1.
Registration
A mail order prescription pharmacy that dispenses
prescription drugs or devices by mail or carrier from a facility not located in
this State for a patient who resides in this State shall provide the following
information on forms supplied by the board, along with such other information
as the board may require. Applications will not be considered for approval
until they are complete. Incomplete applications will be returned to the
applicant.
A. The name, physical
address, contact address, telephone number, email address and world wide web
address of the mail order prescription pharmacy;
B. All trade or business names used by the
mail order prescription pharmacy;
C. Type of ownership or operation (i.e.,
partnership, corporation, or sole proprietorship); and
D. The name(s) of the owner and/or operator
of the mail order prescription pharmacy, including:
(1) If a partnership, the name, contact
address, telephone number and employer identification number of the
partnership, and the name and contact address each partner;
(2) If a corporation, the name, physical
address, contact address, telephone number and employer identification number
of the corporation; the name of the parent company, if any; the name, contact
address and title of each corporate officer and director; the name and contact
address of each shareholder owning 10% or more of the voting stock of the
corporation, including over-the-counter stock, unless the stock is traded on a
major stock exchange and not over-the-counter; a certificate of existence from
the corporation's state of organization and, for corporations not organized
under Maine law, a certificate of authority from the Maine Secretary of State
if such certificate is required by
13-C M.R.S.A.
§1501;
(3) If a sole proprietorship, the name,
contact address and social security number of the sole proprietor and the name
of the business entity.
E. The DEA number;
F. Verification of licensure for all
jurisdictions in which the mail order prescription pharmacy has at any time
been licensed;
G. The name, contact
address, telephone number and email address of the pharmacist in charge of the
mail order prescription pharmacy;
H. A copy of the most recent inspection
report from the state in which the drug outlet is located; and
I. The fee required by Chapter 10 of the
rules of the Department of Professional and Financial Regulation, Office of
Licensing and Registration, entitled "Establishment of License Fees."
2.
Additional
Qualifications
The board will consider the following additional factors
in determining the applicant's eligibility for registration as a mail order
prescription pharmacy:
A. The
applicant's past experience in the dispensation of prescription
drugs;
B. The furnishing by the
applicant of false or fraudulent material in any application made in connection
with the dispensation of prescription drugs;
C. Suspension or revocation by federal, state
or local government of any license currently or previously held by the
applicant for the dispensation of prescription drugs;
D. Compliance with previously granted
licenses of any kind; and
E.
Compliance with the requirements to maintain and/or to make available to the
board or to federal, state or local law enforcement officials those records
required to be maintained by mail order prescription pharmacies.
3.
Separate Applications
for Separate Facilities
The owner must file a separate application for each
facility that dispenses prescription drugs to Maine residents.
4.
Toll-Free Telephone
Access to Pharmacist
The mail order prescription pharmacy shall provide a
toll-free telephone number to enable communication between a Maine patient and
a pharmacist at the drug outlet who has access to the patient's records. The
toll-free telephone number must appear on all prescription labels. Toll-free
telephone access to a pharmacist must be available for a minimum of 40 hours
per week.
