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Resources

Links to state dispensing registrations.  Contact PharmaLink with questions about dispensing medications in your state.

Alabama

Dispensing Physician Requirements (Registration, Reporting)

Alabama Controlled Substances Certificate/Qualified Alabama Controlled Substances Certificate

Arizona

Dispensing Physician Initial Registration And Annual Renewal Form (M.D.)*

Initial Registration To Dispense Medication Form (D.O.)*

Arizona State Board of Dental Examiners – Dispensing Drugs and Devices for Profit Registration*

Arkansas

Application For Permit To Dispense Drugs*

Connecticut

Controlled Substance Registration for Practitioner

Delaware

Controlled Substances Application For Practitioners (Other Than Physician’s Assistants and Advanced Practice Nurses)*

Department of State, Division of Professional Regulation, Office of Controlled Substances Website (information regarding fees, etc.)

Florida

Dispensing Practitioner Registration Form*

Illinois

Application For State Controlled Substances Registration*

Indiana

Application for Indiana Controlled Substances Registration (CSR) For Practitioners (State Form 34617)*

Application for Indiana Controlled Substances Registration (CSR) For Practitioners (State Form 34617) Instructions

Iowa

Iowa Controlled Substances Registration Application*

Louisiana

Application for Registration as a Dispensing Physician**

Dispensing Renewal Application Packet**

Maryland

Application For Physician’s Permit To Dispense Prescription Drugs*

Application For Controlled Dangerous Substances Registration/Renewal*

Michigan

Michigan Drug Control License Application to Dispense from Doctor’s Office.pdf*

Missouri

Practitioner Application for a Missouri Controlled Substances Registration*

North Carolina

Forms, Applications and Instructions for Dispensing Physicians, Physician Assistants, and Nurse Practitioners

Oregon

Application for Registration as a Dispensing Physician*

Virginia

Application for a Controlled Substances Registration Certificate**

Application for a License to Sell Controlled Substances by a Practitioner of the Healing Arts*

West Virginia

Application For Drug Dispensing Registration In The State Of West Virginia*


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