S.D. Admin. R. 20:67:02:02

Current through Register Vol. 51, page 67, December 16, 2024

Section 20:67:02:02 - Required application information

Applicants must complete the following information as part of the application form:

(1) The name, full business address, and telephone number of the applicant;

(2) All trade or business names used by the applicant;

(3) Address, telephone numbers, and the name of a contact person for the facility used by the applicant for the storage, handling, and distribution of prescription drugs;

(4) The type of ownership or operation, that is, partnership, corporation, or sole proprietorship;

(5) The name of the owner or operator, or both, of the applicant, including:

(a) If a person, the name of the person;

(b) If a partnership, the name of each partner and the name of the partnership;

(c) If a corporation, the name and title of each corporate officer and director, the corporate names, the name of the state of incorporation, and the name of any parent company;

(d) If a sole proprietorship, the full name of the sole proprietor and the name of the business entity;

(6) Statements pertaining to factors that may determine eligibility for licensure, including if, in the last seven years any of the following have occurred:

(a) Any convictions of the applicant under any federal, state, or local laws relating to drug samples, wholesale or retail drug distribution, or distribution of controlled substances;

(b) Any felony convictions of the applicant under federal, state, or local laws;

(c) Any past experience of the applicant in the manufacture or distribution of prescription drugs, including controlled substances; or

(d) Suspension or revocation by federal, state, or local government of any license currently or previously held by the applicant for the manufacture or distribution of any drugs, including controlled substances

(7) A statement certifying that the applicant will operate in a manner prescribed by federal and state law and rules adopted by the board;

(8) The type of distribution;

(9) The type of products distributed; and

(10) The type of entity to which the products are distributed.

S.D. Admin. R. 20:67:02:02

18 SDR 95, effective 11/25/1991; 45 SDR 086, effective 12/24/2018

General Authority: SDCL 36-11A-14(1),(3).

Law Implemented: SDCL 36-11A-7, 36-11A-8, 36-11A-28, 36-11A-35.