<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".07" citation="COMAR 10.34.22.07" title_num="10" subtitle_num="34" chapter_num="22" heading="Minimum Requirements for Maintenance of Prescription Drug or Device Distribution Records.">
  <paragraph num="A.">
    <text>Record Keeping.</text>
    <paragraph num="(1)">
      <text>A wholesale distributor shall establish and maintain inventories and records of transactions regarding the receipt and distribution or other disposition of prescription drugs or devices.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>The records required under §A(1) of this regulation shall include the following information:</text>
      <paragraph num="(a)">
        <text>The source of the prescription drugs or devices, including the:</text>
        <paragraph num="(i)">
          <text>Name and principal address of the seller or transferor; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Address of the location from which the prescription drugs or devices were shipped;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>The identity and quantity of the prescription drugs or devices received and distributed or disposed of;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The dates of receipt and distribution or other disposition of the prescription drugs or devices; and</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The pedigrees, if required by Health Occupations Article, §12-6C-10, Annotated Code of Maryland, for prescription drugs that are wholesale distributed outside the normal distribution channel.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>The wholesale distributor shall make available inventories and records for inspection and copying by authorized federal, State, or local law enforcement agency officials for a period of 3 years after their date of creation.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The wholesale distributor shall keep the records described in this regulation readily available for inspection by authorized federal, State, or local law enforcement agency officials during the retention period, either:</text>
      <paragraph num="(a)">
        <text>At the inspection site; or</text>
      </paragraph>
      <paragraph num="(b)">
        <text>So as to be immediately retrievable by computer or other electronic means.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(5)">
      <text>Within 5 working days of a request by an authorized official of a federal, State, or local law enforcement agency, the wholesale distributor shall make available for inspection records kept at a central location apart from the inspection site and not electronically retrievable.</text>
    </paragraph>
    <paragraph num="(6)">
      <text>Facilities shall establish and maintain procedures for reporting counterfeit and contraband or suspected counterfeit and contraband drugs or devices or counterfeiting and contraband or suspected counterfeiting and contraband activities to the Board and the FDA.</text>
    </paragraph>
    <paragraph num="(7)">
      <text>Wholesale distributors shall maintain a system for the mandatory reporting of significant inventory losses of prescription drugs and devices where it is known or suspected that diversion is occurring to the Board, the FDA, and, where applicable, to the DEA.</text>
    </paragraph>
    <paragraph num="(8)">
      <text>Wholesale distributors shall consider the following factors when determining if there has been a significant inventory loss:</text>
      <paragraph num="(a)">
        <text>The schedule of the missing items;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>The abuse or misuse potential of the missing items;</text>
      </paragraph>
      <paragraph num="(c)">
        <text>The abuse or misuse potential in the wholesale distributor's area of the missing substance;</text>
      </paragraph>
      <paragraph num="(d)">
        <text>The quantity missing in relation to the total quantity purchased (one tablet vs. one bottle or container);</text>
      </paragraph>
      <paragraph num="(e)">
        <text>Whether this is the first time a potentially significant inventory loss has occurred;</text>
      </paragraph>
      <paragraph num="(f)">
        <text>Whether this loss was reported to local law enforcement authorities; and</text>
      </paragraph>
      <paragraph num="(g)">
        <text>Whether there is a significant resale value of the missing items.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="B.">
    <text>Written Policies and Procedures.</text>
    <paragraph num="(1)">
      <text>A wholesale distributor shall establish, maintain, and adhere to written policies and procedures which shall be followed for:</text>
      <paragraph num="(a)">
        <text>The receipt, security, storage, inventory, and distribution of prescription drugs or devices;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Identifying, recording, and reporting losses or thefts; and</text>
      </paragraph>
      <paragraph num="(c)">
        <text>Correcting errors and inaccuracies in inventories.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(2)">
      <text>A wholesale distributor shall include in the written policies and procedures the following:</text>
      <paragraph num="(a)">
        <text>A procedure by which the oldest approved and unexpired stock of a prescription drug or device is distributed first;</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Procedures to be followed for adequate handling of a recall and withdrawal of a prescription drug or device due to:</text>
        <paragraph num="(i)">
          <text>An action initiated at the request of the United States Food and Drug Administration or other federal, State, or local law enforcement or other government agency, including the Maryland Division of Drug Control;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>A voluntary action by the manufacturer to remove a defective or potentially defective drug or device from the market; and</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>An action undertaken to promote public health and safety by replacing existing merchandise with an improved product or new package design;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(c)">
        <text>A procedure to ensure that the wholesale distributor is prepared for, protected against, and is able to handle a crisis that affects security or operation of a facility if any of the following situations occurs:</text>
        <paragraph num="(i)">
          <text>Strike;</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>Fire;</text>
        </paragraph>
        <paragraph num="(iii)">
          <text>Flood;</text>
        </paragraph>
        <paragraph num="(iv)">
          <text>Catastrophic health emergency as defined in Public Safety Article, §14-3A-01, Annotated Code of Maryland;</text>
        </paragraph>
        <paragraph num="(v)">
          <text>Terrorist activities;</text>
        </paragraph>
        <paragraph num="(vi)">
          <text>Other natural disaster; or</text>
        </paragraph>
        <paragraph num="(vii)">
          <text>Other situations of local, State, or national emergency;</text>
        </paragraph>
      </paragraph>
      <paragraph num="(d)">
        <text>A procedure to ensure that an outdated prescription drug or device is segregated from other drugs or devices and either returned to the manufacturer or destroyed;</text>
      </paragraph>
      <paragraph num="(e)">
        <text>A procedure for the disposing and destruction of containers, labels, and packaging to ensure that the containers, labels, and packaging cannot be used in counterfeiting activities, including all necessary documentation, maintained for a minimum of 3 years, and the appropriate witnessing of the destruction of any labels, packaging, immediate containers, or containers in accordance with applicable federal and State requirements; and</text>
      </paragraph>
      <paragraph num="(f)">
        <text>A procedure for identifying, segregating, investigating, and reporting prescription drug inventory discrepancies involving counterfeit, suspect of being counterfeit, contraband, or suspect of being contraband, in the inventory and reporting of such discrepancies within 5 business days to the Board and appropriate federal or State agency upon discovery of such discrepancies.</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>If deviation is appropriate, a wholesale distributor may temporarily deviate from the requirement in §B(2)(a) of this regulation that the oldest approved and unexpired stock be distributed first.</text>
    </paragraph>
    <paragraph num="(4)">
      <text>The wholesale distributor shall maintain documentation of the disposition of outdated prescription drugs or devices for 2 years after the disposition of the outdated prescription drugs or devices pursuant to procedures under §B(2)(d) of this regulation.</text>
    </paragraph>
  </paragraph>
  <paragraph num="C.">
    <text>Responsible Individuals. A wholesale distributor shall establish and maintain a list of officers, directors, managers, the designated representative, and others in charge of wholesale distribution, storage, and handling, including:</text>
    <paragraph num="(1)">
      <text>A description of their duties; and</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A summary of their qualifications.</text>
    </paragraph>
  </paragraph>
  <paragraph num="D.">
    <text>Compliance with Federal, State, and Local Law. A wholesale distributor shall:</text>
    <paragraph num="(1)">
      <text>Operate in compliance with applicable federal, State, and local laws and regulations;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Permit at reasonable times and in a reasonable manner, the Board, the State Division of Drug Control, and any other authorized federal, State, and local law enforcement officials showing proper identification to:</text>
      <paragraph num="(a)">
        <text>Enter and inspect the distributor's premises and delivery vehicles; and</text>
      </paragraph>
      <paragraph num="(b)">
        <text>Audit and copy the distributor's records and written operating procedures; and</text>
      </paragraph>
    </paragraph>
    <paragraph num="(3)">
      <text>If dealing in controlled substances:</text>
      <paragraph num="(a)">
        <text>Register with the:</text>
        <paragraph num="(i)">
          <text>Maryland Division of Drug Control; and</text>
        </paragraph>
        <paragraph num="(ii)">
          <text>United States Drug Enforcement Administration; and</text>
        </paragraph>
      </paragraph>
      <paragraph num="(b)">
        <text>Comply with all applicable federal, State, and local regulations.</text>
      </paragraph>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Salvaging and Reprocessing.</text>
    <paragraph num="(1)">
      <text>A wholesale distributor is subject to the provisions of applicable federal, State, or local laws or regulations that relate to prescription drug product salvaging or reprocessing, including 21 CFR Parts 207, 210, and 211, as amended.</text>
    </paragraph>
    <paragraph num="(2)">
      <text>A wholesale distributor is subject to the provisions of any applicable federal, State, or local laws or regulations that relate to prescription device product salvaging or reprocessing.</text>
    </paragraph>
  </paragraph>
</regulation>