Facilities

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

Application Requirements & Required Documentss

• Owners & Partners – Including addresses, phone numbers, and percentage of ownership
• Description of Pharmacy Operations
• Federal DEA Registration
  • Copy of DEA Registration Application – must include control number (ex. W1234567C)
  • OR a copy of an address change request

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: Teresa Anderson Teresa.Anderson@bop.idaho.gov or call 208.334.2356

Changes to a Registrations/Licenses Physical Address require an Address Change application to be submitted to the Board of Pharmacy a minimum of thirty (30) days prior to the change.

Changes to ownership require a Change of Ownership application to be submitted to the Board of Pharmacy a minimum of thirty (30) days prior to the change.

To submit an address change or ownership change:

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

There is no fee associated with this form

Board Policy requires submission of this application to the Board of Pharmacy a minimum of thirty (30) days prior to the expected change date.

Name Change Application Instructions

1. Complete the Facility Name Change Form.
2. 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
   • Submit the License Update.
3. Send an email to info@bop.idaho.gov. The subject line of the email should include the name of the facility and the License/Registration number.

Important Note: Facility Name changes that resulted from a change in ownership must submit an online application via the e-Gov account for the existing Idaho licensed Facility. The Name Change form should then be uploaded to the Ownership Change application

For In-State Pharmacy closures please review the Pharmacy Closure application below.
In-State Pharmacy CLOSURE Application

Employee Termination
Report Staff Changes
In-State Hour Changes
DEA Registration Change Request Forms

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

Application Requirements & Required Documents

• 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
• Other States Licensed
• 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: Teresa Anderson Teresa.Anderson@bop.idaho.gov or call 208.334.2356

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

Application Requirements & Required Documents

• 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
• Other States Licensed
• 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 Contracting Companies & Pharmacies

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: Teresa Anderson Teresa.Anderson@bop.idaho.gov or call 208.334.2356

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

Application Requirements & Required Documents

• 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 Ellen.Mitchell@bop.idaho.gov
Prescriber Sales Reporting Form
Reporting FAQ

Changes to a Registrations/Licenses Physical Address require an Address Change application to be submitted to the Board of Pharmacy within thirty (30) of the change.

Changes to ownership require a Change of Ownership application to be submitted to the Board of Pharmacy within thirty (30) of the change.

To submit an address change or ownership change:

1. Acquire the documents listed above for a new Registration
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

There is no fee associated with this form

Board Policy requires submission of this application to the Board of Pharmacy within thirty (30) days of the change date.

Name Change Application Instructions

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 info@bop.idaho.gov. The subject line of the email should include the name of the facility and the License/Registration number.

Important Note: Facility Name changes that resulted from a change in ownership must submit an online application via the e-Gov account for the existing Idaho licensed Facility. The Name Change form should then be uploaded to the Ownership Change application

Written notice on company letterhead including name, Idaho license/registration number, and date of closure must be submitted to info@bop.idaho.gov ten (10) days prior to closure

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

Manufacturer Instructions

Virtual Manufacturer Registration

Wholesale Distributor Instructions

Designated Representative Instructions

Wholesalers of Legend Medical Devices, OTC Products and/or Intra Company Sales

Prescriber Sales Reporting Form
Reporting FAQ

Durable Medical Equipment Outlet

Veterinary Prescriber Drug Outlet

Prescriber Drug Outlet

Prescriber Drug Outlet Exemption from Reporting