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The Board of Pharmacy will NOT contact you by telephone and demand payment of funds for any reason. Please be aware of scammers identifying as board staff and using phone numbers issued to the board.

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Forms & Applications

 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.  

To start your electronic application(s), click here.

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 2025
  • 058-X ~ Application for Renewal of Fee-Exempt Louisiana Pharmacy Permit for Year 2025
  • 116 ~ Application for Renewal of CDS License for Louisiana Pharmacy for Year 2025
  • 120 ~ Application for Renewal of Compounded Sterile Preparations (CSP-PHY) Permit for Year 2025

 

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 2025

 

Reinstatement of Expired Pharmacy Credentials

 

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.  

To start your electronic application(s), click here.

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.

 

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.  

To start your electronic application(s), click here.

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.

 

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)