Requirements for a non-resident pharmacy permit
Complete the Non-Resident Pharmacy Initial Application and required documentation via Licensure Gateway.
A payment of $150, paid online or by check, made out to the "Kentucky State Treasurer".
If paying by check, mail to: State Office Building Annex, Suite 300 125 Holmes Street Frankfort, KY 40601
Requirements for a non-resident special limited pharmacy permit - Clinical Practice
Complete the Non-Resident Special Limited Pharmacy Permit - Clinical Practice Initial Application and required documentation via Licensure Gateway.
A payment of $150, paid online or by check, made out to the "Kentucky State Treasurer".
If paying by check, mail to: State Office Building Annex, Suite 300 125 Holmes Street Frankfort, KY 40601
Requirements for a non-resident special limited pharmacy permit - Medical Gas
Complete the Non-Resident Special Limited Pharmacy Permit - Medical Gas Initial Application and required documentation via Licensure Gateway.
A payment of $150, paid online or by check, made out to the "Kentucky State Treasurer".
If paying by check, mail to: State Office Building Annex, Suite 300 125 Holmes Street Frankfort, KY 40601
Requirements for a non-resident special limited pharmacy permit - Charitable Pharmacy
Complete the Non-Resident Special Limited Pharmacy Permit - Charitable Pharmacy Initial Application and required documentation via Licensure Gateway.
A payment of $150, paid online or by check, made out to the "Kentucky State Treasurer".
If paying by check, mail to: State Office Building Annex, Suite 300 125 Holmes Street Frankfort, KY 40601
Required documents for a new non-resident pharmacy permit:
Copy of resident state pharmacy permit
Copy of last inspection report
Copy of DEA registration (if applicable)
KASPER verification certificate for PIC (if pharmacy has DEA registration)
License verification from resident state or primary source verification from resident state
Sample label
End-of-Day report for 7 days
Memorandum of Understanding and Agreement (MUA)
Disciplinary history (if applicable)
On-call policy if pharmacy is closed 2 days per week
Required documents for a change of ownership for an existing non-resident pharmacy permit
Copy of resident state pharmacy permit since ownership change
Copy of inspection report since ownership change
Copy of DEA registration (if applicable)
License verification from resident state since ownership change or primary source verification from resident state
Sample label
Memorandum of Understanding and Agreement (MUA)
Disciplinary history (if applicable)
On-call policy if pharmacy is closed 2 days per week
Required documents for a change of address/location for an existing non-resident pharmacy permit
Copy of resident state pharmacy permit with new address
Copy of inspection report of new address
Copy of DEA registration (if applicable) with new address
License verification from resident state with new address or primary source verification from resident state
Sample label with new address
Disciplinary history (if applicable)
Required documents for a name change of an existing non-resident pharmacy permit
Copy of resident state pharmacy permit with new name
Copy of DEA registration (if applicable) with new name
License verification from resident state with new name or primary source verification from resident state
Sample label with new name
Disciplinary history (if applicable)