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Sample Request Information
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I am located in Ohio*
State license number*
Please select one of the following:
The practice at which I work, located at the address I provided above, has
an active TDDD license that allows me to receive and store the requested
samples at this location.
The TDDD license number* is
What is this?
and expires* on
The practice at which I work, located at the address I provided above,
is subject to one of the TDDD licensing exemptions in ORC § 4729.541.
Under Ohio law, Mylan Pharmaceuticals Inc., which holds wholesale distributor license
number WHS.010013150-03 (expiring June 30, 2018), may only provide drug samples to
prescriber’s whose practice is licensed as a Terminal Distributor of Dangerous Drugs
(“TDDD”) or is exempt from such licensure under Ohio Revised Code (“ORC”) § 4729.541.
A TDDD license allows a business entity, including prescriber practices, to receive,
purchase, and possess prescription drugs and controlled substances, including drug samples,
for distribution to patients. Not all prescriber practices, however, are required to obtain
a TDDD license. For example, subject to certain exceptions, an individual prescriber doing
business as a sole proprietor (not incorporated in any manner) or a practice that is a
corporation, limited liability company, or professional association where a prescriber is
the sole shareholder and is authorized to provide the professional services being offered
by the practice are exempt from obtaining a TDDD license. For a complete list of exemptions,
please refer to section 4729.541 of the ORC. For more information on TDDD licensing
requirements for prescribers, please visit the Ohio Board of Pharmacy website at
. The above information is being provided for
your convenience and is not offered as, nor should it be construed as, legal advice.
- Please Select -
How did you hear about us?*
Email address* (this will be your login name)
Please e-mail me reminders to order future samples.
Robert J. Coury Global Center
1000 Mylan Blvd.
Canonsburg, PA 15317
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