Businesses and Facilities

Online Renewals

Facility Permits are eligible for renewal from May 1 - June 30, 2017.

Renewal Instructions:
  • Go to Secure Online Payment Portal to renew each permit individually.
  • Additional step for first-time users who DID NOT renew in 2016: Under Existing Licensee Registration, click “Sign-Up” and create a username and password.
  • Login to your account and select “Renew License.”
  • Review and update information, answer disciplinary questions, and submit the renewal.
  • Use our secure online payment portal to pay by credit/debit card or electronic check.
  • Immediately print your 2017 permit. If you forget to print or need additional copies later, you can login later to print another copy.
  • Visit our license verification page to check for an updated expiration date
Failing to renew on or before 11:59pm CST June 30, 2017 will result in your permit being cancelled. The facility cannot operate on an expired permit.

If you do not wish to renew online, paper renewal forms are available by emailing our office at  Include the facility name and license number and use a subject line of “Renewal Form Request.”

Renewal Questions: or e-mail
Online Payment Portal Questions: helpline (800)452-6727 or e-mail


PIC Change

Introducing... the new BA-50 PIC Change Form!

A quick and easy way to change just your pharmacy or facility PIC, ensure compliance with all Board notifications and inventory requirements, and request an extension, if needed.


Use the following Applications on our Forms Page to apply for a new registration or request a change in name, location or ownership for your existing registration:

BA-02 Pharmacy (Resident)
BA-04 Manufacturer (in state)
BA-05 Distributor (cs, prescription drugs, and oxygen)
BA-06 Nonprescription Drug Distributor
BA-07 Research/Teaching Institution (in state)
BA-08 Analytical Lab (in state)
BA-09 Ambulance/EMS (in state)
BA-10 Retail Dealer (in state)
BA-11 Health Department or Clinic (in state)
BA-12 Institutional Drug Room (in state)
BA-15 Sample Distributor
BA-16 Durable Medical Equipment
BA-22 Non-Resident Pharmacy

Inspection Forms

Helpful Forms, Links and Tools

Use our FORMS Page to access the following:

BA-50 Change in PIC (use if only changing PIC)
S-300 Disciplinary History (for facilities and businesses)
C-500 CQI Meeting Report Form
S-310 Partnership
S-320 LLC Ownership
S-330 Corporate Ownership

Other Forms and Resources