California State Board of Pharmacy

Clinic License Application

$520

Request for Renewal of Clinic Application

$331

Annually

Pharmacy License Application

$520

Minimum 45 days

• The board will ONLY discuss the status of this application with the person identified as the contact person and any person who has signed the application as an officer, partner, member, and/or owner of the applicant business.
• Any application not completed within 60 days after being notified by the board of deficiencies may be deemed to have been abandoned, and the applicant may be required to file a new application and meet all the requirements which are in effect at the time of application. Fees applied to the application are not transferable and are not refundable.
• The Board may request additional documentation to confirm or substantiate the information in the application.
• This license requires different attachments, depending on the type of ownership. See specific guidelines for these classifications on the application form:
  • C1 Individually Owned
  • C2 Partnership
  • C3 Corporation (Not Publicly Traded)
  • C4 Publicly Traded Corporation
  • C5 Limited Liability Company
  • C6 Trust
  • C7 Government Owned (state, city, or county)
  • C8 Correctional Facilities (city or county-owned jail facilities)
  • C9 Native American Tribe
  • C10 Non-Native American Operating on Tribal Lands
• California Business and Professions Code section 4035 specifies “person" includes, but is not limited to, a firm, association, partnership, corporation, limited liability company, state governmental agency, trust, or political subdivision.
  • California Business and Professions Code section 4201(a) requires that “… the application shall state the information as to each person beneficially interested therein or any person with management or control over the license.”
  • The application must provide information to identify the ownership of the applicant's business. This may include multiple levels of ownership. The Board may require additional documentation to confirm or substantiate the reported ownership structure.

• Organizational Chart
  • Include a business ownership organizational chart that clearly documents the applicant’s business ownership structure. Include each level of ownership with the corresponding percentage of ownership to the top tier, percentages owned by all parties, and list the top five executive officers under the appropriate entity.
• Financial Affidavit in Support of Application (17A-2)
  • Complete and submit with original signatures.
  • Note: Not needed for a nonprofit organization, government, or tribal-owned.
• Approved Wholesale Credit Application or Wholesale Agreement
  • Submit a completed approved wholesale credit application/agreement.
  • Note: Not needed for a nonprofit organization, government, or tribal-owned.
• Lease Agreement/Grant Deed
  • Submit a copy of the signed lease agreement, including any amendments and/or extensions, or a copy of the grant deed.
  • A lease agreement should include language stating the landlord is complying with California Business and Professions Code section 4116 and Title 16, California Code of Regulations section 1714(d). If the lease does not include specific language regarding compliance with Pharmacy Law, please provide a written statement signed by both the landlord and tenant, that includes the following to demonstrate the landlord acknowledges California Pharmacy Law pertaining to is authorized to access the pharmacy. (Government-owned facilities, please submit a signed statement as described.)
    • 1. No person shall be permitted entry into a premise licensed by the Board of Pharmacy unless a registered pharmacist is present at all times pursuant to Business and Professions Code section 4116;
    • 2. Title 16, California Code of Regulations section 1714(d) provides that only a licensed pharmacist may have a key to an area where dangerous drugs and controlled substances are stored;
    • 3. No lease for a licensed premises may contain a provision inconsistent with Business and Professions Code section 4116 or Title 16, California Code of Regulations section 1714(d); and
    • 4. The landlord and tenant desire to clarify the lease with respect to Landlord’s ability to access
      the premises.
• Ownership information 
  • As outlined in Section C of the application
• Fingerprints
  • Each person who is required to complete a Certification of Personnel (as instructed in Section C) is required to complete the Live Scan or submit the Board-approved fingerprint cards for a criminal background check with the Department of Justice (DOJ) and Federal Bureau of Investigation (FBI).
  • If a person is currently associated with an active pharmacy license and has electronic fingerprints on file with the California State Board of Pharmacy, new fingerprints may not be required.

Application for Renewal of Pharmacy/Nonresident Pharmacy

$671

Annually

Correctional Clinic License Application

$520

$331

Annually

Designated Paramedic License Application

$140

Designated Representative-3PL Application

$150

Designated Representative - 3PL License Renewal Application

$215

Biennially the final day of the month that it was issued

Designated Representative-Reverse Distributor Application

$150

Designated Representative License Renewal Application

$215

Biennially the final day of the month that it was issued

Designated Representative for a Vet-Food Animal Drug Retailer

$150

Designated Representative License Renewal Application

$215

Biennially the final day of the month that it was issued

Designated Representative for a Wholesaler/Non-Resident Wholesaler

$150

Designated Representative License Renewal Application

$215

Biennially the final day of the month that it was issued

Emergency Medical Services Automated Drug Delivery System (EMADDS) License Application

$100

$100

Annually

Hospital In-Patient Sterile Compounding License Application

$1,645

Request for Renewal of Sterile Compounding and Hospital-in-Patient Sterile Compounding Pharmacy License

$1,325

Annually

Hospital Pharmacy License Application

$520

Application for Renewal of a Hospital/Drug Room

$671

Annually

Hospital Satellite Compounding Pharmacy Application

$1,645

$1,325

Annually

Hypodermic Syringes and Needles License Application

$170

Request for Renewal of Hypodermic Needle & Syringe Permit

$200

Annually

Intern Pharmacist Application

$165

Intern License Extension Request

$165

Biennially the final day of the month that it was issued

Nonresident Outsourcing Facility License Application

$2,380

Request for Renewal of Nonresident Outsourcing Facility License

$2,270

Annually

Nonresident Pharmacy License Application

$520

Application for Renewal of Pharmacy/Nonresident Pharmacy

$671

Annually

Application for Nonresident Pharmacy Sterile Compouding License

$2,380

Request for Renewal of Sterile Compounding and Hospital-in-Patient Sterile Compounding Pharmacy License

$1,325

Annually

Nonresident Third-Party Logistics Provider License Application

$780

Request for Renewal of Third-Party Logistics Provider/ Nonresident Third-Party Logistics Provider License

$786

Annually

Nonresident Wholesaler License Application

$780

Application for Renewal of Wholesaler/Nonresident Wholesaler License

$786

Annually

Outsourcing Facility License Application

$2,270

Request for Renewal of Outsourcing Facility License

$1,325

Annually

Pharmacist Examination for Licensure Application

$260

Online

$372, $360 renewal fee, $12 CURES fee for an active license

Biennially by the end of the month of issuance.

Pharmacy Technician Application

$140

Online

$140

Biennially the final day of the month that it was issued

Sterile Compounding License Application

$1,645

Request for Renewal of Sterile Compounding and Hospital-in-Patient Sterile Compounding Pharmacy License

$1,325

Annually

Temporary License Application

$325 license fee + $520 processing fee.

California Third-Party Logistics Provider License Application

$780

Request for Renewal of Third-Party Logistics Provider/ Nonresident Third-Party Logistics Provider License

$786

Annually

California Veterinary Food-Animal Drug Retailer License Application

$435

Request for Renewal of Veterinary Food-Animal Drug Retailer Permit

$330

Annually

California Wholesaler License Application

$780

Application for Renewal of Wholesaler/Nonresident Wholesaler License

$786

Annually