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. A delinquent fee of $150 is assessed if permit has lapsed.
Requirements for a Special Limited Pharmacy Permit - Charitable Pharmacy
- Complete the Application for Special Limited Pharmacy Permit - Charitable Pharmacy and indicate that you are a "New Facility". Non-resident facilities please use the non-resident application at the bottom of this page.
- A payment of $150, by check, made out to the "Kentucky State Treasurer".
- Mail the completed application and check (or proof of payment) 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 Pharmacy and indicate a "Change of Ownership." Non-resident facilities please use the non-resident application at the bottom of this page.
- A payment of $150, 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 (or proof of payment) 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 Pharmacy and indicate a "Change of Address/Location". Non-resident facilities please use the non-resident application at the bottom of this page.
- A payment of $150, by check, made out to the "Kentucky State Treasurer".
- Mail the completed application and check (or proof of payment) 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
To reuest to a dual PIC, complete the Dual PIC Form and submit to the Board office. This request will be presented at the next scheduled Board meeting for review and approval.