Ohio Admin. Code 4729:6-2-04 - Drug distributor applications
(A) The following information shall be
required on a form supplied by the state board of pharmacy from each person
making application for a license as a distributor of dangerous drugs:
(1) The name, full physical business address
(not a post office box), and telephone number.
(2) All trade, fictitious, or business names
used by the licensee (e.g. "doing business as" or "formerly known as").
Trade or business names shall not be identical to
the name used by another, unrelated drug distributor permitted to purchase or
sell drugs in this state.
(3) Addresses, telephone numbers, and the
full names of contact persons for all facilities used by the licensee for the
storage, handling, and distribution of dangerous drugs located in this state or
used to distribute drugs into this state.
(4) The type of ownership or operation (i.e.,
sole proprietorship, partnership, limited liability
company, corporation, or government
agency, or nonprofit organization).
(5) The following information for the
owner(s) and/or operator(s) of the drug distributor:
(b)(d) For a corporation:
(d)(e) For a government
agency: the full name, business address, social security number, and date of
birth of the agency director.
(a) For a partnership:
(i) The full name, business address, social
security number, and date of birth of each partner. If the partner is not a
natural person, each business entity that is a partner having an ownership
interest must be disclosed on the application up to and through the entity that
is owned by a natural person.
(ii)
The name of the partnership.
(iii)
The partnership's federal employer identification number.
(b)
For a sole
proprietorship: the full name, business address, social security number, and
date of birth of the sole proprietor.
(c)
For a limited
lability company: the full name, business address, social security number, and
date of birth of each member. If the member(s) is not a natural person, each
business entity that is a member having an ownership interest must be disclosed
on the application up to and through the entity that is owned by a natural
person.
(i) The full name, business address, social
security number, and date of birth of the
corporation's president, vice-president, secretary, treasurer, and chief executive officer, or any equivalent
position. For a publicly traded corporation that obtains a criminal records
check waiver pursuant to paragraph (A)(3) of rule
4729:6-2-03 of the
Administrative Code, the full name, business address, social security
number, and date of birth of the corporate
officers subject to a criminal records check as determined by the
board's
board's executive director or
director's
director's designee.
(ii) The name or names of the
corporation.
(iii) The state of
incorporation.
(iv) The
corporation's federal employer identification number.
(v) The name of the parent company, if
applicable.
(vi) If the corporation
is not publicly traded on a major stock exchange, the full name, business
address, and social security number of each shareholder owning ten percent or
more of the voting stock of the corporation.
(c) For a sole proprietorship: the
full name, business address, social security number, and date of birth of the
sole proprietor.
(f)
For a nonprofit organization: the full name, business
address, social security number, and date of birth of the executive director or
any equivalent position.
(6) If the entity submitting an application
for a distributor of dangerous drugs license is located outside the boundaries
of the state of Ohio, the licensing process shall include an inquiry to the
licensing authority of the state or
jurisdiction
where located to determine
if the entity possesses a current and valid license or
registration to distribute dangerous drugs in that state
or jurisdiction and any disciplinary
action, including actions pending, the licensing authority is taking or may
have taken against the entity. This information may be used to determine if the
business entity should be granted a license by the state board of pharmacy. An
entity located outside the boundaries of the state of Ohio that is making
application for licensure as a third-party logistics provider or virtual
wholesaler shall maintain an applicable
verified-accredited wholesale distributors
(VAWD®) accreditation from the national association of boards of
pharmacy if the state where the entity resides does not license such
entities.
(7) If applicable, proof
of the entity's
entity's valid registration with the United States
food and drug administration and/or the United States drug enforcement
administration.
(8) Any information
required on the application as determined by the board.
(9) Any follow-up information as deemed
necessary by the board's executive director or the director's designee upon
receipt of the application materials.
(B) Prior to the end of the licensing period
established in rule
4729:6-2-02 of the
Administrative Code, a renewal application requesting such information as the
state board of pharmacy may require will be sent to the email or physical
address of record to the attention of the responsible person. Such renewal
application form shall be completed and returned with the applicable fee on or
before the date established in rule
4729:6-2-02 of the
Administrative Code.
(C)
The board shall not license an entity located outside
of the United States.
(D)
Except as provided in paragraph (D)(1) of this rule, an
applicant or licensee engaged in the distribution of dangerous drugs shall
obtain all applicable licenses issued in accordance with this division of the
Administrative Code.
(1)
This provision does not apply to a manufacturer who is
also engaged in the wholesale distribution of dangerous drugs.
(2)
An applicant or
licensee engaged in activities requiring multiple licenses shall ensure that
all requirements for each license can be maintained and all applicable drug
records are segregated by license type.
Notes
Promulgated Under: 119.03
Statutory Authority: 3719.28, 4729.26
Rule Amplifies: 4729.52
Prior Effective Dates: 03/01/2019
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