Forms and Permits
The Kentucky Board of Pharmacy serves the Commonwealth to promote, preserve, and protect the public health, safety, and welfare through effective regulation of the practice of Pharmacy. The Board of Pharmacy accomplishes this mission through the licensure, control, and regulation of all sites who are required to obtain a license or permit from the Board of Pharmacy, whether located in or outside the Commonwealth, that distribute, manufacture, or sell drugs within the Commonwealth.
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Pharmacy |
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Use the following links to access the appropriate applications to license, renew or make changes to existing permits for your facility.
Resident Pharmacy Application [PDF - 55KB] - $100.00
Non-resident Pharmacy Application [PDF - 155KB] - $100.00
Medicinal Gas Permit Application [PDF - 58KB] - $100.00
Pharmacist Consultant not required for out-of-state facilities.
Resident Pharmacy Renewal Application [PDF - 37KB] - $100.00
Non-Resident Pharmacy Renewal Application - $100.00
Medicinal Gas Permit Renewal [PDF - 48KB] - $100.00
PIC change form [PDF - 96KB] - $5.00
Telephone Inspection Form [PDF - 33KB]
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Wholesalers/Manufacturers |
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Use the following links to access the appropriate applications to license, renew or make changes to existing permits for Kentucky wholesalers and manufacturers and out-of-state wholesalers.
Wholesaler/Manufacturer Application [PDF - 57KB] - $100.00 fee
Wholesaler/Manufacturer Renewal Application [PDF - 43KB] - $100.00 fee
Pseudoephedrine Log Waiver Request Form [PDF - 53KB]
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