Documents/Publications

View detailed Licensing information and reguirements.

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 Tech Application 
• Mail-Order Pharmacy Application
• 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
  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).
• Manufacturer/Wholesaler/Distributor or 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).
• Limited Retail Drug Distributors
  Laws Regarding Limited Retail Drug Distributors
  Limited Retail Drug Distributor of Medical Gases and/or Prescription Devices Direct to Consumer Application
  Limited Retail Drug Distributor (NH In-State Public Health Clinic)
  Limited Retail Drug Distributor (NH In-State Methadone Maintenance / Detox Facility)

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