Apply for a Facility License

Pharmacy

• Pharmacy/Nonresident Pharmacy
• Sterile Compounding Pharmacy
• Hospital Pharmacy/Drug Room
• Centralized Hospital Packaging Pharmacy
• Correctional Pharmacy

Automated Drug Delivery System

• Automated Drug Delivery System (ADDS) License   
• Automated Patient Dispensing System in a 340B Eligible Clinic/Medical Professional Practice License
• Emergency Medical Services Automated Drug Delivery System

Outsourcing Facility

• Outsourcing/Nonresident Outsourcing Facility License

Wholesaler

• Wholesaler/Non Resident Wholesaler (Out of State Distributor)
• Veterinary Food Animal Drug Retailer

Third-Party Logistics Provider

• Third-Party Logistics Provider/Nonresident Third-Party Logistics Provider

Clinic

• Clinic

Hypodermic Needle and Syringe

• Hypodermic Needle and Syringe

Applicant Information

• Offsite Storage Waiver (PDF)
• Request Fingerprint Cards (Out of State Applicants)
• Fee Schedule