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Facilities

IDAPA 24.36.01.600 Controlled Substances: PDMP Specified data on controlled substances must be reported by the end of the next business day by all drug outlets that dispense controlled substances in or into Idaho and prescribers that dispense controlled substances to humans. Board of Pharmacy Contact for reporting: PDMP@dopl.idaho.gov or call 208.334.3233.

Resident Drug Outlet

  • Owners & Partners – Including addresses, phone numbers, and percentage of ownership
  • Description of Pharmacy Operations

Veterinary Prescriber Drug Outlet MUST be inspected before registration & dispensing can occur.

  • Veterinarian Prescriber in Charge – For facilities dispensing controlled substances. Prescriber in Charge must have an Idaho Practitioner of Controlled Substance Registration for the address
  • List of Prescribing Physicians – List must include all prescribing physicians at the facility
  • Suppliers – Must include Full name, address, and Idaho registration number
  • Owners & Partners information

Prescriber Drug Outlet MUST be inspected before registration & dispensing can occur.

  • Prescriber in Charge – For facilities dispensing controlled substances. Prescriber in Charge must have an Idaho Practitioner of Controlled Substance Registration for the address
  • List of Prescribing Physicians – List must include all prescribing physicians at the facility
  • Suppliers – Must include Full name, address, and Idaho registration number
  • Certification of No Dispensing Controlled Substances Prescriber Drug Outlets – If applicable
  • Owners & Partners information

Changes to a Registrations/Licenses Physical Address require an Address Change application to be submitted to the Board of Pharmacy a minimum of at least ten (10) days prior to the event. Changes to the Registrations/Licenses Ownership requires an Ownership Change application to be submitted to the Board of Pharmacy a minimum of thirty (30) days of the event.

  1. Acquire the documents listed above for a new Registration/License
  2. Log into our online licensing portal using the credentials for your current license/registration
  3. Click on ‘Initial Application’ and choose the ‘Change of Address’ or ‘Change of Ownership’ Obtained by method after choosing ‘Pharmacy’ and your desired license/registration type
  4. Follow the onscreen prompts to complete the application

Facility Name Changes

Board Policy requires submission of this application to the Board of Pharmacy within thirty (30) days of the change date.

Name Change Application Instructions:

  1. Complete the Facility Name Change Form.
  2. Send the completed form attached to an email to BOP-info@dopl.idaho.gov with the subject line of the email to include the name of the facility and the License Registration number.

Important Note: Facility Name changes that resulted from a change in ownership must also submit an online Change of Ownership application via the e-Gov account for the existing Idaho licensed Facility.

For In-State Pharmacy closures please review the Pharmacy Closure application below.

Idaho Drug Outlet Closure Notification and Procedure

Non-resident Drug Outlet

  • Resident State License Verification & Proof of good standing – If good standing is not indicated on the license verification provide proof of good standing from resident state licensing agency
  • Resident State Inspection Report
  • Non-Resident Pharmacist associated as the Person in Charge:
    • Must have an active Non-Resident PIC registration with the Board of Pharmacy OR
    • Submit an online Non-Resident PIC Registration application
  • Non-Resident Pharmacist Resident State License – If good standing is not indicated on license, must provide proof of good standing from resident state licensing agency
  • Owners & Partners
  • Copy of Prescription Label – The name (or names) and address on the prescription label must match the name (or names) and address listed on the application
  • Federal DEA Registration – If applicable
  • Certificate of No Dispensing Controlled Substances Resident and Nonresident Drug Outlets– If applicable
  • List of Contract Physicians – If applicable
  • Resident State License
  • Resident State Facility Inspection Report – Not applicable for In-State Idaho facilities. Acceptable reports include
    • Resident State Inspection
    • NABP Accreditation Certificate
    • FDA Inspection
  • Federal DEA Registration – If applicable
  • 503 B FDA Registration
  • Owners & Partners information
  • Out of State Only Non-Resident Pharmacist associated as the Person in Charge:
    • Must have an active Non-Resident PIC registration with the Board of Pharmacy OR
    • Submit an online Non-Resident PIC Registration application

Changes to a Registrations/Licenses Physical Address require an Address Change application to be submitted to the Board of Pharmacy a minimum of at least ten (10) days prior to the event. Changes to the Registrations/Licenses Ownership requires an Ownership Change application to be submitted to the Board of Pharmacy a minimum of thirty (30) days of the event.

  1. Acquire the documents listed above for a new Registration/License
  2. Log into our online licensing portal using the credentials for your current license/registration
  3. Click on ‘Initial Application’ and choose the ‘Change of Address’ or ‘Change of Ownership” Obtained by method after choosing ‘Pharmacy’ and your desired license/registration type
  4. Follow the onscreen prompts to complete the application

Facility Name Changes

Board Policy requires submission of this application to the Board of Pharmacy within thirty (30) days of the change date.

Name Change Application Instructions:

  1. Complete the Facility Name Change Form.
  2. Send the completed form attached to an email to BOP-info@dopl.idaho.gov with the subject line of the email to include the name of the facility and the License Registration number.

Important Note: Facility Name changes that resulted from a change in ownership must also submit an online Change of Ownership application via the e-Gov account for the existing Idaho licensed Facility.

Board Policy requires submission of this application to the Board of Pharmacy within thirty (30) days of the change date.

Name Change Application Instructions:

  1. Complete the Facility Name Change Form.
  2. Acquire the following documentation. NOTE all new documentation must contain the new name.
    • Resident State License
    • Federal DEA Registration
    • Copy of Prescription Label – Out of State Mail Service Pharmacy only
  3. Login using your facilities credentials to our Online Portal and complete the License Update process for your License/Registration.
    • Select ‘License Update’ from the menu
    • Select the applicable facility License/Registration
    • Proceed through the prompts to reach the ‘Attach Documents’ page
    • Upload the completed Name Change form and additional documentation
    • Submit the License Update.
  4. Send an email to BOP-info@dopl.idaho.gov. The subject line of the email should include the name of the facility and the License Registration number.

Written notice on company letterhead including name, Idaho license/registration number, and date of closure must be submitted to BOP-info@dopl.idaho.gov ten (10) days prior to closure.

Other Facility Types

  • Resident State License – for out of state applicants
  • Resident State Facility Inspection Report – Not applicable for In-State Idaho facilities. Acceptable reports include
    • Resident State Inspection
    • NABP Accreditation Certificate
    • FDA Inspection
    • Resident state regulatory agencies that do not regulate the facility: A letter from the regulatory agency and/or the resident state code or laws indicating there is no oversight of this activity.
  • Federal DEA Registration – If applicable
  • FDA Registration
  • FDA Approved Drugs or Products – List of Drugs must include NDC numbers.
  • Shipping Invoice – Invoice must be a copy of invoice intended for use in Idaho and include the name and physical address of the applicant
  • Owners & Partners information
  • Resident State License – Out of State only
  • Resident State Facility Inspection Report – Not applicable for In-State Idaho facilities. Acceptable reports include
    • Resident State Inspection
    • NABP VPP Inspection Report
    • FDA Inspection
    • Third Party Logistics VAWD Certificates
  • Federal DEA Registration – If applicable
  • FDA Approved Drugs or Products – List of Drugs must include NDC numbers.
  • Shipping Invoice – Invoice must be a copy of invoice intended for use in Idaho and include the name and physical address of the applicant
  • Contract Manufacturers – List of contract manufacturers must contain the full name, address, FDA registration number, and expiration date
  • Associated Third-Party Logistics (3PL’s) – List of 3PL’s must include full name, physical address, and VAWD certification
  • Owners & Partners information

If you never take physical possession of the drugs, complete the Virtual Wholesale Distributor application.

  • Resident State License – Out of State only
  • Resident State Facility Inspection Report – Not applicable for In-State Idaho facilities. Acceptable reports include
    • Resident State Inspection
    • VAWD Accreditation Certificate
  • Federal DEA Registration – If applicable
  • Shipping Invoice – Invoice must be a copy of invoice intended for use in Idaho and include the name and physical address of the applicant
  • Designated Representative associated with the facility:
    • Must have a Designated Representative number with the Board of Pharmacy OR
    • Submit an online Designated Representative application
  • Owners & Partners information
  • Resident State License – Out of State only
  • Resident State Facility Inspection Report – Not applicable for In-State Idaho facilities. Acceptable reports include:
    • Resident State Inspection
    • Wholesaler of LMD – NABP Drug Distributor Accreditation formerly VAWD Certificate
    • Wholesaler of OTC Medical Devices – NABP OTC Medical Device Distributor Accreditation formerly VDIP Certificate
    • Resident state regulatory agencies that do not regulate the facility: A letter from the regulatory agency and/or the resident state code or laws indicating there is no oversight of this activity.
  • Shipping Invoice – Invoice must be a copy of invoice intended for use in Idaho and include the name and physical address of the applicant
  • Owners & Partners information
  • Resident State License – Out of State only
  • Resident State Facility Inspection Report – Not applicable for In-State Idaho facilities. Acceptable reports include:
    • Resident State Inspection
      • Resident state regulatory agencies that do not regulate the facility: A letter from the regulatory agency and/or the resident state code or laws indicating there is no oversight of this activity.
    • Medicare Accreditation Organization Certificate
  • Owners & Partners information
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