Pharmacy Forms & Instructions

The Board of Pharmacy, together with the Secretary of State’s Office of Professional Regulation (OPR), work to administer licensing for your profession. The documents on this page serve to guide applicants and licensees through initial application or renewal. Before you begin your initial, renewal, or reinstatement application, please review OPR’s application fees and 90 Day Initial Licensing Policy.

Please log in to our Online Services System, to apply, renew, update an application/license, request a verification, and more.

• Verification of Licensure Form

Pharmacists

• Pharmacist Application Instructions
• Internship-Hour Requirements for ACPE-Accredited Programs

Pharmacy Technicians

• Pharmacy Technician Application Instructions 

Pharmacy Interns

• Pharmacy Intern Application Instructions
• Pharmacy Internship Hours Reporting Form
• Request for Change in Preceptor and/or Employment
• Verification of Pharmacy Education Form

Out-of-State Registered Pharmacists (Tele-pharmacy)

• Out-of-State Telepharmacist Application Instructions

In-State Pharmacies

• In-State Pharmacy Application Instructions
• In-State Pharmacy Renewal Instructions
• In-State Pharmacy Affirmation
• In-State Pharmacy Change in Manager Form
• Drug Outlet Incident Report

Non-Resident Pharmacy

• Non-Resident Pharmacy Application Instructions
• Non-Resident Pharmacy Renewal Instructions
• Non-Resident Pharmacy Affirmation Form
• Non-Resident Pharmacy Change in Pharmacist in Charge Application
• Non-Resident Pharmacy Statement of Pharmacist In Charge Form
• Non-Resident Pharmacy Incident Report
• Legend Device Policy

In-State Manufacturers

• In-State Manufacturer Application Instructions
• In-State Manufacturer Renewal Instructions

Non-Resident Manufacturers

• Non-resident Manufacturer Application Instructions
• Non-resident Manufacturer Renewal Instructions
• Board Policy on Licensure of Virtual Drug Manufacturers, Contract Manufacturers, Virtual Manufacturers, Broker/Intermediaries/Facilitators and Repackagers/Relabelers
• Legend Device Policy

Wholesalers

• Wholesaler Application Instructions
• Wholesaler Renewal Instructions
• Wholesaler Affirmation
• Wholesaler Change of Contact Person Application
• Wholesale Drug Outlet Statement of Contact Person Form
• Drug Outlet Incident Report
• Legend Device Policy
• Board Policy on Licensure of Virtual Drug Manufacturers, Contract Manufacturers, Virtual Manufacturers, Brokers/Intermediaries/Facilitators, and Repackagers/Relabelers

Nuclear Pharmacy

• Nuclear Pharmacy Application Instructions
• Affirmation Form

Third Party Logistics

• Third Party Logistics Application Instructions
• Affirmation Form

503B Outsourcer

• 503B Outsourcer Application Instructions
• Affirmation Form

Fast Track Endorsement

If you are you a professional who has been licensed in another state for the last 3 years and who is looking to relocate or work in Vermont, click here to learn about Fast Track Endorsement.

CE

• Course Provider Fee Exemption guidance

Per H.305 (2023), where administrative rules require in-person or face-to-face continuing education, synchronous (live or interactive and not pre-recorded) virtual continuing education courses qualify as live, in-person training and will be accepted for renewal.

• I forgot my user ID or password. What do I do?
• How do I apply for licensure?
• How do I request an official verification be sent from Vermont to another state?

For more answers to commonly asked questions, please visit our General FAQ page.

For more information, please contact us.