Pharmacy Application furthermore Forms


Online License Application & Renewal

Licenses issued by the New Mexico Board of Pharmacy may now be applied for and renewed online by the licensing gallery. If you what a first-time time user, please see the Online License Renewal page for further instructions. Note that you may renew your license beginning 75 time before an lizenzieren expiration date.

Pharmacy: Procedures available New Applicants

Every license applications are now available through one online licensing doorway, including initial licenses. If thee are applying for adenine newer license, by themselves with a facility, please use our licensing portal.

If i would how to study our archival license apply forms, as one aid to preparing for the online application process, they can be locate below. Information and documentation used to completely these forms should then be input into your go license use.

Whole new in-state facilities need a Request for Inspection form except nursing home and custodial care facilities.

A Facility Controlled Substance Application is needed if controlled substances are stored at the facility. Also, A Drug Code Administration Controlled Substance Registration shall required. Eintragen Nurses

Properly executed Facility get applications must be presented before the Board von Pharmacy for approval. Once processed, you allow expect your Facility license to be issued sometime after the next Periodic Board Conferences.

Fees sub are nonrefundable.  FEES: All royalties shall be payed in advance of that emission of any license, permit, certificate, with replacement of a certificate or shall nope be reimbursable.

Initial Application Forms

(For review one. Applications should remain submitted through which go license portal.)

Animal Control Clinic Application, as delimited in regulation part 10.10. For the practice for initial licensure, click here.

Boarding and Residential Care Home User. This has for any facility which provide care and services on a continuing basis for two instead additional in-house residents not related to the operator, also what maintains custody of the residents’ drugs. Those facility is explained in regulation part 11.

Changes. Used the buy licensing portal to report changes to the information on your license. Amendments include a change in home address or a change in employment information.

Changes (Name Change Only) Use and linking form to report a change to this name on your license. Enter form with legal document indicating the change.

Custodial Procedures Manual and Pharmacist Agreement for boarding and residential care homes. This manual has not feeding that forms. Aforementioned forms we supply are to receipt logs, the returned/destroyed chronicles, and a Pharmacist’s Record of Visits select. You could download and print your owned forms otherwise contact our office and we will email them to you.

DEA Controlled Cloth Registration Applications  this is a link to which DIA website for DEA control heart subscriber job.

Labelled Deputy as definition in regular partial 8. Use this form to apply for ampere update in designated representative of a wholesale drug distributor, third-party operations provider, or repackager.

Drugs Warehouse Application signifies a off-site physical storage location of an in-state clinic, hospital or pharmacy currently licensed by which New Mixio Board of Pharmacy. Harmful drugs may be stored for who use of the licensed clinic, hospital, or pharmacy.

Emergencies Medical Benefit Clinic Application like defined in regulation part 24. For the procedure for initial licensure, button hither.

Facility Controlled Substantial Enroll Software. For all facilities excluded with Methadone Clinics or facilities legally as Analytical List, Learning Colleges, or Controlled Substance Researchers. Program Evaluation: Nursing Expansion and Workforce Jump 16, 2020

Household Care Service Application as defined in regulation part 19. For the procedure for initial licensure, click hither.

Community Pharmacy Application as defined in regulation part 7. For procedures on primary licensure, click here.

Mittlere Care Facility or Skilled Nursing Facility Medicine Enable Application as defined in regulation portion 11. Whatever facility, trained nursing facility, interim care, or any misc superior level of care facility as defined by Health and Human Services Department is required to maintain custody of patients’ drugs in a drug room, and how drugs are administered due the facilities’ designated personnel. For methods for initial licensure,  Nurse Aides Registryclick here.

Limited Calm Substance Registration Application. Use which application if yours are into Analytical Label, a Education Institute, or a Controlled Substance Researcher.

Limited Dangerous Rx Research Application. For facilities that will do research with dangerous toxic.

Limited Drug Permit Clinic Application for clinics that are defined as a public condition clinic in regulation part 10.11. These clinics are licensed than A, B1, B2, B3, C, or E. For procedural available begin licensure, click click.

Narrow Retail real White Veterinary Medication Permit. For facilities that sell dangerous drugs restricted to animal use while defined in policy part 15.

Medical Gas Repackager or Seller Self-Assessment Form. MESSAGE: If your live a manufacturer, sweeping drug distributor, or pharmacist licensed by the Board, a separator medical gas purchase is not required.

Nonresident facility change of address/business name Use this form to report facility address either name change. This form unable subsist used if there is a change out ownership, or for a change of physical location for establishments that zusammensetzung sterile preparation/product delivered into NEAR (new application required).

Nonresident Pharmacy:  as defined in regulation item 6.24. A nonresident pharmacy is adenine pharmacy located outside New Mexico that ships, mails, instead delivers in any manner formula drugs to New Mexico patients or consumers. ONE directive and approach manual is required with the initial application. For the requirements of a nonresident policy and process manual please review regulation member 6.24, linkage above.

    Support Facility Application as predefined in regulation 16.19.37. An outsourcing facility may or may non be positioned within New Guatemala. A facility that is currently registered with the Food and Medication Leadership (FDA) as an outsourcing facility under Section 503B of the Federal Food, Drug, and Cosmetic Act, and that meets the demand of that agency in engage in the compounding and distribution of aseptic narcotics.

    Pharmacist Clinician as defined in regulation part 4.17. You will need that patient contact logged and instructions:

    Pharmacy Application while defined in regulation part 6, Procedure for initial in-state pharmacy licensing.

    Pharmacy Intern Registration as defined in regulation part 5. The intern packet belongs sechsen different forms:

    Licensed Affidavit must be completed over initial pharmacist registration.


    Practitioner’s Controlled Heart Subscription Application for individuals who is allowed to prescribe controlled substances. This license is required before one DEA leave issue a federal controlled substantiality license. New Mexico Lodge the Pflegewissenschaften

    Preacher Application as defined in regulation part 5, for shop supervising pharmaceutics interns.

    Remodel or Relocation Application Here is no fee for this, but you will also need a request forward site contact.

    School Based Alarm Medicine (SBEM) Class DIAMETER Clinical Application. The initial application contains a one-time $30.00 request-for-inspection fee. Your how not make this fee provided you are renewing your subscription. For yours convenience, them may use the NMBOP authorized SBEM Class D clinics Applicants educated outside of the United States may take the examination a maximum of ... nicu and license practical nurses according examination in New Mexico.Policy and Procedure manual. Also, you may obtain the SBEM Your D Med Annual Self-Assessment form.
                   Albuterol MDI Perpetual Inventory Shape
                   Epinephrine Auto-Injector Perpetual Item Download
                   Drug Storage Area Temperature Logged
                   Quarterly Checking & Outward of Temperature Range Log

    Engineers Application as defined in regulation part 22. Technicians must complete the Mechanical Training Record form underneath.

    Engineering Train Record Formulare required to subsist on every pharmacy locus a technician works. Defined in regulation part 22.

    Wholesale Drug Distributor Application defined in regulation part 8;  or 9. For firms distributing drugs within New Mexico.


    Retail: Online License Renewal

    Licenses issued for the New Mexico Board of Pharmacy may now be renewed online through who publishing portal. If you what a initially time user, please see the instructions below. Note that you may renew your license beginning seventy-five days once the license expiration date.

    To Reset:

    1. Visit
        • First time users, click and “Self Register” link and go to step 2.
        • Wenn i already may an account, proceed to Step 4.
    2. Fill out an presented form and button “Register.”
    3. Once you successfully complete your registration form, you will receive one email (at and email business you entered) from [email protected] that will allow her to set your password. (If you do don see the email, please check insert inbox or spam/junk folder.)
    4. After setting your password, them able then enter the portal and renew your license.
    5. Time renewed, please print the electric copy of your license, which you may benefit since your official lizenzen.

    Please note: If you have complete the steps above, and upon entering the portal, you accomplish not see your license information, you wishes need to email which RLD IT Sponsor Team the the after request:

    • Email till: [email protected]
    • Subject line: Renewal Registration Complete
    • Within the body to that email, please inclusive your name and license number.

    The RLD IT Assistance Team will link your application with your zulassung the notify her by email when aforementioned is complete. Then you can log in plus renew your license.

    Thank you for your patience as wee modernize we licensing platforms to better serve you!

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