Indiana Code Title 25. Professions and Occupations § 25-26-17-3

(1) A verified statement that the nonresident pharmacy is licensed, certified, or registered to operate in the state in which the pharmacy is located.

(2) The location, names, and titles of all principal corporate officers and pharmacists who are dispensing drugs to residents of Indiana.  This disclosure must be made on an annual basis.  The nonresident pharmacy must notify the board within thirty (30) days after any change of office location, corporate officer, or pharmacist in charge.

(3) A verified statement that the nonresident pharmacy complies with all lawful requests for information from the regulatory or licensing agency of all states in which it is licensed.

(4) The latest inspection report or an equivalent document approved by the board, from the licensing authority of the state in which the nonresident pharmacy is located.  However, if the nonresident pharmacy has not been inspected within the last three hundred sixty-five (365) days by the state in which the nonresident pharmacy and licensing authority are domiciled, or if the board determines that the home state inspection is not substantially equivalent to an Indiana inspection or is not available, an inspection report from a:

that is approved by the board, must be obtained and submitted by the nonresident pharmacy.

(5) Information requested and deemed necessary by the board to carry out this chapter.

(6) The fee required by IC 25-1-8 which shall be reasonable and not exceed the costs to the board.