cvs/pharmacy v. Ohio State Bd., Pharmacy, Unpublished Decision (7-17-2003)
cvs/pharmacy v. Ohio State Bd., Pharmacy, Unpublished Decision (7-17-2003)
Opinion of the Court
{¶ 3} One of the store's first customers approached the pharmacy area and accidentally set off the ADT audible alarm system.2 Kolpien, a manager for less than two months3, began to panic and opened a sealed envelope that contained the codes for the alarm system.4 He then contacted the CVS pharmacist scheduler and district manager, leaving voice-mail messages with both. At the same time, a second customer approached the pharmacy area to obtain his blood pressure medication. Upon seeing the area was closed, the customer became irrate and screamed that he would pass out without his medication. Kolpien placed a cash drawer in the pharmacy's register and told the pharmacy technician, Debbie Evilsizer ("Evilsizer"), to remain at the pharmacy and explain to customers that CVS was waiting for the pharmacist to arrive. Upon Kolpien's further instruction, Evilsizer sold the customer his blood pressure medication.
{¶ 4} At approximately 10:00 a.m., Kolpien learned of the circumstances regarding the pharmacist's absence and that the CVS scheduler was attempting to locate a fill-in pharmacist. Meanwhile, Evilsizer continued to sell prescriptions to customers at the pharmacy. Between the hours of 10:00 a.m. and 12:00 p.m., a total of ten customers recovered previously-prepared prescriptions, obtaining 16 different medications. During this time, no new orders were taken and no prescriptions were filled.
{¶ 5} After investigating the events that took place, CVS disciplined Kolpien through a written reprimand and placed him on probation.5 John Yaskanich, R.Ph., a pharmacist who previously worked at CVS and who left the alarm codes where a manager could access them, received a similar written reprimand and probation. Evilsizer was placed on administrative leave from March 8, 2000 through March 20, 2000, pending CVS' investigation.
{¶ 6} On March 12, 2001, the Board issued a notice of opportunity for hearing, alleging five violations of law or regulations arising out of the events on March 8, 2000. On April 3, 2001, CVS requested a hearing on the charges pursuant to R.C. 119. CVS also included a proposed settlement, including payment of a fine and proposed corrective action, on two of the five violations. These settlement proposals were rejected and a hearing took place on January 7, 2002. On January 11, 2002, the Board rendered three conclusions of law, finding CVS violated sections of O.A.C.
{¶ 7} On January 25, 2002, CVS appealed this decision to the Cuyahoga County Court of Common Pleas, pursuant to R.C.
{¶ 8} CVS timely filed this appeal and advances four assignments of error for review.
{¶ 10} An appellate court's role is to determine whether the trial court abused its discretion in reaching its determination. Pons v. OhioState Medical Board (1993),
{¶ 11} When reviewing a professional agency's order, a court must accord due deference to the agency's interpretation of the technical and ethical requirements of its profession. Linden Med. Pharm. v. Ohio StateBd. of Pharm. (2001), Franklin County App. No. 00AP-641. An appellate court does have plenary review of purely legal questions. ElbirehEmpire, Inc. v. Ohio Liquor Control Commission, et al., 2003-Ohio-2484.
A. The counseling requirements of O.A.C.
{¶ 13} The Board found that CVS violated O.A.C.
"(A) A pharmacist or the pharmacist's designee shall personally offer to counsel the patient or caregiver whenever any prescriptions, new or refill, are dispensed. In this situation, when counseling is refused, the pharmacist shall ensure that such refusal is documented in the presence of the patient or the patient's care-giver. If the patient or caregiver is not physically present, the offer to counsel shall be made by telephone or in writing on a separate document and shall accompany the prescription."
This is known as patient counseling.
{¶ 14} CVS contends that, absent a customer's acceptance of the offer for patient counseling, the pharmacist need not actually perform the counseling. O.A.C.
{¶ 15} The Board argues that since there was no pharmacist on duty, the technician could not have been the "pharmacist's designee." Also, the offer of counseling could be performed by a designee, not the actual counseling itself. Thus, even assuming Evilsizer was the pharmacist's designee, she would not have been in a position to counsel customers.
{¶ 16} There is no dispute that Evilsizer offered counseling to the customers and each refused. Even assuming the technician was the pharmacist's designee, and the first part of the regulation was satisfied, CVS failed to satisfy the second sentence of the regulation. The regulation reads that "* * * when counseling is refused, the pharmacist shall ensure that such refusal is documented in the presence of the patient * * *." The regulation does not provide that the pharmacist or designee shall document the refusal.6
{¶ 17} The Board found that CVS was in violation of O.A.C.
B. Inventory requirements of O.A.C.
{¶ 18} The Board found that CVS violated O.A.C.
"(C) If there is a change in the responsible pharmacist, the state board of pharmacy shall be notified on a board approved form within thirty days thereof of the effective date of the change and the name of the new responsible pharmacist.
"(2) A complete inventory * * * shall be taken of the controlled substances on hand at the pharmacy with the new responsible pharmacist. The new pharmacist shall be responsible for completing and maintaining this inventory record at the site of the terminal distributor of dangerous drugs."
{¶ 19} CVS argues that this complete inventory should occur some time after the new responsible pharmacist7 has assumed his or her responsibility.8 The Board argues that once CVS' prior responsible pharmacist, Brian Rose ("Rose"), left his employment on January 31, 2000, CVS was in violation of the law until March 9, 2000, when Pamela McIntrye ("McIntyre") assumed Rose's former position.
{¶ 20} We find the trial court did not abuse its discretion by affirming the Board's decision. Pursuant to O.A.C.
{¶ 21} The regulation anticipates that when one responsible pharmacist leaves, another pharmacist will immediately be assigned. This should be clear, as the law requires a responsible pharmacist be present at all times. R.C. 4929.55(B) states that, "A pharmacist * * * will maintain supervision and control over the possession and custody of dangerous drugs that may be acquired by or on behalf of the applicant."
{¶ 22} Under CVS' logic, a pharmacy could lose the services of its responsible pharmacist and then not replace him or her for six months. Then, on the seventh month, an inventory would take place. This result is illogical. The Board found that CVS should have had a replacement for Rose before he left and the failure to do so was a violation. There was reliable, probative, and substantial evidence upon which the court had to rely. The trial court did not abuse its discretion.
"[s]atisfy the qualifications of a terminal distributor of dangerousdrugs set forth in Section
{¶ 24} CVS argues that these requirements must be accessed through collective business practices, not individual moments in time. Specifically, CVS argues that it is insufficient to conclude that, because the events of March 8, 2000 occurred, CVS lacked adequate safeguards.
{¶ 25} CVS focuses much of its argument on an "inexperienced and panicked store manager" whose errors of judgment "foiled" its established safeguards. Such an argument is meritless. "Although a licensee may find his permit imperiled by a careless or unauthorized act of an employee, the validity of such regulation lies in the nature of the item being regulated." Linden Med. Pharm., supra. Also, Kolpien's experience as a CVS assistant manager discredits CVS' contention that he was hopelessly inexperienced.
{¶ 26} The trial court's ruling did not amount to an abuse of discretion. There was reliable, probative, and substantial evidence in which the trial court had to rely.
{¶ 27} For the foregoing reasons, CVS' first assignment of error is overruled in its entirety.
{¶ 29} CVS argues that the Board wielded its discretion arbitrarily and capriciously by imposing the most severe penalty. R.C.
"The state board of pharmacy may suspend, revoke, or refuse to renew, any license issued to a terminal distributor of dangerous drugs pursuant to section
{¶ 30} It is well established that a reviewing court may not substitute its judgment for an order that is supported by reliable, probative and substantial evidence. Jaffa Food Market, Inc. v. LiquorControl Comm. (October 1, 1998), Cuyahoga App. No. 74449. Likewise, an authorized sanction that is supported by reliable, probative, and substantial evidence, will not be overturned. Belcher v. Ohio StateRacing Commission, 2003-Ohio-2187.
{¶ 31} We find that the trial court did not abuse its discretion as it was well within the purview of authorized sanctions for the Board to revoke CVS' license. "When a penalty is within the scope of authority granted to an agency, courts may not substitute its judgment for that of the agency and modify the imposed penalty." Bartley v. State of Ohio,Dept. of Commerce, Div. of State Fire Marshal, 2002-Ohio-3592.
{¶ 32} CVS' second assignment of error is overruled.
{¶ 34} On May 24, 2002, CVS motioned the trial court to supplement the record with nine exhibits containing excerpts from the official minutes of Board meetings held in 2000 and 2001. Each excerpt dealt with the Board's previous enforcement actions against terminal distributor licensees. On August 19, 2002, CVS' motion was denied.
{¶ 35} Pursuant to R.C.
{¶ 36} Newly discovered evidence refers to that in existence at the time of the administrative hearing but which was incapable of discovery by due diligence. Frazier v. Ohio State Bd. of Educ. (December 16, 1999), Cuyahoga App. No. 75042, citing Benefit Plans Agency, Inc. v.Duryee (1995),
{¶ 37} CVS argues that the minutes from these prior adjudications could not have been ascertained prior to the hearing because the issues addressed by the evidence only became ripe after the hearing. To hold otherwise, it is argued, would require all licensees appearing in an adjudication hearing, as a precautionary measure, to introduce all of the past enforcement actions taken by the Board. We disagree.
{¶ 38} The trial court did not abuse its discretion by denying CVS' motion to supplement the record. The evidence CVS sought to introduce was not newly discovered. CVS has not demonstrated that they were unable to obtain these records prior to the hearing. Also, the trial court could have determined that such evidence was merely for the purpose of impeaching the Board's decision. Nothing would suggest that such evidence would have altered the outcome of the hearing. Lastly, CVS has provided no authority for the position that an administrative board is bound by prior decisions under a doctrine stare decisis.
{¶ 39} Appellant's third assignment of error is overruled.
{¶ 41} In support of its assignment of error, CVS presents four arguments. CVS argues, the Board: (1) failed to provide reasons for its action and apparent rejection of CVS' arguments; (2) offered no evidence or witnesses to rebut CVS' evidence; (3) imposed an excessively harsh punishment; and (4) failed to account for the conduct of other licensees. These arguments are without merit.
{¶ 42} CVS was not deprived of its due process rights. CVS was given the opportunity to be heard, as evidenced by CVS' three witnesses and 16 exhibits entered on its behalf. CVS failed to establish that the Board was obligated to affirmatively present evidence and witnesses in opposition to CVS' arguments. The Board weighs the evidence presented by the state and respondent and renders a decision. CVS points to no law that states the Board must provide a detailed evaluation of the facts and its conclusions of law.
{¶ 43} Appellant's fourth assignment of error is overruled.
Judgment affirmed.
MICHAEL J. CORRIGAN P.J., and ANNE L. KILBANE, J., CONCUR
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