- For Consumers
- For Pharmacists
- For Pharmacies
- For Pharmacy Technicians & Technician Candidates
- For Pharmacy Interns
- (CDS) Controlled Dangerous Substance Licenses
- (PMP) Prescription Monitoring Program
- (DME) Durable Medical Equipment Providers
Forms & Applications
Pharmacy Technicians & Pharmacy Technician Candidates
Pharmacy Technician Candidates
030 ~ Application for New Pharmacy Technician Candidate Registration
031 ~ Pharmacist's Affidavit to Certify Hours of Practical Experience for Pharmacy Technician Candidates
040 ~ Application for New Pharmacy Technician Certificate
090 ~ Notice of Change in Mailing Address or Employment
091 ~ Notice of Name Change
201 ~ Product Order Form - Duplicate Credential
Pharmacy Technicians
041 ~ Application for Renewal of Pharmacy Technician Certificate for Year 2013-2014
041-M ~ Application for Renewal of Pharmacy Technician in Military Service for Year 2013-2014
041-L ~ Application for Late Renewal of Pharmacy Technician Certificate for Year 2013-2014
090 ~ Notice of Change in Mailing Address or Employment
091 ~ Notice of Name Change
201 ~ Product Order Form - Duplicate Credential
Note: If your certificate has been expired for more than 30 days, it is too late to renew it. However, you can apply for the reinstatement of your certificate. To do so, please send a written request to the Board office (mail, fax, or email), requesting the information necessary to reinstate your certificate. Please be sure to include your name, certificate number, and current mailing address. The licensing staff will prepare a reinstatement packet for you, containing instructions on the procedures necessary to reinstate your certificate.
