50-State Healthcare and Pharmaceutical Licensing Compliance Guide
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Maryland Healthcare and Pharmaceutical Licensing

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Licensing requirements for Maryland healthcare and pharmaceutical companies and individuals.

This page provides an overview of healthcare and pharmaceutical industry licensing in Maryland for individuals and businesses. You will find state requirements, application fees, filing instructions, and more. For assistance with licensing, please contact us to learn about our software and managed license services.

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Company Licenses

Maryland Healthcare and Pharmaceutical Company Licenses

Maryland Controlled Dangerous Substance (CDS) Registration - Establishment

Agency:Maryland Department of Health - Office of Provider Engagement & CDS Registration

Initial Registration

Form:

Establishment - 3 Year Application

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$120

Due:

Triennially

Maryland Manufacturers and Virtual Manufacturers Distributing Their Own Drugs or Devices Permit

Agency:Maryland Board of Pharmacy

Initial Registration

Form:

Application For Manufacturers And Virtual Manufacturers

Agency Fee:

$1,750

Turnaround:

8 weeks

Registration Renewal

Form:

Application For Manufacturers And Virtual Manufacturers (Renewal)

Filing Method:

Mail or online.

Agency Fee:

$1,750

Due:

By May 31 of odd-numbered years.

Maryland Medicaid Provider Enrollment

Agency:Maryland Department of Health - Medicaid Administration
Foreign Qualification is Prerequisite:No
Registered Agent (Special Agency) Required?No

Initial Registration

Filing Method:

Online

Agency Fee:

$599

Notes:

Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee.

Registration Renewal

Filing Method:

Online

Agency Fee:

$599

Due:

Every 3 or 5 years depending on the type of services provided.

A Non-Resident Pharmacy is a pharmacy located outside this State that, in the normal course of business, as determined by the Board, ships, mails, or delivers drugs or devices to a person in this State pursuant to prescriptions. A Non-resident Pharmacy shall be operated in compliance with the laws and regulations of the state in which it is located; and shall be in compliance with the law and with the rules and regulations of the Board. For further details, please review HO §12-404.

Maryland Non-Resident Pharmacy Permit

Agency:Maryland Board of Pharmacy

Initial Registration

Form:

Pharmacy Non-Resident Application

Instructions:

  • Submit the completed application with all attachments and a check made payable to the Maryland Board of Pharmacy in the appropriate amount to: Maryland Board of Pharmacy, PO BOX 2024, Baltimore, MD 21203-2024.

  • Applications sent overnight or through priority mail must be addressed to the appropriate lockbox and sent to: First Data /Remitco, Attn: Maryland Board of Pharmacy / LOCKBOX 7693 400 White Clay Center Drive, Newark, DE  19711
Agency Fee:

$700

Turnaround:

Please allow four to six weeks for the Board to process your completed application

Notes:

  • Maryland businesses must pay all delinquent Maryland Use and Sales taxes before their permit can be issued/ renewed

  • Pharmacies whose practice is specific to a specialty/specialties should complete the Application for Pharmacy Waiver Permit.  A Waiver Pharmacy must limit practice only to the specialty specified on the waiver application.  This means the pharmacy cannot perform pharmaceutical services other than those allowed by the restrictive waiver
Before you Apply:
  • A copy of the most recent inspection report and the name of the agency that performed the inspection, which should be within the last two years
  • A list of all federal and state licenses, registrations, and/or permits
  • A list of all disciplinary actions taken by federal and/or state agencies against the pharmacy and/or any principals, owners, directors, or officers
  • The name and Maryland pharmacist license number for the pharmacist responsible for providing pharmaceutical services to patients in Maryland (if applicable)
  • Facility Address - list the physical location of the establishment which should be reflected on all sales invoices and shipping documents
  • Provide the name and address of all subsidiary or affiliate locations in Maryland
  • List of all owners, managers (LLCs), shareholders owning 10% or more of the shares for non-publicly traded corporations. Provide the following details for each: 
    • Full name
    • Title and type of healthcare profession they are affiliated with 
    • Date of Birth
    • Business address
    • Licenses held in any profession, if applicable, including license number, type, and expiration date
  • A list of all disciplinary actions by federal or state agencies against the pharmacy, as well as any such actions against principals, owners, directors, officers, or employees. Include documentation of any corrective actions taken in response to any disciplinary actions and any final orders issued by any federal or state agencies.
  • A complete list of all pharmacists, pharmacy interns, and pharmacy technician employees’ name(s), employment status, license/registration number and expiration date.
  •  
Required Attachments:
  • Copies of all permits/licenses/registrations currently held in any jurisdiction
  •  

Registration Renewal

Form:

Pharmacy Non-Resident Application (Renewal)

Filing Method:

Mail or online.

Agency Fee:

$500

Due:

By May 31 of even-numbered years.

Maryland Pharmacy Permit

Agency:Maryland Board of Pharmacy
Registered Agent (Special Agency) Required?No

Initial Registration

Form:

Pharmacy Resident Application

Instructions:

Mail to: 
Maryland Board of Pharmacy
P O Box 2024
Baltimore, MD 21203-2024

Applications sent overnight or through priority mail must be addressed to the appropriate lockbox
and sent to:
Wells Fargo Bank
Attn: State of MD – Board of Pharmacy, Lockbox 2024
7175 Columbia Gateway Drive
Columbia, MD 21046 
 

Agency Fee:

$700

Turnaround:

4-6 weeks

Notes:
  • If the actual date of the pharmacy opening is different from the Proposed Date of Opening or Ownership/Location Change on the application, please contact the Board as soon as possible and provide the new date.
  • All Maryland businesses must pay all delinquent Maryland Use and Sales taxes before their permit can be renewed. All permits expire May 31st of each even-numbered year. To settle a past business tax liability, call 410-649-0633 in Central Maryland or toll-free at 1-888-614-6337
Required Attachments:
  • A copy of the most recent inspection report and the name of the agency that performed the inspection
  • A list of all federal and state licenses, registrations, and/or permits
  • A list of all disciplinary actions taken by federal and/or state agencies against the
    pharmacy and/or any principals, owners, directors, or officers
  • The name and Maryland pharmacist license number for the pharmacist responsible for  providing pharmaceutical services to patients in Maryland (if applicable)
  • The appropriate application fee 
  • Any other documentation required in Md Code Ann., Health Occ HO 12-404

Registration Renewal

Form:

Pharmacy Resident Application (Renewal)

Filing Method:

Mail or online.

Agency Fee:

$500

Due:

By May 31 of even-numbered years.

Maryland Pharmacy Waiver Permit

Agency:Maryland Board of Pharmacy

Initial Registration

Form:

Waiver Application New and Renewal

Agency Fee:

$700

Registration Renewal

Form:

Waiver Application New and Renewal

Agency Fee:

$500

Due:

By May 31 of even-numbered years.

Maryland Residential Service Agency License - Durable Medical Equipment (DME)

Agency:Maryland Department of Health - Ambulatory Care Unit
Foreign Qualification is Prerequisite:No
Registered Agent (Special Agency) Required?No

Initial Registration

Form:

Application: Residential Service Agency​

Agency Fee:

$0

Renewal Not Required

Not required



RSA licenses no longer expire and remain valid unless revoked.

Maryland Wholesale Distributor Permit

Agency:Maryland Board of Pharmacy

Initial Registration

Form:

Wholesale Distributor Application

Agency Fee:

$1,750

Registration Renewal

Form:

Wholesale Distributor Application (Renewal)

Filing Method:

Mail or online.

Agency Fee:

$1,750

Due:

By May 31 of odd-numbered years.

Individual Licenses

Maryland Individual Healthcare and Pharmaceutical Licenses

Maryland Controlled Dangerous Substance (CDS) Registration - Practitioner

Agency:Maryland Department of Health - Office of Provider Engagement & CDS Registration

Initial Registration

Form:

Practitioner - 3 Year Application

Agency Fee:

$120

Registration Renewal

Filing Method:

Online

Agency Fee:

$120

Due:

Triennially

Maryland Pharmacist License

Agency:Maryland Board of Pharmacy

Initial Registration

Form:

Initial Application for Pharmacist Licensure: US and Foreign Graduates

Agency Fee:

$150

Original Ink:Not Required

Reciprocal Registration

Form:

Application for Pharmacist Licensure - Reciprocity

Agency Fee:

$300

Original Ink:Not Required

Registration Renewal

Filing Method:

Online

Agency Fee:

$261

Due:

Biennially.

Original Ink:Not Required

Maryland Pharmacy Intern Registration

Agency:Maryland Board of Pharmacy

Initial Registration

Form:

Pharmacy Intern Initial Application

Agency Fee:

$45

Registration Renewal

Form:

Pharmacy Intern Renewal Application

Agency Fee:

$45

Notes:

Intern registrations can only be renewed once.

Maryland Pharmacy Student Technician Exemption Registration

Agency:Maryland Board of Pharmacy

Initial Registration

Form:

Pharmacy Student Technician Exemption Form

Agency Fee:

$0

Renewal Not Required

Not required



Student exemptions are valid until the end of the applicant's first year of pharmacy school and cannot be renewed.

Maryland Pharmacy Technician Registration

Agency:Maryland Board of Pharmacy

Initial Registration

Form:

?Technician Initial Application

Agency Fee:

$45

Registration Renewal

Form:

Technician Renewal Application

Agency Fee:

$45

Due:

Biennially by the end of the licensee's birth month.

Learn about healthcare and pharmaceutical licensing in other states:

Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho
Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri
Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania
Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Controlled Substance Registration - In addition to a pharmacy license, controlled substance registration registration is required in many states for pharmacies that distribute controlled substances.

NABP (National Association of Boards of Pharmacy) - Host a variety of programs and resources relating to pharmacist and pharmacy licensure and examination.

Pharmacist in Charge - A licensed pharmacist designated by a pharmacy to act as the party responsible for compliance with regulations.

VPP (Verified Pharmacy Program) - A program run by NABP that allows state boards to share information and more easily register out-of-state pharmacies.

Accreditation Council for Pharmacy Education (ACPE)

Drug Enforcement Administration (DEA) - Office of Diversion Control

National Alliance of State Pharmacy Associations (NASPA)

National Association of Boards of Pharmacy (NABP)

Revised December 02, 2021. Complete data last reviewed February 27, 2019.