N.H. Admin. Code § Ph 1803.01 - Initial Application for Pharmacy Technician

(a) The "Licensed Advanced Pharmacy Technician Initial Application" form PT-21 described in (d) below, for licensure to practice as an advanced pharmacy technician in the State of New Hampshire may be obtained from and shall be completed and submitted to the office of OPLC Office of Professional Licensure and Certification (OPLC), identified in Ph 103.03.

(b) An applicant for licensure as an advanced pharmacy technician shall meet the following requirements:

(1) Have worked 2,000 hours as a certified pharmacy technician in good standing, attested to by a NH licensed pharmacist(s) in good standing;

(2) Have successfully completed 4 advanced technician assessment based programs provided by a nationally recognized certification provider consisting of:

a. Two assessment based programs on product verification and immunization administration;

b. Two assessment based programs on any of the remaining assessment based programs; and

(3) Have successfully passed a jurisprudence exam approved by the board.

(c) A technician whose duties include product verification and who meets all of the qualifications listed in (b) above shall complete training on product verification:

(1) At the technician's practice setting or when changing the technician's practice setting with a licensed pharmacist; and

(2) That includes the use of drug identification resources.

(d) Applicants for licensure shall submit:

(1) The "Licensed Advanced Pharmacy Technician Initial Application" form containing the following:

a. Full legal name;

b. Date of birth;

c. Residence address;

d. Mailing address;

e. Home or cell phone number;

f. Personal e-mail address;

g. Social security number, as required by RSA 161-B:11, VI-a;

h. Name of current employer including the mailing address, phone number, and e-mail address of the employment site;

i. An indication as to whether or not the applicant has been convicted of a felony or admitted to sufficient facts to warrant such a finding, and if yes, an explanation of the circumstances surrounding such a finding or conviction;

j. An indication as to whether the applicant has ever voluntarily surrendered for disciplinary reasons a license, registration, or certification to practice as a pharmacist or pharmacy technician in any jurisdiction and, if so, an explanation of such surrender;

k. An attestation that the applicant has met the requirement for hours worked as a certified pharmacy technician set forth in (c) above; and

l. The applicant's signature and date; and

(2) A fee of $100 made payable to Treasurer, State of NH.

Notes

N.H. Admin. Code § Ph 1803.01

Derived from Volume XLII Number 45, Filed November 10, 2022, Proposed by #13463, Effective 10/18/2022, Expires 10/18/2032