State of Illinois
92nd General Assembly
Legislation

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92_HB2463sam001

 










                                           LRB9206282EGfgam02

 1                    AMENDMENT TO HOUSE BILL 2463

 2        AMENDMENT NO.     .  Amend House Bill 2463  by  replacing
 3    everything after the enacting clause with the following:

 4        "Section 5.  The Pharmacy Practice Act of 1987 is amended
 5    by  changing  Sections  3, 10, 14, 15, 18, 19, 22, 27, and 30
 6    and adding Section 17.1 as follows:

 7        (225 ILCS 85/3) (from Ch. 111, par. 4123)
 8        (Section scheduled to be repealed on January 1, 2008)
 9        Sec. 3. Definitions.  For the purpose of this Act, except
10    where otherwise limited therein:
11        (a)  "Pharmacy" or "drugstore" means and  includes  every
12    store,  shop,  pharmacy  department,  or  other  place  where
13    pharmaceutical  care  is  provided  by a pharmacist (1) where
14    drugs, medicines, or poisons are dispensed, sold  or  offered
15    for  sale  at retail, or displayed for sale at retail; or (2)
16    where prescriptions of physicians,  dentists,  veterinarians,
17    podiatrists,   or   therapeutically  certified  optometrists,
18    within the limits of their licenses, are compounded,  filled,
19    or  dispensed;  or  (3) which has upon it or displayed within
20    it, or affixed to or used  in  connection  with  it,  a  sign
21    bearing   the   word   or   words  "Pharmacist",  "Druggist",
22    "Pharmacy", "Pharmaceutical Care", "Apothecary", "Drugstore",
 
                            -2-            LRB9206282EGfgam02
 1    "Medicine Store", "Prescriptions", "Drugs",  "Medicines",  or
 2    any  word  or  words of similar or like import, either in the
 3    English language or any other  language;  or  (4)  where  the
 4    characteristic  prescription  sign  (Rx) or similar design is
 5    exhibited; or (5) any store, or shop,  or  other  place  with
 6    respect  to  which  any of the above words, objects, signs or
 7    designs are used in any advertisement.
 8        (b)  "Drugs" means and includes (l)  articles  recognized
 9    in   the   official   United   States  Pharmacopoeia/National
10    Formulary (USP/NF),  or  any  supplement  thereto  and  being
11    intended  for  and  having  for their main use the diagnosis,
12    cure, mitigation, treatment or prevention of disease  in  man
13    or  other  animals, as approved by the United States Food and
14    Drug Administration, but does not include  devices  or  their
15    components, parts, or accessories; and (2) all other articles
16    intended  for  and  having  for their main use the diagnosis,
17    cure, mitigation, treatment or prevention of disease  in  man
18    or  other  animals, as approved by the United States Food and
19    Drug Administration, but does not include  devices  or  their
20    components,  parts,  or  accessories; and (3) articles (other
21    than food) having for their main use and intended  to  affect
22    the  structure  or  any  function of the body of man or other
23    animals; and (4) articles  having  for  their  main  use  and
24    intended  for use as a component or any articles specified in
25    clause (l), (2) or (3); but does not include devices or their
26    components, parts or accessories.
27        (c)  "Medicines" means and includes  all  drugs  intended
28    for  human  or  veterinary  use approved by the United States
29    Food and Drug Administration.
30        (d)  "Practice  of  pharmacy"  means  the  provision   of
31    pharmaceutical   care   to  patients  as  determined  by  the
32    pharmacist's professional judgment in  the  following  areas,
33    which  may  include  but  are  not  limited  to  (1)  patient
34    counseling,   (2)   interpretation   and   assisting  in  the
 
                            -3-            LRB9206282EGfgam02
 1    monitoring of  appropriate  drug  use  and  prospective  drug
 2    utilization   review,   (3)   providing  information  on  the
 3    therapeutic  values,  reactions,  drug   interactions,   side
 4    effects,  uses, selection of medications and medical devices,
 5    and outcome  of  drug  therapy,  (4)  participation  in  drug
 6    selection,   drug   monitoring,   drug   utilization  review,
 7    evaluation, administration,  interpretation,  application  of
 8    pharmacokinetic  and  laboratory  data  to  design  safe  and
 9    effective  drug  regimens,  (5)  drug  research (clinical and
10    scientific), and (6) compounding and dispensing of drugs  and
11    medical devices.
12        (e)  "Prescription" means and includes any written, oral,
13    facsimile,  or  electronically transmitted order for drugs or
14    medical devices, issued by a physician licensed  to  practice
15    medicine  in  all  its  branches,  dentist,  veterinarian, or
16    podiatrist,  or therapeutically certified optometrist, within
17    the limits of their licenses, by  a  physician  assistant  in
18    accordance  with  subsection  (f)  of  Section  4,  or  by an
19    advanced practice nurse in accordance with subsection (g)  of
20    Section 4, containing the following: (l) name of the patient;
21    (2)  date when prescription was issued; (3) name and strength
22    of drug or description of the medical device prescribed;  and
23    (4)  quantity, (5) directions for use, (6) prescriber's name,
24    address and signature, and (7) DEA number where required, for
25    controlled substances. DEA numbers shall not be  required  on
26    inpatient drug orders.
27        (f)  "Person"   means  and  includes  a  natural  person,
28    copartnership, association, corporation,  government  entity,
29    or any other legal entity.
30        (g)  "Department"  means  the  Department of Professional
31    Regulation.
32        (h)  "Board of Pharmacy" or "Board" means the State Board
33    of Pharmacy of the Department of Professional Regulation.
34        (i)  "Director"  means  the  Director   of   Professional
 
                            -4-            LRB9206282EGfgam02
 1    Regulation.
 2        (j)  "Drug product selection" means the interchange for a
 3    prescribed  pharmaceutical product in accordance with Section
 4    25 of this Act and Section 3.14 of the  Illinois  Food,  Drug
 5    and Cosmetic Act.
 6        (k)  "Inpatient  drug  order" means an order issued by an
 7    authorized prescriber for a resident or patient of a facility
 8    licensed under the Nursing Home  Care  Act  or  the  Hospital
 9    Licensing  Act,  or  "An  Act in relation to the founding and
10    operation of the University  of  Illinois  Hospital  and  the
11    conduct  of  University  of  Illinois  health care programs",
12    approved July 3, 1931, as amended, or  a  facility  which  is
13    operated by the Department of Human Services (as successor to
14    the   Department   of   Mental   Health   and   Developmental
15    Disabilities) or the Department of Corrections.
16        (k-5)  "Pharmacist"   means   an   individual   currently
17    licensed by this State to engage in the practice of pharmacy.
18        (l)  "Pharmacist in charge" means the licensed pharmacist
19    whose   name  appears  on  a  pharmacy  license  and  who  is
20    responsible for all aspects of the operation related  to  the
21    practice of pharmacy.
22        (m)  "Dispense"  means  the delivery of drugs and medical
23    devices, in accordance with applicable State and federal laws
24    and  regulations,   to   the   patient   or   the   patient's
25    representative   authorized   to   receive   these  products,
26    including the compounding, packaging, and labeling  necessary
27    for delivery, and any recommending or advising concerning the
28    contents and therapeutic values and uses thereof.  "Dispense"
29    does  not  mean  the  physical  delivery  to  a  patient or a
30    patient's representative  in  a  home  or  institution  by  a
31    designee  of  a  pharmacist or by common carrier.  "Dispense"
32    also does not mean the physical delivery of a drug or medical
33    device  to  a  patient  or  patient's  representative  by   a
34    pharmacist's  designee  within  a pharmacy or drugstore while
 
                            -5-            LRB9206282EGfgam02
 1    the pharmacist is on duty and the pharmacy is open.
 2        (n)  "Mail-order  pharmacy"  means  a  pharmacy  that  is
 3    located in a state of the United States, other than Illinois,
 4    that delivers, dispenses or distributes, through  the  United
 5    States  Postal  Service  or other common carrier, to Illinois
 6    residents, any substance which requires a prescription.
 7        (o)  "Compounding"   means   the   preparation,   mixing,
 8    assembling, packaging, or  labeling  of  a  drug  or  medical
 9    device:  (1)  as  the result of a practitioner's prescription
10    drug order or initiative that  is  dispensed  pursuant  to  a
11    prescription  in  the course of professional practice; or (2)
12    for the purpose of, or incident to,  research,  teaching,  or
13    chemical  analysis;  or  (3)  in anticipation of prescription
14    drug orders based on routine, regularly observed  prescribing
15    patterns.
16        (p)  "Confidential    information"   means   information,
17    maintained  by  the  pharmacist  in  the  patient's  records,
18    released only (i) to the patient or, as the patient  directs,
19    to  other  practitioners and other pharmacists or (ii) to any
20    other person authorized by law to receive the information.
21        (q)  "Prospective  drug  review"  or  "drug   utilization
22    evaluation"  means  a  screening  for  potential drug therapy
23    problems  due  to   therapeutic   duplication,   drug-disease
24    contraindications,  drug-drug interactions (including serious
25    interactions with nonprescription or over-the-counter drugs),
26    drug-food interactions, incorrect drug dosage or duration  of
27    drug treatment, drug-allergy interactions, and clinical abuse
28    or misuse.
29        (r)  "Patient counseling" means the communication between
30    a  pharmacist  or  a  student  pharmacist  under  the  direct
31    supervision  of  a  pharmacist and a patient or the patient's
32    representative about the patient's medication or  device  for
33    the   purpose   of  optimizing  proper  use  of  prescription
34    medications  or  devices.   The  offer  to  counsel  by   the
 
                            -6-            LRB9206282EGfgam02
 1    pharmacist  or  the  pharmacist's  designee,  and  subsequent
 2    patient  counseling  by the pharmacist or student pharmacist,
 3    shall be  made  in  a  face-to-face  communication  with  the
 4    patient   or   patient's   representative   unless,   in  the
 5    professional  judgment  of  the  pharmacist,  a  face-to-face
 6    communication is deemed  inappropriate  or  unnecessary.   In
 7    that instance, the offer to counsel or patient counseling may
 8    be  made  in  a  written communication, by telephone, or in a
 9    manner determined by the pharmacist to be appropriate.
10        (s)  "Patient profiles" or "patient drug therapy  record"
11    means  the  obtaining,  recording, and maintenance of patient
12    prescription and personal information.
13        (t)  "Pharmaceutical care" includes, but is  not  limited
14    to,  the  act  of  monitoring drug use and other patient care
15    services  intended  to  achieve  outcomes  that  improve  the
16    patient's quality of life but shall not include the  sale  of
17    over-the-counter  drugs by a seller of goods and services who
18    does not dispense prescription drugs.
19        (u)  "Medical device"  means  an  instrument,  apparatus,
20    implement,  machine,  contrivance, implant, in vitro reagent,
21    or other similar or related article, including any  component
22    part  or  accessory,  required  under federal law to bear the
23    label "Caution: Federal law requires dispensing by or on  the
24    order  of  a  physician". A seller of goods and services who,
25    only for the  purpose  of  retail  sales,  compounds,  sells,
26    rents,  or  leases  medical  devices  shall  not,  by reasons
27    thereof, be required to be a licensed pharmacy.
28        (v)  "Unique identifier" means an  electronic  signature,
29    handwritten  signature  or  initials,  thumb  print, or other
30    acceptable individual biometric or electronic  identification
31    process as approved by the Department.
32    (Source: P.A.  89-202,  eff.  7-21-95;  89-507,  eff. 7-1-97;
33    90-116, eff. 7-14-97;  90-253,  eff.  7-29-97;  90-655,  eff.
34    7-30-98; 90-742, eff. 8-13-98.)
 
                            -7-            LRB9206282EGfgam02
 1        (225 ILCS 85/10) (from Ch. 111, par. 4130)
 2        (Section scheduled to be repealed on January 1, 2008)
 3        Sec.  10.  State  Board of Pharmacy.  There is created in
 4    the Department the State Board of Pharmacy.  It shall consist
 5    of 9 members, 7 of whom shall be licensed pharmacists.   Each
 6    of  those  7  members  must  be a licensed pharmacist in good
 7    standing in this State, a graduate of an  accredited  college
 8    of  pharmacy or hold a Bachelor of Science degree in Pharmacy
 9    and have at  least  5  years'  practical  experience  in  the
10    practice  of pharmacy subsequent to the date of his licensure
11    as a licensed pharmacist in the State  of  Illinois.    There
12    shall  be  2 public members, who shall be voting members, who
13    shall not be licensed pharmacists in this State or any  other
14    state.
15        Each member shall be appointed by the Governor.
16        The  terms  of  all  members serving as of March 31, 1999
17    shall expire on that date.   The  Governor  shall  appoint  3
18    persons  to  serve  one-year terms, 3 persons to serve 3-year
19    terms, and 3 persons to serve 5-year terms to begin April  1,
20    1999.  Otherwise, members shall be appointed to 5 year terms.
21    No member shall be eligible to serve more than 12 consecutive
22    years.
23        In  making  the  appointment of members on the Board, the
24    Governor shall give due consideration to  recommendations  by
25    the   members   of   the   profession   of  pharmacy  and  by
26    pharmaceutical organizations  therein.   The  Governor  shall
27    notify  the  pharmaceutical  organizations  promptly  of  any
28    vacancy  of  members  on  the Board and in appointing members
29    shall give consideration to individuals engaged in all  types
30    and settings of pharmacy practice.
31        The  Governor  may  remove  any  member  of the Board for
32    misconduct, incapacity or neglect of duty and he shall be the
33    sole judge of the sufficiency of the cause for removal.
34        Every person appointed a member of the Board  shall  take
 
                            -8-            LRB9206282EGfgam02
 1    and  subscribe  the constitutional oath of office and file it
 2    with the Secretary of State.  Each member of the Board  shall
 3    be  reimbursed  for such actual and legitimate expenses as he
 4    may incur in going to and  from  the  place  of  meeting  and
 5    remaining thereat during sessions of the Board.  In addition,
 6    each  member of the Board shall receive a per diem payment in
 7    an amount determined from time to time by  the  Director  for
 8    attendance  at  meetings  of  the  Board and conducting other
 9    official business of the Board.
10        The Board shall hold quarterly  meetings  and  an  annual
11    meeting  in  January  of each year and such other meetings at
12    such times and places and upon such notice as the  Board  may
13    determine  and  as its business may require.  Five members of
14    the Board shall constitute a quorum for  the  transaction  of
15    business.  The Director shall appoint a pharmacy coordinator,
16    who  shall  be someone other than a member of the Board.  The
17    pharmacy coordinator shall be a registered pharmacist in good
18    standing in this State, shall be a graduate of an  accredited
19    college  of  pharmacy,  or  hold  at  a minimum a Bachelor of
20    Science degree in Pharmacy and shall have at least  5  years'
21    experience  in  the practice of pharmacy immediately prior to
22    his appointment.   The  pharmacy  coordinator  shall  be  the
23    executive  administrator and the chief enforcement officer of
24    the Pharmacy Practice Act of 1987.
25        The Board shall exercise the rights,  powers  and  duties
26    which  have  been vested in the Board under this Act, and any
27    other duties conferred upon the Board by law.
28        The Director shall,  in  conformity  with  the  Personnel
29    Code,  employ  not  less  than 7 pharmacy investigators and 2
30    pharmacy supervisors.  Each pharmacy  investigator  and  each
31    supervisor  shall be a registered pharmacist in good standing
32    in this State, and shall  be  a  graduate  of  an  accredited
33    college  of  pharmacy and have at least 5 years of experience
34    in the practice of  pharmacy.    The  Department  shall  also
 
                            -9-            LRB9206282EGfgam02
 1    employ at least one attorney who is a pharmacist to prosecute
 2    violations of this Act and its rules.  The Department may, in
 3    conformity  with the Personnel Code, employ such clerical and
 4    other employees as are necessary to carry out the  duties  of
 5    the Board.
 6        The   duly   authorized  pharmacy  investigators  of  the
 7    Department shall have the right to enter and  inspect  during
 8    business  hours  any pharmacy or any other place in the State
 9    of Illinois  holding  itself  out  to  be  a  pharmacy  where
10    medicines  or drugs or drug products or proprietary medicines
11    are sold, offered for sale, exposed for  sale,  or  kept  for
12    sale.   Except  as  otherwise  provided  below,  the pharmacy
13    investigators shall  be  the  only  Department  investigators
14    authorized  to  inspect,  investigate,  and monitor probation
15    compliance  of  pharmacists,  and  pharmacies,  and  pharmacy
16    technicians.  The  Department  may  authorize  any  agent  to
17    monitor a pharmacist's or pharmacy technician's probation  in
18    cases  of  addiction  or  impairment  relating  to  drugs  or
19    alcohol.
20    (Source: P.A.  90-253,  eff.  7-29-97;  91-827, eff. 6-13-00;
21    revised 12-07-01.)

22        (225 ILCS 85/14) (from Ch. 111, par. 4134)
23        (Section scheduled to be repealed on January 1, 2008)
24        Sec. 14. Structural and equipment requirements. No person
25    shall establish or move to a new location any pharmacy unless
26    the pharmacy is licensed with the Department and has on  file
27    with the Department a verified statement that:
28             (1)  such  pharmacy  is  or  will  be engaged in the
29        practice of pharmacy; and
30             (2)  such pharmacy will  have  in  stock  and  shall
31        maintain  sufficient drugs or and materials as to protect
32        the public it serves within 30 days after the issuance of
33        the registration of the pharmacy.
 
                            -10-           LRB9206282EGfgam02
 1        Division I, II, III, IV, or V pharmacies shall  be  in  a
 2    suitable, well-lighted and well-ventilated area with at least
 3    300  square  feet  of clean and sanitary contiguous space and
 4    shall be suitably  equipped  for  compounding  prescriptions,
 5    storage  of  drugs and sale of drugs and to otherwise conduct
 6    the practice  of  pharmacy.   The  space  occupied  shall  be
 7    equipped  with  a  sink with hot and cold water or facilities
 8    for  heating  water,  proper  sewage  outlet,   refrigeration
 9    storage  equipment,  and  such  fixtures,  facilities, drugs,
10    equipment and  material,  which  shall  include  the  current
11    editions  of  the  United  States Pharmacopoeia/DI, Facts and
12    Comparisons, or any other current compendium approved by  the
13    Department,  and other such reference works, as will enable a
14    pharmacist to practice pharmacy, including this Act  and  the
15    rules  promulgated  under this Act.  Such pharmacy shall have
16    the following items: accurate weights of 0.5 gr. to 4 oz. and
17    20 mg to 100 Gm; and a  prescription  balance  equipped  with
18    balance  indicator and with mechanical means of arresting the
19    oscillations of the mechanism  and  which  balance  shall  be
20    sensitive  to  0.5  grain  (32  mg) or less or an alternative
21    weighing device as approved by the Department, and such other
22    measuring devices as may be necessary for the conduct of  the
23    practice of pharmacy.
24        The  provisions of this Section with regard to 300 square
25    feet of space shall apply to any  pharmacy  which  is  opened
26    after  the effective date of this Act.  Nothing shall require
27    a pharmacy in existence on the effective  date  of  this  Act
28    which  is  comprised  of less than 300 square feet to provide
29    additional space to meet these requirements.
30    (Source: P.A. 90-253, eff. 7-29-97.)

31        (225 ILCS 85/15) (from Ch. 111, par. 4135)
32        (Section scheduled to be repealed on January 1, 2008)
33        Sec. 15. Pharmacy requirements. It shall be unlawful  for
 
                            -11-           LRB9206282EGfgam02
 1    the owner of any pharmacy, as defined in this Act, to operate
 2    or  conduct  the same, or to allow the same to be operated or
 3    conducted, unless:
 4        (a)  It has a licensed pharmacist, authorized to practice
 5    pharmacy in this State under the provisions of this  Act,  on
 6    duty whenever the practice of pharmacy is conducted;
 7        (b)  Security  provisions  for  all drugs and devices, as
 8    determined by rule of the Department, are provided during the
 9    absence  from  the  licensed   pharmacy   of   all   licensed
10    pharmacists.   Maintenance  of  security  provisions  is  the
11    responsibility  of  the  licensed  registered  pharmacist  in
12    charge; and
13        (c)  The  pharmacy  is  licensed  under  this  Act  to do
14    business.
15        The Department shall, by rule, provide  requirements  for
16    each  division of pharmacy license and shall, as well provide
17    guidelines for the designation of a registered pharmacist  in
18    charge for each division.
19        Division  I.   Retail  Licenses  for pharmacies which are
20    open to, or offer pharmacy services to, the general public.
21        Division  II.   Licenses  for  pharmacies  whose  primary
22    pharmacy service is provided  to  patients  or  residents  of
23    facilities  licensed  under  the Nursing Home Care Act or the
24    Hospital Licensing  Act,  or  "An  Act  in  relation  to  the
25    founding and operation of the University of Illinois Hospital
26    and  the  conduct  of  University  of  Illinois  health  care
27    programs",  approved  July 3, 1931, as amended, and which are
28    not located in the facilities they serve.
29        Division III.  Licenses for pharmacies which are  located
30    in a facility licensed under the Nursing Home Care Act or the
31    Hospital  Licensing  Act,  or  "An  Act  in  relation  to the
32    founding and operation of the University of Illinois Hospital
33    and  the  conduct  of  University  of  Illinois  health  care
34    programs", approved July 3, 1931, as amended, or  a  facility
 
                            -12-           LRB9206282EGfgam02
 1    which  is  operated  by  the Department of Human Services (as
 2    successor  to   the   Department   of   Mental   Health   and
 3    Developmental Disabilities) or the Department of Corrections,
 4    and  which provide pharmacy services to residents or patients
 5    of the  facility,  as  well  as  employees,  prescribers  and
 6    students of the facility.
 7        Division  IV.   Licenses  for pharmacies which provide or
 8    offer for sale radioactive materials.
 9        Division V.  Licenses for pharmacies which hold  licenses
10    in  Division  II  or Division III which also provide pharmacy
11    services to the  general  public,  or  pharmacies  which  are
12    located in or whose primary pharmacy service is to ambulatory
13    care  facilities  or  schools of veterinary medicine or other
14    such institution or facility.
15        Division  VI.  Licenses  for  pharmacies  in  which   the
16    practice of pharmacy is conducted without the compounding and
17    dispensing of drugs or medical devices.
18        Division   VII.  Licenses   for  pharmacies  in  which  a
19    specialized area of pharmacy is  currently  being  practiced,
20    but  is not addressed by one or more of the current divisions
21    of licenses.
22        The Director may waive the requirement for  a  pharmacist
23    to  be on duty at all times for State facilities not treating
24    human ailments.
25        It shall be  unlawful  for  any  person,  who  is  not  a
26    licensed  pharmacy  or health care facility, to purport to be
27    such or to use in name, title, or  sign  designating,  or  in
28    connection  with  that  place  of business, any of the words:
29    "pharmacy",     "pharmacist",     "pharmacy      department",
30    "apothecary",   "druggist",   "drug",  "drugs",  "medicines",
31    "medicine store", "drug sundries", "prescriptions filled", or
32    any list of words indicating that  drugs  are  compounded  or
33    sold  to  the  lay  public,  or  prescriptions  are dispensed
34    therein.  Each day  during  which,  or  a  part  which,  such
 
                            -13-           LRB9206282EGfgam02
 1    representation  is  made or appears or such a sign is allowed
 2    to  remain  upon  or  in  such  a  place  of  business  shall
 3    constitute a separate offense under this Act.
 4        The holder of any license or certificate of  registration
 5    shall conspicuously display it in the pharmacy in which he is
 6    engaged   in   the  practice  of  pharmacy.   The  registered
 7    pharmacist in charge shall conspicuously display his name  in
 8    such   pharmacy.    The   pharmacy   license  shall  also  be
 9    conspicuously displayed.
10    (Source: P.A. 89-507, eff. 7-1-97; 90-253, eff. 7-29-97.)

11        (225 ILCS 85/17.1 new)
12        (Section scheduled to be repealed on January 1, 2008)
13        Sec. 17.1. Pharmacy technician training.
14        (a)  Beginning January 1, 2004, it  shall  be  the  joint
15    responsibility  of a pharmacy and its pharmacist in charge to
16    have trained all of its pharmacy technicians or obtain  proof
17    of  prior  training  in  all  of the following topics as they
18    relate to the practice site:
19             (1)  The  duties   and   responsibilities   of   the
20        technicians and pharmacists.
21             (2)  Tasks   and  technical  skills,  policies,  and
22        procedures.
23             (3)  Compounding, packaging, labeling, and storage.
24             (4)  Pharmaceutical and medical terminology.
25             (5)  Record keeping requirements.
26             (6)  The ability to  perform  and  apply  arithmetic
27        calculations.
28        (b)  Within 3 months after initial employment or changing
29    the  duties and responsibilities of a pharmacy technician, it
30    shall be the joint responsibility of  the  pharmacy  and  the
31    pharmacist  in  charge  to  train  the pharmacy technician or
32    obtain proof  of  prior  training  in  the  areas  listed  in
33    subsection (a) of this Section as they relate to the practice
 
                            -14-           LRB9206282EGfgam02
 1    site.
 2        (c)  All   divisions  of  pharmacies  shall  maintain  an
 3    up-to-date  training  program  describing  the   duties   and
 4    responsibilities of a pharmacy technician.
 5        (d)  All   divisions   of  pharmacies  shall  create  and
 6    maintain retrievable records of training or proof of training
 7    as required in this Section.

 8        (225 ILCS 85/18) (from Ch. 111, par. 4138)
 9        (Section scheduled to be repealed on January 1, 2008)
10        Sec. 18. Record retention. There shall be kept  in  every
11    drugstore  or  pharmacy  a suitable book, file, or electronic
12    record keeping system in  which  shall  be  preserved  for  a
13    period of not less than 5 years the original of every written
14    prescription  and  the  original  transcript or copy of every
15    verbal prescription filled, compounded, or dispensed, in such
16    pharmacy; and such book or file of prescriptions shall at all
17    reasonable times  be  open  to  inspection  to  the  pharmacy
18    coordinator  and  the  duly authorized agents or employees of
19    the Department.
20        Every prescription filled or refilled shall  contain  the
21    unique  identifier  of  the  person  authorized  to  practice
22    pharmacy under the provision of this Act who fills or refills
23    the prescription.
24        Records  kept  pursuant to this Section may be maintained
25    in an alternative data  retention system, such  as  a  direct
26    digital imaging system, provided that:
27             (1)  the  records maintained in the alternative data
28        retention system contain all of the information  required
29        in a manual record;
30             (2)  the   data  processing  system  is  capable  of
31        producing a hard copy of the  electronic  record  on  the
32        request  of  the  Board,  its  representative,  or  other
33        authorized  local,  State,  or federal law enforcement or
 
                            -15-           LRB9206282EGfgam02
 1        regulatory agency; and
 2             (3)  the digital images are recorded and stored only
 3        by means of a technology that does not  allow  subsequent
 4        revision or replacement of the images.
 5        As used in this Section, "digital imaging system" means a
 6    system,  including people, machines, methods of organization,
 7    and procedures, that  provides  input,  storage,  processing,
 8    communications,  output,  and control functions for digitized
 9    representations of original prescription records.
10        Inpatient  drug  orders  may  be  maintained  within   an
11    institution in a manner approved by the Department.
12    (Source: P.A. 90-253, eff. 7-29-97.)

13        (225 ILCS 85/19) (from Ch. 111, par. 4139)
14        (Section scheduled to be repealed on January 1, 2008)
15        Sec.   19.   Nothing  contained  in  this  Act  shall  be
16    construed to prohibit a pharmacist  licensed  in  this  State
17    from   filling   or   refilling   a  valid  prescription  for
18    prescription drugs which is on file in a pharmacy licensed in
19    any state and has  been  transferred  from  one  pharmacy  to
20    another  by  any  means,  including by way of electronic data
21    processing  equipment  upon  the  following  conditions   and
22    exceptions:
23        (1)  Prior   to   dispensing   pursuant   to   any   such
24    prescription, the dispensing pharmacist shall:
25             (a)  Advise  the  patient  that  the prescription on
26        file at such other pharmacy must be  canceled  before  he
27        will be able to fill or refill it.
28             (b)  Determine that the prescription is valid and on
29        file  at  such  other pharmacy and that such prescription
30        may be filled or refilled, as  requested,  in  accordance
31        with   the   prescriber's   intent   expressed   on  such
32        prescription.
33             (c)  Notify the pharmacy where the  prescription  is
 
                            -16-           LRB9206282EGfgam02
 1        on file that the prescription must be canceled.
 2             (d)  Record  in  writing the prescription order, the
 3        name of the pharmacy at which  the  prescription  was  on
 4        file,  the  prescription number, the name of the drug and
 5        the original  amount  dispensed,  the  date  of  original
 6        dispensing,   and  the  number  of  remaining  authorized
 7        refills.
 8             (e)  Obtain the consent of  the  prescriber  to  the
 9        refilling  of  the prescription when the prescription, in
10        the professional judgment of the  dispensing  pharmacist,
11        so  requires.   Any  interference  with  the professional
12        judgment  of  the  dispensing  pharmacist  by  any  other
13        registered pharmacist, his agents, or employees shall  be
14        grounds for revocation or suspension of the permit issued
15        to the pharmacy.
16        (2)  Upon   receipt   of   a   request  for  prescription
17    information set forth in subparagraph (d) of paragraph (1) of
18    this Section, if the requested pharmacist is satisfied in his
19    professional judgment that such request is valid  and  legal,
20    the requested pharmacist shall:
21             (a)  Provide   such   information   accurately   and
22        completely.
23             (b)  Record on the face of the prescription the name
24        of the requesting pharmacy and pharmacist and the date of
25        request.
26             (c)  Cancel  the prescription on file by writing the
27        word  "void"  on  its  face.   No  further   prescription
28        information   shall  be  given  or  medication  dispensed
29        pursuant to such original prescription.
30        (3)  In the event that, after the information  set  forth
31    in subparagraph (d) of paragraph (1) of this Section has been
32    provided,  a  prescription is not dispensed by the requesting
33    pharmacist, then such pharmacist shall provide notice of this
34    fact  to  the  pharmacy  from  which  such  information   was
 
                            -17-           LRB9206282EGfgam02
 1    obtained;  such  notice shall then cancel the prescription in
 2    the same manner as set forth in subparagraph (c) of paragraph
 3    (2) of this Section.
 4        (4)  When filling or refilling a  valid  prescription  on
 5    file  in  another  state,  the dispensing pharmacist shall be
 6    required to follow all the requirements of Illinois law which
 7    apply to the dispensing of prescription drugs.   If  anything
 8    in  Illinois  law  prevents  the  filling or refilling of the
 9    original  prescription  it  shall  be  unlawful  to  dispense
10    pursuant to this Section.
11        (5)  Prescriptions for drugs in Schedules III, IV, and  V
12    of  the Illinois Controlled Substances Act may be transferred
13    only once and may not be further transferred.
14    (Source: P.A. 88-428.)

15        (225 ILCS 85/22) (from Ch. 111, par. 4142)
16        (Section scheduled to be repealed on January 1, 2008)
17        Sec. 22.  Except only in the case of a drug, medicine  or
18    poison which is lawfully sold or dispensed, at retail, in the
19    original and unbroken package of the manufacturer, packer, or
20    distributor  thereof,  and  which  package bears the original
21    label  thereon  showing  the  name   and   address   of   the
22    manufacturer, packer, or distributor thereof, and the name of
23    the  drug,  medicine,  or  poison  therein contained, and the
24    directions for its use, no person shall sell or dispense,  at
25    retail,  any  drug,  medicine, or poison, without affixing to
26    the box, bottle, vessel, or package containing  the  same,  a
27    label  bearing  the name of the article distinctly shown, and
28    the directions for its use, with the name and address of  the
29    pharmacy  wherein the same is sold or dispensed.  However, in
30    the case of a drug, medicine, or  poison  which  is  sold  or
31    dispensed  pursuant to a prescription of a physician licensed
32    to  practice  medicine  in  all  of  its  branches,  licensed
33    dentist,  licensed  veterinarian,  licensed  podiatrist,   or
 
                            -18-           LRB9206282EGfgam02
 1    therapeutically   or   diagnostically  certified  optometrist
 2    authorized by law to prescribe drugs or medicines or poisons,
 3    the label affixed to the  box,  bottle,  vessel,  or  package
 4    containing  the  same shall show: (a) the name and address of
 5    the pharmacy wherein the same is sold or dispensed;  (b)  the
 6    name  or  initials  of  the  person,  authorized  to practice
 7    pharmacy  under  the  provisions  of  this  Act,  selling  or
 8    dispensing the same, (c) the date on which such  prescription
 9    was  filled;  (d)  the  name  of  the patient; (e) the serial
10    number of such prescription  as  filed  in  the  prescription
11    files;  (f)  the last name of the practitioner who prescribed
12    such prescriptions; (g) the directions  for  use  thereof  as
13    contained  in such prescription; and (h) the proprietary name
14    or names or the established name or names of the  drugs,  the
15    dosage  and  quantity,  except  as  otherwise  authorized  by
16    regulation  of  the  Department.   Any  person  who  sells or
17    dispenses any drug, medicine or poison shall sell or dispense
18    such drug, medicine or poison in good faith.   "Good  faith",
19    for  purposes of this Section, has the meaning ascribed to it
20    in subsection (u) of Section 102 of the "Illinois  Controlled
21    Substances  Act",  approved  August 16, 1971, as amended. The
22    Department  shall  establish  rules  governing  labeling   in
23    Division II and Division III pharmacies.
24    (Source: P.A. 90-253, eff. 7-29-97.)

25        (225 ILCS 85/27) (from Ch. 111, par. 4147)
26        (Section scheduled to be repealed on January 1, 2008)
27        Sec. 27.  Fees.  The following fees are not refundable.
28    (A)  Certificate of pharmacy technician.
29             (1)  The  fee  for  application for a certificate of
30        registration as a pharmacy technician is $40.
31             (2)  The fee for the renewal  of  a  certificate  of
32        registration as a pharmacy technician shall be calculated
33        at the rate of $25 per year.
 
                            -19-           LRB9206282EGfgam02
 1    (B)  License as a pharmacist.
 2             (1)  The fee for application for a license is $75.
 3             (2)  In  addition, applicants for any examination as
 4        a registered pharmacist shall be required to pay,  either
 5        to the Department or to the designated testing service, a
 6        fee  covering  the  cost  of  determining  an applicant's
 7        eligibility and providing the  examination.   Failure  to
 8        appear  for the examination on the scheduled date, at the
 9        time  and  place   specified,   after   the   applicant's
10        application   for   examination  has  been  received  and
11        acknowledged by the Department or the designated  testing
12        service,   shall   result   in   the  forfeiture  of  the
13        examination fee.
14             (3)  The  fee  for  a  license   as   a   registered
15        pharmacist  registered  or  licensed  under  the  laws of
16        another state or territory of the United States is $200.
17             (4)  The fee upon the renewal of a license shall  be
18        calculated at the rate of $75 per year.
19             (5)  The  fee  for  the restoration of a certificate
20        other than from inactive status is $10  plus  all  lapsed
21        renewal fees.
22             (6)  Applicants   for   the  preliminary  diagnostic
23        examination shall be  required  to  pay,  either  to  the
24        Department  or  to  the designated testing service, a fee
25        covering  the  cost   of   determining   an   applicant's
26        eligibility  and  providing  the examination.  Failure to
27        appear for the examination on the scheduled date, at  the
28        time  and  place  specified,  after  the  application for
29        examination has been received  and  acknowledged  by  the
30        Department  or  the  designated  testing  service,  shall
31        result in the forfeiture of the examination fee.
32             (7)  The  fee  to have the scoring of an examination
33        authorized by the Department reviewed and verified is $20
34        plus any fee charged by the applicable testing service.
 
                            -20-           LRB9206282EGfgam02
 1    (C)  License as a pharmacy.
 2             (1)  The fee for application for  a  license  for  a
 3        pharmacy under this Act is $100.
 4             (2)  The  fee  for  the  renewal  of a license for a
 5        pharmacy under this Act shall be calculated at  the  rate
 6        of $100 per year.
 7             (3)  The     fee     for    the    change    of    a
 8        pharmacist-in-charge is $25.
 9    (D)  General Fees.
10             (1)  The  fee  for  the  issuance  of  a   duplicate
11        license,  for the issuance of a replacement license for a
12        license that has  been  lost  or  destroyed  or  for  the
13        issuance  of  a  license with a change of name or address
14        other than during the renewal period is $20.  No  fee  is
15        required  for  name  and  address  changes  on Department
16        records when no duplicate certification is issued.
17             (2)  The fee for a certification of  a  registrant's
18        record for any purpose is $20.
19             (3)  The  fee  to have the scoring of an examination
20        administered by the Department reviewed and  verified  is
21        $20.
22             (4)  The   fee   for   a  wall  certificate  showing
23        licensure or registration shall be  the  actual  cost  of
24        producing the certificate.
25             (5)  The  fee  for a roster of persons registered as
26        pharmacists or registered pharmacies in this State  shall
27        be the actual cost of producing the roster.
28             (6)  The fee for pharmacy licensing, disciplinary or
29        investigative  records obtained pursuant to a subpoena is
30        $1 per page.
31        (E)  Except as provided in  subsection  (F),  all  moneys
32    received  by the Department under this Act shall be deposited
33    in the  Illinois  State  Pharmacy  Disciplinary  Fund  hereby
34    created  in the State Treasury and shall be used only for the
 
                            -21-           LRB9206282EGfgam02
 1    following purposes: (a) by the State Board of Pharmacy in the
 2    exercise of its powers and performance of its duties, as such
 3    use is made by the Department upon the recommendations of the
 4    State Board of Pharmacy, (b) for costs  directly  related  to
 5    license  renewal  of persons licensed under this Act, and (c)
 6    for direct and allocable indirect costs related to the public
 7    purposes of the Department of Professional Regulation.
 8        Moneys in the Fund may be transferred to the  Professions
 9    Indirect  Cost  Fund  as authorized under Section 2105-300 of
10    the  Department  of  Professional  Regulation  Law  (20  ILCS
11    2105/2105-300).
12        The moneys  deposited  in  the  Illinois  State  Pharmacy
13    Disciplinary  Fund  shall  be invested to earn interest which
14    shall accrue to the Fund. The Department shall present to the
15    Board for its review and comment all  appropriation  requests
16    from  the  Illinois  State  Pharmacy  Disciplinary Fund.  The
17    Department shall give due consideration to  any  comments  of
18    the Board in making appropriation requests.
19        (F)  From the money received for license renewal fees, $5
20    from  each  pharmacist  fee,  and  $2.50  from  each pharmacy
21    technician fee, shall be set aside within the Illinois  State
22    Pharmacy  Disciplinary  Fund  for the purpose of supporting a
23    substance  abuse  program  for   pharmacists   and   pharmacy
24    technicians.  The  State Board of Pharmacy shall, pursuant to
25    all provisions of the Illinois  Procurement  Code,  determine
26    how  and to whom the money set aside under this subsection is
27    disbursed.
28        (G)  (Blank).
29    (Source: P.A. 90-372, eff. 7-1-98; 91-239, eff. 1-1-00.)

30        (225 ILCS 85/30) (from Ch. 111, par. 4150)
31        (Section scheduled to be repealed on January 1, 2008)
32        Sec. 30.  (a) In accordance with Section 11 of this  Act,
33    the Department may refuse to issue, restore, or renew, or may
 
                            -22-           LRB9206282EGfgam02
 1    revoke,  suspend, place on probation, reprimand or take other
 2    disciplinary action as the Department may  deem  proper  with
 3    regard  to any license or certificate of registration for any
 4    one or combination of the following causes:
 5             1.  Material misstatement in furnishing  information
 6        to the Department.
 7             2.  Violations of this Act, or the rules promulgated
 8        hereunder.
 9             3.  Making  any misrepresentation for the purpose of
10        obtaining licenses.
11             4.  A  pattern   of   conduct   which   demonstrates
12        incompetence or unfitness to practice.
13             5.  Aiding  or assisting another person in violating
14        any provision of this Act or rules.
15             6.  Failing, within 60 days, to respond to a written
16        request made by the Department for information.
17             7.  Engaging   in   dishonorable,    unethical    or
18        unprofessional  conduct of a character likely to deceive,
19        defraud or harm the public.
20             8.  Discipline  by  another  U.S.  jurisdiction   or
21        foreign  nation,  if  at least one of the grounds for the
22        discipline is the same  or  substantially  equivalent  to
23        those set forth herein.
24             9.  Directly  or  indirectly  giving to or receiving
25        from  any  person,  firm,  corporation,  partnership   or
26        association  any fee, commission, rebate or other form of
27        compensation for any professional services  not  actually
28        or personally rendered.
29             10.  A  finding by the Department that the licensee,
30        after having his license placed  on  probationary  status
31        has violated the terms of probation.
32             11.  Selling or engaging in the sale of drug samples
33        provided at no cost by drug manufacturers.
34             12.  Physical illness, including but not limited to,
 
                            -23-           LRB9206282EGfgam02
 1        deterioration through the aging process, or loss of motor
 2        skill  which  results  in  the  inability to practice the
 3        profession with reasonable judgment, skill or safety.
 4             13.  A finding that licensure  or  registration  has
 5        been applied for or obtained by fraudulent means.
 6             14.  The  applicant,  or licensee has been convicted
 7        in state or federal court of any crime which is a  felony
 8        or  any  misdemeanor related to the practice of pharmacy,
 9        of which an essential element is dishonesty.
10             15.  Habitual  or  excessive  use  or  addiction  to
11        alcohol, narcotics,  stimulants  or  any  other  chemical
12        agent  or drug which results in the inability to practice
13        with reasonable judgment, skill or safety.
14             16.  Willfully making or  filing  false  records  or
15        reports  in  the practice of pharmacy, including, but not
16        limited to false records to support  claims  against  the
17        medical  assistance  program  of the Department of Public
18        Aid under the Public Aid Code.
19             17.  Gross and willful overcharging for professional
20        services including filing false statements for collection
21        of fees for which services are not  rendered,  including,
22        but   not   limited   to,  filing  false  statements  for
23        collection of monies for services not rendered  from  the
24        medical  assistance  program  of the Department of Public
25        Aid under the Public Aid Code.
26             18.  Repetitiously  dispensing  prescription   drugs
27        without receiving a written or oral prescription.
28             19.  Upon  a finding of a substantial discrepancy in
29        a Department audit  of  a  prescription  drug,  including
30        controlled  substances,  as  that term is defined in this
31        Act or in the Illinois Controlled Substances Act.
32             20.  Physical illness which results in the inability
33        to practice with reasonable judgment, skill or safety, or
34        mental incompetency as declared by a court  of  competent
 
                            -24-           LRB9206282EGfgam02
 1        jurisdiction.
 2             21.  Violation    of    the   Health   Care   Worker
 3        Self-Referral Act.
 4             22.  Failing to sell or dispense any drug, medicine,
 5        or poison in good faith.  "Good faith", for the  purposes
 6        of  this  Section,  has  the  meaning  ascribed  to it in
 7        subsection (u) of Section 102 of the Illinois  Controlled
 8        Substances Act.
 9             23.  Interfering with the professional judgment of a
10        pharmacist  by  any  registrant under this Act, or his or
11        her agents or employees.
12        (b)  The Department may refuse to issue  or  may  suspend
13    the license or registration of any person who fails to file a
14    return,  or  to  pay  the tax, penalty or interest shown in a
15    filed return, or to pay any final assessment of tax,  penalty
16    or  interest,  as required by any tax Act administered by the
17    Illinois Department  of  Revenue,  until  such  time  as  the
18    requirements of any such tax Act are satisfied.
19        (c)  The   Department   shall   revoke   the  license  or
20    certificate of registration issued under  the  provisions  of
21    this Act or any prior Act of this State of any person who has
22    been  convicted  a second time of committing any felony under
23    the Illinois Controlled  Substances  Act,  or  who  has  been
24    convicted  a second time of committing a Class 1 felony under
25    Sections 8A-3 and 8A-6 of the Illinois Public  Aid  Code.   A
26    person  whose  license  or certificate of registration issued
27    under the provisions of this Act or any  prior  Act  of  this
28    State   is   revoked  under  this  subsection  (c)  shall  be
29    prohibited from engaging in the practice of pharmacy in  this
30    State.
31        (d)  In  any order issued in resolution of a disciplinary
32    proceeding, the Board may request any licensee  found  guilty
33    of  a  charge involving a significant violation of subsection
34    (a) of Section 5,  or  paragraph  19  of  Section  30  as  it
 
                            -25-           LRB9206282EGfgam02
 1    pertains to controlled substances, to pay to the Department a
 2    fine not to exceed $2,000.
 3        (e)  In  any order issued in resolution of a disciplinary
 4    proceeding, in addition to any other disciplinary action, the
 5    Board may request any licensee found guilty of  noncompliance
 6    with  the  continuing education requirements of Section 12 to
 7    pay the Department a fine not to exceed $1000.
 8        (f)  The Department shall issue quarterly to the Board  a
 9    status  of  all complaints related to the profession received
10    by the Department.
11    (Source: P.A. 86-596; 86-1434; 86-1472; 87-1207.)

12        Section 99.  Effective date.  This Act takes effect  upon
13    becoming law.".

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