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Farina v. Department of Health

Citations: 94 Wash. App. 441; 972 P.2d 531Docket: No. 16879-4-III

Court: Court of Appeals of Washington; March 2, 1999; Washington; State Appellate Court

Narrative Opinion Summary

This case examines the regulatory interplay between Washington State's home health care and pharmacy laws, focusing on a pharmacist, Joseph Farina, and his business operations. Farina, owning pharmacies and a home health care franchise, faced disciplinary action from the Board of Pharmacy for allegedly operating an illegal pharmacy at his home health care facility. The Board suspended his pharmacy license, citing violations of regulations governing drug dispensing, despite the agency's compliance with home health care standards. The court found that the Board overstepped its authority, as the home health care operations adhered to existing regulations. Key issues included whether the Wenatchee facility was practicing pharmacy without a required license and whether Farina's actions constituted moral turpitude. The court determined that technical violations did not equate to moral turpitude and that registered nurses could supervise drug preparation under the former regulatory framework. Additionally, the court concluded that C.A.P.S.'s repackaging activities did not amount to drug manufacturing, exempting them from related licensing requirements. Ultimately, the court reversed the Board's suspension of Farina's licenses, emphasizing that any regulatory violations were inadvertent and technical, rather than intentional misconduct.

Legal Issues Addressed

Authority of the Board of Pharmacy

Application: The court concluded that the Board lacked authority to suspend Farina’s pharmacy license for actions taken within the home health care agency, where operations adhered to relevant regulations.

Reasoning: The court concluded that the Board lacked authority to suspend Farina’s pharmacy license for actions taken within the home health care agency, where operations adhered to relevant regulations.

Definition of Pharmacy Practice

Application: The Board argued that the activities at Wenatchee constituted pharmacy practice, which required a license that Mr. Farina did not obtain, making his actions unlawful under the relevant pharmacy regulations.

Reasoning: The Board concluded that the activities at Wenatchee constituted pharmacy practice, which required a license that Mr. Farina did not obtain, making his actions unlawful under the relevant pharmacy regulations.

Dispensing vs. Administering Drugs

Application: The court found that the term 'supervision' does not require a pharmacist’s physical presence and that registered nurses were permitted to mix drugs for TPNs, indicating that supervision could be provided by registered nurses.

Reasoning: The term 'supervision' is understood as providing guidance and oversight rather than requiring on-site presence, leading to the conclusion that a pharmacist's physical presence at the Wenatchee facility was not obligatory.

Moral Turpitude in Professional Conduct

Application: The Board's determination that Mr. Farina exhibited moral turpitude was rejected by the court, noting that moral turpitude involves egregious conduct, not technical violations.

Reasoning: However, moral turpitude is defined as actions of extreme moral depravity, not merely technical violations.

Registration Requirements for Drug Manufacturing

Application: C.A.P.S.'s activities of repackaging and relabeling drugs were not considered manufacturing under RCW 69.50, thus exempting them from the registration and penalty provisions.

Reasoning: Therefore, C.A.P.S. is not subject to the registration and penalty provisions of RCW 69.50, as they fall under the professional practice of a pharmacy rather than manufacturing.