(1) Requests for the addition, deletion or modification of the formulary of topical ocular pharmaceutical agents shall be filed with the Board.

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    (2) The request shall be in writing and shall contain the following information:
    (a) The name, address, and telephone number of the individual or entity filing the request;
    (b) The chemical name of the agent;
    (c) The brand name(s) of the agent;
    (d) The concentration of the agent;
    (e) The United States FDA approved information sheet for the agent;
    (f) The date the FDA released the agent for sale; and,
    (g) An explanation why the requested addition, deletion or modification is consistent with the provisions of Florida Statutes § 463.0055 and should be made.
Rulemaking Authority 463.0055(2)(a) FS. Law Implemented Florida Statutes § 463.0055. History-New 5-15-97, Formerly 59V-18.003, Amended 3-13-14, 9-2-19.