REGULATIONS
Vol. 27 Iss. 25 - August 15, 2011

TITLE 18. PROFESSIONAL AND OCCUPATIONAL LICENSING
BOARD OF PHARMACY
Chapter 20
Forms

Titles of Regulations: 18VAC110-20. Regulations Governing the Practice of Pharmacy.

18VAC110-50. Regulations Governing Wholesale Distributors, Manufacturers, and Warehousers.

Agency Contact: Elaine J. Yeatts, Agency Regulatory Coordinator, Department of Health Professions, 9960 Mayland Drive, Suite 300, Richmond, VA 23233, telephone (804) 367-4688, FAX (804) 524-4434, or email elaine.yeatts@dhp.virginia.gov.

NOTICE: The following forms used in administering the regulations were filed by the agency. The forms are not being published; however, online users of this issue of the Virginia Register of Regulations may click on the name to access a form. The forms are also available through the agency contact or at the Office of the Registrar of Regulations, General Assembly Building, 2nd Floor, Richmond, Virginia 23219.

FORMS (18VAC110-20)

Application for Registration as a Pharmacy Intern (rev. 8/07).

Affidavit of Practical Experience, Pharmacy Intern (rev. 8/07).

Application for Licensure as a Pharmacist by Examination (rev. 11/09).

Application to Reinstate or Reactivate a Pharmacist License (rev. 3/10).

Instructions for Reinstating or Reactivating a Pharmacist License (rev. 3/11).

Application for Approval of a Continuing Education Program (rev. 8/07).

Application for Approval of ACPE Pharmacy School Course(s) for Continuing Education Credit (rev. 6/09).

Application for License to Dispense Drugs (rev. 8/07).

Application for a Pharmacy Permit (rev. 6/10).

Application for a Nonresident Pharmacy Registration (rev. 7/08).

Application for a Permit as a Medical Equipment Supplier (rev. 3/09).

Application for a Controlled Substances Registration Certificate (rev. 4/09).

Application for Registration as a Pharmacy Intern for Graduates of a Foreign College of Pharmacy (rev. 8/07).

Closing of a Pharmacy (rev. 8/07).

Application for Approval of a Robotic Pharmacy System (rev. 8/07).

Application for Approval of an Innovative (Pilot) Program (rev. 8/07).

Pharmacy Technician Registration Instructions and Application (rev. 3/09).

Application to Reinstate a Pharmacy Technician Registration (rev. 3/10).

Instructions for Reinstating a Pharmacy Technician Registration (rev. 3/11).

Application for Approval of a Pharmacy Technician Training Program (rev. 8/07).

Application for Registration for Volunteer Practice (rev. 8/07).

Sponsor Certification for Volunteer Registration (rev. 8/08).

Application for Reinstatement of Registration as a Pharmacy Intern (eff. 9/07).

Affidavit for Limited-Use Pharmacy Technician (rev. 8/07).

Limited-Use Pharmacy Technician Registration Instructions and Application (rev. 7/08).

Registration for a Pharmacy to be a Collection Site for Donated Drugs (eff. 4/09).

FORMS (18VAC110-50)

Application for a Permit as a Restricted Manufacturer (rev. 3/09).

Application for a Permit as a Nonrestricted Manufacturer (rev. 3/09).

Application for a Permit as a Warehouser (rev. 3/09).

Application for a License as a Wholesale Distributor (rev. 3/09).

Application for a Nonresident Wholesale Distributor Registration (rev. 9/08).

Application for a License as a Wholesale Distributor -- Limited Use for Distribution of Medical Gases Only (rev. 3/09).

Application for a License as a Wholesale Distributor - Limited Use for Distribution of Medical Gases Only (rev. 3/10).

VA.R. Doc. No. R11-2946; Filed July 27, 2011, 1:48 p.m.