DeWees v. New Hampshire Board of Pharmacy

539 A.2d 721, 130 N.H. 396, 1988 N.H. LEXIS 18
CourtSupreme Court of New Hampshire
DecidedApril 1, 1988
DocketNo. 87-116
StatusPublished
Cited by5 cases

This text of 539 A.2d 721 (DeWees v. New Hampshire Board of Pharmacy) is published on Counsel Stack Legal Research, covering Supreme Court of New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DeWees v. New Hampshire Board of Pharmacy, 539 A.2d 721, 130 N.H. 396, 1988 N.H. LEXIS 18 (N.H. 1988).

Opinion

Souter, J.

The plaintiffs appeal an order of the Superior Court (Bean, J.) dismissing their appeal under RSA 318:31 from the New Hampshire Pharmacy Board, which temporarily suspended their licenses to practice pharmacy based on findings that, inter alia, each of them had violated provisions of RSA chapter 318. We reverse because the board’s findings are inadequate as a matter of law to support imposition of penalties under the statutes and regulations cited by the board among its rulings of law as authority for the disciplinary action, and because the board failed to conform to requirements of the administrative procedure act for the conduct of an adjudicative proceeding.

At all times relevant to this case, the plaintiffs, Harvey DeWees and Roger Dykstra, have been pharmacists licensed under RSA 318:18 (Supp. 1987) and employed at the Oseo Drug store on McGregor Street in Manchester, DeWees as a staff pharmacist and Dykstra as his supervisor. DeWees was on duty on January 6, 1983, when he was given a prescription to fill on behalf of one Janet Dilulio. It is undisputed that he typed a label consistent with the prescription and placed both the prescription and the label together with a bottle from the pharmacy’s stock, thought to contain the medication prescribed. There was evidence that a pharmacist’s assistant placed the label on a vial, which the assistant then filled with the number of tablets of medication called for on the label. In accordance with customary practice, DeWees did not then examine the contents of the vial to make certain it contained the medication actually prescribed. The evidence indicates that in this instance the vial contained the wrong medication, which proved sufficiently harmful to require the recipient’s emergency hospitalization.

After the recipient had brought an action for damages in the United States District Court against the corporation operating the pharmacy, her counsel wrote to the pharmacy board on October 15, 1984, see RSA 318:2, charging that the pharmacist on duty had been negligent, and requesting an investigation. On March 7, 1985, the board wrote to DeWees that it would hold a hearing the [398]*398following month “to discuss the letter of complaint (copy enclosed) alleging a dispensing error by Oseo Drug (ie (sic): you).” The board warned DeWees that he would be subject to disciplinary action under RSA 318:29, IV “if the Board [found him] guilty of this violation.” It sent a similar but longer letter to Dykstra, citing the board’s regulation Ph 704:10 as the basis for his possible liability as “pharmacist-in-charge [with responsibility] for establishing pharmacy policies and procedures [and] for the practice of pharmacy . . .” in the McGregor Street store. Dykstra, too, was advised of possible disciplinary action “depending upon the outcome of [the] hearing.”

The letters thus indicated that the board was treating the complaint as giving rise to a “contested case” against each plaintiff within the meaning of the administrative procedure act, see RSA 541-A:1, III (Supp. 1987). Plaintiffs’ counsel responded by asking the board for a prehearing conference, see RSA 541-A:16, V, which the board held on April 17, 1985. It is difficult to say what the conference accomplished, for the record gives no indication that the board’s presiding officer ever issued an “order incorporating the matters determined at the . . . conference,” as required by paragraph V(d). The board did, however, memorialize the proceeding with a transcript, which can be read to suggest that the anticipated subject of the hearing on the merits shifted from the charge of negligence expressed in the complaint letter to some sort of fact-finding inquiry into standard practices for filling prescriptions at the McGregor Street store. Thus, although the board’s secretary said on the record at one point that “someone has to prove to me that Mr. DeWees and/or Oseo Drug are guilty of willful and gross negligence in their dispensing practices,” the board’s counsel later stated that the “issue at the hearing, that’s all the issue is really just the question of pharmaceutical procedures.” To this statement, another board member responded, “That’s right, we’re going to go to pharmacy practice.”

A letter sent to the board by plaintiffs’ counsel between the conference and the later hearing on the merits is further support for the view that the hearing was expected to focus on the adequacy of standard procedures for filling prescriptions at the McGregor Street store, rather than on the possibility that DeWees and Dykstra had committed misconduct that might justify disciplinary action against them personally under RSA 318:29, II. The letter stated,

[399]*399“It is . . . my understanding that the purpose of [the] hearing is to determine whether or not Oseo Drug improperly filled a prescription presented to it by Mrs. Dilulio on January 6, 1983.1 further understand that the hearing will address the question of whether or not Osco’s prescription filling procedures meet acceptable standards as determined by the Board.
* * *
I understand that the Board would like Oseo to have Harvey DeWees present at the . . . hearing and that it may in addition bring Roger Dykstra, the manager of Osco’s McGregor Street pharmacy and a pharmaceutical expert of its own choosing.”

The record certified to us by the board does not indicate that the board made any response to this letter.

The board’s silence was all the more significant in light of its failure to issue either a prehearing order, as we have noted, or a further item of notice required by the act, a “reference to the particular sections of the statutes and rules involved.” RSA 541-A:16,111(c). (On first glance, it may appear that the letter originally sent to Dykstra functioned as a paragraph III(c) notice, for it referred to his responsibilities as a pharmacist-in-charge, under the regulation Ph 704.10. As we read that regulation, however, it does not impose standards of practice for individual pharmacists, for a violation of which Dykstra’s license to practice pharmacy could be suspended. The regulation appears merely to amplify RSA 318:38, I, which requires that a store’s owner must employ a pharmacist-in-charge who has accepted administrative responsibilities before the board will issue the owner a permit to operate the store, see id., as distinguished from a permit issued to a pharmacist personally, entitling him to practice pharmacy. See RSA 318:18 (Supp. 1987).) Because the board never specified charges against the plaintiffs in the manner required by the administrative procedure act, the board’s silence following counsel’s letter could reasonably have been taken to indicate agreement that the hearing would concern the operation of the Oseo Drug store, rather than the possible misconduct of DeWees and Dykstra individually.

This impression was confirmed by opening remarks at the hearing itself, held on May 15, 1985. The presiding officer announced that the board would address “the letter of complaint alleging a dispensing error made by Mr. DeWees” and went on to ask the parties “to be prepared to discuss and review ... the policies and procedures governing the dispensing practices followed by this [400]

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Bluebook (online)
539 A.2d 721, 130 N.H. 396, 1988 N.H. LEXIS 18, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dewees-v-new-hampshire-board-of-pharmacy-nh-1988.