearing, as provided in 2 Pa.C.S. (relating to
    21  administrative law and procedure).
    22                             CHAPTER 13
    23                           FISCAL AFFAIRS
    24  Section 1301.  Setting of fees
    25     (a)  General rule.--All fees required under this act shall be
    26  fixed by the board by regulation and shall be subject to the act
    27  of June 25, 1982 (P.L.633, No.181), known as the Regulatory
    28  Review Act. If the revenues raised by fees, fines and civil
    29  penalties imposed under this act are not sufficient to meet
    30  expenditures over a two-year period, the board shall increase
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     1  those fees by regulation, so that the projected revenues will
     2  meet or exceed projected expenditures.
     3     (b)  Increases in fees.--If the Bureau of Professional and
     4  Occupational Affairs determines that the fees, fines and civil
     5  penalties established by the board under subsection (a) are
     6  inadequate to meet the minimum enforcement efforts required by
     7  this act, then the bureau, after consultation with the board and
     8  subject to the Regulatory Review Act, shall increase the fees by
     9  regulation in an amount such that adequate revenues are raised
    10  to meet the required enforcement effort.
    11  Section 1302.  Account and fees disposition.
    12     The Commissioner of Professional and Occupational Affairs
    13  shall establish a Pharmacy Professional Development Account and
    14  all fees, fines and civil penalties imposed in accordance with
    15  this act shall be paid into the Pharmacy Professional
    16  Development Account. The funds shall be used by the board for
    17  professional development and for enforcement efforts mandated by
    18  this act.
    19  Section 1303.  Annual submissions.
    20     (a)  Estimate to department.--The board shall submit annually
    21  to the Department of State an estimate of the financial
    22  requirements of the board for its administrative, investigative,
    23  legal and miscellaneous expenses.
    24     (b)  Report to General Assembly.--The board shall submit
    25  annually to the and Appropriations Committee of the Senate and
    26  the Appropriations Committee of the House of Representatives, 15
    27  days after the Governor has submitted the budget to the General
    28  Assembly, a copy of the budget request for the upcoming fiscal
    29  year which the board previously submitted to the Department of
    30  State.
    19970H1260B1418                 - 59 -

     1  Section 1304.  Hiring of pharmacy inspectors.
     2     The board shall employ a minimum of eight pharmacy inspectors
     3  who shall be licensed pharmacists in this Commonwealth. If the
     4  board determines that additional pharmacy inspectors are
     5  necessary to protect the health and safety of the citizens of
     6  this Commonwealth, the board shall hire such additional
     7  inspectors. Inspectors shall inspect all licensed locations. All
     8  pharmacy inspectors shall be under the authority of the board
     9  and shall report to the executive director.
    10                             CHAPTER 15
    11                      MISCELLANEOUS PROVISIONS
    12  Section 1501.  Board members.
    13     Members of the board appropriately confirmed as of the
    14  effective date of this act shall continue to serve as members of
    15  the board until their present terms expire or until a successor
    16  has been appointed and qualified, but no longer than six months
    17  after present terms have expired.
    18  Section 1502.  Rules and regulations.
    19     Each rule and regulation of the board in effect on the
    20  effective date of this act, not inconsistent with this act,
    21  shall remain in effect until repealed or amended by the board.
    22  Each fee of the board in effect on the effective date of this
    23  act, and not inconsistent with this act, shall remain in effect
    24  until repealed or amended in accordance with the provisions of
    25  this act.
    26  Section 1503.  Current licensees.
    27     Any person who holds a valid license issued by the board on
    28  the effective date of this act shall, on and after the effective
    29  date of this act, be deemed to be licensed by the board as
    30  provided for in this act.
    19970H1260B1418                 - 60 -

     1  Section 1504.  Severability.
     2     The provisions of this act are severable. If any provision of
     3  this act or its application to any person or circumstance is
     4  held invalid, the invalidity shall not affect other provisions
     5  or applications of this act which can be given effect without
     6  the invalid provision or application.
     7  Section 1505.  Repeals.
     8     (a)  Absolute.--The act of September 27, 1961 (P.L.1700,
     9  No.699), known as the Pharmacy Act, is repealed.
    10     (b)  Inconsistent.--The act of April 9, 1929 (P.L.177,
    11  No.175), known as The Administrative Code of 1929, is repealed
    12  insofar as it is inconsistent with this act.
    13     (c)  General.--All other acts and parts of acts are repealed
    14  insofar as they are inconsistent with this act.
    15  Section 1506.  Effective date.
    16     This act shall take effect January 1, 1998.










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