Businesses

Business Applications & Forms

Look over each choice carefully as it applies to your type of business. If you submit applications that are combined they will be returned without being processed. 

If you are a Nevada Manufacturer or Nevada Warehouse, please send an email request to pharmacy@pharmacy.nv.gov for the application.

Pharmacy

**Pharmacy, Wholesaler, MDEG, Warehouse, and Manufacturer applicants, you may confirm the placement of an application on the Board’s next agenda by clicking the 'Board' menu on the gold bar and selecting "Board Meetings & Agendas". Do NOT call the Board’s office prior to checking.

Pharmacy Application

Ambulatory Surgery Center and Recovery Room

Ambulatory Surgery Center and Recovery Room

Wholesaler

**Pharmacy, Wholesaler, MDEG, Warehouse, and Manufacturer applicants, you may confirm the placement of an application on the Board’s next agenda by clicking the 'Board' menu on the gold bar and selecting "Board Meetings & Agendas". Do NOT call the Board’s office prior to checking.

Wholesaler Application

Cash Deposit

Certificate of Deposit

Fingerprint Submission Instructions

Letter of Credit

Surety Bond

Outsourcing Facility

(includes 503A, 503B and FDA)

Out-Of-State Outsourcing Facility

Medical Products Provider - Medical Devices, Equipment and Gases (MDEG)

**Pharmacy, Wholesaler, MDEG, Warehouse, and Manufacturer applicants, you may confirm the placement of an application on the Board’s next agenda by clicking the 'Board' menu on the gold bar and selecting "Board Meetings & Agendas". Do NOT call the Board’s office prior to checking.

MDEG Application

MDEG Administrator Form

Shared Inventory Site

Oncology Group Practice - Shared Inventory Site

Reproductive Healthcare Center Group Practice - Shared Inventory Site

Documents for All Types of Businesses

Designated Representative Form

Internet Pharmacy Services Certification

License Verification Form (Only required for Out-of-State locations)

Personal History Record Application

Sterile Compounding Questionnaire

Facility for Treatment with Narcotics

Facility for Treatment with Narcotics Application

Automated Dispensing Systems

Automated Drug Dispensing System Application - For Pharmacies

Automated Drug Dispensing System Application - For Reproductive Healthcare Center

Mechanical Device Application

Mechanical Device Application