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S.B. 194

             1     

PHARMACY PRACTICE ACT AMENDMENTS

             2     
2013 GENERAL SESSION

             3     
STATE OF UTAH

             4     
Chief Sponsor: Evan J. Vickers

             5     
House Sponsor: Dean Sanpei

             6     
             7      LONG TITLE
             8      General Description:
             9          This bill amends the Pharmacy Practice Act.
             10      Highlighted Provisions:
             11          This bill:
             12          .    deletes "extern" from Pharmacy Practice Act definitions;
             13          .    amends the definition of "pharmaceutical wholesaler or distributor";
             14          .    amends the definition of "practice as a licensed pharmacy technician";
             15          .    amends pharmacy intern licensure qualifications;
             16          .    amends pharmacy technician licensure qualifications;
             17          .    makes conforming amendments; and
             18          .    makes technical changes.
             19      Money Appropriated in this Bill:
             20          None
             21      Other Special Clauses:
             22          None
             23      Utah Code Sections Affected:
             24      AMENDS:
             25          58-17b-102, as last amended by Laws of Utah 2012, Chapters 265 and 320
             26          58-17b-304, as last amended by Laws of Utah 2012, Chapter 93
             27          58-17b-305, as last amended by Laws of Utah 2012, Chapter 93


             28          58-17b-612, as last amended by Laws of Utah 2010, Chapter 101
             29     
             30      Be it enacted by the Legislature of the state of Utah:
             31          Section 1. Section 58-17b-102 is amended to read:
             32           58-17b-102. Definitions.
             33          In addition to the definitions in Section 58-1-102 , as used in this chapter:
             34          (1) "Administering" means:
             35          (a) the direct application of a prescription drug or device, whether by injection,
             36      inhalation, ingestion, or by any other means, to the body of a human patient or research subject
             37      by another person; or
             38          (b) the placement by a veterinarian with the owner or caretaker of an animal or group
             39      of animals of a prescription drug for the purpose of injection, inhalation, ingestion, or any other
             40      means directed to the body of the animal by the owner or caretaker in accordance with written
             41      or verbal directions of the veterinarian.
             42          (2) "Adulterated drug or device" means a drug or device considered adulterated under
             43      21 U.S.C.S. Sec. 351 (2003).
             44          (3) (a) "Analytical laboratory" means a facility in possession of prescription drugs for
             45      the purpose of analysis.
             46          (b) "Analytical laboratory" does not include a laboratory possessing prescription drugs
             47      used as standards and controls in performing drug monitoring or drug screening analysis if the
             48      prescription drugs are prediluted in a human or animal body fluid, human or animal body fluid
             49      components, organic solvents, or inorganic buffers at a concentration not exceeding one
             50      milligram per milliliter when labeled or otherwise designated as being for in vitro diagnostic
             51      use.
             52          (4) "Animal euthanasia agency" means an agency performing euthanasia on animals by
             53      the use of prescription drugs.
             54          (5) "Automated pharmacy systems" includes mechanical systems which perform
             55      operations or activities, other than compounding or administration, relative to the storage,
             56      packaging, dispensing, or distribution of medications, and which collect, control, and maintain
             57      all transaction information.
             58          (6) "Beyond use date" means the date determined by a pharmacist and placed on a


             59      prescription label at the time of dispensing that indicates to the patient or caregiver a time
             60      beyond which the contents of the prescription are not recommended to be used.
             61          (7) "Board of pharmacy" or "board" means the Utah State Board of Pharmacy created
             62      in Section 58-17b-201 .
             63          (8) "Branch pharmacy" means a pharmacy or other facility in a rural or medically
             64      underserved area, used for the storage and dispensing of prescription drugs, which is dependent
             65      upon, stocked by, and supervised by a pharmacist in another licensed pharmacy designated and
             66      approved by the division as the parent pharmacy.
             67          (9) "Centralized prescription processing" means the processing by a pharmacy of a
             68      request from another pharmacy to fill or refill a prescription drug order or to perform
             69      processing functions such as dispensing, drug utilization review, claims adjudication, refill
             70      authorizations, and therapeutic interventions.
             71          (10) "Class A pharmacy" means a pharmacy located in Utah that is authorized as a
             72      retail pharmacy to compound or dispense a drug or dispense a device to the public under a
             73      prescription order.
             74          (11) "Class B pharmacy":
             75          (a) means a pharmacy located in Utah:
             76          (i) that is authorized to provide pharmaceutical care for patients in an institutional
             77      setting; and
             78          (ii) whose primary purpose is to provide a physical environment for patients to obtain
             79      health care services; and
             80          (b) (i) includes closed-door, hospital, clinic, nuclear, and branch pharmacies; and
             81          (ii) pharmaceutical administration and sterile product preparation facilities.
             82          (12) "Class C pharmacy" means a pharmacy located in Utah that is authorized to
             83      engage in the manufacture, production, wholesale, or distribution of drugs or devices.
             84          (13) "Class D pharmacy" means a nonresident pharmacy.
             85          (14) "Class E pharmacy" means all other pharmacies.
             86          (15) "Closed-door pharmacy" means a pharmacy that provides pharmaceutical care to a
             87      defined and exclusive group of patients who have access to the services of the pharmacy
             88      because they are treated by or have an affiliation with a specific entity, including a health
             89      maintenance organization or an infusion company, but not including a hospital pharmacy, a


             90      retailer of goods to the general public, or the office of a practitioner.
             91          (16) "Collaborative pharmacy practice" means a practice of pharmacy whereby one or
             92      more pharmacists have jointly agreed, on a voluntary basis, to work in conjunction with one or
             93      more practitioners under protocol whereby the pharmacist may perform certain pharmaceutical
             94      care functions authorized by the practitioner or practitioners under certain specified conditions
             95      or limitations.
             96          (17) "Collaborative pharmacy practice agreement" means a written and signed
             97      agreement between one or more pharmacists and one or more practitioners that provides for
             98      collaborative pharmacy practice for the purpose of drug therapy management of patients and
             99      prevention of disease of human subjects.
             100          (18) (a) "Compounding" means the preparation, mixing, assembling, packaging, or
             101      labeling of a limited quantity drug, sterile product, or device:
             102          (i) as the result of a practitioner's prescription order or initiative based on the
             103      practitioner, patient, or pharmacist relationship in the course of professional practice;
             104          (ii) for the purpose of, or as an incident to, research, teaching, or chemical analysis and
             105      not for sale or dispensing; or
             106          (iii) in anticipation of prescription drug orders based on routine, regularly observed
             107      prescribing patterns.
             108          (b) "Compounding" does not include:
             109          (i) the preparation of prescription drugs by a pharmacist or pharmacy intern for sale to
             110      another pharmacist or pharmaceutical facility;
             111          (ii) the preparation by a pharmacist or pharmacy intern of any prescription drug in a
             112      dosage form which is regularly and commonly available from a manufacturer in quantities and
             113      strengths prescribed by a practitioner; or
             114          (iii) the preparation of a prescription drug, sterile product, or device which has been
             115      withdrawn from the market for safety reasons.
             116          (19) "Confidential information" has the same meaning as "protected health
             117      information" under the Standards for Privacy of Individually Identifiable Health Information,
             118      45 C.F.R. Parts 160 and 164.
             119          (20) "Controlled substance" has the same definition as in Section 58-37-2 .
             120          (21) "Dietary supplement" has the same meaning as Public Law Title 103, Chapter


             121      417, Sec. 3a(ff) which is incorporated by reference.
             122          (22) "Dispense" means the interpretation, evaluation, and implementation of a
             123      prescription drug order or device or nonprescription drug or device under a lawful order of a
             124      practitioner in a suitable container appropriately labeled for subsequent administration to or use
             125      by a patient, research subject, or an animal.
             126          (23) "Distribute" means to deliver a drug or device other than by administering or
             127      dispensing.
             128          (24) (a) "Drug" means:
             129          (i) a substance recognized in the official United States Pharmacopoeia, Official
             130      Homeopathic Pharmacopoeia of the United States, or Official National Formulary, or any
             131      supplement to any of them, intended for use in the diagnosis, cure, mitigation, treatment, or
             132      prevention of disease in humans or animals;
             133          (ii) a substance that is required by any applicable federal or state law or rule to be
             134      dispensed by prescription only or is restricted to administration by practitioners only;
             135          (iii) a substance other than food intended to affect the structure or any function of the
             136      body of humans or other animals; and
             137          (iv) substances intended for use as a component of any substance specified in
             138      Subsections (24)(a)(i), (ii), (iii), and (iv).
             139          (b) "Drug" does not include dietary supplements.
             140          (25) "Drug product equivalent" means a drug product that is designated as the
             141      therapeutic equivalent of another drug product in the Approved Drug Products with
             142      Therapeutic Equivalence Evaluations prepared by the Center for Drug Evaluation and Research
             143      of the Federal Food and Drug Administration.
             144          (26) "Drug regimen review" includes the following activities:
             145          (a) evaluation of the prescription drug order and patient record for:
             146          (i) known allergies;
             147          (ii) rational therapy-contraindications;
             148          (iii) reasonable dose and route of administration; and
             149          (iv) reasonable directions for use;
             150          (b) evaluation of the prescription drug order and patient record for duplication of
             151      therapy;


             152          (c) evaluation of the prescription drug order and patient record for the following
             153      interactions:
             154          (i) drug-drug;
             155          (ii) drug-food;
             156          (iii) drug-disease; and
             157          (iv) adverse drug reactions; and
             158          (d) evaluation of the prescription drug order and patient record for proper utilization,
             159      including over- or under-utilization, and optimum therapeutic outcomes.
             160          (27) "Drug sample" means a prescription drug packaged in small quantities consistent
             161      with limited dosage therapy of the particular drug, which is marked "sample", is not intended to
             162      be sold, and is intended to be provided to practitioners for the immediate needs of patients for
             163      trial purposes or to provide the drug to the patient until a prescription can be filled by the
             164      patient.
             165          (28) "Electronic signature" means a trusted, verifiable, and secure electronic sound,
             166      symbol, or process attached to or logically associated with a record and executed or adopted by
             167      a person with the intent to sign the record.
             168          (29) "Electronic transmission" means transmission of information in electronic form or
             169      the transmission of the exact visual image of a document by way of electronic equipment.
             170          [(30) "Extern" means a college of pharmacy student enrolled in a college coordinated
             171      practical experience program in a health care setting under the supervision of a preceptor, as
             172      defined in this act, and approved by a college of pharmacy.]
             173          [(31)] (30) "Hospital pharmacy" means a pharmacy providing pharmaceutical care to
             174      inpatients of a general acute hospital or specialty hospital licensed by the Department of Health
             175      under Title 26, Chapter 21, Health Care Facility Licensing and Inspection Act.
             176          [(32)] (31) "Legend drug" has the same meaning as prescription drug.
             177          [(33)] (32) "Licensed pharmacy technician" means an individual licensed with the
             178      division, that may, under the supervision of a pharmacist, perform the activities involved in the
             179      technician practice of pharmacy.
             180          [(34)] (33) "Manufacturer" means a person or business physically located in Utah
             181      licensed to be engaged in the manufacturing of drugs or devices.
             182          [(35)] (34) (a) "Manufacturing" means:


             183          (i) the production, preparation, propagation, conversion, or processing of a drug or
             184      device, either directly or indirectly, by extraction from substances of natural origin or
             185      independently by means of chemical or biological synthesis, or by a combination of extraction
             186      and chemical synthesis, and includes any packaging or repackaging of the substance or labeling
             187      or relabeling of its container; and
             188          (ii) the promotion and marketing of such drugs or devices.
             189          (b) "Manufacturing" includes the preparation and promotion of commercially available
             190      products from bulk compounds for resale by pharmacies, practitioners, or other persons.
             191          (c) "Manufacturing" does not include the preparation or compounding of a drug by a
             192      pharmacist, pharmacy intern, or practitioner for that individual's own use or the preparation,
             193      compounding, packaging, labeling of a drug, or incident to research, teaching, or chemical
             194      analysis.
             195          [(36)] (35) "Medical order" means a lawful order of a practitioner which may include a
             196      prescription drug order.
             197          [(37)] (36) "Medication profile" or "profile" means a record system maintained as to
             198      drugs or devices prescribed for a pharmacy patient to enable a pharmacist or pharmacy intern to
             199      analyze the profile to provide pharmaceutical care.
             200          [(38)] (37) "Misbranded drug or device" means a drug or device considered
             201      misbranded under 21 U.S.C.S. Sec. 352 (2003).
             202          [(39)] (38) (a) "Nonprescription drug" means a drug which:
             203          (i) may be sold without a prescription; and
             204          (ii) is labeled for use by the consumer in accordance with federal law.
             205          (b) "Nonprescription drug" includes homeopathic remedies.
             206          [(40)] (39) "Nonresident pharmacy" means a pharmacy located outside of Utah that
             207      sells to a person in Utah.
             208          [(41)] (40) "Nuclear pharmacy" means a pharmacy providing radio-pharmaceutical
             209      service.
             210          [(42)] (41) "Out-of-state mail service pharmacy" means a pharmaceutical facility
             211      located outside the state that is licensed and in good standing in another state, that:
             212          (a) ships, mails, or delivers by any lawful means a dispensed legend drug to a patient in
             213      this state pursuant to a lawfully issued prescription;


             214          (b) provides information to a patient in this state on drugs or devices which may
             215      include, but is not limited to, advice relating to therapeutic values, potential hazards, and uses;
             216      or
             217          (c) counsels pharmacy patients residing in this state concerning adverse and therapeutic
             218      effects of drugs.
             219          [(43)] (42) "Patient counseling" means the written and oral communication by the
             220      pharmacist or pharmacy intern of information, to the patient or caregiver, in order to ensure
             221      proper use of drugs, devices, and dietary supplements.
             222          [(44)] (43) "Pharmaceutical administration facility" means a facility, agency, or
             223      institution in which:
             224          (a) prescription drugs or devices are held, stored, or are otherwise under the control of
             225      the facility or agency for administration to patients of that facility or agency;
             226          (b) prescription drugs are dispensed to the facility or agency by a licensed pharmacist
             227      or pharmacy intern with whom the facility has established a prescription drug supervising
             228      relationship under which the pharmacist or pharmacy intern provides counseling to the facility
             229      or agency staff as required, and oversees drug control, accounting, and destruction; and
             230          (c) prescription drugs are professionally administered in accordance with the order of a
             231      practitioner by an employee or agent of the facility or agency.
             232          [(45)] (44) (a) "Pharmaceutical care" means carrying out the following in collaboration
             233      with a prescribing practitioner, and in accordance with division rule:
             234          (i) designing, implementing, and monitoring a therapeutic drug plan intended to
             235      achieve favorable outcomes related to a specific patient for the purpose of curing or preventing
             236      the patient's disease;
             237          (ii) eliminating or reducing a patient's symptoms; or
             238          (iii) arresting or slowing a disease process.
             239          (b) "Pharmaceutical care" does not include prescribing of drugs without consent of a
             240      prescribing practitioner.
             241          [(46)] (45) "Pharmaceutical facility" means a business engaged in the dispensing,
             242      delivering, distributing, manufacturing, or wholesaling of prescription drugs or devices within
             243      or into this state.
             244          [(47)] (46) (a) "Pharmaceutical wholesaler or distributor" means a pharmaceutical


             245      facility engaged in the business of wholesale vending or selling of [any] a prescription drug or
             246      device to other than [the] a consumer or user of the prescription drug or device[, which] that
             247      the pharmaceutical facility has not produced, manufactured, compounded, or dispensed.
             248          (b) "Pharmaceutical wholesaler or distributor" does not include a pharmaceutical
             249      facility carrying out the following business activities:
             250          (i) intracompany sales;
             251          (ii) the sale, purchase, or trade of a prescription drug or device, or an offer to sell,
             252      purchase, or trade a prescription drug or device, if the activity is carried out between one or
             253      more of the following entities under common ownership or common administrative control, as
             254      defined by division rule:
             255          (A) hospitals [or other health care facilities that are under common ownership or
             256      control of the management and operation of the facilities];
             257          (B) pharmacies;
             258          (C) chain pharmacy warehouses, as defined by division rule; or
             259          (D) other health care entities, as defined by division rule;
             260          (iii) the sale, purchase, or trade of a prescription drug or device, or an offer to sell,
             261      purchase, or trade a prescription drug or device, for emergency medical reasons, [or to supply
             262      another] including supplying another pharmaceutical facility [to alleviate a temporary shortage;
             263      or] with a limited quantity of a drug, if:
             264          (A) the facility is unable to obtain the drug through a normal distribution channel or
             265      other source in sufficient time to eliminate the risk of harm to a patient that would result from a
             266      delay in obtaining the drug; and
             267          (B) the quantity of the drug does not exceed an amount reasonably required for
             268      immediate dispensing to eliminate the risk of harm;
             269          (iv) the distribution of a prescription drug or device as a sample by representatives of a
             270      manufacturer[.]; and
             271          (v) the distribution of prescription drugs, if:
             272          (A) the dosage units distributed during a calendar year do not exceed five percent of
             273      the sum of the dosage units distributed by the facility during the calendar year and the dosage
             274      units dispensed by the facility during the calendar year; and
             275          (B) the distribution otherwise complies with 21 C.F.R. Sec. 1307.11.


             276          [(48)] (47) "Pharmacist" means an individual licensed by this state to engage in the
             277      practice of pharmacy.
             278          [(49)] (48) "Pharmacist-in-charge" means a pharmacist currently licensed in good
             279      standing who accepts responsibility for the operation of a pharmacy in conformance with all
             280      laws and rules pertinent to the practice of pharmacy and the distribution of drugs, and who is
             281      personally in full and actual charge of the pharmacy and all personnel.
             282          [(50)] (49) "Pharmacist preceptor" means a licensed pharmacist in good standing with
             283      one or more years of licensed experience. The preceptor serves as a teacher, example of
             284      professional conduct, and supervisor of interns in the professional practice of pharmacy.
             285          [(51)] (50) "Pharmacy" means any place where:
             286          (a) drugs are dispensed;
             287          (b) pharmaceutical care is provided;
             288          (c) drugs are processed or handled for eventual use by a patient; or
             289          (d) drugs are used for the purpose of analysis or research.
             290          [(52)] (51) "Pharmacy benefits manager or coordinator" means a person or entity that
             291      provides pharmacy benefit management services as defined in Section 49-20-502 on behalf of a
             292      self-insured employer, insurance company, health maintenance organization, or other plan
             293      sponsor, as defined by rule.
             294          [(53)] (52) "Pharmacy intern" means an individual licensed by this state to engage in
             295      practice as a pharmacy intern.
             296          [(54)] (53) "Pharmacy technician training program" means an approved technician
             297      training program providing education for pharmacy technicians.
             298          [(55)] (54) (a) "Practice as a licensed pharmacy technician" means engaging in practice
             299      as a pharmacy technician under the general supervision of a licensed pharmacist and in
             300      accordance with a scope of practice defined by division rule made in collaboration with the
             301      board.
             302          (b) "Practice as a licensed pharmacy technician" does not include:
             303          (i) performing a drug utilization review, prescription drug order clarification from a
             304      prescriber, [final review of the prescription and prescribed drug prepared for dispensing,]
             305      dispensing of the drug, or counseling a patient with respect to a prescription drug;
             306          (ii) except as permitted by rules made by the division in consultation with the board:


             307          (A) final review of a prescription; or
             308          (B) final review of a prescribed drug prepared for dispensing;
             309          [(ii)] (iii) counseling regarding nonprescription drugs and dietary supplements unless
             310      delegated by the supervising pharmacist; or
             311          [(iii)] (iv) receiving new prescription drug orders when communicating telephonically
             312      or electronically unless the original information is recorded so the pharmacist may review the
             313      prescription drug order as transmitted.
             314          [(56)] (55) "Practice of pharmacy" includes the following:
             315          (a) providing pharmaceutical care;
             316          (b) collaborative pharmacy practice in accordance with a collaborative pharmacy
             317      practice agreement;
             318          (c) compounding, packaging, labeling, dispensing, administering, and the coincident
             319      distribution of prescription drugs or devices, provided that the administration of a prescription
             320      drug or device is:
             321          (i) pursuant to a lawful order of a practitioner when one is required by law; and
             322          (ii) in accordance with written guidelines or protocols:
             323          (A) established by the licensed facility in which the prescription drug or device is to be
             324      administered on an inpatient basis; or
             325          (B) approved by the division, in collaboration with the board and the Physicians
             326      Licensing Board, created in Section 58-67-201 , if the prescription drug or device is to be
             327      administered on an outpatient basis solely by a licensed pharmacist;
             328          (d) participating in drug utilization review;
             329          (e) ensuring proper and safe storage of drugs and devices;
             330          (f) maintaining records of drugs and devices in accordance with state and federal law
             331      and the standards and ethics of the profession;
             332          (g) providing information on drugs or devices, which may include advice relating to
             333      therapeutic values, potential hazards, and uses;
             334          (h) providing drug product equivalents;
             335          (i) supervising pharmacist's supportive personnel, pharmacy interns, and pharmacy
             336      technicians;
             337          (j) providing patient counseling, including adverse and therapeutic effects of drugs;


             338          (k) providing emergency refills as defined by rule;
             339          (l) telepharmacy; and
             340          (m) formulary management intervention.
             341          [(57)] (56) "Practice of telepharmacy" means the practice of pharmacy through the use
             342      of telecommunications and information technologies.
             343          [(58)] (57) "Practice of telepharmacy across state lines" means the practice of
             344      pharmacy through the use of telecommunications and information technologies that occurs
             345      when the patient is physically located within one jurisdiction and the pharmacist is located in
             346      another jurisdiction.
             347          [(59)] (58) "Practitioner" means an individual currently licensed, registered, or
             348      otherwise authorized by the appropriate jurisdiction to prescribe and administer drugs in the
             349      course of professional practice.
             350          [(60)] (59) "Prescribe" means to issue a prescription:
             351          (a) orally or in writing; or
             352          (b) by telephone, facsimile transmission, computer, or other electronic means of
             353      communication as defined by division rule.
             354          [(61)] (60) "Prescription" means an order issued:
             355          (a) by a licensed practitioner in the course of that practitioner's professional practice or
             356      by collaborative pharmacy practice agreement; and
             357          (b) for a controlled substance or other prescription drug or device for use by a patient
             358      or an animal.
             359          [(62)] (61) "Prescription device" means an instrument, apparatus, implement, machine,
             360      contrivance, implant, in vitro reagent, or other similar or related article, and any component
             361      part or accessory, which is required under federal or state law to be prescribed by a practitioner
             362      and dispensed by or through a person or entity licensed under this chapter or exempt from
             363      licensure under this chapter.
             364          [(63)] (62) "Prescription drug" means a drug that is required by federal or state law or
             365      rule to be dispensed only by prescription or is restricted to administration only by practitioners.
             366          [(64)] (63) "Retail pharmacy" means a pharmaceutical facility dispensing prescription
             367      drugs and devices to the general public.
             368          [(65)] (64) "Self-audit" means an internal evaluation of a pharmacy to determine


             369      compliance with this chapter.
             370          [(66)] (65) "Supervising pharmacist" means a pharmacist who is overseeing the
             371      operation of the pharmacy during a given day or shift.
             372          [(67)] (66) "Supportive personnel" means unlicensed individuals who:
             373          (a) may assist a pharmacist, pharmacist preceptor, pharmacy intern, or licensed
             374      pharmacy technician in nonjudgmental duties not included in the definition of the practice of
             375      pharmacy, practice of a pharmacy intern, or practice of a licensed pharmacy technician, and as
             376      those duties may be further defined by division rule adopted in collaboration with the board;
             377      and
             378          (b) are supervised by a pharmacist in accordance with rules adopted by the division in
             379      collaboration with the board.
             380          [(68)] (67) "Unlawful conduct" is as defined in Sections 58-1-501 and 58-17b-501 .
             381          [(69)] (68) "Unprofessional conduct" is as defined in Sections 58-1-501 and
             382      58-17b-502 and may be further defined by rule.
             383          [(70)] (69) "Veterinary pharmaceutical facility" means a pharmaceutical facility that
             384      dispenses drugs intended for use by animals or for sale to veterinarians for the administration
             385      for animals.
             386          Section 2. Section 58-17b-304 is amended to read:
             387           58-17b-304. Qualifications for licensure of pharmacy intern.
             388          An applicant for licensure as a pharmacy intern shall:
             389          (1) submit an application in a form prescribed by the division;
             390          (2) pay a fee determined by the department under Section 63J-1-504 ;
             391          (3) produce satisfactory evidence of good moral character as it relates to the applicant's
             392      ability to practice pharmacy;
             393          (4) complete a criminal background check and be free from criminal convictions as
             394      described in Section 58-1-501 ;
             395          (5) have no physical or mental condition of a nature which prevents the applicant from
             396      engaging in the practice of pharmacy with reasonable skill, competency, and safety to the
             397      public;
             398          (6) meet the preliminary educational qualifications required by division rule made in
             399      collaboration with the board; and


             400          (7) meet one of the following educational criteria:
             401          (a) be a current pharmacy student, a resident, or fellow in a program approved by
             402      division rule made in collaboration with the board; or
             403          [(b) have graduated and received a pharmacy degree from a school or college of
             404      pharmacy which is accredited by the Accreditation Council on Pharmacy Education but not
             405      completed the internship hours required by division rule for licensure as a pharmacist; or]
             406          [(c)] (b) have graduated from a foreign pharmacy school and received certification of
             407      equivalency from a credentialing agency approved by division rule made in collaboration with
             408      the board.
             409          Section 3. Section 58-17b-305 is amended to read:
             410           58-17b-305. Qualifications for licensure of pharmacy technician.
             411          (1) An applicant for licensure as a pharmacy technician shall:
             412          (a) submit an application in a form prescribed by the division;
             413          (b) pay a fee determined by the department under Section 63J-1-504 ;
             414          (c) produce satisfactory evidence of good moral character as it relates to the applicant's
             415      ability to practice pharmacy;
             416          (d) complete a criminal background check and be free from criminal convictions as
             417      described in Section 58-1-501 ;
             418          (e) have no physical or mental condition of a nature which prevents the applicant from
             419      engaging in practice as a pharmacy technician with reasonable skill, competency, and safety to
             420      the public;
             421          (f) have completed a [board approved] program and curriculum of education and
             422      training, meeting standards established by division rule made in collaboration with the board;
             423      and
             424          (g) successfully complete the examinations requirement within the time periods
             425      established by division rule made in collaboration with the board.
             426          (2) A pharmacist whose license has been denied, revoked, suspended, or restricted for
             427      disciplinary purposes is not eligible to be a licensed pharmacy technician while on probation
             428      with the division.
             429          Section 4. Section 58-17b-612 is amended to read:
             430           58-17b-612. Supervision -- Pharmacist-in-charge.


             431          (1) (a) Any pharmacy, except a wholesaler, distributor, out-of-state mail service
             432      pharmacy, or class E pharmacy, shall be under the general supervision of at least one
             433      pharmacist licensed to practice in Utah. One pharmacist licensed in Utah shall be designated
             434      as the pharmacist-in-charge, whose responsibility it is to oversee the operation of the pharmacy.
             435          (b) Notwithstanding Subsection [ 58-17b-102 (66)] 58-17b-102 (65), a supervising
             436      pharmacist does not have to be in the pharmacy or care facility but shall be available via a
             437      telepharmacy system for immediate contact with the supervised pharmacy technician or
             438      pharmacy intern if:
             439          (i) the pharmacy is located in:
             440          (A) a remote rural hospital, as defined in Section 26-21-13.6 ; or
             441          (B) a clinic located in a remote rural county with less than 20 people per square mile;
             442          (ii) the supervising pharmacist described in Subsection (1)(a) is not available; and
             443          (iii) the telepharmacy system maintains records and files quarterly reports as required
             444      by division rule to assure that patient safety is not compromised.
             445          (2) Each out-of-state mail service pharmacy shall designate and identify to the division
             446      a pharmacist holding a current license in good standing issued by the state in which the
             447      pharmacy is located and who serves as the pharmacist-in-charge for all purposes under this
             448      chapter.




Legislative Review Note
    as of 2-13-13 8:57 AM


Office of Legislative Research and General Counsel


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