**Please note that your answers on the supplemental questionnaire must correspond to the information provided on your application to receive credit. Applications that do not include a completed supplemental questionnaire will be considered incomplete and may be subject to disapproval.**
1.
Do you possess a current license as a Registered Pharmacist from the Maryland State Board of Pharmacy?
Yes
No
2.
If you answered Yes to the previous question, please provide the license number and expiration date in the box below. A copy of your current license or license verification should also accompany your application.
3.
Describe your professional experience in clinical pharmacy.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
4.
Describe your experience with the following: the supervision of other employees, overseeing and coordinating the general operation of a unit, data analytics, applying rules and regulations, or exercising responsibility for the development of policies and procedures.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
5.
Describe your experience in monitoring emerging drug technologies, as well as, recommending and implementing drug coverage policies and/or your experience in developing drug coverage polices using drug utilization, cost, budget limitations, and national/regional policies related to pharmacy services
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
6.
Describe your experience with Outcome/Cost-based studies.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
7.
Describe your experience planning, initiating and implementing innovative ideas in the Pharmacy arena.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
8.
Describe your experience creating, maintaining, and managing drug pipeline reports.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
9.
Describe your experience with pharmacological data analytics.
Please include name of employer, job title, dates of employment, and hours worked per week, this information must also be reflected in your application. If you do not possess experience in this area, put N/A in the box below.
Department of Budget and Management