PHARMACISTS
- New Application
- Duplicate License/Registration Request
- College Affidavit
- Change of Supervising Pharmacist
- E-mail [email protected] to reinstate a pharmacist’s license
- TO CHANGE YOUR ADDRESS OR EMPLOYMENT CLICK HERE
- Controlled Substance Waiver
- Preceptor Application
- Nuclear Pharmacy and Pharmacist Certification Application
- Consultant Application
PHARMACY TECHNICIANS
- New Application
- Duplicate Registration Request Form
- Board Approved Technician Training Programs
- Technician Training Verification Form
- Instructions on how to upload technician training is here
- Reinstatement Application
- Continuing Education
- To Change Your Address or Employment Click Here
- When Technician Training form is complete click here
- New Technician Training Rule
IN-STATE PHARMACIES
- In-State Pharmacies New Application
- In-State Reinstatement/Change or Ownership Pharmacy Application
- New Institutional Pharmacy Application
- Institutional Reinstatement/Change of Ownership Application
- Change of Supervising Pharmacist (Both Incoming and Outgoing Pharmacist must complete)
- Closing A Pharmacy in Alabama
- Non-Pharmacist Key Holder Designation Form
- Revocation of Non-Pharmacist Key Holder Form
- Controlled Substance Waiver
- Change of Operations Form
- New Pharmacy Application – Check List
- Pharmacy Change of Name or Address Form
- Burglary Procedures
FACILITIES
- See Alabama Administrative code 680-X-2-.23 Section 1 for Facility Definitions
- New Manufacturer Application
- New Private Label Distributor Application
- New Repackager Application
- New 503B Application
- Facility Change of Ownership Form
- Change of Designated Representative Form
- Business History Affidavit
- Controlled Substance Waiver
- For reinstatement, E-mail [email protected]
- Individual History Affidavit
- Application Contact Form
- Duplicate License Request Form
CONSUMER SERVICES
NON-RESIDENT PHARMACIES
- New Non-Resident Pharmacy Application
- 795 Non-Sterile Compounding Questionnaire (Must also submit VPP Inspection)
- Reinstatement/Change of Ownership Form
- Controlled Substance Waiver
- Checklist For Closing a Non-Resident Pharmacy
- 797 Sterile Compounding Questionnaire (Must also submit VPP Inspection)
- Change of Name or Address Form
- Duplicate License/Registration Request
- Change of Supervising Pharmacist (Both Incoming and Outgoing Pharmacist must complete)
- Change of Operations Form
PHARMACY SERVICES
- New In-state Pharmacy Services Application (Must appear before the Board before license can be granted)
- New Non-resident Pharmacy Services Application
- Reinstatement/Change of Ownership Application
- Duplicate License/Registration Request
- DEA Form 106 – Report of Lost or Stolen Controlled Substances
- Change of Name or Address Form
- Change of Supervising Pharmacist (Both Incoming and Outgoing Pharmacist must complete)
PRECURSOR
- New Precursor Application
- For reinstatement, E-mail [email protected]
- Duplicate License Request Form
