License Information
Per
Wisconsin State Statutes 440.08 (2), the required renewal date for the Pharmacy (Out of State) credential is 05/31/even years. Should you receive your initial credential in the months leading up to this date, you are still required to renew your license by the statutorily defined date.
- Complete and submit the Application for Pharmacy (Out-of-State) with required forms and fee.
- Register with the
Drug Enforcement Administration (DEA).
- Department review of application; determination whether to grant credential.
No pharmacy that is in another state may ship, mail, or otherwise deliver a prescribed drug or device to persons in Wisconsin unless the pharmacy is licensed in Wisconsin.
An out-of-state pharmacy that applies for a license is not required to comply with Wisconsin law relating to the professional service area of a pharmacy or the minimum equipment requirements for a pharmacy.
A pharmacist employed in an out-of-state pharmacy is not required to be licensed in Wisconsin.
A licensed out-of-state pharmacy is not required to be under the control of a managing pharmacist licensed in Wisconsin.
A licensed out-of-state pharmacy shall provide a telephone number that allows a person in Wisconsin to contact the pharmacy during the pharmacy's regular hours of business and that is available for use by a person in Wisconsin for not less than 40 hours per week.
The label of all prescription drug containers shipped, mailed, or otherwise delivered to a person in Wisconsin must bear the telephone number of the out-of-state pharmacy.
Application for Licensure
| Form | Description |
|---|
| 2737 | Application for Out-of-State Pharmacy Form (Out-of-State Pharmacies that have a change in Managing Pharmacist, should notify DSPS on company letterhead of the change. Please submit to dspscredpharmacy@wisconsin.gov) |
| 2252 | Convictions and Pending Charges |
| 3071 | Fax Payment Form |
Profession Forms
| Form | Description |
|---|
| 2661 | Pharmacy, Distributor, or Manufacturer Change of Ownership Form (if Re-Licensure is required, you must re-complete Form #2737) |
