Pharmacy Forms

If you're a pharmacy with alert information to distribute, we welcome your help in the Fax Net 1 network.  Please take one of the following actions to provide us with your information:

1. Use a Fax Alert form supplied by the Board **call your compliance officer if you need a form**.
   
   
2. Fill out an online Fax Alert form at: http://azpharmacy.gov/faxnet.asp.
   
   
3. Call the Board office at 602-771-2744 to request a Fax Alert form be faxed to you.  Leave your fax number on the voice mail.
   
   
4. Print a Fax Alert form from: http://azpharmacy.gov/pdfs/faxnet.pdf.
   
   
5. Send an email to dwright@azpharmacy.gov and request a Fax Alert form be faxed to you, don’t forget to include your fax number.

 
BE SURE TO FAX THE COMPLETED FORMS TO:  602-771-2748

Are you a trade business or association looking to report a theft?   CLICK HERE