Special Limited Pharmacy Permit - Charitable Information

​Pursuant to 201 KAR 2:240, a permit is required for a charitable organization to dispense legend drugs and the procedures for the safe dispensing of legend drugs to citizens of the Commonwealth. Pharmacy permits expire annually on June 30th. Renewal postcards will be mailed at the end of April.

Requirements for a Special Limited Pharmacy Permit - Charitable

  • Complete the Application for Special Limited Pharmacy Permit - Charitable and indicate that you are a "New Facility".
  • A payment of $100, by check, made out to the "Kentucky State Treasurer".
  • Mail the completed application and check to
    State Office Building Annex, Suite 300
    125 Holmes Street
    Frankfort, KY 40601
  • Inspector Approval

Requirements for a Change of Ownership for an existing permit

  • Complete the Application for Special Limited Pharmacy Permit - Charitable and indicate that you have a "Change of Ownership."
  • A payment of $75, by check, made out to the "Kentucky State Treasurer".
  • Signed document of previous owner or legal documentation of the ownership change.
  • Mail the completed application, check and signed document to
    State Office Building Annex, Suite 300
    125 Holmes Street
    Frankfort, KY 40601
If you have any questions regarding what constitutes an ownership change, please call the Board office. If you are restructuring your ownership, please provide a letter of notification and details regarding this restructuring to determine if this is classified as a change of ownership.

Requirements for Change of Address/Location for an existing permit

  • Complete the Application for Special Limited Pharmacy Permit - Charitable and indicate that you have a "Change of Address/Location".
  • A payment of $75, by check, made out to the "Kentucky State Treasurer".
  • Mail the completed application and check to
    State Office Building Annex, Suite 300
    125 Holmes Street
    Frankfort, KY 40601

Requirements for a Name Change for an existing Pharmacy Permit


Requirements for Change of Pharmacist-In-Charge

Pharmacist-In-Charge changes should be submitted to the Board within 14 business days to avoid any disciplinary actions.
  • Complete the Change of Pharmacist-In-Charge.
  • Mail the completed application to
    State Office Building Annex, Suite 300
    125 Holmes Street
    Frankfort, KY 40601
    Optionally, the form can be faxed to (502) 696-3806
  
  
Charitable Pharmacy Permit Application75 KB
Charitable Pharmacy Renewal Application125 KB