10 GCA § 12621: Qualifications for Registration to Practice Telepharmacy Across Guam/State Lines.

(a) An applicant applying for registration to engage in the practice of telepharmacy Across Guam/State Lines shall:

(1) present to the Board proof of licensure in another jurisdiction and proof that such license is in good standing;

(2) submit a written application in the form prescribed by the Board of Pharmacy;

(3) pay the fee(s) specified by the Board of Pharmacy for issuance of the license; and

(4) comply with all other requirements of the Board of Pharmacy.

(b) Application.

(1) The written application required under § 12617(a)(1) of this Act shall request of the applicant, at a minimum, the following information:

(A) name, address and current pharmacist licensure information in all other jurisdictions, including jurisdiction(s) of licensure and license number(s);

(B) name, address, phone number, and, if applicable, jurisdiction of licensure and license number of the site where the practice of telepharmacy will originate;

(C) a statement of the scope of patient services that will be provided;

(D) a description of the protocol or framework by which patient care will be provided, including any collaborative practice arrangements with other health care practitioners; and

(E) a statement attesting that the applicant will abide by the pharmacy laws and regulations of the jurisdiction in which the patient is located.