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                                                       PRINTER'S NO. 211

THE GENERAL ASSEMBLY OF PENNSYLVANIA


HOUSE BILL

No. 185 Session of 2007


        INTRODUCED BY SOLOBAY, BELFANTI, CALTAGIRONE, CAPPELLI, CARROLL,
           COHEN, CREIGHTON, DALEY, FABRIZIO, GALLOWAY, GINGRICH,
           GRUCELA, HERSHEY, HORNAMAN, KOTIK, KULA, MAHONEY, MANN,
           MELIO, M. O'BRIEN, PALLONE, PETRARCA, REED, REICHLEY,
           SABATINA, SCAVELLO, STABACK, SURRA, TANGRETTI AND WALKO,
           FEBRUARY 1, 2007

        REFERRED TO COMMITTEE ON HEALTH AND HUMAN SERVICES,
           FEBRUARY 1, 2007

                                     AN ACT

     1  Providing for prescription drug redistribution within health
     2     care and State correctional facilities.

     3     The General Assembly of the Commonwealth of Pennsylvania
     4  hereby enacts as follows:
     5  Section 1.  Short title.
     6     This act shall be known and may be cited as the Prescription
     7  Drug Redistribution Act.
     8  Section 2.  Definitions.
     9     The following words and phrases when used in this act shall
    10  have the meanings given to them in this section unless the
    11  context clearly indicates otherwise:
    12     "Crediting fee."  The fee imposed by a licensed pharmacist
    13  for accepting any portion of an unused, returned prescription,
    14  which shall be approved by the Pennsylvania Fair Drug Pricing
    15  Board. The crediting fee shall be not less than $3.50 and not


     1  more than $7.50 for any prescription.
     2     "FDA."  The Federal Food and Drug Administration.
     3     "Health care facility."  Any of the following, regardless of
     4  whether the facility is for profit, nonprofit or governmental:
     5         (1)  A general or specific hospital, including State
     6     centers for the mentally retarded and psychiatric hospitals.
     7         (2)  Skilled nursing facilities.
     8         (3)  Intermediate care facilities.
     9         (4)  Personal care homes.
    10     "Hospital."  An institution licensed or regulated as a
    11  hospital by the Department of Health or the Department of Public
    12  Welfare or a facility owned or operated by the Federal
    13  Government and accredited by the Joint Commission on
    14  Accreditation of Hospitals as a hospital.
    15     "Vendor pharmacy."  A licensed pharmacy that is located on
    16  the premises of a health care facility or State correctional
    17  facility and dispenses medications exclusively to the health
    18  care facility or State correctional facility in which it is
    19  located.
    20  Section 3.  Return to and repackaging by vendor pharmacy.
    21     (a)  General.--Each health care facility or State
    22  correctional facility shall return to the vendor pharmacy, for
    23  initial repackaging by that vendor pharmacy and redistribution
    24  to that health care facility or State correctional facility,
    25  drug products which are:
    26         (1)  prescription drug products that are not controlled
    27     substances;
    28         (2)  sealed in individually packaged units;
    29         (3)  returned to the vendor pharmacy at least 90 days
    30     prior to the expiration of the recommended period of shelf
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     1     life for the purpose of redispensing such drug products; and
     2         (4)  oral and parenteral medication in single-dose sealed
     3     containers approved by the FDA, topical or inhalant drug
     4     products in units of use containers approved by the FDA or
     5     parenteral medications in multiple-dose sealed containers
     6     approved by the FDA from which no doses have been withdrawn.
     7     (b)  Return to vendor.--Each health care facility or State
     8  correctional facility shall return to the vendor pharmacy, for
     9  subsequent repackaging and redistribution by that vendor
    10  pharmacy to that health care facility or State correctional
    11  facility, drug products that have already been repackaged and
    12  redistributed pursuant to subsection (a) if:
    13         (1)  such drug products meet all of the requirements for
    14     initial repackaging found in subsection (a);
    15         (2)  the date on which the drug product was last
    16     repackaged, the drug product's lot number and the drug
    17     product's expiration date are indicated clearly on the
    18     package of such repackaged drug;
    19         (3)  90 days or fewer have elapsed from the date of
    20     initial repackaging of such drug product; and
    21         (4)  a repackaging log is maintained by the pharmacy in
    22     the case of drug products repackaged in advance of immediate
    23     needs.
    24     (c)  Exception.--No drug products dispensed in a bulk-
    25  dispensing container, including bottles, may be returned to
    26  vendor pharmacy for redistribution.
    27     (d)  Consent not required.--The consent of the individual for
    28  whom the unused drugs were originally prescribed shall not be
    29  required for reuse and redistribution.
    30     (e)  Rebate.--Nothing in this section shall require a
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     1  pharmaceutical manufacturer to provide a rebate based on the
     2  reuse and redistribution of any unused drug as authorized in
     3  subsections (a) and (b).
     4     (f)  Department action.--The appropriate department shall
     5  implement policies to provide reimbursement for the return of
     6  unused drug products to the vendor pharmacy from which such drug
     7  products were purchased.
     8     (g)  Fees.--A fee of not more than 15% of the maximum
     9  wholesale price plus a crediting fee shall be provided to the
    10  vendor pharmacy by the health care facility receiving
    11  prepackaged drugs for the return of unused drug products.
    12     (h)  Limitation of liability.--No pharmaceutical
    13  manufacturers shall be held liable for any claim or injury
    14  arising from the transfer of any prescription drug pursuant to
    15  the provisions of this section, including, but not limited to,
    16  liability for failure to transfer or communicate product or
    17  consumer information regarding the transferred drug, as well as
    18  the expiration date of the transferred drug.
    19     (i)  Regulations.--The Department of Health, the Department
    20  of Corrections and the State Board of Pharmacy shall promulgate
    21  regulations to carry out the provisions of this act, including
    22  governing:
    23         (1)  the repackaging and labeling of drug products
    24     returned pursuant to subsections (a) and (b); and
    25         (2)  procedures for the return of unused products to the
    26     vendor pharmacy from which such drug products were purchased.
    27     (j)  Federal law.--All provisions of this act shall be in
    28  compliance with section 1171(4) of the Social Security Act (49
    29  Stat. 620, 42 U.S.C. § 1320d(4)).
    30  Section 4.  Effective date.
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     1     This act shall take effect in 60 days.




















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