Pennsylvania Medical Marijuana Product Approval Form
This document provides instructions for completing the Pennsylvania Medical Marijuana Product Approval Form. It outlines the steps necessary to submit product requests. Follow the guide to ensure all information is accurately filled out to avoid delays.
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How do I fill this out?
To fill out this form, begin by carefully reading through the instruction guide. Ensure all required fields are completed accurately with the necessary supporting documentation. Double-check your entries before submission to avoid any delays.

How to fill out the Pennsylvania Medical Marijuana Product Approval Form?
1
Read the instruction guide thoroughly.
2
Complete the Request Form Cover Page.
3
Fill out steps A through G of the Product Approval Request Form.
4
Provide additional ingredients information if necessary.
5
Submit all documents as a single PDF file via email.
Who needs the Pennsylvania Medical Marijuana Product Approval Form?
1
Medical Marijuana Organizations (MMOs) need it to request product approvals.
2
Healthcare providers require it to ensure compliance with regulations.
3
Manufacturers must use it to submit their products for approval.
4
Consumers may need it to understand approved products.
5
Legal advisors for MMOs need it to assist their clients with compliance.
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What are the instructions for submitting this form?
To submit this form, all completed documents must be sent as a single PDF via email to RA-DHMMRCompliance@pa.gov. It is permissible to submit multiple product requests in the same email. Ensure that all required documentation is included to prevent delays in processing.
What are the important dates for this form in 2024 and 2025?
Make note of the submission deadlines for 2024 and 2025, which will be outlined in separate communications from the Pennsylvania Department of Health. Regularly check the Department's announcements and updates. Staying informed will help in meeting all requirements in a timely manner.

What is the purpose of this form?
The primary purpose of this form is to facilitate the approval process for medical marijuana products in Pennsylvania. It gathers essential information about the product, ensuring it meets state regulations. Accurate and complete submissions will help streamline the approval process for MMOs.

Tell me about this form and its components and fields line-by-line.

- 1. Permit Name: The official name under which the permit is held.
- 2. Permit Number: The unique identifier assigned to the permit.
- 3. Submission Date: The date on which the request is submitted.
- 4. Name of Requester: The individual or organization making the request.
- 5. Contact Information: Details for further communication regarding the request.
- 6. Permit Type: The classification of the permit being applied for.
What happens if I fail to submit this form?
If this form is not submitted correctly, the request will be considered incomplete and may result in delays. It's crucial to ensure that all required documents are submitted with complete information. Follow the guidelines carefully to avoid potential setbacks.
- Incomplete Information: Submitting the form with missing or incorrect information can delay the approval process.
- Missing Documentation: Failure to include all necessary documents will result in an incomplete submission.
- Non-Compliance: Not following the guidelines may lead to rejection of the request.
How do I know when to use this form?

- 1. New Product Requests: Submit this form for the approval of new medical marijuana products.
- 2. Ingredient Changes: Use this form if there are changes or additions to the product’s ingredients.
- 3. Manufacturing Updates: Required for updates in the manufacturing process or facility changes.
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