SB-1095, As Passed Senate, September 23, 2004                               

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                              SUBSTITUTE FOR                                    

                                                                                

                           SENATE BILL NO. 1095                                 

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                

                                                                                 A bill to amend 1978 PA 368, entitled                                             

                                                                                

    "Public health code,"                                                       

                                                                                

    by amending sections 17708, 17751, and 17763 (MCL 333.17708,                

                                                                                

    333.17751, and 333.17763), sections 17708 and 17751 as amended by           

                                                                                

    1997 PA 153 and section 17763 as amended by 2004 PA 214.                    

                                                                                

                THE PEOPLE OF THE STATE OF MICHIGAN ENACT:                      

                                                                                

1       Sec. 17708.  (1) "Preceptor" means a pharmacist approved by                 

                                                                                

2   the board to direct the training of an intern in an approved                

                                                                                

3   pharmacy.                                                                   

                                                                                

4       (2) "Prescriber" means a licensed dentist, a licensed doctor                

                                                                                

5   of medicine, a licensed doctor of osteopathic medicine and                  

                                                                                

6   surgery, a licensed doctor of podiatric medicine and surgery, a             

                                                                                

7   licensed optometrist certified under part 174 to administer and             

                                                                                

8   prescribe therapeutic pharmaceutical agents, a licensed                     

                                                                                

9   veterinarian, or another licensed health professional acting                

                                                                                


                                                                                

1   under the delegation and using, recording, or otherwise                     

                                                                                

2   indicating the name of the delegating licensed doctor of medicine           

                                                                                

3   or licensed doctor of osteopathic medicine and surgery.                     

                                                                                

4       (3) "Prescription" means an order for a drug or device                      

                                                                                

5   written and signed or transmitted by other means of communication           

                                                                                

6   by a prescriber to be filled, compounded, or dispensed.                     

                                                                                

7   Prescribing is limited to a prescriber.  An order transmitted in            

                                                                                

8   other than written form shall be recorded or written and                    

                                                                                

9   immediately dated by the pharmacist, and that record constitutes            

                                                                                

10  the original prescription.  In a health facility or agency                  

                                                                                

11  licensed under article 17 or other medical institution, an order            

                                                                                

12  for a drug or device in the patient's chart constitutes for the             

                                                                                

13  purposes of this definition the original prescription.  Subject             

                                                                                

14  to section 17751(2), prescription includes, but is not limited              

                                                                                

15  to, an order for a drug, not including a controlled substance as            

                                                                                

16  defined in section 7104 except under circumstances described in             

                                                                                

17  section  17763(g)  17763(e), written and signed or transmitted by           

                                                                                

18  other means of communication by a physician prescriber licensed             

                                                                                

19  to practice in a state other than Michigan.                                 

                                                                                

20      (4) "Prescription drug" means 1 or more of the following:                   

                                                                                

21      (a) A drug dispensed pursuant to a prescription.                            

                                                                                

22      (b) A drug bearing the federal legend "CAUTION:  federal law                

                                                                                

23  prohibits dispensing without prescription".                                 

                                                                                

24      (c) A drug designated by the board as a drug that may only be               

                                                                                

25  dispensed pursuant to a prescription.                                       

                                                                                

26      Sec. 17751.  (1) A pharmacist shall not dispense a drug                     

                                                                                

27  requiring a prescription under the federal act or a law of this             


                                                                                

1   state except under authority of an original prescription or an              

                                                                                

2   equivalent record of an original prescription approved by the               

                                                                                

3   board.                                                                      

                                                                                

4       (2) A pharmacist may dispense a prescription written and                    

                                                                                

5   signed or transmitted by other means of communication by a                  

                                                                                

6   physician prescriber in a state other than Michigan, but not                

                                                                                

7   including a prescription for a controlled substance as defined in           

                                                                                

8   section 7104 except under circumstances described in section                

                                                                                

9   17763(g)  17763(e), only if the pharmacist in the exercise of              

                                                                                

10  his or her professional judgment determines all of the                      

                                                                                

11  following:                                                                  

                                                                                

12      (a) That the prescription was issued pursuant to an existing                

                                                                                

13  physician-patient relationship.                                             

                                                                                

14      (b) That the prescription is authentic.                                     

                                                                                

15      (c) That the prescribed drug is appropriate and necessary for               

                                                                                

16  the treatment of an acute, chronic, or recurrent condition.                 

                                                                                

17      (3) A pharmacist or a prescriber shall dispense a                           

                                                                                

18  prescription only if the prescription falls within the scope of             

                                                                                

19  practice of the prescriber.                                                 

                                                                                

20      (4) A pharmacist shall not knowingly dispense a prescription                

                                                                                

21  after the death of the prescriber or patient.                               

                                                                                

22      Sec. 17763.  In addition to the grounds set forth in part                   

                                                                                

23  161, the disciplinary subcommittee may fine, reprimand, or place            

                                                                                

24  a pharmacist licensee on probation, or deny, limit, suspend, or             

                                                                                

25  revoke the license of a pharmacist or order restitution or                  

                                                                                

26  community service for a violation or abetting in a violation of             

                                                                                

27  this part or rules promulgated under this part, or for 1 or more            


                                                                                

1   of the following grounds:                                                   

                                                                                

2       (a) Employing the mail to sell, distribute, or deliver a                    

                                                                                

3   drug that requires a prescription when the prescription for the             

                                                                                

4   drug is received by mail.                                                   

                                                                                

5       (a)  (b)  Permitting the dispensing of prescriptions by an                  

                                                                                

6   individual who is not a pharmacist, pharmacist intern, or                   

                                                                                

7   dispensing prescriber.                                                      

                                                                                

8       (b)  (c)  Permitting the dispensing of prescriptions by a                   

                                                                                

9   pharmacist intern, except in the presence and under the personal            

                                                                                

10  charge of a pharmacist.                                                     

                                                                                

11      (c)  (d)  Selling at auction drugs in bulk or in open                       

                                                                                

12  packages unless the sale has been approved in accordance with               

                                                                                

13  rules of the board.                                                         

                                                                                

14      (d)  (e)  Promoting a prescription drug to the public in any                

                                                                                

15  manner.                                                                     

                                                                                

16      (e)  (f)  In addition to the prohibition contained in section               

                                                                                

17  7405(1)(e), dispensing a prescription for a controlled substance            

                                                                                

18  as defined in section 7104 that is written and signed or                    

                                                                                

19  transmitted by a physician prescriber in a state other than                 

                                                                                

20  Michigan, unless the prescription is issued by a physician                  

                                                                                

21  prescriber residing adjacent to the land border between this                

                                                                                

22  state and an adjoining state who is authorized under the laws of            

                                                                                

23  that state to practice medicine or osteopathic medicine and                 

                                                                                

24  surgery and to prescribe controlled substances and whose practice           

                                                                                

25  may extend into this state, but who does not maintain an office             

                                                                                

26  or designate a place to meet patients or receive calls in this              

                                                                                

27  state.