Montana > Statewide > Board Of Pharmacy
Certified Pharmacies - Montana
| Certified Pharmacies Form. This is a Montana form and can be used in Board Of Pharmacy Statewide . |
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CERTIFIED PHARMACIES REVISED 05/07,12/07, 9/08, 3/09, 7/09, 03/10, 08/10, 4/12, 6/12 Page 1 of 11 MONTANA BOARD OF PHARMACY P. O. Box 200513 (301 S PARK, 4TH FLOOR HELENA MT 59601- Delivery) Helena, Montana 59620-0513 PHONE (406) 841-2355 OR 2356 FAX (406) 841-2344 E-MAIL: dlibsdpha@mt.gov WEBSITE: www.pharmacy.mt.gov ILLEGIBLE AND INCOMPLETE APPLICATIONS WILL BE RETURNED. (Please allow 30 days for processing from the date that the Board has a complete routine application) A BUSINESS CANNOT OPERATE IN MONTANA IN ANY MANNER WITHOUT AN ACTIVE MONTANA LICENSE LICENSE REQUIREMENTS FOR COMMUNITY, INSTITUTIONAL, CLOSED DOOR, TELEPHARMACY, AND HOME INFUSION PHARMACY Owner of the pharmacy is a registered pharmacist in good standing in the state of Montana OR The manager or supervisor of the pharmacy is a registered pharmacist in good standing in the state of Montana and that the pharmacist will be actively and regularly engaged and employed in and responsible for the management, supervision and operation of such pharmacy The license registers the pharmacy to which it is issued and is not transferable. It is issued on the application of the registered pharmacist in charge, and which contains the sworn statement that the pharmacy will be operated in accordance with the provisions of the law To operate, maintain, open or establish more than one pharmacy, separate applications shall be made and separate licenses issued for each Upon closure of a certified pharmacy, the original license becomes void and must be surrendered to the Board within ten days. Each institutional pharmacy must be directed by a pharmacist-in-charge who is licensed to engage in the practice of pharmacy in the state of Montana and who is responsible for the storage, compounding, repackaging, dispensing and distribution of drugs within the facility. Depending upon the needs of the facility, pharmacy services may be provided on a full or part-time basis, with a mechanism for emergency service provided at all times. Contractual providers of pharmacy services shall meet the same requirements as pharmacies located within the institution. Registered pharmacy technicians or technicians-in-training may be utilized pursuant to the written policies and procedures of the institution pharmacy. Exemptions to established ratios as defined in ARM 24.174.711 may be granted with Board approval. Each home infusion pharmacy must be licensed with both the Board of Pharmacy and with the Department of Health and Human Services (DPHHS). Information about licensing with DPHHS can be obtained at www.dphhs.mt.gov or by calling (406) 444-1742 Telepharmacy: A remote telepharmacy site shall be connected to its parent pharmacy via computer, video and audio link. A site cannot be licensed as a remote telepharmacy site if it is located within a ten mile radius of an existing pharmacy. The registered pharmacy technician present at the remote telepharmacy site must be currently registered with the Board and have at least six months of active experience as a pharmacy technician. FEES $400.00 - (Non-Refundable) Application Fee $ 75.00 - (Non-Refundable) Dispense under the Montana Dangerous Drug Act $200.00 - (Non-Refundable) Pharmacy Technician Utilization Plan American LegalNet, Inc. www.FormsWorkFlow.com CERTIFIED PHARMACIES REVISED 05/07, 12/07, 9/08, 3/09, 7/09, 03/10, 08/10, 4/12, 6/12 Page 2 of 11 DOCUMENTS The following documents must be submitted to the Board office in order to complete your license application. Please make 8-1/2"x11" copies of the following and submit with your application. A schematic drawing (floor plan) and security of the pharmacy area ADDITIONAL FORMS TO BE SUBMITTED FOR AN APPLICATION TO BE COMPLETE Complete the Dangerous Drug Act application if this pharmacy will be dispensing controlled substances, Complete the Technician Utilization Plan application if pharmacy technicians will be employed in this facility, Complete the non-owner pharmacist agreement if applicable. APPLICATION PROCEDURES When the application file is complete, it will be processed and considered by Board staff for permanent licensure. The applicant will be notified if additional information is required or if required to appear before the Board for an interview. If the application is considered a non-routine application, there may be a delay in processing of the application. You may be requested to provide additional information, or make a personal appearance before the Board during a regularly scheduled Board meeting and/or the application may require Board consideration. Non-routine applications may take up to 120 days to process. Keep the Board office informed at all times of any address changes, changes in license status and complaints or proposed disciplinary action. This is essential for timely processing of applications and subsequent licensure. PROCESSING PROCEDURES Once a routine application is complete, the application takes up to 30 days to process from the time it is received in the Board office. The applicant will be notified in writing of any deficient or missing items from the application file. Once a routine application is processed and approved a permanent license will be issued. ADDITIONAL LAW AND RULE INFORMATION According to ARM 24.174.814 Security of Pharmacy, each pharmacist, while on duty shall be responsible for the security of the pharmacy, including provisions for effective control against theft or diversion of drugs. A Schedule II controlled substance perpetual inventory shall be maintained and routinely reconciled in all pharmacies. The pharmacy shall be secured at all times by either a physical barrier with suitable locks and/or an electronic barrier to detect entry by unauthorized persons at any time. Such barrier shall be approved by the Board or its designee before being put into use. Prescription and other patient health care information shall be maintained in a manner that protects the integrity and confidentiality of such information as provided by the rules of the Board. For information with regard to the processing of this application or other concerns please contact the Board of Pharmacy staff at (406) 841-2355 or 2356 or email us at dlibsdpha@mt.gov PLEASE BE SURE TO REVIEW THE MONTANA LAWS AND RULES ON OUR WEBSITE www.pharmacy.mt.gov American LegalNet, Inc. www.FormsWorkFlow.com CERTIFIED PHARMACIES REVISED 05/07, 12/07, 9/08, 3/09, 7/09, 03/10, 08/10, 4/12, 6/12 Page 3 of 11 MONTANA BOARD OF PHARMACY P. O. Box 20
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