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.

Nevada - For Locations Located in the State of Nevada

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/12.13.19 Wholesalers NV APP.pdf

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

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/12.13.19. Wholesalers OOS APP.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 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.

Nevada - For locations located in the State of Nevada

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/2019_MDEG_NV.pdf

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

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/2019_MDEG_OOS(1).pdf

Documents for All Types of Businesses

Designated Representative Form

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/ALL_DesignatedRepresentativeForm rev. 2.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

MDEG Administrator Form

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/ALL_MDEG_AdministratorForm rev.2.pdf

Personal History Record Application

pdf document/uploadedFiles/bopnvgov/content/Services/newapps/ALL_Personal_HistoryRecordApp rev.2.pdf

Narcotic Treatment Program

NTP

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