Terminal Distributor of Dangerous Drugs License

A Terminal Distributor of Dangerous Drugs (TDDD) is a person (includes an individual; partnership; association; limited liability company; corporation; the state; any political subdivision of the state; and any district, department, or agency of the state or its political subdivisions) who is engaged in the sale of dangerous drugs at retail, or any person, other than a wholesale distributor or a pharmacist, who has possession, custody, or control of dangerous drugs for any purpose other than for that person’s own use and consumption, and includes pharmacies, hospitals, nursing homes, and laboratories and all other persons who procure dangerous drugs for sale or other distribution by or under the supervision of a pharmacist or licensed health professional authorized to prescribe drugs.

In the spring of 2017, the State of Ohio Board of Pharmacy (SOBP) published the following three new guidance documents regarding recent law and rule changes that may pertain to family physicians and family medicine practices:
  • As of April 1, 2017, all prescribers that possess compounded drugs or engage in the compounding of dangerous drugs (i.e. prescription drugs) must have a TDDD license (Ohio Revised Code 4729.541). More information on this provision can be found on the SOBP website.
  • As of June 1, 2017, all locations, including those previously exempted, that possess controlled substances are required to obtain licensure as a category III TDDD. More information on this provision can be found on the SOBP website.
  • Office-Based Opioid Treatment: Effective Tuesday, October 31, 2017, all locations that treat more than 30 individuals for opioid dependence or addiction using a controlled substance are required to obtain a TDDD license with an office-based opioid treatment classification. Please be advised that there are some exemptions to this requirement. More information on this provision can be found on the SOBP website.
The OAFP recommends the following additional resources and provides the following information to assist family physicians in fully understanding the TDDD license and requirements:

Additional Information