Fla. Admin. Code R. 64B16-28.503 (2026)
Transmission of Starter Dose Prescriptions for Patients in Class I or Modified II B Institutional Facilities
(1) Definitions.
(a) “Vendor pharmacy” means a community pharmacy or special closed system pharmacy which has a contract to dispense a medicinal drug to a patient in a facility holding a Class I Institutional Permit or Modified II B Permit.
(b) “Starter dose pharmacy” means a pharmacy that dispenses a medicinal drug pursuant to a starter dose prescription for a patient in a facility served by the vendor pharmacy.
(c) “Starter dose prescription” means a prescription transmitted by a vendor pharmacy to a starter dose pharmacy for the purpose of initiating drug therapy for a patient in a facility served by the vendor pharmacy. The term “starter dose prescription” does not include prescriptions for controlled substances.
(2) A vendor pharmacy may transmit a starter dose prescription, excluding a prescription for a controlled substance, to a starter dose pharmacy if the vendor pharmacy:
(a) Has written authorization from the facility to utilize a starter dose pharmacy.
(b) Has written authorization from a prescribing practitioner, directly or via facility agreement, to act as the practitioner’s agent for the purpose of transmitting a starter dose prescription.
(c) Possess a valid prescription from the prescribing practitioner prior to transmitting the starter dose prescription.
(d) Maintains a record of each starter dose prescription.
(e) Maintains a policy and procedure manual that references starter dose prescriptions.
(3) A starter dose pharmacy may dispense a medicinal drug, excluding a controlled substance, pursuant to a starter dose prescription for a patient in a facility that holds a Class I Institutional Permit or Modified II B Permit if the starter dose pharmacy maintains a record of each starter dose prescription and maintains a policy and procedure manual that references starter dose prescriptions.
(4) A record of each starter dose prescription shall be readily retrievable and maintained for four (4) years.
Rulemaking Authority 465.005, 465.019(4), 465.022 FS. Law Implemented 465.019, 465.022(12) FS. History–New 11-29-04, Amended 7-14-14, 7-19-17.
Effective: 7/19/2017.