License Authorization Form (LAF) Details
What is an LAF?
A License Authorization Form (LAF) is a form that can be completed to allow your account to purchase a number of medical devices and pharmaceuticals under the licensure of your Medical Director, Pharmacist-in-Charge, Physician, Dentist or your own prescriptive authority.
Who can purchase with an LAF?
Because we are a wholesale distributor and not a retail pharmacy, we are not licensed to sell prescription items directly to an individual patient in any state. Only medical facilities or licensed professionals are permitted to submit an LAF for the purchase of regulated items.
Why do I need to submit an LAF?
In order to comply with federal and state regulations, Emergency Medical Products is required to keep an LAF on file for each shipping address receiving pharmaceuticals, narcotics, IV or irrigation fluids and select medical devices. All 50 states require licensing for prescription drugs (including kits) and select medical devices. However, there are select medical devices (called legend devices) that only require LAFs in certain states. See FAQs below for more information
How do I submit an LAF?
If you would like to purchase an item that requires an LAF and do not already have one on file, please follow the steps listed below.
- Download the License Authorization Form (LAF)
- Print and complete the LAF
- Email back to email@example.com, or fax to 866.470.1355
How does this affect my existing order?
You may continue with your purchase while we process your completed form, but please note that we will not ship the order until your form has been processed. We typically process forms within 48 hours and will reach out to you directly with any questions or concerns.
How do I know if my LAF has been approved?
Our licensing team will follow up with you within 24-48 business hours via email with the status of your LAF. They will let you know when your LAF has been approved, and your order will likely ship out soon after. If there are any issues with your LAF, our licensing team will reach out.
How often do I need to provide an LAF?
A new LAF is required when:
- There’s a change in Medical Director, Pharmacist-in-Charge, Physican, Dentist or other prescriptive authority
- The state medical license and/or DEA license on file has expired or changed and it has been longer than one year since the last LAF was submitted
- Prescription drugs include any pharmaceutical containing a label/legend reading “Caution: Federal (U.S.A) law prohibits dispensing without a prescription” or “RX only”.
- Legend devices include any item containing a label/legend reading “Caution: Federal (U.S.A.) law restricts this device to sale by or on the order of a (licensed practitioner)” or “RX only”. This includes anything invasive and anything that can be hooked up to oxygen regardless of whether the O2 hookup is needed to operate the device.
- Currently there are 21 states that regulate the sale of prescription or legend devices. They are: AL, AR, AZ, CA, CT, IA, ID, KY, LA, MD, ME, MI, MT, ND, NH, NV, OR, PA, SC, TN and TX. (This applies to businesses/organizations. All states regulate the sale of prescription or legend devices to individual consumers.)
- Because we are a wholesale distributor and not a retail pharmacy, we are not licensed to sell prescription items directly to a patient in any state. If you are having trouble locating a provider for this item, we recommend contacting your insurance carrier.
Feel free to reach out to our Customer Licensing team at firstname.lastname@example.org or