1. (1) Definitions.

   1. (a) “Vendor pharmacy” means a community pharmacy or special closed system pharmacy which has a contract to dispense a medicinal drug to a patient in a facility holding a Class I Institutional Permit or Modified II B Permit.
   2. (b) “Starter dose pharmacy” means a pharmacy that dispenses a medicinal drug pursuant to a starter dose prescription for a patient in a facility served by the vendor pharmacy.
   3. (c) “Starter dose prescription” means a prescription transmitted by a vendor pharmacy to a starter dose pharmacy for the purpose of initiating drug therapy for a patient in a facility served by the vendor pharmacy. The term “starter dose prescription” does not include prescriptions for controlled substances.

2. (2) A vendor pharmacy may transmit a starter dose prescription, excluding a prescription for a controlled substance, to a starter dose pharmacy if the vendor pharmacy:

   1. (a) Has written authorization from the facility to utilize a starter dose pharmacy.
   2. (b) Has written authorization from a prescribing practitioner, directly or via facility agreement, to act as the practitioner’s agent for the purpose of transmitting a starter dose prescription.
   3. (c) Possess a valid prescription from the prescribing practitioner prior to transmitting the starter dose prescription.
   4. (d) Maintains a record of each starter dose prescription.
   5. (e) Maintains a policy and procedure manual that references starter dose prescriptions.
3. (3) A starter dose pharmacy may dispense a medicinal drug, excluding a controlled substance, pursuant to a starter dose prescription for a patient in a facility that holds a Class I Institutional Permit or Modified II B Permit if the starter dose pharmacy maintains a record of each starter dose prescription and maintains a policy and procedure manual that references starter dose prescriptions.
4. (4) A record of each starter dose prescription shall be readily retrievable and maintained for four (4) years.

Rulemaking Authority 465.005, 465.019(4), 465.022 FS. Law Implemented 465.019, 465.022(12) FS. History–New 11-29-04, Amended 7-14-14, 7-19-17.