NOTE: The following Minutes are provided for
informational purposes only. If you would like to obtain an official copy of
these Minutes, please contact the State
Board of Pharmacy at 614/466-4143 for instructions and fee. |
Minutes Of The Meeting
Ohio State Board of Pharmacy
Columbus, Ohio
June 12, 13, 14, 2000
MONDAY, JUNE 12, 2000
8:07 a.m. ROLL CALL
The State Board of Pharmacy convened in Room 1914, Vern Riffe Center for Government and the Arts, 77 South High Street, Columbus, Ohio with the following members present:
Robert B. Cavendish, R.Ph. (President); Diane C. Adelman, R.Ph. (Vice-President); Ann D. Abele, R.Ph.; Suzanne R. Eastman, R.Ph.; Robert P. Giacalone, R.Ph.; Lawrence J. Kost, R.Ph.; Suzanne L. Neuber, R.Ph.; and Nicholas R. Repke, Public Member.
Also present were William T. Winsley, Executive Director; Timothy Benedict, Assistant Executive Director; David Rowland, Legal Affairs Administrator; and Sally Ann Steuk, Assistant Attorney General.
8:08 a.m.
Ms. Abele moved that the Board go into Executive Session for the purpose of the investigation of complaints regarding licensees and registrants pursuant to Section 121.22(G)(1) of the Revised Code and for the purpose of conferring with an attorney for the Board regarding pending or imminent court action pursuant to Section 121.22(G)(3) of the Revised Code. The motion was seconded by Mrs. Adelman and a roll call vote was conducted by President Cavendish as follows: Abele-Yes, Adelman-Yes, Eastman-Yes, Giacalone-Yes, Kost-Yes, Neuber-Yes, and Repke-Yes.
8:50 a.m.
RES. 2000-178 The Executive Session ended and the Board meeting resumed in Public Session. Ms. Eastman moved that the Board grant the continuance request in the matter of Seaport Chemical and Supply. The motion was seconded by Mrs. Adelman and approved by the Board (Aye-7/Nay-0).
8:52 a.m.
RES. 2000-179 Mr. Winsley reported that the following Settlement Agreement in the matter of Newtown Fire and Rescue had been signed by all parties and became effective on June 12, 2000:
SETTLEMENT AGREEMENT WITH THE
STATE BOARD OF PHARMACY
(Docket No. D-000211-046)
In the Matter of:
NEWTOWN FIRE AND RESCUE
c/o Scott Frame, M.D.
3537 Church Street
Newtown, Ohio 45244
(Terminal Distributor No.
02-0980900)
THIS SETTLEMENT AGREEMENT IS ENTERED INTO BY AND
BETWEEN NEWTOWN FIRE AND RESCUE AND THE OHIO STATE BOARD OF PHARMACY, A STATE
AGENCY CHARGED WITH ENFORCING THE PHARMACY PRACTICE ACT AND DANGEROUS DRUG
DISTRIBUTION ACT, CHAPTER 4729. OF THE OHIO REVISED CODE.
NEWTOWN FIRE AND RESCUE VOLUNTARILY ENTERS INTO THIS
AGREEMENT BEING FULLY INFORMED OF ITS RIGHTS AFFORDED UNDER CHAPTER 119. OF THE
OHIO REVISED CODE, INCLUDING THE RIGHT TO REPRESENTATION BY COUNSEL, THE RIGHT
TO A FORMAL ADJUDICATION HEARING ON THE ISSUES CONTAINED HEREIN, AND THE RIGHT
TO APPEAL. NEWTOWN FIRE AND RESCUE
ACKNOWLEDGES THAT BY ENTERING INTO THIS AGREEMENT IT HAS WAIVED ITS RIGHTS
UNDER CHAPTER 119. OF THE REVISED CODE.
WHEREAS, the State Board of Pharmacy is empowered by
Section 4729.57 of the Ohio Revised Code to suspend, revoke, refuse to renew
any license issued to a terminal distributor of dangerous drugs pursuant to
section 4729.54 of the Revised Code, or may impose a monetary penalty on the
license holder, for violation of any of the enumerated grounds of Section
4729.57 of the Ohio Revised Code.
WHEREAS, Newtown Fire and Rescue is a licensed
terminal distributor of dangerous drugs in the state of Ohio.
WHEREAS, on or about February 11, 2000, pursuant to
Chapter 119. of the Ohio Revised Code, Newtown Fire and Rescue was notified of
the allegations or charges against it, its right to a hearing, its rights in
such hearing, and its right to submit contentions in writing. The February 11, 2000, Notice of Opportunity
for Hearing contains the following allegations or charges:
(1) Records
of the State Board of Pharmacy indicate that Scott Frame, M.D. is the
responsible person for Newtown Fire and Rescue, terminal distributor license
number 02-0980900, pursuant to Section 4729.55 of the Ohio Revised Code.
(2) Newtown
Fire and Rescue allowed its terminal distributor license to lapse from January
1, 1998, to November 4, 1999. Such
conduct is in violation of Section 4729.54(I) of the Ohio Revised Code.
WHEREAS, Newtown Fire and Rescue admits to the allegations
or charges, and the Board hereby adjudicates the same.
WHEREAS, Newtown Fire and Rescue admits and
acknowledges that it is not a “prevailing eligible party” for purposes of
Revised Code Sections 119.092 and 2335.39.
Further, Newtown Fire and Rescue waives any rights it may have under
Sections 119.09 and 2335.39 of the Ohio Revised Code.
WHEREAS, Newtown Fire and Rescue, with intention of
binding itself and its successors in interest and assigns, hereby releases, and
holds harmless from liability and forever discharges the State of Ohio, the
Board, the Ohio Attorney General, and any and all of their present and former
members, officers, attorneys, agents and employees, personally and in their
official capacities, from any and all claims, demands, causes of actions,
judgments, or executions that Newtown Fire and Rescue ever had, or now has or
may have, known or unknown, or that anyone claiming through or under it may
have or claims to have, created by or arising out of the allegations or charges
filed by the Board against Newtown Fire and Rescue, set forth in the Notice of
Opportunity for Hearing.
WHEREAS, Newtown Fire and Rescue acknowledges that
it has had an opportunity to ask questions concerning the terms of this
Agreement and that all questions asked have been answered in a satisfactory
manner.
The parties, in consideration of the mutual
covenants and promises contained herein, and in lieu of any further formal
proceedings at this time, and intending to be bound by said covenants, agree as
follows:
(A) Pursuant to
Sections 4729.25(B) and 4729.57 of the Ohio Revised Code, Newtown Fire and
Rescue is hereby reprimanded.
(B) Newtown Fire and
Rescue agrees to pay licensing and late fees for the 1998 through 2000 renewal
periods in the amount of $447.50. (Paid
on November 4, 1999.)
THIS AGREEMENT EMBODIES THE ENTIRE AGREEMENT BETWEEN
AND OF THE PARTIES. THERE ARE NO
EXPRESS OR IMPLIED PROMISES, GUARANTEES, TERMS, COVENANTS, CONDITIONS, OR
OBLIGATIONS OTHER THAN THOSE CONTAINED HEREIN; AND THIS AGREEMENT SUPERSEDES
ALL PREVIOUS COMMUNICATIONS, REPRESENTATIONS OR AGREEMENTS, EITHER VERBAL OR
WRITTEN, BETWEEN THE PARTIES.
THE PARTIES HERETO ACKNOWLEDGE THAT THIS AGREEMENT
SHALL BE CONSIDERED A PUBLIC RECORD AS THAT TERM IS USED IN SECTION 149.43 OF
THE OHIO REVISED CODE AND SHALL BECOME EFFECTIVE UPON THE DATE OF THE BOARD
PRESIDENT’S SIGNATURE BELOW.
/s/ Scott
Frame MD |
|
/d/ 30
Apr 00 |
Scott Frame, M.D., Responsible Person Newtown Fire & Rescue |
|
Date of Signature |
|
|
|
/s/ R.
Douglas Miller |
|
/d/ 5/1/00 |
R. Douglas Miller, Attorney for the Village
of Newtown |
|
Date of Signature |
|
|
|
/s/ Robert
B. Cavendish |
|
/d/ 6/12/00 |
Robert B. Cavendish, President, Ohio State
Board of Pharmacy |
|
Date of Signature |
|
|
|
/s/ Sally
Ann Steuk |
|
/d/ 7-6-00 |
Sally Ann Steuk, Assistant Attorney General |
|
Date of Signature |
8:55 a.m.
The Board took a brief recess and toured the Pharmacy Board office to review the progress of the construction.
9:27 a.m.
The meeting resumed. The Board discussed the meeting schedule for FY 2001. There was a conflict between the May, 2001 Board meeting and the Annual Meeting of the National Association of Boards of Pharmacy. Ms. Abele moved that the Board’s meeting in May, 2001 be rescheduled to a one-day meeting to be held on May 15, 2001. The motion was seconded by Ms. Eastman and approved by the Board (Aye-7/Nay-0).
9:35 a.m.
RES. 2000-180 Mr. Winsley then presented the invoice for continued membership dues from the National Association of State Controlled Substance Authorities (NASCSA) for the Board’s approval. The $150 dues were to cover membership in the organization for July 1, 2000 through June 30, 2001. After discussion, Ms. Abele moved that the Board approve the payment of these dues. The motion was seconded by Mr. Repke and approved by the Board (Aye-7/Nay-0).
9:45 a.m.
RES. 2000-181 Mr. Winsley next presented a request from the American Council on Pharmaceutical Education (ACPE) for a Board member to accompany an ACPE accreditation team to the University of Cincinnati College of Pharmacy on October 24-26, 2000. After discussion, Mr. Cavendish appointed Larry Kost to represent the Board during that accreditation visit. The Board will be required to cover Mr. Kost’s expenses for the visit.
10:01 a.m.
RES. 2000-182 The Board then discussed the appointment of the two pharmacists to the Nursing Board’s Committee on Prescriptive Governance. Under the terms of HB 241, it was necessary for the appointments to be made by this month’s meeting. Ms. Eastman moved that Board member Larry Kost, R.Ph. be appointed as the Board member representative and that Ruth Plant, R.Ph. be appointed as the clinical representative. The appointments are to be effective for one year. The motion was seconded by Ms. Abele and approved by the Board (Aye-7/Nay-0).
10:10 a.m.
Mr. Winsley, Mr. Benedict, and the Board discussed current and pending legislation. The discussion was based on the status listing of legislation that was distributed with the agenda for the meeting. There were no items requiring formal action by the Board.
10:35 a.m.
Ms. Abele reported on the activities of the Nursing Board’s Formulary Committee. The committee will meet in August with the Committee on Prescriptive Governance.
10:40 a.m.
The Board took a brief recess.
11:00 a.m.
RES. 2000-183 Mr. Littlejohn arrived and the meeting resumed. The Board was joined by Don Schneider, R.Ph. of Riverside Methodist Hospital and James Klepcyk, R.Ph. of the Pyxis Corporation to discuss Riverside’s use of Pyxis Connect. After discussion, the consensus of the Board was that this system would be acceptable, subject to periodic review and inspection to insure continued compliance with Ohio laws and rules.
11:25 a.m.
The Board recessed for lunch.
1:00 p.m.
The meeting resumed with all members present. Mr. Repke moved that the Board go into Executive Session to consider the employment of a public official pursuant to Section 121.22(G)(1) of the Revised Code. The motion was seconded by Mrs. Adelman and a roll call vote was conducted by President Cavendish as follows: Abele-Yes, Adelman-Yes, Eastman-Yes, Giacalone-Yes, Kost-Yes, Littlejohn-Yes, Neuber-Yes, and Repke-Yes.
1:30 p.m.
The Executive Session ended and the Board meeting was opened to the public.
1:33 p.m.
Assistant Attorney General Sally Ann Steuk joined the Board for the purpose of presenting for adjudication, in accordance with Ohio Revised Code Chapters 119. and 4729., the matter of Nick C. Strovilas, Ironton.
2:24 p.m.
The presentation concluded and the record was closed. The Board took a brief recess.
2:33 p.m.
Ms. Abele moved that the Board go into Executive Session for the purpose of the investigation of complaints regarding licensees and registrants pursuant to Section 121.22(G)(1) of the Revised Code. The motion was seconded by Ms. Eastman and a roll call vote was conducted by President Cavendish as follows: Abele-Yes, Adelman-Yes, Eastman-Yes, Giacalone-Yes, Kost-Yes, Littlejohn-Yes, Neuber-Yes, and Repke-Yes.
3:10 p.m.
RES. 2000-184 The Executive Session ended and the meeting was opened to the public. Ms. Abele moved that the Board deny the request for reconsideration of its Order in the matter of Robert F. Tschinkel. The motion was seconded by Mrs. Neuber and approved by the Board (Aye-8/Nay-0).
RES. 2000-185 The Board then considered the request for an expedited hearing in the matter of Randy D. Mosier, R.Ph. Mr. Mosier was scheduled for a hearing on September 6, 2000, but requested an earlier date through his attorney. After a review of the Board’s hearing and meeting schedule, it was the consensus of the Board that no earlier date would be possible and that Mr. Mosier’s request would have to be denied.
3:19 p.m.
RES. 2000-186 Ms. Eastman moved that the Board adopt the following Order in the matter of Nick C. Strovilas, R.Ph., Ironton:
ORDER OF THE STATE BOARD OF PHARMACY
(Docket
No. D-000330-051)
In
The Matter Of:
NICK C. STROVILAS, R.Ph.
522
N. Third Street
Toronto,
Ohio 43964
(R.Ph. No. 03-2-07171)
INTRODUCTION
THE MATTER OF NICK C. STROVILAS CAME FOR
CONSIDERATION ON JUNE 12, 2000, BEFORE THE FOLLOWING MEMBERS OF THE BOARD:
ROBERT B. CAVENDISH, R.Ph. (presiding); ANN D. ABELE, R.Ph.; DIANE C. ADELMAN,
R.Ph.; SUZANNE R. EASTMAN, R.Ph.; ROBERT P. GIACALONE, R.Ph.; LAWRENCE J. KOST,
R.Ph.; AMONTE B. LITTLEJOHN, R.Ph.; SUZANNE L. NEUBER, R.Ph.; AND NICHOLAS R.
REPKE, PUBLIC MEMBER.
NICK C. STROVILAS WAS NOT PRESENT, NOR WAS HIS
COUNSEL PRESENT, AND THE STATE OF OHIO WAS REPRESENTED BY SALLY ANN STEUK,
ASSISTANT ATTORNEY GENERAL.
SUMMARY
OF EVIDENCE
(A) Testimony
State's Witnesses:
(1) George Pavlich,
Ohio State Board of Pharmacy
Respondent's Witnesses:
(1) None
(B) Exhibits
State's Exhibits:
(1) Exhibit 1--Copy of
twelve-page Notice of Opportunity for Hearing letter dated March 30, 2000.
(2) Exhibit 1A--Hearing
Request letter dated April 28, 2000, from Attorney Frank M. Moore received in
the Board office on May 8, 2000, with envelope displaying two stamped dates as
follows: April 28, 2000, made by. Pittsburgh PA Meter No. 5004822, and May 4,
2000, made by the Pittsburgh PA 152 Post Office for cancellation.
(3) Exhibit 1B--Copy of
letter from David L. Rowland dated May 11, 2000.
(4) Exhibit 1C--Copy of
Pharmacist File Front Sheet of Nick G. Strovilas showing original date of
registration as March 8, 1960; and copy of Ohio Board of Pharmacy,
Pharmacists/Interns licensing information report for R.Ph. No. 03-2-07171 of
Nick C. Strovilas dated May 17, 2000.
(5) Exhibit 2--Copy of
Dangerous Drug Distributor Inspection Reports of Mike’s Rexall Pharmacy,
Terminal Distributor No. 02-05-2847 and/or 02-0123650, as follows: report dated
March 22, 1982; report dated March 28, 1983; report dated August 8, 1984;
report dated August 17, 1989; three-page report dated December 12, 1991; report
dated November 2, 1992; and two-page report dated May 3, 1994; and copy of
letter from Michael Popovich dated May 18, 1994.
(6) Exhibit 3--Copy of
six-page Dangerous Drug Distributor Inspection Report of Mike’s Rexal (sic)
Pharmacy, Terminal Distributor No. 02-0123650, dated March 30, 1998.
(7) Exhibit 4--Copy of
six-page list of adulterated drugs, sample drugs, and outdated drugs removed
from Mike’s Pharmacy, Case No. 98-1192.
(8) Exhibit
5--Prescription vial with Mike’s Pharmacy label containing 24 sample tablets of
Monopril 10mg with the word “Sample” crudely scraped off the tablets;
prescription vial containing 94 sample tablets of Monopril 10mg with the word
“Sample” crudely scraped off the tablets; and prescription vial containing
small piece of paper labeled “Soma Compound” and 80 sample tablets of Soma
Compound 200/325 with the word “Sample” crudely scraped off the tablets.
(9) Exhibit 6--Two
starter sample vials of SYN-Rx DM tablets with physician label.
(10) Exhibit 7--Copy of
fourteen-page Dangerous Drug Distributor Inspection Report of Mikes Rexall
Pharmacy, Terminal Distributor No. 02-0123650, dated April 1, 1998.
(11) Exhibit 8--Copy of twelve-page
response to the “Pink Sheet” violations recorded on the April 1, 1998,
Dangerous Drug Distributor Inspection Report of Mikes Rexall Pharmacy signed by
Michael Popovich and Nick Strovilas on April 1, 1998.
(12) Exhibit 9--Copies of
twenty-seven Accountability Statements of Mikes Rexall Pharmacy, Terminal
Distributor No. 02-0123650, for the audit period of April 30, 1996, through
March 30, 1998, dated January 10, 1999, for the following drugs: Ultram 50mg;
Soma-Carisoprodol; Oxycontin 40mg; Oxycontin 20mg; Oxycontin 10mg; Tylox and
Roxilox 5/500; Percodan and Oxycodone/APAP; Percocet, Roxicet, and
Oxycodone/APAP; Valium 10mg (Diazepam); Valium 5mg (Diazepam); Valium 2mg
(Diazepam); Ativan 2mg (Lorazepam); Ativan 1mg (Lorazepam); Ativan .5mg
(Lorazepam); Xanax 1mg (Alprazolam); Xanax 0.5mg (Alprazolam); Xanax 0.25mg
(Alprazolam); Lorcet 10/650 (Hydrocodone Bitartrate); Lorcet Plus 7.5/650
(Hydrocodone Bitartrate/APAP); Lortab 7.5/500 (Hydrocodone Bitartrate); Vicodin
ES 7.5/750 (Hydrocodone Bitartrate); MS Contin 15mg (Morphine Sulfate); MS
Contin 30mg (Morphine Sulfate); Ritalin 10mg (Methylphenidate); Ritalin SR 20mg
(Methylphenidate); Vicodin and Lortab 5/500 (Hydrocodone Bitartrate); and
Darvocet N/100 (Propoxyphene Napsylate).
(13) Exhibit 10--Copies of two
pages of patient profile records of Richard Shimmel dated from January 18,
1996, through February 1, 1998; and, copies of the following prescriptions
380208, 379409, 382985, 382842, 379962, 379665, 384247, 380207, 382938, 383018,
378928, 379591, 379636, and 378650.
(14) Exhibit 11--Three-page copy of
Ohio State Board of Pharmacy Report of Investigation, Case No. 98-1192,
Statement of Richard Shimmel, signed and notarized on November 15, 1999.
(15) Exhibit 12--Copy of
prescription number 384886.
(16) Exhibit 13--Copies of eleven
pages of Lathem family profiles (Charles, Deidra, and Sequoia) dated from
January 4, 1996, through March 23, 1998.
(17) Exhibit 14--Copies of nineteen
prescriptions numbered as follows: 382290, 379322, 379119, 383711, 384377,
384884, 384885, 383710, 383890, 384535, 381047, 381869, 376653, 375422, 378397,
378822, 378543, 378823, and 379120.
(18) Exhibit 15--Copy of two-page
Ohio State Board of Pharmacy Report of Investigation, Case No. 98-1192, by
Agent David Gallagher dated April 8, 1998.
(19) Exhibit
16--Copies of five pages of patient profile records of Robert Swiger, Sr. dated
from January 11, 1996, through March 23, 1998.
(20) Exhibit 17--Copy of five
spreadsheets regarding Robert D. Swiger, Case No. 98-1429, dated October 22,
1998
(21) Exhibit 18--Copy of
eleven-page Ohio State Board of Pharmacy Report of Investigation, Case No.
98-1192, Statement of Robert Swiger, Sr. signed and notarized on December 22,
1999.
(22) Exhibit 19--Copy of nine-page
Ohio State Board of Pharmacy Report of Investigation, Case No. 98-1192,
Statement of Crist Strovilas, M.D. signed and notarized on December 6, 1999.
(23) Exhibit 20--Twenty-page copy
of Ohio State Board of Pharmacy Report of Investigation regarding the Statement
of Michael Popovich, signed and notarized on November 15, 1999.
(24) Exhibit 21--Copy of
thirty-four-page Ohio State Board of Pharmacy Report of Investigation, Case No.
98-1192, Statement of Nick Strovilas, R.Ph. signed and notarized December 6,
1999.
(25) Exhibit 22--Copy of
prescription number 381877.
(26) Exhibit 23--Copy of
prescription number 384889.
(27) Exhibit 24--Copy of
prescription number 385222.
(28) Exhibit 25--Copy of
prescription number 383877.
(29) Exhibit 26--Copy of
prescription number 384255.
(30) Exhibit 27--Copy of
prescription number 378864.
(31) Exhibit 28--Copy of
prescription number 379981.
(32) Exhibit 29--Copy of
prescription number 382349.
(33) Exhibit 30--Copy of
fourteen-page, thirty-eight-count Indictment, in the Jefferson County Court of
Common Pleas, State of Ohio vs. Nick C. Strovilas, Case No. 00-CR-17, dated
February 2, 2000.
Respondent's Exhibits:
(1) None
FINDINGS
OF FACT
After having heard the testimony, observed the
demeanor of the witness, considered the evidence, and weighed the credibility
of each, the State Board of Pharmacy finds the following to be fact:
(1) On
March 30, 2000, Nick C. Strovilas was notified by letter of his right to a
hearing, his rights in such hearing, and his right to submit his contentions in
writing.
(2) As
demonstrated by return receipt, not dated, Nick C. Strovilas received the
letter of March 30, 2000, informing him of the allegations against him, and his
rights.
(3) Nick
C. Strovilas did not request a hearing in a timely manner pursuant to Chapter
119. of the Ohio Revised Code, and the matter was referred to the Board for
consideration.
(4) Records
of the State Board of Pharmacy indicate that Nick C. Strovilas was originally
licensed in the state of Ohio on March 8, 1960, pursuant to examination. Records further indicate that Nick C.
Strovilas’ license lapsed on September 15, 1998.
(5) Nick C. Strovilas did, from on or
about April 30, 1996, through September 15, 1998, being employed by, or
associated with, an enterprise and conducted or participated in, directly or
indirectly, the affairs of the enterprise through a pattern of corrupt activity
or the collection of an unlawful debt when the conduct was not in accordance
with Chapters 3719. and 4729. of the Ohio Revised Code, to wit: Nick C.
Strovilas engaged in a pattern of corrupt criminal activity by continuously
committing felony drug crimes. Such
conduct is in violation of Section 2923.32(A)(1) of the Ohio Revised Code.
(6) Nick
C. Strovilas did, from on or about April 30, 1996, through April 1, 1998,
knowingly furnish another a sample drug, to wit: Nick C. Strovilas obtained the
following drug samples from Jefferson County physicians and furnished them to
Mike’s Pharmacy to sell to patients:
Contents of
Evidence Box #2:
Sample
Drug/Strength/Form |
Type of container |
Qty found in the vial |
Qty noted on the vial |
Altace cap |
mfg. pkg. |
191 |
192 |
Altace cap |
mfg. pkg. |
175 |
176 |
Amaryl 2mg |
mfg. pkg. |
49 |
48 |
Amaryl 4mg |
mfg. pkg. |
47 |
48 |
Capozide 25mg |
mfg. pkg. |
266 |
270 |
Capozide tab |
mfg. pkg. |
106 |
72 |
Corgard |
mfg. pkg. |
95 |
112 |
Corzide 5mg tablet |
vial |
305 |
no # |
Covera-HS tab |
vial |
100 |
180 |
Covera-HS tab 240mg |
mfg. pkg. |
75 |
75 |
Diovan 80mg |
mfg. pkg. |
107 |
108 |
Lotensin 10mg |
mfg. pkg. |
416 |
70 |
Lotrel 10/2.5 cap |
mfg. pkg. |
95 |
no # |
Monopril 10mg tab |
vial |
126 |
no # |
Monopril 10mg tab |
mfg. pkg. |
236 |
105 |
Monopril tablet |
mfg. vial |
670 |
no # |
Mykrox tablet |
vial |
60 |
60 |
Nizoral tablet |
vial |
34 |
20 |
Pravachol tab |
mfg. pkg. |
44 |
4 |
Rynatan tab |
vial |
66 |
88 |
Rynatan tab |
vial |
60 |
108 |
Rynatuss tab |
vial |
8 |
8 |
Serzone tablets |
vial |
27 |
no # |
Serzone tablets |
mfg. pkg. |
178 |
167 |
Suprax 400mg tab |
mfg. pkg. |
25 |
no # |
Suprax 400mg tab |
vial |
36 |
36 |
Suprax tab |
vial |
18 |
25 |
Synthroid tabs |
vial |
32 |
no # |
Synthroid 175mg |
mfg. pkg. |
42 |
42 |
Tegretol 200mg tab |
mfg. pkg. |
95 |
8 |
Trandate 200mg tabs (split in half) |
vial |
30 |
no # |
Vaseretic 10/25 tabs |
mfg. pkg. |
113 |
4 |
Vaseretic 5/12.5 tabs |
mfg. pkg. |
111 |
4 |
Verelan 180mg cap |
mfg. pkg. |
105 |
no # |
Verelan 360mg caps |
vial |
50 |
no # |
Verelan 120mg tab |
mfg. pkg. |
19 |
20 |
Zocor 40mg tablet |
vial |
113 |
112 |
Zoloft tab |
mfg. pkg. |
164 |
168 |
Contents of
Evidence Box #3:
Sample
Drug/Strength/Form |
Type of container |
Qty found in the vial |
Qty noted on the vial |
Altace cap |
mfg. pkg. |
191 |
192 |
Anaprox DS tabs |
mfg. bottle |
170 |
no # |
Avapro 150mg |
vial |
91 |
91 |
Coreg 6.25 |
vial |
140 |
140 |
Duratuss G 1200mg |
vial |
25 |
50 |
Effexor 75mg |
vial |
12 |
12 |
Effexor 37.5 tabs |
vial |
120 |
120 |
Fosamax 10mg tab |
vial |
18 |
18 |
Fosamax 5mg tab |
vial |
35 |
36 |
Fumadine tabs |
vial |
29 |
30 |
Lodine 500mg tabs |
mfg. bottle |
78 |
108 |
Loterl 5/20 cap |
vial |
48 |
48 |
Lotrel 2.5/10 |
vial |
95 |
96 |
Mavik 1mg tabs |
vial |
97 |
91 |
Mavik 1mg tabs |
vial |
420 |
420 |
Microzide 12.5mg caps |
vial |
56 |
56 |
Microzide 12.5mg caps |
vial |
220 |
240 |
Nu-Iron tabs |
vial |
11 |
11 |
Slow Fe tabs |
vial |
120 |
no # |
Tarka 1/240 tab |
vial |
35 |
35 |
Tarka 2/180 tab |
vial |
105 |
105 |
Tarka 2/240 tab |
vial |
70 |
70 |
Tarka 2/240 tab |
vial |
35 |
35 |
Tarka 4/240 |
vial |
35 |
35 |
Tarka 4/240 |
vial |
69 |
70 |
Tiazac 360mg caps |
vial |
34 |
35 |
Tritec 400mg |
vial |
139 |
140 |
Valtrex 500mg tab |
vial |
65 |
61 |
Contents of
Evidence Box #4:
Sample
Drug/Strength/Form |
Type of container |
Qty found in the vial |
Qty noted on the vial |
Altace cap |
mfg. pkg. |
191 |
192 |
Anatuss LA tabs |
mfg. bottle |
232 |
221 |
Covera-HS 180mg tabs |
mfg. bottle |
174 |
175 |
Duratuss 1200mg |
mfg. bottle |
50 |
54 |
Lodine 500mg |
mfg. bottle |
252 |
230 |
Phrenilin
50mg |
mfg. bottle |
166 |
168 |
Phrenilin Forte 50mg caps |
vial |
54 |
54 |
Precose
50mg |
mfg. bottle |
374 |
470 |
Sedapap 50 / 650 |
mfg. bottle |
99 |
236 |
Semprex caps |
mfg. bottle |
239 |
348 |
Valtrex 500mg |
mfg. bottle |
156 |
156 |
Zephrex LA tabs |
mfg. bottle |
76 |
96 |
Zyflo 600mg |
mfg. bottle |
95 |
96 |
Contents of
Evidence Box #7:
Sample
Drug/Strength/Form |
Type of container |
Qty
found in
the vial |
Qty
noted on
the vial |
Cardizem 240mg CD tabs |
vial |
56 |
no # |
EC -Naprosyn 500mg tab |
vial |
59 |
no # |
EC-Naprosyn 375mg tabs |
vial |
69 |
70 |
Lorabid
200mg caps |
vial |
6 |
72 |
Lorabid 200mg caps |
vial |
60 |
60 |
Lorabid 400mg caps |
vial |
20 |
20 |
Lotensin 10mg tabs |
mfg. vial |
180 |
100 |
Lotrel 5 / 10 (sample
handwritten on the label) |
vial |
45 |
48 |
Paxil
30mg tabs |
vial |
30 |
no # |
Precose 50mg tabs |
mfg. vial |
204 |
100 |
Prilosec 10mg caps |
vial |
44 |
70 |
Prozac
30mg caps |
vial |
52 |
no # |
Prozac 20mg caps |
mfg. vial |
129 |
100 |
Prozac 20mg caps |
mfg. vial |
79 |
30 |
Prozac 20mg caps |
mfg. vial |
143 |
100 |
Prozac 30mg caps |
vial |
80 |
no # |
Seldane 60mg tabs |
mfg. vial |
157 |
100 |
Syn-Rx DM tabs (two vials
banded together w/sample pkt) |
vials / pkt |
78 |
|
Contents of
Evidence Box #9:
Sample
Drug/Strength/Form |
Type of container |
Qty found in the vial |
Qty noted on the vial |
Arthrotec 75mg tabs
(with patient name John Smuda) |
vial |
11 |
14 |
Cefzil
500mg |
vial |
14 |
24 |
Cipro 750 tabs |
vial |
3 |
no # |
Cipro Cystitis 100mg tabs |
vial |
18 |
18 |
Cystospaz .375mcg caps |
sample vial |
21 |
12 |
Deconsal Sprinkle cap |
sample vial |
25 |
4 |
Dulcolax 5mg tab |
sample vial |
17 |
5 |
Famvir 125mg tabs |
vial |
127 |
95 |
Famvir 250mg tab |
vial |
15 |
15 |
Generic Elavil 100mg |
vial |
183 |
no # |
Hemaspan tab |
vial |
24 |
24 |
Lamisil Tabs |
vial |
12 |
12 |
Levaquin 250mg tab |
vial |
14 |
12 |
Maxaquin
400mg tabs |
vial |
8 |
8 |
Mevacor 10mg |
vial |
96 |
96 |
Naprosyn
375mg tabs |
vial |
5 |
20 |
Normodyne
100mg tabs |
mfg vial |
194 |
100 |
Pink Gray capsule (Unknown) |
vial |
44 |
no # |
Posicor 100mg tab |
vial |
28 |
28 |
Posicor 50mg tab |
vial |
28 |
no # |
Posicor 50mg tab |
vial |
139 |
140 |
Premphase .625mg / 5mg |
vial |
140 |
140 |
Prozac 10mg caps |
vial |
7 |
no # |
Seldane tablets (National Rx vial
w/label for William Apesos) |
patient vial |
38 |
60 |
Synthroid 112mcg tabs |
vial |
42 |
42 |
Synthroid tab |
vial |
42 |
42 |
Theo
400mg |
vial |
18 |
no # |
Tolectin 600mg |
sample vial |
42 |
6 |
Toprol XL
200mg tab |
sample vial |
26 |
7 |
Uni-Dur 400mg tabs
(in a 600 mg sample bottle) |
sample vial |
21 |
7 |
Uro-Mag caps |
sample vial |
119 |
60 |
Ziac 10 / 6.25mg tabs |
vial |
5 |
no # |
Zocor 40mg |
vial |
86 |
136 |
Zocor 5mg tabs |
sample vial |
8 |
4 |
Zoloft 50mg tabs |
mfg vial |
301 |
100 |
Zoloft 50mg tabs |
vial |
278 |
no # |
Zovirax
400mg |
vial |
10 |
10 |
Contents of Evidence
Box #11:
Sample
Drug/Strength/Form |
Type of container |
Qty found in the vial |
Qty noted on the vial |
Axocet |
mfg. vial |
66 |
72 |
Covera-HS 240mg tab |
mfg. vial |
198 |
200 |
EC Naprosyn 500mg |
mfg. vial |
90 |
160 |
Lotrel 2.5mg |
vial |
48 |
48 |
Midrin 65/100/325 |
vial |
60 |
no # |
Naprelan 500mg tabs |
mfg. vial |
169 |
216 |
Pink Tab P/F no label on vial |
mfg. vial |
269 |
no # |
Pink Tab P/F no label on vial |
mfg. vial |
261 |
no # |
Premphase .625 |
vial |
42 |
42 |
Premphase .625 |
vial |
42 |
42 |
Sporonax |
mfg. vial |
61 |
no # |
Sular 20mg |
mfg. vial |
185 |
416 |
Sular 20mg |
mfg. vial |
151 |
252 |
Tarka 1/240 |
mfg. vial |
104 |
70 |
Theo-24 200mg caps |
mfg. vial |
203 |
223 |
Tiazac 180mg caps |
mfg. vial |
247 |
379 |
Tiazac 300mg caps |
mfg. vial |
135 |
285 |
Trinalin
3.72 tabs |
mfg. vial |
668 |
no # |
Trinalin 3.72 tabs |
mfg. vial |
140 |
no # |
Uniphyl
600mg |
Smuckers Jar |
298 |
298 |
Univasc 15mg |
|
|
|
( pills are split in the bottle ) |
vial |
29 |
no # |
Univasc 15mg |
|
|
|
( pills are split in the bottle ) |
vial |
32 |
no # |
Univasc 15mg tabs |
mfg. vial |
708 |
770 |
Zyflo 600mg |
mfg. vial |
64 |
64 |
Such conduct is in violation
of Section 2925.36 of the Ohio Revised Code.
(7) Nick C. Strovilas
did, on or about April 30, 1996, through September 15, 1998, adulterate,
mutilate, destroy, obliterate or remove of the whole or any part of the
labeling of a drug, while the article was held for sale, resulting in the
article being misbranded, to wit: agents of the Board discovered that the word
“sample” was crudely scrapped off medications in an attempt to alter their
distribution appearance prior to sale; the following are examples of Nick C.
Strovilas’ conduct:
Drug |
Quantity |
Monopril
10mg |
24 |
Monopril
10mg |
94 |
Soma
Compound 200/325 |
80 |
Such conduct is in violation
of Section 3715.52(A) of the Ohio Revised Code.
(8) Nick C. Strovilas
did, on or about January 26, 1998, knowingly make a false statement in a
prescription order, report or record required by Chapter 3719. or 4729. of the
Revised Code, to wit: Nick C. Strovilas created prescription number 384886 for
40 unit doses of Vicodin ES, a Schedule III controlled substance, when not
authorized by a practitioner in violation of Section 2925.23(A) of the Ohio
Revised Code.
(9) Nick C. Strovilas
did, on or about January 26, 1998, sell a controlled substance in an amount
exceeding the bulk amount but not exceeding five times the bulk amount when the
conduct was not in accordance with Chapters 3719. and 4729. of the Ohio Revised
Code, to wit: Nick C. Strovilas sold 40 unit doses of Vicodin ES, a Schedule
III controlled substance, without a legitimate prescription and without
legitimate medical purpose pursuant to prescription number 384886. Such conduct is in violation of Section
2925.03(A) of the Ohio Revised Code.
(10) Nick C. Strovilas did, on or
about February 1, 1998, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 384886 for 40 unit doses
of Vicodin ES, a Schedule III controlled substance, when not authorized by a practitioner
in violation of Section 2925.23(A) of the Ohio Revised Code.
(11) Nick C. Strovilas did, on or
about February 1, 1998, sell a controlled substance in an amount exceeding the
bulk amount but not exceeding five times the bulk amount when the conduct was
not in accordance with Chapters 3719. and 4729. of the Ohio Revised Code, to
wit: Nick C. Strovilas sold 40 unit doses of Vicodin ES, a Schedule III
controlled substance, without a legitimate prescription and without a
legitimate medical purpose pursuant to prescription number 384886. Such conduct is in violation of Section
2925.03(A) of the Ohio Revised Code.
(12) Nick C. Strovilas did, on or
about April 15, 1997, knowingly make a false statement in a prescription order,
report or record required by Chapter 3719. or 4729. of the Revised Code, to
wit: Nick C. Strovilas created prescription number 381877 for 30 unit doses of
Rynatan 30mg when not authorized by a practitioner in violation of Section
2925.23(A) of the Ohio Revised Code.
(13) Nick C. Strovilas did, on or
about January 27, 1998, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 384889 for 20 unit doses
of Biaxin 500mg when not authorized by a practitioner in violation of Section
2925.23(A) of the Ohio Revised Code.
(14) Nick C. Strovilas did, on or
about February 20, 1998, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 385222 for 60 unit doses
of Ultram 50mg when not authorized by a practitioner in violation of Section
2925.23(A) of the Ohio Revised Code.
(15) Nick C. Strovilas did, on or
about October 20, 1997, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 383877 for 90 unit doses
of Soma 350mg when not authorized by a practitioner in violation of Section
2925.23(A) of the Ohio Revised Code.
(16) Nick C. Strovilas did, on or
about November 21, 1997, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 384255 for 90 unit doses
of Soma 350mg when not authorized by a practitioner in violation of Section
2925.23(A) of the Ohio Revised Code.
(17) Nick C. Strovilas did, on or
about December 22, 1997, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 384255 for 90 unit doses
of Soma 350mg when not authorized by a practitioner in violation of Section
2925.23(A) of the Ohio Revised Code.
(18) Nick C. Strovilas did, on or
about January 19, 1998, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 384255 for 90 unit doses
of Soma 350mg when not authorized by a practitioner in violation of Section
2925.23(A) of the Ohio Revised Code.
(19) Nick C. Strovilas did, on or
about February 16, 1998, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 384255 for 90 unit doses
of Soma 350mg when not authorized by a practitioner in violation of Section
2925.23(A) of the Ohio Revised Code.
(20) Nick C. Strovilas did, on or
about March 16, 1998, knowingly make a false statement in a prescription order,
report or record required by Chapter 3719. or 4729. of the Revised Code, to
wit: Nick C. Strovilas created prescription number 384255 for 90 unit doses of
Soma 350mg when not authorized by a practitioner in violation of Section
2925.23(A) of the Ohio Revised Code.
(21) Nick C.
Strovilas did, on or about July 18, 1996, knowingly make a false statement in a
prescription order, report or record required by Chapter 3719. or 4729. of the
Revised Code, to wit: Nick C. Strovilas created prescription number 378864 for
60 unit doses of Xanax .5mg, a Schedule IV controlled substance, when not
authorized by a practitioner in violation of Section 2925.23(A) of the Ohio
Revised Code.
(22) Nick C. Strovilas did, on or
about October 31, 1996, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 379961 for 30 unit doses
of Xanax .5mg, a Schedule IV controlled substance, when not authorized by a practitioner
in violation of Section 2925.23(A) of the Ohio Revised Code.
(23) Nick C. Strovilas did, on or
about November 18, 1996, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 379961 for 30 unit doses
of Xanax .5mg, a Schedule IV controlled substance, when not authorized by a
practitioner in violation of Section 2925.23(A) of the Ohio Revised Code.
(24) Nick C. Strovilas did, on or
about December 9, 1996, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 379961 for 30 unit doses
of Xanax .5mg, a Schedule IV controlled substance, when not authorized by a
practitioner in violation of Section 2925.23(A) of the Ohio Revised Code.
(25) Nick C. Strovilas did, on or
about January 7, 1997, knowingly make a false statement in a prescription
order, report or record required by Chapter 3719. or 4729. of the Revised Code,
to wit: Nick C. Strovilas created prescription number 379961 for 30 unit doses
of Xanax .5mg, a Schedule IV controlled substance, when not authorized by a
practitioner in violation of Section 2925.23(A) of the Ohio Revised Code.
(26) Nick C. Strovilas did, on or
about May 27, 1997, knowingly make a false statement in a prescription order,
report or record required by Chapter 3719. or 4729. of the Revised Code, to
wit: Nick C. Strovilas created prescription number 382349 for 30 unit doses of
Ultram 350mg when not authorized by a practitioner in violation of Section
2925.23(A) of the Ohio Revised Code.
CONCLUSIONS
OF LAW
(1) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(5) through (26) of the Findings of Fact constitute being guilty of a felony or
gross immorality as provided in Division (A)(1) of Section 4729.16 of the Ohio
Revised Code.
(2) Upon consideration of
the record as a whole, the State Board of Pharmacy concludes that paragraphs
(5) through (26) of the Findings of Fact constitute being guilty of dishonesty
and unprofessional conduct in the practice of pharmacy as provided in Division
(A)(2) of Section 4729.16 of the Ohio Revised Code.
(3) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(5) through (26) of the Findings of Fact constitute being guilty of willfully
violating, conspiring to violate, attempting to violate, or aiding and abetting
the violation of provisions of Sections 3715.52 to 3715.72 or Chapter 2925. of
the Revised Code as provided in Division (A)(5) of Section 4729.16 of the Ohio
Revised Code.
ACTION
OF THE BOARD
Pursuant to Section 4729.16 of the Ohio Revised
Code, the State Board of Pharmacy takes the following actions in the matter of
Nick C. Strovilas:
(A) On the basis of the
Findings of Fact and paragraph (1) of the Conclusions of Law set forth above,
the State Board of Pharmacy hereby revokes the pharmacist identification card,
No. 03-2-07171, held by Nick C. Strovilas effective as of the date of the
mailing of this Order.
(B) On the basis of the
Findings of Fact and paragraph (2) of the Conclusions of Law set forth above,
the State Board of Pharmacy hereby revokes the pharmacist identification card,
No. 03-2-07171, held by Nick C. Strovilas effective as of the date of the
mailing of this Order.
(C) On the basis of the
Findings of Fact and paragraph (3) of the Conclusions of Law set forth above,
the State Board of Pharmacy hereby revokes the pharmacist identification card,
No. 03-2-07171, held by Nick C. Strovilas effective as of the date of the
mailing of this Order.
Pursuant to Section 4729.16(B) of the Ohio Revised
Code, Nick C. Strovilas must return the identification card and license (wall
certificate) to the office of the State Board of Pharmacy within ten days after
receipt of this Order. The certificate
and identification card should be sent by certified mail, return receipt
requested.
THIS ORDER WAS
APPROVED BY A VOTE OF THE STATE BOARD OF PHARMACY.
MOTION CARRIED.
SO ORDERED.
The motion was seconded by Mr. Littlejohn and approved by the Board (Aye-8/Nay-0).
3:23 p.m.
The Board meeting recessed until Tuesday, June 13, 2000.
TUESDAY, june 13, 2000
8:05 a.m. ROLL CALL
The State Board of Pharmacy convened in Room 1914, Vern Riffe Center for Government and the Arts, 77 South High Street, Columbus, Ohio with the following members present:
Robert B. Cavendish, R.Ph. (President); Diane C. Adelman, R.Ph. (Vice-President); Ann D. Abele, R.Ph.; Robert P. Giacalone, R.Ph.; Lawrence J. Kost, R.Ph.; and Nicholas R. Repke, Public Member.
8:14 a.m.
Ms. Abele moved that the Board go into Executive Session for the purpose of the investigation of complaints regarding licensees and registrants pursuant to Section 121.22(G)(1) of the Revised Code. The motion was seconded by Mrs. Adelman and a roll call vote was conducted by President Cavendish as follows: Abele-Yes, Adelman-Yes, Giacalone-Yes, Kost-Yes, and Repke-Yes.
8:18 a.m.
Mrs. Neuber joined the Executive Session in progress.
8:21 a.m.
RES. 2000-187 The Executive Session ended and the meeting was opened to the public. Ms. Abele then moved that, pursuant to Section 3719.121 of the Revised Code, the Board summarily suspend the license to practice pharmacy belonging to William C. Ringle, R.Ph. (03-3-11849) due to the fact that a continuation of his professional practice presents a danger of immediate and serious harm to others. The motion was seconded by Mr. Repke and approved by the Board (Aye-5/Nay-0/Abstain-1[Neuber]).
8:25 a.m.
RES. 2000-188 Mr. Winsley presented a request from Ritzman Pharmacy and Summa Health System for an exemption from the prohibition of a pick-up station pursuant to Rule 4729-5-10 of the Administrative Code. Mrs. Neuber moved that the exemption be granted with the provision that any medications that are not delivered to the patients’ homes by the close of business must be returned to the pharmacy for storage. The motion was seconded by Mr. Giacalone and approved by the Board (Aye-6/Nay-0).
8:35 a.m.
RES. 2000-189 Mr. Benedict presented a request from Jay Belcher, R.Ph. that he be permitted to work as a cook at Clermont Mercy Hospital without being considered in violation of his Board Order. After discussion, the consensus of the Board was that this would not be a violation of his Board Order.
8:44 a.m.
After a discussion of the proposed Minutes for the May 1, 2, 3, 2000 Board meeting, Ms. Abele moved that they be approved as amended. The motion was seconded by Mrs. Neuber and approved by the Board (Aye-6/Nay-0).
Mr. Littlejohn arrived and joined the meeting in progress.
8:45 a.m.
The Board took a brief recess.
9:19 a.m.
The Board was joined by Assistant Attorney General Sally Ann Steuk for the purpose of conducting an adjudication hearing in accordance with Ohio Revised Code Chapters 119. and 4729. in the matter of James Murray Bayless, R.Ph., Fort Thomas, Kentucky.
11:16 a.m.
The hearing concluded and the record was closed.
11:25 a.m.
Ms. Abele moved that the Board go into Executive Session for the purpose of the investigation of complaints regarding licensees and registrants pursuant to Section 121.22(G)(1) of the Revised Code. The motion was seconded by Mrs. Neuber and a roll call vote was conducted by President Cavendish as follows: Abele-Yes, Adelman-Yes, Giacalone-Yes, Kost-Yes, Littlejohn-Yes, Neuber-Yes, and Repke-Yes.
11:35 a.m.
RES. 2000-190 The Executive Session ended and the meeting was opened to the public. Mrs. Neuber moved that the Board adopt the following Order in the matter of James Murray Bayless, R.Ph.:
ORDER OF THE STATE BOARD OF PHARMACY
(Docket
No. D-990908-018)
In
The Matter Of:
JAMES MURRAY BAYLESS, R.Ph.
431
Highland Avenue
Fort
Thomas, KY 41073
(R.Ph. No. 03-3-10368)
INTRODUCTION
THE MATTER OF JAMES MURRAY BAYLESS CAME FOR HEARING
ON JUNE 13, 2000, BEFORE THE FOLLOWING MEMBERS OF THE BOARD: ROBERT B.
CAVENDISH, R.Ph. (presiding); ANN D. ABELE, R.Ph.; DIANE C. ADELMAN, R.Ph.;
ROBERT P. GIACALONE, R.Ph.; LAWRENCE J. KOST, R.Ph.; AMONTE B. LITTLEJOHN,
R.Ph.; SUZANNE L. NEUBER, R.Ph.; AND NICHOLAS R. REPKE, PUBLIC MEMBER.
JAMES MURRAY BAYLESS WAS REPRESENTED BY ERIC J.
PLINKE, AND THE STATE OF OHIO WAS REPRESENTED BY SALLY ANN STEUK, ASSISTANT
ATTORNEY GENERAL.
SUMMARY
OF EVIDENCE
(A) Testimony
State's Witnesses:
(1) Michael Cluxton,
Ohio State Board of Pharmacy
Respondent's Witnesses:
(1) James Murray
Bayless, Respondent
(2) Wayne Miller,
R.Ph., Pharmacists Rehabilitation Organization, Inc.
(B) Exhibits
State's Exhibits:
(1) Exhibit 1--Copy of
four-page Summary Suspension Order/Notice of Opportunity for Hearing dated
September 8, 1999.
(2) Exhibit 1A--Hearing
Request letter dated October 5, 1999.
(3) Exhibit 1B--Copy of
Hearing Schedule letter dated October 8, 1999.
(4) Exhibit 1C--Hearing
Representation and Continuance Request letter dated January 13, 2000.
(5) Exhibit 1D--Copy of
Hearing Schedule letter dated January 14, 2000.
(6) Exhibit 1E--Copy of
Pharmacist File Front Sheet of James Murray Bayless showing original date of
registration as March 6, 1973, and copy of Renewal Application for Pharmacist
License No. 03-3-10368 for a license to practice pharmacy in Ohio from
September 15, 1999, to September 15, 2000, of James Murray Bayless dated August
1, 1999.
(7) Exhibit 2--Three
4" x 4" photos of drugs possessed by James M. Bayless on August 26,
1999.
(8) Exhibit 3--Copy of
“382-Price Hill Drug Audit” report for the period of August 25, 26, 1999.
(9) Exhibit 4--Copy of
three-page “Agreed Order” of the Commonwealth of Kentucky, Kentucky Board of
Pharmacy vs. James M. Bayless, Agency Case No. 97-0091, signed and dated by
James M. Bayless on September 16, 1999; and “Agreed Order of Surrender” of the
Commonwealth of Kentucky Board of Pharmacy In Re: James Murray Bayless
effective October 27, 1999.
(10) Exhibit 5--Copy of
“Prosecuting Attorney's Request for Issuance of Warrant Upon Indictment” in the
State of Ohio, Hamilton County Court of Common Pleas, State of Ohio vs.
James Bayless, Case No. B9906897; and certified copy of three-page,
three-count, Indictment in the State of Ohio, Hamilton County Court of Common
Pleas, of James Bayless, Case No. B9906897, dated September 21, 1999.
(11) Exhibit 6--Two-page certified
copy of “Entry Withdrawing Plea of Not Guilty and Entering Plea of Guilty” in
the Hamilton County Common Pleas Court, State of Ohio vs. James Bayless,
Case No. B9906897, dated November 22, 1999.
(12) Exhibit
7--Two-page certified copy of “Entry Finding Defendant Eligible for Treatment
in Lieu of Conviction Staying Proceedings, and Ordering Period of
Rehabilitation” in the Hamilton County Common Pleas Court, The State of Ohio
vs. James Murray Bayless, Case No. B9906897, dated November 22, 1999.
Respondent's Exhibits:
(1) Respondent’s
Exhibit List dated June 13, 2000.
(2) Exhibit A--Medical
Records Release form of James Bayless dated April 27, 2000; and copies of
sixty-six pages of Bethesda Treatment Records regarding James M. Bayless dated
from November 29, 1999, through February 10, 2000.
(3) Exhibit B1--Letter
from Diane Brock dated May 18, 2000.
(4) Exhibit B2--Copy of
Letter from Molly E. Fitzgerald dated May 23, 2000, and copy of letter from Tim
O’Leary dated May 11, 2000.
(5) Exhibit B3--Letter
from Jay S. Belcher dated May 21, 2000.
(6) Exhibit B4--Copy of
letter from Rick Michler dated December 8, 1999.
(7) Exhibit B5--Letter
from Sidney Crow, not dated.
(8) Exhibit C1--Copies
of fifteen 12-Step Reaction Sheets dated from January 11, 1999, through
February 4, 2000.
(9) Exhibit C2--Copies
of three pages of Record of Meeting Attendance of Client No. 144 dated from
February 6, 2000, through May 28, 2000.
(10) Exhibit D--Copies of thirteen
pages consisting of twelve urine drug screen reports of James Bayless dated
from December 13, 1999, through April 27, 2000.
(11) Exhibit E1--Two-page copy of
Pharmacists Rehabilitation Organization, Inc. Pharmacist’s Recovery Contract of
James M. Bayless dated January 18, 2000.
(12) Exhibit E2--Letter from
Matthew E. Fisher dated June 9, 2000.
(13) Exhibit E3--Letter from
Matthew E. Fisher, not dated and E-mail message from Keith Wire dated June 7,
2000.
(14) Exhibit E4--Copy of Airborne
Express Airbill, No. 3458045360, from Matt Fisher dated May 18, 2000; and copy
of Chain of Custody Document/Request Form regarding Donor James M. Bayless
dated May 18, 2000.
(15) Exhibit F--Copies of ten
Continuing Pharmacy Education Certificates of James Bayless dated from February
20, 2000, through June 2, 2000.
(16) Exhibit G--Copy of three-page
Commonwealth of Kentucky Board of Pharmacy “Agreed Order of Surrender” In Re:
James Murray Bayless entered October 27, 1999.
FINDINGS
OF FACT
After having heard the testimony, observed the
demeanor of the witnesses, considered the evidence, and weighed the credibility
of each, the State Board of Pharmacy finds the following to be fact:
(1) Records of the
State Board of Pharmacy indicate that James Murray Bayless was originally
licensed in the state of Ohio on March 6, 1973, pursuant to examination, and is
currently licensed to practice pharmacy in the state of Ohio.
(2) James Murray
Bayless is addicted to and/or abusing liquor or drugs or impaired physically or
mentally to such a degree as to render him unfit to practice pharmacy, to wit:
James Murray Bayless has admitted stealing drugs from his employer; James
Murray Bayless has admitted that he has a “drinking problem”; James Murray
Bayless has admitted consuming a fifth of Vodka on a daily basis, at times with
controlled substances; and James Murray Bayless has admitted practicing
pharmacy while impaired. Such conduct
indicates that James Murray Bayless falls within the ambit of Sections
3719.121(B) and 4729.16(A)(3) of the Ohio Revised Code.
(3) James Murray
Bayless did, on August 26, 1999, with purpose to deprive, knowingly obtain or
exert control over dangerous drugs, the property of Kroger Pharmacy #382,
beyond the express or implied consent of the owner and/or by deception, to wit:
James Murray Bayless stole the following controlled substances from his
employer:
Drug |
Quantity |
Lortab
7.5mg |
8 |
Vicoprophen |
1 |
Wellbutrin |
1 |
Percocet |
40 |
Such conduct is in violation
of Section 2913.02 of the Ohio Revised Code.
(4) James
Murray Bayless did, from July 4, 1998, through August 26, 1999, with purpose to
deprive, knowingly obtain or exert control over dangerous drugs, the property
of Kroger #382, beyond the express or implied consent of the owner and/or by
deception, to wit: James Murray Bayless stole the following controlled
substances from his employer:
Drug |
Quantity |
Tenuate
25mg |
134 |
Tenuate
75mg |
109 |
Diethylpropion
75mg |
100 |
Ionamin
30mg |
98 |
Phentermine
37.5mg |
94 |
Phentermine
30mg |
200 |
Phentermine
15mg |
100 |
Roxicet |
54 |
Meridia
10mg |
25 |
Meridia
15mg |
74 |
Hydrocodone
7.5mg w/APAP 500mg |
40 |
Hydrocodone
2.5mg w/APAP 500mg |
2 |
Vicodin
5mg/500mg |
148 |
Hydrocodone
5mg/APAP 500mg |
6,204 |
Hydrocodone
10mg/APAP 650mg |
66 |
Vicodin
ES |
295 |
Lortab
5/500 |
16 |
Vicoprofen
7.5/200 |
350 |
Methylphenidate
5mg |
6 |
Such conduct is in violation
of Section 2913.02 of the Ohio Revised Code.
CONCLUSIONS
OF LAW
(1) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(3) and (4) of the Findings of Fact constitute being guilty of a felony as
provided in Division (A)(1) of Section 4729.16 of the Ohio Revised Code.
(2) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(2) through (4) of the Findings of Fact constitute being guilty of dishonesty
and unprofessional conduct in the practice of pharmacy as provided in Division
(A)(2) of Section 4729.16 of the Ohio Revised Code.
(3) Upon
consideration of the record as a whole, the State Board of Pharmacy concludes
that paragraph (2) of the Findings of Fact constitutes being addicted to or
abusing liquor or drugs or impaired physically or mentally to such a degree as
to render him unfit to practice pharmacy as provided in Division (A)(3) of
Section 4729.16 of the Ohio Revised Code.
(4) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraph
(2) of the Findings of Fact constitutes being guilty of willfully violating,
conspiring to violate, attempting to violate, or aiding and abetting the
violation of provisions of Chapters 3719. and 4729. of the Revised Code as
provided in Division (A)(5) of Section 4729.16 of the Ohio Revised Code.
ACTION
OF THE BOARD
Pursuant to Section 3719.121 of the Ohio Revised
Code, the State Board of Pharmacy hereby removes the Summary Suspension Order
issued to James Murray Bayless on September 8, 1999.
Pursuant to Section 4729.16 of the Ohio Revised
Code, the State Board of Pharmacy takes the following actions in the matter of
James Murray Bayless:
(A) On the basis of the
Findings of Fact and Conclusions of Law, the State Board of Pharmacy hereby
indefinitely suspends the pharmacist identification card, No. 03-3-10368, held
by James Murray Bayless and such suspension is effective as of the date of the
mailing of this Order.
(1) James Murray
Bayless, pursuant to Rule 4729-9-01(F) of the Ohio Administrative Code, may not
be employed by or work in a facility licensed by the Board of Pharmacy to
possess or distribute dangerous drugs during such period of suspension.
(2) James Murray
Bayless, pursuant to Section 4729.16(B) of the Ohio Revised Code, must return
the identification card and license (wall certificate) to the office of the
State Board of Pharmacy within ten days after receipt of this Order. The certificate and identification card
should be sent by certified mail, return receipt requested.
(B) Further, two years
from the effective date of this Order or thereafter, the Board will consider
any petition filed by James Murray Bayless for a hearing, pursuant to Ohio
Revised Code Chapter 119., for reinstatement.
The Board will only consider reinstatement of the license to practice
pharmacy in Ohio if the following conditions have been met:
(1) James Murray
Bayless must obtain, within 90 days after the effective date of this Order, a
full psychiatric or psychological evaluation by a licensed psychiatrist or
psychologist that includes a recommended treatment plan. James Murray Bayless must abide by the
treatment plan as designed by that psychiatrist or psychologist.
(2) James Murray
Bayless must enter into a contract, signed within 90 days after the effective
date of this Order, with an Ohio Department of Alcohol and Drug Addiction
Services (ODADAS) treatment provider or a treatment provider acceptable to the
Board for a period of not less than five years. The contract must provide that:
(a) Random, observed urine drug screens shall be conducted at least once
each month.
(i) The
urine sample must be given within twelve hours of notification. The urine screen must include testing for
creatinine or specific gravity of the sample as the dilutional standard.
(ii) Alcohol
must be added to the standard urine drug screen. A Breathalyzer may be used to test for alcohol, but the test must
be conducted by an appropriately certified individual within twelve hours of
notification.
(iii) Results of all
drug and alcohol screens must be negative.
Any positive results, including those that may have resulted from
ingestion of food, but excluding false positives that resulted from medication
legitimately prescribed, indicates a violation of the contract.
(b) Regular attendance,
a minimum of three times per week, at an Alcoholics Anonymous, Narcotics
Anonymous, and/or similar support group meeting is required.
(c) The program shall
immediately report to the Ohio Board of Pharmacy any violations of the contract
and/or lack of cooperation.
(3) James Murray
Bayless must provide, at the reinstatement petition hearing, documentation of
the following:
(a) Compliance with the
licensed psychiatrist’s or psychologist’s recommended treatment plan.
(b) A report by the
licensed psychiatrist or psychologist regarding James Murray Bayless’ fitness
for readmission into the practice of pharmacy.
(c) Compliance with the
contract required in paragraph (B)(2) above (e.g.-proof of giving the urine
sample within 12 hours of notification, copies of all urine screen reports,
meeting attendance records, treatment program reports, etc.).
(d) Compliance with the
continuing pharmacy education requirements as set forth in Chapter 4729-7 of
the Ohio Administrative Code in effect on the date of petitioning the Board for
reinstatement.
(e) Compliance with the
terms of this Order.
(D) If
reinstatement is not accomplished within three years after the effective date
of this Order, James Murray Bayless must successfully complete the NAPLEX
examination or an equivalent examination approved by the Board.
THIS ORDER WAS
APPROVED BY A VOTE OF THE STATE BOARD OF PHARMACY.
MOTION CARRIED.
SO ORDERED.
The motion was seconded by Mr. Kost and approved by the Board (Aye-7/Nay-0).
The Board recessed for lunch.
1:00 p.m.
RES. 2000-191 The Board reconvened in Room 1948 of the Vern Riffe Center for Government and the Arts, 77 South High Street, Columbus, Ohio for the purpose of meeting with the candidates for licensure by reciprocity. The following Board members were present: Robert B. Cavendish, R.Ph. (President); Diane C. Adelman, R.Ph. (Vice-President); Ann D. Abele, R.Ph.; Suzanne R. Eastman, R.Ph.; Robert P. Giacalone, R.Ph.; Lawrence J. Kost, R.Ph.; Amonte B. Littlejohn, R.Ph.; Suzanne L. Neuber, R.Ph.; and Nicholas R. Repke, Public Member. Following presentations by Board members and self-introductions by the candidates for licensure by reciprocity, Mr. Kost moved that the Board approve the following candidates for licensure. The motion was seconded by Mr. Littlejohn and approved by the Board (Aye-8/Nay-0).
CAMPO, EARL VINCENT |
|
LOUISIANA |
DELEO, SUSAN MARIE |
|
NEW YORK |
DOWD, ROBERT ALAN |
|
IOWA |
FRANCIONI, ROBERT CHARLES |
|
PENNSYLVANIA |
FRY, MARC ALAN |
|
PENNSYLVANIA |
HOSCHAR, ASHLEY LYNN |
|
PENNSYLVANIA |
JACKSON, LATASHA KENYETTA |
|
TEXAS |
KOONTZ, DANIEL BRIAN |
|
NEVADA |
KOSOWSKI, KENNETH ALFRED |
|
MICHIGAN |
KRUEGER, TYSHA RAE |
|
NORTH DAKOTA |
LAKATOS, JR., DONALD PAUL |
|
PENNSYLVANIA |
LONGSTRETH, KRISTEN LEE |
|
PENNSYLVANIA |
MAMAKOS, RENEE CHRISTINA |
|
WEST VIRGINIA |
MARKS, DEBRA M. |
|
PENNSYLVANIA |
MESHANSKI, JOSEPH ANTHONY |
|
PENNSYLVANIA |
O'NEILL, WILLIAM J. |
|
NEW JERSEY |
PANDELADIS, CATHERINE ELAINE |
|
PENNSYLVANIA |
POLZIN, JEFFREY BRIAN |
|
NEVADA |
STEWART, ASHLEY NICHOLE |
|
INDIANA |
VAIDYA, KRISHNA SHRIKANT |
|
ARIZONA |
WEINSTEIN, DEBRA BETH |
|
INDIANA |
WHETSELL HUNT, MARY ANN |
|
SOUTH CAROLINA |
WIECZOREK, BRIAN DOUGLAS |
|
PENNSYLVANIA |
1:43 p.m.
The Board was joined by Assistant Attorney General Sally Ann Steuk for the purpose of conducting an adjudication hearing in accordance with Ohio Revised Code Chapters 119. and 4729. in the matters of The Medicine Shoppe Pharmacy, T.D., Shaker Heights; and Martin Barron, R.Ph., University Heights.
3:30 p.m.
The hearing concluded and the record was closed. The Board took a brief recess.
3:49 p.m.
The Board was joined by Assistant Attorney General Sally Ann Steuk for the purpose of conducting an adjudication hearing in accordance with Ohio Revised Code Chapters 119. and 4729. in the matter of James S. Patton, R.Ph., Columbus.
5:29 p.m.
The hearing concluded and the record was closed.
5:35 p.m.
Mrs. Adelman moved that the Board go into Executive Session for the purpose of the investigation of complaints regarding licensees and registrants pursuant to Section 121.22(G)(1) of the Revised Code. The motion was seconded by Mr. Littlejohn and a roll call vote was conducted by President Cavendish as follows: Abele-Yes, Adelman-Yes, Eastman-Yes, Giacalone-Yes, Kost-Yes, Littlejohn-Yes, Neuber-Yes, and Repke-Yes.
6:15 p.m.
RES. 2000-192 The Executive Session ended and the meeting was opened to the public. Ms. Eastman moved that the Board adopt the following Order in the matter of The Medicine Shoppe Pharmacy, T.D., Shaker Heights:
ORDER OF THE STATE BOARD OF PHARMACY
(Docket
No. D-991112-030)
In
The Matter Of:
THE MEDICINE SHOPPE PHARMACY
c/o
Martin Barron, R.Ph.
3550
Warrensville Center Road
Shaker
Heights, Ohio 44122
(Terminal Distributor No.
02-0681600)
INTRODUCTION
THE MATTER OF THE MEDICINE SHOPPE PHARMACY CAME FOR
HEARING ON JUNE 13, 2000, BEFORE THE FOLLOWING MEMBERS OF THE BOARD: ROBERT B.
CAVENDISH, R.Ph. (presiding); ANN D. ABELE, R.Ph.; DIANE C. ADELMAN, R.Ph.;
SUZANNE R. EASTMAN, R.Ph.; ROBERT P. GIACALONE, R.Ph.; LAWRENCE J. KOST, R.Ph.;
AMONTE B. LITTLEJOHN, R.Ph.; SUZANNE L. NEUBER, R.Ph.; AND NICHOLAS R. REPKE,
PUBLIC MEMBER.
THE MEDICINE SHOPPE PHARMACY WAS REPRESENTED BY
ROBERT J. KOETH AND CLARK D. RICE, AND THE STATE OF OHIO WAS REPRESENTED BY
SALLY ANN STEUK, ASSISTANT ATTORNEY GENERAL.
SUMMARY
OF EVIDENCE
(A) Testimony
State's Witnesses:
(1) Robert L. Cole,
Ohio State Board of Pharmacy
Respondent's Witnesses:
(1) Martin Barron,
Respondent
(2) Steven H. Newman,
C.P.A., Cleveland, Ohio
(B) Exhibits
State's Exhibits:
(1) Exhibit 1--Copy of
nine-page Notice of Opportunity for Hearing letter in the matter of Martin
Barron dated November 12, 1999.
(2) Exhibit 1A--Copy of
nine-page Notice of Opportunity for Hearing letter in the matter of The
Medicine Shoppe Pharmacy, Shaker Heights, Ohio dated November 12, 1999.
(3) Exhibit 1B--Hearing
Request letter dated November 15, 1999.
(4) Exhibit 1C--Copy of
Hearing Schedule letter dated November 23, 1999.
(5) Exhibit 1D--Letter
of Representation and Continuance Request letter dated January 17, 2000.
(6) Exhibit 1E--Copy of
Hearing Schedule letter dated January 19, 2000.
(7) Exhibit
1F--Copy of Pharmacist File Front Sheet of Martin Barron showing original date
of registration as August 4, 1953.
(8) Exhibit 1G--Copy of
Renewal Application for Pharmacist License No. 03-2-05416 for a license to
practice pharmacy in Ohio from September 15, 1999, to September 15, 2000, of
Martin Barron dated July 19, 1999.
(9) Exhibit 1H--Copy of
Renewal Application for DDD License No. 02-0681600 for a Terminal Distributor
of Dangerous Drugs License from January 1, 1999, to December 31, 1999, of The
Medicine Shoppe Pharmacy dated October 8, 1998.
(10) Exhibit 1I--Copy of fax
cover-page to Robert Cole from Robert Koeth dated May 1, 2000; letter from
Robert J. Koeth dated April 28, 2000; three-page Memorandum in Support
regarding Martin Barron by Robert J. Koeth and Clark D. Rice, not dated; copy
of letter from Alma Davis dated April 21, 0000; copy of letter from Peter S.
Kibbe dated April 24, 2000; copy of letter from Bartholomew M. Caterino dated
April 20, 2000; copy of letter from Daniel R. Wendt dated April 23, 2000; copy
of letter from Steven H. Newman dated April 29, 2000; and copy of letter from
David J. Ruzicka dated February 7, 2000.
(11) Exhibit 1J--Copy of letter
from David L. Rowland dated May 1, 2000.
(12) Exhibit 2--Copy of six-page
Order of the State Board of Pharmacy, Docket No. D-971024-015, in the matter of
Martin Barron dated February 11, 1998.
(13) Exhibit 3, 3A, 3B, and
3C--Copy of four-page Accountability Report of The Medicine Shoppe, 3550
Warrensville Center Road, Shaker Heights, Ohio dated from May 1, 1996, through
April 11, 1999.
(14) Exhibit 4A--Audit work paper
for Ritalin 5mg for the period of April 30, 1996, through November 17, 1998.
(15) Exhibit 4B--Audit work paper
for Tylox.
(16) Exhibit 4C--Audit work paper
for MS Contin 30mg.
(17) Exhibit 4D--Audit work paper
for Demerol 50mg.
(18) Exhibit 4E--Audit work paper
for Roxicodone.
(19) Exhibit 4F--Audit work paper
for Dexedrine 10mg spansules.
(20) Exhibit 4G--Audit work paper
for Adderal 30mg.
(21) Exhibit 4H--Audit work paper
for Dexedrine 5mg spansules.
(22) Exhibit 4I--Audit work paper
for Oxycontin 80mg.
(23) Exhibit 4J--Audit work paper
for Ritalin 5mg.
(24) Exhibit 4K--Audit work paper
for Ritalin SR 20mg.
(25) Exhibit 4L--Audit work paper
for Morphine Sulfate 15mg.
(26) Exhibit 4M--Audit work paper
for Methylphenidate 20mg.
(27) Exhibit 4N--Audit work paper
for MS Contin 15mg.
(28) Exhibit 4O--Audit work paper
for MS Contin 60mg.
(29) Exhibit 4P--Audit work paper
for Adderall 5mg.
(30) Exhibit 4Q--Audit work paper
for Duragesic 75mcg.
(31) Exhibit 4R--Audit work paper
for Duragesic patch 50mcg.
(32) Exhibit 4S--Audit work paper
for Duragesic 25mcg.
(33) Exhibit 4T--Audit work paper
for Percocet.
(34) Exhibit 4U--Audit work paper
for Duragesic 100mcg/hr.
(35) Exhibit 4V--Audit work paper
for Seconal 100mg.
(36) Exhibit 4W--Audit work paper
for Ritalin 20mg
(37) Exhibit 4X--Audit work paper
for Dilaudid 2mg.
(38) Exhibit 4Y--List Drug
Utilization report of The Medicine Shoppe Pharmacy for Dilaudid 2mg for the
time period of April 30, 1996, to November 7, 1998.
(39) Exhibit 4Z--Product Activity
Report of The Medicine Shoppe Pharmacy for Dilaudid 4mg for the time period of
April 30, 1996, to November 7, 1998.
(40) Exhibit 4AA--Audit work paper
for Dilaudid 4mg.
(41) Exhibit 4BB--Audit work paper
for MS Contin 100mg and Meperidine 100mg.
(42) Exhibit 4CC--Copy of letter
from Marty Barron dated June 11, 1999, faxed on May 15, 1999, at 4:37 p.m.
(43) Exhibit 4DD through
4VV--Nineteen pages of prescription reports of The Medicine Shoppe Pharmacy
dated from March 20, 1995, through March 5, 1998.
(44) Exhibit 4WW--Copy of letter
from Marty Barron dated June 11, 1999, faxed on May 15, 1999, at 7:49 p.m.
(45) Exhibit 4XX--Letter from Marty
Barron dated June 11, 1999.
(46) Exhibit 4YY--Original of
letter faxed on May 15, 1999, at 7:49 p.m. from Marty Barron.
(47) Exhibits 5, 5A, and
5B--Three-page handwritten closing drug inventory of The Medicine Shoppe
Pharmacy dated April 12, 1999.
(48) Exhibits 6, and 6A through
6F--Copy of seven-page Dangerous Drug Distributor Inspection Report of Medicine
Shoppe Pharmacy (02-0681600) dated June 27, 1997.
(49) Exhibits 7, and 7A through
7C--Copy of letter from Marty Barron dated July 3, 1997, and attached
three-page response to “pink sheet”, not dated.
(50) Exhibit 8--Two-page Dangerous
Drug Distributor Inspection Report of The Medicine Shoppe Pharmacy (02-0681600)
dated April 14, 1999.
(51) Exhibit 9 and 9A--“Pink Sheet”
copy of Dangerous Drug Distributor Inspection Report of The Medicine Shoppe
Pharmacy (02-0681600) dated April 14, 1999, and attached copy of “pink sheet”
response, not dated.
(52) Exhibit 10--Copy of DEA Form
222 of Shaker Professional Pharmacy D.B.A.: Medicine Shoppe Pharmacy, Order No.
952977678, received on February 10, 1997.
(53) Exhibit 11--Copy of page one
of two-page Shaker Professional Pharmacy D.B.A.: Medicine Shoppe Customer
Controlled Item Report dated February
28, 1997.
(54) Exhibit 12--Copy of DEA Form
222 of Shaker Professional Pharmacy D.B.A.: Medicine Shoppe Pharmacy, Order No.
982006506, received on December 7, 1998.
(55) Exhibit 13--Independent Drug
Company Invoice No. 969727 dated December 7, 1998.
(56) Exhibit 13A--Copy of page two
of two-page Shaker Professional Pharmacy D.B.A.: Medicine Shoppe Customer
Controlled Item Report dated February 28, 1997.
Respondent's Exhibits:
(1) Table of Contents
and three-page Memorandum in Support, not dated.
(2) Exhibit A--Copy of
letter from Alma Davis dated April 21, 2000.
(3) Exhibit B--Copy of
letter from Peter S. Kibbe dated April 24, 2000.
(4) Exhibit C--Copy of
letter from Bartholomew M. Caterino dated April 20, 2000.
(5) Exhibit D--Copy of
letter from Daniel R. Wendt dated April 23, 2000.
(6) Exhibit E--Copy of
letter from Steven H. Newman dated April 19, 2000.
(7) Exhibit F--Copy of
letter from David J. Ruzicka dated February 7, 2000.
(8) Exhibit G--Copy of
letter from Bartholomew M. Caterino dated June 5, 2000.
(9) Exhibit H--Copy of
letter from Michael W. Bukach dated June 7, 2000.
(10) Exhibit I--Copy of The
Medicine Shoppe Income and Expense Statement for the month ending December 31,
1998.
FINDINGS
OF FACT
After having heard the testimony, observed the
demeanor of the witnesses, considered the evidence, and weighed the credibility
of each, the State Board of Pharmacy finds the following to be fact:
(1) Records of the
State Board of Pharmacy indicate that during the relevant time periods stated
herein, Martin Barron was the Responsible Pharmacist at Medicine Shoppe
Pharmacy, 3550 Warrensville Center Road, Shaker Heights, Ohio pursuant to Rule
4729-5-11 of the Ohio Administrative Code and Sections 4729.27 and 4729.55 of
the Ohio Revised Code.
(2) The
Medicine Shoppe Pharmacy did, from May 1, 1996, through April 11, 1999, fail to
provide effective and approved controls and procedures to deter and detect
theft and diversion of dangerous drugs, to wit: during this time period, the
following drugs were diverted from The Medicine Shoppe Pharmacy without
adequate detection and/or prevention:
Drug Name/Strength |
Amount of Shortage |
% of Drug Supply |
Adderall
5mg |
99 |
5.0% |
Adderall
10mg |
523 |
6.0% |
Codeine
SO4 30mg |
9 |
1.3% |
Hydromorphone
2mg |
111 |
2.9% |
Hydromorphone
4mg |
3,594 |
8.6% |
Duragesic
25mcg/hr |
2 |
.1% |
Duragesic
50mcg/hr |
17 |
7.9% |
Duragesic
75mcg/hr |
10 |
2.9% |
Duragesic
100mcg/hr |
11 |
1.9% |
Methadone
10mg |
626 |
6.4% |
MS
Contin 15mg |
65 |
7.4% |
MS
Contin 30mg |
102 |
3.1% |
MS
Contin 60mg |
47 |
3.5% |
Oxycontin
10mg |
408 |
15.7% |
Oxycontin
20mg |
1,672 |
16.6% |
Oxycontin
40mg |
1,467 |
13.5% |
Oxycontin
80mg |
29 |
3.6% |
OxyIR
5mg |
65 |
3.1% |
Percodan |
463 |
3.5% |
Roxicet |
433 |
5.2% |
Roxicodone |
61 |
3.6% |
Diazepam
10mg |
14,234 |
19.1% |
Phentermine
8mg |
17 |
>0.1% |
Ionamin
15mg |
33 |
8.3% |
Ionamin
30mg |
79 |
9.3% |
Fastin
30mg |
30 |
6.9% |
Propoxyphene
N-100 |
9,475 |
4.7% |
Such conduct is in violation
of Rule 4729-9-05 of the Ohio Administrative Code.
(3) The Medicine Shoppe
Pharmacy did, from May 1, 1996, through April 11, 1999, knowingly sell a
controlled substance in an amount greater than one hundred times the bulk
amount when the conduct was not in accordance with Chapters 3719., 4729., and
4731. of the Ohio Revised Code, to wit: the following Schedule II controlled
substances were diverted from The Medicine Shoppe Pharmacy without
prescriptions:
Drug Name/Strength |
Amount of Shortage |
% of Drug Supply |
Dilaudid 4mg |
3,303 |
13.1% |
Hydromorphone 4mg |
291 |
1.9% |
Oxycontin
20mg |
1,672 |
16.6% |
Oxycontin
40mg |
1,467 |
13.5% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(4) The Medicine Shoppe
Pharmacy did, from May 1, 1996, through April 11, 1999, knowingly sell a
controlled substance in an amount greater than five times the bulk amount but
in an amount less than fifty times the bulk amount when the conduct was not in
accordance with Chapters 3719., 4729., and 4731. of the Ohio Revised Code, to wit:
the following Schedule II controlled substances were diverted from The Medicine
Shoppe Pharmacy without prescriptions:
Drug Name/Strength |
Amount of Shortage |
% of Drug Supply |
Adderall
10mg |
523 |
5.0% |
Duragesic
100mcg/hr |
11 |
1.9% |
Methadone
10mg |
626 |
6.4% |
Oxycontin
10mg |
408 |
15.7% |
Oxycontin
80mg |
29 |
3.6% |
Percodan |
463 |
3.5% |
Roxicet |
433 |
5.2% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(5) The Medicine Shoppe
Pharmacy did, from May 1, 1996, through April 11, 1999, knowingly sell a
controlled substance in an amount greater than the bulk amount but less than
five times the bulk amount when the conduct was not in accordance with Chapters
3719., 4729., and 4731. of the Ohio Revised Code, to wit: the following
Schedule II controlled substances were diverted from The Medicine Shoppe
Pharmacy without prescriptions:
Drug Name/Strength |
Amount of Shortage |
% of Drug Supply |
Dilaudid
2mg |
81 |
3.1% |
Hydromorphone
2mg |
30 |
2.7% |
Duragesic
50mcg/hr |
17 |
7.9% |
Duragesic
75mcg/hr |
10 |
2.9% |
MS
Contin 15mg |
65 |
7.4% |
MS
Contin 30mg |
102 |
3.1% |
MS
Contin 60mg |
47 |
3.5% |
OxyIR
5mg |
65 |
3.1% |
Roxicodone |
61 |
3.6% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(6) The Medicine Shoppe
Pharmacy did, from May 1, 1996, through April 11, 1999, knowingly sell a
controlled substance in an amount less than the bulk amount when the conduct
was not in accordance with Chapters 3719., 4729., and 4731. of the Ohio Revised
Code, to wit: the following Schedule II controlled substances were diverted
from The Medicine Shoppe Pharmacy without prescriptions:
Drug Name/Strength |
Amount of Shortage |
% of Drug Supply |
Adderall
5mg |
99 |
5.0% |
Codeine
SO4 30mg |
9 |
1.3% |
Duragesic
25mcg/hr |
2 |
0.1% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(7) The Medicine Shoppe
Pharmacy did, from May 1, 1996, through April 11, 1999, knowingly sell a
controlled substance in an amount greater than fifty times the bulk amount but
in an amount less than one hundred times that amount when the conduct was not
in accordance with Chapters 3719., 4729., and 4731. of the Ohio Revised Code,
to wit: the following Schedule III, IV, or V controlled substances were
diverted from The Medicine Shoppe Pharmacy without prescriptions:
Drug Name/Strength |
Amount of Shortage |
% of Drug Supply |
Diazepam 10mg |
14,234 |
19.1% |
Propoxyphene
N-100 |
9,475 |
4.7% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(8) The Medicine Shoppe
Pharmacy did, from May 1, 1996, through April 11, 1999, knowingly sell a
controlled substance in an amount greater than the bulk amount but less than
five times the bulk amount when the conduct was not in accordance with Chapters
3719., 4729., and 4731. of the Ohio Revised Code, to wit: the following
Schedule III, IV, or V controlled substances were diverted from The Medicine
Shoppe Pharmacy without prescriptions:
Drug Name/Strength |
Amount of Shortage |
% of Drug Supply |
Ionamin 30mg |
79 |
9.3% |
Fastin
30mg |
30 |
6.9% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(9) The Medicine Shoppe
Pharmacy did, from May 1, 1996, through April 11, 1999, knowingly sell a
controlled substance in an amount less than the bulk amount when the conduct
was not in accordance with Chapters 3719., 4729., and 4731. of the Ohio Revised
Code, to wit: the following Schedule
III, IV, or V controlled substances were diverted from The Medicine Shoppe
Pharmacy without prescriptions:
Drug Name/Strength |
Amount of Shortage |
% of Drug Supply |
Phentermine 8mg |
17 |
>0.1% |
Ionamin
15mg |
33 |
8.3% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(10) The Medicine Shoppe Pharmacy
did, on or about November of 1998 and/or June of 1999, knowingly make a false
statement when the statement was made with purpose to mislead a public official
in performing his duties, to wit: Mr. Barron, the Responsible Pharmacist for
The Medicine Shoppe Pharmacy, reported a loss of controlled substances to the
Ohio State Board of Pharmacy. Martin
Barron later reported that the pharmacy was not missing the drugs; however,
subsequent investigation revealed that The Medicine Shoppe Pharmacy, in fact,
had documented the missing drugs. Such
conduct is in violation of Section 2921.13 of the Ohio Revised Code.
(11) The Medicine Shoppe Pharmacy
did, on or about April 12, 1999, possess for sale misbranded drugs, to wit: The
Medicine Shoppe Pharmacy possessed the following drugs which had been
"consolidated for accountability purposes:"
Drug Name/Strength |
Stock Bottle Size |
Containing |
Adderall
5mg |
100 |
121 |
Adderall
20mg |
100 |
141 |
Adderall
20mg |
100 |
147 |
Hydrocodone
2mg |
100 |
188 |
Dilaudid
4mg |
100 |
178 |
MSIR
15mg |
100 |
146 |
Morphine
Sulfate 15mg |
100 |
195 |
MS
Contin 60mg |
100 |
104 |
MS
Contin 100mg |
100 |
151 |
Roxicodone
5mg |
100 |
265 |
Methadone
10mg |
100 |
170 |
Such conduct is in violation
of Section 3715.52 of the Ohio Revised Code.
(12) The
Medicine Shoppe Pharmacy did, on or about June 27, 1997, fail to document that
the prescription refill information entered into the automated data processing
system was correct by signing the hard-copy printout of each day's prescription
refill data. Such conduct is in
violation of Rule 4729-5-28(C)(2) of the Ohio Administrative Code.
(13) The Medicine Shoppe Pharmacy
did, on or about April 14, 1999, fail to maintain a copy of current federal and
state laws, regulations, and rules governing the legal distribution of drugs in
Ohio when it had previously been given a written warning on June 27, 1997. Such conduct is in violation of Rule
4729-9-02 of the Ohio Administrative Code.
(14) The Medicine Shoppe Pharmacy
did, on or about April 14, 1999, fail to maintain the minimum standards of a
pharmacy, to wit: The Medicine Shoppe Pharmacy failed to maintain its stock,
library, and equipment in a suitable, well-lighted and well-ventilated room or
department with clean and sanitary surroundings when it had previously been
given written warning on June 27, 1997.
Such conduct is in violation of Rule 4729-9-02 of the Ohio Administrative
Code.
(15) The Medicine Shoppe Pharmacy
did, on or about April 14, 1999, fail to maintain a prescription file system
wherein prescriptions were separated by schedule, to wit: prescriptions had not been filed for the
week preceding the April 14, 1999 inspection; prescriptions were scattered
throughout The Medicine Shoppe Pharmacy’s dispensing counter amid envelopes,
papers, and other miscellaneous items.
Such conduct is in violation of Rule 4729-5-09 of the Ohio
Administrative Code.
(16) The Medicine Shoppe Pharmacy
did, on or about April 14, 1999, dispense controlled substances pursuant to
prescriptions that had not been written for drug quantities both numerically
and alphabetically when it had previously been given a written warning about
such conduct on June 27, 1997. Such
conduct is in violation of Rule 4729-5-13 of the Ohio Administrative Code.
(17) The Medicine Shoppe Pharmacy
did, on or about April 14, 1999, dispense dangerous drugs pursuant to telephone
prescriptions without obtaining the full name of the physician's agents. Such conduct is in violation of Rule
4729-5-13 of the Ohio Administrative Code.
(18) The Medicine Shoppe Pharmacy
did, on or about April 14, 1999, when dispensing dangerous drugs pursuant to
prescriptions, failed to manually initial the original prescription, to wit:
The Medicine Shoppe Pharmacy’s Responsible Pharmacist used a rubber stamp with
his name inscribed thereon when the pharmacy had previously been given a
written warning on June 27, 1997. Such
conduct is in violation of Rule 4729-5-27 of the Ohio Administrative Code.
(19) The Medicine Shoppe Pharmacy
did, on or about June 27, 1997, fail to correctly document its biennial
inventory, to wit: when taking the required inventory on April 3, 1994, and
again on April 30, 1996, The Medicine Shoppe Pharmacy failed to denote whether
the inventories were taken at the opening or closing of the business day. Such conduct is in violation of Section
1304.11 of the Code of Federal Regulations.
(20) The Medicine Shoppe Pharmacy
did, on or about February 10, 1997, fail to correctly document the pharmacy's
receipt of controlled substances, to wit: DEA Form 222, No. 952977678,
indicated that The Medicine Shoppe Pharmacy had received three bottles of one
hundred unit doses of Dilaudid 4mg when, in fact, the pharmacy had not received
that drug. Such conduct is in violation
of Section 4729-9-14 of the Ohio Administrative Code.
(21) The Medicine Shoppe Pharmacy
did, on or about December 7, 1998, fail to correctly document the pharmacy’s
receipt of controlled substances, to wit: DEA Form 222, No. 928006506,
indicated that The Medicine Shoppe Pharmacy had received 4 packages, each
containing 5 patches of Duragesic 25mcg/hr, when in fact it had not received
the drugs. Such conduct is in violation
of Rule 4729-9-14 of the Ohio Administrative Code.
CONCLUSIONS
OF LAW
(1) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(2), (12) through (18), (20), and (21) of the Findings of Fact constitute
violating a rule of the Board as provided in Division (A)(2) of Section 4729.57
of the Ohio Revised Code.
(2) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraph
(11) of the Findings of Fact constitutes violating any provision of the
"Federal Food, Drug, and Cosmetic Act," 52 Stat. 1040 (1938), 21
U.S.C.A. 301, or Chapter 3715. of the Revised Code as provided in Division
(A)(4) of Section 4729.57 of the Ohio Revised Code.
(3) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(3) through (10) and (19) through (21) of the Findings of Fact constitute
violating provisions of the federal drug abuse control laws or Chapter 2925. or
3719. of the Revised Code as provided in Division (A)(5) of Section 4729.57 of
the Ohio Revised Code.
(4) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraph
(14) of the Findings of Fact constitutes ceasing to satisfy the qualifications
of a terminal distributor of dangerous drugs set forth in Section 4729.55 of
the Revised Code as provided in Division (A)(7) of Section 4729.57 of the Ohio
Revised Code.
ACTION
OF THE BOARD
Pursuant to Section 4729.57 of the Ohio Revised
Code, the State Board of Pharmacy takes the following actions in the matter of
The Medicine Shoppe Pharmacy:
(A) On the basis of the
Findings of Fact and paragraph (1) of the Conclusions of Law set forth above,
the State Board of Pharmacy hereby revokes the terminal distributor license,
No. 02-0681600, held by The Medicine Shoppe Pharmacy effective as of the date
of the mailing of this Order.
(B) On
the basis of the Findings of Fact and paragraph (2) of the Conclusions of Law
set forth above, the State Board of Pharmacy hereby revokes the terminal
distributor license, No. 02-0681600, held by The Medicine Shoppe Pharmacy
effective as of the date of the mailing of this Order.
(C) On the basis of the
Findings of Fact and paragraph (3) of the Conclusions of Law set forth above,
the State Board of Pharmacy hereby revokes the terminal distributor license,
No. 02-0681600, held by The Medicine Shoppe Pharmacy effective as of the date
of the mailing of this Order.
(D) On the basis of the
Findings of Fact and paragraph (4) of the Conclusions of Law set forth above,
the State Board of Pharmacy hereby revokes the terminal distributor license,
No. 02-0681600, held by The Medicine Shoppe Pharmacy effective as of the date
of the mailing of this Order.
Division (C)(1) of Section
4729.57 of the Ohio Revised Code provides: “Upon the suspension or revocation
of a license issued to a terminal distributor of dangerous drugs or the refusal
by the Board to renew such a license, the distributor shall immediately
surrender the license to the Board.”
The license should be forwarded by certified mail, return receipt
requested.
THIS ORDER WAS
APPROVED BY A VOTE OF THE STATE BOARD OF PHARMACY.
MOTION CARRIED.
SO ORDERED.
The motion was seconded by Mrs. Neuber and approved by the Board (Aye-8/Nay-0).
6:18 p.m.
RES. 2000-193 Mr. Littlejohn moved that the Board adopt the following Order in the matter of Martin Barron, R.Ph., University Heights:
ORDER OF THE STATE BOARD OF PHARMACY
(Docket
No. D-991112-031)
In
The Matter Of:
MARTIN BARRON, R.Ph.
2430
Claver Road
University
Heights, Ohio 44118
(R.Ph. No. 03-2-05416)
INTRODUCTION
THE MATTER OF MARTIN BARRON CAME FOR HEARING ON JUNE
13, 2000, BEFORE THE FOLLOWING MEMBERS OF THE BOARD: ROBERT B. CAVENDISH, R.Ph.
(presiding); ANN D. ABELE, R.Ph.; DIANE C. ADELMAN, R.Ph.; SUZANNE R. EASTMAN,
R.Ph.; ROBERT P. GIACALONE, R.Ph.; LAWRENCE J. KOST, R.Ph.; AMONTE B.
LITTLEJOHN, R.Ph.; SUZANNE L. NEUBER, R.Ph.; AND NICHOLAS R. REPKE, PUBLIC
MEMBER.
MARTIN BARRON WAS REPRESENTED BY ROBERT J. KOETH AND
CLARK D. RICE, AND THE STATE OF OHIO WAS REPRESENTED BY SALLY ANN STEUK,
ASSISTANT ATTORNEY GENERAL.
SUMMARY
OF EVIDENCE
(A) Testimony
State's Witnesses:
(1) Robert L. Cole,
Ohio State Board of Pharmacy
Respondent's Witnesses:
(1) Martin Barron,
Respondent
(2) Steven H. Newman,
C.P.A., Cleveland, Ohio
(B) Exhibits
State's Exhibits:
(1) Exhibit
1--Copy of nine-page Notice of Opportunity for Hearing letter in the matter of
Martin Barron dated November 12, 1999.
(2) Exhibit 1A--Copy of
nine-page Notice of Opportunity for Hearing letter in the matter of The
Medicine Shoppe Pharmacy, Shaker Heights, Ohio dated November 12, 1999.
(3) Exhibit 1B--Hearing
Request letter dated November 15, 1999.
(4) Exhibit 1C--Copy of
Hearing Schedule letter dated November 23, 1999.
(5) Exhibit 1D--Letter
of Representation and Continuance Request letter dated January 17, 2000.
(6) Exhibit 1E--Copy of
Hearing Schedule letter dated January 19, 2000.
(7) Exhibit 1F--Copy of
Pharmacist File Front Sheet of Martin Barron showing original date of
registration as August 4, 1953.
(8) Exhibit 1G--Copy of
Renewal Application for Pharmacist License No. 03-2-05416 for a license to
practice pharmacy in Ohio from September 15, 1999, to September 15, 2000, of
Martin Barron dated July 19, 1999.
(9) Exhibit 1H--Copy of
Renewal Application for DDD License No. 02-0681600 for a Terminal Distributor
of Dangerous Drugs License from January 1, 1999, to December 31, 1999, of The
Medicine Shoppe Pharmacy dated October 8, 1998.
(10) Exhibit 1I--Copy of fax
cover-page to Robert Cole from Robert Koeth dated May 1, 2000; letter from
Robert J. Koeth dated April 28, 2000; three-page Memorandum in Support
regarding Martin Barron by Robert J. Koeth and Clark D. Rice, not dated; copy
of letter from Alma Davis dated April 21, 0000; copy of letter from Peter S.
Kibbe dated April 24, 2000; copy of letter from Bartholomew M. Caterino dated
April 20, 2000; copy of letter from Daniel R. Wendt dated April 23, 2000; copy
of letter from Steven H. Newman dated April 29, 2000; and copy of letter from
David J. Ruzicka dated February 7, 2000.
(11) Exhibit 1J--Copy of letter
from David L. Rowland dated May 1, 2000.
(12) Exhibit 2--Copy of six-page
Order of the State Board of Pharmacy, Docket No. D-971024-015, in the matter of
Martin Barron dated February 11, 1998.
(13) Exhibit 3, 3A, 3B, and
3C--Copy of four-page Accountability Report of The Medicine Shoppe, 3550
Warrensville Center Road, Shaker Heights, Ohio dated from May 1, 1996, through
April 11, 1999.
(14) Exhibit 4A--Audit work paper
for Ritalin 5mg for the period of April 30, 1996, through November 17, 1998.
(15) Exhibit 4B--Audit work paper
for Tylox.
(16) Exhibit 4C--Audit work paper
for MS Contin 30mg.
(17) Exhibit 4D--Audit work paper
for Demerol 50mg.
(18) Exhibit 4E--Audit work paper
for Roxicodone.
(19) Exhibit 4F--Audit work paper
for Dexedrine 10mg spansules.
(20) Exhibit 4G--Audit work paper
for Adderal 30mg.
(21) Exhibit 4H--Audit work paper
for Dexedrine 5mg spansules.
(22) Exhibit 4I--Audit work paper
for Oxycontin 80mg.
(23) Exhibit 4J--Audit work paper
for Ritalin 5mg.
(24) Exhibit 4K--Audit work paper
for Ritalin SR 20mg.
(25) Exhibit 4L--Audit work paper
for Morphine Sulfate 15mg.
(26) Exhibit 4M--Audit work paper
for Methylphenidate 20mg.
(27) Exhibit 4N--Audit work paper
for MS Contin 15mg.
(28) Exhibit 4O--Audit work paper
for MS Contin 60mg.
(29) Exhibit 4P--Audit work paper
for Adderall 5mg.
(30) Exhibit
4Q--Audit work paper for Duragesic 75mcg.
(31) Exhibit 4R--Audit work paper
for Duragesic patch 50mcg.
(32) Exhibit 4S--Audit work paper
for Duragesic 25mcg.
(33) Exhibit 4T--Audit work paper
for Percocet.
(34) Exhibit 4U--Audit work paper
for Duragesic 100mcg/hr.
(35) Exhibit
4V--Audit work paper for Seconal 100mg.
(36) Exhibit 4W--Audit work paper
for Ritalin 20mg
(37) Exhibit 4X--Audit work paper
for Dilaudid 2mg.
(38) Exhibit 4Y--List Drug
Utilization report of The Medicine Shoppe Pharmacy for Dilaudid 2mg for the
time period of April 30, 1996, to November 7, 1998.
(39) Exhibit 4Z--Product Activity
Report of The Medicine Shoppe Pharmacy for Dilaudid 4mg for the time period of
April 30, 1996, to November 7, 1998.
(40) Exhibit 4AA--Audit work paper
for Dilaudid 4mg.
(41) Exhibit 4BB--Audit work paper
for MS Contin 100mg and Meperidine 100mg.
(42) Exhibit 4CC--Copy of letter
from Marty Barron dated June 11, 1999, faxed on May 15, 1999, at 4:37 p.m.
(43) Exhibit 4DD through
4VV--Nineteen pages of prescription reports of The Medicine Shoppe Pharmacy
dated from March 20, 1995, through March 5, 1998.
(44) Exhibit 4WW--Copy of letter
from Marty Barron dated June 11, 1999, faxed on May 15, 1999, at 7:49 p.m.
(45) Exhibit 4XX--Letter from Marty
Barron dated June 11, 1999.
(46) Exhibit 4YY--Original of
letter faxed on May 15, 1999, at 7:49 p.m. from Marty Barron.
(47) Exhibits 5, 5A, and
5B--Three-page handwritten closing drug inventory of The Medicine Shoppe
Pharmacy dated April 12, 1999.
(48) Exhibits 6, and 6A through
6F--Copy of seven-page Dangerous Drug Distributor Inspection Report of Medicine
Shoppe Pharmacy (02-0681600) dated June 27, 1997.
(49) Exhibits 7, and 7A through
7C--Copy of letter from Marty Barron dated July 3, 1997, and attached
three-page response to “pink sheet”, not dated.
(50) Exhibit 8--Two-page Dangerous
Drug Distributor Inspection Report of The Medicine Shoppe Pharmacy (02-0681600)
dated April 14, 1999.
(51) Exhibit 9 and 9A--“Pink Sheet”
copy of Dangerous Drug Distributor Inspection Report of The Medicine Shoppe
Pharmacy (02-0681600) dated April 14, 1999, and attached copy of “pink sheet”
response, not dated.
(52) Exhibit 10--Copy of DEA Form
222 of Shaker Professional Pharmacy D.B.A.: Medicine Shoppe Pharmacy, Order No.
952977678, received on February 10, 1997.
(53) Exhibit 11--Copy of page one
of two-page Shaker Professional Pharmacy D.B.A.: Medicine Shoppe Customer
Controlled Item Report dated February
28, 1997.
(54) Exhibit 12--Copy of DEA Form
222 of Shaker Professional Pharmacy D.B.A.: Medicine Shoppe Pharmacy, Order No.
982006506, received on December 7, 1998.
(55) Exhibit 13--Independent Drug
Company Invoice No. 969727 dated December 7, 1998.
(56) Exhibit 13A--Copy of page two
of two-page Shaker Professional Pharmacy D.B.A.: Medicine Shoppe Customer
Controlled Item Report dated February 28, 1997.
Respondent's Exhibits:
(1) Table of Contents
and three-page Memorandum in Support, not dated.
(2) Exhibit A--Copy of
letter from Alma Davis dated April 21, 2000.
(3) Exhibit B--Copy of
letter from Peter S. Kibbe dated April 24, 2000.
(4) Exhibit C--Copy of
letter from Bartholomew M. Caterino dated April 20, 2000.
(5) Exhibit D--Copy of
letter from Daniel R. Wendt dated April 23, 2000.
(6) Exhibit E--Copy of
letter from Steven H. Newman dated April 19, 2000.
(7) Exhibit F--Copy of
letter from David J. Ruzicka dated February 7, 2000.
(8) Exhibit G--Copy of
letter from Bartholomew M. Caterino dated June 5, 2000.
(9) Exhibit H--Copy of
letter from Michael W. Bukach dated June 7, 2000.
(10) Exhibit I--Copy of The
Medicine Shoppe Income and Expense Statement for the month ending December 31,
1998.
FINDINGS
OF FACT
After having heard the testimony, observed the
demeanor of the witnesses, considered the evidence, and weighed the credibility
of each, the State Board of Pharmacy finds the following to be fact:
(1) Records of the
State Board of Pharmacy indicate that Martin Barron was originally licensed in
the State of Ohio on August 4, 1953, pursuant to examination, and is currently
licensed to practice pharmacy. During
the relevant time periods stated herein, Martin Barron was the Responsible
Pharmacist at The Medicine Shoppe Pharmacy, 3550 Warrensville Center Road, Shaker
Heights, Ohio, pursuant to Rule 4729-5-16 of the Ohio Administrative Code and
Sections 4729.27 and 4729.55 of the Ohio Revised Code. Additionally, Board records indicate that
administrative action was taken against Martin Barron’s license to practice
pharmacy on February 11, 1998, for matters unrelated to the allegations set
forth herein and his license is currently on probation through February 11,
2003.
(2) Martin Barron did,
as the Responsible Pharmacist, from May 1, 1996, through April 11, 1999, fail
to provide effective and approved controls and procedures to deter and detect
theft and diversion of dangerous drugs, to wit: during this time period, the
following drugs were diverted from The Medicine Shoppe Pharmacy without
adequate detection and/or prevention:
Drug Name/Strength |
Amount of
Shortage |
% of Drug
Supply |
Adderall
5mg |
99 |
5.0% |
Adderall
10mg |
523 |
6.0% |
Codeine
SO4 30mg |
9 |
1.3% |
Hydromorphone
2mg |
111 |
2.9% |
Hydromorphone
4mg |
3,594 |
8.6% |
Duragesic
25mcg/hr |
2 |
.1% |
Duragesic
50mcg/hr |
17 |
7.9% |
Duragesic
75mcg/hr |
10 |
2.9% |
Duragesic
100mcg/hr |
11 |
1.9% |
Methadone
10mg |
626 |
6.4% |
MS
Contin 15mg |
65 |
7.4% |
MS
Contin 30mg |
102 |
3.1% |
MS
Contin 60mg |
47 |
3.5% |
Oxycontin
10mg |
408 |
15.7% |
Oxycontin
20mg |
1,672 |
16.6% |
Oxycontin
40mg |
1,467 |
13.5% |
Oxycontin
80mg |
29 |
3.6% |
OxyIR
5mg |
65 |
3.1% |
Percodan |
463 |
3.5% |
Roxicet |
433 |
5.2% |
Roxicodone |
61 |
3.6% |
Diazepam
10mg |
14,234 |
19.1% |
Phentermine
8mg |
17 |
>0.1% |
Ionamin
15mg |
33 |
8.3% |
Ionamin
30mg |
79 |
9.3% |
Fastin
30mg |
30 |
6.9% |
Propoxyphene
N-100 |
9,475 |
4.7% |
Such conduct is in violation
of Rule 4729-9-05 of the Ohio Administrative Code.
(3) Martin
Barron did, as the Responsible Pharmacist, from May 1, 1996, through April 11,
1999, knowingly sell a controlled substance in an amount greater than one
hundred times the bulk amount when the conduct was not in accordance with
Chapters 3719., 4729., and 4731. of the Ohio Revised Code, to wit: the
following Schedule II controlled substances were diverted from The Medicine
Shoppe Pharmacy without prescriptions:
Drug Name/Strength |
Amount of
Shortage |
% of Drug
Supply |
Dilaudid
4mg |
3,303 |
13.1% |
Hydromorphone
4mg |
291 |
1.9% |
Oxycontin
20mg |
1,672 |
16.6% |
Oxycontin
40mg |
1,467 |
13.5% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(4) Martin Barron did,
as the Responsible Pharmacist, from May 1, 1996, through April 11, 1999,
knowingly sell a controlled substance in an amount greater than five times the
bulk amount but less than fifty times the bulk amount when the conduct was not
in accordance with Chapters 3719., 4729., and 4731. of the Ohio Revised Code,
to wit: the following Schedule II controlled substances were diverted from The
Medicine Shoppe Pharmacy without prescriptions:
Drug Name/Strength |
Amount of
Shortage |
% of Drug
Supply |
Adderall
10mg |
523 |
5.0% |
Duragesic
100mcg/hr |
11 |
1.9% |
Methadone
10mg |
626 |
6.4% |
Oxycontin
10mg |
408 |
15.7% |
Oxycontin
80mg |
29 |
3.6% |
Percodan |
463 |
3.5% |
Roxicet |
433 |
5.2% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(5) Martin
Barron did, as the Responsible Pharmacist, from May 1, 1996, through April 11,
1999, knowingly sell a controlled substance in an amount greater than the bulk
amount but less than five times the bulk amount when the conduct was not in
accordance with Chapters 3719., 4729., and 4731. of the Ohio Revised Code, to
wit: the following Schedule II controlled substances were diverted from The
Medicine Shoppe Pharmacy without prescriptions:
Drug Name/Strength |
Amount of
Shortage |
% of Drug
Supply |
Dilaudid
2mg |
81 |
3.1% |
Hydromorphone
2mg |
30 |
2.7% |
Duragesic
50mcg/hr |
17 |
7.9% |
Duragesic
75mcg/hr |
10 |
2.9% |
MS
Contin 15mg |
65 |
7.4% |
MS
Contin 30mg |
102 |
3.1% |
MS
Contin 60mg |
47 |
3.5% |
OxyIR
5mg |
65 |
3.1% |
Roxicodone |
61 |
3.6% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(6) Martin Barron did,
as the Responsible Pharmacist, from May 1, 1996, through April 11, 1999,
knowingly sell a controlled substance in an amount less than the bulk amount
when the conduct was not in accordance with Chapters 3719., 4729., and 4731. of
the Ohio Revised Code, to wit: the following Schedule II controlled substances
were diverted from The Medicine Shoppe Pharmacy without prescriptions:
Drug Name/Strength |
Amount of
Shortage |
% of Drug
Supply |
Adderall
5mg |
99 |
5.0% |
Codeine
SO4 30mg |
9 |
1.3% |
Duragesic
25mcg/hr |
2 |
0.1% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(7) Martin Barron did,
as the Responsible Pharmacist, from May 1, 1996, through April 11, 1999,
knowingly sell a controlled substance in an amount greater than fifty times the
bulk amount but in an amount less than one hundred times that amount when the
conduct was not in accordance with Chapters 3719., 4729., and 4731. of the Ohio
Revised Code, to wit: the following Schedule III, IV, or V controlled
substances were diverted from The Medicine Shoppe Pharmacy without
prescriptions:
Drug Name/Strength |
Amount of
Shortage |
% of Drug
Supply |
Diazepam 10mg |
14,234 |
19.1% |
Propoxyphene
N-100 |
9,475 |
4.7% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(8) Martin
Barron did, as the Responsible Pharmacist, from May 1, 1996, through April 11,
1999, knowingly sell a controlled substance in an amount greater than the bulk
amount but in an amount less than five times the bulk amount when the conduct
was not in accordance with Chapters 3719., 4729., and 4731. of the Ohio Revised
Code, to wit: the following Schedule III, IV, or V controlled substances were
diverted from The Medicine Shoppe Pharmacy without prescriptions:
Drug Name/Strength |
Amount of Shortage |
% of Drug
Supply |
Ionamin 30mg |
79 |
9.3% |
Fastin
30mg |
30 |
6.9% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(9) Martin Barron did,
as the Responsible Pharmacist, from May 1, 1996, through April 11, 1999,
knowingly sell a controlled substance in an amount less than the bulk amount
when the conduct was not in accordance with Chapters 3719., 4729., and 4731. of
the Ohio Revised Code, to wit: the following Schedule III, IV, or V controlled
substances were diverted from The Medicine Shoppe Pharmacy without
prescriptions:
Drug Name/Strength |
Amount of
Shortage |
% of Drug
Supply |
Phentermine 8mg |
17 |
>0.1% |
Ionamin
15mg |
33 |
8.3% |
Such conduct is in violation
of Section 2925.03 of the Ohio Revised Code.
(10) Martin Barron did, as the
Responsible Pharmacist, on or about November of 1998 and/or June of 1999,
knowingly make a false statement when the statement was made with purpose to
mislead a public official in performing his duties, to wit: Martin Barron
reported to the Ohio State Board of Pharmacy a loss of controlled substances
from The Medicine Shoppe Pharmacy. Mr.
Barron later reported that the pharmacy was not missing the drugs; however,
subsequent investigation revealed that Martin Barron, in fact, had documented
missing drugs for The Medicine Shoppe Pharmacy. Such conduct is in violation of Section 2921.13 of the Ohio
Revised Code.
(11) Martin Barron did, as the
Responsible Pharmacist, on or about April 12, 1999, possess for sale misbranded
drugs, to wit: Martin Barron possessed in The Medicine Shoppe Pharmacy the
following drugs which were "consolidated for accountability
purposes:"
Drug Name/Strength |
Stock
Bottle Size |
Containing |
Adderall
5mg |
100 |
121 |
Adderall
20mg |
100 |
141 |
Adderall
20mg |
100 |
147 |
Hydrocodone
2mg |
100 |
188 |
Dilaudid
4mg |
100 |
178 |
MSIR
15mg |
100 |
146 |
Morphine
Sulfate 15mg |
100 |
195 |
MS
Contin 60mg |
100 |
104 |
MS
Contin 100mg |
100 |
151 |
Roxicodone
5mg |
100 |
265 |
Methadone
10mg |
100 |
170 |
Such conduct is in violation
of Section 3715.52 of the Ohio Revised Code.
(12) Martin Barron did, as the
Responsible Pharmacist, on or about June 27, 1997, fail to document that The
Medicine Shoppe Pharmacy’s prescription refill information entered into the
automated data processing system was correct by signing the hard-copy printout
of each day's prescription refill data.
Such conduct is in violation of Rule 4729-5-28(C)(2) of the Ohio
Administrative Code.
(13) Martin Barron did, as the
Responsible Pharmacist, on or about April 14, 1999, fail to maintain a copy of
current federal and state laws, regulations, and rules governing the legal
distribution of drugs in Ohio in the pharmacy when he had previously been given
a written warning about such conduct on June 27, 1997. Such conduct is in violation of Rule
4729-9-02 of the Ohio Administrative Code.
(14) Martin Barron did, as the
Responsible Pharmacist, on or about April 14, 1999, fail to maintain the
minimum standards of a pharmacy, to wit: Martin Barron failed to maintain The
Medicine Shoppe Pharmacy’s stock, library, and equipment in a suitable,
well-lighted and well-ventilated room or department with clean and sanitary
surroundings when it had previously been given written warning on June 27,
1997. Such conduct is in violation of Rule
4729-9-02 of the Ohio Administrative Code.
(15) Martin
Barron did, as the Responsible Pharmacist, on or about April 14, 1999, fail to
maintain a prescription file system wherein prescriptions were separated by
schedule, to wit: prescriptions had not been filed for the week preceding the April
14, 1999, inspection; and, prescriptions were scattered throughout The Medicine
Shoppe Pharmacy’s dispensing counter amid envelopes, papers, and other
miscellaneous items. Such conduct is in
violation of Rule 4729-5-09 of the Ohio Administrative Code.
(16) Martin Barron did, as the
Responsible Pharmacist, on or about April 14, 1999, dispense controlled
substances pursuant to prescriptions that had not been written for drug
quantities both numerically and alphabetically when he had previously been given
a written warning about such conduct on June 27, 1997. Such conduct is in violation of Rule
4729-5-13 of the Ohio Administrative Code.
(17) Martin Barron did, as the
Responsible Pharmacist, on or about April 14, 1999, dispense dangerous drugs
pursuant to telephone prescriptions without obtaining the full name of the
physician's agents. Such conduct is in
violation of Rule 4729-5-13 of the Ohio Administrative Code.
(18) Martin Barron did, as the
Responsible Pharmacist, on or about April 14, 1999, when dispensing dangerous
drugs pursuant to prescriptions, fail to manually initial the original
prescription, to wit: Martin Barron used a rubber stamp with his name inscribed
thereon when he had previously been given a written warning about such conduct
on June 27, 1997. Such conduct is in
violation of Rule 4729-5-27 of the Ohio Administrative Code.
(19) Martin Barron did, as the
Responsible Pharmacist, on or about June 27, 1997, fail to correctly document
The Medicine Shoppe Pharmacy’s biennial inventory, to wit: when taking the
required inventory on April 3, 1994, and again on April 30, 1996, Martin Barron
failed to denote whether the inventories were taken at the opening or closing
of the business day. Such conduct is in
violation of Section 1304.11 of the Code of Federal Regulations.
(20) Martin Barron did, as the
Responsible Pharmacist, on or about February 10, 1997, fail to correctly
document receipt of controlled substances, to wit: Martin Barron indicated on
DEA Form 222 number 952977678 that The Medicine Shoppe Pharmacy had received
three bottles of one hundred unit doses of Dilaudid 4mg when in fact he had not
received the drug. Such conduct is in
violation of Rule 4729-9-14 of the Ohio Administrative Code.
(21) Martin Barron did, as the
Responsible Pharmacist, on or about December 7, 1998, fail to correctly
document receipt of controlled substances, to wit: Martin Barron indicated on
DEA Form 222 number 928006506 that The Medicine Shoppe Pharmacy had received 4
packages, each containing 5 patches of Duragesic 25mcg/hr, when in fact he had
not received that drug. Such conduct is
in violation of Rule 4729-9-14 of the Ohio Administrative Code.
CONCLUSIONS
OF LAW
(1) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(2) through (21) of the Findings of Fact constitute being guilty of
unprofessional conduct in the practice of pharmacy as provided in Division
(A)(2) of Section 4729.16 of the Ohio Revised Code.
(2) Upon
consideration of the record as a whole, the State Board of Pharmacy concludes
that paragraphs (3) through (9) and (11) of the Findings of Fact constitute
being guilty of willfully violating, conspiring to violate, attempting to
violate, or aiding and abetting the violation of provisions of Sections 3715.52
to 3715.72 or Chapter 2925. or 3719. of the Revised Code as provided in
Division (A)(5) of Section 4729.16 of the Ohio Revised Code.
ACTION
OF THE BOARD
(A) Pursuant to Section
4729.16 of the Ohio Revised Code, and on the basis of the Findings of Fact and
Conclusions of Law set forth above, the State Board of Pharmacy hereby suspends
indefinitely the pharmacist identification card, No. 03-2-05416, held by Martin
Barron and such suspension is effective as of the date of the mailing of this
Order.
(1) Martin Barron,
pursuant to Rule 4729-9-01(F) of the Ohio Administrative Code, may not be
employed by or work in a facility licensed by the State Board of Pharmacy to
possess or distribute dangerous drugs during such period of suspension.
(2) Martin
Barron, pursuant to Section 4729.16(B) of the Ohio Revised Code, must return the identification card and
license (wall certificate) to the office of the State Board of Pharmacy within
ten days after receipt of this Order.
The certificate and identification card should be sent by certified
mail, return receipt requested.
(B) Further, the Board
will reinstate Martin Barron’s license to practice pharmacy in Ohio provided
that he takes and successfully completes the Multistate Pharmacy Jurisprudence
Examination (MPJE) offered by the Board.
Once this condition has been achieved, Mr. Barron’s license will be
reinstated and his identification card will be placed on probation through
February 11, 2003. The terms of probation
are as follows:
(1) The State Board of
Pharmacy hereby declares that Martin Barron’s pharmacist identification card is
not in good standing and thereby denies the privilege of being a preceptor and
training pharmacy interns pursuant to paragraph (D)(1) of Rule 4729-3-01 of the
Ohio Administrative Code.
(2) Martin Barron may
not own a facility licensed by the State Board of Pharmacy to possess or
distribute dangerous drugs.
(3) Martin Barron may
not serve as a responsible pharmacist.
(4) Martin Barron must
not violate the drug laws of the State of Ohio, any other state, or the federal
government.
(5) Martin Barron must
abide by the rules of the Ohio State Board of Pharmacy.
(6) Martin Barron must
comply with the terms of this Order.
The Board may at any time
revoke probation for cause, modify the conditions of probation, and reduce or
extend the period of probation. At any
time during this period of probation, the Board may revoke probation for a
violation occurring during the probation period.
THIS ORDER WAS
APPROVED BY A VOTE OF THE STATE BOARD OF PHARMACY.
MOTION CARRIED.
SO ORDERED.
The motion was seconded by Ms. Eastman and approved by the Board (Aye-8/Nay-0).
6:22 p.m.
RES. 2000-194 Mr. Repke moved that the Board adopt the following Order in the matter of James S. Patton, R.Ph., Columbus:
ORDER OF THE STATE BOARD OF PHARMACY
(Docket
No. D-990714-001)
In
The Matter Of:
JAMES SCOTT PATTON, R.Ph.
3541
Sunset Drive
Columbus,
Ohio 43221
(R.Ph. No. 03-3-22165)
INTRODUCTION
THE MATTER OF JAMES SCOTT PATTON CAME FOR HEARING ON
JUNE 13, 2000, BEFORE THE FOLLOWING MEMBERS OF THE BOARD: ROBERT B. CAVENDISH,
R.Ph. (presiding); ANN D. ABELE, R.Ph.; DIANE C. ADELMAN, R.Ph.; SUZANNE R.
EASTMAN, R.Ph.; ROBERT P. GIACALONE, R.Ph.; LAWRENCE J. KOST, R.Ph.; AMONTE B.
LITTLEJOHN, R.Ph.; SUZANNE L. NEUBER, R.Ph.; AND NICHOLAS R. REPKE, PUBLIC
MEMBER.
JAMES SCOTT PATTON WAS REPRESENTED BY R. WILLIAM
MEEKS, AND THE STATE OF OHIO WAS REPRESENTED BY SALLY ANN STEUK, ASSISTANT
ATTORNEY GENERAL.
SUMMARY
OF EVIDENCE
(A) Testimony
State's Witnesses:
(1) Christopher K.
Reed, Ohio State Board of Pharmacy
Respondent's Witnesses:
(1) James Scott
Patton, Respondent
(2) David Baker, R.Ph.,
Pharmacists Rehabilitation Organization, Inc.
(3) Wayne Miller,
R.Ph., Pharmacists Rehabilitation Organization, Inc.
(B) Exhibits
State's Exhibits:
(1) Exhibit 1--Copy of
three-page Summary Suspension Order/Notice of Opportunity For Hearing letter
dated July 14, 1999.
(2) Exhibit 1A--Copy of
four-page Addendum Notice dated September 3, 1999.
(3) Exhibit 1B--Hearing
Request letter dated July 28, 1999.
(4) Exhibit 1C--Copy of
Hearing Schedule letter dated August 5, 1999.
(5) Exhibit 1D--Copy of
Continuance Request letter dated October 1, 1999.
(6) Exhibit 1E--Copy of
Hearing Schedule letter dated October 5, 1999.
(7) Exhibit
1F--Continuance Request letter from R. William Meeks dated December 10, 1999;
and attached two-page Settlement Proposal letter from R. William Meeks dated
December 10, 1999.
(8) Exhibit 1G--Copy of
Hearing Schedule letter dated December 15, 1999.
(9) Exhibit 1H--Letter
from David W. Baker dated March 3, 2000.
(10) Exhibit 1I--Copy of Hearing
Schedule letter dated March 29, 2000.
(11) Exhibit 1J--Pharmacist File
Front Sheet of James Scott Patton showing original date of registration as
February 27, 1997; and copy of Renewal Application for Pharmacist License No.
03-3-22165 for a license to practice pharmacy in Ohio from September 15, 1998,
to September 15, 1999, of James Scott Patton dated August 10, 1998.
(12) Exhibit 3--Copy of four-page
Grove City Division of Police Witness Statement of James Scott Patton, Incident
No. 992363, dated July 2, 1999.
(13) Exhibit 4--Copy of
Constitutional Rights form of James Scott Patton dated July 1, 1999.
(14) Exhibit 5--Accountability
Statement of Kroger Co. N-341 for Adderall 10mg dated July 2, 1999.
(15) Exhibit 6--Accountability
Statement of Kroger Co. N-341 for Adderall 20mg dated July 2, 1999.
(16) Exhibit 7--Accountability
Statement of Kroger Co. N-341 for Dexedrine 5mg tablets dated July 2, 1999.
(17) Exhibit 8--Accountability
Statement of Kroger Co. N-341 for Dexedrine 10mg dated July 2, 1999.
(18) Exhibit 9--Accountability
Statement of Kroger Co. N-341 for Dexedrine 15mg dated July 2, 1999.
(19) Exhibit 10--Accountability
Statement of Kroger Co. N-341 for Methylphenidate 10mg dated July 2, 1999.
(20) Exhibit 11--Accountability
Statement of Kroger Co. N-341 for Methylphenidate 20mg dated July 2, 1999.
(21) Exhibit 12--Accountability
Statement of Kroger Co. N-341 for Methylphenidate 20mg (ER) dated July 2, 1999.
(22) Exhibit 13--Accountability
Statement of Kroger Co. N-341 for OxyContin 10mg dated July 2, 1999.
(23) Exhibit 14--Accountability
Statement of Kroger Co. N-341 for OxyContin 20mg dated July 2, 1999.
(24) Exhibit 15--Accountability
Statement of Kroger Co. N-341 for OxyContin 40mg dated July 2, 1999.
(25) Exhibit 16--Accountability
Statement of Kroger Co. N-341 for OxyContin 80mg dated July 2, 1999.
(26) Exhibit 17--Accountability
Statement of Kroger Co. N-341 for Oxycodone/APAP 325mg dated July 2, 1999.
(27) Exhibit 18--Accountability
Statement of Kroger Co. N-341 for Percocet dated July 2, 1999.
(28) Exhibit 19--Accountability
Statement of Kroger Co. N-341 for Ritalin SR 20mg dated July 2, 1999.
(29) Exhibit 20--Accountability
Statement of Kroger Co. N-341 for Roxicodone 5mg dated July 2, 1999.
(30) Exhibit 21--Accountability
Statement of Kroger Co. N-341 for APAP/Codeine #4 dated July 2, 1999.
(31) Exhibit 22--Accountability
Statement of Kroger Co. N-341 for Anexsia 7.5/650 dated July 2, 1999.
(32) Exhibit 23--Accountability
Statement of Kroger Co. N-341 for Cylert 37.5mg dated July 2, 1999.
(33) Exhibit 24--Accountability
Statement of Kroger Co. N-341 for Cylert 37.5mg chewable dated July 2, 1999.
(34) Exhibit 25--Accountability
Statement of Kroger Co. N-341 for Cylert 75mg dated July 2, 1999.
(35) Exhibit 26--Accountability Statement
of Kroger Co. N-341 for Hydrocodone/APAP 7.5/500 dated July 2, 1999.
(36) Exhibit 27--Accountability
Statement of Kroger Co. N-341 for Hydrocodone/APAP 10/500 dated July 2, 1999.
(37) Exhibit 28--Accountability
Statement of Kroger Co. N-341 for Hydrocodone/APAP 10/650 dated July 2, 1999.
(38) Exhibit 29--Accountability
Statement of Kroger Co. N-341 for Lorcet 10/650 dated July 2, 1999.
(39) Exhibit 30--Accountability
Statement of Kroger Co. N-341 for Lortab 7.5/500 dated July 2, 1999.
(40) Exhibit 31--Accountability
Statement of Kroger Co. N-341 for Lortab 10/500 dated July 2, 1999.
(41) Exhibit 32--Accountability
Statement of Kroger Co. N-341 for Norco 10/325 dated July 2, 1999.
(42) Exhibit 33--Accountability
Statement of Kroger Co. N-341 for Tussionex Suspension dated July 2, 1999.
(43) Exhibit 34--Accountability
Statement of Kroger Co. N-341 for Tylenol #4 dated July 2, 1999.
(44) Exhibit 35--Accountability
Statement of Kroger Co. N-341 for Vicodin ES dated July 2, 1999.
(45) Exhibit 36--Amber prescription
vial, not labeled, containing 40 Dexedrine 15mg capsules and 9 Adderall 20mg
tablets.
(46) Exhibit 37--Amber prescription
vial, not labeled, containing 19 Lortab 7.5mg tablets.
(47) Exhibit 38--Amber prescription
vial, not labeled, containing 9 hydrocodone/APAP 10/500 tablets.
(48) Exhibit 39--Eight assorted ink
pens.
(49) Exhibit 40--One correction
pen.
(50) Exhibit 41--Prescription No.
2216779.
(51) Exhibit 42--Pages 654 and 655
of Kroger Pharmacy 01600341 "Prescription Daily Audit with Notes"
report dated August 10, 1999.
(52) Exhibit 43--Perpetual
Inventory sheet for Oxycontin 40mg dated from July 13, 1998, through April 22,
1999.
(53) Exhibit 44--Copy of
Prescription No. 2216985.
(54) Exhibit 45--Page 652 of Kroger
Pharmacy 01600341 "Prescription Daily Audit with Notes" report dated
August 10, 1999.
(55) Exhibit 46--Prescription No.
2216988.
(56) Exhibit 47--Prescription No.
2217036
(57) Exhibit 48--Page 648 of Kroger
Pharmacy 01600341 "Prescription Daily Audit with Notes" report dated
August 10, 1999.
(58) Exhibit 49--Perpetual
Inventory sheet for Oxycontin 10mg dated from May 18, 1999, through June
25,1999.
(59) Exhibit 50--Prescription No.
2217098.
(60) Exhibit 51--Page 449 of Kroger
Pharmacy 01600341 "Prescription Daily Audit with Notes" report dated
August 10, 1999.
(61) Exhibit 52--Perpetual
Inventory sheet for Percocet dated from May 22, 1999, through June 22,1999.
(62) Exhibit 53--Prescription
2217119.
(63) Exhibit 54--Page 287 of Kroger
Pharmacy 01600341 "Prescription Daily Audit with Notes" report dated
August 10, 1999.
(64) Exhibit 55--Perpetual
Inventory sheet for Endocet dated from May 20, 1999, through May 27,1999.
(65) Exhibit 56--Prescription No.
221723500.
(66) Exhibit 57--Page 422 of Kroger
Pharmacy 01600341 "Prescription Daily Audit with Notes" report dated
August 10, 1999.
(67) Exhibit 58--Perpetual
Inventory sheet for Endocet dated from May 22, 1999, through June 4, 1999.
(68) Exhibit 59--Prescription No.
221724800.
(69) Exhibit 60--Prescription No.
2217260.
(70) Exhibit 61--Page 423 of Kroger
Pharmacy 01600341 "Prescription Daily Audit with Notes" report dated
August 10, 1999.
(71) Exhibit 62--Perpetual
Inventory sheet for Endocet tabs dated from June 4, 1999, through June 9, 1999.
(72) Exhibit 63--Prescription No.
2217331.
(73) Exhibit 64--Page 261 of Kroger
Pharmacy 01600341 "Prescription Daily Audit with Notes" report dated
August 10, 1999.
(74) Exhibit 65--Prescription No.
221735500.
(75) Exhibit 66--Perpetual
Inventory sheet for Oxycontin 40mg dated May 18th through July 3rd.
Respondent's Exhibits:
(1) Exhibit A--Copy of
letter from Cindy Barbour dated June 1, 2000.
(2) Exhibit B--Copy of
letter from Tyler R. Holliday dated June 7, 2000.
(3) Exhibit C--Copy of
two-page Pharmacists Rehabilitation Organization, Inc. Pharmacist’s Recovery
Contract of Scott Patton dated April 30, 2000.
(4) Exhibit D--Copy of
two pages of AA Meeting Reporting Sheet of Scott Patton dated from April 14, 2000,
through June 5, 2000.
(5) Exhibit E--Drug
screen urine reports with specimen dates as follows: November 3, 1999; November
12, 1999; November 19, 1999; November 22, 1999; December 3, 1999; December 7,
1999; December 17, 1999; December 21, 1999; December 30, 1999; January 6, 2000;
January 11, 2000; January 21, 2000; January 25, 2000; January 04, 2000; and May
21, 2000.
(6) Exhibit F--Copy of
four-page "Motion for Treatment in Lieu of Conviction" in the
Franklin County Court of Common Pleas, State of Ohio vs. James Scott Patton,
Case No. 00CR063467, dated June 8, 2000.
(7) Exhibit G--Copy of
three-page "Entry for Treatment in Lieu of Conviction" in the
Franklin County Common Pleas Court, State of Ohio vs. James Scott Patton,
Case No. 00CR063467, dated June 8, 2000.
(8) Exhibit H--Copy of
two-page letter from Nick A. Kallis dated June 8, 2000.
FINDINGS
OF FACT
After having heard the testimony, observed the
demeanor of the witnesses, considered the evidence, and weighed the credibility
of each, the State Board of Pharmacy finds the following to be fact:
(1) Records of the
State Board of Pharmacy indicate that James Scott Patton was originally
licensed in the state of Ohio on February 27, 1997, pursuant to examination,
and his license to practice pharmacy in the state of Ohio was summarily
suspended on July 14, 1999, pursuant to Sections 3719.121(A) and 3719.121(B) of
the Ohio Revised Code.
(2) James Scott
Patton is addicted to controlled substances, to wit: James Scott Patton admitted
that he is drug dependent; James Scott Patton has admittedly been stealing
controlled substances since November 1996; James Scott Patton has admittedly
been stealing Schedule II controlled substances for approximately four to six
weeks prior to the date of the Summary Suspension; and James Scott Patton was
arrested by the Grove City Police Department on July 1, 1999, after having
stolen one hundred unit doses of hydrocodone 10mg with APAP 325mg. Such conduct indicates that James Scott
Patton is addicted to controlled substances within the meaning of Section
3719.121(A) of the Ohio Revised Code.
(3) James Scott
Patton did, on or about July 1, 1999, with purpose to deprive, knowingly obtain
or exert control over dangerous drugs, the property of Kroger, 2474 Stringtown
Road, Grove City, Ohio, beyond the express or implied consent of the owner, to
wit: James Scott Patton was caught stealing one hundred unit doses of
hydrocodone 10mg with APAP 325mg from his employer. Such conduct is in violation of Section 2913.02 of the Ohio
Revised Code.
(4) James Scott
Patton did, from July 8, 1997, through July 1, 1999, with purpose to deprive,
knowingly obtain or exert control over dangerous drugs, the property of Kroger
N-341, by deception, to wit: James Scott Patton stole the following controlled
substances:
Drug |
Quantity |
% Drug
Stock |
Schedule |
Adderall
10mg |
1,168 unit doses |
7.2% |
II |
Adderall
20mg |
1,263 unit doses |
22.1% |
II |
Dexedrine
5mg |
1,509 unit doses |
8.0% |
II |
Dexedrine
10mg |
353 unit doses |
3.3% |
II |
Dexedrine
15mg |
1,442 unit doses |
15.5% |
II |
methylphenidate
10mg |
1,715 unit doses |
4.1% |
II |
methylphenidate
20mg |
2,077 unit doses |
10.6% |
II |
methylphenidate
20mg ER |
3,892 unit doses |
23.2% |
II |
OxyContin
10mg |
75 unit doses |
4.2% |
II |
OxyContin
20mg |
132 unit doses |
5.7% |
II |
OxyContin
40mg |
211 unit doses |
12.4% |
II |
OxyContin
80mg |
10 unit doses |
1.5% |
II |
oxycodone/APAP
325mg |
6,476 unit doses |
6.3% |
II |
Percocet |
2,189 unit doses |
10.6% |
II |
Ritalin
SR 20mg |
650 unit doses |
6.4% |
II |
Roxicodone
5mg |
17 unit doses |
<1.0% |
II |
acetaminophen/codeine
#4 |
1,047 unit doses |
3.8% |
III |
Anexsia
7.5/650 |
95 unit doses |
95.0% |
III |
Cylert
37.5mg |
252 unit doses |
3.0% |
IV |
Cylert
37.5mg (chewable) |
1,207 unit doses |
46.4% |
IV |
Cylert
75mg |
109 unit doses |
18.2% |
IV |
hydrocodone
7.5mg/APAP 500mg |
1,793 unit doses |
4.4% |
III |
hydrocodone
10mg/APAP 500mg |
5,441 unit doses |
42.2% |
II |
hydrocodone
10mg/APAP 650mg |
3,099 unit doses |
32.1% |
III |
Lorcet
10/650 |
1,011 unit doses |
40.0% |
III |
Lortab
7.5/500 |
2,461 unit doses |
17.8% |
III |
Lortab
10/500 |
449 unit doses |
16.6% |
III |
Norco
10/325 |
2,717 unit doses |
*59.1% |
III |
Tussionex
Suspension |
3,194
ml |
7.0% |
III |
Tylenol
#4 |
555 unit doses |
14.2% |
III |
Vicodin
ES |
417 unit doses |
6.1% |
III |
*Quantities from paragraph (3)
are included in these figures.
Such conduct is in violation
of Section 2913.02 of the Ohio Revised Code.
(5) James Scott
Patton did, on or about the following dates, intentionally make and/or
knowingly possess false or forged prescriptions, to wit: James Scott Patton
admittedly altered the following prescriptions in order to steal controlled
substances:
Rx
No. |
Date |
Drug |
Qty. |
Altered
Qty. |
2216779 |
04/25/99 |
OxyContin
40mg |
100 |
180 |
2216985 |
05/14/99 |
OxyContin
20mg |
107 |
180 |
2216988 |
05/14/99 |
OxyContin
20mg |
62 |
120 |
2217036 |
05/18/99 |
OxyContin
10mg |
60 |
120 |
2217098 |
05/22/99 |
Percocet |
20 |
120 |
2217119 |
05/24/99 |
oxycodone/APAP
325mg |
20 |
120 |
2217235 |
06/02/99 |
oxycodone/APAP
325mg |
30 |
130 |
2217248 |
06/03/99 |
oxycodone/APAP
325mg |
10 |
40 |
2217260 |
06/04/99 |
oxycodone/APAP
325mg |
40 |
90 |
2217331 |
06/10/99 |
Percocet |
40 |
140 |
2217335 |
06/13/99 |
OxyContin
40mg |
90 |
180 |
Such conduct is in violation
of Section 2925.23 of the Ohio Revised Code.
(6) James Scott
Patton did, on or about the following dates, knowing he had no privilege to do
so, and with purpose to defraud or knowing that he was facilitating a fraud,
falsify or alter computer data, to wit: James Scott Patton falsified data for
the following prescriptions:
Rx
No. |
Date |
Drug |
Qty. |
Altered
Qty. |
2216779 |
04/25/99 |
OxyContin
40mg |
100 |
180 |
2216985 |
05/14/99 |
OxyContin
20mg |
107 |
180 |
2216988 |
05/14/99 |
OxyContin
20mg |
62 |
120 |
2217036 |
05/18/99 |
OxyContin
10mg |
60 |
120 |
2217098 |
05/22/99 |
Percocet |
20 |
120 |
2217119 |
05/24/99 |
oxycodone/APAP
325mg |
20 |
120 |
2217235 |
06/02/99 |
oxycodone/APAP
325mg |
30 |
130 |
2217248 |
06/03/99 |
oxycodone/APAP
325mg |
10 |
40 |
2217260 |
06/04/99 |
oxycodone/APAP
325mg |
40 |
90 |
2217331 |
06/10/99 |
Percocet |
40 |
140 |
2217335 |
06/13/99 |
OxyContin
40mg |
90 |
180 |
Such conduct is in violation
of Section 2913.42 of the Ohio Revised Code.
CONCLUSIONS
OF LAW
(1) Upon consideration of
the record as a whole, the State Board of Pharmacy concludes that paragraphs
(3) through (6) of the Findings of Fact constitute being guilty of a felony and
gross immorality as provided in Division (A)(1) of Section 4729.16 of the Ohio
Revised Code.
(2) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(2) through (6) of the Findings of Fact constitute being guilty of dishonesty
and unprofessional conduct in the practice of pharmacy as provided in Division
(A)(2) of Section 4729.16 of the Ohio Revised Code.
(3) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraph
(2) of the Findings of Fact constitutes being addicted to or abusing liquor or
drugs or impaired physically or mentally to such a degree as to render him
unfit to practice pharmacy as provided in Division (A)(3) of Section 4729.16 of
the Ohio Revised Code.
(4) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraph
(5) of the Findings of Fact constitutes being guilty of willfully violating,
conspiring to violate, attempting to violate, or aiding and abetting the
violation of provisions of Chapter 2925. of the Revised Code as provided in
Division (A)(5) of Section 4729.16 of the Ohio Revised Code.
ACTION
OF THE BOARD
Pursuant to Section 3719.121
of the Ohio Revised Code, the State Board of Pharmacy hereby removes the
Summary Suspension Order issued to James Scott Patton on July 14, 1999.
Pursuant to Section 4729.16 of the Ohio Revised
Code, and on the basis of the Findings of Fact and Conclusions of Law set forth
above, the State Board of Pharmacy hereby suspends indefinitely the pharmacist
identification card, No. 03-3-22165. held by James Scott Patton and such
suspension is effective as of the date of the mailing of this Order.
(A) James Scott
Patton, pursuant to Rule 4729-9-01(F) of the Ohio Administrative Code, may not
be employed by or work in a facility licensed by the State Board of Pharmacy to
possess or distribute dangerous drugs during such period of suspension.
(B) James Scott
Patton, pursuant to Section 4729.16(B) of the Ohio Revised Code, must return
the identification card and license (wall certificate) to the office of the State
Board of Pharmacy within ten days after receipt of this Order. The certificate and identification card
should be sent by certified mail, return receipt requested.
Further, thirty months from the effective date of
this Order or thereafter, the Board will consider any petition filed by James
Scott Patton for a hearing, pursuant to Ohio Revised Code Chapter 119., for
reinstatement. The Board will only
consider reinstatement of the license to practice pharmacy in Ohio if the
following conditions have been met:
(A) James Scott
Patton must enter into a contract, signed within 90 days after the effective
date of this Order, with an Ohio Department of Alcohol and Drug Addiction
Services (ODADAS) treatment provider or a treatment provider acceptable to the
Board for a period of not less than five years. The contract must provide that:
(1) Random, observed urine drug screens shall be conducted at least once
each month.
(a) The urine sample
must be given within twelve hours of notification. The urine screen must include testing for creatinine or specific
gravity of the sample as the dilutional standard.
(b) Ritalin and Alcohol
must be added to the standard urine drug screen. A Breathalyzer may be used to test for alcohol, but the test must
be conducted by an appropriately certified individual within twelve hours of
notification.
(c) Results of all drug
and alcohol screens must be negative.
Any positive results, including those which may have resulted from
ingestion of food, but excluding false positives which resulted from medication
legitimately prescribed, indicates a violation of the contract.
(2) Attendance is
required a minimum of three times per week at an Alcoholics Anonymous,
Narcotics Anonymous, and/or similar support group meeting.
(3) The program shall
immediately report to the Board any violations of the contract and/or lack of
cooperation.
(B) James Scott
Patton must provide, at the reinstatement petition hearing, documentation of
the following:
(1) Compliance
with the contract required in paragraph (A) above (e.g.-proof of giving the
sample within 12 hours of notification, copies of all drug and alcohol screen
reports, meeting attendance records, treatment program reports, etc.);
(2) Compliance
with the continuing pharmacy education requirements as set forth in Chapter
4729-7 of the Ohio Administrative Code in effect on the date of petitioning the
Board for reinstatement;
(3) Compliance
with the terms of this Order.
(C) If
reinstatement is not accomplished within three years of the effective date of
this Order, James Scott Patton must successfully complete the NAPLEX
examination or an equivalent examination approved by the Board.
THIS ORDER WAS
APPROVED BY A VOTE OF THE STATE BOARD OF PHARMACY.
MOTION CARRIED.
SO ORDERED.
The motion was seconded by Ms. Eastman and approved by the Board (Aye-8/Nay-0).
6:25 p.m.
The Board meeting recessed until Wednesday, June 14, 2000.
wednESDAY, june 14, 2000
8:40 a.m. ROLL CALL
The State Board of Pharmacy convened in Room 1914, Vern Riffe Center for Government and the Arts, 77 South High Street, Columbus, Ohio with the following members present:
Robert B. Cavendish, R.Ph. (President); Diane C. Adelman, R.Ph. (Vice-President); Ann D. Abele, R.Ph.; Suzanne R. Eastman, R.Ph.; Robert P. Giacalone, R.Ph.; Amonte B. Littlejohn, R.Ph.; Suzanne L. Neuber, R.Ph.; and Nicholas R. Repke, Public Member.
8:45 a.m.
Mr. Cavendish administered the following Oath of Office to the incoming President for Fiscal Year 2001, Suzanne L. Neuber, R.Ph.:
I, Suzanne L. Neuber, as President of the Ohio Board of Pharmacy do solemnly swear to uphold the Constitution of the United States and the state of Ohio; to impartially enforce the laws governing the profession of pharmacy and the legal distribution of drugs in the state of Ohio; and carry out the responsibilities of the Board as mandated by the laws of the state of Ohio without bias or prejudice, so help me God.
Mr. Cavendish then administered the following Oath of Office to the incoming Vice-President for Fiscal Year 2001, Diane C. Adelman, R.Ph.:
I, Diane C. Adelman, as Vice-President of the Ohio Board of Pharmacy do solemnly swear to uphold the Constitution of the United States and the state of Ohio; to impartially enforce the laws governing the profession of pharmacy and the legal distribution of drugs in the state of Ohio; and carry out the responsibilities of the Board as mandated by the laws of the state of Ohio without bias or prejudice, so help me God.
The Board then held a brief awards ceremony to honor Mr. Cavendish and Mr. Repke for their services to the citizens of Ohio and to the Board over the past eight years.
9:13 a.m.
The Board was joined by Assistant Attorney General Sally Ann Steuk for the purpose of conducting an adjudication hearing in accordance with Ohio Revised Code Chapters 119. and 4729. in the matter of Steven J. Brownsberger, R.Ph., Medina.
11:04 a.m.
The hearing concluded and the record was closed. The Board took a brief recess.
11:12 a.m.
Ms. Abele moved that the Board go into Executive Session for the purpose of the investigation of complaints regarding licensees and registrants pursuant to Section 121.22(G)(1) of the Revised Code. The motion was seconded by Mr. Littlejohn and a roll call vote was conducted by President Cavendish as follows: Abele-Yes, Adelman-Yes, Eastman-Yes, Littlejohn-Yes, Neuber-Yes, and Repke-Yes.
11:15 a.m.
Mr. Giacalone joined the Executive Session in progress.
11:19 a.m.
RES. 2000-195 The Executive Session ended and the meeting was opened to the public. Ms. Eastman moved that the Board issue the following Cease and Desist letter:
CEASE AND DESIST
Samuel Cramer, M.D., MBA
Corporate Medical Director
Anthem Blue Cross and Blue Shield Midwest
220 Virginia Avenue
P.O. Box 7101
Indianapolis, IN 46207-7101
Dear Dr. Cramer:
It has come to the Board’s attention that Anthem has implemented a program wherein confidential patient information is transmitted to an outside database management company without having a release from the patient to do so. A copy of such letter to a patient is enclosed herewith.
You are hereby advised that Section 3719.13 of the Ohio Revised Code states as follows:
Prescriptions, orders, and records, required by Chapter 3719. of the Revised Code, and stocks of dangerous drugs and controlled substances, shall be open for inspection only to federal, state, county, and municipal officers, and employees of the state board of pharmacy whose duty it is to enforce the laws of this state or of the United States relating to controlled substances. Such prescriptions, orders, records, and stocks shall be open for inspection by employees of the state medical board for purposes of enforcing Chapter 4731. of the Revised Code. No person having knowledge of any such prescription, order, or record shall divulge such knowledge, except in connection with a prosecution or proceeding in court or before a licensing or registration board or officer, to which prosecution or proceeding the person to whom such prescriptions, orders, or records relate is a party.
Further, Rule 4729-5-29 of the Ohio Administrative Code states in pertinent part as follows:
(A) Records of dispensing or administering of drugs are not a public record. A person having custody of, or access to, such records shall not divulge the contents thereof, or provide a copy thereof, to anyone except:
(1) The patient for whom the prescription or medication order was issued.
(2) The practitioner who issued the prescription or medication order.
(3) Certified/licensed health care personnel who are responsible for the care of the patient.
(4) A member, inspector, agent, or investigator of the board of pharmacy or any federal, state, county, or municipal officer whose duty is to enforce the laws of this state or the United States relating to drugs and who is engaged in a specific investigation involving a designated person or drug.
(5) An agent of the state medical board when enforcing Chapter 4731. of the Revised Code.
(6) An agency of government charged with the responsibility of providing medical care for the patient upon a written request by an authorized representative of the agency requesting such information.
(7) An agent of a medical insurance company who provides prescription insurance coverage to the patient upon authorization and proof of insurance by the patient or proof of payment by the insurance company for those medications whose information is requested.
(8) Any person, other than those listed in paragraphs (A)(1) to (A)(6) of this rule, only when the patient has given consent for such disclosure in writing, except where a patient requiring medication is unable to deliver a written consent to the necessary disclosure. Any consent must be signed by the patient and dated. Any pharmacist may disclose the prescription information when, in the professional judgment of the pharmacist, it is deemed to be in the best interest of the patient. A pharmacist making an oral disclosure in an emergency situation must prepare a written memorandum showing the patient’s name, the date and time the disclosure was made, the nature of the emergency, and the names of the individuals by whom and to whom the information was disclosed.
(B) . . .
You are further advised that a violation of Section 3719.13 of the Ohio Revised Code is a misdemeanor of the third degree in the state of Ohio, punishable by a fine up to $3,000 and incarceration up to 90 days. Entering into contracts with pharmacies whereby Anthem would receive confidential information could be regarded as complicity to the dissemination of the information from those pharmacies. The State Board of Pharmacy regards the improper dissemination of confidential patient records as a serious offense and will not hesitate to pursue violators.
Please note that the goals of the program, as can be gleaned from a reading of the literature, appear to be admirable. If the patients’ consents were to be obtained prior to dissemination of the information to the database management company, the program may very well comply with Ohio law. However, you may not implement such a program without having obtained the patients’ consents first. Requiring patients to “opt out” of the program, rather than having them affirmatively agree to participate, is not deemed to be valid.
WHEREFORE, Anthem is hereby notified to CEASE engaging in conduct which aids and abets the violation of Ohio’s patient confidentiality statutes, and DESIST from any violations of Ohio law.
BY ORDER OF THE STATE BOARD OF PHARMACY
The motion was seconded by Mr. Littlejohn and approved by the Board (Aye-6/Nay-0/Abstain-1[Giacalone]).
RES. 2000-196 Mrs. Neuber then moved that the Board adopt the following Order in the matter of Steven J. Brownsberger, R.Ph., Medina:
ORDER OF THE STATE BOARD OF PHARMACY
(Docket
No. D-000208-044)
In
The Matter Of:
STEVEN J. BROWNSBERGER, R.Ph.
604
Continental Drive
Medina,
Ohio 44256
(R.Ph. No. 03-3-18617)
INTRODUCTION
THE MATTER OF STEVEN J. BROWNSBERGER CAME TO HEARING
ON JUNE 14, 2000, BEFORE THE FOLLOWING MEMBERS OF THE BOARD: ROBERT B.
CAVENDISH, R.Ph. (presiding); ANN D. ABELE, R.Ph.; DIANE C. ADELMAN, R.Ph.;
SUZANNE R. EASTMAN, R.Ph.; ROBERT P. GIACALONE, R.Ph.; AMONTE B. LITTLEJOHN,
R.Ph.; SUZANNE L. NEUBER, R.Ph.; AND NICHOLAS R. REPKE, PUBLIC MEMBER.
STEVEN J. BROWNSBERGER WAS NOT REPRESENTED BY
COUNSEL, AND THE STATE OF OHIO WAS REPRESENTED BY SALLY ANN STEUK, ASSISTANT
ATTORNEY GENERAL.
SUMMARY
OF EVIDENCE
(A) Testimony
State's Witnesses:
(1) Thomas Miksch, Ohio
State Board of Pharmacy
Respondent's Witnesses:
(1) Steven J.
Brownsberger, Respondent
(B) Exhibits
State's Exhibits:
(1) Exhibit 1--Copy of
five-page Summary Suspension Order/Notice of Opportunity for Hearing letter
dated February 8, 2000.
(2) Exhibit 1A--Hearing
Request letter dated February 22, 2000.
(3) Exhibit 1B--Copy of
Hearing Schedule letter dated February 29, 2000.
(4) Exhibit 1C--Copy of
Pharmacist File Front Sheet of Steven J. Brownsberger showing original date of
registration as October 26, 1990; and copy of Renewal Application for
Pharmacist License No. 03-3-18617 for a license to practice pharmacy in Ohio
from September 15, 1999, to September 15, 2000, dated July 21, 1999.
(5) Exhibit 2--Copy of
handwritten, notarized statement of Steven J. Brownsberger dated February 2,
2000.
(6) Exhibit 2A--Giant
Eagle Pharmacy #0178 "Medical Expenses" report of Patient Steve
Brownsberger from July 14, 1998, to October 4, 1999, dated October 4, 1999.
(7) Exhibit 2B--Copy of
notarized Release Form of Steve Brownsberger dated October 28, 1999; copy of
two-page letter from Karl C. Meyer dated January 6, 2000; copy of six-page
Southwest General Health Center, Oakview Behavioral Health Center, "CD
Outpatient BPS Report #3.700" dated January 5, 2000; and copy of Southwest
General Health Center Narrative Summary of Steven Brownsberger, Job
#090759/Document #158658.
(8) Exhibit 3--Copies
of sixteen "Monthly C11 Audit" sheets of Store #178 dated from August
1, 1998, through October 1, 1999.
(9) Exhibit 4--Ohio
State Board of Pharmacy Drug Audit Accountability Sheet of Giant Eagle,
Terminal Distributor No. 02-1072850, for oxycodone w/acetaminophen 5/500
capsules dated January 19, 2000.
(10) Exhibit 5--Ohio State Board of
Pharmacy Drug Audit Accountability Sheet of Giant Eagle, Terminal Distributor
No. 02-1072850, for Dexedrine 5mg tablets dated January 19, 2000.
(11) Exhibit 6--Ohio State Board of
Pharmacy Drug Audit Accountability Sheet of Giant Eagle, Terminal Distributor
No. 02-1072850, for Dexedrine 15mg spansules dated January 19, 2000.
(12) Exhibit 7--Ohio State Board of
Pharmacy Drug Audit Accountability Sheet of Giant Eagle, Terminal Distributor
No. 02-1072850, for Ritalin 5mg tablets dated January 19, 2000.
(13) Exhibit 8--Two Ohio State
Board of Pharmacy Drug Audit Accountability Sheets of Giant Eagle, Terminal
Distributor No. 02-1072850, dated January 19, 2000 for the following drugs:
methylphenidate 10mg tablets and Ritalin 10mg tablets.
(14) Exhibit 9--Two Ohio State
Board of Pharmacy Drug Audit Accountability Sheets of Giant Eagle, Terminal
Distributor No. 02-1072850, dated January 19, 2000, for the following drugs:
Ritalin 20mg tablets and methylphenidate 20mg tablets.
(15) Exhibit 10--Two Ohio State
Board of Pharmacy Drug Audit Accountability Sheets of Giant Eagle, Terminal
Distributor No. 02-1072850, dated January 19, 2000, for the following drugs:
Ritalin SR 20mg tablets and methylphenidate 20mg E.R. tablets.
(16) Exhibit 11--Ohio State Board
of Pharmacy Drug Audit Accountability Sheet of Giant Eagle, Terminal
Distributor No. 02-1072850, for hydrocodone bitartrate w/APAP 10/650 dated
January 19, 2000.
(17) Exhibit 12--Ohio State Board
of Pharmacy Drug Audit Accountability Sheet of Giant Eagle, Terminal
Distributor No. 02-1072850, for hydrocodone bitartrate w/APAP 10/500 dated
January 19, 2000.
(18) Exhibit 13--Ohio State Board
of Pharmacy Drug Audit Accountability Sheet of Giant Eagle, Terminal
Distributor No. 02-1072850, for hydrocodone bitartrate w/APAP 7.5/500 dated
January 19, 2000.
(19) Exhibit 14--Two Ohio State
Board of Pharmacy Drug Audit Accountability Sheets of Giant Eagle, Terminal
Distributor No. 02-1072850, dated January 19, 2000, for the following drugs:
hydrocodone bitartrate w/APAP 7.5/750 and Vicodin ES 7.5/750.
(20) Exhibit 15--Ohio State Board
of Pharmacy Drug Audit Accountability Sheet of Giant Eagle, Terminal
Distributor No. 02-1072850, for Vicoprofen 7.5/200 tablets dated January 19,
2000.
(21) Exhibit 16--Copy of Giant
Eagle prescription bag displaying two labels as follows: prescription number
6018711 dated October 3, 1999, costing $5.29; and prescription number 4003276
dated October 3, 1999, costing $65.61.
(22) Exhibit 17--Giant Eagle
prescription bag displaying one label as follows: prescription number 4003276
dated October 3, 1999, costing $49.96.
Respondent's Exhibits:
(1) Exhibit A--Copies
of the following: Thirteen pages of AA Attendance sheets of S. Brownsberger
dated from October 8, 1999, through June 13, 2000; copy of Medina County Client
Fee/Service Agreement of Steven J. Brownsberger dated January 7, 2000; two-page
copy of Pharmacists Rehabilitation Organization, Inc. Pharmacist’s Recovery
Contract of Steve Brownsberger dated December 8, 1999; eleven pages of urine
drug screen reports and/or chain of custody request of Steven Brownsberger
dated from December 6, 1999, through May 11, 2000; copy of Medina General
Hospital Emergency Room Discharge Instructions of Steven Brownsberger, not
dated; copy of prescription from Medina General Hospital for Steven
Brownsberger for Erytab 333mg and Entex LA dated May 16, 2000; letter from Emil
Dontenville dated June 6, 2000; letter from Marilyn Pavlus dated June 7, 2000;
letter from Beth A. Humbert dated June 5, 2000; two-page letter from Karl C.
Meyer dated January 6, 2000; two-page letter from John Brownsberger dated June
1, 2000; note from John A. Brownsberger dated June 1, 2000, with prescription
from Internal Medicine Center of Akron for Steven Brownsberger for Dexedrine
15mg dated October 4, 1999; and letter from Edward (last name illegible), not
dated.
FINDINGS
OF FACT
After having heard the testimony, observed the
demeanor of the witnesses, considered the evidence, and weighed the credibility
of each, the State Board of Pharmacy finds the following to be fact:
(1) Records of the
State Board of Pharmacy indicate that Steven J. Brownsberger was originally
licensed in the state of Ohio on October 26, 1990, pursuant to examination, and
his license to practice pharmacy in the state of Ohio was summarily suspended
on February 8, 2000, pursuant to Sections 3719.121(A) and 3719.121(B) of the
Ohio Revised Code. Records further
indicate that from on or about September 3, 1998, through October 26, 1999,
Steven J. Brownsberger was the Responsible Pharmacist at Giant Eagle in Strongsville,
Ohio pursuant to Rule 4729-5-11 of the Ohio Administrative Code and Sections
4729.27 and 4729.55 of the Ohio Revised Code.
(2) Steven J.
Brownsberger is addicted to liquor or drugs or impaired physically or mentally
to such a degree as to render him unfit to practice pharmacy, to wit: Steven J.
Brownsberger began abusing drugs in college; Steven J. Brownsberger stated that
boredom led him to steal and experiment with Dexedrine and Vicodin; some of the
other drugs Steven J. Brownsberger abused were Ritalin, Prozac, Dexatrim,
Oxycodone, and Marijuana; Steven J. Brownsberger stole drugs from his employer
and tried to cover up his theft of drugs by altering the store’s monthly CII
audit; Steven J. Brownsberger practiced pharmacy while being impaired; on
October 3, 1999, Steven J. Brownsberger ingested 8 unit doses of Dexedrine and
5 to 10 unit doses of Vicodin; Steven J. Brownsberger believed he was more
likely to make a mistake at work if he were not taking drugs; Steven J.
Brownsberger went into treatment to “wean” himself off drugs; and Steven J.
Brownsberger stated that he “didn’t have control over his addiction and really
needed to get help.” Such conduct
indicates that Steven J. Brownsberger falls within the ambit of Sections
3719.121(A), 3719.121(B), and 4729.16(A)(3) of the Ohio Revised Code.
(3) Steven J.
Brownsberger did, from on or about May 1, 1999, through October 3, 1999, with
purpose to deprive, knowingly obtain or exert control over controlled
substances, the property of Giant Eagle Pharmacy in Strongsville, Ohio beyond the
express or implied consent of the owner, to wit: Steven J. Brownsberger stole
31 unit doses of Oxycodone, a Schedule II controlled substance, in violation of
Section 2913.02 of the Ohio Revised Code.
(4) Steven J.
Brownsberger did, from on or about May 1, 1999, through October 3, 1999,
knowingly obtain, possess, or use a controlled substance, to wit: throughout
this five-month period Steven J. Brownsberger ingested 31 unit doses of
Oxycodone, a Schedule II controlled substance, without a prescription and/or
without a legitimate medical purpose in violation of Section 2925.11 of the
Ohio Revised Code.
(5) Steven J.
Brownsberger did, from on or about May 1, 1999, through October 3, 1999, with purpose
to deprive, knowingly obtain or exert control over controlled substances, the
property of Giant Eagle Pharmacy in Strongsville, Ohio beyond the express or
implied consent of the owner, to wit: Steven J. Brownsberger stole 169 unit
doses of Dexedrine 5mg and 159 unit doses of Dexedrine 15mg spansules, a
Schedule II controlled substance, in violation of Section 2913.02 of the Ohio
Revised Code.
(6) Steven
J. Brownsberger did, from on or about May 1, 1999, through October 3, 1999,
knowingly obtain, possess, or use a controlled substance, to wit: throughout
this five-month period Steven J. Brownsberger ingested 169 unit doses of
Dexedrine 5mg and 159 unit doses of Dexedrine 15mg spansules, a Schedule II
controlled substance, without a prescription and/or without a legitimate
medical purpose in violation of Section 2925.11 of the Ohio Revised Code.
(7) Steven
J. Brownsberger did, from on or about May 1, 1999, through October 3, 1999,
with purpose to deprive, knowingly obtain or exert control over controlled
substances, the property of Giant Eagle Pharmacy in Strongsville, Ohio beyond
the express or implied consent of the owner, to wit: Steven J. Brownsberger
stole the following Schedule II controlled substances from his employer:
Drug |
Quantity |
Methylphenidate
5mg |
5 |
Methylphenidate
10mg |
61 |
Methylphenidate
20mg |
187 |
Methylphenidate
ER |
75 |
Such conduct is in violation
of Section 2913.02 of the Ohio Revised Code.
(8) Steven J. Brownsberger
did, from on or about May 1, 1999, through October 3, 1999, knowingly obtain,
possess, or use a controlled substance, to wit: throughout this five-month
period Steven J. Brownsberger ingested the following Schedule II controlled
substances without a prescription and/or without a legitimate medical purpose:
Drug |
Quantity |
Methylphenidate
5mg |
5 |
Methylphenidate
10mg |
61 |
Methylphenidate
20mg |
187 |
Methylphenidate
ER |
75 |
Such conduct is in violation of
Section 2925.11 of the Ohio Revised Code.
(9) Steven J.
Brownsberger did, from on or about May 1, 1999, through October 3, 1999, with
purpose to deprive, knowingly obtain or exert control over controlled
substances, the property of Giant Eagle Pharmacy in Strongsville, Ohio beyond
the express or implied consent of the owner, to wit: Steven J. Brownsberger
stole the following Schedule III controlled substances from his employer:
Drug |
Quantity |
Hydrocodone
10mg/APAP 650mg |
80 |
Hydrocodone
10mg/APAP 500mg |
79 |
Hydrocodone
7.5mg APAP 500mg |
304 |
Hydrocodone
7.5mg/APAP 750mg |
400 |
Hydrocodone
7.5mg/Ibuprofen 200mg |
1,005 |
Such conduct is in violation
of Section 2913.02 of the Ohio Revised Code.
(10) Steven J.
Brownsberger did, from on or about May 1, 1999, through October 3, 1999,
knowingly obtain, possess, or use a controlled substance, to wit: throughout
this five-month period Steven J. Brownsberger ingested the following Schedule
III controlled substances without a prescription and/or without a legitimate
medical purpose:
Drug |
Quantity |
Hydrocodone
10mg/APAP 650mg |
80 |
Hydrocodone
10mg/APAP 500mg |
79 |
Hydrocodone
7.5mg APAP 500mg |
304 |
Hydrocodone
7.5mg/APAP 750mg |
400 |
Hydrocodone
7.5mg/Ibuprofen 200mg |
1,005 |
Such conduct is in violation
of Section 2925.11 of the Ohio Revised Code.
(11) Steven J. Brownsberger did, on
or about October 3, 1999, knowingly make or affix a false or forged label to a package
or receptacle containing a dangerous drug, to wit: Steven J. Brownsberger
dispensed 300ml of Hycodan syrup pursuant to prescription number 4003276;
however, the label on the bottle showed that 400ml was dispensed. Such conduct is in violation of Section
2925.23(D) of the Ohio Revised Code.
(12) Steven J. Brownsberger did, on
or about October 28, 1999, knowingly make a false statement in a report or
record required by Chapter 3719. or 4729. of the Revised Code, to wit: Steven
J. Brownsberger altered the pharmacy’s Schedule II controlled substance monthly
audit to reflect that there was no shortage.
Such conduct is in violation of Section 2925.23(A) of the Ohio Revised
Code.
(13) Steven J. Brownsberger did, on
or about September 3, 1998, through October 3, 1999, knowing that he had no
privilege to do so, and with purpose to defraud, falsify, destroy, remove,
conceal, alter, deface, or mutilate computer data or a record, to wit: Steven
J. Brownsberger re-supplied the pharmacy’s Hydrocodone products by lowering the
ordering trigger points in the computer system, showing that the pharmacy stock
was lower than it actually was, thereby causing drug orders to be sent. Such conduct is in violation of Section 2913.42(A)
of the Ohio Revised Code.
CONCLUSIONS
OF LAW
(1) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(2) through (13) of the Findings of Fact constitute being guilty of dishonesty
and unprofessional conduct in the practice of pharmacy as provided in Division
(A)(2) of Section 4729.16 of the Ohio Revised Code.
(2) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(2), (4), (6), (8), and (10) of the Findings of Fact constitute being addicted
to or abusing liquor or drugs or impaired physically or mentally to such a
degree as to render him unfit to practice pharmacy as provided in Division
(A)(3) of Section 4729.16 of the Ohio Revised Code.
(3) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(4), (6), (8), and (10) through (12) of the Findings of Fact constitute being
guilty of willfully violating, conspiring to violate, attempting to violate, or
aiding and abetting the violation of provisions of Chapter 2925. as provided in
Division (A)(5) of Section 4729.16 of the Ohio Revised Code.
ACTION
OF THE BOARD
Pursuant to Section 3719.121 of the Ohio Revised
Code, the State Board of Pharmacy hereby removes the Summary Suspension Order
issued to Steven J. Brownsberger on February 8, 2000.
Pursuant to Section 4729.16 of the Ohio Revised
Code, and on the basis of the Findings of Fact and Conclusions of Law set forth
above, the State Board of Pharmacy hereby suspends indefinitely the pharmacist
identification card, No. 03-3-18617, held by Steven J. Brownsberger and such
suspension is effective as of the date of the mailing of this Order.
(A) Steven J.
Brownsberger, pursuant to Rule 4729-9-01(F) of the Ohio Administrative Code,
may not be employed by or work in a facility licensed by the State Board of
Pharmacy to possess or distribute dangerous drugs during such period of
suspension.
(B) Steven J.
Brownsberger, pursuant to Section 4729.16(B) of the Ohio Revised Code, must
return the identification card and license (wall certificate) to the office of
the State Board of Pharmacy within ten days after receipt of this Order. The certificate and identification card
should be sent by certified mail, return receipt requested.
Further, on or after January 1, 2002, the Board will
consider any petition filed by Steven J. Brownsberger for a hearing, pursuant
to Ohio Revised Code Chapter 119., for reinstatement. The Board will only consider reinstatement of the license to
practice pharmacy in Ohio if the following conditions have been met:
(A) Steven J.
Brownsberger must enter into a contract, signed within 90 days after the
effective date of this Order, with an Ohio Department of Alcohol and Drug
Addiction Services (ODADAS) treatment provider or a treatment provider
acceptable to the Board for a period of not less than five years. The contract must provide that:
(1) Random, observed urine drug screens shall be conducted at least once
each month.
(a) The urine sample must
be given within twelve hours of notification.
The urine screen must include testing for creatinine or specific gravity
of the sample as the dilutional standard.
(b) Alcohol must be
added to the standard urine drug screen.
A Breathalyzer may be used to test for alcohol, but the test must be
conducted by an appropriately certified individual within twelve hours of
notification.
(c) Results of all drug
and alcohol screens must be negative.
Any positive results, including those which may have resulted from
ingestion of food, but excluding false positives which resulted from medication
legitimately prescribed, indicates a violation of the contract.
(2) Attendance
is required a minimum of three times per week at an Alcoholics Anonymous, Narcotics
Anonymous, and/or similar support group meeting.
(3) The
program shall immediately report to the Ohio Board of Pharmacy any violations
of the contract and/or lack of cooperation.
(B) Steven J.
Brownsberger must provide, at the reinstatement petition hearing, documentation
of the following:
(1) Compliance
with the contract required in paragraph (A) above (e.g.-proof of giving the
sample within 12 hours of notification, copies of all drug and alcohol screen
reports, meeting attendance records, treatment program reports, etc.);
(2) Compliance
with the continuing pharmacy education requirements as set forth in Chapter
4729-7 of the Ohio Administrative Code in effect on the date of petitioning the
Board for reinstatement;
(3) Compliance
with the terms of this Order.
(C) If reinstatement is
not accomplished within three years of the effective date of this Order, Steven
J. Brownsberger must successfully complete the NAPLEX examination or an
equivalent examination approved by the Board.
THIS ORDER WAS
APPROVED BY A VOTE OF THE STATE BOARD OF PHARMACY.
MOTION CARRIED.
SO ORDERED.
The motion was seconded by Ms. Abele and approved by the Board (Aye-7/Nay-0).
11:26 a.m.
Mrs. Neuber left the meeting to attend to personal business. The Board was joined by Assistant Attorney General Sally Ann Steuk for the purpose of conducting an adjudication hearing in accordance with Ohio Revised Code Chapters 119. and 4729. in the matter of Thomas W. Foti, R.Ph., New Philadelphia.
12:40 p.m.
The hearing concluded and the record was closed. The Board took a brief recess.
12:55 p.m.
Ms. Abele moved that the Board go into Executive Session for the purpose of the investigation of complaints regarding licensees and registrants pursuant to Section 121.22(G)(1) of the Revised Code. The motion was seconded by Mrs. Adelman and a roll call vote was conducted by President Cavendish as follows: Abele-Yes, Adelman-Yes, Eastman-Yes, Giacalone-Yes, Littlejohn-Yes, and Repke-Yes.
1:05 p.m.
RES. 2000-197 The Executive Session ended and the meeting was opened to the public. Ms. Abele then moved that, pursuant to Section 3719.121 of the Revised Code, the Board summarily suspend the license to practice pharmacy belonging to Dennis Carey, R.Ph. (03-1-09565) due to the fact that a continuation of his professional practice presents a danger of immediate and serious harm to others. The motion was seconded by Ms. Eastman and approved by the Board (Aye-6/Nay-0).
1:08 p.m.
RES. 2000-198 Mr. Giacalone moved that the Board adopt the following Order in the matter of Thomas W. Foti, R.Ph., New Philadelphia:
ORDER OF THE STATE BOARD OF PHARMACY
(Docket
No. D-991005-024)
In
The Matter Of:
THOMAS WILLIAM FOTI, R.Ph.
995
Clearview Drive SE
New
Philadelphia, Ohio 44663
(R.Ph. No. 03-1-10877)
INTRODUCTION
THE MATTER OF THOMAS WILLIAM FOTI CAME TO HEARING ON
JUNE 14, 2000, BEFORE THE FOLLOWING MEMBERS OF THE BOARD: ROBERT B. CAVENDISH,
R.Ph. (presiding); ANN D. ABELE, R.Ph.; DIANE C. ADELMAN, R.Ph.; SUZANNE R.
EASTMAN, R.Ph.; ROBERT P. GIACALONE, R.Ph.; AMONTE B. LITTLEJOHN, R.Ph.; AND
NICHOLAS R. REPKE, PUBLIC MEMBER.
THOMAS WILLIAM FOTI WAS REPRESENTED BY DAVID W.
GRAUER, AND THE STATE OF OHIO WAS REPRESENTED BY SALLY ANN STEUK, ASSISTANT
ATTORNEY GENERAL.
SUMMARY
OF EVIDENCE
(A) Testimony
State's Witnesses:
(1) David Gallagher,
Ohio State Board of Pharmacy
Respondent's Witnesses:
(1) Thomas William
Foti, Respondent
(2) Chris Hart, R.Ph.,
Rite Aid
(B) Exhibits
State's Exhibits:
(1) Exhibit 1--Copy of
four-page Summary Suspension Order/Notice of Opportunity for Hearing letter
dated October 5, 1999.
(2) Exhibit 1A--Request
for Hearing and Certificate of Service dated October 29, 1999; and Notice of
Appearance and Certificate of Service dated October 29, 1999.
(3) Exhibit 1B--Copy of
Hearing Schedule letter dated November 2, 1999.
(4) Exhibit
1C--Two-page letter from David W. Grauer dated November 4, 1999, with attached
four-page proposed settlement in the matter of Thomas William Foti.
(5) Exhibit 1D--Copy of
letter from David L. Rowland dated November 8, 1999.
(6) Exhibit 1E--Copy of
Hearing Schedule letter dated March 1, 2000.
(7) Exhibit 1F--Copy of
Pharmacist File Front Sheet of Thomas William Foti showing original date of
registration as July 30, 1974; and copy of Renewal Application for Pharmacist
License No. 03-1-10877 for a license to practice pharmacy in Ohio from
September 15, 1999, to September 15, 2000, of Thomas William Foti dated July
21, 1999.
(8) Exhibit 2--Two-page
copy of D.E.A. Form 106 (Report of Theft or Loss of Controlled Substances) of
Rite Aid Discount Pharmacy #2392 dated August 6, 1999.
(9) Exhibit
3--Three-page Ohio State Board of Pharmacy Statement Form of Steven J. Gooding,
Case No. 99-1692, signed and notarized on July 26, 1999.
(10) Exhibit 4--Two-page Ohio State
Board of Pharmacy Statement Form of Tim Rech, Case No. 99-1692, signed and
notarized on July 26, 1999.
(11) Exhibit 5--Copy of
thirteen-page transcript of telephone conversation between Dave Gallagher and
Tom Foti held on July 5, 1999.
(12) Exhibit 6--Copy of four-page
"Indictment" in the Tuscarawas County Common Pleas Court, The
State of Ohio vs. Thomas W. Foti, Case No. 2000 CR 02 0029, dated February
25, 2000.
(13) Exhibit 7--Copy of five-page
"Judgment Entry" in the Tuscarawas County Common Pleas Court, State
of Ohio vs. Thomas W. Foti, Case No. 2000 CR 02 0029, dated March 9, 2000.
(14) Exhibit 8--Copy of seven-page
"Judgment Entry" in the Tuscarawas County Common Pleas Court, State
of Ohio vs. Thomas W. Foti, Case No. 2000 CR 02 0029, dated May 2, 2000.
Respondent's Exhibits:
(1) Exhibit A--Copy of
two-page Pharmacists Rehabilitation Organization, Inc. Pharmacist’s Recovery
Contract of Tom Foti dated September 12, 1999.
(2) Exhibit B--Copies
of seven-page "Judgment Entry" in the Tuscarawas County Common Pleas
Court, State of Ohio vs. Thomas W. Foti, Case No. 2000 CR 02 0029, dated
May 2, 2000; "Motion for Treatment In Lieu of Conviction" dated March
7, 2000; two-page "Memorandum" dated March 7, 2000; two-page
"Memorandum In Support of Motion For Treatment In Lieu of Conviction"
dated April 5, 2000; "Proof of Service" dated April 4, 2000; and
two-page copy of Ohio Adult Parole Authority "Conditions of
Supervision" of Thomas Foti dated April 27, 2000.
(3) Exhibit C--Copy of
customer receipt for Bank One Check No. 626612627; two-page copy of
"Letter of Civil Demand" to Thomas Foti from W. M. Knievel dated July
8, 1999; and copy of Domestic Return Receipt showing date of delivery as July
15, 1999, and Receipt for Certified Mail No. Z 321 978 465 dated July 13, 1999.
(4) Exhibit D--Copy of
seven pages of AA Meeting Reporting Sheets of Tom Foti dated from October 1,
1999, through June 5, 2000.
(5) Exhibit E--Copy of
letter from Chris Lindskog dated March 1, 2000; copy of letter from Wyckliffe
J. Howland dated April 17, 2000; copy of letter from Maureen McGuire dated
February 25, 2000; and copy of letter from Kellie Fisher dated February 23,
2000.
(6) Exhibit F--Copy of
two-page Shepherd Hill "Recovery Monitoring Services Agreement" of
Thomas W. Foti dated October 6, 1999.
(7) Exhibit G--Copy of
RMS Urine Monitoring of Thomas Foti dated from October 13, 1999, through March
30, 2000, and twenty-nine pages consisting of twenty-five urine drug screen
reports of Thomas Foti collected from October 13, 1999, through May 12, 2000.
FINDINGS
OF FACT
After having heard the testimony, observed the
demeanor of the witnesses, considered the evidence, and weighed the credibility
of each, the State Board of Pharmacy finds the following to be fact:
(1) Records
of the State Board of Pharmacy indicate that Thomas William Foti was originally
licensed in the State of Ohio on July 30, 1974, pursuant to examination and his
license to practice pharmacy in the state of Ohio was summarily suspended on
October 5, 1999, pursuant to Section 3719.121(B) of the Ohio Revised Code.
(2) Thomas William Foti
did, from on or about May 1, 1998, through July 1, 1999, with purpose to
deprive, knowingly obtain or exert control over dangerous drugs, the property
of Rite Aid Pharmacy #2392, beyond the express or implied consent of the owner
and/or by deception, to wit: Thomas William Foti stole the following controlled
substances from his employer:
Drug |
Quantity |
Adipex-P |
33 |
Fastin 30mg |
25 |
Phentermine 37.5mg |
38 |
Vicodin
5mg/500mg |
22 |
Hydrocodone
5mg/APAP 500mg |
475 |
Tylenol
325mg/Codeine 30mg |
220 |
Lorazepam
1mg |
14 |
Diazepam
2mg |
63 |
Diazepam
5mg |
162 |
Valium
5mg |
17 |
Such conduct is in violation
of Section 2913.02 of the Ohio Revised Code.
(3) Thomas William Foti
did, from about April of 1999, to July of 1999, knowingly possess controlled
substances when the conduct was not in accordance with Chapters 3719., 4729.,
and 4731. of the Ohio Revised Code, to wit: Thomas William Foti admitted
consuming eight Tylenol 325mg w/Codeine 30mg daily for a three- to four-week
period and due to becoming tired from taking pain medications, Thomas William
Foti would take stimulants to get through the day. Such conduct is in violation of Section 2925.11 of the Ohio
Revised Code.
(4) Thomas William Foti
is addicted to and/or abusing liquor or drugs or impaired physically or
mentally to such a degree as to render him unfit to practice pharmacy, to wit:
Thomas William Foti has admitted stealing Phentermine, Hydrocodone, and Tylenol/Codeine
from his employer; Thomas William Foti admitted consuming eight Tylenol 325mg
w/Codeine 30mg daily for a three- to four-week period; and, due to becoming
tired from taking pain medications, Thomas William Foti admitted to taking
stimulants to get through the day. Such
conduct indicates that Thomas William Foti falls within the ambit of Sections
3719.121(B), and 4729.16(A)(3) of the Ohio Revised Code.
CONCLUSIONS
OF LAW
(1) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(2) and (3) of the Findings of Fact constitute being guilty of a felony as
provided in Division (A)(1) of Section 4729.16 of the Ohio Revised Code.
(2) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraphs
(2) through (4) of the Findings of Fact constitute being guilty of dishonesty
and unprofessional conduct in the practice of pharmacy as provided in Division
(A)(2) of Section 4729.16 of the Ohio Revised Code.
(3) Upon
consideration of the record as a whole, the State Board of Pharmacy concludes
that paragraphs (3) and (4) of the Findings of Fact constitute being addicted
to or abusing liquor or drugs or impaired physically or mentally to such a
degree as to render him unfit to practice pharmacy as provided in Division
(A)(3) of Section 4729.16 of the Ohio Revised Code.
(4) Upon consideration
of the record as a whole, the State Board of Pharmacy concludes that paragraph
(3) of the Findings of Fact constitute being guilty of willfully violating,
conspiring to violate, attempting to violate, or aiding and abetting the
violation of provisions of Sections 3715.52 to 3715.72 or Chapter 2925., 3719.,
or 4729. of the Revised Code as provided in Division (A)(5) of Section 4729.16
of the Ohio Revised Code.
ACTION
OF THE BOARD
Pursuant to Section 3719.121 of the Ohio Revised
Code, the State Board of Pharmacy hereby removes the Summary Suspension Order
issued to Thomas William Foti on October 5, 1999.
Pursuant to Section 4729.16 of the Ohio Revised
Code, and on the basis of the Findings of Fact and Conclusions of Law set forth
above, the State Board of Pharmacy hereby approves reinstatement of the
pharmacist identification card, No. 03-1-10877, held by Thomas William Foti to
practice pharmacy in the state of Ohio and places him on probation for five
years from the date the identification card is issued, with the following
conditions:
(A) Thomas William Foti
must enter into a contract, signed within 90 days after the effective date of
this Order, with an Ohio Department of Alcohol and Drug Addiction Services
(ODADAS) treatment provider or a treatment provider acceptable to the Board for
a period of not less than five years and submit a copy of the signed contract
to the Board office with the renewal application. The contract must provide that:
(1) Random, observed urine drug screens
shall be conducted at least once every three months.
(a) The urine sample
must be given within twelve hours of notification. The urine drug screen must include testing for creatinine or
specific gravity of the sample as the dilutional standard.
(b) Alcohol must be
added to the standard urine drug screen.
A Breathalyzer may be used to test for alcohol, but an appropriately
certified individual must conduct the test within twelve hours of notification.
(c) Results of all drug
and alcohol screens must be negative.
Any positive results, including those which may have resulted from
ingestion of food, but excluding false positives which resulted from medication
legitimately prescribed, indicates a violation of the contract and probation.
(2) The
intervener/sponsor shall provide copies of all drug and alcohol screen reports
to the Board in a timely fashion.
(3) Attendance
is required a minimum of three times per week at an Alcoholics Anonymous,
Narcotics Anonymous, and/or similar support group meeting.
(4) The program shall
immediately report to the Board any violations of the contract and/or lack of
cooperation.
(B) Thomas William Foti
must submit quarterly progress reports to the Board, due January 10, April 10,
July 10, and October 10 of each year of probation, that include:
(1) The written report
and documentation provided by the treatment program pursuant to the contract,
and
(2) A written
description of Thomas William Foti’s progress towards recovery and what he has
been doing during the previous three months.
(C) Other
terms of probation are as follows:
(1) The State Board of
Pharmacy hereby declares that Thomas William Foti’s pharmacist identification
card is not in good standing and thereby denies the privilege of being a
preceptor and training pharmacy interns pursuant to paragraph (D)(1) of Rule
4729-3-01 of the Ohio Administrative Code.
(2) Thomas William Foti
may not serve as a responsible pharmacist.
(3) Thomas William Foti
may not destroy, assist in, or witness the destruction of controlled substances.
(4) Thomas William Foti
must abide by the contract from the treatment provider and any violation must
be reported to the Board immediately.
(5) Thomas William Foti
must not violate the drug laws of the state of Ohio, any other state, or the federal
government.
(6) Thomas William Foti
must abide by the rules of the Ohio State Board of Pharmacy.
(7) Thomas William Foti
must comply with the terms of this Order.
Thomas William Foti is hereby
advised that the Board may at any time revoke probation for cause, modify the
conditions of probation, and reduce or extend the period of probation. At any time during this period of probation,
the Board may revoke probation for a violation occurring during the probation
period.
THIS ORDER WAS
APPROVED BY A VOTE OF THE STATE BOARD OF PHARMACY.
MOTION CARRIED.
SO ORDERED.
The motion was seconded by Ms. Eastman and approved by the Board (Aye-6/Nay-0).
1:14 p.m.
RES. 2000-199 Mr. Winsley presented the Data Security and Patient Confidentiality statement received from iScribe that had been requested by the Board at the May, 2000 meeting. After reviewing the information presented, the consensus of the Board was that the system would meet the Board’s requirements subject to review and inspection to insure continued compliance with Ohio laws and rules.
1:15 p.m.
Mr. Repke moved that the Board receive Per Diem as follows:
PER DIEM |
5/6 |
5/7-10 |
5/30 |
6/12 |
6/13 |
6/14 |
Total |
Abele |
- |
- |
- |
1 |
1 |
1 |
3 |
Adelman |
- |
- |
- |
1 |
1 |
1 |
3 |
Cavendish |
- |
4 |
1 |
1 |
1 |
1 |
8 |
Eastman |
- |
- |
- |
1 |
1 |
1 |
3 |
Giacalone |
- |
- |
- |
1 |
1 |
1 |
3 |
Littlejohn |
- |
- |
- |
1 |
1 |
1 |
3 |
Kost |
- |
- |
- |
1 |
1 |
- |
2 |
Neuber |
- |
- |
- |
1 |
1 |
1 |
3 |
Repke |
1 |
4 |
- |
1 |
1 |
1 |
8 |
The motion was seconded by Mrs. Adelman and approved by the Board (Aye-6/Nay-0).
1:16 p.m.
Mr. Repke then moved that the meeting be adjourned. The motion was seconded by Mrs. Adelman and approved (Aye-6/Nay-0).
THE BOARD APPROVED THESE MINUTES ON JULY
11, 2000. |