Documents/Publications

For detailed licensing information and reguirements, click here.  Otherwise, applications can be found below.

Licensing Applications

Below is a list of various forms/applications which are available for download in Adobe Acrobat format. Simply download the form to your computer and print it out so that it can be filled out by hand or by typewriter.

Pharmacy Technicians

• Pharmacy Technician Application 

Non-Resident / Mail-Order Pharmacies

• Non-Resident / Mail-Order Pharmacy Application

Manufacturers / Wholesalers / Distributors / Brokers of Prescription Drugs/Devices at Wholesale

• Prescription Drug / Device Manufacturer / Wholesaler / Distributor / Broker Application
  Complete and return this application if you are manufacturing and/or providing these products to NH entities at wholesale only and not to the end-user (e.g. a patient).

NH In-State Pharmacies

• Important Notice for Applicants for Licensure of a NH In-State Pharmacy
• Application for Licensure of a NH In-State Pharmacy
• Amend-A-Pharmacy Permit Form (NH In-State Pharmacies Only)
  Used to change the pharmacist-in-charge or to change the name of a pharmacy at a NH licensed in-state pharmacy only. (For In-State Pharmacies Only. Non-Resident / Mail-Order Pharmacies May Report Change of Pharmacist-In-Charge Or Pharmacy Name Change On Company / Pharmacy Letterhead).

Limited Retail Drug Distributors (LRDD's)

There are 3 sub-types of LRDD's - Please select one of the applications below depending on the type of facility you are licensing:

• LRDD - Medical Gases and/or Prescription Devices Direct to Consumer
• LRDD Application - NH In-State Public Health Clinic
• LRDD - NH In-State Methadone Maintenance / Detox Facility

NH Pharmacist Applications

Information / Applications for Initial Pharmacist Pharmacist Licensure in New Hampshire (Not Renewals)

• Original Licensure in NH (NAPLEX)
• NH License By Score Transfer (Must be Done within 90 days of passing NAPLEX)
• License Transfer - Transfer of a Current Pharmacist License from Another State (a.k.a. Reciprocity)

Reinstatement of a NH Pharmacist License After It Has Lapsed Over 1 Year

• Reinstatement of NH Pharmacist License

Board Licensee Database Information

• NH Board of Pharmacy License/Registration Verification Page
• Information on Ordering a Database Mailing List
• View the Board's licensee statistics as of  January 2011.

Brochures Produced/Distributed by the Board of Pharmacy

Adobe Acrobat Reader format. You can download a free reader from Adobe.