THE BILL ITSELF
SB 262
Storage and Disposal of Prescription Drugs and Sharps
Florida Senate - 2026 SB 262 By Senator Burgess 23-00201B-26 2026262__
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A bill to be entitled
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An act relating to storage and disposal of
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prescription drugs and sharps; amending s. 499.0121,
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F.S.; exempting an establishment that stores,
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warehouses, or holds noncontrolled prescription drugs
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solely for the purpose of arranging for their
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destruction from compliance with specified provisions;
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requiring such establishments to maintain certain
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information; making a technical change; providing an
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effective date.
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Be It Enacted by the Legislature of the State of Florida:
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Section 1. Section 499.0121, Florida Statutes, is amended
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to read:
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499.0121 Storage and handling of prescription drugs;
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recordkeeping.— The department shall adopt rules to implement
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this section as necessary to protect the public health, safety,
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and welfare. Such rules shall include, but not be limited to,
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requirements for the storage and handling of prescription drugs
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and for the establishment and maintenance of prescription drug
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distribution records.
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(1) ESTABLISHMENTS.—An establishment at which prescription
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drugs are stored, warehoused, handled, held, offered, marketed,
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or displayed must:
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(a) Be of suitable size and construction to facilitate
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cleaning, maintenance, and proper operations;
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(b) Have storage areas designed to provide adequate
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lighting, ventilation, temperature, sanitation, humidity, space,
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equipment, and security conditions;
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(c) Have a quarantine area for storage of prescription
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drugs that are outdated, damaged, deteriorated, misbranded, or
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adulterated, or that are in immediate or sealed, secondary
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containers that have been opened;
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(d) Be maintained in a clean and orderly condition; and
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(e) Be free from infestation by insects, rodents, birds, or
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vermin of any kind.
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(2) SECURITY.—
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(a) An establishment that is used for wholesale drug
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distribution must be secure from unauthorized entry.
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1. Access from outside the premises must be kept to a
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minimum and be well controlled.
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2. The outside perimeter of the premises must be well
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lighted.
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3. Entry into areas where prescription drugs are held must
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be limited to authorized personnel.
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(b) An establishment that is used for wholesale drug
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distribution must be equipped with:
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1. An alarm system to detect entry after hours; however,
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the department may exempt by rule establishments that only hold
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a permit as prescription drug wholesale distributor-brokers; and
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2. A security system that will provide suitable protection
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against theft and diversion. When appropriate, the security
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system must provide protection against theft or diversion that
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is facilitated or hidden by tampering with computers or
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electronic records.
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(c) Any vehicle that contains prescription drugs must be
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secure from unauthorized access to the prescription drugs in the
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vehicle.
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(3) STORAGE.—All prescription drugs shall be stored at
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appropriate temperatures and under appropriate conditions in
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accordance with requirements, if any, in the labeling of such
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drugs, or with requirements in the official compendium.
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(a) If no storage requirements are established for a
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prescription drug, the drug may be held at “controlled” room
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temperature, as defined in the official compendium, to help
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ensure that its identity, strength, quality, and purity are not
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adversely affected.
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(b) Appropriate manual, electromechanical, or electronic
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temperature and humidity recording equipment, devices, or logs
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must be used to document proper storage of prescription drugs.
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(c) The recordkeeping requirements in subsection (6) must
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be followed for all stored prescription drugs.
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(4) EXAMINATION OF MATERIALS AND RECORDS.—
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(a) Upon receipt, each outside shipping container must be
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visually examined for identity and to prevent the acceptance of
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contaminated prescription drugs that are otherwise unfit for
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distribution. This examination must be adequate to reveal
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container damage that would suggest possible contamination or
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other damage to the contents.
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(b) Each outgoing shipment must be carefully inspected for
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identity of the prescription drug products and to ensure that
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there is no delivery of prescription drugs that have expired or
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been damaged in storage or held under improper conditions.
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(c) The recordkeeping requirements in subsection (6) must
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be followed for all incoming and outgoing prescription drugs.
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(d) Upon receipt, a wholesale distributor must review
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records required under this section for the acquisition of
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prescription drugs for accuracy and completeness, considering
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the total facts and circumstances surrounding the transactions
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and the wholesale distributors involved.
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(5) RETURNED, DAMAGED, OR OUTDATED PRESCRIPTION DRUGS.—
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(a)1. Prescription drugs that are outdated, damaged,
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deteriorated, misbranded, or adulterated must be quarantined and
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physically separated from other prescription drugs until they
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are destroyed or returned to their supplier. A quarantine
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section must be separate and apart from other sections where
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prescription drugs are stored so that prescription drugs in this
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section are not confused with usable prescription drugs.
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2. Prescription drugs must be examined at least every 12
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months, and drugs for which the expiration date has passed must
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be removed and quarantined.
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(b) Any prescription drugs of which the immediate or sealed
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outer containers or sealed secondary containers have been opened
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or used must be identified as such and must be quarantined and
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physically separated from other prescription drugs until they
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are destroyed or returned to the supplier.
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(c) If the conditions under which a prescription drug has
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been returned cast doubt on the drug’s safety, identity,
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strength, quality, or purity, the drug must be destroyed or
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returned to the supplier, unless examination, testing, or other
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investigation proves that the drug meets appropriate standards
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of safety, identity, strength, quality, and purity. In
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determining whether the conditions under which a drug has been
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returned cast doubt on the drug’s safety, identity, strength,
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quality, or purity, the wholesale distributor must consider,
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among other things, the conditions under which the drug has been
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held, stored, or shipped before or during its return and the
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conditions of the drug and its container, carton, or labeling,
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as a result of storage or shipping.
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(d) The recordkeeping requirements in subsection (6) must
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be followed for all outdated, damaged, deteriorated, misbranded,
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or adulterated prescription drugs.
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(6) RECORDKEEPING.—The department shall adopt rules that
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require keeping such records of prescription drugs, including
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active pharmaceutical ingredients, as are necessary for the
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protection of the public health.
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(a) The following persons must maintain business records
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that include the information specified in paragraph (b):
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1. Persons permitted or required to be permitted under this
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chapter to engage in the manufacture, repackaging, or
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distribution of active pharmaceutical ingredients or
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prescription drugs.
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2. Persons other than those set forth in subparagraph 1.
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that engage in the receipt of active pharmaceutical ingredients
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or prescription drugs.
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(b) Business records for persons specified in paragraph (a)
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must include:
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1. The name and address of the seller, and the Florida
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permit number of the seller if such seller is not exempt from
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Florida permitting requirements, of the active pharmaceutical
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ingredient or prescription drug.
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2. The address of the location the active pharmaceutical
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ingredient or prescription drug was shipped from.
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3. The distribution date of the active pharmaceutical
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ingredient or prescription drug.
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4. The name, strength, and quantity, and the National Drug
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Code if such code has been assigned, of the distributed active
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pharmaceutical ingredient or prescription drug.
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5. The name and Florida permit number of the person that
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purchased the active pharmaceutical ingredient or prescription
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drug.
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6. The financial data, including the unit type and unit
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price, for the distributions involving active pharmaceutical
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ingredients or prescription drugs.
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7. The date and method of disposition of the active
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pharmaceutical ingredient or prescription drug.
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(c) Each manufacturer or repackager of medical devices,
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over-the-counter drugs, or cosmetics must maintain business
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records that include:
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1. The name and address of the seller or transferor of the
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product.
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2. The address of the location the product was shipped
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from.
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3. The date of the sale or distribution of the product.
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4. The name and quantity of the product involved.
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5. The name and address of the person who purchased the
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product.
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(d) Persons permitted, or required to be permitted, under
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this chapter to engage in the manufacture, repackaging, or
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distribution of active pharmaceutical ingredients or
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prescription drugs; or the manufacture or repackaging of medical
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devices, over-the-counter drugs, and cosmetics; must establish,
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maintain, or have the capability to create a current inventory
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of the active pharmaceutical ingredients, prescription drugs,
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over-the-counter drugs, cosmetics, and devices at an
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establishment where activities specified in this paragraph are
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undertaken and must be able to produce such inventory for
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inspection by the department within 2 business days.
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(e) Business records required to be kept pursuant to this
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section, and that are kept at the inspection site or can be
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immediately retrieved by computer or other electronic means,
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must be readily available for authorized inspection during the
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retention period. Records kept at a central location outside of
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this state which are not electronically retrievable must be made
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available for inspection within 2 working days after a request
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by an authorized official of a federal, state, or local law
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enforcement agency. Records maintained at a central location
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within this state must be maintained at an establishment that is
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permitted pursuant to this part, and such records must be
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readily available for inspection.
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(f) Records required to be kept pursuant to this subsection
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must be maintained as specified for a period of not less than 6
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years from the date of disposition of the active pharmaceutical
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ingredients, prescription drugs, over-the-counter drugs, medical
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devices, or cosmetics.
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(g) To the extent that prescription drugs are also products
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as defined in the federal act, as amended, and the information
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required by the business records requirements of this section
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are also included in the tracking and tracing requirements of
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the federal act, as amended, and departmental rules, the
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manufacturer, wholesale distributor, repackager, or dispenser
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must follow both the requirements of the federal act, as
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amended, and departmental rules.
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(7) PRESCRIPTION DRUG PURCHASE LIST.—Each wholesale
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distributor, except for a manufacturer, shall annually provide
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the department with a written list of all wholesale distributors
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and manufacturers from whom the wholesale distributor purchases
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prescription drugs. A wholesale distributor, except a
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manufacturer, shall notify the department not later than 10 days
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after any change to either list.
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(8) WRITTEN POLICIES AND PROCEDURES.—Wholesale distributors
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must establish, maintain, and adhere to written policies and
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procedures, which must be followed for the receipt, security,
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storage, inventory, and distribution of prescription drugs,
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including policies and procedures for identifying, recording,
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and reporting losses or thefts, and for correcting all errors
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and inaccuracies in inventories. Wholesale distributors must
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include in their written policies and procedures:
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(a) A procedure whereby the oldest approved stock of a
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prescription drug product is distributed first. The procedure
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may permit deviation from this requirement, if the deviation is
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temporary and appropriate.
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(b) A procedure to be followed for handling recalls and
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withdrawals of prescription drugs. Such procedure must be
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adequate to deal with recalls and withdrawals due to:
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1. Any action initiated at the request of the Food and Drug
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Administration or any other federal, state, or local law
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enforcement or other government agency, including the
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department.
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2. Any voluntary action by the manufacturer or repackager
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to remove defective or potentially defective drugs from the
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market; or
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3. Any action undertaken to promote public health and
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safety by replacing existing merchandise with an improved
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product or new package design.
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(c) A procedure to ensure that wholesale distributors
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prepare for, protect against, and handle any crisis that affects
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security or operation of any facility if a strike, fire, flood,
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or other natural disaster, or a local, state, or national
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emergency, occurs.
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(d) A procedure to ensure that any outdated prescription
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drugs are segregated from other drugs and returned to the
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manufacturer or repackager or destroyed. This procedure must
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provide for written documentation of the disposition of outdated
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prescription drugs. This documentation must be maintained for 2
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years after disposition of the outdated drugs.
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(9) RESPONSIBLE PERSONS.—Wholesale distributors must
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establish and maintain lists of officers, directors, managers,
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designated representatives, and other persons in charge of
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wholesale drug distribution, storage, and handling, including a
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description of their duties and a summary of their
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qualifications.
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(10) COMPLIANCE WITH FEDERAL, STATE, AND LOCAL LAW.—A
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wholesale distributor must operate in compliance with applicable
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federal, state, and local laws and regulations.
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(a) A wholesale distributor must allow the department and
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authorized federal, state, and local officials to enter and
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inspect its premises and delivery vehicles, and to audit its
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records and written operating procedures, at reasonable times
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and in a reasonable manner, to the extent authorized by law.
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(b) A wholesale distributor that deals in controlled
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substances must register with the Drug Enforcement
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Administration and must comply with all applicable state, local,
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and federal laws. A wholesale distributor that distributes any
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substance controlled under chapter 893 must notify the
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department when registering with the Drug Enforcement
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Administration pursuant to that chapter and must provide the
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department with its DEA number.
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(11) SALVAGING AND REPROCESSING.—A wholesale distributor is
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subject to any applicable federal, state, or local laws or
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regulations that relate to prescription drug product salvaging
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or reprocessing.
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(12) SHIPPING AND TRANSPORTATION.—The person responsible
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for shipment and transportation of a prescription drug in a
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wholesale distribution may use a common carrier; its own vehicle
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or employee acting within the scope of employment if authorized
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under s. 499.03 for the possession of prescription drugs in this
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state; or, in the case of a prescription drug intended for
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domestic distribution, an independent contractor who must be the
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agent of the authorized seller or recipient responsible for
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shipping and transportation as set forth in a written contract
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between the parties. A person selling a prescription drug for
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export must obtain documentation, such as a validated airway
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bill, bill of lading, or other appropriate documentation that
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the prescription drug was exported. A person responsible for
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shipping or transporting prescription drugs is not required to
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maintain documentation from a common carrier that the designated
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recipient received the prescription drugs; however, the person
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must obtain such documentation from the common carrier and make
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it available to the department upon request of the department.
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(13) DUE DILIGENCE OF SUPPLIERS.—Prior to purchasing any
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prescription drugs from another wholesale distributor, a
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prescription drug wholesale distributor, an out-of-state
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prescription drug wholesale distributor, or a prescription drug
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repackager must:
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(a) Enter an agreement with the selling wholesale
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distributor by which the selling wholesale distributor will
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indemnify the purchasing wholesale distributor for any loss
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caused to the purchasing wholesale distributor related to the
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purchase of drugs from the selling wholesale distributor which
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are determined to be counterfeit or to have been distributed in
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violation of any federal or state law governing the distribution
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of drugs.
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(b) Determine that the selling wholesale distributor has
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insurance coverage of not less than the greater of 1 percent of
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the amount of total dollar volume of the prescription drug sales
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reported to the department under s. 499.012(8)(g) or $500,000;
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however the coverage need not exceed $2 million.
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(c) Obtain information from the selling wholesale
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distributor, including the length of time the selling wholesale
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distributor has been licensed in this state, a copy of the
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selling wholesale distributor’s licenses or permits, and
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background information concerning the ownership of the selling
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wholesale distributor, including the experience of the wholesale
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distributor in the wholesale distribution of prescription drugs.
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(d) Verify that the selling wholesale distributor’s Florida
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permit is valid.
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(e) Inspect the selling wholesale distributor’s licensed
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establishment to document that it has a policies and procedures
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manual relating to the distribution of drugs, the appropriate
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temperature controlled environment for drugs requiring
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temperature control, an alarm system, appropriate access
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restrictions, and procedures to ensure that records related to
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the wholesale distribution of prescription drugs are maintained
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as required by law:
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1. Before purchasing any drug from the wholesale
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distributor, and at least once each subsequent year; or
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2. Before purchasing any drug from the wholesale
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distributor, and each subsequent year obtain a complete copy of
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the most recent inspection report for the establishment which
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was prepared by the department or the regulatory authority
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responsible for wholesale distributors in the state in which the
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establishment is located.
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(14) DISTRIBUTION REPORTING.—Each prescription drug
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wholesale distributor, out-of-state prescription drug wholesale
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distributor, retail pharmacy drug wholesale distributor,
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manufacturer, or repackager that engages in the wholesale
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distribution of controlled substances as defined in s. 893.02
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shall submit a report to the department of its receipts and
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distributions of controlled substances listed in Schedule II,
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Schedule III, Schedule IV, or Schedule V as provided in s.
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893.03. Wholesale distributor facilities located within this
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state shall report all transactions involving controlled
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substances, and wholesale distributor facilities located outside
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this state shall report all distributions to entities located in
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this state. If the prescription drug wholesale distributor, out
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of-state prescription drug wholesale distributor, retail
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pharmacy drug wholesale distributor, manufacturer, or repackager
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does not have any controlled substance distributions for the
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month, a report shall be sent indicating that no distributions
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occurred in the period. The report shall be submitted monthly by
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the 20th of the next month, in the electronic format used for
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controlled substance reporting to the Automation of Reports and
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Consolidated Orders System division of the federal Drug
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Enforcement Administration. Submission of electronic data must
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be made in a secured Internet environment that allows for manual
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or automated transmission. Upon successful transmission, an
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acknowledgment page must be displayed to confirm receipt. The
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report must contain the following information:
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(a) The federal Drug Enforcement Administration
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registration number of the wholesale distributing location.
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(b) The federal Drug Enforcement Administration
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registration number of the entity to which the drugs are
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distributed or from which the drugs are received.
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(c) The transaction code that indicates the type of
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transaction.
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(d) The National Drug Code identifier of the product and
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the quantity distributed or received.
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(e) The Drug Enforcement Administration Form 222 number or
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Controlled Substance Ordering System Identifier on all Schedule
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II transactions.
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(f) The date of the transaction.
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The department must share the reported data with the Department
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of Law Enforcement and local law enforcement agencies upon
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request and must monitor purchasing to identify purchasing
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levels that are inconsistent with the purchasing entity’s
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clinical needs. The Department of Law Enforcement shall
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investigate purchases at levels that are inconsistent with the
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purchasing entity’s clinical needs to determine whether
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violations of chapter 893 have occurred.
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(15) DUE DILIGENCE OF PURCHASERS.—
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(a) Each prescription drug wholesale distributor, out-of
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state prescription drug wholesale distributor, and retail
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pharmacy drug wholesale distributor must establish and maintain
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policies and procedures to credential physicians licensed under
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chapter 458, chapter 459, chapter 461, or chapter 466 and
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pharmacies that purchase or otherwise receive from the wholesale
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distributor controlled substances listed in Schedule II or
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Schedule III as provided in s. 893.03. The prescription drug
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wholesale distributor, out-of-state prescription drug wholesale
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distributor, or retail pharmacy drug wholesale distributor shall
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maintain records of such credentialing and make the records
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available to the department upon request. Such credentialing
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must, at a minimum, include:
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1. A determination of the clinical nature of the receiving
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entity, including any specialty practice area.
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2. A review of the receiving entity’s history of Schedule
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II and Schedule III controlled substance purchasing from the
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wholesale distributor.
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3. A determination that the receiving entity’s Schedule II
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and Schedule III controlled substance purchasing history, if
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any, is consistent with and reasonable for that entity’s
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clinical business needs.
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(b) A wholesale distributor must take reasonable measures
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to identify its customers, understand the normal and expected
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transactions conducted by those customers, and identify those
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transactions that are suspicious in nature. A wholesale
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distributor must establish internal policies and procedures for
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identifying suspicious orders and preventing suspicious
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transactions. A wholesale distributor must assess orders for
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more than 7,500 unit doses of any one controlled substance in
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any one month to determine whether the purchase is reasonable.
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In making such assessments, a wholesale distributor may consider
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the purchasing entity’s clinical business needs, location, and
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population served, in addition to other factors established in
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the distributor’s policies and procedures. A wholesale
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distributor must report to the department any regulated
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transaction involving an extraordinary quantity of a listed
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chemical, an uncommon method of payment or delivery, or any
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other circumstance that the regulated person believes may
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indicate that the listed chemical will be used in violation of
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the law. The wholesale distributor shall maintain records that
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document the report submitted to the department in compliance
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with this paragraph.
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(c) A wholesale distributor may not distribute controlled
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substances to an entity if any criminal history record check for
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any person associated with that entity shows that the person has
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been convicted of, or entered a plea of guilty or nolo
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contendere to, regardless of adjudication, a crime in any
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jurisdiction related to controlled substances, the practice of
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pharmacy, or the dispensing of medicinal drugs.
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(16) EXEMPTIONS AND REQUIREMENTS FOR CERTAIN
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ESTABLISHMENTS.—An establishment that stores, warehouses, or
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holds noncontrolled prescription drugs solely for the purpose of
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arranging for their destruction is not required to comply with
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paragraph (1)(c), subsection (3), subsection (4), subsection
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(5), subsection (6), paragraphs (8)(a), (b), and (d), or
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subsection (13) with respect to those noncontrolled prescription
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drugs, but shall maintain records of the locations from which
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the prescription drugs were collected, a formulary or
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description of that location’s prescription drugs, an estimate
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of the amount of the prescription drugs collected, and the
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manner, date, and location of destruction of the prescription
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drugs.
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(17) RULEMAKING.—The department shall adopt rules to
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implement this section as necessary to protect the public
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health, safety, and welfare. Such rules must include, but need
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not be limited to, requirements for the storage and handling of
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prescription drugs and for the establishment and maintenance of
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prescription drug distribution records.
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Section 2. This act shall take effect July 1, 2026.