Wisconsin Administrative Code › Pharmacy Examining Board › Chapter Phar 18 - Third-Party Logistics Providers › Section Phar 18.03 - Licensure, renewal, and reinstatement

Current through June 24, 2024
(1)
			 LICENSE ALLOWED. A person acting as a third-party logistics provider or an
			 out-of-state third-party logistics provider of any drug or device may apply to
			 obtain a license from the board.
(2) LICENSURE. Except as provided under sub.
			 (4), the board shall grant a license to operate as a third-party logistics
			 provider, or out-of-state third-party logistics provider, to any applicant that
			 satisfies all of the following requirements, as determined by the board:
(a) Submits a completed application form.
Note:
Application forms are available from the
				department of safety and professional services' website at
http://dsps.wi.gov
.
(b) Pays the fee specified in s. 440.05,
			 Stats.
(c) Submits all of the
			 following information relating to a designated representative:
1. Name, address, and telephone
			 number.
2. Date and place of
			 birth.
3. A photograph of the
			 person taken within the 12-month period immediately preceding the date of the
			 application.
4. A personal
			 information statement that includes all of the following for the 7-year period
			 immediately preceding the application:
a.
			 Place of residence.
b. Occupations,
			 positions of employment, and offices held.
c. The name and addresses for each business,
			 corporation, or entity listed in subd. 4. b.
d. Whether the person has been the subject of
			 any proceeding for the revocation of any business or professional licensure and
			 the disposition of that proceeding.
e. Whether the person has been enjoined by a
			 court, either temporarily or permanently, from possessing, controlling, or
			 distributing any prescription drug, and a description of the circumstances
			 surrounding the injunction.
f. A
			 description of any involvement with any business, including investments other
			 than the ownership of stock in a publicly traded company or mutual fund, that
			 manufactured, administered, prescribed, distributed, or stored pharmaceutical
			 products or drugs, and list of any lawsuits in which such a business was named
			 as a party.
5. A
			 description of any misdemeanor or felony criminal offense of which the person
			 was, as an adult, found guilty, whether adjudication of guilt was withheld, or
			 the person pleaded guilty or no contest. If the person is appealing a criminal
			 conviction, the application shall include a copy of the notice of appeal, and
			 the person shall submit a copy of the final disposition of the appeal not more
			 than 15 days after a final disposition is reached.
6. Verification that the requirements in s.
			 Phar 18.05 (1) have been met.
7. A
			 statement that each facility used by the applicant for third-party logistics
			 provider services has been inspected in the 3-year period immediately preceding
			 the date of the application by the board, a pharmacy examining board of another
			 state, the National Association of Boards of Pharmacy, or another accrediting
			 body recognized by the board, with the date of each such inspection.
(d) Subject to ss. 111.321,
			 111.322, and 111.335, Stats., the applicant does not have an arrest or
			 conviction record.