77 South High Street, Room 1702; Columbus, OH 43215-6126
-Equal Opporrunuy Employer andService Provider- TEl.: -.\I.1IL: exec@bop.stale.oh.us 7T )j'1DD: Usc theOhio Relay Servi ce: 1-8001750-0750 URL: http.z/www.pharmncy.ohio.gov ORDER OF THE STATE BOARD OF PHARMACY (Docket Number 0-120 524-249) In The Matter Of: ALBERT DAVID FISCHER, R.Ph. 8901 Stoneybrook Dr ive Broadview Heights, Ohio 44147 (R.Ph. Number 03-2- 0801 6) INTRODUCTION The Matter of Albert David Fischer came for hearing on February 5, 2013, before th e following members of th e Board: Brian M. Joyce, R.Ph .; (presidi ng); Edward T. Cain, Publi c Member; Troy A. Gahm, R.Ph. ; Margaret A. Huwer, R.Ph.; Richard F. Kolezyn ski , R.Ph .; Kevi n J. Mitchell , R.Ph.; Michael A. Mone, R.Ph . and Kil ee S. Yarosh, R.Ph. Al bert David Fischer was represented by James Lindon. The State of Ohio was represent ed by Sean M. Cull ey, Assi st ant At t orney General. SUMMARY OF EVIDENCE State's Witness: 1. Paul Kover, R.Ph., Ohio State Board of Pharmacy Respondent's Witness: 1. Al bert David Fischer , R.Ph., Respondent State's Exhibits: 1. Notice of Opportunity for Hearing [05-24-12] 1A-1 E. Procedurals 2. Discount Drug Mart Medicati on Err or Alert [02- 16-1 1] 3. Notarized Written Statement of Lari ssa Venditt i [ 10-05-1 1) 4. Notarized Written Statement of Mi chele Golob [10-05-11] 5. Notarized Statement of Tom Nameth [10-03-11 J 6. Letter from Albert D. Fischer, R.Ph. [09-26-11] 7. Letter f rom Al bert D. Fischer, R.Ph. [ 10-1 0-1 1] 8. Dangerous Drug Distributor Inspection Report [10-05-11] 9. Copy of RX #998367 wi t h Attachments [var ious dates] 1O.Copy of RX # 1000956 with Attachments [various date s] 11.Copy of RX #998606 wit h Attachment s [var ious dates] 12.Copy of RX # 1004 54 1 with Attachment s [various dat es] 13.Copy of RX # 101327 1 with Attachments [various dat es] 14.Copy of RX # 1012771 with Attachments [various dates] 15. Copy of RX # 10202 26 wit h Attachments [var ious date s] Albert David Fischer, R.Ph. Page 2 Order of the Board 16.Copy of RX #1 022613 with Attachments [various dates] 17.Copy of RX #1 009572 with Attachments [various dates] 18.Copy of RX #1 036625 with Attachments [various dates] 19.Copy of RX #1 040667 with Attachments [various dates] 20.Copy of RX #1 042703 with Attachments [various dates] 21.Copy of RX #1 042637 with Attachments [various dates] 22.Copy of RX #1 034975 with Attachments [various dates] 23.Copy of RX #Cl 044947 with Attachments [various dates] 24.Copy of RX #Cl 048767 with Attachments [various dates] 2S.Copy of RX #1 037244 with Attachments [various dates] 26.Copy of RX #C1 067477 with Attachments [various dates] 27.Copy of RX #1 064832 with Attachments [various dates] 28.Copy of RX #1 064061 with Attachments [various dates] Respondent's Exhibits: None 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 Albert David Fischer originally licensed in the State of Ohio on August 19, 1963, pursuant to examination, and is currently licensed to practice pharmacy in the State of Ohio. (2) Albert David Fischer did, on or about November 17, 2009, misbrand a drug, to wit: when he received a prescription for oxycodone IR 30mg, RX #998367, Albert David Fischer dispensed OxyContin 30mg, which had not been specifically prescribed by the physician. Such conduct is in violation of Section 371S.S2(A)(2) of the Ohio Revised Code. (3) Albert David Fischer did, on or about December 14, 2009, misbrand a drug, to wit : when he received a prescription for Coumadin 1mg, take three tablets a day, RX #1000956, Aibert David Fischer dispensed Coumadin Smg, take three tablets a day, which had not been specifically prescribed by the physician. The patient was subsequently harmed. Such conduct is in violation of Section 371S.S2(A)(2) of the Ohio Revised Code. (4) Albert David Fischer did, on or about January 11, 2010, misbrand a drug, to wit: when he received a prescription for Synthroid 0.112mcg, RX #998606, Albert David Fischer dispensed Soma, which had not been specifically prescribed by the physician. Such conduct is in violation of Section 371S.S2(A)(2) of the Ohio Revised Code. (5) Albert David Fischer did, on or about February 13, 2010, misbrand a drug, to wit: when he received a prescription for Simvastatin 40mg, RX #1004541, Albert David Fischer dispensed lovastatin 40mg, which had not been specifically prescribed by the Albert David Fischer, R.Ph. Page 3 Order of the Board physician. Such conduct is in violation of Section 3715.52(A)(2) of the Ohio Revised Code. (6) Albert David Fischer did, on or about April 15, 2010, misbrand a drug, to wit: when he received a prescription for hydrochlorothiazide 12.Smg RX # 10 13271, Albert David Fischer dispensed hydrochl oroth iazide 2Smg, which had not been specificall y prescribed by the phys ician. Such conduct is i n violat ion of Sect ion 3715.52(A)(2) of the Ohio Revised Code. (7) Albert David Fischer did, on or about May 17, 2010, misbrand a drug, to wit: when he received a prescription for metoprolol tartrate 25mg, RX #1012771 , Albert David Fischer dispensed metoprolol succinate 25mg, which had not been specifically prescribed by the phy sician. Such conduct is in violation of Section 3715.52(A)(2) of the Ohio Revi sed Code. (8) Albert David Fischer did, on or about june 24, 2010, misbrand a drug, to wit: when he received a prescript ion for methadone 5mg, RX # 1020226, Albert David Fischer dispensed methadone 10mg, which had not been specifically prescribed by the physician. Such conduct is in violation of 5ection 3715.52(A)(2) of the Ohio Revised Code. (9) Albert David Fischer did, on or about july 21, 2010, misbrand a drug, to wit : when he received a prescription, RX # 10226 13, for a pat ient but labeled and dispensed it to another pat ient for whom it had not been specifically prescribed by the physician. Such cond uct is in vi ol at ion of Section 371 S.S2(A)(2) of the Ohio Revised Code. (10) Albert David Fischer did, on or about August 9, 2010, misbrand a drug, to wit : when he received a prescript ion for Novolin R, RX # 1009572, Albert David Fischer dispensed Novolin N, which had not been specifically prescribed by the physician. Such conduct i s in violation of Section 3715.5 2(A)(2) of the Ohio Revised Code. (11) Albert David Fischer did, on or about December 5, 2010, misbrand a drug, to wit : when he received a prescription for Lantu s Insulin with f ive refills, RX # 1036625, Albert David Fischer di spensed Lantus Insulin wi t h no ref il ls, whi ch had not been specifically prescribed by the physician. Such conduct is i n viol at ion of Section 3715.52(AH2) of the Ohio Revised Code. (12) Albert David Fischer did , on or about january 6, 2011, misbrand a drug, to wit: when Albert David he, Albert David Fischer dispensed desoximetasone 0.05%cream, which had not been specifically prescribed by the physician. Such conduct is i n violat ion of Section 3715.52 (A)(2) of the Ohio Revised Code. (1 3) Albert David Fischer did, on or about january 25, 20 11 and March 6, 201 1, misbrand a drug, to wit: when he received a prescript ion for Ort ho Tri -Cyclen 28, RX # 1042703, Albert David Fischer dispensed Ortho Tri-Cyclen Lo, which had not been specifically prescribed by the physician. Such conduct is in violation of Section 3715.52(AH2) of the Ohio Revised Code. Albert David Fischer, R.Ph. Page 4 Order of the Board (14) Albert David Fischer did, on or about January 25, 2011, misbrand a drug, to wit : when he received a prescription for methocarbamol 500mg, RX #1042637, Aibert David Fischer dispensed methocarbamol 750mg, which had not been specifically prescribed by the physician. Such conduct is in vioiation of Section 3715 .52(A)(2) of the Ohio Revised Code (15) Aibert David Fischer did, on or about February 12, 2011 , misbrand a drug, to wit : when he received a prescription for Nasacort AQ, RX #1034975, Albert David Fischer dispensed Nasonex, which had not been specifically prescribed by the physician. Such conduct is in violation of Section 3715 .52(A)(2) of the Ohio Revised Code. (16) Albert David Fischer did, on or about February 12, 2011, misbrand a drug, to wit : when he received a prescription for lorazepam 0.5mg for a patient with a date of birth of 3/3/1966, RX #1044947, Albert David Fischer dispensed lorazepam O.Smg for a patient with the same name but a date of birth of 12/18/1992, which had not been specifically prescribed by the physician. Such conduct is in violation of Section 3715.52(AH2) of the Ohio Revised Code. (17) Albert David Fischer did, on or about March 13, 2011, misbrand a drug, to wit : when he received prescriptions for Vicodin Smg, RX # 1048767, and Bactrim DS, RX #1048768, Albert David Fischer dispensed the prescriptions with the labels on the wrong vials. The patient took the Vicodin 5mg thinking it was the Bactrim DS. Such conduct is in violation of Section 3715.52(A)(2) of the Ohio Revised Code. (18) Albert David Fischer did, on or about April S, 2011 , misbrand a drug, to wit : when he received a prescription for losartan 100mg, RX #1037244, Albert David Fischer dispensed losartan 25mg, which had not been specifically prescribed by the physician. Such conduct is in vioiation of Section 371 S.52(A)(2) of the Ohio Revised Code. (19) Albert David Fischer did, on or about August 14, 2011, misbrand a drug, to wit : when he received a prescription for Lyrica 200mg, RX #1067477, Albert David Fischer dispensed Lyrica 100mg, which had not been specifically prescribed by the physician. Such conduct is in violation of Section 3715.52(A)(2) of the Ohio Revised Code. (20) Albert David Fischer did, on or about August 18, 2011 , misbrand a drug, to wit : when he received a prescription for benazepril 20mg, RX #1064832, Albert David Fischer dispensed Triphro capsules, which had not been specifically prescribed by the physician. Such conduct is in violation of Section 3715.52(A)(2) of the Ohio Revised Code. (21) Albert David Fischer did, on or about October 4, 2011 , misbrand a drug, to wit : when he received a prescription for lisinopriljhydrochlorothiazide 20/12.5 mg, RX #1064061 , Albert David Fischer dispensed lovastatin 40mg, which had not been specifically prescribed by the physician. Such conduct is in violat ion of Section 3715.S2(A)(2) of the Ohio Revised Code. Albert David Fischer, R.Ph. Page 5 Order of the Board CONCLUSIONS OF LAW (l ) 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) The State Board of Pharmacy concludes that paragraphs (2) through (21) 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 of the Revised Code as provided in Division (A)(5) of Section 4729.16 of the Ohio Revised Code. (3) The State Board of Pharmacy concludes that paragraphs (2) through (21) of the Findings of Fact constitute being guilty of permitting anyone other than a pharmacist or pharmacy intern to practice pharmacy as provided in Division (A)6 of Section 4729.16 of the Ohio Revised Code. As a result of the Respondent's admission, during his testimony, that technicians were charged with performing DUR and would routinely override DUR, the Board finds that Mr. Fischer knowingly allowed someone other than a pharmacist or pharmacist i nt ern to practice pharmacy. DUR is a central facet of pharmacy practice and an act to be performed by the licensed pharmacist or pharmacist intern. DECISION OF THE BOARD Pursuant to Section 4729.16 of the Ohio Revised Code, and after consideration of the record as a whole, the State Board of Pharmacy adjudicates the matter of Albert David Fischer as follows: (A) On the basis of the Findings of Fact and Conclusions of Law set forth above, the State Board of Pharmacy hereby places Albert David Fischer on probation for twelve months from the effect ive date of this Order. The terms of probation are as follows: (1) The State Board of Pharmacy hereby declares that Albert David Fischer'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 (0)(1) of Rule 4729-3-01 of the Ohio Administrative Code. (2) Albert David Fischer may not serve as a responsible pharmacist. (3) Albert David Fischer may not work as the only pharmacist on duty at any given time. (4) Albert David Fischer must report Errors in Dispensing whether internal or external to the Board within 7 days from the date of error. (5) Albert David Fischer must not violate the drug laws of Ohio, any other state, or the federal government. Al bert Davi d Fischer, R.Ph. Page 6 Order of t he Board (6) Albert David Fi scher must abide by the rule s of t he State Board of Pharmacy. (7) Albert David Fischer must comply wi t h the t erms of th is Order. (7) Albert David Fischer's l icense is deemed to be not in good standi ng unti l successful completion of t he probat ionary period. (8) Any violation of probation may result i n a Board hearing to consider alternat ive or add it ional sanctions under Section 4729.16 of the Ohio Revised Code. (B) Albert David Fischer must obtain, wit hin ninety days from the effecti ve date of t hi s Order, twelve (1 .2 CEUs) of approved continuing pharmacy education i n Juri sprudence and Patient Safety whi ch may not also be used for license renewal. If proof of successf ul completion is not submitted to the Board offi ce before th e end of th e probat ion per iod , Albert David Fischer will remain on probation unt il thi s condi ti on i s ach ieved. (C) On the basis of the Findi ngs of Fact and Conclus ions of Law set f orth above, th e State Board of Pharmacy hereby imposes a monetary penalty of five hundred dollars ($500.00) on Albert David Fischer and payment in full is due and owing within th irty days of the mailing of this Order. The remittance should be made payable to th e ''Treasurer , State of Ohio" and mail ed with th e enclosed form to the State Board of Pharmacy, 77 South High Street, Room 1702, Columbus, Ohio 43215-61 26. Albert David Fischer is hereby advised th at the Board may at any t ime revoke probation for cause , modify the conditions of probation, and reduce or extend the period of probation. At any time during thi s period of probat ion , the Board may revoke probat ion for a vi olat i on occurring duri ng t he probation period. Richard Kolezyn ski moved for Findings of Fact; Michael Mone seconded the mot ion . Motion passed (Aye-7/Nay-0). Michael Mone moved for Conclusions of Law; Margaret Huwer seconded t he mot ion. Mot ion passed (Aye-7/Nay-0) . Michael Mone moved for Act ion of the Board; Richard Kolezynski seconded the motion. Motion passed (Aye-4/Nay-3) . SO ORDERED. It is hereby cert ified by this Board that th e above language is a copy of th e Order ent ered upon its journal in th is case. Sect ion 11 9.12 of the Ohio Revi sed Code authorizes an appeal from thi s Order. An order that denied admission to an examinat ion, or denied the issuance or renewal of a li cense or regi strat ion, or revoked or suspended a license, may be appealed to t he court of common pleas i n t he Ohio county of your place of busi ness or i n your Ohio county of residence. Any ot her orde r may be appealed to t he Court of Common Pl eas of Frank l i n County, Ohio . Albert David Fischer, R.Ph. Page 7 Orde r of the Board Such an appeal , set ti ng f ort h t he or der appealed fro m and the grounds of the appeal, must be commenced by t he fili ng of the ORIGINAL Notice of Appeal with t he Stat e Board of Pharmacy and a copy with the appropriate court within f ifteen (] 5) days after the mail ing of thi s Order and in accordance wi t h the requirements of Section 119.12 of the Ohio Revised Code. BY ORDER OF THE STATE BOARD OF PHARMACY MARCH 18,2013 oRDER MAlLED & EFFECTIVE: _ --'.:"'-'-'-'-""'--'--'-'''''-'''"''-'-=-_ V r, I ~ " / -)/ \;>;1I. 1-, _ Kyle W. Parker, M.B.A., R}h., Executi ve Director KWP!vf Cert ified Mail ! Return Receipt 7010 187 0 000292 547751 c: Sean M. Culley, Assistant Att orney General James Lindon, Attorney for Respondent MONETARY PENALTY PAYMENT TRANSMITTAL FORM IN THE MAnER OF: ALBERT DAVID FISCHER, R.Ph. (Pharmacist I.D. No. 03-2-08016) PURSUANT TO SECTI ON 4729. 16 OF THE OHIO REVISED CODE, THE ENCLOSED ORDER OF THE STATE BOARD OF PHARMACY IMPOSES A MONETARY PENALTY OF $ 500.00. PAYMENT IS DUE, IN FULL, PRI OR TO THIRTY DAYS FROM THE EFFECTIVE DATE OF THIS ORDER. TO ENSURE PROPER CREDIT, RETURN THIS FORM WITH YOUR PAYMENT TO THE STATE BOARD OF PHARMACY; 77 S. HIGH STREET, ROOM 1702; COLUMBUS, OHIO 432 1$-61 26. PAYMENT IS TO BE MADE PAYABLE TO THE "TREASURER, STATE OF OHIO". PAYMENT NOT RECEIVED BY THE DESIGNATED DATE MAY RESULT IN FURTHER ACTI ON BY THE BOARD THROUGH THE OFFICES OF THE STATEAUDITOR AND ATTORNEYGENERAL. - FOR BOARD USE ONLY BELOW THIS LINE Boar d Order Pe nalt y Type _ _ - = = ' - " ' - ~ = - ' - _ 0-120524-249 Docket N0,--- . _ _ ---'=!.---"-"""-,,,,,,-,-==,-=,-_ _ Amount Assessed $500.00 Cont rol No. _ Dat e Received _ --0-- Amount Suspended -"- _ Amount Due ------'$500. 00 Amount Recei ved _
Sterling Drug Inc. v. Caspar W. Weinberger, Secretary of Health, Education and Welfare, and Alexander M. Schmidt, Commissioner of Food and Drugs, 503 F.2d 675, 2d Cir. (1974)
United States v. Kaybel, Inc., Harry Bell, Abraham Kaye, Kaybel, Inc., in No. 17776, Harry Bell, in No. 17777, Abraham Kaye, in No. 17778, 430 F.2d 1346, 3rd Cir. (1970)
4 Soc - Sec.rep - Ser. 25, Unempl - Ins.rep. CCH 15,029 Owen L. Gordon v. Richard S. Schweiker, Secretary of Health and Human Services, 725 F.2d 231, 4th Cir. (1984)
51 Soc - Sec.rep - Ser. 34, Unempl - Ins.rep. (CCH) P 15237b George Rice, Jr. v. Shirley S. Chater, Commissioner of Social Security, 86 F.3d 1, 1st Cir. (1996)
7 Soc - Sec.rep - Ser. 13, Unempl - Ins.rep. CCH 15,557 Harold G. Cogdill v. Richard S. Schweiker, Secretary, Department of Health and Human Services, 743 F.2d 1053, 4th Cir. (1984)