(a)
Definitions.
For purposes of this section and section
6808-b of the
Education Law:
(1)
Nonresident
establishment means any pharmacy, manufacturer, outsourcing facility
or wholesaler located outside of New York State that ships, mails, or delivers
prescription drugs or devices to other establishments, authorized prescribers
and/or patients residing in New York State. Such establishments shall include,
but not be limited to, pharmacies that transact business through the use of the
internet.
(2)
Isolated
transaction means for pharmacies only 600 or fewer prescriptions per
calendar year for drugs and/or other devices delivered into New York State, and
for manufacturers and wholesalers, sales that total less than $10,000 in value,
at wholesale per calendar year, for drugs and/or devices delivered into New
York State, except that upon application by a nonresident pharmacy,
manufacturer or wholesaler, the department may deem a transaction to be an
isolated transaction, when such transaction is necessary to protect the public
health by addressing a temporary emergency shortage of a prescription drug
and/or device in New York State.
(b)
Registration requirements.
(1) All nonresident establishments that ship,
mail, or deliver prescription drugs and/or devices to other registered
establishments, authorized prescribers, and/or patients into New York State
shall be registered with the department in accordance with this section and
section
6808-b of the
Education Law, except that such registration shall not apply to intra-company
transfers between any division, affiliate, subsidiaries, parent or other
entities under complete common ownership and control, and except that such
registration shall not apply to nonresident establishments that have been
granted an exception under subdivision (e) of this section. The intra-company
transfer exemption shall not apply to outsourcing facilities.
(2) Application. Nonresident establishments
shall apply to the department for registration upon forms prescribed by the
department. The application for nonresident manufacturers, outsourcing
facilities or wholesalers of prescription drugs and/or devices shall be
accompanied by a fee of $825. The application for nonresident pharmacies shall
be accompanied by a fee of $345.
(3) Renewal of registration. All
registrations for nonresident establishments shall be renewed on dates set by
the department. The triennial registration fee for the renewal of a
registration of a nonresident manufacturer, outsourcing facility or wholesaler
shall be $520 or a prorated share thereof, as determined by the department. The
triennial registration fee for the renewal of a registration of a nonresident
pharmacy shall be $260 or a prorated share thereof, as determined by the
department. Nonresident establishments that fail to demonstrate that they are
licensed and/or registered in good standing with their state of residence shall
not meet the requirements for renewal of registration. Additionally,
nonresident outsourcing facilities that fail to demonstrate that the facility
is registered as an outsourcing facility under the Federal Food, Drug and
Cosmetic Act shall not meet the requirements for renewal of
registration.
(4) Failure to
register shall subject the nonresident establishment to the late fee set forth
in section
6502
(3) of the Education Law.
(5) In order to be registered, nonresident
establishments shall:
(i) be licensed and/or
registered in good standing with the state of residence;
(ii) maintain, in readily retrievable form,
records of drugs and/or devices shipped into New York State;
(iii) supply, upon request, all information
needed by the department to carry out the department's responsibilities under
law;
(iv) comply with all statutory
and regulatory requirements of the state where the nonresident establishment is
located, for prescription drugs or devices shipped, mailed, or delivered into
New York State, except for controlled substances shipped, mailed, or delivered
into New York State, the nonresident pharmacy shall follow Federal law and New
York State law;
(v) designate a
resident agent in New York State for service of process pursuant to Rule 318 of
the Civil Practice Law and Rules; and
(vi) meet the following requirements of the
Education Law to the extent that they pertain to the delivery of prescription
drugs and devices into New York State: Education Law, sections 6802, 6810,
6811, 6811-b, 6813, 6814, 6815, 6816, 6816-a, 6817, 6822, 6824 and
6825.
(6) Additional
registration requirements for nonresident establishments that are pharmacies.
(i) Toll-free number. Nonresident
establishments that are pharmacies shall provide a toll-free telephone number
that is available during normal business hours at least 40 hours per week, to
enable communication between a patient in New York State and a pharmacist at
the pharmacy who has access to the patient's records, and shall place such
toll-free number on a label affixed to each drug or device container.
(ii) Drug retail price lists. Nonresident
establishments that are pharmacies that sell prescription medications at retail
shall meet the requirements of subdivisions (1), (2), (3) and (5) of section
6826 of the
Education Law for a drug retail price list. Such pharmacies that offer to
dispense prescription drugs to consumers in New York State through a website on
the Internet shall post on such website a notice of the availability of the
drug retail price list and a toll-free telephone number to obtain the list.
Such registered pharmacies that offer to dispense prescription drugs to
consumers in New York State through mail order shall include a printed notice
with each delivery of a prescription drug informing the consumer of the
availability of the drug retail price list and a toll-free telephone number to
obtain the list.
(7)
Additional requirements for nonresident establishments that are outsourcing
facilities. Additional requirements for nonresident establishments that are
outsourcing facilities.
(i) Upon initially
registering as an outsourcing facility and every six months thereafter, each
outsourcing facility shall submit to the executive secretary of the State Board
of Pharmacy a report, on a form prescribed by the commissioner, which shall
include, but not be limited to:
(a)
identification of the drugs compounded by such outsourcing facility during the
previous six-month period; and
(b)
with respect to each such identified drug, provide the active ingredient; the
source of such active ingredient; the national drug code number of the source
drug or bulk active ingredient, if available; the strength of the active
ingredient per unit; the dosage form and route of administration; the package
description; the number of individuals units produced; and the national drug
code number of the final product, if assigned.
(ii) Outsourcing facilities shall maintain
quality control records for determining beyond use dating and stability for
five years and shall make such records available to the department for review
and copying upon request.
(iii)
Outsourcing facilities shall comply with the special provisions relating to
outsourcing facilities set forth in Education Law section 6831.
(iv) Outsourcing facilities shall comply with
current good manufacturing practices as specified in parts 210 and 211 of title
21, Code of Federal Regulations (2014 edition, Superintendent
of Documents, U.S. Government Printing Office, Washington DC 20402; 2014,
available at New York State Board of Pharmacy, 2nd Floor, 89 Washington Avenue,
Albany, NY 12234).
(v) At all times
such facilities shall be under the supervision of a pharmacist licensed and
registered to practice pharmacy in New York State.
(vi) Upon initial registration and at each
renewal, such facilities shall submit to the department documentation that the
facility is registered as an outsourcing facility under the Federal Food, Drug
and Cosmetic Act.
(vii) Upon
initial registration and at least annually thereafter, such facilities shall
submit to the department the results of an inspection by either:
representatives of the Federal Food and Drug Administration, this department or
a third party acceptable to the department.
(viii) No outsourcing facility may distribute
or dispense any drug to any person pursuant to a prescription unless it is also
a New York registered pharmacy and meets all other applicable requirements of
Federal and State law.
(c)
Disciplinary action.
(1) Nonresident establishments shall be
subject to disciplinary action in accordance with the requirements of
subdivision (6) of section
6808-b of the
Education Law, section
6510 of the
Education Law and implementing regulations, including but not limited to
section
3.3 and Part 17 of this
Title.
(2) A nonresident
establishment shall be subject to disciplinary action for:
(i) professional misconduct, as defined in
section
6509 of the
Education Law;
(ii) unprofessional
conduct, as defined in section
29.1(b)(1)-(3), (5)-(11),
(12)(i) (
a), (13) and (14)
of this Title;
(iii) unprofessional
conduct, as defined in section
29.2(a)(1)-(2), (4)-(6), (8), (10) and
(14) of this Title;
(iv) unprofessional conduct, as defined in
section
29.7(a)(16), (17) and
(19) of this Title; and
(v) failure to meet the registration
requirements prescribed in subdivision (b) of this section, any other
requirements of this section, and the requirements of section
6808-b of the
Education Law.
(3) In a
disciplinary action, a nonresident establishment shall be subject to revocation
or suspension of its registration and other applicable penalties in accordance
with article 130 of the Education Law.