247 CMR 20.03
General Reporting Requirements
(1) Each licensee shall maintain his or her personal demographic information, including mailing
address, phone number, and email address, in the licensee's Massachusetts Department of Public
Health on-line licensing profile. A licensee shall update the on-line licensing profile within 14
calendar days of a change of mailing address, phone number, or email address.
(2) In the event of a change in name, a licensee shall submit a sworn statement indicating that
the licensee has changed his or her name along with a photocopy of a valid picture identification
card and any other documentation that may be required by the Board within 14 calendar days.
(3) Every individual licensed by the Board shall report to the Board, within 14 calendar days,
any arrest, pending criminal charge, or conviction.
(4) Each pharmacy and individual licensed by the Board shall report to the Board, within 14
calendar days, any disciplinary action, as defined in 247 CMR 2.00: Definitions, or loss of
certification.
(Mass. Register #1536, 12/6/2024)
(5) Each pharmacy licensed by the Board shall report to the Board, within 14 calendar days, any
adverse change in accreditation status.
(6) Each pharmacy licensed by the Board shall provide the Board with a copy of each inspection
report, investigation report, or FDA warning letter, received from a local, state, or federal agency
that pertains to the pharmacy or the practice of pharmacy within 14 calendar days of receipt.
(7) A Drug Store pharmacy, sterile compounding pharmacy, complex non-sterile compounding
pharmacy, and nuclear pharmacy located in Massachusetts shall report a theft or loss of a
significant amount of controlled substances by submitting to the Board a copy of "Report of
Theft or Loss of Controlled Substance" and DEA Form 106 within seven days of such theft or
significant loss and, where applicable, shall comply with the reporting requirements of the DEA,
the Department and the state and local police.
(1) Every pharmacy licensed by the Board that dispenses controlled substances in Schedules
II thorough V pursuant to a prescription shall, in accordance with standards established by the
Department, transmit to the Department or its agent, required information for each prescription,
in accordance with Prescription Monitoring Program reporting requirements (105 CMR
700.012).
(2) Failure to comply with the Prescription Monitoring Program reporting requirements set
forth in 105 CMR 700.012 or any state law or regulation relating to such reporting requirements
may result in formal disciplinary action being initiated against the licensed pharmacist or the
pharmacy by the Board or other state and federal law enforcement agencies.
(1) A pharmacy located in Massachusetts shall notify the Board within 14 calendar days of the
resignation, termination, or change of its Manager of Record. An application for change of
Manager of Record shall satisfy this requirement.
(2) A non-resident pharmacy shall notify the Board within 14 calendar days of the resignation,
termination, or change of its Massachusetts licensed designated pharmacist in charge. An
application for change of Massachusetts licensed designated pharmacist in charge shall satisfy
this requirement.
(3) A Manager of Record shall notify the Board of his or her resignation or termination as
Manager of Record within 14 calendar days.
Each sterile compounding pharmacy, complex non-sterile compounding pharmacy,
institutional sterile compounding pharmacy, non-resident sterile compounding pharmacy, and
non-resident complex non-sterile compounding pharmacy shall report to the Board annually, or
upon request by the Board, the following information:
(a) a list of sterile and complex non-sterile prescriptions dispensed within and outside of the
commonwealth, as well as the volume of these prescriptions;
(b) the states in which the sterile and complex non-sterile prescriptions were dispensed and
the status of any non-resident licenses issued by other states;
non-resident sterile compounding pharmacyshall report, within seven days of identification, any
defective compounded sterile preparation dispensed into or from Massachusetts.
(3) Each complex non-sterile compounding pharmacy and non-resident complex non-sterile
compounding pharmacy shall report, within seven days of identification, any defective complex
non-sterile compounded preparation dispensed into or from Massachusetts.
non-resident sterile compounding pharmacy shall report above action level environmental
monitoring results.
non-resident sterile compounding pharmacy shall report failure of certification of primary or
secondary engineering control.
A Manager of Record of a sterile compounding pharmacy, complex non-sterile
compounding pharmacy, or institutional sterile compounding pharmacy shall:
(a) disclose to the board the location, name and title of all principal managers and the name
and Massachusetts license number of the designated Manager of Record;
(b) certify the sterile compounding pharmacy's compliance with reasonable informational
requests made by the Board;
(c) certify to the Board that the Manager of Record has fulfilled continuing education
requirements for sterile compounding and ensured that all pharmacy staff has received the
appropriate training and education required by law and regulation before engaging in
compounding;
(d) submit to the Board the names and titles of all individuals employed by the sterile
compounding pharmacy, complex non-sterile compounding pharmacy, or institutional sterile
compounding pharmacy; and
(e) annually, and within 30 days after any transfer of ownership or change in corporate
officers, management personnel or Manager of Record, file a report containing the
information disclosed under 247 CMR 20.06(6)(a).
(1) A non-resident pharmacy, non-resident sterile compounding pharmacy, and non-resident
complex non-sterile compounding pharmacyshall complywith all provisions of 247 CMR 20.00
unless otherwise provided.
(2) The designated pharmacist in charge of a non-resident pharmacy shall submit the following
to the Board:
(a) the location, name, and title of all principal managers and the name and Massachusetts
license number of the designated pharmacist in charge;
(b) a letter or documentation from the in-state Board of Registration in Pharmacy certifying
that the pharmacist in charge is in good standing with the in-state board of registration:
(c)
documentation demonstrating the non-resident pharmacy maintains a current,
unrestricted license, permit, or registration to operate the pharmacy; and
(d) a list of all prescriptions dispensed in Massachusetts.
A non-resident pharmacy shall submit this information on an annual basis and within 30 days
after any transfer of ownership or change in corporate officers, management personnel or
Manager of Record.
A non-resident pharmacy shall report to the Board any improper dispensing, into
Massachusetts, of a prescription drug that results in serious injury or death within seven business
days of discovery of the improper dispensing.