Showing posts with label self. Show all posts
Showing posts with label self. Show all posts

Tuesday, April 26, 2016

Self-Assessment Forms - Current Versions - CA St Board of Rx

Updated September 15, 2026

The original post is outdated. Follow this link to the current Board-approved forms:

- -  the original post follows below  - -

The California Board of Pharmacy announced*:

"Board regulations (Title 16 California Code of Regulations sections 1715 and 1784), require that all licensed pharmacies and wholesalers complete a Self-Assessment by July 1 of every odd-numbered year.

The board recently updated the Self-Assessment forms through a formal rulemaking. The updated forms contain references to statutory and regulatory changes that occurred between 2011 and 2014 (inclusive).

While the rulemaking process was underway, the board accepted from pharmacies, hospital pharmacies and wholesalers completion of either the 2011 version OR the draft 2014 version: both versions have been available for use on the board’s website.

On April 20, 2016, the Office of Administrative Law approved the revised self-assessment forms. These forms can be downloaded at: http://www.pharmacy.ca.gov/licensees/facility/self_assess.shtml  They will all have “(Rev. 10/14)” date on them in in the lower left corner of the pages.

Form 17M-13: “Community Pharmacy Self-Assessment/Hospital Outpatient Pharmacy Self‐Assessment (Rev. 10/14)”
Form 17M-14: “Hospital Pharmacy Self‐Assessment (Rev. 10/14)”
Form 17M-26: Form 17M-26: “Wholesaler Dangerous Drugs & Devices Self-Assessment (Rev. 10/14).”

The board encourages all pharmacies, hospital pharmacies and wholesalers to complete the revised forms if they have not already completed the 2014 assessments. The board will no longer accept the 2011 versions of the self-assessment forms as [compliant]."

* Source:
California State Board of Pharmacy Subscriber Alert - emailed to PHARM-GENERAL@DCALISTS.CA.GOV on April 25, 2016.

Return Home:  The Designated Representative and Exemptee Blog

-----------

California Designated Representative Training Courses (wholesaler, 3PL) - Approved by the California State Board of Pharmacy
California Designated Representative Training Courses (wholesaler, 3PL) - Approved by the California State Board of Pharmacy

- - -


For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Monday, June 8, 2015

CA Board of Pharmacy - Self-Assessment Forms

Updated May 13, 2025:

CA Board of Pharmacy Self-Assessment Forms

Follow the Board's instructions on which versions of the forms posted on the Board's website that should be used:

CA Board of Pharmacy - Self-Assessment Forms


---  The original post below is outdated --- 

Go to the links for all forms: Board of Pharmacy - Applications and Forms - California Board of Pharmacy:

"Self-Assessment Forms

Board regulations require that all licensed pharmacies and wholesalers complete a Self-Assessment by July 1 of every odd-numbered year.

The board is in the process of updating the Self-Assessment forms through a formal rulemaking.  The updates include references to statutory and regulatory changes that occurred between 2011 and 2015.  The last time the forms were formally updated and approved by the Office of Administrative Law was 2011.

Current regulation requires a pharmacy or wholesaler to complete the 2011 version of the Self-Assessment form.  Please be advised, however, the board will accept completion of either the 2011 version OR the 2014 version.  The latter version is likely to be a more helpful assessment to the pharmacy or wholesaler completing it."

'via Blog this'

Return Home:  The Designated Representative and Exemptee Blog

-----------------

California Designated Representative Training Courses (wholesaler, 3PL) - Approved by the California State Board of Pharmacy
California Designated Representative Training Courses (wholesaler, 3PL) - Approved by the California State Board of Pharmacy



For Designated Representative license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training affidavit):
     Florida:

For HMDR Exemptee license applicants  -  Training programs, courses, classes, seminars:

     California (earn a training completion certificate):

Custom Search

From SkillsPlus International Inc.