Pharmacist Form 5 Application for Limited (Intern) Permit - New York

Pharmacist Form 5 Application for Limited (Intern) Permit - New York

What Is Pharmacist Form 5?

This is a legal form that was released by the New York State Education Department - a government authority operating within New York. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is a Limited (Intern) Permit?A: A Limited (Intern) Permit allows pharmacy graduates to practice under the supervision of a licensed pharmacist.

Q: Who is eligible to apply for a Limited (Intern) Permit in New York?A: Pharmacy graduates who have completed a pharmacy program accredited by the Accreditation Council for Pharmacy Education (ACPE) are eligible to apply.

Q: Is there an application fee for the Limited (Intern) Permit?A: Yes, there is a non-refundable application fee of $70.

Q: What documents and information are required for the application?A: You will need to provide information about your pharmacy education, including transcripts and proof of graduation. You will also need to provide your social security number and pay the application fee.

Q: What are the supervisory requirements for Limited (Intern) Permit holders?A: Limited (Intern) Permit holders must practice under the supervision of a licensed pharmacist who is physically present in the pharmacy.

Q: How long is a Limited (Intern) Permit valid?A: A Limited (Intern) Permit is valid for a maximum of 2 years, or until the applicant becomes licensed as a pharmacist, whichever comes first.

Q: Can a Limited (Intern) Permit be renewed?A: Yes, a Limited (Intern) Permit can be renewed for an additional 2 years if the applicant is still eligible for licensure as a pharmacist.

Q: What are the restrictions on practice with a Limited (Intern) Permit?A: Limited (Intern) Permit holders are only authorized to practice pharmacy under the direct supervision of a licensed pharmacist. They cannot be designated as the responsible pharmacist on duty.

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Form Details:

  • Released on January 1, 2019;
  • The latest edition provided by the New York State Education Department;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Pharmacist Form 5 by clicking the link below{class="scroll_to"} or browse more documents and templates provided by the New York State Education Department.

Download Pharmacist Form 5 Application for Limited (Intern) Permit - New York

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