BEFORE THE BOARD OF PHARMACY EXAMINERS

OF THE STATE OF IOl. lA

In the Ma t te r o f

and S ta temen t o f

Ke i t h R . Jam ison ,Re sponden t

t he Comp l a i n t

Cha rges Aga i ns t

Pharmac i s t

COMPLAINT AND

STATEMENT OF CHARGES

COMES N0 l . r , No rman C . Johnson , execu t i ve sec re ta ry o f t he Iowa Boardo f Pha rmacy Exam ine rs , on t he 7 th day o f Feb rua ry , . | 996 , and f j l e s t h i s9g tp ta i n t and S ta temen t o f Cha rges aga ins t Ke i t h R . Jam ison , a pha rmac i s tl i censed pu rsuan t t o I owa Code Chap te r

. | 55 , and a ' l l eges :

l . Tha t John F . Rode , cha i r pe rson ; Ma rgo L . Unde rwood , v . i cecha i rpe rson ; Ro l l i n C . B r i dge ; Je r r y M . Ha r t l e i p ; Me lba L . Scag l i one ;A lan M . Shep ley ; and Ga le l , l . S tapp a re du l y appo . i n ted r QUd l i f i ed i l embe rso f t he Iowa Board o f Pharmacy Examine rs .

2 - Tha t Responden t i s a r es i den t o f Knoxv i l l e , I owa , and was i s suedl j cense number 13127 to p rac t i ce pha rmacy ' i n t he S ta te o f I owa onSep tember 9 ,

. | 965 .

3 . Tha t Responden t ' s l i cense t o p rac t i ce pha rmacy i n I owa i s cu r ren tun t i l June 30 , . | 986 .

4 . Tha t Responden t i s emp loyed as a s ta f f pha rmac i s t a t Bake rDrug , 203 E . Ma . i n , Knoxv i I I e , I owa .

5 . Tha t an i nspec t i on o f Bake r D rug and an aud i t o f t he reco rdson f i I e i n Bake r D rug was conduc ted beg i nn i ng on Augus t I 5 , I 985 , byE . Ray She lden and l 4o r re l l Spence r who a re du l y au tho r i zed agen ts o it he Board .

6 . Tha t f ou r sepa ra te aud i t s we re conduc ted .

7 . Tha t Aud i t I i n vo l ved l 9 Schedu le I I con t ro l l ed d rug dosagefo rms and cove red t he pe r i od May I , . | 985 , t h rough Augus t 15 , I 995 .

B - Tha t Aud i t I I i n vo l ved 36 Schedu le I I con t ro l l ed d rug dosagefo rms and cove red t he pe r i od Ap r i l 30 , . | 983 t h rough Augus t

. I 5 , . | 985 .

9 . Tha t Aud i t I I I i n vo l ved 4 Schedu le I I I and IV con t ro l l ed d rug99 tgg . f o rms and cove red t he pe r i od May l ,

. | 985 , t h rough Augus t l 5 ;

I 985 ,

. | 0 . Tha t Aud i t IV i nvo l ved 12 Schedu le V con t ro l l ed d rug dosage

fo rms and cove red t he pe r i od May 1 , . | 985 , t h rough Augus t 15 , - | 985 . -

I I . Tha t t he resu l t s o f Aud i t I r evea l ed t he f o l I ow i nq :

a. A

b . A

c . A

shortage

shor tage

n overage

o f

o f

o f

44 Nembuta l 100m9 capsu les , a 9% shor tage .

60 Tu ina l 200m9 pu lvu les , a 16% shor tage .

110 Oxycodone w i th asp i r in tab le ts , a 24% overage .

12 . Tha t t he resu l t s o f Aud i t I I r evea l ed the fo l ' l ow i

ng :

a . A sho r tage o f . | 00

Code ine Su l f a te 30mg tab le t s , a 7% sho r tage .

b . A sho r tage o f 2 Mepe r i d i ne 75mg tubex , an 8% sho r tage .

c . A sho r tage o f 1 Demero l 50mg/m l 30ml v ja l , a 17% shor tage .

d . A sho r tage o f . | 44

Nembu ta l 100m9 capsu les , an 1 l% sho r tage .

e . A sho r tage o f . | 84

Oxycodone w / asp i r i n t ab le t s , an 18% shor tage .

f . A sho r tage o f 1035 Percodan tab le t s , a 22% shor tage .

g . A sho r tage o f 50 Secona l 50mg pu l vu les , a l 3% sho r tage .

h . A sho r tage o f . | 25

Ty lox capsu les , a 9 .5% sho r tage .

i . An ove rage o f . | 05

Amy ta l 100m9 tab le t s , a 34% ove rage .

i . An ove rage o f 230 D i l aud id 2mg tab le t s , . r l 2% ove rage .

k . An ove rage o f 500 0xycodone w i th APAP tab le t s , d 100% ove rage .

l . An ove rage o f . | 53

Secona l 100mg pu l vu ' l es , an 8% ove rage .

. l 3 . Tha t t he resu l t s o f Aud i t I I I r evea led t he f o1 ' l ow ing :

a . A sho r tage o f 322 Ty leno l w i th code ine 60mg and APAP w i th Code ine60mg tab le t s , a 97 " sho r tage .

b . A sho r tage o f 948 Va l i um 5mg tab le t s , a 17% sho r tage .

c . A sho r tage o f 685 Va l i um l 0mg tab le t s , a 34% sho r tage .

d . An ove rage o f 235 Ty leno ) w i th Code ine 30mg and APAP w i th Code ine30mg tab le t s , a 2% ove rage .

. l 4 . Tha t t he resu l t s o f Aud i t IV revea led t he f o l l ow ing :

a . A sho r tage o f l 20cc Te rp in Hyd ra te w i th Code ine , a l / " sho r tage .

b . A sho r tage o f I 20cc o f Rob i t uss jn DAC and i t s gene r i ccoun te rpa r t , an 8% sho r tage .

c . A sho r tage o f 340cc o f Novah i s t i ne Expec to ran t w i t h Code ine ,D ih l s t l ne Expec to ran t w i t h Code ine and Phen -H i s t Expec to ran t w i t h Code ine ,an l 8% sho r tage .

-2 -

d . An ove rage o f l 60cc o f Tussend l i qu id , a 3% ove rage .

e . An ove rage o f 3305cc o f D ih ' i s t i ne DH, Novadyne DH and Phen -H i s tDH l i qu id , a 38% ove rage .

. | 5 . Tha t Responden t ' s l i cense t o p rac t i ce pha rmacy was no t d i sp layed

in pub ' l i c v ' i ew a t Bake r D rug .

. | 6 . Tha t Responden t d i spensed Bake r D rug p resc r i p t i on numbers 5 l 3 l l 6 ,

5 . | 4033 and 5 . | 5039 f o r Eska t ro l spansu les ' i s sued i n t he name o f Ma r i l ynTacke t t by G . M . A rno t t , M .D . , on May 6 , . l 985 ; June 5 , . | 985 ; and Ju l y. | 0 , . | 985 ,

r espec t i ve l y , w i t hou t de te rm in ' i ng whe the r t he p resc r i p t i onswere i s sued f o r a l eg i t ima te med i ca l pu rpose .

17 . Tha t Responden t d i spensed Bake r D rug p resc r i p t i on number 5 . | 5357fo r Eska t ro l spansu les i s sued i n t he name o f Ma r i l yn Thomas by J . E .Eaves , M .D . , on Ju l y

. l 8 , . | 985 , w i t hou t de te rm in ing whe the r t he

p resc r i p t i on was i s sued f o r a l eg i t ima te med i ca l pu rpose .

. | 8 . Tha t Responden t d i spensed t he p resc r i p t i ons desc r i bed i n

pa rag raph l 6 and 17 w ' i t hou t de te rm in ing whe the r t he p roduc t Eska t ro lwas s t i l l w i t h i n i t s exp i r a t i on da te .

19 . Tha t Responden t d ' i spensed Bake r D rug p resc r i p t i on number 495044' i s sued i n t he name o f Jeanne Bus ' i c k on December 5 ,

. l 983 , f o r P re lud in

75mg Endu re t s w i t hou t de te rm in ing whe the r t he p resc r i p t i on was i s suedfo r a l eg i t ima te med i ca l pu rpose .

20 . Tha t Responden t d i spensed Bake r D rug p resc r i p t i on number 4870 . l 9 ,i s sued i n t he name o f Ha ro ld S immons on Ap r i l 30 , . | 983 , f o r Va l i um 5mgtab le t s , t h ree t imes beyond t he l ega l l im i t au tho r i zed by I owa l aw .

21 . Tha t Responden t d ' i spensed Baker D rug p resc r ip t i on number 496468 ,i ssued i n t he name o f Ha ro ld S immons on Janua ry l l , . | 984 , f o r Va l i um5mg tab le t s , one t ime beyond t he 1ega1 l jm i t au tho r i zed by I owa l aw .

22 . Tha t Responden t d i spensed Baker D rug p resc r ip t i on number 503672 ,i ssued j n t he name o f Ha ro ld S ' immons on Augus t l , . | 984 , f o r Va l i um 5mgtab le t s , f i ve t imes beyond t he 1ega1 l im i t au tho r i zed by I owa l aw .

23 . Tha t Responden t d i spensed Bake r D rug p resc r i p t i on numbers 487019and 487020 , i ssued i n the name o f Haro ld S immons on Apr i l 30 ,

. | 983 ,

w i t hou t ob ta i n i ng t he s i gna tu re o f t he p resc r i be r as requ i red by I owaI aw .

24 . Tha t Responden t d i spensed . | 35

doses o f a Schedu le I I I con t ro l l edsubs tance on Bake r D rug p resc r ip t i on 507717 to pa t i en t Roxanne Pearsonwhen t he p resc r i be r on l y au tho r i zed l 5 doses t o be d i spensed .

25 . Tha t Bake r D rug p resc r ip t i on number 489065 , i ssued to TheodoreJohnson on June 24 , . l 983 , was re f i l l ed by Responden t on Augus t 24 ,

. l 985 ,

26 mon ths a f t e r i t s da te o f i s sue .

-3 -

26 . Tha t Responden t d i spensed Bake r D rug p resc r i p t i on number 515876 ,i ssued on November 5 , I 984 , t o James Hun t

- f o r va l i um 5mg tab le t s , on

Augus t 7 , I 985 - -a da te wh ich was more than s i x mon ths i rom i t s da teo f i s sue .

27 . Tha t Responden t so ld 4 ounce ( l 20cc ) bo t t l es o f Schedu le Vcough p repa ra t i ons w i t h f u l l know ledge t ha t p r i o r sa les o f t hose coughp repa ra t i ons had been made w i t h i n a 4g -hou r pe r i oo .

28 . Tha t Responden t d i spensed 72 doses o f a Schedu le I I I con t ro l l edsubs tance , Ty leno l #3 , t o pa t i en t Lau ra Ro land on Bake r D rug p resc r i p t . i onnumber 514027 , when the p resc r ibe r on l y au tho r i zed l 2

- doses to be

d i spensed .

29 . Tha t Responden t i s gu i ' l t y o f v i o l a t ' i ons o f I owa Code Sec t i ons I 4 l . 7 ,155 .13 (3 ) and (8 ) , 155 .30 , 155 .34 , 204 .306 , 204 .308 (4 ) , 204 .401 (d ) ,205 .3 and Boa rd Ru les 5620 - -8 .13 (9 ) and B . t 3 (15 ) by v i r t ue o f t hea ' l l ega t i ons i n pa rag raphs 11 t h rough 28 .

Sec t i on I 47 .7 reads as f o l I ows :

"D i sp l ay o f l i cense . Eve ry pe rson r i censed unde r t h i s t j i l ep rac t i ce a p ro fess ion sha l I keep h i s I i cense pub l i c ' l y d i sp layedthe p l ace i n wh i ch he p rac t f ces . , ,

Sec t ' i on . | 55 . . l 3 (3 )

and (8 ) r ead as f o l l ows :

" . . . The boa rd sha l I have t he au tho r i t y t o deny , suspend o r r evokea l i cense i n any case whe re i t f i nds t ha t t he re has been a subs tan t i a lf a i I u re to comp ly w i t h t he p rov i s i ons o f t h i s chap te r o r t heregu la t i ons p romu lga ted he reunde r , oF t he v i o l a t i on t he reo f , andin add i t i on , t he boa rd sha l l have t he power t o deny , suspend o r r evokea l i cense , when t he app l i can t o r l i censee , o r any emp loyee , p rov id i ngthe o f f ense i s commi t t ed on l i censed p rem ises o r i s i n t he conduc io f t he bus ' i ness l j censed , i s gu i l t y o f any o f t he f o l l ow ing f ac t so r o f f enses : . . .

3 . D i s tn i bu t i ng on t he p rem ises o f . . . d rugs f o r any o the r t han l aw fu lpu rposes .

B . V io l a t i ons o f t he p rov i s i ons o f t h i s chap te r . "

Sec t i on I 55 . 30 reads as f o l I ows :

" . . . any pe rson who v ' i o l a tes a p rov i s i on o f Sec t i on r 55 .29 o r whose l l s , g_ i ves away o r adm in i s te r s t o ano the r pe rson any p resc r i p t i ond rug sha11 be gu i l t y o f a pub l i c o f f ense . . . . ' ,

t0i n

Sec t i on I 55 . 34 reads as f o l I ows :

"Re f i l l s l im i t ed . No p resc r i p t i on f o ri s no t a con t ro l l ed subs tance as de f i ned

any p resc r i p t i on d ruq wh i chi n sec t i on 204 . I 0 l , sudsec t i on

-4 -

6 , sha l l be f i l l ed o r r e f i l l ed more t han one yea r a f t e r t he da teon wh i ch t he p resc r i p t i on was j s sued , and no p resc r i p t i on wh i ch i sau tho r i zed t o be re f i l l ed sha l l be re f i l l ed more t han e l even t ' imes ;p rov ided howeve r , f l o med i ca l p rac t i t i one r sha l I be p roh ib i t ed f r omissu ing a new p resc r i p t i on f o r t he same d rug e i t he r i n w r i t i ng o ro ra11y . "

Sec t i on 204 .306 reads as fo l I ows :

"Reco rds o f r eg i s t r an t s . Pe rsons reg i s t e red t o manu fac tu re ,d i s t r i bu te , d i spense , o r adm. i n i s t e r con t ro l I ed subs tances unde r t h i schap te r sha l l keep reco rds and ma in ta i n i nven to r i es i n con fo rmancew i t h the reco rd keep i ng and i nven to ry requ i remen ts o f f ede ra l I awand w i t h such add i t i ona l r u l es as may be i s sued by t he boa rd . . . . "

Federa l regu l a t i ons i n t h i s rega rd can be found i n Code o f Federa lRegu la t i ons (CFR) T i t l e 21 . Pe i t i nen t pa r t s o f t hose regu la t i ons a re1304 .03 ,

' 1304 .04 and 1304 .11 .

Pa r t . | 304 .03

reads , j n pa r t , as f o l l ows :

"Pe rsons requ i red t o keep reco rds and f j l e r epo r r s .

( a ) Each reg i s t r an t sha l l ma ' i n t a i n t he reco rds and j nven to r i es andsha l l f i l e t he repo r t s r equ i red by t h i s pa r t , excep t as exemp tedby t h i s sec t i on . . . . "

Pa r t 1304 .04 reads , i n pa r t , as f o l l ows :

"Ma in tenance o f r eco rds and i nven to r i es .

(u ) Eve ry i nven to ry and o the r reco rds requ i red to be kep t underth j s Pa r t sha l l be kep t by t he reg i s t r an t and be ava i l ab le , f o r a tI eas t 2 yea rs f rom the da te o f such i nven to ry o r reco rds , f o ri nspec t i on and copy ing by au tho r i zed emp loyees o f t heAdmin i s t r a t i 0n . . . . "

Pa r t l 304 . l l r eads , i n pa r t , as f o l l ows :

"Genera I requ i remen ts fo r i nven to r . i es .

( a ) Each i nven to r y sha l I con ta i n a comp le te and accu ra te reco rdo f a l l con t ro l l ed subs tances on hand on t he da te t he i nven to r y i st aken . . . . "

Sec t i on 204 .308 (4 ) r eads as f o l l ows :

"A con t ro l l ed subs tance i nc l uded i n Schedu le V sha l l no t be d i s t r i bu tedo r d ' i spensed o the r t han f o r a med i ca l pu rpose . "

-5 -

Sec t i on 204 .40 . | ( I ) " d " r eads as f o l I ows :

" . . . I t i s un law fu l f o r any pe rson t o . . . de l i ve r . . . a con t ro l l edsubs tance . . . any pe rson who v i o l a tes t h i s subsec t i on w i t h r espec tt 0 . . . ( d ) a subs tance c l ass i f i ed i n schedu le V , i s gu i l t y o f a s imp lem isdemeano r . . . . "

Sec t i on 205 . 3 reads as fo l I ows :

"P resc r i p t i ons . A pe rson sha l l no t f i l l a p resc r i p t i on f o r a d rugrequ i red by chap te r 204 o r t h i s chap te r t o be f u rn i shed on l y uponwr i t t en p resc r i p t i on un less t he p resc r i p t i on i s o rde red f o r amed ' i ca l . . . pu rpose on1y . "

Boa rd sub ru le 5620 - -8 . I 3 (9 ) r eads as f o l l ows :

"Re f i l l i ng o f p resc r i p t i ons . No p resc r i p t i on f o r a con t ro l l edsubs tance l i s t ed i n schedu le i l l o r IV sha l l be f i l l ed o r r e f i l l edmore t han s ' i x mon ths a f t e r t he da te on wh i ch such p resc r i p t i on wasi ssued and no such p resc r i p t i on au tho r i zed t o be re f i l l ed may bere f i l l ed more t han f i ve t imes . Each re f i l l i ng o f a p resc r i p t i onsha l I be en te red on t he back o f t he p resc r i p t i on o r on ano the rapp rop r i a te un i f o rm ' l y ma in ta i ned read i l y r e t r i evab le r eco rd , suchas med i ca t i on reco rds , wh i ch i nd i ca te t he da te , quan t i t y , and nameo f d i spens ing pha rmac ' i s t f o r each p resc r i p t i on i n i t i a l ed , and da tedby t he pha rmac i s t as o f t he da te o f d i spens ing , and sha l l s t a te t heamoun t d i spensed . I f t he pha rmac i s t me re l y i n i t i a l s and da tes t heback o f t he p resc r i p t i on he sha l l be deemed to have d i spensed a re f i l lf o r t he f u l I f ace amoun t o f t he p resc r i p t i on . Add i t i ona l quan t i t i e so f con t ro l l ed subs tances l i s t ed i n schedu le I I I o r IV may on l y beau tho r i zed by a p resc r i b i ng p rac t i t i one r t h rough i s suance o f a newpresc r i p t i on as p rov ided he re in wh ' i ch sha l I be a new and sepa ra tep resc r i p t i on . "

Boa rd sub ru le $620 - -8 . . l 3 ( . | 5 ) r eads as f o l l ows :

"8 . . | 3 ( . | 5 ) D i spens ing w i t hou t p resc r i p t i on . A con t ro l l ed subs tancel i s t ed i n Schedu le V . . .may be d i spensed by a pha rmac i s t w i t hou t ap resc r i p t i on t o a pu rchase r a t r e ta i l , p rov i ded t ha t :

a . Such d i spens i ng i s made on l y by a pha rmac i s t and no t by anon-pharmac i s t emp l oyee even i f unde r the d ' i r ec t supe rv i s i on o f apha rmac i s t excep t as spec i f i ca l l y p rov ided by o the r r u l es o f t heboa rd .

b . No t mo re t han l 20cc . ( 4 ounces ) o f any such con t ro l l ed subs tancemay be d i s t r i bu ted a t re ta i I t o t he same pu rchase r i n any g i venfo r t y -e i gh t -hou r pe r i od .

c . The pu rchase r i s a t l eas t e i gh teen yea rs o f age .d . The pha rmac ' i s t r equ i res eve ry pu rchase r o f a con t ro l l ed

subs tance unde r t h i s r u l e no t known to h im to f u rn i sh su i t ab le' i den t i f i ca t i on ( ' i n c l ud ing p roo f o f age whe re app rop r i a te ) .e . A bound reco rd book fo r d ' i spens i ng o f con t ro l I ed subs tances

(o the r t han by p resc r i p t i on ) i s ma jn ta i ned by t he pha rmac i s t , wh i ch

-6 -

book sha l l con ta i n t he name and add ress o f t he pu rchase r , t he nameand quan t i t y o f con t ro l I ed subs tance pu rchased , t he da te o f eachpu rchase and t he name o r i n i t i a l s o f t he pha rmac i s t who d i spensedthe subs tance t o t he pu rchase r .

_ f . A p resc r i p t i on j s no t r equ i red f o r d i s t r i bu t i on o r d i spens ingo f t he subs tance pu rsuan t t o any o the r f ede ra l , s t a te o r l oca l l aw . "

30 . Tha t Responden t i s gu i l t y o f a v j o l a t i on o f Boa rd sub ru les5620 - -10 .1 (4 ) "b " (3 ) (4 ) , " h " , r r j r r ano ' rU " by v . i r t ue o f t he a l l ega t i onin pa rag raph 29 .

Ru le . | 0 .

I ( 4 ) r eads as f o l l ows :

"The Boa rd may impose any o f t he d i sc i p l i na ry sanc t i ons se t ou t ' i nsub ru le

. | 0 . 1 (2 ) , i nc l ud ing c i v i l pena l t i es i n an amoun t no t t o exceed

$ . |000 when the boa rd de te rm ' i ned tha t t he I i censee o r reo ' i s t ran t i sgu i l t y o f t he f o l l ow ing ac t s o r o f f enses :

b . P ro fess iona l i ncompe tency . P ro fess ' i ona l i ncompe tency i nc l udes ,bu t i s no t l im i t ed t o :

( 3 ) A f a j l u re by a pha rmac i s t t o exe rc i se i n a subs tan t i a l r espec tt ha t deg ree o f ca re wh i ch i s o rd i na r i l y exe rc i sed by t he ave ragepharmac i s t i n t he s ta te o f I owa ac t i ng under the same o r s im j I i rc i r cums tances -

( 4 ) A w i l l f u l o r r epea ted depa r tu re f r om, o r t he f a i l u re t o con fo rmto ' t he m in ima l s t anda rd o r accep tab le and p reva i 1 i ng p rac t ' i ce o fpha rmacy i n t he s ta te o f I owa .

h . D i s t r i b u t i o n o f i n t o x i c a t i n g II a w f u I p u r p o s e s i n c I u d e s b u t i s n o t

the Un i ted Sta tes , w i thout regard tofe lony o r m isdemeanor , wh jch s ta tu te o r

i q u o r s o r d r u g s f o r o t h e r t h a n

d rugs i n v i o l a t i on o f chap te r s 155 , 203 ,l im i t ed t o t he d i soos i t i on o f

2034 and 204 o f The Code .j . v i o l a t ' i ng a s ta tu te o r l aw o f t h j s s t a te , ano the r s t a te , o r

i t s des ' igna t ion as e i the r alaw re la tes to the p rac t i ce

o f pha rmacy .u . V io l a t i ng any o f t he g rounds

o f a l i cense l i s t ed i n sec t i on . . . l 55 . l 3fo r r evoca t i on o r susoens ion

o f The Code . "

31 . Tha t pa rag raphs 29 and 30 cons t i t u t e g rounds f o r wh i ch Responden t ' sl i cense to p rac t i ce pha rmacy can be suspended o r revoked .

l r lHEREFORE the unders ' i gned cha rges tha t Ke i th R . Jamison has v io la tedSec t j on 147 .7 , 155 .13 (3 ) ;

. | 55 .13 (B ) ; 155 .30 ; 155 .34 ; 204 .306 ; 204 .308 (a ) ;

20a .40 , | ( d ) ; and 205 .3 o f t he code o f I owa , and Boa rd Ru les $620 - -g . t g (g ) ;8 .13 ( . | 5 ) ; l 0 . l ( 4 ) "b " (3 ) and (4 ) , " h " , r r j ' r and t r u ' o f t he I owaAdmin i s t r a t i ve Code .

IT IS HEREBY 0RDERED tha t Ke i th R . Jamison appear be fo re the IowaBoa rd o f Pha rmacy Exam jne rs on March 12 , . | 986 , a t 9 :00 a .m . i n t he Boa rdcon fe rence Room a t 1209 E . cou r t , Execu t i ve H i l l s wes t , Des Mo ines ,I owa .

The unders igned fu r ther asks tha t upon f ina l hear ing , the Boardenter i t s F ind ings o f Fac t and Dec is ion to suspend or revo t<6 t t re l i censeto .pract ice pharmacy issued to Kei th R. Jamison on the 9th day ofSeptember 1965, or take whatever addi t ional steps they deem necessary.

IOl.lA BOARD OF PHARMACY EXAMINERS

JohnsonSecretary

-8-

BEFORE THE BOARD

OF THE

OF PHARMACY EXAMINERS

STATE OF IOWA

In the Ma t te r o f

KE ITH R . JAMIS0N, Pha rmac i s t

L i cense No . 13127

ST IPULAT ION

l . lHEREAS ' Ke i th R . Jam ' i son , he re ina f te r re fe r red to as the L i censee ,has had ce r t a i n a l l ega t i ons made aga ins t h im by t he Boa rd o f Pha rmacyExamine rs , he re ina f t e r r e fe r red t o as t he Boa rd , conce rn ing h j s p ro fes -s i ona l conduc t as a pha rmac i s t , and

WHEREAS, t he L i censee adm i t s t o t he a l l ega t i ons made aga ' i ns t h im ,

l . lHEREAS, bo th the L i censee and the Board des ' i r e t o a r r i ve a t aag reeab le i n f o rma l se t t l emen t o f t h i s ma t t e r ,

IT IS MUTUALLY AGREED AND ST IPULATED as fo l l ows be tween theand the Board :

and

mutua I I y

L i censee

l . Tha t t he Board by and th rough two o f i t s members , Me lba L . Scag l i oneand Ga le l . l . S tapp , and the L ' i censee have en te red j n to se t t l emen td i scuss ions and have ag reed upon a d i spos i t i on o f t h i s ma t t e r .

2 . Tha t t he L i censee des i r es t o avo id t he unce r ta i n t y and t he expenseo f a t r i a l and des i r es t o consen t t o t he d i sc i p l i na ry ac t i on t obe t aken by t he Boa rd as spec i f i ed i n pa rag raph 4 , i n f r a .

3 . I t i s t he pu rpose and i n ten t o f t he pa r t i es he re to to wa ive a l lt he p rov i s ions o f Chap te r l 7A o f t he

. | 985 Code o f I owa as they re la te

to no t i ce and hea r ing on the ma t te r o f revoca t i on o r suspens iono f L i censee ' s I i cense t o be a pha rmac i s t , and t o acknow ledge t ha teach a re fu l l y aware o f t he i r r i gh ts and p rocedures a f fo rded themth rough Chap te r l 7A o f t he

. | 985 Code o f I owa and the ru les o f t he

Board o f Pharmacy Examine rs p romu lga ted i n acco rdance and pu rsuan tt he re to , pa r t i cu l a r l y Sec t i on l 7A . l 2 as i t r e l a tes t o con tes tedcases and p rov ides no t i ce o f hea r j ng and reco rds , and Sec t i on l 7A . l 8 ,as i t r e l a tes t o t he requ i remen ts conce rn ing no t i ce o f t he suspens ionand revoca t i on o f l i censes .

4 . I t i s t he unders tand ing o f bo th the L i censee and the Board tha tt hey w i l l en te r i n t o an Orde r and Consen t t o 0 rde r wh i ch w i l l p rov i dethe f o l l ow ing :

a . L i cense #13127 i ssued to L ' i censee i s suspended fo r a pe r iodo f twe l ve (12 ) mon ths e f fec t ' i ve March 12 ,

. | 986 , w ' i t h t he suspen-

s i on s tayed .

THEAND

- 2 -

b . L i censee t o be p l aced on p roba t i on f o r two (2 ) yea rs beg inn ingMarch

. | 2 , . | 987 , and end jng March 12 , . | 989 .

c . L i censee sha l l pay a f i ne o f f i ve hund red do l l a r s ( $SOO) . paymen tsha l I be made w i t h i n t h i r t y ( 30 ) days o f t he s i gn ing o f t h i so rde r w i th the check made payab le to the S ta te o f I owa .

d . L ' i censee sha l I no t supe rv i se any reg i s te red i n te rn no r pe r fo rmany o f t he du t i es o f a p recep to r du r ing the pe r iod o f s tayedsuspens ion and p roba t i on .

e . L ' i censee sha l I obey a l I f ede ra l and s ta te l aws and regu la t i onssubs tan t i a l l y r e l a ted t o t he p rac t i ce o f pha rmacy .

t . Shou ld L i censee l eave I owa t o r es i de o r p rac t i ce ou t s i de t h i ss ta te , he sha l l no t i f y t he Boa rd i n w r i t i ng o f t he da te o f depa r -t u re and re tu rn . Pe r i ods o f r es i dency o r p rac t i ce ou t s j de t hes ta te sha l l no t app l y t o a r educ t i on ' i n t he p roba t i ona ry pe r i od .

g . L i censee sha l l r epo r t i n w r i t i ng no l a te r t han t he 10 th o f eachmon th h i s r es i dency and emp loymen t s t a tus du r i ng t he s tayedsuspens ion and p roba t i ona ry pe r i od .

h . L ' i censee sha l I r ev i ew the po f i c i es and p rocedu res f o r Bake rDrug , 203 E . Ma in , Knoxv j l l e , I owa . L i censee sha l l s i gn ano ta r i zed a f f i dav j t s t a t i ng t ha t he has read t he a fo remen t i onedpo ' l ' i c i es and p rocedures and tha t he unders tands them and w i I Icomp ly w i t h t hem. Such s i gned , no ta r i zed a f f i dav i t t o besubm' i t t ed to the Board o f f i ce w f th in 30 days o f t he s ign ingo f t h i s O rde r .

i . L i censee sha l I make no sa les o f schedu le v d rugs w i t hou t ap resc r ip t i on du r ing the pe r iod o f s tayed suspens ion and p roba t i on .

i . Shou ld L i censee v io la te p roba t i on i n any respec t , t he Board ,a f t e r g i v i ng L i censee no t i ce and an oppo r tun i t y t o be hea rd ,may revoke p roba t i on and ca r ry ou t t he d i sc ip l i na ry o rde r wh ichwas s tayed . I f a pe t i t i on t o r evoke p roba t i on i s f i l ed aga ins tL i censee du r i ng p roba t i on , t he Boa rd sha l I have con t i nu ingju r i sd i c t i on un t i l t he ma t te r i s f i na l , and t he pe r i od o f p roba -t i on sha l l be ex tended un t i l t he ma t te r i s f i na l .

ABOVE AND FOREGOING CONSTITUTE THE FULL AND COMPLETE ST IPULATIONAGREEMENT OF THE PARTIES HERETO.

rmanarmacy Lxam] ners

I C e n s e e

BEFORE THE BOARD OF PHARMCY EXAMINERS

OF THE STATE OF IOWA

In the Matter of Pharmacist :

KEITH R. JAMISON : ORDER AND CONSENT TO ORDER

License #13127 :

The Iowa Board o f Pharmacy Examiners , hav ing been adv ised o f the a l lega-t ions tha t Ke i th R. Jamison has conducted h imse l f in a manner wh ichcou ld cause h is l i cense to p rac t ice pharmacy to be suspended, and theBoard of Pharmacy Examiners through two Board Members and said, Kei thR. Jamison hav ing en tered in to a S t ipu la t ion represent ing the i r mutua lin fo rmed consent as to the wa iver o f the prov is ions found in the IowaAdmin is t ra t i ve Code appear ing a t Chapter 17A, par t i cu ' la r l y Sec t ion 17A.12and Sect ion l7A.18 , Code o f Iowa

. |985, in regards to Not ice and Hear ing ,

the par t ies to th is ac t ion agree to an in fo rmal se t t lement o f th is mat te r ,namely tha t the l i cense o f Ke i th R . Jamison be d isc ip l ined accord ingto the cond i t ions a t tached here to .

ORDERIT IS THEREF0RE ORDERED, subject to the consent of Kei th R. Jamisonto be con ta ined he re in to th i s 0 rde r t ha t t he l f cense o f Ke i th R . Jamisonto p rac t i ce pha rmacy be d i sc ip l f ned acco rd ing to the cond i t i ons ou t l i nedin the s t i pu la t i on a t tached he re to and made pa r t o f t h i s Orde r .

Date 3 -?o-*Vn

IowaBoa Pharmacy Examiners

\c0N

I , Ke i th R. Jamison, hereby consent to the 0rder se t fo r th above, wa ivemy r igh t to a hear ing in th is mat te r , and thereby spec i f i ca l ' l y wa ivea r igh t to conf ron ta t ion , c ross-examinat ion o f w i tnesses , p roduc t ionof ev idence, mak ing o f a record and jud ic ia l rev iew.

Date 3-a; - 86

IBEFORE THE BOARD OF PHARMACY EXAMINERS

OF THE STATE OF IOWA

Re: ) COMPLAINTPharmacist License of ) AND STATEMENTKEITH R. JAMTSON ) OF CHARGESLicense No. 13127 ) ANDRespondent ) NOTICE

) oF HEARING

COMES NOW, Lloyd K. Jessen, Executive Secretary-Director of the lowa Board of Pharmacy Examiners, on the 8thday of March, 1993, and files this Complaint and Statement ofCharges and Notice of Hearing against Keith R. Jamison, apharmacist licensed pursuant to lowa Code chapter 155A, andalleges that:

1. Alan M. Shepley, Chairperson; Marian L. Roberts, ViceChairperson; Donna J. Flower; Phyll is A. Miller; Phyll is A. Olson;Ronald B. Reiff; and Arlan D. Van Norman are duly appointed,qualified members of the lowa Board of Pharmacy Examiners.

2. Respondent was issued a license to practice pharmacyin lowa on September 9, 1965, by examination.

3. Respondent currently resides at 709 South FourthStreet, Knoxville, lowa 50138.

4. Respondent is currently employed as a pharmacist atBaker Drug , 203 East Main, Knoxville, lowa 50138.

5. Respondent's license to practice pharmacy in lowa iscurrent unti l June 30, 1994.

/

6. The Board has received an investigative report fromPharmacy Investigator Dennis D. Dobesh dated February 25,1993, and other investigative information which allege thefollowing:

a. A complaint was received on January 28, 1993, whichalleged that pharmacists at Baker Drug were unlawfullydispensing Mexican drugs to patients.

b. On February 5, 1993, Respondent admitted, in writing,that while working at Baker Drug he had dispensed various drugswhich he knew had been obtained in Mexico by his employer,Verlyn Dean Moats.

c. On February 2, 1993, Board Investigators Dennis D.Dobesh and Gary D. Ebeling seized the following Mexican drugswhich were found either on the premises of Baker Drug or insideunit-dose containers which had been filled by the Respondentand other pharmacists at Baker Drug and delivered to nursinghomes for administration to nursing home residents:

728 tablets of Zantac 150m923 tablets of Zantac 300m9

825 tablets of Naprosyn 250m9538 tablets of Naprosyn 500m9416 tablets of Tagamet 400m969 tablets of Noroxin 400m9

34 tablets of Seldane-D647 capsules of Feldene 20mg76 capsules of Ceclor 500m9

d. These drugs were obtained over-the-counter in Mexicoby Respondent's employer, Verlyn Dean Moats. In the UnitedStates these drugs are prescription-only. The Mexican Zantacwas imprinted as "Azantac" and had a different appearance fromZantac. Some of the other Mexican drugs obtained by Mr. Moats

Page 2

also had a different appearance and different imprint from theirU.S.-counterparts. None of the Mexican-obtained drugs wereauthorized by the FDA for use in the United States.

e. Respondent's employer, Verlyn Dean Moats, removedthe Mexican drugs from their original packaging and repackagedthem into stock bottles for storage at Baker Drug. In most cases,the lot numbers and expiration dates of the individual tablets werenot recorded or maintained, nor were they indicated on the labelof the stock bottles. lt is alleged that tablets of various lotnumbers and various expiration dates were mixed together.

f. When these Mexican drugs were dispensed to patientsby Respondent and by other pharmacists at Baker Drug, theprescription vials or containers were labeled with the names ofthe U. S.-cou nterparts.

7 . Respondent is guilty of violations of 1993 lowa Codesections 147.55(3), 155A. 12(1), 155A. 12(2), 155A.12(3),126.3(1), 126.10(1), 126.10(9Xa) , 126.10(9Xb) , 126.10(9)(c), and272C.10(3) by virtue of the allegations contained in paragraph 6.

1993 lowa Code section 147.55 provides, in part, the following.

A license to practice a profession shall be revokedor suspended when the licensee is guilty of thefollowing acts or offenses:...

3. Knowingly making misleading, deceptive,untrue or fraudulent representations in the practice of aprofession or engaging in unethical conduct or practiceharmful or detrimental to the public. Proof of actualinjury need not be established.

1993 lowa Code section 155A.12 provides, in part, the following:

...The board may refuse to issue or renew alicense or may impose a fine, issue a reprimand, or

Page 3

revoke, restrict, cancel, or suspend a license, and mayplace a licensee on probation, if the board finds that theapplicant or licensee has done any of the following:

I . Violated any provision of this chapter or anyrules of the board adopted under this chapter.

2. Engaged in unethical conduct as that term isdefined by rules of the board.

3. Violated any of the provisions for licenseediscipl ine set forth in section 147.55.

1993 lowa Code section 126.3 (formerly 1991 lowa Code section2038.3) provides, in part, the following:

The following acts and the causing of the actswithin this state are unlavvful:

1 . The introduction or delivery for introductioninto commerce of any drug, device, or cosmetic that isadulterated or misbranded.

1993 lowa Code section 126.10 (formerly 1991 lowa Codesection 2038.10) provides, in part, the following:

A drug or device is misbranded under any of thefollowing circumstances:

1 . lf its labeling is false or misleading in anyparticular.

9. a. lf it is a drug and its container is somade, formed, or fil led as to be misleading.

b. lf it is an imitation of another drug.c. lf it is offered for sale under the name of

another drug.

1993 lowa Code section 272C.10 (formerly 1991 lowa Codesection 258A.10) provides, in part, the following:

Page 4

A licensing board established after January 1 ,1978, and pursuant to the provisions of this chaptershall by rule include provisions for the revocation orsuspension of a license which shall include but is notl imited to the following:...

3. Knowingly making misleading, deceptive,untrue or fraudulent representations in the practice ofthe licensee's profession or engaging in unethicalconduct or practice harmful or detrimental to the public.Proof of actual injury need not be established.

8. Respondent is guilty of violations of 657 lowaAdministrative Code sections 8.5(1), 8.5(4), 8.14(1Xg)'9.1 (4XbX2), 9.1 (4XbX4), 9.1 (4)(c), 9.1 (4)0), and 9.1 (4Xu) byvirtue of the allegations contained in paragraph 6.

657 lowa Administrative Code section 8.5 provides, in part, thefollowing:

Unethical conduct or practice. The provisions ofthis section apply to licensed pharmacists andreg istered pha rmacist-i nterns.

8.5(1) Misrepresentative deeds. A pharmacistshall not make any statement tending to deceive,misrepresent, or mislead anyone, or be a party to or anaccessory to any fraudulent or deceitful practice ortransaction in pharmacy or in the operation or conductof a pharmacy.

8.5(4) Nonconformance with law- Apharmacist shall not knowingly serve in a pharmacywhich is not operated in conformance with law, orwhich engages in any practice which if engaged in by apharmacist would be unethical conduct.

Page 5

657 lowa Administrative Code section 8.14 provides, in part, thefollowing:

Prescription label requirements.8.14(1) The label aff ixed to or on the dispensing

container of any prescription dispensed by a pharmacypursuant to a prescription drug order shall bear thefollowing:...

g. Unless otherwise directed by the prescriber,the label shall bear the brand name, or if there is nobrand name, the generic name of the drug dispensed,the strength of the drug, and the quantity dispensed.lJnder no circumsfances shall the label bear thename of any product other than the one dispensed(emphasis added).

657 lowa Administrative Code section 9.1(4) provides, in part, thefollowing:

The board may impose any of the disciplinarysanctions set out in subrule 9.1(2), including civi lpenalties in an amount not to exceed $25,000, whenthe board determines that the licensee or registrant isguilty of the following acts or offenses:...

b. Professional incompetency. Professionalincompetency includes but is not l imited to....

(2) A substantial deviation by a pharmacist fromthe standards of learning or skill ordinarily possessedand applied by other pharmacists in the state of lowaacting in the same or similar circumstances.

(4) A willful or repeated departure from, oIfailure to conform to, the minimal standardacceptable and prevailing practice of pharmacy instate of lowa.

theor

the

Page 6

c. Knowingly making misleading, deceptive,untrue or fraudulent representations in the practice ofpharmacy or engaging in unethical conduct or practiceharmful to the public. Proof of actual injury need not beestablished.

j Violating a statute or law of this state,another state, or the United States, without regard to itsdesignation as either a felony or misdemeanor, whichstatute or law relates to the practice of pharmacy.

u. Violating any of the grounds for revocation orsuspension of a license listed in lowa Code sections147 .55, 155A.12 and 155A.15.

The lowa Board of Pharmacy Examiners finds that paragraphs 7and 8 constitute grounds for which Respondent's license topractice pharmacy in lowa can be suspended or revoked.

WHEREFORE, the undersigned charges that Respondent hasviolated 1993 lowa Code sections 147 .55(3), 1554.12(1),155A.12(2), 155A.12(3), 126.3(1), 126.10(1), 126.10(9Xa),126.10(9Xb) , 126.10(9Xc), and 272C.10(3) and 657 lowaAdministrative Code sections 8.5(1), 8.5(4), 8.14(1Xg),e.1 (4)(b)(2), e.1 (4)(bX4), e.1 (4)(c), e.1 (4)O, and e.1 (4)(u).

tf rS HEREBY ORDERED that Keith R. Jamison appear beforethe lowa Board of Pharmacy Examiners on Thursday, April 8,1993, at 10:00 a.m., in the second floor conference room, 1209East Court Avenue, Executive Hills West, Capitol Complex, DesMoines, lowa.

The undersigned further asks that upon final hearing the Boardenter its findings of fact and decision to suspend or revoke thelicense to practice pharmacy issued to Keith R. Jamison onSeptember 9, 1965, and take whatever additional action that theydeem necessary and appropriate.

Page 7

Respondent may bring counsel to the hearing, may cross-examine any witnesses, and may call witnesses of his own. lfRespondent fails to appear and defend, lowa Code section17 A.12(3) provides that the hearing may proceed and that adecision may be rendered. The failure of Respondent to appearcould result in the permanent suspension or revocation of hislicense.

The hearing will be presided over by the Board which will beassisted by an administrative law iudge from the lowaDepartment of Inspections and Appeals. The office of theAttorney General is responsible for the public interest in theseproceedings. Information regarding the hearing may be obtainedfrom Lynette A. F. Donner, Assistant Attorney General, HooverBuilding, Capitol Complex, Des Moines, lowa 50319 (telephone5151281-8760). Copies of all filings with the Board should also beserved on counsel.

IOWA BOARD OF PHARMACY EXAMINERS

t/l+uvJloyd K. Jessen

Executive Secreta ry/Di rector

Page 8

BEFORE THE BOARD OF PHARMACY EXAIVIINERSOF THE STATE OF IOWA

)Re: Pharmac is t L icense o f )

KETTH R. JAI{TSONLicense No. ] .3L27Respondent

STIPULATIONAND

TNFORMALSETTLEMENT

COMES NOW the Iowa Board of Pharmacy Examj-ners (the

Board) and Kei th R. Jamison (Respondent) and, pursuant to

Iowa Code sec t i ons 17A .10 and 258A.3 (4 ) , en te r i n to the

fo l lowing St ipu lat ion of the contested case current ly on

f i l e :

l - . Respondent was issued a l icense to pract ice

pharmacy in Iowa on September 9, 1965, by examinat ion.

2 . Responden t ' s I i cense i s cu r ren t un t i l June 30 ,

L994 .

3. Respondent 's current address is 7O9 South Four th

S t ree t , Knoxv i l l e , I owa 50138 .

4. A Cornpla int and Statement of Charges and Not ice of

Hear ing was f i l ed aga ins t Responden t on March 8 , 1993 .

5. The Board has jur isd ic t ion of the par t ies and the

subject mat ter .

6 . Respondent does not contest the a l legat ions set

forth in the complaint. The Respondent agrees that the Board

may t reat the a l legat ions as t rue for the purpose of th is

Inforrnal Set t lement .

7. Respondent 's l icense is suspended for one year

f rorn the date of approval o f th is St ipu lat ion and In formal

Set t lement . Said suspension is s tayed.

8. Respondent 's l icense is p laced on probat ion for a

per iod of f ive years f rom the date of approval o f th is

Stipulation and Inforrnal Sett lement. During the probationary

per iod the Respondent shal l :

a . I n fo rm the Board i n w r i t i ng w i th in ten (10 )

days of any change of home address, p lace of ernployment , home

telephone number, or work telephone number.

b. Pay aI I requi red fees for renewal o f h is

pharmacis t l icense and mainta in sk i l I and knowledge as a

pharmacis t through requi red cont inu ing educat ion (CE) to

prevent the I icense f rom laps ing dur ing the per iod of

p roba t i on .

c . Obey a l l - f ede ra l and s ta te l aws , ru les , and

regulations substantial ly retated to the practice of pharrnacy

and aI I federa l - and state cr i rn ina l laws.

d. Not superv ise any regis tered in tern and shal l

not per form any of the dut ies of a preceptor .

e. Not i fy a I I present and prospect ive employers

of the resolut ion of th is case and the terms, condi t ions, and

restrict ions imposed on Respondent by this document. Within

th i r ty (30) days af ter the approval o f th is St ipu lat ion and

fnformal Set t lement , and wi th in f i f teen (15) days of

Respondent undertaking new employment, Respondent shall cause

-2 -

his ernployer to report to the Board in writ ing acknowledging

the employer has read this document.

9. Wi th in 30 days of approval o f th is St ipu lat ion and

Informal Set t lement , Respondent shat t remi t a c iv i l penal ty

in the amount of $2,OOO made payable to the Iowa Board of

Pharmacy Examiners to be deposited in the General- Fund of the

state of Iowa.

10. Wi th in one year of approval o f th is St ipu lat ion and

Informal- Set t lement , Respondent shal l take and pass the

Federa l - Drug Law Examinat ion (FDLE) and the Iowa Drug Law

Exarnination ( IDLE) .

1L. Respondent shal l not serve as the pharmacis t in

charge of any pharmacy for one year from the date of approval

of th is St ipu lat ion and In formal Set t lement .

12. Should Respondent pract ice outs ide of th is s tate,

Respondent shal l not i fy the Board in wr i t ing of the dates of

such pract ice. Per iods of pract ice outs ide of th is State

shal -L not apply to reduct ion of the probat ionary per iod.

l -3 . Should Respondent v io la te probat ion in any respect ,

the Board, after giving Respondent notice and an opportunity

to be heard, i ldy revoke probation and carry out the stayed

suspension. I f a pet i t ion to revoke probat ion is f i ted

against L icensee dur ing probat ion, the Board shal l have

cont inu ing jur isd ic t ion unt i l - the mat ter is f ina l , and the

per iod of probat ion shal l be extended unt i l the mat ter is

f i na l .

- 3 -

L4. Upon successfu l_ conplet ion of probat ion,

Respondent 's cer t i f icate wi l l be fu l ly restored.

15. St ipu lat ion and In formal Set t lement is subject to

approval o f the Board. I f the Board approves th is

St ipu lat ion and In formal Set t lernent , i t becomes the f ina l

d isposi t ion of th is mat ter . I f the Board fa i ls to approve

th is St ipu lat ion and fn formal Set t lement , i t shal l be of no

force or e f fect to e i ther par ty .

by

8+h

16. This In formal Set t lement

the Respondent to the Board for

d a y o f A p r i l , L 9 9 3 .

i s vo luntar i ly subni t ted

i ts considerat ion on the

S igned

Apr i l , L993

and sworn to before me

L7. Th is In fo rmal Set t lement i s accepted by the Iowa

L 9 9 3 .

tt

Board of Pharmacy Examiners on the f f i day of Apr i l ,-t-_

Kei th R. JamRespondent

ARY PU c IN AND FORSTATE OF

If

M .by Examiners

- 4 -