0204General list of forms regarding the OPRFPharmacy_OPRF_Forms662270Template used to submit product list for outsourcing facilities503b outsourcing facility product listeng<span style="font-family: Calibri; font-size: 12pt;" xmlns="http://www.w3.org/1999/xhtml">Use this template to submit your product information. This allows the Board to accurately calculate units.</span>0503B Product List TemplateLink to the document template for outsourcing facilities to submit their product list/boards/assets/IMG_503Bexcel_tcm21-662291.pngOutsourcing Facility Product List<custom:Link urlOnly="true" type="Component" destination="tcm:21-662311" templateURI="tcm:0-0-0" origin="tcm:0-0-0" />21662311/boards/assets/Registered%20FDA%20Outsourcing%20Facility%20Opiate%20List_Template%20-%202.10.2022_tcm21-553277.xlsx2024-12-23T22:03:02ZGeneral list of forms regarding the OPRFPharmacy_OPRF_Forms662270eng<span style="font-family: Calibri; font-size: 12pt;" xmlns="http://www.w3.org/1999/xhtml">Utilize this form if you are a virtual manufacturer or wholesaler who does not possess a DEA number and did not own any qualifying opiate products distributed within or into MN.</span>0Virtual MFG/WH Zero ReportLink to the form to submit a zero report for virtual manufacturers and wholesalers/boards/assets/IMG_ZeroReport_tcm21-662286.pngZero Report<custom:Link urlOnly="true" type="Component" destination="tcm:21-662306" templateURI="tcm:0-0-0" origin="tcm:0-0-0" />21662306https://surveys.mn.gov/s/n3z0ab2024-12-23T22:01:43ZGeneral list of forms regarding the OPRFPharmacy_OPRF_Forms662270Form for requesting an exemption to the MN Opiate Product Registration Fee ProgramExemption from Reporting Request Formeng<p style="margin-bottom: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; color: rgb(0, 0, 0); font-family: Calibri; font-size: 14.6667px;" xmlns="http://www.w3.org/1999/xhtml"><span style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 12pt;">Utilize this form if you would like to request that your MN manufacturer or wholesaler license be exempted from the reporting requirement. </span><span style="font-size: 12pt;">You do not need to reapply annually, exemptions do not expire, however, they do become void if the eligibility criteria are no longer met.</span></p>
<p style="margin-bottom: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; color: rgb(0, 0, 0); font-family: Calibri; font-size: 14.6667px;" xmlns="http://www.w3.org/1999/xhtml"><span style="margin: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; font-size: 11pt;">Please note: those possessing a DEA number or categorized as a virtual entity do NOT qualify.</span></p>0Exemption from Reporting Request FormLink to exemption request form/boards/assets/IMG_ExemptionRequest_tcm21-662200.pngExemption Request Form<custom:Link urlOnly="true" type="Component" destination="tcm:21-662302" templateURI="tcm:0-0-0" origin="tcm:0-0-0" />21662302https://surveys.mn.gov/s/363abu2024-12-23T22:01:40ZGeneral list of forms regarding the OPRFPharmacy_OPRF_Forms662270Third-party logistics providerseng<p style="margin-bottom: 0px; padding: 0px; user-select: text; -webkit-user-drag: none; -webkit-tap-highlight-color: transparent; color: rgb(0, 0, 0); font-family: Calibri;" xmlns="http://www.w3.org/1999/xhtml"><span style="font-size: 16px;">Third-Party Logistics (3PL) Providers utilize this form to report to the board those virtual manufacturer and wholesalers for which they have reported distributions on behalf of.</span></p>0Third-Party Logistics Reporting FormLink to 3PL Reporting Form/boards/assets/IMG_3PLReporting_tcm21-662201.pngThird-Party Logistics Reporting Form<custom:Link urlOnly="true" type="Component" destination="tcm:21-662301" templateURI="tcm:0-0-0" origin="tcm:0-0-0" />21662301https://surveys.mn.gov/s/uge0wy2024-12-23T22:01:41Z