THE BILL ITSELF
HB 877
Active Pharmaceutical Ingredients
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A bill to be entitled
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An act relating to active pharmaceutical ingredients;
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creating s. 465.1903, F.S.; defining the term "bulk
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drug substance" or "active pharmaceutical ingredient";
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authorizing the sale, transfer, and distribution of
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certain compounded drugs under certain circumstances;
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providing requirements for the sale, transfer, and
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distribution of such medications; providing penalties;
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providing penalties; requiring certain persons or
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entities to maintain certain records for a specified
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timeframe and furnish such records to the Board of
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Pharmacy under certain circumstances within a
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specified timeframe; authorizing the Board of Pharmacy
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to conduct inspections and adopt rules; 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 465.1903, Florida Statutes, is created
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to read:
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465.1903 Active pharmaceutical ingredients.—
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(1) As used in this section, the term "bulk drug
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substance" or "active pharmaceutical ingredient (API)" means any
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substance that is intended for incorporation into a finished
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drug product and is intended to furnish pharmacological activity
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or other direct effect in the diagnosis, cure, mitigation,
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treatment, or prevention of disease, or to affect the structure
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or any function of the body. The term does not include
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intermediates used in the synthesis of the substance.
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(2) A person or entity may only engage in the sale,
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transfer, or distribution of a drug compounded under s. 503A of
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the Federal Food, Drug, and Cosmetic Act, 21 U.S.C. 353a, if the
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compounder of the drug uses a bulk drug substance that:
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(a)1. Complies with the standards of an applicable United
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States Pharmacopoeia or National Formulary monograph, if a
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monograph exists, and the United States Pharmacopoeia chapter on
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pharmacy compounding.
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2. If such a monograph does not exist, is a bulk drug
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substance that is a component of drugs approved by the United
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States Food and Drug Administration (FDA); or
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3. If such a monograph does not exist and the bulk drug
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substance is not a component of a drug approved by the FDA, that
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appears on the list developed by the FDA pursuant to s. 503A of
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the Federal Food, Drug, and Cosmetic Act, 21 U.S.C. s.
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353a(b)(1)(A)(i)(III).
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(b) Confirms that any bulk drug substance used under
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subparagraph (a)2. was reviewed as part of a new drug
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application approved by the FDA under s. 505 of the Federal
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Food, Drug, and Cosmetic Act, 21 U.S.C. s. 355.
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(c) Ensures that the bulk drug substance is a
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pharmaceutical grade product.
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(d) Verifies that the bulk drug substance is accompanied
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by a valid certificate of analysis containing information
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material to the safety and effectiveness of the drug compounded
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using the bulk drug substance, including the identity and
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content of the bulk drug substance, the country where the bulk
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drug substance was originally manufactured, identification of
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each impurity by chemical name and amount present, and any
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additional element that the board may by regulation require.
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(e) Conducts and documents quality control testing of the
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bulk drug substance before its use in a compounded drug to
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confirm:
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1. The identity and content of the bulk drug substance.
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2. That impurities present are identified, characterized,
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quantified, and justified given the product and its intended
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use.
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(f) Obtains proof that the manufacturing of the bulk drug
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substance took place in a facility that:
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1. Is registered with the FDA under s. 510 of the Federal
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Food, Drug, and Cosmetic Act.
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2. Has undergone an inspection by the FDA as a human drug
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establishment within the previous 2 years, and such inspection:
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a. Included current good manufacturing practice compliance
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and covered the relevant API.
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b. Was classified as Voluntary Action Indicated or No
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Action Indicated by the FDA.
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(g) Complies with the Federal Food, Drug, and Cosmetic
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Act, including the provisions in s. 503A, 21 U.S.C. s. 353a.
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(3) A person or entity that violates this section shall be
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subject to:
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(a) A fine of $1,000 per dose of the illegally compounded
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drug sold, transferred, or distributed.
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(b) Revocation of the pharmacy or facility license, as
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applicable.
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(4) Any person or entity engaging in the sale, transfer,
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or distribution of compounded drugs shall maintain all records
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related to the acquisition, examination, and testing of the bulk
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drug substance for at least 2 years after the expiration date of
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the last lot of the drug containing the bulk drug substance and,
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upon request by the board, shall furnish such records within 1
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business day of receiving the request, or within a reasonable
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time as determined by the board based on the circumstances of
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the request.
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(5) The board or its duly authorized agent, or a duly
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authorized agent of a third party approved by the board, may
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inspect any person or entity that engages in compounding drugs,
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as well as any domestic supplier, wholesaler, repackager, or
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other provider of the bulk drug substance for compounding, for
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compliance with the requirements in subsection (2). Refusal to
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permit the board or its duly authorized agent or third-party
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access to conduct an inspection shall constitute a violation of
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this section.
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(6) The board may adopt rules and conduct inspections as
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necessary to implement this section.
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This act shall take effect upon becoming a law. Section 2.