Updated March 14, 2021
Use the latest version of the forms posted on the Board's website:
CA Board of Pharmacy - Self-Assessment Forms
--- original post follows below ---The Board just sent out an email announcement informing California hospital pharmacies, hospital outpatient pharmacies, community pharmacies, compounding pharmacies, and wholesalers that they should now complete their self-assessments. The Board expects that all self-assessments be completed in the next 30 days.
CA Board of Pharmacy - Applications and Forms:
" *Earlier this year, the board submitted to the Office of Administrative Law revised self-assessment forms that incorporated statutory and regulatory updates since 2011. This rulemaking was withdrawn from OAL, and a formal rulemaking will be initiated later this year. However, the revised (2013) forms MAY be used by a pharmacist or designated representative in charge if desired.
Current regulations require that the version(s) last approved by OAL be completed; however, the board will accept completion of either the OAL-approved versions OR the versions that were revised in 2013 (which will be the subject of a future formal rulemaking)."
Follow this link to find and download the Self-Assessment Forms
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California (earn a training affidavit):- CA Designated Representative Wholesaler Training - Available around-the-clock 24 x 7
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- The Designated Representative Institute