HB-6021, As Passed Senate, August 4, 2004                                   

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                              SUBSTITUTE FOR                                    

                                                                                

                           HOUSE BILL NO. 6021                                  

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    by amending section 17766 (MCL 333.17766), as amended by 1990 PA            

                                                                                

    30, and by adding section 17766d.                                           

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 17766.  Except as provided in section  17766a  17766d,                 

                                                                                

2   a person who does any of the following is guilty of a                       

                                                                                

3   misdemeanor:                                                                

                                                                                

4       (a) Obtains or attempts to obtain a prescription drug by                    

                                                                                

5   giving a false name to a pharmacist or other authorized seller,             

                                                                                

6   prescriber, or dispenser.                                                   

                                                                                

7       (b) Obtains or attempts to obtain a prescription drug by                    

                                                                                

8   falsely representing that he or she is a lawful prescriber,                 

                                                                                

9   dispenser, or licensee, or acting on behalf of a lawful                     

                                                                                

10  prescriber, dispenser, or licensee.                                         

                                                                                


    House Bill No. 6021 as amended August 4, 2004                               

1       (c) Falsely makes, utters, publishes, passes, alters, or                    

                                                                                

2   forges a prescription.                                                      

                                                                                

3       (d) Knowingly possesses a false, forged, or altered                         

                                                                                

4   prescription.                                                               

                                                                                

5       (e) Knowingly attempts to obtain, obtains, or possesses a                   

                                                                                

6   drug by means of a prescription for other than a legitimate                 

                                                                                

7   therapeutic purpose, or as a result of a false, forged, or                  

                                                                                

8   altered prescription.                                                       

                                                                                

9       (f) Possesses or controls for the purpose of resale, or                     

                                                                                

10  sells, offers to sell, dispenses, or gives away, a drug,                    

                                                                                

11  pharmaceutical preparation, or chemical that has been dispensed             

                                                                                

12  on prescription and has left the control of a pharmacist.  , or             

                                                                                

13      (g) Possesses or controls for the purpose of resale, or                     

                                                                                

14  sells, offers to sell, dispenses, or gives away, a drug,                    

                                                                                

15  pharmaceutical preparation, or chemical that has been damaged by            

                                                                                

16  heat, smoke, fire, water, or other cause and is unfit for human             

                                                                                

17  or animal use.                                                              

                                                                                

18      (h)  (g)  Prepares or permits the preparation of a                          

                                                                                

19  prescription drug, except as delegated by a pharmacist.                     

                                                                                

20      (i)  (h)  Sells a drug in bulk or in an open package at                     

                                                                                

21  auction, unless the sale has been approved in accordance with               

                                                                                

22  rules of the board.                                                         

                                                                                

23      Sec. 17766d.  (1) Notwithstanding section 17766(f), a                       

                                                                                

24  pharmacy operated by the department of corrections or under                 

                                                                                

25  contract with the department of corrections <<or a county jail>> may accept for the                                                                             

26  purpose of resale or redispensing a prescription drug that has              

                                                                                

27  been dispensed and has left the control of the pharmacist if the            


    House Bill No. 6021 as amended August 4, 2004                               

1   prescription drug is being returned by a state correctional                 

                                                                                

2   facility <<or a county jail that has a licensed physician's                                                          

                                                                                

3   assistant, a registered professional nurse, or a licensed practical                                                                    

                                                                                

4   nurse, who is responsible for the security, handling, and administration of prescription drugs within that state correctional facility or county                                                              

5   jail                          >> and if all of the following are met:       

                                                                                

6       (a) The pharmacist is satisfied that the conditions under                   

                                                                                

7   which the prescription drug has been delivered, stored, and                 

                                                                                

8   handled before and during its return were such as to prevent                

                                                                                

9   damage, deterioration, or contamination that would adversely                

                                                                                

10  affect the identity, strength, quality, purity, stability,                  

                                                                                

11  integrity, or effectiveness of the prescription drug.                       

                                                                                

12      (b) The pharmacist is satisfied that the prescription drug                  

                                                                                

13  did not leave the control of the registered professional nurse or           

                                                                                

14  licensed practical nurse responsible for the security, handling,            

                                                                                

15  and administration of that prescription drug and that the                   

                                                                                

16  prescription drug did not come into the physical possession of              

                                                                                

17  the individual for whom it was prescribed.                                  

                                                                                

18      (c) The pharmacist is satisfied that the labeling and                       

                                                                                

19  packaging of the prescription drug are accurate, have not been              

                                                                                

20  altered, defaced, or tampered with, and include the identity,               

                                                                                

21  strength, expiration date, and lot number of the prescription               

                                                                                

22  drug.                                                                       

                                                                                

23      (d) The prescription drug was dispensed in a unit dose                      

                                                                                

24  package or unit of issue package.                                           

                                                                                

25      (2) A pharmacy operated by the department of corrections or                 

                                                                                

26  under contract with the department of corrections <<or a county jail>> shall not                                                                             

27  accept for return prescription drugs as provided under this                 


                                                                                

1   section until the pharmacist in charge develops a written set of            

                                                                                

2   protocols for accepting, returning to stock, repackaging,                   

                                                                                

3   labeling, and redispensing prescription drugs.  The written                 

                                                                                

4   protocols shall be maintained on the premises and shall be                  

                                                                                

5   readily accessible to each pharmacist on duty.  The written                 

                                                                                

6   protocols shall include, at a minimum, each of the following:               

                                                                                

7       (a) Methods to ensure that damage, deterioration, or                        

                                                                                

8   contamination has not occurred during the delivery, handling,               

                                                                                

9   storage, and return of the prescription drugs which would                   

                                                                                

10  adversely affect the identity, strength, quality, purity,                   

                                                                                

11  stability, integrity, or effectiveness of those prescription                

                                                                                

12  drugs or otherwise render those drugs unfit for distribution.               

                                                                                

13      (b) Methods for accepting, returning to stock, repackaging,                 

                                                                                

14  labeling, and redispensing the prescription drugs returned under            

                                                                                

15  this section.                                                               

                                                                                

16      (c) A uniform system of recording and tracking prescription                 

                                                                                

17  drugs that are returned to stock, repackaged, labeled, and                  

                                                                                

18  redistributed under this section.                                           

                                                                                

19      (3) If the integrity of a prescription drug and its package                 

                                                                                

20  is maintained, a prescription drug returned under this section              

                                                                                

21  shall be returned to stock and redistributed as follows:                    

                                                                                

22      (a) A prescription drug that was originally dispensed in the                

                                                                                

23  manufacturer's unit dose package or unit of issue package and is            

                                                                                

24  returned in that same package may be returned to stock,                     

                                                                                

25  repackaged, and redispensed as needed.                                      

                                                                                

26      (b) A prescription drug that is repackaged into a unit dose                 

                                                                                

27  package or a unit of issue package by the pharmacy, dispensed,              


    House Bill No. 6021 as amended August 4, 2004                               

1   and returned to that pharmacy in that unit dose package or unit             

                                                                                

2   of issue package may be returned to stock, but it shall not be              

                                                                                

3   repackaged.  A unit dose package or unit of issue package                   

                                                                                

4   prepared by the pharmacist and returned to stock shall only be              

                                                                                

5   redispensed in that same unit dose package or unit of issue                 

                                                                                

6   package and shall only be redispensed once.  A pharmacist shall             

                                                                                

7   not add unit dose package drugs to a partially used unit of issue           

                                                                                

8   package.                                                                    

                                                                                

9       (4) This section does not apply to any of the following:                    

                                                                                

10      (a) A controlled substance.                                                 

                                                                                

11      (b) A prescription drug that is dispensed as part of a                      

                                                                                

12  customized patient medication package.                                      

                                                                                

13      (c) A prescription drug that is not dispensed as a unit dose                

                                                                                

14  package or a unit of issue package.                                         

                                                                                

15      (d) A prescription drug that is not properly labeled with the               

                                                                                

16  identity, strength, lot number, and expiration date.                        

                                                                                

17      (e) A prescription drug that is dispensed in a medical                      

                                                                                

18  institution and returned to stock for redistribution in                     

                                                                                

19  accordance with R 338.486 of the Michigan administrative code.              

                                                                                

20        (5) As used in this section:

    <<(a) "County jail" means a facility operated by a county for the physical detention and correction of persons charged with, or convicted of, criminal offenses or ordinance violations or persons found guilty of civil or criminal contempt.>>                                                                     

21      <<(b)>> "Customized patient medication package" means a package             

                                                                                

22  that is prepared by a pharmacist for a specific patient that                

                                                                                

23  contains 2 or more prescribed solid oral dosage forms.                      

                                                                                

24      <<(c)>> "Repackage" means a process by which the pharmacy                   

                                                                                

25  prepares a unit dose package, unit of issue package, or                     

                                                                                

26  Customized patient medication package for immediate dispensing              

                                                                                

27  pursuant to a current prescription.                                         


    House Bill No. 6021 as amended August 4, 2004                               

1       <<(d)>> "State correctional facility" means a facility or                   

                                                                                

2   Institution that houses a prisoner population under the                     

                                                                                

3   jurisdiction of the department of corrections.                              

                                                                                

4       <<(e)>> "Unit dose package" means a package that contains a                 

                                                                                

5   single dose drug with the name, strength, control number, and               

                                                                                

6   Expiration date of that drug on the label.                                  

                                                                                

7       <<(f)>> "Unit of issue package" means a package that provides               

                                                                                

8   multiple doses of the same drug, but each drug is individually              

                                                                                

9   separated and includes the name, lot number, and expiration date.