The following definitions apply to the product tracking and
tracing requirements set forth in rules
61N-1.029,
61N-1.030,
61N-1.031 and
61N-1.032, F.A.C.
(1) "AFFILIATE" means a business entity that
has a relationship with a second business entity if, directly or indirectly:
(a) One business entity controls, or has the
power to control, the other business entity, or
(b) A third party controls, or has the power
to control, both of the business entities.
(2) "AUTHORIZED" means:
(a) A manufacturer or repackager, registered
as a drug establishment with the FDA;
(d) A dispenser, having a
valid license under Florida law.
(3) "DISPENSER" means a retail pharmacy,
hospital pharmacy, a group of chain pharmacies under common ownership and
control that do not act as a wholesale distributor, or any other person
authorized by law to dispense or administer prescription drugs, and the
affiliated warehouses or distribution centers of such entities under common
ownership and control that do not act as a wholesale distributor. Dispenser
does not include a person who dispenses only products to be used in animals
when the product is dispensed on the lawful written or oral order of a licensed
veterinarian within the context of a veterinarian-client-patient
relationship.
(4) "DISPOSITION"
means, with respect to a product within the possession or control of an entity,
the removal of such product from the pharmaceutical distribution supply chain,
which may include disposal or return of the product for disposal or other
handling or actions, such as retaining a sample of the product for further
additional physical examination or laboratory analysis of the product by a
manufacturer or regulatory or law enforcement agency.
(5) "DISTRIBUTE" or "DISTRIBUTION" means to
sell, purchase, trade, deliver, handle, store, or receive a product. The term
does not mean to administer or dispense and does not include the billing and
invoicing activities that commonly follow a wholesale distribution
transaction.
(6) "EXCLUSIVE
DISTRIBUTOR" means the wholesale distributor that directly purchased the
product from the manufacturer and is the sole distributor of that
manufacturer's product to a subsequent repackager, wholesale distributor, or
dispenser.
(7) "GRANDFATHERED"
means, with respect to a product, a product that is not labeled with a product
identifier and that entered the pharmaceutical distribution supply chain on or
before March 1, 2016.
(8)
"HOMOGENOUS CASE" means a sealed case containing only product that has a single
National Drug Code number belonging to a single lot.
(9) "ILLEGITIMATE PRODUCT" means a product
that:
(a) Is counterfeit, diverted, or
stolen;
(b) Is intentionally
adulterated such that the product would result in serious adverse health
consequences or death to humans;
(c) Is the subject of a fraudulent
transaction, or
(d) Appears unfit
for distribution such that the product would likely result in serious adverse
health consequences or death to humans.
(10) "LICENSED" means having a valid license
in accordance with Florida law. For the purposes of rules
61N-1.028,
61N-1.029,
61N-1.030,
61N-1.031 and
61N-1.032, F.A.C., a dispenser
is considered "licensed" if the dispenser has a valid license under Florida
law.
(11) "MANUFACTURER" means:
(12) "MEDICAL
CONVENIENCE KIT" means packages or units that contain combination products as
defined in 21 C.F.R. s.
3.2(e)(2) (as of 12/1/15)
which is incorporated by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06712.
A "medical convenience kit" is considered an "exempt medical
convenience kit" if it is a collection of finished medical devices, which may
include a product or biological product, assembled in kit form strictly for the
convenience of the purchaser or user, and:
(b) The kit does not contain a controlled
substance that appears in a schedule contained in the Comprehensive Drug Abuse
Prevention and Control Act of 1970 (21
U.S.C. s.
801 et seq.) (as of 12/1/15) which
is incorporated by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06718,
or chapter 893, F.S.;
(c) If the
kit includes a product:
1. The person that
manufacturers the kit purchased the product directly from the pharmaceutical
manufacturer or from a wholesale distributor that purchased the product
directly from the pharmaceutical manufacturer and did not alter the primary
container or label of the product as purchased from the manufacturer or
wholesale distributor; and,
2. The
product is:
a. An intravenous solution
intended for the replenishment of fluids and electrolytes,
b. A product intended to maintain the
equilibrium of water and minerals in the body,
c. A product intended for irrigation or
reconstitution,
d. An anesthetic,
e. An anticoagulant,
f. A vasopressor, or
g. A
sympathomimetic.
(13) "PACKAGE" means the smallest individual
saleable unit of product for distribution by a manufacturer or repackager that
is intended by the manufacturer for ultimate sale to the dispenser of such
product. For purposes of this paragraph, an "individual saleable unit" is the
smallest container of product introduced into commerce by the manufacturer or
repackager that is intended by the manufacturer or repackager for individual
sale to a dispenser.
(14) "PRODUCT"
means a prescription drug in a finished dosage form for administration to a
patient without substantial further manufacturing (such as capsules, tablets,
and lyophilized products before reconstitution), but does not include blood or
blood components intended for transfusion, radioactive drugs or radioactive
biological products (as defined in section
600.3(ee) of title 21, Code of
Federal Regulations) (as of 12/1/15), which is incorporated by reference
herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06719,
that are regulated by the Nuclear Regulatory Commission or by a State pursuant
to an agreement with such Commission under section 274 of the Atomic Energy Act
of 1954 (42 U.S.C. s.
2021) (as of 12/1/15) which is incorporated
by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06720,
imaging drugs, an intravenous product described in subparagraph 14., 15. or 16.
of paragraph (25)(b), below, any medical gas (as defined in
21 U.S.C. s.
360ddd) (as of 12/1/15), which is
incorporated by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06721,
homeopathic drugs marketed in accordance with applicable guidance under this
Act, or a drug compounded in compliance with
21 U.S.C. s.
353a (as of 12/1/15), which is incorporated
by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06722,
or 21 U.S.C. s.
353b (as of 12/1/15), which is incorporated
by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06723.
(15) "PRODUCT IDENTIFIER" means a
standardized graphic that includes, in both human readable form and on a
machine-readable data carrier, the standardized numerical identifier, lot
number, and expiration date of the product. Unless authorized by the
department, the applicable data shall be included in a 2-dimensional data
matrix barcode when affixed to, or imprinted upon a package and homogeneous
case.
(16) "QUARANTINE" means the
storage or identification of a product, to prevent distribution or transfer of
the product, in a physically separate area clearly identified for such
use.
(17) "REPACKAGER" means a
person who owns or operates an establishment that repacks and relabels a
product or package for further sale or distribution without a further
transaction.
(18) "RETURN" means
providing product to the authorized immediate trading partner from which such
product was purchased or received, or to a returns processor or reverse
logistics provider for handling of such product.
(19) "RETURNS PROCESSOR or REVERSE LOGISTICS
PROVIDER" means a person who owns or operates an establishment that
dispositions or otherwise processes saleable or nonsaleable product received
from an authorized trading partner such that the product may be processed for
credit to the purchaser, manufacturer, or seller or disposed of for no further
distribution.
(20) "SPECIFIC
PATIENT NEED" refers to the transfer of a product from one pharmacy to another
to fill a prescription for an identified patient. Such term does not include
the transfer of a product from one pharmacy to another for the purpose of
increasing or replenishing stock in anticipation of a potential need.
(21) "STANDARDIZED NUMERICAL IDENTIFIER"
means a set of numbers or characters used to uniquely identify each package or
homogenous case that is composed of the National Drug Code that corresponds to
the specific product (including the particular package configuration) combined
with a unique alphanumeric serial number of up to 20 characters.
(22) "SUSPECT PRODUCT" means a product for
which there is reason to believe that such product:
(a) Is potentially counterfeit, diverted, or
stolen;
(b) Is potentially
intentionally adulterated such that the product would result in serious adverse
health consequences or death to humans;
(c) Is potentially the subject of a
fraudulent transaction, or
(d)
Appears otherwise unfit for distribution such that the product would result in
serious adverse health consequences or death to humans.
(23) "THIRD PARTY LOGISTICS PROVIDER" means
an entity that provides or coordinates warehousing, or other logistics services
of a product in interstate commerce on behalf of a manufacturer, wholesale
distributor, or dispenser of a product, but does not take ownership of the
product, nor have responsibility to direct the sale or disposition of the
product.
(24) "TRADING PARTNER"
means:
(a) A manufacturer, repackager,
wholesale distributor, or dispenser from whom a manufacturer, repackager,
wholesale distributor, or dispenser accepts direct ownership of a product or to
whom a manufacturer, repackager, wholesale distributor, or dispenser transfers
direct ownership of a product, or
(b) A third-party logistics provider from
whom a manufacturer, repackager, wholesale distributor, or dispenser accepts
direct possession of a product or to whom a manufacturer, repackager, wholesale
distributor, or dispenser transfers direct possession of a
product.
(25)
"TRANSACTION."
(a) The term "transaction"
means the transfer of product between persons in which a change of ownership
occurs.
(b) EXEMPTIONS. The term
"transaction" does not include:
1.
Intracompany distribution of any product between members of an affiliate or
within a manufacturer,
2. The
distribution of a product among hospitals or other health care entities that
are under common control,
3. The
distribution of a product for emergency medical reasons including a public
health emergency declaration pursuant to section 319 of the Public Health
Service Act (42 U.S.C. s.
247d) (as of 12/1/15), which is incorporated
by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06724,
except that a drug shortage not caused by a public health emergency shall not
constitute an emergency medical reason;
6. The distribution of blood or blood
components intended for transfusion,
7. The distribution of minimal quantities of
product by a licensed retail pharmacy to a licensed practitioner for office
use,
8. The sale, purchase, or
trade of a drug or an offer to sell, purchase, or trade a drug by a charitable
organization described in 26 U.S.C. s.
501(c)(3) (Internal Revenue
Code) (as of 12/1/15), which is incorporated by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06727,
to a nonprofit affiliate of the organization to the extent otherwise permitted
by law,
9. The distribution of a
product pursuant to the sale or merger of a pharmacy or pharmacies or a
wholesale distributor or wholesale distributors, except that any records
required to be maintained for the product shall be transferred to the new owner
of the pharmacy or pharmacies or wholesale distributor or wholesale
distributors,
11. Products transferred to or from any
facility that is licensed by the Nuclear Regulatory Commission or by a State
pursuant to an agreement with such Commission under section 274 of the Atomic
Energy Act of 1954 (42 U.S.C. s.
2021) (as of 12/1/15), which is incorporated
by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06720.
12. A combination product that is not subject
to approval under 21 U.S.C. s.
355 (as of 12/1/15) which is incorporated by
reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06715,
or licensure under 42 U.S.C. s.
262 (section 351 of the Public Health Service
Act) (as of 12/1/15), which is incorporated by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06716,
and that is:
a. A product comprised of a
device and 1 or more other regulated components (such as a drug/device,
biologic/device, or drug/device/biologic) that are physically, chemically, or
otherwise combined or mixed and produced as a single entity,
b. 2 or more separate products packaged
together in a single package or as a unit and comprised of a drug and device or
device and biological product, or
c. 2 or more finished medical devices plus
one or more drug or biological products that are packaged together in a
"medical convenience kit, "
13. The distribution of an "exempt medical
convenice kit" as set forth in subsection
61N-1.028(12),
F.A.C.,
14. The distribution of an
intravenous product that, by its formulation, is intended for the replenishment
of fluids and electrolytes (such as sodium, chloride, and potassium) or
calories (such as dextrose and amino acids),
15. The distribution of an intravenous
product used to maintain the equilibrium of water and minerals in the body,
such as dialysis solutions,
16. The
distribution of a product that is intended for irrigation, or sterile water,
whether intended for such purposes or for injection,
(26) "TRANSACTION HISTORY" means a statement
in paper or electronic form, including the transaction information for each
prior transaction going back to the manufacturer of the product. The
transaction history for a grandfathered product begins with the owner of the
product on January 1, 2015.
(27)
"TRANSACTION INFORMATION" means:
(a) The
proprietary or established name or names of the product;
(b) The strength and dosage form of the
product;
(c) The National Drug Code
number of the product;
(d) The
container size;
(e) The number of
containers;
(f) The lot number of
the product;
(g) The date of the
transaction;
(h) The date of the
shipment, if more than 24 hours after the date of the transaction;
(i) The business name and address of the
person from whom ownership is being transferred; and,
(j) The business name and address of the
person to whom ownership is being transferred.
(28) "TRANSACTION STATEMENT" means a
statement, in paper or electronic form, that the entity transferring ownership
in a transaction:
(a) Is authorized as
required under this chapter;
(b)
Received the product from a person that is authorized as defined in subsection
61N-1.028(2),
F.A.C.;
(d) Did not knowingly ship a suspect or
illegitimate product;
(f) Did not knowingly provide false
transaction information; and,
(g)
Did not knowingly alter the transaction history.
The owner of a grandfathered product is exempt from asserting
receipt of transaction information and transaction statement from the prior
owner.
(29)
"VERIFICATION" or "VERIFY" means determining whether the product identifier
affixed to, or imprinted upon, a package or homogeneous case corresponds to the
standardized numerical identifier or lot number and expiration date assigned to
the product by the manufacturer or the repackager.
(30) "WHOLESALE DISTRIBUTION" means the
distribution of a drug subject to 21
U.S.C. s.
353(b) (as of
12/1/15) which is incorporated by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06723,
to a person other than a consumer or patient, or receipt of a drug subject to
21 U.S.C. s.
353(b) (as of 12/1/15),
which is incorporated by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06723,
by a person other than the consumer or patient, but does not include:
(a) Intracompany distribution of any drug
between members of an affiliate or within a manufacturer;
(b) The distribution of a drug, or an offer
to distribute a drug among hospitals or other health care entities which are
under common control;
(c) The
distribution of a drug or an offer to distribute a drug for emergency medical
reasons, including a public health emergency declaration pursuant to
42 U.S.C. s.
247d (section 319 of the Public Health
Service Act) (as of 12/1/15), which is incorporated by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06724,
except that, for purposes of this paragraph, a drug shortage not caused by a
public health emergency shall not constitute an emergency medical
reason;
(e) The distribution of minimal quantities of
drug by a licensed community pharmacy that is a retail pharmacy to a licensed
practitioner for office use;
(f)
The distribution of a drug or an offer to distribute a drug by a charitable
organization to a nonprofit affiliate of the organization to the extent
otherwise permitted by law;
(g) The
purchase or other acquisition by a dispenser, hospital, or other health care
entity of a drug for use by such dispenser, hospital, or other health care
entity;
(h) The distribution of a
drug by the manufacturer of such drug;
(i) The receipt or transfer of a drug by an
authorized third-party logistics provider provided that such third-party
logistics provider does not take ownership of the drug;
(j) A common carrier that transports a drug,
provided that the common carrier does not take ownership of the drug;
(l) Saleable drug returns when conducted by a
dispenser;
(m) The distribution of
an "exempt medical convenience kit" as set forth in subsection
61N-1.028(12),
F.A.C.;
(n) The distribution of an
intravenous drug that, by its formulation, is intended for the replenishment of
fluids and electrolytes (such as sodium, chloride, and potassium) or calories
(such as dextrose and amino acids);
(o) The distribution of an intravenous drug
used to maintain the equilibrium of water and minerals in the body, such as
dialysis solutions;
(p) The
distribution of a drug that is intended for irrigation, or sterile water,
whether intended for such purposes or for injection;
(r) Facilitating the distribution of a
product by providing solely administrative services, including processing of
orders and payments, or
(s) The
transfer of a product by a hospital or other health care entity, or by a
wholesale distributor or manufacturer operating at the direction of the
hospital or other health care entity, to a repackager described in
21 U.S.C. s.
360eee(16)(B) (as of
12/1/15) which is incorporated by reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06732,
and registered under 21 U.S.C. s.
360 (as of 12/1/15), which is incorporated by
reference herein,
http://www.flrules.org/Gateway/reference.asp?No=Ref-06731,
for the purpose of repackaging the drug for use by that hospital, or other
health care entity and other health care entities that are under common
control, if ownership of the drug remains with the hospital or other health
care entity at all times.
(31) "WHOLESALE DISTRIBUTOR" means a person
(other than a manufacturer, a manufacturer's co-licensed partner, a third-party
logistics provider, or repackager) engaged in wholesale
distribution.