TITLE 4. PROFESSIONS AND OCCUPATIONS
CHAPTER 23. BOARD OF PHARMACY
Supp. 07-4
Authority: A.R.S. § 32-1904 et seq.
ARTICLE 1. ADMINISTRATION
Section
R4-23-101. General
R4-23-102. Meetings
R4-23-103. Repealed
R4-23-104. Repealed
R4-23-105. Repealed
R4-23-106. Repealed
R4-23-107. Repealed
R4-23-108. Repealed
R4-23-109. Repealed
R4-23-110. Definitions
R4-23-111. Notice of Hearing
R4-23-112. Ex Parte Communications
R4-23-113. Motions
R4-23-114. Computing Time
R4-23-115. Filing Documents
R4-23-116. Continuing or Expediting a Hearing; Reconvening a Hearing
R4-23-117. Vacating a Hearing
R4-23-118. Prehearing Conference
R4-23-119. Subpoenas
R4-23-120. Telephonic Testimony
R4-23-121. Rights and Responsibilities of Parties
R4-23-122. Conduct of Hearing
R4-23-123. Failure of Party to Appear for Hearing
R4-23-124. Witnesses; Exclusion from Hearing
R4-23-125. Proof
R4-23-126. Disruptions
R4-23-127. Hearing Record
R4-23-128. Rehearing or Review and Appeal of Decision
R4-23-129. Notice of Judicial Appeal; Transmitting the Transcript
ARTICLE 2. PHARMACIST LICENSURE
Section
R4-23-201. General
R4-23-202. Licensure by Examination
R4-23-203. Licensure by Reciprocity
R4-23-204. Continuing Education Requirements
R4-23-205. Fees
ARTICLE 3. INTERN TRAINING AND PHARMACY INTERN PRECEPTORS
Section
R4-23-301. Intern Licensure
R4-23-302. Training Site and Pharmacy Intern Preceptors
R4-23-303. Training Time
R4-23-304. Reports
R4-23-305. Miscellaneous Intern Training Provisions
ARTICLE 4. PROFESSIONAL PRACTICES
Section
R4-23-401. Time-frames for Board Approvals and Special Requests
R4-23-402. Pharmacist, Graduate Intern, and Pharmacy Intern
R4-23-403. Repealed
R4-23-404. Unethical Practices
R4-23-405. Change of Responsibility
R4-23-406. Repealed
R4-23-407. Prescription Requirements
R4-23-408. Computer Records
R4-23-409. Returning Drugs or Devices
R4-23-410. Current Good Compounding Practices
R4-23-411. Pharmacist-administered Immunizations
R4-23-412. Reserved
R4-23-413. Reserved
R4-23-414. Reserved
R4-23-415. Impaired Licensees - Treatment and Rehabilitation
R4-23-416. Reserved
R4-23-417. Reserved
R4-23-418. Reserved
R4-23-419. Reserved
R4-23-420. Reserved
R4-23-421. Drug Therapy Management
R4-23-422. Drug Therapy Management - Duties of the Board
R4-23-423. Drug Therapy Management Advisory Committee
R4-23-424. Drug Therapy Management - Pharmacist and Physician Qualifications
R4-23-425. Drug Therapy Management - Pharmacist Duties
R4-23-426. Drug Therapy Management - Physician Duties
R4-23-427. Drug Therapy Management - Documentation
R4-23-428. Drug Therapy Management - Quality Assurance
R4-23-429. Drug Therapy Management - Privacy
ARTICLE 5. RECODIFIED
Article 5, consisting of Sections R4-23-501 and R4-23-502, recodified to Article 8 at 9 A.A.R. 4011, effective August 18, 2003 (Supp. 03-3).
Section
R4-23-501. Recodified
R4-23-502. Recodified
R4-23-503. Repealed
R4-23-504. Repealed
R4-23-505. Repealed
R4-23-506. Repealed
ARTICLE 6. PERMITS AND DISTRIBUTION OF DRUGS
Section
R4-23-601. General Provisions
R4-23-602. Permit Application Process and Time-frames
R4-23-603. Nonprescription Drugs, Retail
R4-23-604. Resident Drug Manufacturer
R4-23-605. Resident Drug Wholesaler Permit
R4-23-606. Pharmacy Permit, Community, Hospital, and Limited Service
R4-23-607. Nonresident Permits
R4-23-608. Change of Personnel and Responsibility
R4-23-609. Pharmacy Area of Community Pharmacy
R4-23-610. Community Pharmacy Personnel and Security Procedures
R4-23-611. Pharmacy Facilities
R4-23-612. Equipment
R4-23-613. Procedure for Discontinuing a Pharmacy
R4-23-614. Automated Storage and Distribution System
R4-23-615. Mechanical Storage and Counting Device for a Drug in Solid, Oral Dosage Form
R4-23-616. Mechanical Counting Device for a Drug in Solid, Oral Dosage Form
R4-23-617. Reserved
R4-23-618. Reserved
R4-23-619. Reserved
R4-23-620. Reserved
R4-23-621. Shared Services
R4-23-622. Reserved
R4-23-623. Reserved
R4-23-624. Reserved
R4-23-625. Reserved
R4-23-626. Reserved
R4-23-627. Reserved
R4-23-628. Reserved
R4-23-629. Reserved
R4-23-630. Reserved
R4-23-631. Reserved
R4-23-632. Reserved
R4-23-633. Reserved
R4-23-634. Reserved
R4-23-635. Reserved
R4-23-636. Reserved
R4-23-637. Reserved
R4-23-638. Reserved
R4-23-639. Reserved
R4-23-640. Reserved
R4-23-641. Reserved
R4-23-642. Reserved
R4-23-643. Reserved
R4-23-644. Reserved
R4-23-645. Reserved
R4-23-646. Reserved
R4-23-647. Reserved
R4-23-648. Reserved
R4-23-649. Reserved
R4-23-650. Reserved
R4-23-651. Definitions
R4-23-652. Hospital Pharmacy Permit
R4-23-653. Personnel: Professional or Technician
R4-23-654. Absence of Pharmacist
R4-23-655. Physical Facility
R4-23-656. Sanitation and Equipment
R4-23-657. Security
R4-23-658. Drug Distribution and Control
R4-23-659. Administration of Drugs
R4-23-660. Investigational Drugs
R4-23-661. Repealed
R4-23-662. Repealed
R4-23-663. Repealed
R4-23-664. Repealed
R4-23-665. Reserved
R4-23-666. Reserved
R4-23-667. Reserved
R4-23-668. Reserved
R4-23-669. Reserved
R4-23-670. Sterile Pharmaceutical Products
R4-23-671. General Requirements for Limited-service Pharmacy
R4-23-672. Limited-service Correctional Pharmacy
R4-23-673. Limited-service Mail-order Pharmacy
R4-23-674. Limited-service Long-term Care Pharmacy
R4-23-675. Limited-service Sterile Pharmaceutical Products Pharmacy
R4-23-676. Reserved
R4-23-677. Reserved
R4-23-678. Reserved
R4-23-679. Reserved
R4-23-680. Reserved
R4-23-681. General Requirements for Limited-service Nuclear Pharmacy
R4-23-682. Limited-service Nuclear Pharmacy
R4-23-683. Reserved
R4-23-684. Reserved
R4-23-685. Reserved
R4-23-686. Reserved
R4-23-687. Reserved
R4-23-688. Reserved
R4-23-689. Reserved
R4-23-690. Reserved
R4-23-691. Repealed
R4-23-692. Compressed Medical Gas Distributor
R4-23-693. Compressed Medical Gas Supplier
ARTICLE 7. NON-PHARMACY LICENSED OUTLETS - GENERAL PROVISIONS
Section
R4-23-701. Long-term Care Facilities Pharmacy Services: Consultant Pharmacist
R4-23-701.01. Long-term Care Facilities Pharmacy Services: Provider Pharmacy
R4-23-701.02. Long-term Care Facilities Pharmacy Services: Emergency Drugs
R4-23-701.03. Long-term Care Facilities Pharmacy Services: Emergency Drug Prescription Order
R4-23-702. Repealed
R4-23-703. Assisted Living Facilities
R4-23-704. Repealed
R4-23-705. Repealed
R4-23-706. Repealed
R4-23-707. Repealed
R4-23-708. Repealed
R4-23-709. Repealed
ARTICLE 8. DRUG CLASSIFICATION
Article 8, consisting of Sections R4-23-801 and R4-23-802, recodified from Article 5 at 9 A.A.R. 4011, effective August 18, 2003 (Supp. 03-3).
Article 8, consisting of Sections R4-23-801 through R4-23-804, repealed effective November 4, 1998 (Supp. 98-4).
Section
R4-23-801. Dietary Supplements
R4-23-802. Veterinary
ARTICLE 9. PENALTIES AND MISCELLANEOUS
Section
R4-23-901. Penalty for violations
ARTICLE 10. UNIFORM CONTROLLED SUBSTANCES AND DRUG OFFENSES
Section
R4-23-1001. Repealed
R4-23-1002. Repealed
R4-23-1003. Records and Order Forms
R4-23-1004. Repealed
R4-23-1005. Substances excepted from the schedules of controlled substances
R4-23-1006. Substances excepted from drug offenses
ARTICLE 11. PHARMACY TECHNICIANS
Article 11, consisting of R4-23-1101 through R4-23-1105, made by final rulemaking at 10 A.A.R. 1192, effective May 1, 2004 (Supp. 04-1).
Section
R4-23-1101. Licensure and Eligibility
R4-23-1102. Pharmacy Technician Licensure
R4-23-1103. Pharmacy Technician Trainee Licensure
R4-23-1104. Pharmacy Technicians and Pharmacy Technician Trainees
R4-23-1105. Pharmacy Technician Training Program
R4-23-1106. Continuing Education Requirements
ARTICLE 1. ADMINISTRATION
R4-23-101. General
A. 4 A.A.C. 23 applies to all actions and proceedings of the Board and shall be deemed a part of the record in any Board action or proceeding without formal introduction of, or reference to the rules. A party to a Board action is deemed to have knowledge of the rules. The Board office shall provide a copy of the rules:
1. To each license applicant who submits a completed application packet; and
2. To each permit applicant during the final compliance inspection after the Board approves the permit application.
B. The Board, within its jurisdiction, may, in the interest of justice, excuse the failure of any person to comply with the rules.
C. The Board, within its jurisdiction, may grant an extension of time within which to comply with any rule when it deems the extension to be in the interest of justice.
Historical Note
Former Rules 1.1000, 1.1200, and 1.1300; Amended effective August 23, 1978 (Supp. 78-4). Amended by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1); Historical Note updated (Supp. 06-2).
R4-23-102. Meetings
A. The Board shall hold not less than four meetings per fiscal year to conduct general business and interview permit and license applicants.
B. A special meeting of the Board may be held at any time subject to the call of the President or a majority of the Board members and in compliance with the notification requirements of A.R.S. § 38-431.02.
Historical Note
Former Rules 1.2100, 1.2200, 1.2300, and 1.2400. Amended by final rulemaking at 7 A.A.R. 2143, effective May 1, 2001 (Supp. 01-2).
R4-23-103. Repealed
Historical Note
Former Rules 1.3100, 1.3200, 1.3300, and 1.3400; Amended subsection (C) effective August 9, 1983
(Supp. 83-4). Section repealed by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1); Historical Note updated (Supp. 06-2).
R4-23-104. Repealed
Historical Note
Former Rules 1.4011, 1.4110, 1.4120, 1.4200, 1.4210, 1.4220, 1.4300, 1.4400, 1.5500, 1.5600, 1.5700, and 1.4500; Amended effective August 23, 1978 (Supp. 78-5); Amended by deleting subsection (B) and renumbering subsections (C) through (J) as subsections (B) through (I) effective August 9, 1983 (Supp. 83-4). Amended effective February 8, 1991 (Supp. 91-1). Section repealed by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1); Historical Note updated (Supp. 06-2).
R4-23-105. Repealed
Historical Note
Former Rules 1.5100, 1.5200, 1.5300, and 1.5400; Amended subsection (B) effective August 9, 1983
(Supp. 83-4). Section repealed by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1); Historical Note updated (Supp. 06-2).
R4-23-106. Repealed
Historical Note
Former Rules 1.5800 and 1.5900. Section repealed by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1); Historical Note updated (Supp. 06-2).
R4-23-107. Repealed
Historical Note
Former Rules 1.5910, 1.5920, 1.5921, and 1.5922. Section repealed by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1); Historical Note updated (Supp. 06-2).
R4-23-108. Repealed
Historical Note
Former Rule 1.5930. Section repealed by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1); Historical Note updated (Supp. 06-2).
R4-23-109. Repealed
Historical Note
Former Rules 1.7100, 1.7200, and 1.7300. Amended effective July 14, 1977 (Supp. 77-4). Amended effective February 8, 1991 (Supp. 91-1). Section repealed by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1); Historical Note updated (Supp. 06-2).
R4-23-110. Definitions
In addition to definitions in A.R.S. § 32-1901, the following definitions apply to 4 A.A.C. 23:
"Active ingredient" means any component that furnishes pharmacological activity or other direct effect in the diagnosis, cure, mitigation, treatment, or prevention of disease or that affects the structure or any function of the body of man or other animals. The term includes those components that may undergo chemical change in the manufacture of the drug, that are present in the finished drug product in a modified form, and that furnish the specified activity or effect.
"Alternate physician" means a physician licensed under A.R.S. Title 32 Chapter 13 or 17 who signs a drug therapy management agreement to temporarily assume responsibility for supervision and evaluation of the drug therapy management performed by a pharmacist when the supervisory physician is unavailable by direct telecommunication or physical presence at the practice site.
"Approved course in pharmacy law" means a continuing education activity that addresses practice issues related to state or federal pharmacy statutes, rules, or regulations.
"Approved Provider" means an individual, institution, organization, association, corporation, or agency that is approved by the Accreditation Council for Pharmacy Education (ACPE) in accordance with ACPE's policy and procedures or by the Board as meeting criteria indicative of the ability to provide quality continuing education.
"Authentication of product history" means identifying the purchasing source, the ultimate fate, and any intermediate handling of any component of a radiopharmaceutical or other drug.
"Automated storage and distribution system" means a mechanical system that performs operations or activities other than counting, compounding, or administration, relative to the storage, packaging, or distributing of drugs or devices and that collects, controls, and maintains all transaction information.
"Batch" means a specific quantity of drug that has uniform character and quality, within specified limits, and is produced according to a single manufacturing order during the same cycle of manufacture.
"Beyond-use date" means:
A date determined by a pharmacist and placed on a prescription label at the time of dispensing to indicate a time beyond which the contents of the prescription are not recommended to be used; or
A date determined by a pharmacist and placed on a compounded pharmaceutical product's label at the time of preparation as specified in R4-23-410(B)(3)(d), R4-23-410(I)(6)(e), or R4-23-410(J)(1)(d) to indicate a time beyond which the compounded pharmaceutical product is not recommended to be used.
"Biological safety cabinet" means a containment unit suitable for the preparation of low to moderate risk agents when there is a need for protection of the product, personnel, and environment, consistent with National Sanitation Foundation (NSF) standards, published in the National Sanitation Foundation Standard 49, Class II (Laminar Flow) Biohazard Cabinetry, NSF International P. O. Box 130140, Ann Arbor, MI, revised June 1987 edition, (and no future amendments or editions), incorporated by reference and on file with the Board.
"Care-giver" means a person who cares for someone who is sick or disabled or an adult who cares for an infant or child and includes a patient's husband, wife, son, daughter, mother, father, sister, brother, legal guardian, nurse, or medical practitioner.
"Community pharmacy" means any place under the direct supervision of a pharmacist where the practice of pharmacy occurs or where prescription orders are compounded and dispensed other than a hospital pharmacy or a limited service pharmacy.
"Component" means any ingredient used in compounding or manufacturing drugs in dosage form, including an ingredient that may not appear in the finished product.
"Compounding and dispensing counter" means a pharmacy counter working area defined in this Section where a pharmacist or a graduate intern, pharmacy intern, pharmacy technician, or pharmacy technician trainee under the supervision of a pharmacist compounds, mixes, combines, counts, pours, or prepares and packages a prescription medication to dispense an individual prescription order or prepackages a drug for future dispensing.
"Computer system" means an automated data-processing system that uses a programmable electronic device to store, retrieve, and process data.
"Computer system audit" means an accounting method, involving multiple single-drug usage reports and audits, used to determine a computer system's ability to store, retrieve, and process original and refill prescription dispensing information.
"Contact hour" means 50 minutes of participation in a continuing education activity sponsored by an Approved Provider.
"Container" means:
A receptacle, as described in the official compendium or the federal act, that is used in manufacturing or compounding a drug or in distributing, supplying, or dispensing the finished dosage form of a drug; or
A metal receptacle designed to contain liquefied or vaporized compressed medical gas and used in manufacturing, transfilling, distributing, supplying, or dispensing a compressed medical gas.
"Continuing education" means a structured learning process required of a licensed pharmacist to maintain licensure that includes study in the general areas of socio-economic and legal aspects of health care; the properties and actions of drugs and dosage forms; etiology, characteristics and therapeutics of disease status; or pharmacy practice.
"Continuing education activity" means continuing education obtained through an institute, seminar, lecture, conference, workshop, mediated instruction, programmed learning course, or postgraduate study in an accredited college or school of pharmacy.
"Continuing education unit" or "CEU" means 10 contact hours of participation in a continuing education activity sponsored by an Approved Provider.
"Correctional facility" has the same meaning as in A.R.S. §§ 13-2501 and 31-341.
"CRT" means a cathode ray tube or other mechanism used to view information produced or stored by a computer system.
"Current good compounding practices" means the minimum standards for methods used in, and facilities or controls used for, compounding a drug to ensure that the drug has the identity and strength and meets the quality and purity characteristics it is represented to possess.
"Current good manufacturing practice" means the minimum standard for methods used in, and facilities or controls used for manufacturing, processing, packing, or holding a drug to ensure that the drug meets the requirements of the federal act as to safety, and has the identity and strength and meets the quality and purity characteristics it is represented to possess.
"Cytotoxic" means a pharmaceutical that is capable of killing living cells.
"Day" means a calendar day unless otherwise specified.
"DEA" means the Drug Enforcement Administration as defined in A.R.S. § 32-1901.
"Delinquent license" means a pharmacist, pharmacy intern, graduate intern, or pharmacy technician license the Board suspends for failure to renew or pay all required fees on or before the date the renewal is due.
"Dietary supplement" means a product (other than tobacco) that:
Is intended to supplement the diet that contains one or more of the following dietary ingredients: a vitamin, a mineral, an herb or other botanical, an amino acid, a dietary substance for use by man to supplement the diet by increasing the total daily intake, or a concentrate, metabolite, constituent, extract, or combinations of these ingredients;
Is intended for ingestion in pill, capsule, tablet, or liquid form;
Is not represented for use as a conventional food or as the sole item of a meal or diet; and
Is labeled as a "dietary supplement."
"Digital signature" has the same meaning as in A.R.S. § 41-132(E).
"Dispensing pharmacist" means a pharmacist who, in the process of dispensing a prescription medication after the complete preparation of the prescription medication and before delivery of the prescription medication to a patient or patient's agent, verifies, checks, and initials the prescription medication label, as required in R4-23-402(A).
"Drug sample" means a unit of a prescription drug that a manufacturer provides free of charge to promote the sale of the drug.
"Drug therapy management" means any act or service provided by a pharmacist in compliance with a Board-approved drug therapy management agreement.
"Drug therapy management agreement" means a written protocol, approved and signed by a supervisory physician, alternate physician, and pharmacist that specifies the conditions under which a pharmacist:
Assesses patient status;
Orders and interprets laboratory tests; and
Modifies, implements, or monitors patient drug therapy.
"Electronic signature" has the same meaning as in A.R.S. § 44-7002.
"Eligible patient" means a patient who a pharmacist determines is eligible to receive an immunization using professional judgment after consulting with the patient regarding the patient's current health condition, recent health condition, and allergies.
"Extreme emergency" means the occurrence of a fire, water leak, electrical failure, public disaster, or other catastrophe constituting an imminent threat of physical harm to pharmacy personnel or patrons.
"FDA" means the Food and Drug Administration, a federal agency within the United States Department of Health and Human Services, established to set safety and quality standards for foods, drugs, cosmetics, and other consumer products.
"Immediate notice" means a required notice sent by mail, facsimile, or electronic mail to the Board Office within 24 hours.
"Inactive ingredient" means any component other than an "active ingredient" present in a drug.
"Internal test assessment" means performing quality assurance or other procedures necessary to ensure the integrity of a test.
"ISO Class 5 environment" means an atmospheric environment that complies with the ISO/TC209 International Cleanroom Standards, specifically ANSI/IEST/ISO-14644-1:1999: Cleanrooms and associated controlled environments--Part 1: Classification of air cleanliness, first edition dated May 1, 1999, (and no future amendments or editions), incorporated by reference and on file in the Board office.
"ISO Class 7 environment" means an atmospheric environment that complies with the ISO/TC209 International Cleanroom Standards, specifically ANSI/IEST/ISO-14644-1:1999: Cleanrooms and associated controlled environments--Part 1: Classification of air cleanliness, first edition dated May 1, 1999, (and no future amendments or editions), incorporated by reference and on file in the Board office.
"Limited-service correctional pharmacy" means a limited-service pharmacy, as defined in A.R.S. § 32-1901, that:
Holds a current Board permit under A.R.S. § 32-1931;
Is located in a correctional facility; and
Uses pharmacists, interns, and support personnel to compound, produce, dispense, and distribute drugs.
"Limited-service long-term care pharmacy" means a limited-service pharmacy, as defined in A.R.S. § 32-1901, that holds a current Board-issued permit and dispenses prescription medication or prescription-only devices to patients in long-term care facilities.
"Limited-service mail-order pharmacy" means a limited-service pharmacy, as defined in A.R.S. § 32-1901, that holds a current Board permit under A.R.S. § 32-1931 and dispenses a majority of its prescription medication or prescription-only devices by mailing or delivering the prescription medication or prescription-only device to an individual by the United States mail, a common or contract carrier, or a delivery service.
"Limited-service nuclear pharmacy" means a limited-service pharmacy, as defined in A.R.S. § 32-1901, that holds a current Board permit under A.R.S. § 32-1931 and provides radiopharmaceutical services.
"Limited-service pharmacy permittee" means a person who holds a current limited-service pharmacy permit in compliance with A.R.S. §§ 32-1929, 32-1930, 32-1931, and A.A.C. R4-23-606.
"Limited-service sterile pharmaceutical products pharmacy" means a limited-service pharmacy, as defined in A.R.S. § 32-1901, that holds a current Board permit under A.R.S. § 32-1931 and dispenses a majority of its prescription medication or prescription-only devices as sterile pharmaceutical products.
"Long-term care consultant pharmacist" means a pharmacist providing consulting services to a long-term care facility.
"Long-term care facility" or "LTCF" means a nursing care institution as defined in A.R.S. § 36-401 or an assisted living facility that:
Provides 24-hour, seven-day a week licensed nursing services to resident patients; and
Is licensed by the Arizona Department of Health Services.
"Lot" means a batch or any portion of a batch of a drug, or if a drug produced by a continuous process, an amount of drug produced in a unit of time or quantity in a manner that assures its uniformity. In either case, a lot is identified by a distinctive lot number and has uniform character and quality with specified limits.
"Lot number" or "control number" means any distinctive combination of letters or numbers, or both, from which the complete history of the compounding or manufacturing, control, packaging, and distribution of a batch or lot of a drug can be determined.
"Materials approval unit" means any organizational element having the authority and responsibility to approve or reject components, in-process materials, packaging components, and final products.
"Mechanical counting device for a drug in solid, oral dosage form" means a mechanical device that counts drugs in solid, oral dosage forms for dispensing and includes an electronic balance when used to count drugs.
"Mechanical storage and counting device for a drug in solid, oral dosage form" means a mechanical device that stores and counts and may package or label drugs in solid, oral dosage forms for dispensing.
"Mediated instruction" means information transmitted via intermediate mechanisms such as audio or video tape or telephone transmission.
"MPJE" means Multistate Pharmacy Jurisprudence Examination, a Board-approved national pharmacy law examination written and administered in cooperation with NABP.
"NABP" means National Association of Boards of Pharmacy.
"NABPLEX" means National Association of Boards of Pharmacy Licensure Examination.
"NAPLEX" means North American Pharmacist Licensure Examination.
"Order" means either of the following:
A prescription order as defined in A.R.S. § 32-1901; or
A medication order as defined in A.A.C. R4-23-651.
"Other designated personnel" means a non-pharmacist individual who is permitted in the pharmacy area, for a limited time, under the direct supervision of a pharmacist, to perform non-pharmacy related duties, such as trash removal, floor maintenance, and telephone or computer repair.
"Outpatient" means an individual who is not a residential patient in a health care institution.
"Outpatient setting" means a location that provides medical treatment to an outpatient.
"Patient profile" means a readily retrievable, centrally located information record that contains patient demographics, allergies, and medication profile.
"Pharmaceutical patient care services" means the provision of drug selection, drug utilization review, drug administration, drug therapy monitoring, and other drug-related patient care services intended to achieve outcomes related to curing or preventing a disease, eliminating or reducing a patient's symptoms, or arresting or slowing a disease process, by identifying and resolving or preventing potential and actual drug-related problems.
"Pharmaceutical product" means a medicinal drug.
"Pharmacist-administered immunizations training program" means an immunization training program for pharmacists that meets the requirements of R4-23-411(C).
"Pharmacy counter working area" means a clear and continuous working area that contains no major obstacles such as a desktop computer, computer monitor, computer keyboard, external computer drive device, printer, facsimile machine, pharmacy balance, typewriter, or pill-counting machine, but may contain individual documents or prescription labels, pens, prescription blanks, refill log, pill-counting tray, spatula, stapler, or other similar items necessary for the prescription-filling process.
"Pharmacy law continuing education" means a continuing education activity that addresses practice issues related to state or federal pharmacy statutes, rules, or regulations, offered by an Approved Provider.
"Pharmacy permittee" means a person who holds a current pharmacy permit that complies with A.R.S. §§ 32-1929, 32-1930, 32-1931, 32-1934, and A.A.C. R4-23-606 and R4-23-652.
"Precursor chemical" means a precursor chemical I as defined in A.R.S. § 13-3401(26) and a precursor chemical II as defined in A.R.S. § 13-3401(27).
"Prepackaged drug" means a drug that is packaged in a frequently prescribed quantity, labeled in compliance with A.R.S. §§ 32-1967 and 32-1968, stored, and subsequently dispensed by a pharmacist or a graduate intern or pharmacy intern under the supervision of a pharmacist, who verifies at the time of dispensing that the drug container is properly labeled, in compliance with A.R.S. § 32-1968, for the patient.
"Prep area" means a specified area either within an ISO class 7 environment or adjacent to but outside an ISO class 7 environment that:
Allows the assembling of necessary drugs, supplies, and equipment for compounding sterile pharmaceutical products, but does not allow the use of paper products such as boxes or bulk drug storage;
Allows personnel to don personnel protective clothing, such as gown, gloves, head cover, and booties before entering the clean compounding area; and
Is a room or a specified area within a room, such as an area specified by a line on the floor.
"Proprietor" means the owner of a business permitted by the Board under A.R.S. §§ 32-1929, 32-1930, 32-1931, and 32-1934.
"Provider pharmacy" means a pharmacy that contracts with a long-term care facility to supply prescription medication or other services for residents of a long-term care facility.
"Radiopharmaceutical" means any drug that emits ionizing radiation and includes:
Any nonradioactive reagent kit, nuclide generator, or ancillary drug intended to be used in the preparation of a radiopharmaceutical, but does not include drugs such as carbon-containing compounds or potassium-containing salts, that contain trace quantities of naturally occurring radionuclides; and
Any biological product that is labeled with a radionuclide or intended to be labeled with a radionuclide.
"Radiopharmaceutical quality assurance" means performing and interpreting appropriate chemical, biological, and physical tests on radiopharmaceuticals to determine the suitability of the radiopharmaceutical for use in humans and animals. Radiopharmaceutical quality assurance includes internal test assessment, authentication of product history, and appropriate record retention.
"Radiopharmaceutical services" means procuring, storing, handling, compounding, preparing, labeling, quality assurance testing, dispensing, distributing, transferring, recordkeeping, and disposing of radiochemicals, radiopharmaceuticals, and ancillary drugs. Radiopharmaceutical services include quality assurance procedures, radiological health and safety procedures, consulting activities associated with the use of radiopharmaceuticals, and any other activities required for the provision of pharmaceutical care.
"Red C stamp" means a device used with red ink to imprint an invoice with a red letter C at least one inch high, to make an invoice of a Schedule III through IV controlled substance, as defined in A.R.S. § 36-2501, readily retrievable, as required by state and federal rules.
"Refill" means other than the original dispensing of the prescription order, dispensing a prescription order in the same quantity originally ordered or in multiples of the originally ordered quantity when specifically authorized by the prescriber, if the refill is authorized by the prescriber:
In the original prescription order;
By an electronically transmitted refill order that the pharmacist promptly documents and files; or
By an oral refill order that the pharmacist promptly documents and files.
"Regulated chemical" means the same as in A.R.S. § 13-3401(30).
"Remodel" means to alter structurally the pharmacy area or location.
"Remote drug storage area" means an area that is outside the premises of the pharmacy, used for the storage of drugs, locked to deny access by unauthorized persons, and secured against the use of force.
"Resident" means a person admitted to and residing in a long-term care facility.
"Responsible person" means the owner, manager, or other employee who is responsible to the Board for a permitted establishment's compliance with the laws and administrative rules of this state and of the federal government pertaining to distribution of drugs, devices, precursor chemicals, and regulated chemicals. Nothing in this definition relieves other individuals from the responsibility to comply with state and federal laws and administrative rules.
"Score transfer" means the process that enables an applicant to take the NAPLEX in a jurisdiction and be eligible for licensure by examination in other jurisdictions.
"Security paper" means paper, referenced in A.R.S. § 32-1968(A)(4), that is approved by the Board or its staff and that includes one or more of the following features that attempt to prevent duplication or aid the authentication of a paper document: laid lines, enhanced laid lines, thermochromic ink, artificial watermark, fluorescent ink, chemical void, persistent void, penetrating numbers, high-resolution border, high-resolution latent images, micro-printing, prismatic printing, embossed images, abrasion ink, holograms, and foil stamping.
"Shared order filling" means the following:
Preparing, packaging, compounding, or labeling an order, or any combination of these functions, that are performed
by:
A person with a current Arizona Board license, located at an Arizona pharmacy, on behalf of and at the request of another resident or nonresident pharmacy; or
A person, located at a nonresident pharmacy, on behalf of and at the request of an Arizona pharmacy; and
Returning the filled order to the requesting pharmacy for delivery to the patient or patient's care-giver or, at the request of this pharmacy, directly delivering the filled order to the patient.
"Shared order processing" means the following:
Interpreting the order, performing order entry verification, drug utilization review, drug compatibility and drug
allergy review, final order verification, and when necessary, therapeutic intervention, or any combination of these order processing functions, that are performed by:
A pharmacist or intern, under pharmacist supervision, with a current Arizona Board license, located at an Arizona pharmacy, on behalf of and at the request of another resident or nonresident pharmacy: or
A pharmacist or intern, under pharmacist supervision, located at a nonresident pharmacy, on behalf of and at the request of an Arizona pharmacy; and
After order processing is completed, returning the processed order to the requesting pharmacy for order filling and delivery to the patient or patient's care-giver or, at the request of this pharmacy, returning the processed order to another pharmacy for order filling and delivery to the patient or patient's care-giver.
"Shared services" means shared order filling or shared order processing, or both.
"Sight-readable" means that an authorized individual is able to examine a record and read its information from a CRT, microfiche, microfilm, printout, or other method acceptable to the Board or its designee.
"Single-drug audit" means an accounting method that determines the numerical and percentage difference between a drug's beginning inventory plus purchases and ending inventory plus sales.
"Single-drug usage report" means a computer system printout of original and refill prescription order usage information for a single drug.
"Standard-risk sterile pharmaceutical product" means a sterile pharmaceutical product compounded from sterile commercial drugs using sterile commercial devices or a sterile pharmaceutical otic or ophthalmic product compounded from non-sterile ingredients.
"Sterile pharmaceutical product" means a medicinal drug free from living biological organisms.
"Strength" means:
The concentration of the drug substance (for example, weight/weight, weight/volume, or unit dose/volume basis); or
The potency, that is, the therapeutic activity of a drug substance as indicated by bioavailability tests or by controlled clinical data (expressed, for example, in terms of unity by reference to a standard).
"Substantial-risk sterile pharmaceutical product" means a sterile pharmaceutical product compounded as a parenteral or injectable dosage form from non-sterile ingredients.
"Supervision" means a pharmacist is present, assumes legal responsibility, and has direct oversight of activities relating to acquiring, preparing, distributing, and selling prescription medications by pharmacy interns, graduate interns, pharmacy technicians, or pharmacy technician trainees and when used in connection with the intern training requirements means that, in a pharmacy where intern training occurs, a pharmacy intern preceptor assumes the primary responsibility of teaching the intern during the entire period of the training.
"Supervisory physician" means a physician licensed under A.R.S. Title 32 Chapter 13 or 17 who:
Writes an order in a patient's medical record and signs a drug therapy management agreement authorizing a pharmacist to provide patient-specific drug therapy management, and
Assumes responsibility for the on-going supervision and evaluation of the drug therapy management performed by the pharmacist.
"Supplying" means selling, transferring, or delivering to a patient or a patient's agent one or more doses of:
A nonprescription drug in the manufacturer's original container for subsequent use by the patient, or
A compressed medical gas in the manufacturer's or compressed medical gas distributor's original container for subsequent use by the patient.
"Support personnel" means an individual, working under the supervision of a pharmacist, trained to perform clerical duties associated with the practice of pharmacy, including cashiering, bookkeeping, pricing, stocking, delivering, answering non-professional telephone inquiries, and documenting third-party reimbursement. Support personnel shall not perform the tasks of a pharmacist, pharmacy intern, graduate intern, pharmacy technician, or pharmacy technician trainee.
"Transfill" means a manufacturing process by which one or more compressed medical gases are transferred from a bulk container to a properly labeled container for subsequent distribution or supply.
"Verified signature" or "signature verifying" means in relation to a Board license or permit application or report, form, or agreement, the hand-written or electronic signature of an individual who, by placing a hand-written or electronic signature on a hard-copy or electronic license or permit application or report, form, or agreement agrees with and verifies that the statements and information within or attached to the license or permit application or report, form, or agreement are true in every respect and that inaccurate reporting can result in denial or loss of a license or permit or report, form, or agreement.
"Wholesale distribution" means distribution of a drug to a person other than a consumer or patient, but does not include:
Selling, purchasing, or trading a drug or offering to sell, purchase, or trade a drug for emergency medical reasons. For purposes of this Section, "emergency medical reasons" includes transferring a prescription drug by a community or hospital pharmacy to another community or hospital pharmacy to alleviate a temporary shortage;
Selling, purchasing, or trading a drug, offering to sell, purchase, or trade a drug, or dispensing a drug as specified in a prescription;
Distributing a drug sample by a manufacturers' or distributors' representative; or
Selling, purchasing, or trading blood or blood components intended for transfusion.
"Wholesale distributor" means any person engaged in wholesale distribution of drugs, including: manufacturers; repackers; own-label distributors; private-label distributors; jobbers; brokers; warehouses, including manufacturers' and distributors' warehouses, chain drug warehouses, and wholesale drug warehouses; independent wholesale drug traders; and retail pharmacies that conduct wholesale distributions in the amount of at least 5% of gross sales.
Historical Note
Adopted effective August 24, 1992 (Supp. 92-2). Amended effective December 18, 1992 (Supp. 92-4). Amended effective November 1, 1993 (Supp. 93-4). Amended effective April 1, 1995; filed with the Secretary of State January 31, 1995 (Supp. 95-1). Amended effective April 5, 1996 (Supp. 96-2). Amended effective July 8, 1997; amended effective August 5, 1997 (Supp. 97-3). Amended effective January 12, 1998 (Supp. 98-1). Amended effective July 7, 1998 (Supp. 98-3). Amended by final rulemaking at 5 A.A.R. 862, effective March 3, 1999 (Supp. 99-1). Amended by final rulemaking at 5 A.A.R. 4441, effective November 2, 1999 (Supp. 99-4). Amended by final rulemaking at 6 A.A.R. 4589, effective November 14, 2000 (Supp. 00-4). Amended by final rulemaking at 7 A.A.R. 646, effective January 11, 2001 (Supp. 01-1). Amended by final rulemaking at 8 A.A.R. 409 and 8 A.A.R. 646, effective January 10, 2002 (Supp. 02-1). Amended by final rulemaking at 8 A.A.R. 416, effective January 10, 2002 (Supp. 02-1). Amended by final rulemaking at 8 A.A.R. 1256, effective March 7, 2002 (Supp. 02-1). Amended by final rulemaking at 8 A.A.R. 4052, effective November 9, 2002 (Supp. 02-3). Amended by final rulemaking at 8 A.A.R. 4898 and 8 A.A.R. 4902, effective January 5, 2003 (Supp. 02-4). Amended by final rulemaking at 9 A.A.R. 1064, effective May 4, 2003 (Supp. 03-1). Amended by final rulemaking at 9 A.A.C. 5030, effective January 3, 2004 (Supp. 03-4). Amended by final rulemaking at 10 A.A.R. 1192, effective May 1, 2004 (Supp. 04-1). Amended by final rulemaking at 10 A.A.R. 3391, effective October 2, 2004 (Supp. 04-3). Amended by final rulemaking at 10 A.A.R. 3967, effective November 13, 2004 (Supp. 04-3). Amended by final rulemaking at 10 A.A.R. 4356, effective December 4, 2004 (Supp. 04-4). Amended by final rulemaking at 11 A.A.R. 2258, effective August 6, 2005 (Supp. 05-2). Amended by final rulemaking at 12 A.A.R. 3032, effective October 1, 2006 (Supp. 06-3). Amended by final rulemaking at 12 A.A.R. 3981, effective December 4, 2006 (Supp. 06-4). Amended by final rulemaking at 13 A.A.R. 520, effective April 7, 2007 (Supp. 07-1). Amended by final rulemaking at 13 A.A.R. 440, effective April 7, 2007 (Supp. 07-1). Amended by final rulemaking at 13 A.A.R. 616, effective April 7, 2007 (Supp. 07-1). Amended by final rulemaking at 13 A.A.R. 3477, effective December 1, 2007 (Supp. 07-4).
R4-23-111. Notice of Hearing
A. Except as provided in A.R.S. § 32-1928(B), the Board shall revoke, suspend, place on probation, or fine a licensee or permittee only after:
1. Notice is served under this Section, and
2. A hearing is conducted under R4-23-122.
B. The Board shall give notice of hearing to a party at least 30 days before the date set for the hearing in the manner described in R4-23-115(E) and (F). The notice shall include:
1. A statement of the date, time, place, and nature of the hearing;
2. A statement of the legal authority and jurisdiction for the hearing;
3. A reference to the particular section or sections of statute and rule involved; and
4. A statement of the violation or issue asserted by the Board.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-112. Ex Parte Communications
A party shall not communicate, either directly or indirectly, with a Board member about any substantive issue in a pending matter unless:
1. All parties are present;
2. It is during a scheduled proceeding, where an absent party fails to appear after proper notice; or
3. It is by written motion with copies to all parties.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-113. Motions
A. Purpose. A party requesting a ruling from the Board shall file a motion. Motions may be made for rulings such as:
1. Continuing or expediting a hearing under R4-23-116;
2. Vacating a hearing under R4-23-117;
3. Scheduling a prehearing conference under R4-23-118;
4. Quashing a subpoena under R4-23-119;
5. Requesting telephonic testimony under R4-23-120; and
6. Reconsidering a previous order under R4-23-121.
B. Form. Unless made during a prehearing conference or hearing, motions shall be made in writing and shall conform to the requirements of R4-23-115. All motions, whether written or oral, shall state the factual and legal grounds supporting the motion, and the requested action.
C. Time limits. Absent good cause, or unless otherwise provided by law or these rules, written motions shall be filed with the Board office at least 15 days before the hearing. A party demonstrates good cause by showing that the grounds for the motion could not have been known in time, using reasonable diligence and:
1. A ruling on the motion will further administrative convenience, expedition or economy; or
2. A ruling on the motion will avoid undue prejudice to any party.
D. Response to motion. A party shall file a written response stating any objection to the motion within five days of service, or as directed by the Board.
E. Oral argument. A party may request oral argument when filing a motion or response. If necessary to develop a complete record, the Board shall grant oral argument.
F. Rulings. Rulings on motions, other than those made during a prehearing conference or the hearing, shall be in writing and served on all parties.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-114. Computing Time
In computing any time period, the Board shall exclude the day from which the designated time period begins to run. The Board shall include the last day of the period unless it falls on a Saturday, Sunday, or legal holiday. When the time period is 10 days or less, the Board shall exclude Saturdays, Sundays, and legal holidays.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-115. Filing Documents
A. Docket. The Board shall open a docket for each hearing. All documents filed in a matter with the Board shall be date stamped on the day received by the Board office and entered in the docket.
B. Definition. "Documents" include papers such as complaints, answers, motions, responses, notices, and briefs.
C. Form. A party shall state on the document the name and address of each party served and how service was made under subsection (E). A document shall contain the Board caption and the Board's docket number.
D. Signature. A document filed with the Board shall be signed by the party or the party's attorney. A signature constitutes a certification that the signer has read the document, has a good faith basis for submission of the document, and that it is not filed for the purpose of delay or harassment.
E. Filing and service. A copy of a document filed with the Board shall be served on all parties. Filing with the Board office and service shall be completed by personal delivery; first-class, certified, or express mail; or facsimile.
F. Date of filing and service. A document is filed with the Board on the date it is received by the Board office, as established by the Board office's date stamp on the face of the document. A copy of a document is served on a party as follows:
1. On the date it is personally served,
2. Five days after it is mailed by first-class or express mail,
3. On the date of the return receipt if it is mailed by certified mail, or
4. On the date indicated on the facsimile transmission.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-116. Continuing or Expediting a Hearing; Reconvening a Hearing
A. Continuing or expediting a hearing. When ruling on a motion to continue or expedite, the Board shall consider such factors as:
1. The time remaining between the filing of the motion and the hearing date;
2. The position of other parties;
3. The reasons for expediting the hearing or for the unavailability of the party, representative, or counsel on the date of the scheduled hearing;
4. Whether testimony of an unavailable witness can be taken telephonically or by deposition; and
5. The status of settlement negotiations.
B. Reconvening a hearing. The Board may recess a hearing and reconvene at a future date by a verbal ruling.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-117. Vacating a Hearing
The Board shall vacate a calendared hearing and return the matter to the Board office for further action, if:
1. The parties agree to vacate the hearing;
2. The Board dismisses the matter;
3. The non-Board party withdraws the appeal; or
4. Facts demonstrate to the Board that it is appropriate to vacate the hearing for the purpose of informal disposition, or if the action will further administrative convenience, expedition, and economy and does not conflict with law or cause undue prejudice to any party.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-118. Prehearing Conference
A. Procedure. The Board may hold a prehearing conference. The conference may be held telephonically. The Board may issue a prehearing order outlining the issues to be discussed.
B. Record. The Board may record any agreements reached during a prehearing conference by electronic or mechanical means, or memorialize them in an order.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-119. Subpoenas
A. Form. A party shall request a subpoena in writing from the Board and shall include:
1. The caption and docket number of the matter;
2. A list or description of any documents sought;
3. The full name and home or business address of the custodian of the documents sought or all persons to be subpoenaed;
4. The date, time, and place to appear or to produce documents pursuant to the subpoena; and
5. The name, address, and telephone number of the party, or the party's attorney, requesting the subpoena.
B. The Board may require a brief statement of the relevance of testimony or documents.
C. Service of subpoena. Any person who is not a party and is at least 18 years of age may serve a subpoena. The person shall serve the subpoena by delivering a copy to the person to be served. The person serving the subpoena shall provide proof of service by filing with the Board office a certified statement of the date and manner of service and the names of the persons served.
D. Objection to subpoena. A party, or the person served with a subpoena who objects to the subpoena, or any portion of it, may file an objection with the Board. The objection shall be filed within five days after service of the subpoena, or at the outset of the hearing if the subpoena is served fewer than five days before the hearing.
E. Quashing, modifying subpoenas. The Board shall quash or modify a subpoena if:
1. It is unreasonable or oppressive, or
2. The desired testimony or evidence may be obtained by an alternative method.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-120. Telephonic Testimony
The Board may grant a motion for telephonic testimony if:
1. Personal attendance by a party or witness at the hearing will present an undue hardship for the party or witness;
2. Telephonic testimony will not cause undue prejudice to any party; and
3. The proponent of the telephonic testimony pays for any cost of obtaining the testimony telephonically.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-121. Rights and Responsibilities of Parties
A. Generally. A party may present testimony and documentary evidence and argument with respect to the contested issue and may examine and cross-examine witnesses.
B. Preparation. A party shall have all witnesses, documents, and exhibits available on the date of the hearing.
C. Exhibits. A party shall provide a copy of each exhibit to all other parties at the time the exhibit is offered to the Board, unless the exhibit was previously provided to all other parties.
D. Responding to orders. A party shall comply with an order issued by the Board concerning the conduct of a hearing. Unless an objection is made orally during a pre-hearing conference or hearing, a party shall file a motion requesting the Board to reconsider the order.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-122. Conduct of Hearing
A. Public access. Unless otherwise provided by law, all hearings are open to the public and may be conducted in an informal manner as prescribed in A.R.S. § 41-1092 et seq.
B. Opening. The Board shall begin the hearing by reading the caption, stating the nature and scope of the hearing, and identifying the parties, counsel, and witnesses for the record.
C. Stipulations. The Board shall enter into the record any stipulation, settlement agreement, or consent order entered into by any of the parties before or during the hearing.
D. Opening statements. The party with the burden of proof may make an opening statement at the beginning of a hearing. All other parties may make statements in a sequence determined by the Board.
E. Order of presentation. After opening statements, the party with the burden of proof shall begin the presentation of evidence, unless the parties agree otherwise or the Board determines that requiring another party to proceed first would be more expeditious or appropriate, and would not prejudice any other party. Copies of documentary evidence may be received in the discretion of the Board. Upon request, parties shall be given an opportunity to compare the copy with the original.
F. Examination. A party shall conduct direct and cross examination of witnesses in the order and manner determined by the Board to expedite and ensure a fair hearing. The Board shall make rulings necessary to prevent argumentative, repetitive, or irrelevant questioning and to expedite the examination to the extent consistent with the disclosure of all relevant testimony and information. The Board may take notice of judicially cognizable facts. In addition, the Board may take notice of generally recognized technical or scientific facts within the Board's or its staff's specialized knowledge. A party shall be notified either before or during the hearing or by reference in preliminary reports of the material the Board notices. The Board may use the Board's or its staff's experience, technical competence, and specialized knowledge in the evaluation of the evidence.
G. Closing argument. When all evidence has been received, parties shall have the opportunity to present closing oral argument, in a sequence determined by the Board. The Board may permit or require closing oral argument to be supplemented by written memoranda. The Board may permit or require written memoranda to be submitted simultaneously or sequentially, within time periods the Board may prescribe.
H. Conclusion of hearing. Unless otherwise provided by the Board, the hearing is concluded upon the submission of all evidence, the making of final argument, and the issuing of a final decision or order of the Board.
I. Decisions and orders. Unless otherwise provided by law, any final decisions or order adverse to a party in a hearing shall be in writing or stated in the record. Any final decision shall include findings of fact and conclusions of law, separately stated. Findings of fact shall be accompanied by a concise and explicit statement of the underlying facts supporting the findings. Unless otherwise provided by law, each party shall be notified either personally or by mail to the party's last known address of record of any decision or order. Upon request, a copy of the decision or order shall be delivered or mailed to each party and to each party's attorney of record.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-123. Failure of Party to Appear for Hearing
If a party fails to appear at a hearing, the Board may proceed with the presentation of the evidence of the appearing party, or vacate the hearing and return the matter to the Board office for any further action.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-124. Witnesses; Exclusion from Hearing
All witnesses at the hearing shall testify under oath or affirmation. At the request of a party, or at the discretion of the Board, the Board may exclude witnesses who are not parties from the hearing room so that they cannot hear the testimony of other witnesses.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-125. Proof
A. Standard of proof. Unless otherwise provided by law, the standard of proof is a preponderance of the evidence.
B. Burden of proof. Unless otherwise provided by law:
1. The party asserting a claim, right, or entitlement has the burden of proof;
2. A party asserting an affirmative defense has the burden of establishing the affirmative defense; and
3. The proponent of a motion shall establish the grounds to support the motion.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-126. Disruptions
A person shall not interfere with access to or from the hearing room, or interfere, or threaten interference with the hearing. If a person interferes, threatens interference, or disrupts the hearing, the Board may order the disruptive person to leave or be removed.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-127. Hearing Record
A. Maintenance. The Board shall maintain the official administrative record of a matter.
B. Transfer of record. Any party requesting a copy of the administrative record or any portion of the administrative record shall make a request to the Board office and shall pay the reasonable costs of duplication.
C. Release of exhibits. Exhibits shall be released:
1. Upon the order of a court of competent jurisdiction; or
2. Upon motion of the party who submitted the exhibits if the time for judicial appeal has expired and no appeal is pending.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-128. Rehearing or Review and Appeal of Decision
A. The Board shall provide for a rehearing and review of it decisions under A.R.S. Title 41, Chapter 6, Article 10, and this Section. For purposes of these rules, the terms "contested case" and "party" are defined in A.R.S. § 41-1001.
B. A party to a contested case shall exhaust the party's administrative remedies by filing a motion for rehearing or review within 30 days after the service of the Board decision that is subject to rehearing or review in order to be eligible for judicial review under A.R.S. Title 12, Chapter 7, Article 6. The Board shall notify a party in its decision, that is subject to rehearing or review, that the party may file a motion for rehearing or review, and that failure to file a motion for rehearing or review within 30 days after service of the decision has the effect of prohibiting the party from seeking judicial review of the Board's decision.
C. A party may amend a motion for rehearing or review at any time before the Board rules on the motion.
D. The Board may grant a rehearing or review for any of the following reasons materially affecting a party's rights:
1. Irregularity in the proceedings of the Board, or any order or abuse of discretion, that deprived the moving party of a fair hearing;
2. Misconduct of the Board, its staff, its hearing officer, or the prevailing party;
3. Accident or surprise that could not have been prevented by ordinary prudence;
4. Newly discovered material evidence that could not, with reasonable diligence, have been discovered and produced at the hearing;
5. Excessive or insufficient penalty;
6. Error in the admission or rejection of evidence or other errors of law occurring at the hearing or during the progress of the proceedings;
7. That the Board's decision is a result of passion or prejudice; or
8. That the findings of fact or decision is not justified by the evidence or is contrary to law.
E. The Board may affirm or modify a decision or grant a rehearing to all or any of the parties on all or part of the issues for any of the reasons in subsection (D). An order modifying a decision or granting a rehearing shall specify with particularity the grounds for the order.
F. If a motion for rehearing or review is based upon affidavits, they shall be served with the motion. An opposing party may, within 15 days after service, serve opposing affidavits. The Board may extend this period for a maximum of 20 days, for good cause as described in subsection (I).
G. Not later than 10 days after the date of a decision, after giving parties notice and an opportunity to be heard, the Board may grant a rehearing or review on its own initiative for any reason for which it might have granted relief on the motion of a party. The Board may grant a motion for rehearing or review, timely served, for a reason not stated in the motion.
H. If a rehearing is granted, the Board shall hold the rehearing within 60 days after the order granting the rehearing is issued.
I. The Board may extend all time limits listed in this Section upon a showing of good cause. A party demonstrates good cause by showing that the grounds for the party's motion or other action could not have been known in time, using reasonable diligence, and a ruling on the motion will:
1. Further administrative convenience, expedition, or economy; or
2. Avoid undue prejudice to any party.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
R4-23-129. Notice of Judicial Appeal; Transmitting the Transcript
A. Notification to the Board office. Within 10 days of filing a complaint for judicial review of a final administrative decision of the Board, the party shall file a copy of the complaint with the Board office. The Board office shall then transmit the administrative record to the Superior Court.
B. Transcript. A party requesting a transcript shall arrange for transcription at the party's expense. The Board office shall make a copy of the audio taped record available to the transcriber. The party arranging for transcription shall deliver the transcript, certified by the transcriber under oath to be a true and accurate transcription of the audio taped record, to the Board office, together with one unbound copy.
Historical Note
New Section made by final rulemaking at 10 A.A.R. 1132, effective May 1, 2004 (Supp. 04-1).
ARTICLE 2. PHARMACIST LICENSURE
R4-23-201. General
A. License required. Before practicing as a pharmacist in Arizona, a person shall possess a valid pharmacist license issued by the Board. There is no temporary licensure.
B. Methods of licensure. Licensure as a pharmacist shall be either:
1. By practical examination, using paper and pencil written testing, computer adaptive testing, or other Board-approved testing method; or
2. By reciprocity.
C. Practicing pharmacist holding a delinquent license. Before the Board reinstates an Arizona pharmacist license, a pharmacist, whose Arizona pharmacist license is delinquent for five or more years and who is practicing pharmacy outside the Board's jurisdiction with a pharmacist license issued by another jurisdiction, shall:
1. Pass the MPJE or other Board-approved jurisprudence examination,
2. Pay all delinquent annual renewal fees, and
3. Pay penalty fees.
D. Non-practicing pharmacist holding a delinquent license. Before the Board reinstates an Arizona pharmacist license, a pharmacist, whose Arizona pharmacist license is delinquent for five or more years and who did not practice pharmacy within the last 12 months before seeking reinstatement, shall:
1. Complete the requirements in subsection (C), and
2. Appear before the Board to furnish satisfactory proof of fitness to be licensed as a pharmacist.
Historical Note
Former Rules 2.1100, 2.1310, 2.1320, and 2.1400. Amended effective August 23, 1978 (Supp. 78-4). Amended by deleting subsection (E) effective April 20, 1982 (Supp. 82-2). Amended subsections (C) and (D) effective August 12, 1988 (Supp. 88-3). Amended effective February 8, 1991 (Supp. 91-1). Amended effective January 12, 1998 (Supp. 98-1). Amended by final rulemaking at 10 A.A.R. 4356, effective December 4, 2004 (Supp. 04-4).
R4-23-202. Licensure by Examination
A. Eligibility. To be eligible for licensure as a pharmacist by examination, a person shall:
1. Have an undergraduate degree in pharmacy from a school or college of pharmacy whose professional degree program, at the time the person graduates, is accredited by the American Council on Pharmaceutical Education; or
2. Qualify under the requirements of A.R.S. § 32-1922(D); and
3. Complete not less than 1500 hours of intern training as specified in R4-23-303.
B. Application.
1. An applicant for licensure by examination shall file with the Board office:
a. A completed application for licensure by examination form,
b. A completed NAPLEX registration form or ensure receipt of an official NABP score transfer report through the Board office online computer link with NABP indicating the applicant's score on the NAPLEX taken in another jurisdiction, and
c. A completed MPJE registration form.
2. The Board office shall deem an application or registration form received on the date that the Board office stamps on the form as that form is received by the Board office. The Board office shall deem a score transfer received on the date that the NABP transmits the applicant's official NABP score transfer report through the online computer link to the Board office.
3. An applicant for licensure by examination shall:
a. Make application on a form furnished by the Board, and
b. Submit with the application for licensure by examination form:
i. The documents specified in the application form, and
ii. The examination fee specified in R4-23-205(C) made payable to the Arizona State Board of Pharmacy by money order or certified or personal check.
4. An applicant for licensure by examination shall:
a. Make NAPLEX and MPJE registration on forms furnished by the Board or NABP; and
b. Submit with the registration forms:
i. The documents specified in the registration forms, and
ii. The examination fee specified by and made payable to NABP by money order, certified check, or bank draft.
5. The Board shall deem an application for licensure by examination or a NAPLEX or MPJE registration to be invalid after 12 months from the date the Board office determines an application or registration form is complete. An applicant whose application or registration form is invalid and who wishes to continue licensure procedures, shall submit a new application or registration form and fee.
C. Passing grade; notification; re-examination.
1. To pass the required examinations, an applicant shall obtain a score of at least 75 on both the NAPLEX and MPJE.
2. The Board office shall:
a. Retrieve an applicant's NAPLEX and MPJE score from the NABP online database no later than two weeks after the applicant's examination date; and
b. Mail an applicant's NAPLEX and MPJE score to the applicant no later than seven days after the Board office receives the applicant's score from NABP.
3. An applicant who fails the NAPLEX or MPJE may apply to retake the examination within the 12-month period defined in subsection (B)(5). An applicant applying to retake an examination shall submit to the Board office a completed NAPLEX or MPJE registration form and pay the examination fee specified by and made payable to NABP by money order, certified check, or bank draft. An applicant who fails the NAPLEX or MPJE three times shall petition the Board for permission before retaking the examination.
D. NAPLEX score transfer.
1. An applicant who receives a passing score on the NAPLEX taken in another jurisdiction shall, within 12 months from the date the Board office receives the applicant's official NABP score transfer report from the NABP, make application for licensure according to subsection (B). After 12 months, an applicant may reapply for licensure in this state under the provisions of subsection (B) or R4-23-203(B).
2. An applicant who takes the NAPLEX in another jurisdiction and fails the examination may apply for licensure in this state under the provisions of subsection (B).
E. Licensure. The Board office shall issue a certificate of licensure to a successful applicant upon receipt of the licensure fee specified in R4-23-205(A)(1)(a). The Board office shall:
1. Provide a receipt for payment of the licensure fee to an applicant who delivers a payment in person, or
2. Mail a receipt for payment of the licensure fee to an applicant within one working day of receiving the payment by mail or other delivery service.
F. Time-frames for licensure by examination.
1. The Board office shall complete an administrative completeness review within 20 days from the date of receipt of an application or registration form.
a. The Board office shall issue a written notice of administrative completeness to the applicant if no deficiencies are found in the application or registration form.
b. If the application or registration form is incomplete, the Board office shall provide the applicant with a written notice that includes a comprehensive list of the missing information. The 20-day time-frame for the Board office to finish the administrative completeness review is suspended from the date the notice of incompleteness is served until the applicant provides the Board office with all missing information.
c. If the Board office does not provide the applicant with notice regarding administrative completeness, the application or registration form shall be deemed complete 20 days after receipt by the Board office.
2. An applicant with an incomplete application or registration form shall submit all of the missing information within 30 days of service of the notice of incompleteness.
a. If an applicant cannot submit all missing information within 30 days of service of the notice of incompleteness, the applicant may send a written request for an extension to the Board office postmarked or delivered no later than 30 days from service of the notice of incompleteness.
b. The written request for an extension shall document the reasons the applicant is unable to meet the 30-day deadline.
c. The Board office shall review the request for an extension of the 30-day deadline and grant the request if the Board office determines that an extension of the deadline will enable the applicant to assemble and submit the missing information. An extension shall be for no more than 30 days. The Board office shall notify the applicant in writing of its decision to grant or deny the request for an extension. An applicant who requires an additional extension shall submit an additional written request according to this subsection.
3. If an applicant fails to submit a complete application or registration form within the time allowed, the Board office shall close the applicant's file. An applicant whose file is closed and who later wishes to obtain a license shall apply again according to subsection (B).
4. The Board office shall complete a substantive review of the applicant's qualifications in no more than 20 days from the date on which the administrative completeness review of an application or registration form is complete.
a. If an applicant is found to be ineligible for licensure by examination, the Board office shall issue a written notice of denial to the applicant.
b. If an applicant is found to be eligible to take the NAPLEX, the Board office shall issue a written notice of eligibility to the applicant and the NABP.
c. If an applicant is found to be eligible to take the MPJE, the Board office shall issue a written notice of eligibility to the applicant and the NABP.
d. If the Board office finds deficiencies during the substantive review of an application or registration form, the Board office shall issue a written request to the applicant for additional documentation.
e. The 20-day time-frame for a substantive review of eligibility to take the NAPLEX or MPJE is suspended from the date of a written request for additional documentation until the date that all documentation is received. The applicant shall submit the additional documentation according to subsection (F)(2).
f. If the applicant and the Board office mutually agree in writing, the 20-day substantive review time-frame may be extended once for no more than 10 days.
5. For the purpose of A.R.S. § 41-1072 et seq., the Board establishes the following time-frames for licensure by examination.
a. Administrative completeness review time-frame: 20 days.
b. Substantive review time-frame: 20 days.
c. Overall time-frame: 40 days.
Historical Note
Former Rules 2.2100, 2.2200, 2.2300, 2.2400, 2.2500, 2.2600, 2.2700, 2.2800, 2.2910, 2.2920, 2.2930, 2.3000, 2.3010, 2.3100; Amended effective August 23, 1978 (Supp. 78-5). Amended effective June 10, 1981 (Supp. 81-3). Former Section R4-23-202 repealed, new Section R4-23-202 adopted effective July 24, 1985 (Supp. 85-4). Amended effective March 13, 1991 (Supp. 91-1). Amended effective January 12, 1998 (Supp. 98-1). Amended by final rulemaking at 8 A.A.R. 409 and 8 A.A.R. 646, effective January 10, 2002 (Supp. 02-1). Amended by final rulemaking at 10 A.A.R. 4356, effective December 4, 2004 (Supp. 04-4). Amended by final rulemaking at 12 A.A.R. 4689, effective February 3, 2007 (Supp. 06-4).
R4-23-203. Licensure by Reciprocity
A. Eligibility. A person is eligible for licensure by reciprocity who:
1. Is licensed as a pharmacist in a jurisdiction that provides reciprocity to Arizona licensees;
2. Has passed the NABPLEX or NAPLEX with a score of 75 or better or was licensed by examination in another jurisdiction having essentially the same standards for licensure as this state at the time the pharmacist was licensed;
3. Provides evidence to the Board of having completed the required secondary and professional education and training specified in R4-23-202(A);
4. Has engaged in the practice of pharmacy for at least one year or has met the internship requirements of Article 3 within the year immediately before the date of application; and
5. Has actively practiced as a pharmacist for 400 or more hours within the last calendar year or has an Arizona graduate intern license and has completed 400 hours of internship training in a Board-approved internship training site.
B. Application.
1. An applicant for licensure by reciprocity shall file with the Board office:
a. A completed application for licensure by reciprocity form; and
b. A completed MPJE registration form.
2. The Board office shall deem an application or registration form received on the date that the Board office stamps on the application or registration form as that form is received by the Board office.
3. An applicant for licensure by reciprocity shall: