Forms - Pharmacies
Pharmacy Permits
The Application for New Louisiana Pharmacy Permit, for both resident and nonresident pharmacies, is available by electronic format (online). The Application for Louisiana Controlled Dangerous Substance License for Pharmacies (resident only) is also available by electronic format (online).
To preview the applications and review the application checklist visit the Application Process Transparency page.
Start your electronic application(s) at the link provided at the bottom of the page.
Should you require a paper application, please submit a written request for such to the board office at 3388 Brentwood Drive, Baton Rouge, La 70809. Your request should include the full address which you would like the paper application mailed.
Ownership Disclosure
Renewal of Louisiana Pharmacy Permits (for in-state pharmacies only)
Available November 1 - December 31 annually.
- 058 ~ Application for Renewal of Louisiana Pharmacy Permit for Year 2026
- 058-X ~ Application for Renewal of Fee-Exempt Louisiana Pharmacy Permit for Year 2026
- 116 ~ Application for Renewal of CDS License for Louisiana Pharmacy for Year 2026
- 120 ~ Application for Renewal of Compounded Sterile Preparations (CSP-PHY) Permit for Year 2026
Renewal of Nonresident Louisiana Pharmacy Permit (for pharmacies located outside state)
Available November 1 - December 31 annually.
- 057 ~ Application for Renewal of Nonresident Pharmacy Permit for Year 2026
Reinstatement of Expired Pharmacy Credentials
- 116-R ~ Application for Reinstatement of Louisiana CDS License for Pharmacy
- 121 ~ Application for Reinstatement of Louisiana Pharmacy Permit
- 126 ~ Application for Reinstatement of Louisiana Compounded Sterile Preparation Permit
General Purpose Forms
Automated Medication System (AMS) Registration
The Application for New Automated Medication System Registration is available by electronic format (online).
To preview the applications and review the application checklist visit the Application Process Transparency page.
Start your electronic application(s) at the link provided at the bottom of the page.
Should you require a paper application, please submit a written request for such to the board office at 3388 Brentwood Drive, Baton Rouge, La 70809. Your request should include the full address which you would like the paper application mailed.
- 055 ~ Application for Renewal of Automated Medication System (AMS) Registration for Year 2025-2026
- 055-RNS ~ Application for Reinstatement of Expired Automated Medication System (AMS) Registration
- 117 ~ Application for New CDS License for Automated Medication System (AMS)
- 118 ~ Application for Renewal of CDS License for AMS (or AMX) for Year 2025-2026
Emergency Drug Kit (EDK) Permit
The Application for New Emergency Drug Kit Permit is available by electronic format (online).
To preview the applications and review the application checklist visit the Application Process Transparency page.
Start your electronic application(s) at the link provided at the bottom of the page.
Should you require a paper application, please submit a written request for such to the board office at 3388 Brentwood Drive, Baton Rouge, La 70809. Your request should include the full address which you would like the paper application mailed.
- 056 ~ Application for Renewal of Emergency Drug Kit (EDK) Permit for Year 2025-2026
- 056-RNS ~ Application for Reinstatement of Expired Emergency Drug Kit (EDK) Permit
Retired Forms
The following forms are no longer maintained or accepted by the board. To accomplish these tasks, please login to your online services account.
- 060 ~ Notification of Permanent Closure of Pharmacy Permit
- 061 ~ Notification of Change of Pharmacist-in-Charge (PIC)