FDA Updated Drug Shortage and Compounding Info for Medications Containing Semaglutide

Every record at the Division contains two addresses:

Address of Record: This is the address that appears on your license/registration and is your business/public record address. You must have an address of record on file. If you do not provide an address of record, your mailing address will be used as the address of record.
Mailing Address: This is the address used by the Board and Division staff to send correspondence to you. This address is not a public record unless you do not provide a public record address.

Licensee Address/Email Change

Visit the Online Portal and login to your account
Update address/email information as needed.
Click “continue” until you reach the attestation page.
To save change, you must attest the information is true and correct.

Licensee Name Change

Complete the Individual/Person Legal Name Change Request form. If there are any incomplete fields the request will not be processed.
Save the form in a PDF format in a place where it can easily be retrieved to attach to an email.
Email a copy of the completed form & required documents indicated below to bop-info@dopl.idaho.gov

Subject line of the email should include the following;

Legal Name Change
Name of the Licensee/Registrant
Idaho License/Registration Number

Required Documents – Attach to the email;

Legal document allowing the name change;

Divorce decree
Marriage certificate
Court document granting name change

Current government issued photo ID with new legal name indicated

Driver’s License
Passport

Facility Address and Ownership Changes

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.

Acquire the documents listed above for a new Registration/License
Log into our online licensing portal using the credentials for your current license/registration.
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.
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:

Complete the Facility Name Change Form.
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.

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:

Complete the Facility Name Change Form.
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
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.
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.

Practice Address Changes for Practitioners

To change a practice address on your Idaho Controlled Substance Registration within the state of Idaho, first complete that change with the DEA, then email a copy of the updated DEA to bop-info@dopl.idaho.gov, and we will update the CSR record. CSR registrants are not able to update the practice address themselves in their e-Government accounts.

Resident Drug Outlet Employee Roster Update

To update the employee roster.

Go to Login (e-gov.com)
Log into the facility account that needs updated.
Click on “update license.”
Update employee roster and save changes.

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

Resident Drug Outlet Application Requirements

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

Veterinary Prescriber Drug Outlet Application Requirements

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 Application Requirements

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

Address and Ownership Changes

Acquire the documents listed above for a new Registration/License
Log into our online licensing portal using the credentials for your current license/registration
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
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:

Complete the Facility Name Change Form.
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.

Closures

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

Idaho Drug Outlet Closure Notification and Procedure

Non-resident Drug Outlet

Non-resident Drug Outlet Application Requirements

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

New Outsourcing Drug Outlet Registration Application Requirements

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

Address and Ownership Changes

Acquire the documents listed above for a new Registration/License
Log into our online licensing portal using the credentials for your current license/registration
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
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:

Complete the Facility Name Change Form.
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.

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:

Complete the Facility Name Change Form .
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
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.
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.

Closure

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

Manufacturers Application Requirements

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

Virtual Manufacturers Application Requirements

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

Wholesale or Virtual Wholesale Distributors Application Requirements

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

Wholesalers of Legend Medical Devices, OTC products and/or Intra Company Sales Application Requirements

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

Durable Medical Equipment Outlet Application Requirements

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

Non-Resident PICs

You must be the Non-Resident PIC at an out of state facility to use this application.
Required Documents:

Current Government Issued Photo ID
Resident State License Verification – Provided verification must indicate active status and good standing of license. If good standing is not indicated on the license verification, proof of good standing from resident state licensing agency must be submitted.
For fingerprint requirements, please visit our Fingerprint Cards page.

Designated Representatives

Required Documents:

Current Government Issued Photo ID
For fingerprint requirements, please visit our Fingerprint Cards page.

Cert Of College Enrollment – Student Pharmacist Intern

Certificate of College Graduation

Certification of No Dispensing Controlled Substances Prescriber Drug Outlets

Certificate of No Dispensing Controlled Substances Resident and Nonresident Drug Outlets

DEA Registration Change Request

Duplicate Wall Certificate Request

Experiential Hours Cert Request for Student Pharmacist

Facility Name Change Request

Fingerprint Processing Instructions

Foreign Pharmacy School Graduate Licensure Requirement Process & Experiential Hours Affidavit

Guardian or Parental Consent Form

Idaho Drug Outlet Closure Notification and Procedure

Individual/Person Legal Name Change Request

Nonresident PIC Change Form

Pharmacy Student Tech Supervised Program Information

Prescriber Drug Outlet Certification of No Dispensing of Controlled Substances Form

Prescriber Sales Reporting Form

Inspection Forms

Durable Medical Equipment Annual Inspection

Manufacturer Annual Inspection

Prescriber Drug Outlet Annual Inspection

Resident Drug Outlet Annual Inspection

Resident Drug Outlet Compounding Inspection

Resident Drug Outlet Remote Dispensing Inspection

Veterinary Drug Outlet Annual Inspection

Virtual Wholesale Annual Inspection

Wholesale Distributor Annual Inspection

Wholesale of OTC Annual Inspection

Fingerprint cards received Prior to a completed online application is submitted will only be held for 6 months. Following the 6 months the cards will be destroyed.

Options for obtaining a Fingerprint Card

Option 1 – Walk-In:
Contact local law enforcement agency, or fingerprinting company. If the agency/company does fingerprint services, they may also have fingerprint cards available.

Option 2 – By Mail:
Send an email to bop-info@dopl.idaho.gov, to have a Fingerprint Packet mailed to the applicant. Include the full address with a full name, mailing address, and application type.

All applicants, no matter what option chosen above must either deliver to our or mail completed fingerprint card to our office. Scanned or faxed copies are never accepted. Do not bend or fold the card.

The Links below may be used for your reference:
Non-Criminal Justice Applicant Privacy Statement
Fingerprint Processing Instructions
Get your FBI Record Brochure

Pharmacist Student Interns

Pharmacist Student Intern Registrations must be renewed annually by July 15th. The renewal fee will be waived if renewed on time for the duration of student’s enrollment in the school or college of Pharmacy.

Requirements:

Current Government Issued Photo ID
Certificate of College Enrollment – Certificate of College Enrollment Form
For fingerprint requirements, please visit our Fingerprint Cards page.

Pharmacist Graduate Interns

Requirements:

Current Government Issued Photo ID
Certificate of College Graduation – Certificate of College Graduation Form
For fingerprint requirements, please visit our Fingerprint Cards page.

A $50.00 late fee is added to all late renewals.

Individual Fees

	Application Fee	Background Check Fee*	Annual Renewal Fee
Pharmacist License	$140.00	$28.25	$130.00
Pharmacist Intern Registration	$50.00	$28.25	$50.00**
Practitioner Controlled Substance Registration	$60.00	N/A	$60.00
Pharmacy Technician Registration	$35.00	28.25	$35.00
Certified Pharmacy Technician Registration	$35.00	28.25	$35.00
Student Pharmacy Technician Registration	$35.00	28.25	$35.00
Non-Resident PIC Registration	$290.00	28.25	$290.00
Designated Representative Registration	N/A	28.25	N/A

* Background Check Fees are waived for individuals under the age of 18
** Renewal fee waived for Student Pharmacist Interns

Facility Fees

	Application Fee	Annual Renewal Fee
In-State Facilities (unless otherwise listed)	$100.00	$100.00
Wholesale Distributor License	$180.00	$180.00
Wholesaler of LMD Registration	$150.00	$150.00
Wholesaler of OTC Registration	$150.00	$150.00
Non-Resident Central Drug Outlet Registration	$500.00	$250.00
Out of State Mail Service Pharmacy Registration	$500.00	$250.00
Durable Medical Equipment Outlet Registration	$50.00	$50.00
Outsourcing Facility Registration	$500.00	$250.00
Manufacturer Registration	$150.00	$150.00
Virtual Manufacturer Registration	$150.00	$150.00
Veterinary Drug Outlet Registration	$35.00	$35.00

Registration Requirements:

Applicant must be at least sixteen (16) years of age
Guardian/Parental consent is required by code for applicants under the age of eighteen (18) years of age. Please provide Guardian/Parental Consent with the application documents.
Provide current government issued photo ID
For fingerprint requirements, please visit our Fingerprint Cards page.
For Certified Pharmacy Technicians only – Have obtained and maintained certified pharmacy technician (CPhT) status through:
- Pharmacy Technician Certification Board (PTCB)
- National Healthcare Association (ExCPT)

The Idaho Controlled Substance Registration (CSR) is required for practitioners who will prescribe, administer, order or store controlled substances. Per Idaho law, once the Idaho CSR is issued, an associated DEA must be obtained for that Idaho address within 45 days, either as a new DEA or by moving an existing DEA to the Idaho address.

Once issued a primary Idaho CSR, any additional Idaho practice address requires a separate Idaho CSR and associated DEA only if the practitioner will be administering, ordering or storing controlled substances at the additional address.

Idaho Practitioner Controlled Substance Registrations

Application Requirements & Required Documents

Valid Idaho practice address – This must be a dedicated medical practice office or Idaho residential address. If using an Idaho residential address, we recommend contacting the DEA as that agency may have different criteria for residences.
Idaho Professional License
Initiate registration with the Idaho Prescription Drug Monitoring Program (PDMP) – Registration can be completed at https://idaho.pmpaware.net. You may enter “Pending” when prompted to enter your Idaho license/registration number. PDMP registration is not required for Veterinarians or CET’s.

Application Fee Exemption

DEA Exemption – Persons exempt pursuant to federal law from fee requirements applicable to controlled substance registrations issued by the DEA are also exempt from fees applicable to controlled substance registrations issued by the Board
Military Exemption – Any licensee/registrant serving in the armed forces of the United States is exempt from the payment of license fees during any period of military service. If applicable, upload proof of military service that includes the date active duty will cease

Idaho Researcher Controlled Substance Registrations

Application Requirements

Idaho Professional License Number
Copy of DEA Research Protocol

Application Fee Exemption – When either of the exemptions below are applicable while submitting an Idaho Practitioner Controlled Substance application, select the Obtained by method “Application Fee Exempt”

DEA Exemption – Persons exempt pursuant to federal law from fee requirements applicable to controlled substance registrations issued by the DEA are also exempt from fees applicable to controlled substance registrations issued by the Board
Military Exemption – Any licensee/registrant serving in the armed forces of the United States is exempt from the payment of license fees during any period of military service. If applicable, upload proof of military service that includes the date active duty will cease

Drug Enforcement Administration Registration Contact Information

Idaho DEA Registration Technician Contact
Phone: 1-571-387-2800
Email: DEARegistrationIDAHO@dea.gov For more information: Drug Enforcement Administration website.

ver: 3.5.1a | last updated: June 13, 2023 at 02:47 pm