SB 294, as amended, Emmerson. Sterile drug products.
The
end deletebegin insert(1)end insertbegin insert end insertbegin insertTheend insert Pharmacy Law provides for the licensure and regulation of pharmacists and pharmacy corporations in this state by the California State Board of Pharmacy. Existing law requires the board to adopt regulations establishing standards for compounding injectable sterile drug products in a pharmacy. Existing law requires pharmacies to obtain a license from the board, subject to annual renewal, in order to compound injectable sterile drug products. A similar licensing requirement applies to nonresident pharmacies compounding injectable sterile drug products for shipment into California. A violation of the Pharmacy Law is a crime.
This bill would expand these provisions to prohibit a pharmacy from compounding or dispensing, and a nonresident pharmacy from compounding for shipment into this state, sterile drug products for injection, administration into the eye, or inhalation, unless the pharmacy has obtained a sterile compounding pharmacy license from the board. The bill would specify requirements for the board forbegin insert theend insert issuance or renewal of a license, and requirements for the pharmacy as a licensee. By adding additional requirements to the Pharmacy Law concerning sterile drug products, the violation of which is a crime, the bill would impose a state-mandated local program.
Existing
end deletebegin insert(2)end insertbegin insert end insertbegin insertExistingend insert law specifies the fee for issuance or renewal of a nongovernmental license to compound sterile drug products.
This bill wouldbegin delete provide that the fee for a nonresident sterile compounding pharmacy license shall also require payment of the travel expenses incurred by the board in inspecting the pharmacy at least once annuallyend deletebegin insert
			 require the board to establish, by regulation, the fee for the issuance or renewal of a nonresident sterile compounding pharmacy license, in an amount not to exceed the reasonable regulatory costs of issuing and renewing the license, or $2,800, whichever is less. The bill would also require the nonresident sterile compounding pharmacy to reimburse the board for all costs incurred by the board in conducting an inspection of the pharmacy at least once annually, including, but not limited to, travel expenses, meals, lodging, and other actual and necessary costs incurred by the board in connection with the inspection. The failure to reimburse the board for these costs within 30 days of the inspection would result in the suspension of the nonresident sterile compounding pharmacy licenseend insert.
(3) The provisions of the bill would become operative on July 1, 2014.
end insertThe
end deletebegin insert (4)end insertbegin insert end insertbegin insertTheend insert California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: yes.
The people of the State of California do enact as follows:
The heading of Article 7.5 (commencing with 
2Section 4127) of Chapter 9 of Division 2 of the Business and 
3Professions Code is amended to read:
Section 4127 of the Business and Professions Code is 
4repealed.
begin insertSection 4127 of the end insertbegin insertBusiness and Professions Codeend insertbegin insert is 
6amended to read:end insert
begin insert(a)end insertbegin insert end insert The board shall adopt regulations establishing 
8standards for compounding injectable sterile drug products in a 
9pharmacy.
10(b) This section shall become inoperative on July 1, 2014, and, 
11as of January 1, 2015, is repealed, unless a later enacted statute, 
12that becomes operative on or before January 1, 2015, deletes or 
13extends the dates on which it becomes inoperative and is repealed.
Section 4127 is added to the Business and Professions 
15Code, to read:
begin insert(a)end insertbegin insert end insert A pharmacy that compounds sterile drug products 
17for injection, administration into the eye, or inhalation shall possess 
18a sterile compounding pharmacy license as provided in this article 
19before dispensing the compounded medication.
20(b) This section shall become operative on July 1, 2014.
end insertSection 4127.1 of the Business and Professions Code
22 is amended to read:
(a) A pharmacy shall not compound sterile drug 
24products unless the pharmacy has obtained a sterile compounding 
25pharmacy license from the board pursuant to this section. The 
26license shall be renewed annually and is not transferable.
27(b) A license to compound sterile drug products
						shall be issued 
28only to a location that is licensed as a pharmacy. Furthermore, the 
29license to compound sterile drug products shall be issued only to 
30the owner of the pharmacy licensed at that location. A license to 
31compound sterile drug products shall not be issued until the 
32location is inspected by the board and found in compliance with 
33this article and regulations adopted by the board.
34(c) A license to compound sterile drug products shall not be 
35issued or renewed until the board does all of the following:
36(1) Performs an onsite inspection of the premises, and any 
37deficiencies noted are corrected.
38(2) Reviews a current copy of the pharmacy’s policies and 
39procedures for sterile compounding.
P4    1(3) Reviews the pharmacy’s completed self-assessment form 
2required by Section 1735.2 of Title 16 of the California Code of 
3Regulations.
4(4) Is provided with copies of all inspection reports conducted 
5of the pharmacy’s premises, and any reports from a private 
6accrediting agency, conducted in the prior 12 months documenting 
7the pharmacy’s operations.
8(5) Receives a list of all sterile medications compounded by the 
9pharmacy since the last license renewal.
10(d) A pharmacy licensed pursuant to this section shall do all of 
11the following:
12(1) Provide to the board a copy of any disciplinary or other 
13action
						taken by another state within 10 days of the action.
14(2) Notify the board within 10 days of the suspension of any 
15accreditation held by the pharmacy.
16(3) Provide to the board, within 24 hours, any recall notice 
17issued by the pharmacy for sterile drug products it has 
18compounded.
19(e) Adverse effects reported or potentially attributable to a 
20pharmacy’s sterile drug product shall be immediately reported to 
21the board and the MedWatch program of the federal Food and 
22Drug Administration.
23(f) The reconstitution of a sterile powder shall not require a 
24license pursuant to this section if both of the following are met:
25(1) The sterile powder was obtained from a manufacturer.
26(2) The drug is reconstituted for administration to patients by 
27a health care professional licensed to administer drugs by injection 
28pursuant to this division.
Section 4127.2 of the Business and Professions Code
30 is amended to read:
(a) A nonresident pharmacy shall not compound sterile 
32drug products for shipment into this state without a sterile 
33compounding pharmacy license issued by the board pursuant to 
34this section. The license shall be renewed annually and shall not 
35be transferable.
36(b) A license to compound sterile drug products shall be issued 
37only to a location that is licensed as a nonresident pharmacy. 
38Furthermore, the license to compound sterile drug products shall 
39be issued only to the owner of the nonresident pharmacy licensed 
40at that location. A license to compound sterile drug products shall 
P5    1not be issued until the location is inspected by
						the board and found 
2in compliance with this article and any regulations adopted by the 
3board.
4(c) A license to compound sterile drug products shall not be 
5issued or renewed until the board does all of the following:
6(1) Performs an onsite inspection of the premises, and any 
7deficiencies noted are corrected. The nonresident pharmacy shall 
8be responsible for payment of reasonable travel expenses incurred 
9by the board in connection with inspecting the pharmacy at least 
10once annually pursuant to subdivision (v) of Section 4400.
11(2) Reviews a current copy of the nonresident pharmacy’s 
12policies and procedures for sterile compounding.
13(3) Reviews the pharmacy’s completed
						self-assessment form 
14required by Section 1735.2 of Title 16 of the California Code of 
15Regulations.
16(4) Is provided with copies of all inspection reports conducted 
17of the nonresident pharmacy’s premises, and any reports from a 
18private accrediting agency, conducted in the prior 12 months 
19documenting the nonresident pharmacy’s operations.
20(5) Receives a list of all sterile drug products compounded by 
21the pharmacy within the prior 12 months.
22(d) A pharmacy licensed pursuant to this section shall do all of 
23the following:
24(1) Provide to the board a copy of any disciplinary or other 
25action taken by its state of residence or another state within 10 
26days of
						the action.
27(2) Notify the board within 10 days of the suspension of any 
28accreditation held by the pharmacy.
29(3) Provide to the board, within 24 hours, any recall notice 
30issued by the pharmacy for sterile drug products it has compounded 
31that have been shipped into, or dispensed in, California.
32(4) Advise the board of any complaint it receives from a 
33provider, pharmacy, or patient in California.
34(e) Adverse effects reported or potentially attributable to a 
35nonresident pharmacy’s sterile compounded drug products shall 
36be immediately reported to the board and the MedWatch program 
37of the federal Food and Drug Administration.
Section 4400 of the Business and Professions Code is 
39amended to read:
The amount of fees and penalties prescribed by this 
2chapter, except as otherwise provided, is that fixed by the board 
3according to the following schedule:
4(a) The fee for a nongovernmental pharmacy license shall be 
5four hundred dollars ($400) and may be increased to five hundred 
6twenty dollars ($520). The fee for the issuance of a temporary 
7nongovernmental pharmacy permit shall be two hundred fifty 
8dollars ($250) and may be increased to three hundred twenty-five 
9dollars ($325).
10(b) The fee for a nongovernmental pharmacy license annual 
11renewal shall be two hundred fifty dollars ($250) and may be 
12increased to three hundred twenty-five dollars
						($325).
13(c) The fee for the pharmacist application and examination shall 
14be two hundred dollars ($200) and may be increased to two 
15hundred sixty dollars ($260).
16(d) The fee for regrading an examination shall be ninety dollars 
17($90) and may be increased to one hundred fifteen dollars ($115). 
18If an error in grading is found and the applicant passes the 
19examination, the regrading fee shall be refunded.
20(e) The fee for a pharmacist license and biennial renewal shall 
21be one hundred fifty dollars ($150) and may be increased to one 
22hundred ninety-five dollars ($195).
23(f) The fee for a nongovernmental wholesaler license and annual 
24renewal shall be six hundred dollars
						($600), and may be increased 
25to seven hundred eighty dollars ($780). The application fee for 
26any additional location after licensure of the first 20 locations shall 
27be two hundred twenty-five dollars ($225) and may be increased 
28to three hundred dollars ($300). A temporary license fee shall be 
29five hundred fifty dollars ($550) and may be increased to seven 
30hundred fifteen dollars ($715).
31(g) The fee for a hypodermic license and renewal shall be one 
32hundred twenty-five dollars ($125) and may be increased to one 
33hundred sixty-five dollars ($165).
34(h) (1) The fee for application, investigation, and issuance of 
35license as a designated representative pursuant to Section 4053 
36shall be two hundred fifty-five dollars ($255) and may be increased 
37to three hundred
						thirty dollars ($330).
38(2) The fee for the annual renewal of a license as a designated 
39representative shall be one hundred fifty dollars ($150) and may 
40be increased to one hundred ninety-five dollars ($195).
P7    1(i) (1) The fee for the application, investigation, and issuance 
2of a license as a designated representative for a veterinary 
3food-animal drug retailer pursuant to Section 4053 shall be two 
4hundred fifty-five dollars ($255) and may be increased to three 
5hundred thirty dollars ($330).
6(2) The fee for the annual renewal of a license as a designated 
7representative for a veterinary food-animal drug retailer shall be 
8one hundred fifty dollars ($150) and may be increased to one 
9hundred ninety-five dollars
						($195).
10(j) (1) The application fee for a nonresident wholesaler’s license 
11issued pursuant to Section 4161 shall be six hundred dollars ($600) 
12and may be increased to seven hundred eighty dollars ($780).
13(2) For nonresident wholesalers who have 21 or more facilities 
14operating nationwide the application fees for the first 20 locations 
15shall be six hundred dollars ($600) and may be increased to seven 
16hundred eighty dollars ($780). The application fee for any 
17additional location after licensure of the first 20 locations shall be 
18two hundred twenty-five dollars ($225) and may be increased to 
19three hundred dollars ($300). A temporary license fee shall be five 
20hundred fifty dollars ($550) and may be increased to seven hundred 
21fifteen dollars ($715).
22(3) The annual renewal fee for a nonresident wholesaler’s license 
23issued pursuant to Section 4161 shall be six hundred dollars ($600) 
24and may be increased to seven hundred eighty dollars ($780).
25(k) The fee for evaluation of continuing education courses for 
26accreditation shall be set by the board at an amount not to exceed 
27forty dollars ($40) per course hour.
28(l) The fee for an intern pharmacist license shall be ninety dollars 
29($90) and may be increased to one hundred fifteen dollars ($115). 
30The fee for transfer of intern hours or verification of licensure to 
31another state shall be twenty-five dollars ($25) and may be 
32increased to thirty dollars ($30).
33(m) The
						board may waive or refund the additional fee for the 
34issuance of a license where the license is issued less than 45 days 
35before the next regular renewal date.
36(n) The fee for the reissuance of any license, or renewal thereof, 
37that has been lost or destroyed or reissued due to a name change 
38shall be thirty-five dollars ($35) and may be increased to forty-five 
39dollars ($45).
P8    1(o) The fee for the reissuance of any license, or renewal thereof,
2
						that must be reissued because of a change in the information, shall 
3be one hundred dollars ($100) and may be increased to one hundred 
4thirty dollars ($130).
5(p) It is the intent of the Legislature that, in setting fees pursuant 
6to this section, the board shall seek to maintain a reserve in the 
7Pharmacy Board Contingent Fund equal to approximately one 
8year’s operating expenditures.
9(q) The fee for any applicant for a nongovernmental clinic 
10license shall be four hundred dollars ($400) and may be increased 
11to five hundred twenty dollars ($520) for each license. The annual 
12fee for renewal of the license shall be two hundred fifty dollars 
13($250) and may be increased to three hundred twenty-five dollars 
14($325) for each license.
15(r) The fee for the issuance of a pharmacy technician license 
16shall be eighty dollars ($80) and may be increased to one hundred 
17five dollars ($105). The fee for renewal of a pharmacy technician 
18license shall be one hundred dollars ($100) and may be increased 
19to one hundred thirty dollars ($130).
20(s) The fee for a veterinary food-animal drug retailer license 
21shall be four hundred five dollars ($405) and may be increased to 
22four hundred twenty-five dollars ($425). The annual renewal fee 
23for a veterinary food-animal drug retailer license shall be two 
24hundred fifty dollars ($250) and may be increased to three hundred 
25twenty-five dollars ($325).
26(t) The fee for issuance of a retired license pursuant to Section 
274200.5 shall be thirty-five dollars ($35) and may be increased to 
28forty-five
						dollars ($45).
29(u) The fee for issuance or renewal of a nongovernmental sterile 
30compounding pharmacy license shall be six hundred dollars ($600) 
31and may be increased to seven hundred eighty dollars ($780). The 
32fee for a temporary license shall be five hundred fifty dollars ($550) 
33and may be increased to seven hundred fifteen dollars ($715).
34(v) The fee for a nonresident sterile compounding pharmacy 
35license shall also require payment of the travel expenses incurred 
36by the board in inspecting the pharmacy at least once annually. 
37Failure to pay this fee within 30 days shall result in the suspension 
38of the nonresident sterile compounding pharmacy license.
begin insertSection 4127.1 of the end insertbegin insertBusiness and Professions Codeend insert
40begin insert is amended to read:end insert
(a) A pharmacy shall not compound injectable sterile 
2drug products in this state unless the pharmacy has obtained a 
3license from the board pursuant to this section. The license shall 
4be renewed annually and is not transferable.
5(b) A license to compound injectable sterile drug products may 
6only be issued for a location that is licensed as a pharmacy. 
7Furthermore, the license to compound injectable sterile drug 
8products may only be issued to the owner of the pharmacy license 
9at that location. A license to compound injectable sterile drug 
10products may not be issued until the location is inspected by the 
11board and found in compliance with this article and regulations 
12adopted by the board.
13(c) A license to compound injectable sterile drug products may 
14not be renewed until the location has been inspected by the
						board 
15and found to be in compliance with this article and regulations 
16adopted by the board.
17(d) Pharmacies operated by entities that are licensed by either 
18the board or the State Department of Public Health and that have 
19current accreditation from the Joint Commission on Accreditation 
20of Healthcare Organizations, or other private accreditation agencies 
21approved by the board, are exempt from the requirement to obtain 
22a license pursuant to this section.
23(e) The reconstitution of a sterile powder shall not require a 
24license pursuant to this section if both of the following are met:
25(1) The sterile powder was obtained from a manufacturer.
26(2) The drug is reconstituted for administration to patients by 
27a health care professional licensed to administer drugs by injection 
28pursuant to this division.
29(f) This section shall become inoperative on July 1, 2014, and, 
30as of January 1, 2015, is repealed, unless a later enacted statute, 
31that becomes operative on or before January 1, 2015, deletes or 
32extends the dates on which it becomes inoperative and is repealed.
begin insertSection 4127.1 is added to the end insertbegin insertBusiness and Professions 
34Codeend insertbegin insert, to read:end insert
(a) A pharmacy shall not compound sterile drug 
36products unless the pharmacy has obtained a sterile compounding 
37pharmacy license from the board pursuant to this section. The 
38license shall be renewed annually and is not transferable.
39(b) A license to compound sterile drug products shall be issued 
40only to a location that is licensed as a pharmacy. Furthermore, 
P10   1the license to compound sterile drug products shall be issued only 
2to the owner of the pharmacy licensed at that location. A license 
3to compound sterile drug products shall not be issued until the 
4location is inspected by the board and found in compliance with 
5this article and regulations adopted by the board.
6(c) A license to compound sterile drug products shall not be 
7issued or renewed until the board does all of the following:
8(1) Performs an onsite inspection of the premises, and any 
9deficiencies noted are corrected.
10(2) Reviews a current copy of the pharmacy’s policies and 
11procedures for sterile compounding.
12(3) Reviews the pharmacy’s completed self-assessment form 
13required by Section 1735.2 of Title 16 of the California Code of 
14Regulations.
15(4) Is provided with copies of all inspection reports conducted 
16of the pharmacy’s premises, and any reports from a private 
17accrediting agency, conducted in the prior 12 months documenting 
18the pharmacy’s operations.
19(5) Receives a list of all sterile medications compounded by the 
20pharmacy since the last license renewal.
21(d) A pharmacy licensed pursuant to this section shall do all of 
22the following:
23(1) Provide to the board a copy of any disciplinary or other 
24action taken by another state within 10 days
						of the action.
25(2) Notify the board within 10 days of the suspension of any 
26accreditation held by the pharmacy.
27(3) Provide to the board, within 24 hours, any recall notice 
28issued by the pharmacy for sterile drug products it has 
29compounded.
30(e) Adverse effects reported or potentially attributable to a 
31pharmacy’s sterile drug product shall be immediately reported to 
32the board and the MedWatch program of the federal Food and 
33Drug Administration.
34(f) The reconstitution of a sterile powder shall not require a 
35license pursuant to this section if both of the following are met:
36(1) The sterile powder was obtained from a manufacturer.
37(2) The drug is reconstituted for administration to patients by 
38a health care professional licensed to administer drugs by injection 
39pursuant to this division.
40(g) This section shall become operative on July 1, 2014.
begin insertSection 4127.2 of the end insertbegin insertBusiness and Professions Codeend insert
2begin insert is amended to read:end insert
(a) A nonresident pharmacybegin delete mayend deletebegin insert shallend insert not compound 
4injectable sterile drug products for shipment into the State of 
5California without a license issued by the board pursuant to this 
6section. The license shall be renewed annually and shall not be 
7transferable.
8(b) A license to compound injectable sterile drug products may 
9only be issued for a location that is licensed as a nonresident 
10pharmacy. Furthermore, the license to compound injectable sterile 
11drug products may only be issued to the owner of the nonresident 
12pharmacy license at that location. A license to compound injectable 
13sterile drug products may
						not be issued or renewed until the board 
14receives the following from the nonresident pharmacy:
15(1) A copy of an inspection report issued by the pharmacy’s 
16licensing agency, or a report from a private accrediting agency 
17approved by the board, in the prior 12 months documenting the 
18pharmacy’s compliance with board regulations regarding the 
19compounding of injectable sterile drug products.
20(2) A copy of the nonresident pharmacy’s proposed policies 
21and procedures for sterile compounding.
22(c) Nonresident pharmacies operated by entities that are licensed 
23as a hospital, home health agency, or a skilled nursing facility and 
24have current accreditation from the Joint Commission on 
25Accreditation of Healthcare Organizations, or other private 
26accreditation agencies approved by the board, are exempt from 
27the requirement to obtain a license pursuant to this section.
28(d) This section shall become effective on the earlier of July 1, 
292003, or the effective date of regulations adopted by the board 
30pursuant to Section 4127.
31(d) This section shall become inoperative on July 1, 2014, and, 
32as of January 1, 2015, is repealed, unless a later enacted statute, 
33that becomes operative on or before January 1, 2015, deletes or 
34extends the dates on which it becomes inoperative and is repealed.
begin insertSection 4127.2 is added to the end insertbegin insertBusiness and Professions 
36Codeend insertbegin insert, to read:end insert
(a) A nonresident pharmacy shall not compound sterile 
38drug products for shipment into this state without a sterile 
39compounding pharmacy license issued by the board pursuant to 
P12   1this section. The license shall be renewed annually and shall not 
2be transferable.
3(b) A license to compound sterile drug products shall be issued 
4only to a location that is licensed as a nonresident pharmacy. 
5Furthermore, the license to compound sterile drug products shall 
6be issued only to the owner of the nonresident pharmacy licensed 
7at that location. A license to compound sterile drug products shall 
8not be issued until the location is inspected by the board and found 
9in compliance with this article and any regulations adopted by the 
10board.
11(c) A license to compound sterile drug products shall not be 
12issued or
						renewed until the board does all of the following:
13(1) Performs an onsite inspection of the premises, and any 
14deficiencies noted are corrected. The nonresident pharmacy shall 
15be responsible for payment of reasonable travel expenses incurred 
16by the board in connection with inspecting the pharmacy at least 
17once annually pursuant to subdivision (v) of Section 4400.
18(2) Reviews a current copy of the nonresident pharmacy’s 
19policies and procedures for sterile compounding.
20(3) Reviews the pharmacy’s completed self-assessment form 
21required by Section 1735.2 of Title 16 of the California Code of 
22Regulations.
23(4) Is provided with copies of all inspection reports conducted 
24of the nonresident pharmacy’s premises, and any reports from a 
25private accrediting agency, conducted in the prior 12 months 
26documenting the nonresident pharmacy’s operations.
27(5) Receives a list of all sterile
						drug products compounded by 
28the pharmacy within the prior 12 months.
29(d) A pharmacy licensed pursuant to this section shall do all of 
30the following:
31(1) Provide to the board a copy of any disciplinary or other 
32action taken by its state of residence or another state within 10 
33days of the action.
34(2) Notify the board within 10 days of the suspension of any 
35accreditation held by the pharmacy.
36(3) Provide to the board, within 24 hours, any recall notice 
37issued by the pharmacy for sterile drug products it has compounded 
38that have been shipped into, or dispensed in, California.
39(4) Advise the board of any complaint it receives from a 
40provider, pharmacy, or patient in California.
P13   1(e) Adverse effects reported or potentially attributable to a 
2nonresident pharmacy’s sterile compounded drug product shall 
3be immediately reported to the board and the
						MedWatch program 
4of the federal Food and Drug Administration.
5(f) This section shall become operative on July 1, 2014.
begin insertSection 4400 of the end insertbegin insertBusiness and Professions Codeend insertbegin insert is 
7amended to read:end insert
The amount of fees and penalties prescribed by this 
9chapter, except as otherwise provided, is that fixed by the board 
10according to the following schedule:
11(a) The fee for a nongovernmental pharmacy license shall be 
12four hundred dollars ($400) and may be increased to five hundred 
13twenty dollars ($520). The fee for the issuance of a temporary 
14nongovernmental pharmacy permit shall be two hundred fifty 
15dollars ($250) and may be increased to three hundred twenty-five 
16dollars ($325).
17(b) The fee for a nongovernmental pharmacy license annual 
18renewal shall be two hundred fifty dollars ($250) and may be 
19increased to three hundred twenty-five dollars ($325).
20(c) The
						fee for the pharmacist application and examination shall 
21be two hundred dollars ($200) and may be increased to two 
22hundred sixty dollars ($260).
23(d) The fee for regrading an examination shall be ninety dollars 
24($90) and may be increased to one hundred fifteen dollars ($115). 
25If an error in grading is found and the applicant passes the 
26examination, the regrading fee shall be refunded.
27(e) The fee for a pharmacist license and biennial renewal shall 
28be one hundred fifty dollars ($150) and may be increased to one 
29hundred ninety-five dollars ($195).
30(f) The fee for a nongovernmental wholesaler license and annual 
31renewal shall be six hundred dollars ($600), and may be increased 
32to seven hundred eighty dollars ($780). The application fee for 
33any additional location after licensure of the first 20 locations shall 
34be two
						hundred twenty-five dollars ($225) and may be increased 
35to three hundred dollars ($300). A temporary license fee shall be 
36five hundred fifty dollars ($550) and may be increased to seven 
37hundred fifteen dollars ($715).
38(g) The fee for a hypodermic license and renewal shall be one 
39hundred twenty-five dollars ($125) and may be increased to one 
40hundred sixty-five dollars ($165).
P14   1(h) (1) The fee for application, investigation, and issuance of 
2license as a designated representative pursuant to Section 4053 
3shall be two hundred fifty-five dollars ($255) and may be increased 
4to three hundred thirty dollars ($330).
5(2) The fee for the annual renewal of a license as a designated 
6representative shall be one hundred fifty dollars ($150) and may 
7be increased to one hundred ninety-five dollars ($195).
8(i) (1) The fee for the application, investigation, and issuance 
9of a license as a designated representative for a veterinary 
10food-animal drug retailer pursuant to Section 4053 shall be two 
11hundred fifty-five dollars ($255) and may be increased to three 
12hundred thirty dollars ($330).
13(2) The fee for the annual renewal of a license as a designated 
14representative for a veterinary food-animal drug retailer shall be 
15one hundred fifty dollars ($150) and may be increased to one 
16hundred ninety-five dollars ($195).
17(j) (1) The application fee for a nonresident wholesaler’s license 
18issued pursuant to Section 4161 shall be six hundred dollars ($600) 
19and may be increased to seven hundred eighty dollars ($780).
20(2) For
						nonresident wholesalers who have 21 or more facilities 
21operating nationwide the application fees for the first 20 locations 
22shall be six hundred dollars ($600) and may be increased to seven 
23hundred eighty dollars ($780). The application fee for any 
24additional location after licensure of the first 20 locations shall be 
25two hundred twenty-five dollars ($225) and may be increased to 
26three hundred dollars ($300). A temporary license fee shall be five 
27hundred fifty dollars ($550) and may be increased to seven hundred 
28fifteen dollars ($715).
29(3) The annual renewal fee for a nonresident wholesaler’s license 
30issued pursuant to Section 4161 shall be six hundred dollars ($600) 
31and may be increased to seven hundred eighty dollars ($780).
32(k) The fee for evaluation of continuing education courses for 
33accreditation shall be set by the board at an amount not to exceed 
34forty dollars ($40) per
						course hour.
35(l) The fee for an intern pharmacist license shall be ninety dollars 
36($90) and may be increased to one hundred fifteen dollars ($115). 
37The fee for transfer of intern hours or verification of licensure to 
38another state shall be twenty-five dollars ($25) and may be 
39increased to thirty dollars ($30).
P15   1(m) The board may waive or refund the additional fee for the 
2issuance of a license where the license is issued less than 45 days 
3before the next regular renewal date.
4(n) The fee for the reissuance of any license, or renewal thereof, 
5that has been lost or destroyed or reissued due to a name change 
6shall be thirty-five dollars ($35) and may be increased to forty-five 
7dollars ($45).
8(o) The fee for the reissuance of any license, or renewal thereof,
9
						that must be reissued because of a change in the information, shall 
10be one hundred dollars ($100) and may be increased to one hundred 
11thirty dollars ($130).
12(p) It is the intent of the Legislature that, in setting fees pursuant 
13to this section, the board shall seek to maintain a reserve in the 
14Pharmacy Board Contingent Fund equal to approximately one 
15year’s operating expenditures.
16(q) The fee for any applicant for a nongovernmental clinic 
17license shall be four hundred dollars ($400) and may be increased 
18to five hundred twenty dollars ($520) for each license. The annual 
19fee for renewal of the license shall be two hundred fifty dollars 
20($250) and may be increased to three hundred twenty-five dollars 
21($325) for each license.
22(r) The fee for the issuance of a pharmacy technician license 
23shall be eighty dollars ($80) and
						may be increased to one hundred 
24five dollars ($105). The fee for renewal of a pharmacy technician 
25license shall be one hundred dollars ($100) and may be increased 
26to one hundred thirty dollars ($130).
27(s) The fee for a veterinary food-animal drug retailer license 
28shall be four hundred five dollars ($405) and may be increased to 
29four hundred twenty-five dollars ($425). The annual renewal fee 
30for a veterinary food-animal drug retailer license shall be two 
31hundred fifty dollars ($250) and may be increased to three hundred 
32twenty-five dollars ($325).
33(t) The fee for issuance of a retired license pursuant to Section 
344200.5 shall be thirty-five dollars ($35) and may be increased to 
35forty-five dollars ($45).
36(u) The fee for issuance or renewal of a nongovernmental license 
37to compound sterile drug products shall be six
						hundred dollars 
38($600) and may be increased to seven hundred eighty dollars 
39($780). The fee for a temporary license shall be five hundred fifty 
P16   1dollars ($550) and may be increased to seven hundred fifteen 
2dollars ($715).
3(v) This section shall become inoperative on July 1, 2014, and, 
4as of January 1, 2015, is repealed, unless a later enacted statute, 
5that becomes operative on or before January 1, 2015, deletes or 
6extends the dates on which it becomes inoperative and is repealed.
begin insertSection 4400 is added to the end insertbegin insertBusiness and Professions 
8Codeend insertbegin insert, to read:end insert
The amount of fees and penalties prescribed by this 
10chapter, except as otherwise provided, is that fixed by the board 
11according to the following schedule:
12(a) The fee for a nongovernmental pharmacy license shall be 
13four hundred dollars ($400) and may be increased to five hundred 
14twenty dollars ($520). The fee for the issuance of a temporary 
15nongovernmental pharmacy permit shall be two hundred fifty 
16dollars ($250) and may be increased to three hundred twenty-five 
17dollars ($325).
18(b) The fee for a nongovernmental pharmacy license annual 
19renewal shall be two hundred fifty dollars ($250) and may be 
20increased to three hundred twenty-five dollars ($325).
21(c) The fee for the pharmacist application and examination shall 
22be two hundred dollars ($200) and may be increased to two 
23hundred sixty dollars ($260).
24(d) The fee for regrading an examination shall be ninety dollars 
25($90) and may be increased to one hundred fifteen dollars ($115). 
26If an error in grading is found and the applicant passes the 
27examination, the regrading fee shall be refunded.
28(e) The fee for a pharmacist license and biennial renewal shall 
29be one hundred fifty dollars ($150) and may be increased to one 
30hundred ninety-five dollars ($195).
31(f) The fee for a nongovernmental wholesaler license and annual 
32renewal shall be six hundred dollars ($600), and may be increased 
33to seven hundred eighty dollars ($780). The application fee for 
34any additional location after licensure of the first 20
						locations 
35shall be two hundred twenty-five dollars ($225) and may be 
36increased to three hundred dollars ($300). A temporary license 
37fee shall be five hundred fifty dollars ($550) and may be increased 
38to seven hundred fifteen dollars ($715).
P17   1(g) The fee for a hypodermic license and renewal shall be one 
2hundred twenty-five dollars ($125) and may be increased to one 
3hundred sixty-five dollars ($165).
4(h) (1) The fee for application, investigation, and issuance of 
5license as a designated representative pursuant to Section 4053 
6shall be two hundred fifty-five dollars ($255) and may be increased 
7to three hundred thirty dollars ($330).
8(2) The fee for the annual renewal of a license as a designated 
9representative shall be one hundred fifty dollars ($150) and may 
10be increased to one hundred ninety-five
						dollars ($195).
11(i) (1) The fee for the application, investigation, and issuance 
12of a license as a designated representative for a veterinary 
13food-animal drug retailer pursuant to Section 4053 shall be two 
14hundred fifty-five dollars ($255) and may be increased to three 
15hundred thirty dollars ($330).
16(2) The fee for the annual renewal of a license as a designated 
17representative for a veterinary food-animal drug retailer shall be 
18one hundred fifty dollars ($150) and may be increased to one 
19hundred ninety-five dollars ($195).
20(j) (1) The application fee for a nonresident wholesaler’s license 
21issued pursuant to Section 4161 shall be six hundred dollars ($600) 
22and may be increased to seven hundred eighty dollars ($780).
23(2) For nonresident wholesalers who have 21 or more facilities 
24operating nationwide the application fees for the first 20 locations 
25shall be six hundred dollars ($600) and may be increased to seven 
26hundred eighty dollars ($780). The application fee for any 
27additional location after licensure of the first 20 locations shall 
28be two hundred twenty-five dollars ($225) and may be increased 
29to three hundred dollars ($300). A temporary license fee shall be 
30five hundred fifty dollars ($550) and may be increased to seven 
31hundred fifteen dollars ($715).
32(3) The annual renewal fee for a nonresident wholesaler’s 
33license issued pursuant to Section 4161 shall be six hundred dollars 
34($600) and may be increased to seven hundred eighty dollars 
35($780).
36(k) The fee for evaluation of continuing education courses for 
37accreditation shall be set by the board at an amount not to exceed 
38forty
						dollars ($40) per course hour.
39(l) The fee for an intern pharmacist license shall be ninety 
40dollars ($90) and may be increased to one hundred fifteen dollars 
P18   1($115). The fee for transfer of intern hours or verification of 
2licensure to another state shall be twenty-five dollars ($25) and 
3may be increased to thirty dollars ($30).
4(m) The board may waive or refund the additional fee for the 
5issuance of a license where the license is issued less than 45 days 
6before the next regular renewal date.
7(n) The fee for the reissuance of any license, or renewal thereof, 
8that has been lost or destroyed or reissued due to a name change 
9shall be thirty-five dollars ($35) and may be increased to forty-five 
10dollars ($45).
11(o) The fee for the reissuance of any license, or
						renewal thereof, 
12that must be reissued because of a change in the information, shall 
13be one hundred dollars ($100) and may be increased to one 
14hundred thirty dollars ($130).
15(p) It is the intent of the Legislature that, in setting fees pursuant 
16to this section, the board shall seek to maintain a reserve in the 
17Pharmacy Board Contingent Fund equal to approximately one 
18year’s operating expenditures.
19(q) The fee for any applicant for a nongovernmental clinic 
20license shall be four hundred dollars ($400) and may be increased 
21to five hundred twenty dollars ($520) for each license. The annual 
22fee for renewal of the license shall be two hundred fifty dollars 
23($250) and may be increased to three hundred twenty-five dollars 
24($325) for each license.
25(r) The fee for the issuance of a pharmacy technician license 
26shall be eighty
						dollars ($80) and may be increased to one hundred 
27five dollars ($105). The fee for renewal of a pharmacy technician 
28license shall be one hundred dollars ($100) and may be increased 
29to one hundred thirty dollars ($130).
30(s) The fee for a veterinary food-animal drug retailer license 
31shall be four hundred five dollars ($405) and may be increased to 
32four hundred twenty-five dollars ($425). The annual renewal fee 
33for a veterinary food-animal drug retailer license shall be two 
34hundred fifty dollars ($250) and may be increased to three hundred 
35twenty-five dollars ($325).
36(t) The fee for issuance of a retired license pursuant to Section 
374200.5 shall be thirty-five dollars ($35) and may be increased to 
38forty-five dollars ($45).
39(u) The fee for issuance or renewal of a nongovernmental sterile 
40compounding pharmacy license shall
						be six hundred dollars ($600) 
P19   1and may be increased to seven hundred eighty dollars ($780). The 
2fee for a temporary license shall be five hundred fifty dollars ($550) 
3and may be increased to seven hundred fifteen dollars ($715).
4(v) The board shall establish, by regulation, the fee for a 
5nonresident sterile compounding pharmacy license in an amount 
6not to exceed the reasonable regulatory costs of issuing and 
7renewing the license, or two thousand eight hundred dollars 
8($2,800), whichever is less. In addition to paying the license fee, 
9the nonresident sterile compounding pharmacy shall reimburse 
10the board for all costs incurred by the board in conducting an 
11inspection of the pharmacy at least once annually, including, but 
12not limited to, travel expenses, meals, lodging, and other actual 
13and necessary costs incurred by the board in connection with the 
14inspection. Failure to reimburse the board for all costs associated 
15with the annual inspection, as
						authorized by this subdivision, within 
1630 days of the inspection shall result in the suspension of the 
17nonresident sterile compounding pharmacy license.
18(w) This section shall become operative on July 1, 2014.
No reimbursement is required by this act pursuant to 
21Section 6 of Article XIII B of the California Constitution because 
22the only costs that may be incurred by a local agency or school 
23district will be incurred because this act creates a new crime or 
24infraction, eliminates a crime or infraction, or changes the penalty 
25for a crime or infraction, within the meaning of Section 17556 of 
26the Government Code, or changes the definition of a crime within 
27the meaning of Section 6 of Article XIII B of the California 
28Constitution.
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