PHARMACIST

LICENSE APPLICATIONS
Download Maryland License Forms & Applications

Scroll Down for the NEW Drug Therapy Management & Influenza Forms

EXAMINATION APPLICATIONS

Maryland License Application
MS Word Format

NAPLEX and MPJE Instructions Adobe Format

Oral English Instructions
Web Format

Pharmacy Affidavit Form (Internship Hours) ** Please See Below **
Adobe Format
MS Word Format

Foreign Pharmacist Instructions

RECIPROCITY APPLICATIONS

Reciprocity NABP Website
Maryland Reciprocity Requirements:

Adobe Format Requirements MS Word Format Requirements

Adobe Format Application
MS Word Format Application

Reciprocity Home Page

Oral English Instructions
Web Format

DRUG THERAPY MANAGEMENT

DTM Process Summary

**NEW **DTM Application - PDF
**NEW **DTM Application - Word

DTM Information
Each pharmacist who is to perform drug therapy management under the Physician-Pharmacist Agreement must complete this Pharmacist Information Form.

DTM Protocol
Required laws to be in any protocol that is approved by the Boards of Physicians and Pharmacy.

DTM Checklist
These provisions are required to be in any Physician-Pharmacist Agreement that is approved by the Boards of Physicians and Pharmacy.

PHARMACIST RENEWAL

NOTICE: Effective July 1, 2008 the fees for pharmacist license renewals will increase from $179.50 to $182.00. Applications (with payment) postmarked before July 1, 2008 will be accepted under the $179.50 fee. Applications postmarked after July 1, 2008 must include the new fee, $182.00.

Renewal Application Instructions
Word Format

Renewal Application (Only)
Adobe Format

Continuing Education Form
Adobe Format
Word Format

REINSTATEMENT APPLICATION

Application & Instructions
MS Word Format

Note: Submit this form along with the Renewal Application above.

OTHER FORMS & INFORMATION

Pharmacist Information Change Form (Address, Name, Employment)
Web Format
Word Format

Law Book Order Form
Web Format
Word Format

CONTINUING EDUCATION FORMS

Links to obtain CE's Online

Approval Form for Sponsors
Adobe Format Word Format

Approval Form for Attendees
Adobe Format Word Format

INFLUENZA FORMS

The Maryland Board of Pharmacy clarified at its September 20, 2006 Public Board Meeting the existing regulations regarding pharmacists' requirements for the administration of influenza vaccinations. Specifically, the Board will not approve CPR certifications issued by internet CPR courses unless it can verify that the course meets generally acceptable course content criteria (e.g. hands-on instruction).

Click here for REQUIREMENTS

Click here for the APPLICATION

PLEASE READ - Internship Hour Information:
Applicants must obtain on State Board letterhead verification of internship hours earned outside of Maryland. The verification must include preceptor and permit holder verification information, as well as completion of State Board of Pharmacy Internship Certifications or other State Board internship requirements. Applications for licensure in Maryland will not be approved for internship hours earned outside of Maryland, until internship verification has been provided.

The Board uses Adobe Acrobat for many of it's web based forms and application. Adobe Acrobat Reader is a free program that may be downloaded to your computer by clicking HERE.