Notification of Prescriber Intent to Dispense

Individuals who are exempt from licensure pursuant to Utah Code Annotated §§ 58-17b-309,
58-17b-309.5, and R156-17b-310, and 58-1-307 must notify the Division of their intent to dispense.
Completing this on-line form meets this requirement.

However, it is the responsibility of the individual to meet the
requirements and follow the dispensing laws and rules.