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OHIO STATE BOARD OF PHARMACY Tel 614-466-4143 Fax 614-752-4836 77 S. HIGH ST. ROOM 1702 Email licensing bop.ohio. gov COLUMBUS OHIO 43215-6126 Web www. pharmacy. ohio. gov CHANGE OF ADDRESS NOTICE FORM 0413 Complete the form then hand sign and date. Gov COLUMBUS OHIO 43215-6126 Web www. pharmacy. ohio. gov CHANGE OF ADDRESS NOTICE FORM 0413 Complete the form then hand sign and date. Make a copy for your file. TYPE OR PRINT LEGIBLY Mail or fax the original to the Board office. I HEREBY GIVE NOTICE AS REQUIRED BY OAC RULE 4729-5-06 THAT EFFECTIVE MY ADDRESS HAS CHANGED AS FOLLOWS Former Address List Address Currently On File With The Board New Address Residential Street Address must be completed may not use P. O. Box Area Code / Phone Unlisted Mailing Address If different from above i.e. P. O. Box may be used here City State Zip Code County E-mail Address Do NOT return this form by e-mail Name and Identification Full Name Ohio License ID I HEREBY REQUEST ALL STATE BOARD OF PHARMACY RECOR....

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Senate Bill (SB) 319, which passed in 2016, limited the number of opioids that a pharmacist may dispense to an individual on an outpatient basis. SB 319 prohibits dispensing or selling more than a 90- day supply of the drug, regardless of whether the prescription was issued for a greater quantity.

Be dated as of and on the day when issued. Indicate the full name and residential address of the patient. The patient's residential address shall include the patient's physical street address. Indicate the drug name and strength.

OARRS is designed to monitor this information for suspected abuse or diversion (i.e., channeling drugs into illegal use), and can give a prescriber or pharmacist critical information regarding a patient's controlled substance prescription history.

Ohio Law: Before initially prescribing or personally furnishing an opioid analgesic or a benzodiazepine to a patient, the prescriber must request patient information from OARRS that covers at least the previous 12 months.

(1) A physician shall obtain and review an OARRS report before prescribing or personally furnishing an opiate analgesic or benzodiazepine to a patient, unless an exception listed in paragraph (G) of this rule is applicable.

Pharmacists shall use professional judgment when making a determination about the legitimacy of a prescription. A pharmacist shall not dispense a prescription of doubtful, questionable, or suspicious origin [OAC 4729-5-5-08 (G), 4729:5-5-10 (A), & 4729:5-5-15 (A)].

Information and data are provided for the Ohio Prescription Drug Monitoring Program (PDMP), which is named the Ohio Automated Rx Reporting System (OARRS).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232