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a name change
Please Fill out the
Change Form (PDF).
a change
of address?
Please Fill out the
Change Form (PDF).
a change
of employment?
Please Fill out the
Change Form (PDF).
a change
of location for a pharmacy?
Complete an inspection
request form and send it to the State Board
of Pharmacy office at least
two weeks prior to the desired inspection
date. The inspection should not be requested
until
the prescription counter is complete and
hot and cold running water are operational.
There is a $100 fee to inspect
the pharmacy at the new location.
The form may be mailed to us at:
Arkansas State Board of Pharmacy
101 East Capitol, Suite 218
Little Rock, AR 72201
Contact the D.E.A. since a new
D.E.A. registration is required for a change
of location.
Moving the pharmacy work area
to another location in the same building/location
requires Board
inspection. Inspection
Request Form (PDF)
a change of
ownership?
Pharmacies
When a pharmacy changes ownership, a new permit
must be obtained and an inventory taken. The
change of ownership fee is $150.00. Complete
a new Application
for a Permit to Operate a New Pharmacy form and
submit it to the Board of Pharmacy. A change
of ownership occurs under a variety of circumstances,
depending on whether the store is owned by a
sole
proprietor, a partnership or a corporation. Please
see regulation 04-02-0007 and 04-02-0008 for
a more detailed description of what constitutes
a
change of ownership and for additional information
on taking inventory.
Hospitals
When a hospital pharmacy changes
ownership, a new permit must be obtained and an
inventory
taken.
The change of ownership fee is $150.00. Complete
a new Application for a Permit to Operate a New
Pharmacy form and submit it to the Board of Pharmacy.
Wholesale Distributors
of Legend Drugs
When a wholesale
distributor changes ownership, a new permit must
be obtained. The change of
ownership fee is $150.00. Complete a new Application
for
a Permit to Operate a New Pharmacy form and
submit it to the Board of Pharmacy. A change
of ownership
occurs under a variety of circumstances, depending
on whether the wholesale distributor is owned
by a sole proprietor, a partnership or a corporation.
Please see regulation 08-00-0003 for a more
detailed
description of what constitutes a change of
ownership.
Wholesale Suppliers
of Medical Equipment, Legend Devices and Medical
Gas (DME)
When a DME changes ownership, a new permit
must be obtained. The change of ownership
fee is $125.00.
Complete a new Application for a Permit to
Operate as a Wholesale Distributor of Legend
Drugs, Medical
Devices and Medical Gas form and submit it
to the Board of Pharmacy.
Wholesale Distributors of List I Chemicals
When a Wholesale Distributor
of List I Chemicals changes ownership, a new
permit
must be obtained.
The change of ownership fee is $150.00.
Complete a new Application for a Permit to
Operate
as a Wholesale Distributor of List I
Chemicals form
and submit it to the Board of Pharmacy.
a theft?
Federal Regulation (Section 301) of the Controlled Substances Act of 1970 (PL91-513) require registrants to submit a report of any loss of controlled substance to the Drug Enforcement Administration.
Arkansas State Board of Pharmacy Regulation 07-04-0006 requires that any holder of a pharmacy permit that suffers a theft or loss of controlled substances shall:
(a) Notify Arkansas Department of Health Division of Pharmacy Services and Drug Control, the nearest Drug Enforcement Administration Diversion Field Office, and the Arkansas State Board of Pharmacy immediately upon discovery by phone or fax, and
(b) Deliver a completed DEA Form-106 to each of the agencies listed in (a) within 7 days of the occurrence of said loss or the discovery of said loss.
*According to 21 CFR part 1301 Sec. 1301.74 (c) The registrant shall notify the Field Division Office of the Administration in his area, in writing, of any theft or significant loss of any controlled substances within one business day of discovery of the theft or loss. This written notice should be faxed to 501-217-6597.
