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Forms, Applications and Instructions for Pharmacies

IMPORTANT NOTICE REGARDING PHARMACY & DME PERMIT MEETINGS: Permit meetings begin promptly at 10:00 am on the first Monday and the Monday prior to the third Tuesday of each month (unless otherwise noted - see calendar). Check-in time for the meeting is at 9:45 am. Late arrivals will not be allowed into the permit meeting. Accordingly, if you cannot arrive at the Board office before 10:00 am on the meeting date, your permit application will not be considered, and you will have to attend a future permit meeting.


 

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2008 Application for Registration/Renewal and Permit to Conduct a Pharmacy Inside North Carolina

2008 Application for Registration/Renewal and Permit to Conduct a Pharmacy Outside North Carolina

Common Practice and Procedure for Issuing Pharmacy Permits

Pharmacy Address Change Form

Pharmacist-Manager Change Form*

*Instructions for notifying the Board of a change in Pharmacist-Manager:

For pharmacies in North Carolina: If there is a Pharmacist-Manager change at a pharmacy that has been permitted within the current year, please complete this form and send it to the Board along with your $35.00 payment.

If there is a Pharmacist-Manager change at a pharmacy that has a RENEWAL certificate, please follow the instructions on the back of the renewal certificate. In this case, you do NOT need to complete the Pharmacist-Manager change form.

For pharmacies OUTSIDE North Carolina: Follow the same procedures as above, then also complete this form (Out-of-State Pharmacy/Pharmacist Certification) and submit all paperwork to the Board.

Questions? Email Wendy Watson at wwatson@ncbop.org or call 919.246.1050 ext. 221.

Out-of-State Pharmacist/Pharmacy Certification Form

Pharmacist-Manager Responsibilities

Drug Disaster & Loss Report

Drug Disposal Form & Procedures

Incident Report

Pharmacy Security Check List - developed by the National Association of Drug Diversion Investigators (NADDI)

Retail Pharmacy Self-Evaluation Check List

Controlled Substances Inventory Log

 

For questions about pharmacy permits, please contact Wendy Watson at 919.246.1050 ext. 221 or by email at wwatson@ncbop.org.