Get Ok Repackager License Application 2022-2025

This guide is designed to assist users in completing the OK Repackager License Application online. By following these steps, users can ensure that they provide accurate information and meet all necessary requirements.

Follow the steps to successfully complete the application.

1. Press the ‘Get Form’ button to access the application and open it in your preferred editor.
2. In section A, provide the facility name, any doing business as (DBA) name, and the complete physical address including city, state, ZIP code, and country.
3. Indicate the types of prescription items that will be sold or shipped to Oklahoma by checking the appropriate boxes.
4. Complete section B with the contact information of the person responsible for the application, including their email and phone number. Also, fill out details of the designated facility manager.
5. In section C, select the type of ownership from the options provided and attach the necessary ownership forms.
6. Answer the questions in section D through H honestly, ensuring to include any necessary attachments, such as copies of FDA registration and relevant licenses.
7. Review the disciplinary history questions in section I and provide any required explanations on a separate addendum if any 'Yes' answers are provided.
8. Finalize the form by ensuring that all information is correct, and the signature is notarized, as required. Make sure to include all necessary attachments.
9. Upon completing the application, you can save changes, download, print, or share the form as needed.

Complete your OK Repackager License Application online today!