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Self-Inspection Forms

Self-Inspection Forms & Information 

2024 Self-Inspection Forms are now available! 

Completed self-inspection forms must be retained on-site at the drug outlet and be readily retrievable by a Board Compliance Officer. 

The purpose of the self-inspection is to ensure the pharmacy is in compliance with all state and federal laws and rules governing the practice of pharmacy.   

Pharmacy Drug Outlet Self-Inspection Forms

Self-Inspection Form Feedback

Complete and submit the form below to submit feedback on current self-inspection forms. 

PIC Resources

Email all Self-Inspection inquiries to