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Join NOW to take advantage of discounted member rates on OPA's upcoming programming! Your membership will be valid through December 31, 2021.
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| **Please note: Pharmacists licensed between January 01, 2020 and August 31, 2020 receive a complimentary membership valid through 01/31/2021. For those licensed between September 01, 2020 and December 31, 2020, complimentary membership is valid through 6/30/2021.
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Member Types
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| Active Member - $260
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| Joint Member with Paid Current Active Member Spouse - $135
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| First Year Pharmacist (2020 Graduate) - $85
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| Second Year Pharmacist (2019 Graduate) - $150
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| Third Year Pharmacist (2018 Graduate) - $195
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| Retired Member (Must be 65 & retired from full-time practice.) - $100
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Associate Members:
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| Primary Associate - $190
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| Additional Associate - $110
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| Additional Associates must provide the name of the Primary Associate member from your company below.
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| (Non-Pharmacist ONLY - enter N/A in OH License #, College Attended, and Graduation Year fields to proceed.) -
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Basic Contact Information
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Please use this OPA membership application to update any incorrect fields below. Please use proper-case formatting as this information is what will appear in your record.
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| First | Middle |
| Last | |
| Suffix | |
| OH Pharmacist License # | |
| Preferred Email | |
| (This is the email address that will be used to contact you for all OPA email communications including legislative updates, programming information and other important OPA e-bulletins.)
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Work Address
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Note: If you do not have a company address, please leave the following company-related fields blank.
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| Company Name | |
| Address | |
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| City | State Zip |
| Work Phone | |
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Home Address
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| Address | |
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| City | State Zip |
| Home Phone | Mobile |
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Primary Address
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| Please indicate ONE Primary address to which you wish to receive all OPA mailings.
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| Primary Address | WORK Address is Primary Address |
| HOME Address is Primary Address |
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Additional Information
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| College Attended | |
| Graduation Year | |
| R.Ph | PharmD Other |
| Employment Type | |
| Practice Setting | |
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Membership Rate
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| Please choose Membership Level | |
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| Primary Associate's Name | (For Additional Associate's use only.) |
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| Continuing Education
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| 12 Home Study CPE quizzes published in 2021 ($30.00) (Does not include Jurisprudence)
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| One Jurisprudence Published in 2021 ($10.00)
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Automatic Annual Renewal Preference
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| If you are paying by credit card or EFT, please choose your preference from the above drop-down. Your dues and any amount you choose to donate to the Pharmacy PAC, OPF, or to your continuing education, that you indicate on this form, will be automatically charged to your designated account annually in your month of renewal. (Dues paid after January 1 of the dues year will be renewed for the following year each January.)
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| Questions? Please contact us at opa@ohiopharmacists.org or (614)389-3236.
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| Please share how you heard about OPA membership. If a current OPA member encouraged you to join, please be sure to include their name so they receive credit as an OPA Recruiting All Star. Thanks!
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| Optional Support
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PAC Contribution
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| If you’d like to make a voluntary contribution to the Ohio Pharmacy PAC, OPA’s political action committee, please fill in the amount in the space provided below. (Personal contributions only.)
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| PAC Contribution Amount | $ |
| I affirm that my OPA Pharmacy PAC contribution has been made with non-corporate funds.
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OPF Contribution
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| If you’d like to consider making a charitable contribution to the Ohio Pharmacists Foundation, please fill in the amount in the space provided below.
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| OPF Contribution Amount | $ |
