(i) Submit an
application on a form furnished by the Board and provide information that
includes:
(A) Fingerprint cards and fee for a
criminal background check;
(B) Date
and place of birth;
(C)
Occupations, positions of employment, and offices held during the past seven
(7) years;
(D) Principal business
and address of any business corporation, or other organization in which each
such office of the person was held or in which each such occupation or position
of employment was carried on;
(E)
Whether the person, during the past seven (7) years, has been enjoined, either
temporarily or permanently, by a court of competent jurisdiction for violating
any federal or state law regulating the possession, control or wholesale
distribution of prescription drugs, together with details of such
events;
(F) A description of any
involvement by the person with any business, including any investments, other
than the ownership of stock in a publicly traded company or mutual fund, during
the past seven (7) years, which manufactured, administered, prescribed,
wholesale distributed, or stored prescription drugs in which such businesses
were named as a party in a lawsuit;
(G) A description of any felony criminal
offense, or any offense (misdemeanor or felony) involving moral turpitude, or
any offense related to the qualifications, functions or duties of that person
in connection with the operation of the entity, of which the person, as an
adult, was found guilty, regardless of whether adjudication of guilty was
withheld or whether the person pled guilty or nolo contendere. If the person
indicates that a criminal conviction is under appeal and submits a copy of the
notice of appeal of the criminal offense, the applicant must, within thirty
(30) days after the disposition of the appeal, submit a copy of the final
written order of disposition to the Board; and
(H) A passport type and size of photograph of
the person taken within the previous year.
(ii) Have a minimum of two (2) years of
verifiable full-time managerial or supervisory experience in a pharmacy or
entity or another state where the person's responsibilities included but were
not limited to recordkeeping, storage, and shipment of prescription
drugs;
(iii) Serve as the
designated representative for only one location at any one time, except where
more than one licensed entity is co-located in the facility and such entities
are members of an affiliated group, as defined in Section 1504 of the Internal
Revenue Code;
(iv) Be actively
involved in and aware of the actual daily operations of the entity as follows:
(A) Be employed full-time in a managerial
position by the entity;
(B) Be
physically present at the location during normal business hours, except for
time periods when absent due to illness, family illness or death, scheduled
vacation, or other authorized absence; and
(C) Be aware of, and knowledgeable about, all
policies and procedures pertaining to the operations of the entity.