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What We Do


Let us help you grow and maintain your business through a number of solutions designed with your business in mind.

florida designated

Designated Representative Training Courses

Stay in Compliance with State-Specific Standards

Our Certified Designated Representative Training Courses provide comprehensive training on all aspects of State and Federal law, quality control systems and USP standards.

DEA Compliance

On-Site Pharmacy & Client Inspections and General DEA Compliance Audits

We utilize internal consultants and former diversion investigators to ensure that your operational practices do not leave any liability when handling controlled substances. Our services span all four major requirements of the DEA including recordkeeping, physical security, due diligence, and suspicious order monitoring systems.

FDA Reporting

Outsource FDA Reporting Activities

Companies in the pharmaceutical supply chain are required by law to report to the FDA regularly and accurately. Allow us to handle your reporting to ensure that you do not find yourself in violation of the Drug Quality Security Act.

NABP Drug Distributor Accreditation

Full Process Management of Your Accreditation 

Looking to earn NABP Drug Distributor Accreditation (formerly VAWD® Accreditation) for your business but not sure where to turn? Let us guide you through the accreditation process. NABP Drug Distributor Accreditation is the “gold-standard” for pharmaceutical distribution and we will help your organization implement the controls and procedures in place to bring your activities up to NABP Drug Distributor Accreditation standards.

Operational Audits

On-Site Inspections and General Compliance Audits

Five Rivers RX is your address for business development through advising. We examine what organizations are doing to stay relevant and competitive in this fast-paced world, and which ones are doing it best. We strategize using smart tools and global resources to understand the implications of every brand choice and organizational decision.

Puerto Rico Services

Consultation for Product Registration, Licensing, and More

Registration is accomplished by filing a certificate of authorization at the Department of State to do business. Compliance involves a person authorized and registered by the Department of Health to represent a manufacturer or distributor of medicines in their marketing, without storage, distribution or dispensation. Let us help you navigate the intricacies of doing business in Puerto Rico. 

State Compliance Services

Obtain New Licenses and Manage Your License Portfolio

With years of experience in assessing, obtaining, and maintaining state license portfolios, you can trust Five Rivers RX with your state regulatory challenges. We can provide guidance to point your company in the right direction, or we can fully manage your processes. At Five Rivers RX, we combine our knowledge base and insights on how to meet ever-changing requirements, and our team has the capabilities and experience to actually do it. We’re proud to help leading companies manage their compliance requirements.

outsourced quality

Outsourced Quality & Compliance Support

On-demand service for when you need it the most

We provide a comprehensive review of and on-going updates for, your company’s specific requirements. This consultation program exists in three tiers to allow for a tailor-fit solution for your company.