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Application Process Transparency - PHY and CDS-PHY
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.
Warning: The below information is for pharmacies located in Louisiana only. Nonresident pharmacies should refer to Pharmacy Permit - Nonresident.
Applications and Fees: Applications are available through the Online Services Portal. Fees to be paid at the time of submission.
- Application for New Louisiana Pharmacy Permit - $525.00
- Application for New Louisiana Controlled Dangerous Substance License - $25.00
Application Preview - Pharmacy Permit
Required Attachments:
- Form 71 - All applications for new Louisiana pharmacy permit require the submission of Form 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. The board will also verify that the direct owner is registered with the Louisiana Secretary of State. 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.
- Nuclear Pharmacy - Legible copy of the Radioactive Materials (RAM) license issued by the La. Dept. of Environmental Quality, identifying the qualified nuclear pharmacists for that site.
- Charitable Pharmacy - Legible copy of the IRS letter granting the applicant the appropriate tax-exempt status.
- Tele-pharmacy Dispensing - Identify the central pharmacy, its permit number, and its pharmacist-in-charge.
- Hosptial Pharmacy - A copy of the valid hospital license issued by the Louisiana Department of Health.
Board Review: A review of prior actions and criminal history 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.
Inspection: In the event that there are no matters preventing the issuance, the applicant shall be instructed to contact the pharmacist compliance officer for that part of the state to arrange a site inspection at a mutually agreeable time.
Issuance: When the compliance officer has verified compliance with the minimum standards, the compliance officer shall ascertain whether the applicant is prepared to open for business immediately or in the alternative requests an additional period of time before opening for business. In the event the applicant intends to open for business immediately, the permit and CDS license shall be issued in active status with a notation it is valid for practice.
Start the application process.
Inquiries regarding Pharmacy Permits and Controlled Dangerous Substance Licenses for pharmacies may be submitted to:
Carley Leach, Licensing Analyst, cleach@pharmacy.la.gov