Facilities

To apply for a new registration/license or renew a current registration/license, visit our online licensing portal

Application Requirements & Required Documents

• Owners & Partners – Including addresses, phone numbers, and percentage of ownership
• Description of Pharmacy Operations

IDAPA 24.36.01.600 Controlled Substances: PDMP Specified data on controlled substances must be reported by the end of the next business day by all drug outlets that dispense controlled substances in or into Idaho and prescribers that dispense controlled substances to humans. Board of Pharmacy Contact for reporting: PDMP@dopl.idaho.gov or call 208.334.3233

1. Acquire the documents listed above for a new Registration/License
2. Log into our online licensing portal using the credentials for your current license/registration
3. Click on ‘Initial Application’ and choose the ‘Change of Address’ or ‘Change of Ownership’ Obtained by method after choosing ‘Pharmacy’ and your desired license/registration type
4. Follow the onscreen prompts to complete the application

• Resident State License Verification & Proof of good standing – If good standing is not indicated on the license verification provide proof of good standing from resident state licensing agency
• Resident State Inspection Report
• Non-Resident Pharmacist associated as the Person in Charge:
  • Must have an active Non-Resident PIC registration with the Board of Pharmacy OR
  • Submit an online Non-Resident PIC Registration application
• Non-Resident Pharmacist Resident State License – If good standing is not indicated on license, must provide proof of good standing from resident state licensing agency
• Owners & Partners
• Copy of Prescription Label – The name (or names) and address on the prescription label must match the name (or names) and address listed on the application
• Federal DEA Registration – If applicable
• Certification of No Dispensing of Controlled Substance Form – If applicable
• List of Contract Physicians – If applicable

IDAPA 24.36.01.600 Controlled Substances: PDMP Specified data on controlled substances must be reported by the end of the next business day by all drug outlets that dispense controlled substances in or into Idaho and prescribers that dispense controlled substances to humans. Board of Pharmacy Contact for reporting: PDMP@dopl.idaho.gov or call 208.334.3233

• Resident State License Verification & Proof of good standing – If good standing is not indicated on the license verification provide proof of good standing from resident state licensing agency
• Resident State Inspection Report
• Non-Resident Pharmacist associated as the Person in Charge:
  • Must have an active Non-Resident PIC registration with the Board of Pharmacy OR
  • Submit an online Non-Resident PIC Registration application
• Non-Resident Pharmacist Resident State License – If good standing is not indicated on license, must provide proof of good standing from resident state licensing agency
• Owners & Partners
• List of Contracting Companies and/or Hospitals

IDAPA 24.36.01.600 Controlled Substances: PDMP Specified data on controlled substances must be reported by the end of the next business day by all drug outlets that dispense controlled substances in or into Idaho and prescribers that dispense controlled substances to humans. Board of Pharmacy Contact for reporting: PDMP@dopl.idaho.gov or call 208.334.3233

• Resident State License
• Resident State Facility Inspection Report – Not applicable for In-State Idaho facilities. Acceptable reports include
  • Resident State Inspection
  • NABP Accreditation Certificate
  • FDA Inspection
• Federal DEA Registration – If applicable
• 503 B FDA Registration
• Owners & Partners information
• Out of State Only Non-Resident Pharmacist associated as the Preson in Charge:
  • Must have an active Non-Resident PIC registration with the Board of Pharmacy OR
  • Submit an online Non-Resident PIC Registration application

Reporting Requirements Idaho Board rules require distribution reports of prescription and controlled substance medications shipped to Idaho Practitioners be reported on a monthly basis. Reports can be sent to PDMP@dopl.idaho.gov Prescriber Sales Reporting Form
Reporting FAQ

1. 1. Acquire the documents listed above for a new Registration/License
   2. Log into our online licensing portal using the credentials for your current license/registration
   3. Click on ‘Initial Application’ and choose the ‘Change of Address’ or ‘Change of Ownership” Obtained by method after choosing ‘Pharmacy’ and your desired license/registration type
   4. Follow the onscreen prompts to complete the application

1. 1. Board Policy requires submission of this application to the Board of Pharmacy within

   thirty (30) days of the change date.

1. Name Change Application Instructions
   1. 1. Complete the Facility Name Change Form.
      2. Acquire the following documentation. NOTE all new documentation must contain the new name.
         • Resident State License
         • Federal DEA Registration
         • Copy of Prescription Label – Out of State Mail Service Pharmacy only
      3. Login using your facilities credentials to our Online Portal and complete the License Update process for your License/Registration.
         • Select ‘License Update’ from the menu
         • Select the applicable facility License/Registration
         • Proceed through the prompts to reach the ‘Attach Documents’ page
         • Upload the completed Name Change form and additional documentation
         • Submit the License Update.
      4. Send an email to BOP-info@dopl.idaho.gov. The subject line of the email should include the name of the facility and the License Registration number.
      5.  

Important Note:

1. Facility Name changes that resulted from a change in ownership must also submit an online Change of Ownership application via the e-Gov account for the existing Idaho licensed Facility.

BOP-info@dopl.idaho.gov ten (10) days prior to closure

Non-Resident PIC Change Form
Exemption from Reporting Form
Facility Name Change Application