2022 LAWBOOK FOR PHARMACY - page 10

 

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2022 LAWBOOK FOR PHARMACY - page 10

 

 

specifying in a prominent location in easily readable type size
what procedures were performed on that patient is a violation of
subdivision (a). Any "before" and "after" views (i) shall be
comparable in presentation so that the results are not distorted
by favorable poses, lighting, or other features of presentation,
and (ii) shall contain a statement that the same "before" and
"after" results may not occur for all patients.
(4) Relates to fees, other than a standard consultation fee or a
range of fees for specific types of services, without fully and
specifically disclosing all variables and other material factors.
(5) Contains other representations or implications that in
reasonable probability will cause an ordinarily prudent person to
misunderstand or be deceived.
(6) Makes a claim either of professional superiority or of
performing services in a superior manner, unless that claim is
relevant to the service being performed and can be substantiated
with objective scientific evidence.
(7) Makes a scientific claim that cannot be substantiated by
reliable, peer reviewed, published scientific studies.
(8) Includes any statement, endorsement, or testimonial that is
likely to mislead or deceive because of a failure to disclose
material facts.
(c) Any price advertisement shall be exact, without the use of
phrases, including, but not limited to, "as low as," "and up,"
"lowest prices," or words or phrases of similar import. Any
advertisement that refers to services, or costs for services, and
that uses words of comparison shall be based on verifiable data
substantiating the comparison. Any person so advertising shall
be prepared to provide information sufficient to establish the
accuracy of that comparison. Price advertising shall not be
fraudulent, deceitful, or misleading, including statements or
advertisements of bait, discount, premiums, gifts, or any
statements of a similar nature. In connection with price
advertising, the price for each product or service shall be clearly
identifiable. The price advertised for products shall include
360
charges for any related professional services, including
dispensing and fitting services, unless the advertisement
specifically and clearly indicates otherwise.
(d) Any person so licensed shall not compensate or give
anything of value to a representative of the press, radio,
television, or other communication medium in anticipation of, or
in return for, professional publicity unless the fact of
compensation is made known in that publicity.
(e) Any person so licensed may not use any professional card,
professional announcement card, office sign, letterhead,
telephone directory listing, medical list, medical directory listing,
or a similar professional notice or device if it includes a statement
or claim that is false, fraudulent, misleading, or deceptive within
the meaning of subdivision (b).
(f) Any person so licensed who violates this section is guilty of a
misdemeanor. A bona fide mistake of fact shall be a defense to
this subdivision, but only to this subdivision.
(g) Any violation of this section by a person so licensed shall
constitute good cause for revocation or suspension of his or her
license or other disciplinary action.
(h) Advertising by any person so licensed may include the
following:
(1) A statement of the name of the practitioner.
(2) A statement of addresses and telephone numbers of the
offices maintained by the practitioner.
(3) A statement of office hours regularly maintained by the
practitioner.
(4) A statement of languages, other than English, fluently
spoken by the practitioner or a person in the practitioner's office.
(5)
(A) A statement that the practitioner is certified by a private
or public board or agency or a statement that the practitioner
limits his or her practice to specific fields.
(i) For the purposes of this section, a dentist licensed under
Chapter 4 (commencing with Section 1600) may not hold himself
or herself out as a specialist, or advertise membership in or
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specialty recognition by an accrediting organization, unless the
practitioner has completed a specialty education program
approved by the American Dental Association and the
Commission on Dental Accreditation, is eligible for examination
by a national specialty board recognized by the American Dental
Association, or is a diplomate of a national specialty board
recognized by the American Dental Association.
(ii) A dentist licensed under Chapter 4 (commencing with
Section 1600) shall not represent to the public or advertise
accreditation either in a specialty area of practice or by a board
not meeting the requirements of clause (i) unless the dentist has
attained membership in or otherwise been credentialed by an
accrediting organization that is recognized by the board as a
bona fide organization for that area of dental practice. In order
to be recognized by the board as a bona fide accrediting
organization for a specific area of dental practice other than a
specialty area of dentistry authorized under clause (i), the
organization shall condition membership or credentialing of its
members upon all of the following:
(I) Successful completion of a formal, full-time advanced
education program that is affiliated with or sponsored by a
university based dental school and is beyond the dental degree at
a graduate or postgraduate level.
(II) Prior didactic training and clinical experience in the specific
area of dentistry that is greater than that of other dentists.
(III) Successful completion of oral and written examinations
based on psychometric principles.
(iii) Notwithstanding the requirements of clauses (i) and (ii), a
dentist who lacks membership in or certification, diplomate
status, other similar credentials, or completed advanced training
approved as bona fide either by an American Dental Association
recognized accrediting organization or by the board, may
announce a practice emphasis in any other area of dental
practice only if the dentist incorporates in capital letters or some
other manner clearly distinguishable from the rest of the
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announcement, solicitation, or advertisement that he or she is a
general dentist.
(iv) A statement of certification by a practitioner licensed under
Chapter 7 (commencing with Section 3000) shall only include a
statement that he or she is certified or eligible for certification by
a private or public board or parent association recognized by that
practitioner's licensing board.
(B) A physician and surgeon licensed under Chapter 5
(commencing with Section 2000) by the Medical Board of
California may include a statement that he or she limits his or her
practice to specific fields, but shall not include a statement that
he or she is certified or eligible for certification by a private or
public board or parent association, including, but not limited to, a
multidisciplinary board or association, unless that board or
association is (i) an American Board of Medical Specialties
member board, (ii) a board or association with equivalent
requirements approved by that physician and surgeon's licensing
board, or (iii) a board or association with an Accreditation Council
for Graduate Medical Education approved postgraduate training
program that provides complete training in that specialty or
subspecialty. A physician and surgeon licensed under Chapter 5
(commencing with Section 2000) by the Medical Board of
California who is certified by an organization other than a board
or association referred to in clause (i), (ii), or (iii) shall not use the
term "board certified" in reference to that certification, unless
the physician and surgeon is also licensed under Chapter 4
(commencing with Section 1600) and the use of the term "board
certified" in reference to that certification is in accordance with
subparagraph (A). A physician and surgeon licensed under
Chapter 5 (commencing with Section 2000) by the Medical Board
of California who is certified by a board or association referred to
in clause (i), (ii), or (iii) shall not use the term "board certified"
unless the full name of the certifying board is also used and given
comparable prominence with the term "board certified" in the
statement. For purposes of this subparagraph, a multidisciplinary
363
board or association" means an educational certifying body that
has a psychometrically valid testing process, as determined by
the Medical Board of California, for certifying medical doctors
and other health care professionals that is based on the
applicant's education, training, and experience.
For purposes of the term "board certified," as used in this
subparagraph, the terms "board" and "association" mean an
organization that is an American Board of Medical Specialties
member board, an organization with equivalent requirements
approved by a physician and surgeon's licensing board, or an
organization with an Accreditation Council for Graduate Medical
Education approved postgraduate training program that provides
complete training in a specialty or subspecialty. The Medical
Board of California shall adopt regulations to establish and collect
a reasonable fee from each board or association applying for
recognition pursuant to this subparagraph. The fee shall not
exceed the cost of administering this subparagraph.
Notwithstanding Section 2 of Chapter 1660 of the Statutes of
1990, this subparagraph shall become operative July 1, 1993.
However, an administrative agency or accrediting organization
may take any action contemplated by this subparagraph relating
to the establishment or approval of specialist requirements on
and after January 1, 1991.
(C) A doctor of podiatric medicine licensed under Chapter 5
(commencing with Section 2000) by the Medical Board of
California may include a statement that he or she is certified or
eligible or qualified for certification by a private or public board
or parent association, including, but not limited to, a
multidisciplinary board or association, if that board or association
meets one of the following requirements:
(i) is approved by the Council on Podiatric Medical Education,
(ii) is a board or association with equivalent requirements
approved by the California Board of Podiatric Medicine, or (iii) is
a board or association with the Council on Podiatric Medical
Education approved postgraduate training programs that provide
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training in podiatric medicine and podiatric surgery. A doctor of
podiatric medicine licensed under Chapter 5 (commencing with
Section 2000) by the Medical Board of California who is certified
by a board or association referred to in clause (i), (ii), or (iii) shall
not use the term "board certified" unless the full name of the
certifying board is also used and given comparable prominence
with the term "board certified" in the statement. A doctor of
podiatric medicine licensed under Chapter 5 (commencing with
Section 2000) by the Medical Board of California who is certified
by an organization other than a board or association referred to
in clause (i), (ii), or (iii) shall not use the term "board certified" in
reference to that certification.
For purposes of this subparagraph, a "multidisciplinary board or
association" means an educational certifying body that has a
psychometrically valid testing process, as determined by the
California Board of Podiatric Medicine, for certifying doctors of
podiatric medicine that is based on the applicant's education,
training, and experience. For purposes of the term "board
certified," as used in this subparagraph, the terms "board" and
"association" mean an organization that is a Council on Podiatric
Medical Education approved board, an organization with
equivalent requirements approved by the California Board of
Podiatric Medicine, or an organization with a Council on Podiatric
Medical Education approved postgraduate training program that
provides training in podiatric medicine and podiatric surgery.
The California Board of Podiatric Medicine shall adopt
regulations to establish and collect a reasonable fee from each
board or association applying for recognition pursuant to this
subparagraph, to be deposited in the State Treasury in the
Podiatry Fund, pursuant to Section 2499. The fee shall not
exceed the cost of administering this subparagraph.
(6) A statement that the practitioner provides services under a
specified private or public insurance plan or health care plan.
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(7) A statement of names of schools and postgraduate clinical
training programs from which the practitioner has graduated,
together with the degrees received.
(8) A statement of publications authored by the practitioner.
(9) A statement of teaching positions currently or formerly held
by the practitioner, together with pertinent dates.
(10) A statement of his or her affiliations with hospitals or
clinics.
(11) A statement of the charges or fees for services or
commodities offered by the practitioner.
(12) A statement that the practitioner regularly accepts
installment payments of fees.
(13) Otherwise lawful images of a practitioner, his or her
physical facilities, or of a commodity to be advertised.
(14) A statement of the manufacturer, designer, style, make,
trade name, brand name, color, size, or type of commodities
advertised.
(15) An advertisement of a registered dispensing optician may
include statements in addition to those specified in paragraphs
(1) to (14), inclusive, provided that any statement shall not
violate subdivision (a), (b), (c), or (e) or any other section of this
code.
(16) A statement, or statements, providing public health
information encouraging preventative or corrective care.
(17) Any other item of factual information that is not false,
fraudulent, misleading, or likely to deceive.
(i) Each of the healing arts boards and examining committees
within Division 2 shall adopt appropriate regulations to enforce
this section in accordance with Chapter 3.5 (commencing with
Section 11340) of Part 1 of Division 3 of Title 2 of the
Government Code.
Each of the healing arts boards and committees and examining
committees within Division 2 shall, by regulation, define those
efficacious services to be advertised by businesses or professions
under their jurisdiction for the purpose of determining whether
366
advertisements are false or misleading. Until a definition for that
service has been issued, no advertisement for that service shall
be disseminated. However, if a definition of a service has not
been issued by a board or committee within 120 days of receipt
of a request from a licensee, all those holding the license may
advertise the service. Those boards and committees shall adopt
or modify regulations defining what services may be advertised,
the manner in which defined services may be advertised, and
restricting advertising that would promote the inappropriate or
excessive use of health services or commodities. A board or
committee shall not, by regulation, unreasonably prevent
truthful, nondeceptive price or otherwise lawful forms of
advertising of services or commodities, by either outright
prohibition or imposition of onerous disclosure requirements.
However, any member of a board or committee acting in good
faith in the adoption or enforcement of any regulation shall be
deemed to be acting as an agent of the state.
(j) The Attorney General shall commence legal proceedings in
the appropriate forum to enjoin advertisements disseminated or
about to be disseminated in violation of this section and seek
other appropriate relief to enforce this section. Notwithstanding
any other provision of law, the costs of enforcing this section to
the respective licensing boards or committees may be awarded
against any licensee found to be in violation of any provision of
this section. This shall not diminish the power of district
attorneys, county counsels, or city attorneys pursuant to existing
law to seek appropriate relief.
(k) A physician and surgeon or doctor of podiatric medicine
licensed pursuant to Chapter 5 (commencing with Section 2000)
by the Medical Board of California who knowingly and
intentionally violates this section may be cited and assessed an
administrative fine not to exceed ten thousand dollars ($10,000)
per event. Section 125.9 shall govern the issuance of this citation
and fine except that the fine limitations prescribed in paragraph
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(3) of subdivision (b) of Section 125.9 shall not apply to a fine
under this subdivision.
652. Violation as Unprofessional Conduct
Violation of this article in the case of a licensed person
constitutes unprofessional conduct and grounds for suspension
or revocation of his or her license by the board by whom he or
she is licensed, or if a license has been issued in connection with
a place of business, then for the suspension or revocation of the
place of business in connection with which the violation occurs.
The proceedings for suspension or revocation shall be conducted
in accordance with Chapter 5 (commencing with Section 11500)
of Part 1 of Division 3 of Title 2 of the Government Code, and
each board shall have all the powers granted therein. However,
in the case of a licensee of the State Department of Health
Services, the proceedings shall be conducted in accordance with
Section 110171 of the Health and Safety Code. In addition, any
violation constitutes a misdemeanor as to any and all persons
offering, delivering, receiving, accepting, or participating in any
rebate, refund, commission, preference, patronage dividend,
unearned discount, or consideration, whether or not licensed
under this division, and is punishable by imprisonment in the
county jail not exceeding six months, by a fine not exceeding two
thousand five hundred dollars ($2,500), or by both the
imprisonment and fine.
652.5. Violation as Misdemeanor
Except as otherwise provided in this article, any violation of this
article constitutes a misdemeanor as to any and all persons,
whether or not licensed under this division, and is punishable by
imprisonment in the county jail not exceeding six months, or by a
fine not exceeding two thousand five hundred dollars ($2,500), or
by both the imprisonment and fine.
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733. Dispensing Prescription Drugs and Devices
(a) A licentiate shall not obstruct a patient in obtaining a
prescription drug or device that has been legally prescribed or
ordered for that patient. A violation of this section constitutes
unprofessional conduct by the licentiate and shall subject the
licentiate to disciplinary or administrative action by his or her
licensing agency.
(b) Notwithstanding any other law, a licentiate shall dispense
drugs and devices, as described in subdivision (a) of Section 4024,
pursuant to a lawful order or prescription unless one of the
following circumstances exists:
(1) Based solely on the licentiate’s professional training and
judgment, dispensing pursuant to the order or the prescription is
contrary to law, or the licentiate determines that the prescribed
drug or device would cause a harmful drug interaction or would
otherwise adversely affect the patient’s medical condition.
(2) The prescription drug or device is not in stock. If an order,
other than an order described in Section 4019, or prescription
cannot be dispensed because the drug or device is not in stock,
the licentiate shall take one of the following actions:
(A) Immediately notify the patient and arrange for the drug or
device to be delivered to the site or directly to the patient in a
timely manner.
(B) Promptly transfer the prescription to another pharmacy
known to stock the prescription drug or device that is near
enough to the site from which the prescription or order is
transferred, to ensure the patient has timely access to the drug
or device.
(C) Return the prescription to the patient and refer the patient.
The licentiate shall make a reasonable effort to refer the patient
to a pharmacy that stocks the prescription drug or device that is
near enough to the referring site to ensure that the patient has
timely access to the drug or device.
(3) The licentiate refuses on ethical, moral, or religious grounds
to dispense a drug or device pursuant to an order or prescription.
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A licentiate may decline to dispense a prescription drug or device
on this basis only if the licentiate has previously notified his or
her employer, in writing, of the drug or class of drugs to which he
or she objects, and the licentiate’s employer can, without
creating undue hardship, provide a reasonable accommodation
of the licentiate’s objection. The licentiate’s employer shall
establish protocols that ensure that the patient has timely access
to the prescribed drug or device despite the licentiate’s refusal to
dispense the prescription or order. For purposes of this section,
“reasonable accommodation” and “undue hardship” shall have
the same meaning as applied to those terms pursuant to
subdivision (l) of Section 12940 of the Government Code.
(c) For the purposes of this section, “prescription drug or
device” has the same meaning as the definition in Section 4022.
(d) This section applies to emergency contraception drug
therapy and self-administered hormonal contraceptives
described in Section 4052.3.
(e) This section imposes no duty on a licentiate to dispense a
drug or device pursuant to a prescription or order without
payment for the drug or device, including payment directly by
the patient or through a third-party payer accepted by the
licentiate or payment of any required copayment by the patient.
(f) The notice to consumers required by Section 4122 shall
include a statement that describes patients’ rights relative to the
requirements of this section.
901. Authorization for Out-of-State Health Practitioner to
Participate in Sponsored Events in California
(a) For purposes of this section, the following provisions apply:
(1) “Board” means the applicable healing arts board, under this
division or an initiative act referred to in this division, responsible
for the licensure or regulation in this state of the respective
health care practitioners.
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(2) “Health care practitioner” means any person who engages in
acts that are subject to licensure or regulation under this division
or under any initiative act referred to in this division.
(3) “Sponsored event” means an event, not to exceed 10
calendar days, administered by either a sponsoring entity or a
local government, or both, through which health care is provided
to the public without compensation to the health care
practitioner.
(4) “Sponsoring entity” means a nonprofit organization
organized pursuant to Section 501(c)(3) of the Internal Revenue
Code or a community-based organization.
(5) “Uninsured or underinsured person” means a person who
does not have health care coverage, including private coverage
or coverage through a program funded in whole or in part by a
governmental entity, or a person who has health care coverage,
but the coverage is not adequate to obtain those health care
services offered by the health care practitioner under this
section.
(b) A health care practitioner licensed or certified in good
standing in another state, district, or territory of the United
States who offers or provides health care services for which he or
she is licensed or certified is exempt from the requirement for
licensure if all of the following requirements are met:
(1) Prior to providing those services, he or she does all of the
following:
(A) Obtains authorization from the board to participate in the
sponsored event after submitting to the board a copy of his or
her valid license or certificate from each state in which he or she
holds licensure or certification and a photographic identification
issued by one of the states in which he or she holds licensure or
certification. The board shall notify the sponsoring entity, within
20 calendar days of receiving a request for authorization,
whether that request is approved or denied, provided that, if the
board receives a request for authorization less than 20 days prior
to the date of the sponsored event, the board shall make
371
reasonable efforts to notify the sponsoring entity whether that
request is approved or denied prior to the date of that sponsored
event.
(B) Satisfies the following requirements:
(i) The health care practitioner has not committed any act or
been convicted of a crime constituting grounds for denial of
licensure or registration under Section 480 and is in good
standing in each state in which he or she holds licensure or
certification.
(ii) The health care practitioner has the appropriate education
and experience to participate in a sponsored event, as
determined by the board.
(iii) The health care practitioner shall agree to comply with all
applicable practice requirements set forth in this division and the
regulations adopted pursuant to this division.
(C) Submits to the board, on a form prescribed by the board, a
request for authorization to practice without a license, and pays
a fee, in an amount determined by the board by regulation,
which shall be available, upon appropriation, to cover the cost of
developing the authorization process and processing the request.
(2) The services are provided under all of the following
circumstances:
(A) To uninsured or underinsured persons.
(B) On a short-term voluntary basis, not to exceed a 10-
calendar-day period per sponsored event.
(C) In association with a sponsoring entity that complies with
subdivision (d).
(D) Without charge to the recipient or to a third party on behalf
of the recipient.
(c) The board may deny a health care practitioner authorization
to practice without a license if the health care practitioner fails to
comply with this section or for any act that would be grounds for
denial of an application for licensure.
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(d) A sponsoring entity seeking to provide, or arrange for the
provision of, health care services under this section shall do both
of the following:
(1) Register with each applicable board under this division for
which an out-of-state health care practitioner is participating in
the sponsored event by completing a registration form that shall
include all of the following:
(A) The name of the sponsoring entity.
(B) The name of the principal individual or individuals who are
the officers or organizational officials responsible for the
operation of the sponsoring entity.
(C) The address, including street, city, ZIP Code, and county, of
the sponsoring entity’s principal office and each individual listed
pursuant to subparagraph (B).
(D) The telephone number for the principal office of the
sponsoring entity and each individual listed pursuant to
subparagraph (B).
(E) Any additional information required by the board.
(2) Provide the information listed in paragraph (1) to the county
health department of the county in which the health care
services will be provided, along with any additional information
that may be required by that department.
(e) The sponsoring entity shall notify the board and the county
health department described in paragraph (2) of subdivision (d)
in writing of any change to the information required under
subdivision (d) within 30 calendar days of the change.
(f) Within 15 calendar days of the provision of health care
services pursuant to this section, the sponsoring entity shall file a
report with the board and the county health department of the
county in which the health care services were provided. This
report shall contain the date, place, type, and general description
of the care provided, along with a listing of the health care
practitioners who participated in providing that care.
(g) The sponsoring entity shall maintain a list of health care
practitioners associated with the provision of health care services
373
under this section. The sponsoring entity shall maintain a copy of
each health care practitioner’s current license or certification and
shall require each health care practitioner to attest in writing that
his or her license or certificate is not suspended or revoked
pursuant to disciplinary proceedings in any jurisdiction. The
sponsoring entity shall maintain these records for a period of at
least five years following the provision of health care services
under this section and shall, upon request, furnish those records
to the board or any county health department.
(h) A contract of liability insurance issued, amended, or
renewed in this state on or after January 1, 2011, shall not
exclude coverage of a health care practitioner or a sponsoring
entity that provides, or arranges for the provision of, health care
services under this section, provided that the practitioner or
entity complies with this section.
(i) Subdivision (b) shall not be construed to authorize a health
care practitioner to render care outside the scope of practice
authorized by his or her license or certificate or this division.
(j) (1) The board may terminate authorization for a health care
practitioner to provide health care services pursuant to this
section for failure to comply with this section, any applicable
practice requirement set forth in this division, any regulations
adopted pursuant to this division, or for any act that would be
grounds for discipline if done by a licensee of that board.
(2) The board shall provide both the sponsoring entity and the
health care practitioner with a written notice of termination
including the basis for that termination. The health care
practitioner may, within 30 days after the date of the receipt of
notice of termination, file a written appeal to the board. The
appeal shall include any documentation the health care
practitioner wishes to present to the board.
(3) A health care practitioner whose authorization to provide
health care services pursuant to this section has been terminated
shall not provide health care services pursuant to this section
unless and until a subsequent request for authorization has been
374
approved by the board. A health care practitioner who provides
health care services in violation of this paragraph shall be
deemed to be practicing health care in violation of the applicable
provisions of this division, and be subject to any applicable
administrative, civil, or criminal fines, penalties, and other
sanctions provided in this division.
(k) The provisions of this section are severable. If any provision
of this section or its application is held invalid, that invalidity shall
not affect other provisions or applications that can be given
effect without the invalid provision or application.
(l) This section shall remain in effect only until January 1, 2018,
and as of that date is repealed, unless a later enacted statute,
that is enacted before January 1, 2018, deletes or extends that
date.
2242. Prescribing, Dispensing or Furnishing Dangerous Drugs
without Prior Examination and Medical Indication
(a) Prescribing, dispensing, or furnishing dangerous drugs as
defined in Section 4022 without an appropriate prior
examination and a medical indication, constitutes unprofessional
conduct. An appropriate prior examination does not require a
synchronous interaction between the patient and the licensee
and can be achieved through the use of telehealth, including, but
not limited to, a self-screening tool or a questionnaire, provided
that the licensee complies with the appropriate standard of care.
(b) No licensee shall be found to have committed unprofessional
conduct within the meaning of this section if, at the time the
drugs were prescribed, dispensed, or furnished, any of the
following applies:
(1) The licensee was a designated physician and surgeon or
podiatrist serving in the absence of the patient’s physician and
surgeon or podiatrist, as the case may be, and if the drugs were
prescribed, dispensed, or furnished only as necessary to maintain
the patient until the return of the patient’s practitioner, but in
any case no longer than 72 hours.
375
(2) The licensee transmitted the order for the drugs to a
registered nurse or to a licensed vocational nurse in an inpatient
facility, and if both of the following conditions exist:
(A) The practitioner had consulted with the registered nurse or
licensed vocational nurse who had reviewed the patient’s
records.
(B) The practitioner was designated as the practitioner to serve
in the absence of the patient’s physician and surgeon or
podiatrist, as the case may be.
(3) The licensee was a designated practitioner serving in the
absence of the patient’s physician and surgeon or podiatrist, as
the case may be, and was in possession of or had utilized the
patient’s records and ordered the renewal of a medically
indicated prescription for an amount not exceeding the original
prescription in strength or amount or for more than one refill.
(4) The licensee was acting in accordance with Section 120582
of the Health and Safety Code.
11345.2. Controlling Person for a Registrant
(a) An individual shall not act as a controlling person for a
registrant if any of the following apply:
(1) The individual has entered a plea of guilty or no contest to,
or been convicted of, a felony. If the individual’s felony
conviction has been dismissed pursuant to Section 1203.4,
1203.4a, 1203.41, 1203.42, or 1203.425 of the Penal Code, the
bureau may allow the individual to act as a controlling person.
(2) The individual has had a license or certificate to act as an
appraiser or to engage in activities related to the transfer of real
property refused, denied, canceled, or revoked in this state or
any other state.
(b) Any individual who acts as a controlling person of an
appraisal management company and who enters a plea of guilty
or no contest to, or is convicted of, a felony, or who has a license
or certificate as an appraiser refused, denied, canceled, or
revoked in any other state shall report that fact or cause that fact
376
to be reported to the office, in writing, within 10 days of the date
the individual has knowledge of that fact.
(c) This section shall become operative on July 1, 2020.
17500. False or Misleading Statements, Generally
It is unlawful for any person, firm, corporation or association, or
any employee thereof with intent directly or indirectly to dispose
of real or personal property or to perform services, professional
or otherwise, or anything of any nature whatsoever or to induce
the public to enter into any obligation relating thereto, to make
or disseminate or cause to be made or disseminated before the
public in this state, or to make or disseminate or cause to be
made or disseminated from this state before the public in any
state, in any newspaper or other publication, or any advertising
device, or by public outcry or proclamation, or in any other
manner or means whatever, including over the Internet, any
statement, concerning that real or personal property or those
services, professional or otherwise, or concerning any
circumstance or matter of fact connected with the proposed
performance or disposition thereof, which is untrue or
misleading, and which is known, or which by the exercise of
reasonable care should be known, to be untrue or misleading, or
for any person, firm, or corporation to so make or disseminate or
cause to be so made or disseminated any such statement as part
of a plan or scheme with the intent not to sell that personal
property or those services, professional or otherwise, so
advertised at the price stated therein, or as so advertised. Any
violation of the provisions of this section is a misdemeanor
punishable by imprisonment in the county jail not exceeding six
months, or by a fine not exceeding two thousand five hundred
dollars ($2,500), or by both that imprisonment and fine.
377
CALIFORNIA CODE OF REGULATIONS
DIVISION 17, TITLE 16
Article 1. General Provisions
Section
1702.
Pharmacist Renewal Requirements
1702.1.
Renewal Requirements for Individual Licensees Other
Than Pharmacists
1702.5.
Renewal Requirements for Premises or Facilities
1703.
Delegation of Certain Functions
1704.
Change of Address
1705.
Notification of Bankruptcy, Receivership or Liquidation
1706.
Words of Similar Import
1706.1.
Permit Processing Times
1706.2.
Abandonment of Application Files
1706.5.
Experimental Programs
Article 2. Pharmacies
Section
1707.
Waiver Requirements for Off-Site Storage of Records
1707.1.
Duty to Maintain Medication Profiles (Patient
Medication Records)
1707.2.
Duty to Consult
1707.3.
Duty to Review Drug Therapy and Patient Medication
Record Prior to Delivery
1707.4.
Procedures for Refill Pharmacies
1707.5.
Patient-Centered Labels for Prescription Drug
Containers; Requirements
1707.6.
Notice to Consumers
1708.2.
Discontinuance of Business
1708.3.
Radioactive Drugs
1708.4.
Pharmacist Handling Radioactive Drugs
1708.5.
Pharmacy Furnishing Radioactive Drugs
1709.
Names of Owners and Pharmacist-in-Charge
378
1709.1.
Designation of Pharmacist-in-Charge
1710.
Hospital Pharmacy
1711.
Quality Assurance Programs
1712.
Use of Pharmacist Identifiers
1713.
Receipt and Delivery of Prescriptions and Prescription
Medications Must be To or From Licensed Pharmacy
1714.
Operational Standards and Security
1714.1.
Pharmacy Operations during Temporary Absence of a
Pharmacist
1714.3
Community Pharmacy Staffing
1714.5.
Dangerous Drugs and Devices Exempt from Provisions
of Chapter 9, Division 2 of the Business and Professions
Code
1715.
Self-Assessment of a Pharmacy by the Pharmacist-in-
Charge
1715.1.
Self-Assessment of an Automated Drug Delivery System
by the Pharmacist-in-Charge
1715.5.
Implementation of Electronic Monitoring of Schedule II
Prescriptions
1715.6.
Reporting Drug Loss
1715.65. Inventory Reconciliation Report of Controlled
Substances
1716.
Variation from Prescriptions
1717.
Pharmacy Practice
1717.1. Common Electronic Files
1717.3. Preprinted, Multiple Checkoff Prescription Blanks
1717.4. Electronic Transmission of Prescriptions
1718.
Current Inventory Defined
1718.1. Manufacturer’s Expiration Date
Article 3. Pharmacist Candidates
Section
1719.
Recognized Schools of Pharmacy
1720.
Application for Pharmacist Examination and Licensure
1720.1. Graduates of Foreign Pharmacy Schools
1721.
Dishonest Conduct during Examination
379
1723.1.
Confidentiality of Examination Questions
1724.
Passing Grade in Pharmacist Examination
1725.
Acceptable Pharmacy Coursework for Examination
Candidates with Four Failed Attempts
1726.
Supervision of Intern Pharmacists
1727.1.
Intern Address Not Available on Internet
1727.2.
Requirements for Pharmacist Intern
1728.
Requirements for Examination
Article 3.5. Advanced Practice Pharmacist
Section
1730.
Acceptable Certification Programs
1730.1.
Application Requirements for Advanced Practice
Pharmacist Licensure
1730.2.
Certification Programs
1731.
Experimental Programs
Article 4. Continuing Education
Section
1732.
Definitions
1732.05. Accreditation Agencies for Continuing Education
1732.1. Requirements for Accredited Providers
1732.2. Board Accredited Continuing Education
1732.3. Requirements for Continuing Education Courses
1732.4. Provider Audit Requirements
1732.5. Renewal Requirements for Pharmacist
1732.6. Exemptions
1732.7. Complaint Mechanism
Article 4.5 Compounding
Section
1735.
Compounding in Licensed Pharmacies
1735.1. Compounding Definitions
1735.2. Compounding Limitations and Requirements; Self -
Assessment
1735.3. Recordkeeping of Compounded Drug Preparations
1735.4. Labeling of Compounded Drug Preparations
380
1735.5.
Compounding Policies and Procedures
1735.6.
Compounding Facilities and Equipment
1735.7.
Training of Compounding Staff
1735.8.
Compounding Quality Assurance
Article 5. Dangerous Drugs
Section
1744.
Drug Warnings
1745.
Partial Filling of Schedule II Prescriptions
1746.
Emergency Contraception
1746.1.
Protocol for Pharmacists Furnishing Self-Administered
Hormonal Contraception
1746.2.
Protocol for Pharmacists Furnishing Nicotine
Replacement Products
1746.3.
Protocol for Pharmacists Furnishing Naloxone
Hydrochloride
1746.4.
Pharmacists Initiating and Administering Vaccines
1746.5.
Pharmacists Furnishing Travel Medications
1747.
Independent HIV Preexposure and Postexposure
Prophylaxis Furnishing.
Article 6. Fees
Section
1749.
Fee Schedule
Article 7. Sterile Compounding
Section
1751.
Sterile Compounding; Compounding Area; Self-
Assessment
1751.1.
Sterile Compounding Recordkeeping Requirements
1751.2.
Sterile Compounding Labeling Requirements
1751.3.
Sterile Compounding Policies and Procedures
1751.4.
Facility and Equipment Standards for Sterile
Compounding
1751.5.
Sterile Compounding Attire
1751.6.
Sterile Compounding Consultation; Training of Sterile
Compounding Staff
381
1751.7. Sterile Compounding Quality Assurance and Process
Validation
1751.8. Beyond Use Dating for Sterile Compounded Drug
Preparations
1751.9. Single-Dose and Multi-Dose Containers; Limitations on
Use
1751.10. Sterile Compounding Reference Materials
Article 7.5. Furnishing for Home Administrations
Section
1752.
Furnishing to Parenteral Patient at Home
1753.
Furnishing to Home Health Agencies and Licensed
Hospices
1754.
Obligations of a Pharmacy Furnishing Portable
Containers
Article 8. Prohibitions and Discipline
Section
1760.
Disciplinary Guidelines
1761.
Erroneous or Uncertain Prescriptions
1764.
Unauthorized Disclosure of Prescriptions
1765.
Commissions, Gratuities, and Rebates
1766.
False or Misleading Advertising
1768.
Denial of Application - Reapplication
1769.
Criteria for Rehabilitation
1770.
Substantial Relationship Criteria
1771.
Posting of Notice of Suspension
1772.
Disciplinary Condition of Suspension
1773.
Disciplinary Conditions of Probation of Pharmacist
1773.5.
Ethics Course Required as Condition of Probation
1774.
Disciplinary Conditions of Probation of Permit
Article 9. Citations and Fines
Section
1775.
Issuing Citations
1775.1.
Amount of Fines
1775.2.
Factors Considered
382
1775.3. Compliance with Orders of Abatement
1775.4. Contested Citations
Article 9.1. Prescription Drug Take-Back Services
Section
1776.
Prescription Drug Take-Back Services: Authorization
1776.1.
Pharmacies
1776.2.
Pharmacies Offering Mail Back Envelope or Package
Services
1776.3.
Collection Receptacles in Pharmacies
1776.4.
Drug Take-Back Services in Skilled Nursing Facilities
1776.5.
Reverse Distributors
1776.6.
Record Keeping Requirements for Board Licensees
Providing Drug Take-Back Services
Article 10. Dangerous Drug Distributors
Section
1780.
Minimum Standards for Wholesalers and Third-Party
Logistics Providers
1780.1.
Minimum Standards for Veterinary Food-Animal Drug
Retailers
1781.
Pharmacist or Designated Representative on Premises
and In Control
1782.
Reporting Sales of Drugs Subject to Abuse
1783.
Manufacturer, Wholesaler, or Third-Party Logistics
Provider Furnishing Drugs or Devices
1784.
Self-Assessment of a Wholesaler by the Designated
Representative-in-Charge
383
Article 10.1. Home Dialysis Drugs and Devices
Section
1787.
Authorization to Distribute Hemodialysis Drugs and
Devices
1790.
Assembling and Packaging
1791.
Labeling
1792.
Receipt for Shipment
Article 11. Ancillary Personnel
Section
1793.
Definitions
1793.1.
Duties of a Pharmacist
1793.2.
Duties of a Pharmacy Technician
1793.3.
Other Non-Licensed Pharmacy Personnel
1793.5.
Pharmacy Technician Application
1793.6.
Training Courses Specified by the Board
1793.7.
Requirements for Pharmacies Employing Pharmacy
Technicians
1793.8. Technicians in Hospitals with Clinical Pharmacy Programs
384
CALIFORNIA CODE OF REGULATIONS
DIVISION 17, TITLE 16
Article 1. General Provisions
1702. Pharmacist Renewal Requirements
(a) A pharmacist applicant for renewal who has not previously
submitted fingerprints as a condition of licensure or for whom an
electronic record of the licensee's fingerprints does not exist in
the Department of Justice's criminal offender record
identification database shall successfully complete a state and
federal level criminal offender record information search
conducted through the Department of Justice by the licensee's or
registrant’s renewal date.
(1) A pharmacist shall retain for at least three years as evidence
of having complied with subdivision (a) either a receipt showing
that he or she has electronically transmitted his or her fingerprint
images to the Department of Justice or, for those who did not
use an electronic fingerprinting system, a receipt evidencing that
his or her fingerprints were recorded and submitted to the
board.
(2) A pharmacist applicant for renewal shall pay the actual cost
of compliance with subdivision (a).
(3) As a condition of petitioning the board for reinstatement of a
revoked or surrendered license, or for restoration of a retired
license, an applicant shall comply with subdivision (a).
(4) The board may waive the requirements of this section for
licensees who are actively serving in the United States military.
The board may not return a license to active status until the
licensee has complied with subdivision (a).
(b) As a condition of renewal, a pharmacist applicant shall
disclose on the renewal form whether he or she has been
convicted, as defined in Section 490 of the Business and
Professions Code, of any violation of the law in this or any other
385
state, the United States, or other country, since his or her last
renewal. Traffic infractions not involving alcohol, dangerous
drugs, or controlled substances do not need to be disclosed.
(c) As a condition of renewal, a pharmacist applicant shall
disclose on the renewal form any disciplinary action against any
license issued to the applicant by a government agency. For the
purposes of this section, “disciplinary action” means an adverse
licensure or certification action that resulted in a restriction or
penalty being placed on the license, such as revocation,
suspension, probation or public reprimand or reproval.
(d) As a condition of renewal, a pharmacist applicant shall
disclose whether he or she has complied with all continuing
education requirements to renew his or her pharmacist or
advanced practice pharmacist license as required by section
1732.5.
(e) Failure to provide under penalty of perjury all of the
information required by this section renders an application for
renewal incomplete and the board shall not renew the license
and shall issue the applicant an inactive pharmacist license. An
inactive pharmacist license issued pursuant to this section may
only be reactivated after compliance is confirmed for all licensure
renewal requirements.
Note: Authority cited: Sections 4001.1 and 4005, Business and
Professions Code. Reference: Sections 141, 490, 4036, 4200.5,
4207, 4231, 4300, 4301, 4301.5, 4311 and 4400, Business and
Professions Code; and Sections 11105(b)(10) and 11105(e), Penal
Code.
1702.1. Renewal Requirements for Individual Licensees Other
Than Pharmacists.
This section applies to the renewal of any license held by an
individual licensee, other than an individual licensed as a
pharmacist or an advanced practice pharmacist.
(a) A licensee applying for renewal who has not previously
submitted fingerprints as a condition of licensure or for whom an
386
electronic record of the licensee’s fingerprints does not exist in
the Department of Justice’s criminal offender record
identification database shall successfully complete a state and
federal level criminal offender record information search
conducted through the Department of Justice by the licensee’s or
registrant’s renewal date that occurs on or after January 1, 2018.
(1) The licensee shall retain for at least three years as evidence
of having complied with subdivision (a) either a receipt showing
that he or she has electronically transmitted his or her fingerprint
images to the Department of Justice or, for those who did not
use an electronic fingerprinting system, a receipt evidencing that
his or her fingerprints were recorded and submitted to the
board.
(2) The licensee for renewal shall pay the actual cost of
compliance with subdivision (a).
(3) As a condition of petitioning the board for reinstatement of a
revoked or surrendered license an applicant shall comply with
subdivision (a).
(4) The board may waive the requirements of this section for
licensees who are actively serving in the United States military.
The board may not return a license to active status until the
licensee has complied with subdivision (a).
(b) As a condition of renewal, the licensee shall disclose on the
renewal form whether he or she has been convicted, as defined
in Section 490 of the Business and Professions Code, of any
violation of the law in this or any other state, the United States,
or other country, since his or her last renewal. Traffic infractions
not involving alcohol, dangerous drugs, or controlled substances
do not need to be disclosed.
(c) As a condition of renewal, the licensee shall disclose on the
renewal form any disciplinary action against any license issued to
the applicant by a government agency. For the purposes of this
section, “disciplinary action” means an adverse licensure or
certification action that resulted in a restriction or penalty
387
against the license or certification such as revocation,
suspension, probation or public reprimand or reproval.
(d) Failure to provide under penalty of perjury all of the
information required by this section renders an application for
renewal incomplete and the board shall not renew the license
until the licensee demonstrates compliance with all
requirements.
Authority cited: Sections 4001.1 and 4005, Business and
Professions Code. Reference: Sections 141, 490, 4022.5, 4022.6,
4022.7, 4032, 4038, 4053, 4115, 4202, 4202.5, 4207, 4300, 4301
and 4400, Business and Professions Code; and Sections
11105(b)(10) and 11105(e), Penal Code.
1702.5. Renewal Requirements for Premises or Facilities
This section applies to the renewal of any license held by a
premises or facility.
(a) As a condition of renewal, an applicant seeking renewal of a
premises or facility license shall report to the board any
disciplinary action taken by any government agency since the
issuance or last renewal of the license. Failure to provide
information required by this section shall render an application
for renewal incomplete, and the board shall not renew the
license until such time as the information is provided.
(b) For purposes of this section, “disciplinary action” means any
adverse licensure or certification action that resulted in a
restriction or penalty against the license or certification. Such
actions include revocation, suspension, probation or public
reprimand or reproval.
Authority cited: Section 4005, Business and Professions Code.
Reference: Sections 141, 4021.5, 4029, 4034, 4037, 4041, 4043,
4044.3, 4107, 4112, 4161, 4300, 4301, 4302, 4303, 4303.1 and
4316, Business and Professions Code.
388
1703. Delegation of Certain Functions
The power and discretion conferred by law upon the board to
receive and file accusations; issue notices of hearing, statements
to respondent and statements of issues; receive and file notices
of defense; determine the time and place of hearings under
Section 11508 of the Government Code; set and calendar cases
for hearing and perform other functions necessary to the
business-like dispatch of the business of the board in connection
with proceedings under the provisions of Sections 11500 through
11528 of the Government Code, prior to the hearing of such
proceedings; the certification and delivery or mailing of copies of
decisions under Section 11518 of said code; and issue summary
suspension orders or notices of suspension under Section 4311 of
the Business and Professions Code; make changes to its
regulations without regulatory effect pursuant to Title 1,
California Code of Regulations Section 100; and approve waivers
pursuant to Section 4076.5(e) of the Business and Professions
Code are hereby delegated to and conferred upon the executive
officer, or, in his or her absence from the office of the board, the
acting executive officer.
Authority cited: Section 4005, Business and Professions Code.
Reference: Sections 4003 and 4311, Business and Professions
Code.
1704. Change of Address
Each person holding a certificate, license, permit, registration or
exemption to practice or engage in any activity in the State of
California under any and all laws administered by the Board shall
file a proper and current residence address with the Board at its
office in Sacramento and shall within 30 days notify the Board at
its said office of any and all changes of residence address, giving
both the old and new address.
Authority cited: Section 4005, Business and Professions Code.
Reference: Sections 4003 and 4100, Business and Professions
Code.
389
1705. Notification of Bankruptcy, Receivership or Liquidation
Any pharmacy, wholesaler, or manufacturer who makes any
assignment for the benefit of creditors or enters into any creditor
compromise arrangement, or who files a petition in bankruptcy,
or who has a receiver appointed, or who enters into any
liquidation or other arrangement which may result in the sale or
transfer of drugs, devices or appliances which are required to be
sold by a registered pharmacist or other licensee, shall notify the
Board immediately in writing of such fact, and shall set forth the
following information, if known:
(a) Date of sale or transfer of such drugs, devices or appliances;
(b) Name and address of purchaser;
(c) Inventory of dangerous drugs and devices showing their
disposition;
(d) Location of records of manufacture, sale, purchase, and
disposition of dangerous drugs and devices.
Authority cited: Section 4005, Business and Professions Code.
Reference: Sections 4005, 4024, 4080, 4081 and 4332, Business
and Professions Code.
1706. Words of Similar Import
The words "Prescription," "Prescription Service," "Medication,"
"Prescribed Medication," and "Medicinals" are words of similar
or like import to those enumerated in Section 4343, Business and
Professions Code.
Authority cited: Section 4005, Business and Professions Code.
Reference: Section 4005.
1706.1 Permit Processing Times
"Permit" as defined by the Permit Reform Act of 1981 means any
license, certificate, registration, permit or any other form of
authorization required by a state agency to engage in a particular
activity or act. Processing times for the board's various programs
are set forth below. The actual processing times apply to those
persons who take and pass the first available examination.
390
License or
Maximum
Maximum
Actual License or
registration
Time in Days
Time in
Processing Time in
type
for
Days after
Days
Notification
Filing a
Based on Two-Year
That an
Complete
Compilation
Application
Application
Incomplete
in Which
or Deficient;
the Board
Min Med Max
and What is
Will Notify
Needed to
Applicant of
Correct the
Decision
Deficiency
Pharmacist
30
30
67
167 2,192
License
Foreign
30
30
154 549 1,047
Graduate
Application
Intern
30
60
1
4
83
Permit
Pharmacy
30
60
6
72
305
Permit
Clinic Permit
30
60
20
96
325
Non-
30
60
12* 56* 122*
Resident
Pharmacy
Permit
391
License or
Maximum
Maximum
Actual License or
registration
Time in Days
Time in
Processing Time in
type
for
Days after
Days
Notification
Filing a
Based on Two-Year
That an
Complete
Compilation
Application
Application
Incomplete
in Which
or Deficient;
the Board
Min Med Max
and What is
Will Notify
Needed to
Applicant of
Correct the
Decision
Deficiency
Exemption
30
60
20
85
185
Certificate
Hypodermic
30
60
7
87
258
Distributor’s
Permit
Wholesale
30
60
13
88
605
Drug Permit
Medical
30
60
Device
Retailer
Permit
Medical
30
60
Device
Retailer
Warehouse
Permit
Out-of-State
30
60
1
21
265
Distributor
Permit
392
*This registration program began January 1, 1989, thus the data
are for only one ½ years.
Authority cited: Section 4005, Business and Professions Code.
Reference: Section 15376, Government Code.
1706.2. Abandonment of Application Files
(a) An applicant for a premises license who fails to complete all
application requirements within 60 days after being notified by
the board of deficiencies in his, her or its file, may be deemed to
have abandoned the application and may be required to file a
new application and meet all of the requirements in effect at the
time of reapplication.
(b) An applicant for an individual license not included in
subdivision (c), (d), or (e) who fails to complete all application
requirements within 60 days after being notified by the board of
deficiencies in his or her file, may be deemed to have abandoned
the application and may be required to file a new application and
meet all of the requirements which are in effect at the time of
reapplication.
(c) An applicant who fails to pay the fee for licensure as a
pharmacist required by subdivision (f)(1) of section 1749 of this
Division within 12 months after being notified by the board of his
or her eligibility shall be deemed to have abandoned the
application and must file a new application and be in compliance
with the requirements in effect at the time of reapplication.
(d) An applicant to take the pharmacist licensure examinations
who fails to take the examinations within 12 months of being
deemed eligible, shall be deemed to have abandoned the
application and must file a new application in compliance with all
of the requirements in effect at the time of reapplication.
(e) An applicant for an intern pharmacist license who fails to
complete all application requirements within one year after
being notified by the board of deficiencies in his or her file, may
be deemed to have abandoned the application and may be
393
required to file a new application and meet all of the
requirements which are in effect at the time of reapplication.
Authority cited: Section 4005, Business and Professions Code.
Reference: Sections 4022.5, 4029, 4030, 4034, 4034.5, 4037,
4041, 4043, 4044.3, 4045, 4053, 4110, 4112, 4115, 4120, 4127.1,
4127.15, 4141, 4160, 4161, 4180, 4190, 4200, 4201, 4202,
4202.5, 4203, 4203.5, 4204, 4205, 4208, and 4210, Business and
Professions Code.
Article 2. Pharmacies
1707. Waiver Requirements for Off-Site Storage of Records
(a) Pursuant to subdivision (e) of Section 4105 of the Business
and Professions Code and subdivision (c) of Section 4333 of the
Business and Professions Code, a waiver may, on a case-by-case
basis, be granted to any entity licensed by the board for storage
of the records outside the licensed area of the pharmacy
described in subdivisions (a), (b) and (c) of Section 4105 of the
Business and Professions Code. The board may consider space
limitations within the pharmacy, cost, previous compliance with
records requirements, ease of access to records stored outside of
the licensed area, and any other factor presented by the licensee
in making its determine.
(b) An entity that is granted a waiver pursuant to subdivision (a)
shall:
(1) maintain the storage area so that the records are secure,
including from unauthorized access; and
(2) be able to produce the records within two business days
upon the request of the board or an authorized officer of the law.
(c) In the event that a licensee fails to comply with the
conditions set forth in subdivision (b), the board may cancel the
waiver without a hearing. Upon notification by the board of
cancellation of the waiver, the licensee shall maintain all records
at the licensed premises.
394
(d) A licensee whose waiver has been cancelled pursuant to the
provisions set forth in subsection (c) may reapply to the board
when compliance with the conditions set forth in subsection (b)
can be confirmed by the board.
(e) Notwithstanding any waiver granted pursuant to subdivision
(a), all prescription records for noncontrolled substances shall be
maintained on the licensed premises for a period of one year
from the date of dispensing.
(f) Notwithstanding any waiver granted pursuant to subdivision
(a), all prescription records for controlled substances shall be
maintained on the licensed premises for a period of two years
from the date of dispensing.
(g) Notwithstanding the requirements of this section, any entity
licensed by the board may store the records described in
subdivisions (a), (b) and (c) of Section 4105 of the Business and
Professions Code in a storage area at the same address or
adjoining the licensed premises without obtaining a waiver from
the board if the following conditions are met:
(1) The records are readily accessible to the pharmacist-in-
charge (or other pharmacist on duty, or designated
representative) and upon request to the board or any authorized
officer of the law.
(2) The storage area is maintained so that the records are secure
and so that the confidentiality of any patient-related information
is maintained.
Authority cited: Section 4005, Business and Professions Code.
Reference: Sections 4081, 4105 and 4333, Business and
Professions Code.
1707.1. Duty to Maintain Medication Profiles (Patient
Medication Records).
(a) A pharmacy shall maintain medication profiles on all patients
who have prescriptions filled in that pharmacy except when the
pharmacist has reasonable belief that the patient will not
continue to obtain prescription medications from that pharmacy.
395
(1) A patient medication record shall be maintained in an
automated data processing or manual record mode such that the
following information is readily retrievable during the pharmacy's
normal operating hours.
(A) The patient's full name and address, telephone number,
date of birth (or age) and gender;
(B) For each prescription dispensed by the pharmacy:
(1). The name, strength, dosage form, route of administration, if
other than oral, quantity and directions for use of any drug
dispensed;
(2). The prescriber's name and where appropriate, license
number, DEA registration number or other unique identifier;
(3). The date on which a drug was dispensed or refilled;
(4). The prescription number for each prescription; and
(5). The information required by section 1717.
(C) Any of the following which may relate to drug therapy:
patient allergies, idiosyncrasies, current medications and relevant
prior medications including nonprescription medications and
relevant devices, or medical conditions which are communicated
by the patient or the patient's agent.
(D) Any other information which the pharmacist, in his or her
professional judgment, deems appropriate.
(2) The patient medication record shall be maintained for at
least one year from the date when the last prescription was
filled.
Authority cited: Sections 4005, 4121 and 4122, Business and
Professions Code. Reference: Sections 4005, 4121 and 4122,
Business and Professions Code.
396
1707.2. Duty to Consult.
(a) A pharmacist shall provide oral consultation to his or her
patient or the patient's agent in all settings:
(1) upon request;
(2) whenever the pharmacist deems it warranted in the exercise
of his or her professional judgment;
(3) whenever the prescription drug has not previously been
dispensed to a patient; or
(4) whenever a prescription drug not previously dispensed to a
patient in the same dosage form, strength or with the same
written directions, is dispensed by the pharmacy.
(b)(1) When the patient or patient’s agent is not present
(including, but not limited to, a prescription drug that was
shipped by mail or delivery), a pharmacy shall ensure that:
(A) the patient receives written notice of his or her right to
request consultation;
(B) the patient receives written notice of the hours of availability
and the telephone number from which the patient may obtain
oral consultation from a pharmacist who has ready access to the
patient's record; and
(C) a pharmacist shall be available (i) to speak to the patient or
patient’s agency during any regular hours of operation, within an
average of ten (10) minutes or less, unless a return call is
scheduled to occur within one business hour, (ii) for no less than
six days per week, and (iii) for a minimum of 40 hours per week.
(2) A pharmacist is not required by this subsection to provide
oral consultation to an inpatient of a health care facility licensed
pursuant to section 1250 of the Health and Safety Code, or to an
inmate of an adult correctional facility or a juvenile detention
facility, except upon the patient's discharge. A pharmacist is not
obligated to consult about discharge medications if a health
facility licensed pursuant to subdivision (a) or (b) of Health and
Safety Code Section 1250 has implemented a written policy
about discharge medications which meets the requirements of
Business and Professions Code Section 4074.
397
(c) When oral consultation is provided, it shall include at least
the following:
(1) directions for use and storage and the importance of
compliance with directions; and
(2) precautions and relevant warnings, including common
severe side or adverse effects or interactions that may be
encountered.
(d) Whenever a pharmacist deems it warranted in the exercise
of his or her professional judgment, oral consultation shall also
include:
(1) the name and description of the medication;
(2) the route of administration, dosage form, dosage, and
duration of drug therapy
(3) any special directions for use and storage;
(4) precautions for preparation and administration by the
patient, including techniques for self-monitoring drug therapy;
(5) prescription refill information;
(6) therapeutic contraindications, avoidance of common severe
side or adverse effects or known interactions, including serious
potential interactions with known nonprescription medications
and therapeutic contraindications and the action required if such
side or adverse effects or interactions or therapeutic
contraindications are present or occur;
(7) action to be taken in the event of a missed dose.
(e) Notwithstanding the requirements set forth in subsection (a)
and (b), a pharmacist is not required to provide oral consultation
when a patient or the patient's agent refuses such consultation.
Authority cited: Sections 4005, 4076 and 4112, Business and
Professions Code. Reference: Sections 4005, 4076 and 4112,
Business and Professions Code.
1707.3. Duty to Review Drug Therapy and Patient Medication
Record Prior to Delivery.
Prior to consultation as set forth in section 1707.2, a pharmacist
shall review a patient's drug therapy and medication record
398
before each prescription drug is delivered. The review shall
include screening for severe potential drug therapy problems.
Authority cited: Sections 4005, 4121 and 4122, Business and
Professions Code. Reference: Sections 4005, 4074, 4121 and
4122, Business and Professions Code.
1707.4. Procedures for Refill Pharmacies.
(a) A pharmacy licensed by the board may process a request for
refill of a prescription received by a pharmacy within this state,
provided:
(1) The pharmacy that is to refill the prescription either has a
contract with the pharmacy which received the prescription or
has the same owner as the other pharmacy.
(2) The prescription container:
(A) is clearly labeled with all information required by Section
4076 of the Business and Professions Code; and
(B) clearly shows the name and address of the pharmacy
refilling the prescription and/or the name and address of the
pharmacy which receives the refilled prescription for dispensing
to the patient.
(3) The patient is provided with written information, either on
the prescription label or with the prescription container, that
describes which pharmacy to contact if the patient has any
questions about the prescription or medication.
(4) Both pharmacies maintain complete and accurate records of
the refill, including:
(A) the name of the pharmacist who refilled the prescription;
(B) the name of the pharmacy refilling the prescription; and
(C) the name of the pharmacy that received the refill request.
(5) The pharmacy which refills the prescription and the
pharmacy to which the refilled prescription is provided for
dispensing to the patient shall each be responsible for ensuring
the order has been properly filled.
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