Applications and Fees

Amendment Form For License or Registration
(address, name, employment)		 ​
Amendment Form For Permit
(business name, address, responsible party (not Pharmacist in charge change)
Controlled Substance Registration Only $50.00
​Drug Facility Permit (In State and Out of State)​
Email Questions to licensing@mbp.ms.gov​		 ​$500.00
Duplicate Certificate
(include written request with fee)		 $25.00
Duplicate Wallet Card
(include written request with fee)		 $25.00 Pharmacist
$15.00 Technician
Emergency Medication Kit (IEMK) $100.00/$300.00
Extern/Intern (PHARMACY STUDENT)
Controlled Substance Registration		 $50.00
Home Health/Hospice Permit $50.00
Initial Pharmacist License
(NOT FOR TRANSFER)		 $100.00 License Fee
+ $50.00 Controlled Substance Fee
(if applicable)
and $40.00 Background Check Fee
Medical Equip. Suppliers Permit $150.00
Medical Gas Wholesaler $50.00
Non-Resident Facility $300.00
Outsourcer $300.00 + $50.00
(Controlled Substance if applicable)
Pharmacist License Renewal $105.00
Pharmacist in Charge Change $300.00
Pharmacy Benefit Manager Application (Calendar Year 2019) $500.00
Pharmacy Permit and Pharmacy Controlled Substance Registration $350.00
Preliminary Application for License Transfer $200.00 License fee
+ $40.00 Background Check Fee
+ $50.00 Control Substance Fee
(if applicable)
= $290.00 TOTAL
Pharmacy Services Permit $100.00
Pharmacy Technician Application $50.00 Registration Fee
+ $40.00 Background Check Fee
= $90.00 TOTAL
Unused/Unneeded Medication Donation Permit No Fee
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LICENSING

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