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<section article="gho" article_name="Health Occupations" number="12-6C-01" title_number="12" title_name="Pharmacists and Pharmacies" subtitle_number="6C" subtitle_name="Wholesale Distributor Permitting and Prescription Drug Integrity Act">
  <level label="a">
    <text>In this subtitle the following words have the meanings indicated.</text>
  </level>
  <level label="b">
    <text>“Authenticate” means to affirmatively verify, before any wholesale distribution of a prescription drug occurs, that each transaction listed on the pedigree for the prescription drug has occurred.</text>
  </level>
  <level label="c">
    <text>“Authorized distributor of record” means a wholesale distributor with whom a manufacturer has established an ongoing relationship to distribute the manufacturer’s prescription drug.</text>
  </level>
  <level label="d">
    <text>“Co–licensed partner” means a person in a relationship in which two or more persons have the right to engage in the manufacturing or marketing of a prescription drug, consistent with the U.S. Food and Drug Administration’s implementation of the federal Prescription Drug Marketing Act.</text>
  </level>
  <level label="e">
    <text>“Co–licensed product” means a product of co–licensed partners.</text>
  </level>
  <level label="f">
    <text>“Designated representative” means an individual who:</text>
    <level label="1">
      <text>Is designated by a wholesale distributor;</text>
    </level>
    <level label="2">
      <text>Serves as the primary contact of the wholesale distributor with the Board; and</text>
    </level>
    <level label="3">
      <text>Is actively involved in and aware of the daily operation of the wholesale distributor.</text>
    </level>
  </level>
  <level label="g">
    <text>“Drop shipment” means the sale of a prescription drug:</text>
    <level label="1">
      <text>To a wholesale distributor by:</text>
      <level label="i">
        <text>The manufacturer of the prescription drug; or</text>
      </level>
      <level label="ii">
        <text>The manufacturer’s co–licensed partner, third  party logistics provider, or manufacturer’s exclusive distributor;  and</text>
      </level>
    </level>
    <level label="2">
      <text>Through which:</text>
      <level label="i">
        <text>The wholesale distributor or a pharmacy  warehouse takes title to but not physical possession of the  prescription drug;</text>
      </level>
      <level label="ii">
        <text>The wholesale distributor invoices the  pharmacy, pharmacy warehouse, or other person authorized by law  to dispense or administer the prescription drug to a patient; and</text>
      </level>
      <level label="iii">
        <text>The pharmacy, pharmacy warehouse, or other authorized person receives delivery of the prescription drug directly from:</text>
        <level label="1">
          <text>The manufacturer; or</text>
        </level>
        <level label="2">
          <text>The manufacturer’s third party logistics provider or the manufacturer’s exclusive distributor.</text>
        </level>
      </level>
    </level>
  </level>
  <level label="h">
    <text>“Facility” means a facility of a wholesale distributor where prescription drugs are stored, handled, repackaged, or offered for sale.</text>
  </level>
  <level label="i">
    <text>“Intracompany sales” means a:</text>
    <level label="1">
      <text>Transaction or transfer of prescription drugs between a division, subsidiary, parent, or affiliated or related company under common ownership and control of a corporate entity, other than a transaction or transfer of prescription drugs from a pharmacy to a wholesale distributor; or</text>
    </level>
    <level label="2">
      <text>Transaction or transfer of a co–licensed product between co–licensed partners.</text>
    </level>
  </level>
  <level label="j">
    <text>“Manufacturer” means a person licensed or approved by the U.S. Food and Drug Administration to engage in the manufacture of prescription drugs or prescription devices, consistent with the definition of “manufacturer” under the U.S. Food and Drug Administration’s regulations and guidelines implementing the Prescription Drug Marketing Act.</text>
  </level>
  <level label="k">
    <text>“Manufacturer’s exclusive distributor” means a person who:</text>
    <level label="1">
      <text>Contracts with a manufacturer to provide or coordinate warehousing, distribution, or other services on behalf of the manufacturer; and</text>
    </level>
    <level label="2">
      <text>Takes title to the manufacturer’s prescription drug, but does not have general responsibility to direct the sale or disposition of the manufacturer’s prescription drug.</text>
    </level>
  </level>
  <level label="l">
    <text>“Normal distribution channel” means a chain of custody for a prescription drug that, directly or by drop shipment, goes:</text>
    <level label="1">
      <text>From:</text>
      <level label="i">
        <text>A manufacturer of the prescription drug; or</text>
      </level>
      <level label="ii">
        <text>The manufacturer’s co–licensed partner, third party logistics provider, or manufacturer’s exclusive distributor; and</text>
      </level>
    </level>
    <level label="2">
      <text>To:</text>
      <level label="i">
        <text>A pharmacy or other designated person authorized by law to dispense or administer the prescription drug to a patient;</text>
      </level>
      <level label="ii">
        <text>A wholesale distributor to a pharmacy or other designated person authorized by law to dispense or administer the prescription drug to a patient;</text>
      </level>
      <level label="iii">
        <text>A wholesale distributor to a pharmacy warehouse to the pharmacy warehouse’s intracompany pharmacy or other designated person authorized by law to dispense or administer the prescription drug to a patient;</text>
      </level>
      <level label="iv">
        <text>A pharmacy warehouse to the pharmacy warehouse’s intracompany pharmacy or other designated person authorized by law to dispense or administer the prescription drug to a patient; or</text>
      </level>
      <level label="v">
        <text>An authorized distributor of record to another authorized distributor of record solely for distribution to an office–based health care practitioner authorized by law to dispense or administer the prescription drug to a patient.</text>
      </level>
    </level>
  </level>
  <level label="m">
    <text>“Ongoing relationship” means a relationship that exists between a wholesale distributor, including any affiliated group of the wholesale distributor, as defined in § 1504 of the Internal Revenue Code, and a manufacturer when the wholesale distributor:</text>
    <level label="1">
      <text>Has a written agreement currently in effect with the manufacturer evidencing the ongoing relationship; and</text>
    </level>
    <level label="2">
      <text>Is listed on the manufacturer’s current list of authorized distributors of record.</text>
    </level>
  </level>
  <level label="n">
    <text>“Pedigree” means a document or electronic file containing information that records each wholesale distribution of a prescription drug.</text>
  </level>
  <level label="o">
    <text>“Pharmacy warehouse” means a physical location for storage of prescription drugs that:</text>
    <level label="1">
      <text>Serves as a central warehouse; and</text>
    </level>
    <level label="2">
      <text>Performs intracompany sales or transfers of the prescription drugs to a group of pharmacies that are under common ownership and control with the pharmacy warehouse.</text>
    </level>
  </level>
  <level label="p">
    <text>“Prescription device” means any device required by federal law or regulation to be dispensed only by a prescription.</text>
  </level>
  <level label="q">
    <level label="1">
      <text>“Prescription drug” means any drug required by federal law or regulation to be dispensed only by a prescription.</text>
    </level>
    <level label="2">
      <text>“Prescription drug” includes:</text>
      <level label="i">
        <text>A biological product; and</text>
      </level>
      <level label="ii">
        <text>Finished dosage forms and bulk drug substances subject to § 503(b) of the Federal Food, Drug, and Cosmetic Act.</text>
      </level>
    </level>
    <level label="3">
      <text>“Prescription drug” does not include blood and blood components intended for transfusion or biological products that are also medical devices.</text>
    </level>
  </level>
  <level label="r">
    <level label="1">
      <text>“Repackage” means to repackage or otherwise change the container, wrapper, or labeling of a prescription drug to further the distribution of the prescription drug.</text>
    </level>
    <level label="2">
      <text>“Repackage” does not include changes to a container, wrapper, or labeling of a prescription drug completed by the pharmacist responsible for dispensing the prescription drug to a patient.</text>
    </level>
  </level>
  <level label="s">
    <text>“Repackager” means a person who repackages prescription drugs.</text>
  </level>
  <level label="t">
    <text>“Third party logistics provider” means a person who:</text>
    <level label="1">
      <text>Contracts with a manufacturer to provide or coordinate warehousing, distribution, or other services on behalf of the manufacturer; but</text>
    </level>
    <level label="2">
      <text>Does not take title to the prescription drug or have general responsibility to direct the prescription drug’s sale or disposition.</text>
    </level>
  </level>
  <level label="u">
    <level label="1">
      <text>“Wholesale distribution” means the distribution of prescription drugs or prescription devices to persons other than a consumer or patient.</text>
    </level>
    <level label="2">
      <text>“Wholesale distribution” does not include:</text>
      <level label="i">
        <text>Intracompany sales;</text>
      </level>
      <level label="ii">
        <text>The sale, purchase, distribution, trade, or transfer of a prescription drug or an offer to sell, purchase, distribute, trade, or transfer a prescription drug for emergency medical reasons;</text>
      </level>
      <level label="iii">
        <text>The sale, purchase, distribution, trade, or transfer of a prescription drug or prescription device by the Department for public health purposes;</text>
      </level>
      <level label="iv">
        <text>The distribution of samples of a prescription drug by a manufacturer’s representative;</text>
      </level>
      <level label="v">
        <text>Prescription drug returns conducted by a hospital, health care entity, or charitable institution in accordance with 21 C.F.R. § 203.23;</text>
      </level>
      <level label="vi">
        <text>The sale of minimal quantities of prescription drugs by retail pharmacies to licensed health care practitioners for office use;</text>
      </level>
      <level label="vii">
        <text>The sale, purchase, or trade of a prescription drug, an offer to sell, purchase, or trade a prescription drug, or the dispensing of a prescription drug in accordance with a prescription;</text>
      </level>
      <level label="viii">
        <text>The sale, transfer, merger, or consolidation of all or part of the business of a pharmacy to or with another pharmacy, whether accomplished as a purchase and sale of stock or business assets;</text>
      </level>
      <level label="ix">
        <text>The sale, purchase, distribution, trade, or transfer of a prescription drug from one authorized distributor of record to one additional authorized distributor of record if:</text>
        <level label="1">
          <text>The manufacturer has stated in writing to the receiving authorized distributor of record that the manufacturer is unable to supply the prescription drug; and</text>
        </level>
        <level label="2">
          <text>The supplying authorized distributor of record states in writing that the prescription drug being supplied had until that time been exclusively in the normal distribution channel;</text>
        </level>
      </level>
      <level label="x">
        <text>The delivery of, or offer to deliver, a prescription drug by a common carrier solely in the common carrier’s usual course of business of transporting prescription drugs, if the common carrier does not store, warehouse, or take legal ownership of the prescription drug; or</text>
      </level>
      <level label="xi">
        <text>The sale or transfer from a pharmacy or pharmacy warehouse of expired, damaged, returned, or recalled prescription drugs to:</text>
        <level label="1">
          <text>The original wholesale distributor;</text>
        </level>
        <level label="2">
          <text>The original manufacturer; or</text>
        </level>
        <level label="3">
          <text>A third party returns processor.</text>
        </level>
      </level>
    </level>
  </level>
  <level label="v">
    <level label="1">
      <text>“Wholesale distributor” means a person that is engaged in the wholesale distribution of prescription drugs or prescription devices.</text>
    </level>
    <level label="2">
      <text>“Wholesale distributor” includes:</text>
      <level label="i">
        <text>A manufacturer;</text>
      </level>
      <level label="ii">
        <text>A repackager;</text>
      </level>
      <level label="iii">
        <text>An own–label distributor;</text>
      </level>
      <level label="iv">
        <text>A private–label distributor;</text>
      </level>
      <level label="v">
        <text>A jobber;</text>
      </level>
      <level label="vi">
        <text>A broker;</text>
      </level>
      <level label="vii">
        <text>A warehouse, including a manufacturer’s or distributor’s warehouse;</text>
      </level>
      <level label="viii">
        <text>A manufacturer’s exclusive distributor or an authorized distributor of record;</text>
      </level>
      <level label="ix">
        <text>A drug wholesaler or distributor;</text>
      </level>
      <level label="x">
        <text>An independent wholesale drug trader;</text>
      </level>
      <level label="xi">
        <text>A third party logistics provider;</text>
      </level>
      <level label="xii">
        <text>A pharmacy that conducts wholesale distribution, if the wholesale distribution business accounts for more than 5% of the pharmacy’s annual sales; and</text>
      </level>
      <level label="xiii">
        <text>A pharmacy warehouse that conducts wholesale distribution.</text>
      </level>
    </level>
  </level>
  <level label="w">
    <text>“Wholesale distributor permit” means a permit issued by the Board under this subtitle to distribute prescription drugs or prescription devices into, out of, or within the State as a wholesale distributor.</text>
  </level>
</section>
