Ohio Administrative Code › Title 4729:6 - Distribution of Dangerous Drugs › Chapter 4729:6-2 - Licensure › Section 4729:6-2-04 - Drug distributor applications

Current through all regulations passed and filed
			 through July 1, 2024
(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,
			 corporation, or government agency).
(5)
									The following
			 information for the owner(s) and/or operator(s) of the drug distributor:
(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
			 corporation:
(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 executive director or 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.
(d)
										For a government
			 agency: the full name, business address, social security number, and date of
			 birth of the agency director.
(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 to determine if the entity possesses a current and valid license
			 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 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 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.