1. (a) A wholesale distributor applicant must submit a satisfactorily completed Board-approved application together with the required fee.

   1. (1) New applicants shall provide at least, the following:

      1. (A) Applicant's full name, all trade or business names used, full business address and telephone number;
      2. (B) Type of ownership, e.g. individual, partnership or corporation;

      3. (C) Name(s) of the owner(s) of the applicant including:

         1. (i) if a person; the name, address, social security number and date of birth;
         2. (ii) if other than a person; the name, address, and social security number and date of birth of each partner, limited liability company member, or corporate officer and corporate director, and the federal employer identification number;
         3. (iii) if a corporation, the State of incorporation; and,
         4. (iv) if a publicly traded corporation, the information in ((a)(1)(C)(ii) is not required for corporate officers and corporate directors.
      4. (D) Names of designated representatives and facility managers of the applicant, their Social Security numbers and date of birth;
      5. (E)

Evidence of criminal background checks and fingerprinting of the applicant, if a person, and all of applicant's designated facility managers;

1. (F) Proof of licensure by the state where the applicant is located (home state) and, if applicable, by the U.S. Secretary of Health and Human Services, Food and Drug Administration;
2. (G) Submission of a surety bond meeting the requirements of the Drug Supply Chain Security Act of 2013, et seq. and the rules promulgated thereunder; and,
3. (H) Upon the Board's written request, a list of all manufacturers, wholesale distributors and dispensers for whom the wholesale distributor provides services at such facility.
4. (2) Renewal applicants shall provide those items listed above.
5. (3) Any other information the Board deems necessary to protect the public health and safety.
6. (b) The Board may use an outside agency, such as the National Association of Boards of Pharmacy (NABP) program, at its discretion, to inspect wholesale distributors.

Amended at 9 Ok Reg 2145, eff 6-11-92

Amended at 18 Ok Reg 2749, eff 7-1-01

Amended at 24 Ok Reg 2906, eff 8-1-07 (emergency)

Amended at 25 Ok Reg 1976, eff 7-1-08

Amended at 32 Ok Reg 1233, eff 8-27-15