Application Process Transparency - Nonresident Pharmacy Permit
Individuals, partnerships, corporations, limited liability companies, or associations desiring to operate a pharmacy in Louisiana, or outside the state where prescriptions drugs/devices are dispensed and delivered to Louisiana residents, shall execute an application for a pharmacy permit for their particular classification of pharmacy.
Fees: $525.00 to be paid at the time of online submission.
Application: Application for New Nonresident Louisiana Pharmacy Permit
Required Attachments:
- Form 71 - All applications for new Louisiana pharmacy permit require the submission of 71 ~ Facility Ownership Disclosure Form with the following attachments:
- Authority to Conduct Business – A W9 or FEIN letter is required for any legal entity identified as the direct or first level indirect owner. A social security card is required for any person identified as direct or first level indirect owner as outlined.
- Prior Actions - If the applicant provided an affirmative response to any questions regarding prior actions for any owner, pharmacies owned by the owner, or the PIC:
- Letter of explanation
- Certified copies of documents from relevant court or government agency
- PIC Delegation - Corporate resolution granting the PIC authority to complete the application.
- Ownership Transfers - Owner of the existing pharmacy permit shall confirm the pending sale to the applicant as well as the anticipated transfer. The new owner shall confirm the sale with a copy of the Bill of Sale or similar legal document.
- Resident Permit Verification - Verification of license status from resident board licensing agency. Must include permit number, address, issuance, expiration, and if the permit has ever been disciplined.
- Inspection - An inspection report dated within the last 24 months completed by the resident licensing agency. Pharmacies engaging in compounding activities and with intentions of providing these compounds to Louisiana residents, must provide an inspection report outlining compliance with USP Chapter 797 for sterile preparations and USP Chapter 795 for nonsterile preparations. Acceptable inspections include: Universal Inspection from NABP or an ACHC inspection.
Board Review:
- The Chief Pharmacist Compliance Officer will review all compounding inspections.
- A review of prior actions and criminal history, reported by the applicant, is completed when all documents have been received and payment processed.
Criminal history may be used as a basis for denial. All factors outlined in LA:R.S. 37:2950 shall be considered.
Issuance: In the event that there are no matters preventing the immediate issuance, the board will issue the credential within fourteen business days.
You may select Apply to start the application process.
Inquiries regarding Pharmacy Permits may be submitted to:
- Carley Leach, Licensing Analyst, cleach@pharmacy.la.gov