Please visit the Licensing Gateway to gather more information about Licensing and the applications listed below. The Licensure Gateway is a single portal to manage licenses, permits, and registrations associated with the Mississippi Board of Pharmacy. It grants access to printable documents, change of address, online applications and is used to submit all license applications.
Additional Resources:
Applications & Fees
To access any application listed below, please visit the Licensing Gateway.
Application | Fees |
---|---|
Amendment Form For License or Registration (For individuals- address, name, employment) | No Fee |
Amendment Form For Permit (In-State and Out of State- business name, address, responsible party) (Not Pharmacist in charge change) | Additional Application Fee Applies |
Compounding Certificate Application (This application is designed to be a fillable form for your convenience; however, an original signature will be required.) | No Fee |
Controlled Substance Registration Only (Facilities) | $50.00 |
Drug Facility Permit (In-State and Out of State) | $500.00 |
Duplicate Certificate (Wall cert for Pharmacist only) (Include written request with fee) | $25.00 |
Verification Request | $25.00 |
Emergency Medication Kit (IEMK) (In-State only) | $100.00/$300.00 |
Extern/Intern (PHARMACY STUDENT) Controlled Substance Registration | $50.00 |
Home Health/Hospice Permit (In-State Only) | $50.00 |
Initial Pharmacist License (For individuals taking the Naplex to obtain) (NOT FOR TRANSFER) | $100.00 License Fee + $50.00 Controlled Substance Fee (if applicable) + $40.00 Background Check Fee |
Medical Equip. Suppliers Permit (In-State and Out of State) | 150.00 |
Medical Gas Wholesaler (In-State and Out of State) | $50.00 |
Outsourcer (In-State and Out of State) | $300.00 + $50.00 (Controlled Substance if applicable) |
Pharmacist License Renewal | $105.00 |
Pharmacist in Charge Change | $300.00 |
Pharmacy Benefit Manager Application for License | $500.00 |
Pharmacy Permit and Pharmacy Controlled Substance Registration (In-State and Out of State) | $350.00 |
Physician Dispensing Permit | $350.00 |
Preliminary Application for License Transfer (For individuals who hold a current pharmacist license in another state) | $200.00 License fee + $40.00 Background Check Fee + $50.00 Control Substance Fee (if applicable) = $290.00 TOTAL |
Pharmacy Services Permit (For professional consulting services and outpatient surgery centers) | $100.00 |
Pharmacy Technician Application | $50.00 Registration Fee + $40.00 Background Check Fee = $90.00 TOTAL |
Unused/Unneeded Medication Donation Permit | No Fee |
Background Check Processing | $40.00 |