Get Request For Exemption From Reporting - Minnesota Pdmp

Completing the Request For Exemption From Reporting for the Minnesota Prescription Monitoring Program is a crucial step for pharmacies and facilities looking to obtain reporting exemptions. This guide provides a clear, step-by-step approach to accurately filling out the form online.

Follow the steps to successfully complete your exemption request.

1. Press the ‘Get Form’ button to access the Request For Exemption From Reporting form and open it in your preferred editor.
2. Begin by indicating your request for an exemption by checking the appropriate categories. You may choose more than one of the following options based on the patients your pharmacy or facility serves: individuals in skilled nursing facilities, those receiving assisted living services, individuals on intravenous medication, those under hospice care, or those receiving services from a regulated home care provider.
3. Alternatively, if your pharmacy or facility never dispenses controlled substance prescriptions, check the corresponding statement indicating this.
4. Use the comments section to provide any additional information or context regarding your exemption request. Be concise but informative.
5. Complete the certification statement by confirming that if your pharmacy or facility starts dispensing prescription drugs requiring reporting, you will notify the Minnesota Board of Pharmacy promptly.
6. Finally, fill in your signature, title, printed name, email address, pharmacy or facility name, pharmacy license number, city, state, zip code, DEA number, and telephone number as required.
7. After completing all sections, review your information for accuracy and completeness. You can then save changes, download the completed form, print it for your records, or share it accordingly.

Start completing your Request For Exemption From Reporting online today to ensure compliance and proper documentation.