Online Renewals - Required Documents

Date: 
11/23/2019
Document Text Version

Required Document Attachments by License/Registration Type 11/2019 RENEWALS ONLY

CSA-Business:

  • DEA certificate

Nonresident Pharmacy:

  • Inspection Report
  • Prescription Label
  • Home State License Verification
  • Acknowledgement and Attestation Form (completed by PIC)

Nonresident Pharmacy Pharmacist in Charge:

  • Home State License Verification

In-State Pharmacy:

  • Acknowledgement and Attestation form (completed by PIC)

Outsourcing Facility:

  • Home State License Verification
  • Valid FDA Registration as an Outsourcing Facility
  • FDA Inspection Report
  • Most Recent Inspection Report
  • Supervising Pharmacist's License by Applicant's Home State
  • Acknowledgement and Attestation form (completed by Supervising Pharmacist)

Wholesale Distributor:

  • Inspection Report
  • Surety Bond/Irrevocable Letter of Credit
  • Home State License Verification
  • Proof of VAWD accreditation
  • Acknowledgement and Attestation form (completed by Facility Manager)

Limited Distributor:

  • Most Recent Self-Inspection Report
  • Acknowledgement and Attestation form (completed by Facility Manager)

3PL:

  • Most Recent Inspection Report
  • Proof of VAWD accreditation
  • Acknowledgement and Attestation form (completed by Facility Manager)

Certified Pharmacy Technician:

  • National Technician Certificate

Pharmacy Support Person:

  • No required documents for renewals

CSA-Individual:

  • No required documents for renewals

Printed from the Iowa Board of Pharmacy website on August 06, 2020 at 11:02am.