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.

Nevada - For locations located in the State of Nevada

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/2012_Pharmacy_NV.pdf

Out-of-State – For Locations Shipping to the State of Nevada

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/Pharmacy_OOS.pdf

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.

2021 Wholesaler Application

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/2021 Wholesaler Application.pdf

Cash Deposit

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/Cash_Deposit.pdf

Certificate of Deposit

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/CertificateOfDeposit.pdf

Fingerprint Submission Instructions

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/Fingerprint Submission Instructions - Effective 7-1-19.pdf

Letter of Credit

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/Letter_Of_Credit.pdf

Surety Bond

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/SuretyBond.pdf

Outsourcing Facility

(includes 503A, 503B and FDA)

Out-Of-State Outsourcing Facility

html document/uploadedFiles/bopnvgov/content/Services/newapps/OOS OUTSOURCING FACILITY.pdf

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.

2021 MDEG Application

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/2021 MDEG Application Revision FINAL.pdf

2021 MDEG Administrator Form

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/2021 MDEG Administrator Application FINAL.pdf

Documents for All Types of Businesses

Designated Representative Form

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/2021.04.22 Designated Representative Form.pdf

Internet Pharmacy Services Certification

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/ALL_InternetPharmacyServicesCert.pdf

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

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/2020 ALL_LicenseVerificationForm(1).pdf

Personal History Record Application

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/2021.04.22 Personal History Record Application.pdf

Narcotic Treatment Program

NTP

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/2020 NTP APP.pdf