Home
Forms Library
Prescription Vendor Registration App - dpr delaware

Prescription Vendor Registration App - dpr delaware 2025

Prescription Vendor Registration App - dpr delaware Preview on Page 1

See details

4 out of 5

33 votes

The document provides an instruction sheet for businesses seeking to register as vendors of tamper-resistant prescription forms in Delaware. It outlines the registration process, security requirements, and compliance obligations necessary to reduce prescription fraud. Key points include the need for a Vendor ID, verification of authorized purchasers, designated vendor representatives, and adherence to specific security measures. The application requires detailed information about the business, ownership, and security protocols, along with a processing fee and proof of liability insurance.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Prescription Vendor Registration App - dpr delaware with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the Prescription Vendor Registration App in the editor.
Begin by selecting the type of business you operate. Check either 'Distributor/printer' or 'Wholesale vendor' as applicable.
Fill in your Business Name and Mailing Address accurately, ensuring all fields are completed for effective communication.
Provide your Employer Identification Number (EIN) and confirm whether your business has a current Delaware business license and comprehensive liability insurance.
Designate at least two vendor representatives by completing their information, including names, contact details, and signatures to affirm their understanding of security responsibilities.
Detail your security measures for handling prescription forms, including storage and destruction protocols, ensuring compliance with state regulations.
Review all sections thoroughly before submitting the application. Ensure it is signed, notarized, and accompanied by the required processing fee.

Start filling out your Prescription Vendor Registration App today for free using our platform!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How do I sign my Prescription Vendor Registration App - dpr delaware online?

Sign in to your DocHub account and add your Prescription Vendor Registration App - dpr delaware to our editor using one of its upload options - from your device, cloud storage, protected URL, or your DocHub folders if you have already processed your form before. Open our editor, click the Sign button in the top toolbar, and decide on your signing method. You can upload a picture of your handwritten signature, draw it, enter your name, or utilize a QR code as an alternative.

What internet browser do I need to edit Prescription Vendor Registration App - dpr delaware online?

If you need to edit your Prescription Vendor Registration App - dpr delaware online quickly, it does not matter what browser you use. DocHub’s simple editing instruments are available using any internet browser. Simply open the appropriate tab in the editor, add your document, and fill it out without stress.

How to become an approved vendor for the state of Delaware?

Requirements A copy of a valid State of Delaware business license issued by the Division of Revenue. A Registration of Vendor Representative form if you are a Printers or Distributors. Proof of current comprehensive general liability insurance. Vendor Registration - Division of Professional Regulation Delaware.gov boards prescriptions ve Delaware.gov boards prescriptions ve

Who regulates pharmacies in Delaware?

Board of Pharmacy Board of Pharmacy - Division of Professional Regulation - State of Delaware. Board of Pharmacy - Division of Professional Regulation - State of delaware.gov boards pharmacy delaware.gov boards pharmacy

How do I contact Delaware business license?

For more information on business licenses, please contact the Delaware Division of Revenues Business Master File at (302) 577-8778. Our customer service representatives will provide you with detailed information and answers to your specific tax questions.

What is Delpros?

New Licensure System - DELPROS - Division of Professional Regulation - State of Delaware. New Licensure System - DELPROS - Division of Professional Regulation delaware.gov delpros-2 delaware.gov delpros-2

What is the Delaware supplier ID number?

Supplier ID: You can find this number on the upper left corner of your last check (not payroll) or ACH remittance payment from the State of Delaware it is the 10 digit number starting with several zeros.

Does Delaware require CDS license?

You need a Delaware CSR to prescribe or to store/dispense controlled substances in Delaware. Even if you have a CSR or DEA registration in another jurisdiction, you still need a Delaware CSR to prescribe or to store/dispense controlled substances in Delaware. Controlled Substances Registration Advanced Practice Registered Nurse delaware.gov controlledsubstances apncsr delaware.gov controlledsubstances apncsr