Application for Registration as a Non-Resident Pharmacy
IC 25-26-17: Nonresident Pharmacies
The Board shall update your nonresident pharmacy registration to the new ownership and issue a new registration number upon receipt of the following:
- a completed application, including the current Indiana registration number;
- $100 application fee;
- a sample label that will be used on the medication containers; label must indicate the toll-free number for Indiana patients to call;
- copy of the most recent Board inspection report by your home state board;
- list of the names, titles, and cities of residence of all corporate officers and staff pharmacists, including the pharmacists’ license number;
- verification of current license of the pharmacy under the new ownership and all pharmacists listed on the application; this must be official verifications from the state board of pharmacy in your home state;
- copy of your VIPPS accreditation issued by NABP, if applicable; this accreditation may be required of your pharmacy as of January 1, 2009; please see below for additional information;
- name and contact information for the qualifying pharmacist (or pharmacist in charge);
- name and contact information for the responsible agent charged with receipt of information from the Board; and
- if applicable, your DEA number and your NCPDP (previously known as the NABP) number (if one or both of these numbers are pending, please make note of this and forward the information to the Board at pla4@pla.IN.gov immediately upon receipt).
Applicants must submit a $100 application fee in the form of a check or money order made payable to the "Professional Licensing Agency". The fee must be submitted with the application to the following:
Professional Licensing Agency
402 W Washington Street, Room W072
Indianapolis, IN 46204.
Verified Internet Pharmacy Practice Sites (VIPPS) Requirement
As of January 1, 2009, a nonresident pharmacy that dispenses more than twenty-five percent (25%) of the pharmacy's total prescription volume as a result of an original prescription order received or solicited through the Internet must be accredited through the National Association of Boards of Pharmacy's (NABP) VIPPS and shall obtain and display a seal of approval on their internet site and anywhere the pharmacy advertises.
If you have any questions, please contact our office at pla4@pla.IN.gov.