HAR §16-95-21. Forms, documentation, and notification

(a) An application for license or permit shall be made under oath on forms provided by the board and shall not be considered complete unless accompanied with the required documentation and fees. It shall be each applicant's responsibility to furnish all information and any documentation requested by the board. (b) The application form may require the applicant and any personnel of the applicant to provide the following: (1) The applicant's full name; (2) A statement that the applicant has attained the age of majority; (3) The applicant's current business or mailing address for publication, and the applicant's current residence address; (4) The applicant's social security number; (5) The applicant's educational history and evidence of the education; (6) The date and place of any conviction of a crime directly related to the practice of pharmacy, drugs, drug samples, wholesale or retail drug distribution, or distribution of controlled substances, unless the conviction has been expunged or annulled or is otherwise precluded from consideration by section 831-3.1, HRS; (7) The state or states or United States territory in which the applicant is currently licensed, and any information regarding any disciplinary proceedings pending or disciplinary actions taken by any state or jurisdiction against the license; (8) A statement that the applicant is a United States citizen or an alien authorized to work in the United States; (9) The names, addresses, phone numbers, and social security numbers of corporate officers or partners or other personnel of the applicant; (10) Verification that the corporation, partnership, or entity is properly registered with BREG; (11) Verification that the trade name, if any, is properly registered with BREG; (12) The name and license number of the pharmacist in charge of the prescription area and the name or names and license number or numbers of any other pharmacists employed; (13) The name, position, and title of any person responsible for the distribution of drugs; and §16-95-22 95-11 (14) Any other information the board may require to investigate the applicant's qualifications for license or permit. (c) Any requirement that the board provide notice to licensees or permittees shall be deemed met if notice is sent to the address on file with the board. (d) Any change in the application or of any information filed with the board shall be reported to the board, in writing, within ten days of the change. (e) Upon closure of a pharmacy located in this State, the pharmacy shall: (1) Provide written notice to the board within ten days; and (2) Return all indicia of licensure. [Eff 5/16/64; am and ren §16-95- 21, 6/22/81; am and comp 12/24/92; comp 12/25/04; am and comp 06/22/15; am and comp 8/15/16] (Auth: HRS §461-4.5) (Imp: HRS §§461-4.5, 461-5, 461-6, 461-7, 461-8.6, 461-14, 461- 15) Historical note: The substance of this section is based in part upon sections 16-95-13 and 16-95-35. [Eff 5/12/64; am and ren §§16-95-13, 16-95-35, 6/22/81; R 12/24/92] §16-95-22 Application and requirements for pharmacist license by examination. (a) An application for license by examination shall be accompanied by the required application fee, which shall not be refunded, and the examination fee. An examination fee may be refunded provided a written request for refund is made prior to the application deadline. (b) An applicant shall: (1) Have attained the age of majority; and (2) Hold a degree from a school or college of pharmacy which has received candidate status with or has been accredited by the ACPE; (c) For issuance of the license, the applicant shall provide evidence of: (1) At least fifteen hundred hours of practical experience; and (2) Passage of either the NABPLEX or the NAPLEX, and the Hawaii Multistate Pharmacy Jurisprudence Examination (MPJE). The MPJE requires a passing score of at least seventy-five points. (d) An applicant who is a participant in the National Association of Boards of Pharmacy's (NABP) score transfer program shall be responsible for having the score report sent to the board. §16-95-22 95-12 (e) A foreign graduate, in addition to the requirements in subsections (a) to (d) and in lieu of the candidacy or accreditation requirements by the ACPE in subsection (b)(2), shall provide verification of passing the following: (1) The Foreign Pharmacy Graduate Equivalency Examination (FPGEE); and (2) The Test of English as a Foreign Language (TOEFL); [Eff 5/16/64; am 3/16/80; am and ren §16-95-22, 6/22/81; am and comp 12/24/92; comp 12/25/04: am and comp 06/22/15; am and comp 8/15/16] (Auth: HRS §461-4.5) (Imp: HRS §§461-5, 461-6) §16-95-22.5 Application and requirements for pharmacist license by reciprocity. (a) An application for license by reciprocity shall be filed on forms provided by the board. The applicant shall submit: (1) Evidence of current and valid licensure to practice pharmacy in another state or jurisdiction with qualifications which equal or exceed those of this State; (2) Information regarding any disciplinary action taken or any complaints or investigations pending against the applicant; (3) Evidence of having practiced for at least fifteen hundred hours as a licensed pharmacist within the five years preceding the date of application; and (4) A completed official NABP licensure transfer application within ninety days from the date of issuance by the NABP, unless extended by the NABP. (b) The board shall not issue a license by reciprocity unless the other state or jurisdiction grants reciprocal licensure to this state's licensees. (c) The board may deny licensure by reciprocity if the applicant fails to fulfill the requirements herein or has had any disciplinary action taken or if any complaints are pending. [Eff and comp 12/24/92; comp 12/25/04; am and comp 06/22/15; comp 8/15/16] (Auth: HRS §461-4.5) (Imp: HRS §461-8.5)