Please Select: Automatic Ext Defibrillator (AEDS) and/or Supplies (DM01) Blood Glucose Monitors/ Supplies (Non-Mail Order) (DM05) Blood Glucose Monitors/Supplies (Mail Order) (DM06) Breast Prostheses and/or Accessories (PD01) Canes and/or Crutches (M01) Cochlear Implants (PD02) Commodes, Urinals, Bedpans (DM02) Continuous Passive Motion (CPM) Devices (DM03) Continuous Positive Airway Pressure (CPAP Devices) (R01) Contracture Treatment Devices: Dynamic Splint (DM04) Diabetic Shoes and Inserts (S02) Diabetic Shoes/Inserts – Custom (S03) Enteral Equipment and Supplies (PE04) Enteral Nutrients (PE03) Epoetin (A01) External Infusion Pump Supplies (DM24) External Infusion Pumps (DM12) Facial Prostheses (PD03) Gastric Suction Pumps (DM07) Heat & Cold Applications (DM08) High Frequency Chest Wall Oscillation Devices/Supplies (R02) Hospital Beds (Electric) (DM09) Hospital Beds (Manual) (DM10) Immunosuppressive Drugs (A02) Implanted Infusion Pumps and/or Supplies (DM14) Infrared Heating Pads Systems and/or supplies (DM11) Infusion Drugs (A03) Insulin Infusion Pump Supplies (DM25) Insulin Infusion Pumps (DM13) Intermittent Positive Pressure Breathing (IPPB Devices) (R04) Intrapulmonary Percussive Ventilation Devices (R05) Invasive Mechanical Ventilation (R03) Limb Prostheses (PR01) Mechanical In-Exsufflation Devices (R06) Nebulizer Drugs (A04) Nebulizer Equipment and/or Supplies (R07) Negative Pressure Wound Therapy Pumps/ Supplies (DM15) Neuromuscular Elect Stimulators (NMES)/Supplies (DM16) Neurostimulators and/or Supplies (PD04) Ocular Prostheses (PD05) Oral Anticancer Drugs (A05) Oral Antiemetic Drugs (A06) Orthoses: Custom Fab (OR01) Orthoses: Off the Shelf (OR03) Orthoses: Prefabricated (Custom Fitted) (OR02) Osteogenesis Stimulators (DM17) Ostomy Supplies (PD06) Oxygen Equipment and/or Supplies (R08) Parenteral Equipment and Supplies (PE06) Parenteral Nutrients (PE05) Patient Lifts (M02) Pneumatic Compression Devices and/or Supplies (DM18) Power Operated Vehicles (Scooters) (M03) Prosthetic Lenses: Conventional Contact Lenses (PD12) Prosthetic Lenses: Conventional Eyeglasses (PD11) Prosthetic Lenses: Prosthetic Cataract Lenses (PD13) Respiratory Assist Devices (R09) Respiratory Suction Pumps (R10) Seat Lift Mechanisms (M04) Somatic Prostheses (PD07) Speech Generating Devices (DM19) Support Surfaces: Pressure Reducing Beds/Mats/Pads - New (DM20) Support Surfaces: Pressure Reducing Beds/Mats/Pads - Used (DM26) Surgical Dressings (S01) TENS and/or Supplies (DM22) Tracheostomy Supplies (PD08) Traction Equipment (DM21) Ultraviolet Light Devices and/or Supplies (DM23) Urological Supplies (PD09) Vacuum Erection/ Penile Pumps (OR04) Ventilators: All Types - Not CPAP or RAD (R12) Voice Prosthetics (PD10) Walkers (M05) Wheelchair Seating/Cushions (M10) Wheelchairs (Complex Rehab Manual Rel Accessories) (M08A) Wheelchairs (Complex Rehab Power Rel Accessories) (M09A) Wheelchairs (Complex Rehabilitative Manual) (M08) Wheelchairs (Complex Rehabilitative Power) (M09) Wheelchairs (Standard Manual Related Accessories and Repairs) (M06A) Wheelchairs (Standard Manual) (M06) Wheelchairs (Standard Power Related Accessories and Repairs) (M07A) Wheelchairs (Standard Power) (M07)

State	License Name	Req Out of State	Online Verification	Req Pharmacies	Notes
AK	Pharmacy License	Yes	Y	Yes
AL	Parental Pharmacy Permit	Yes	Y	Yes
AR	Retail Pharmacy License	Yes	Y	Yes
AS	No License Required	No	-	No
AZ	Pharmacy Permit	Yes	Y	Yes
CA	Retail Pharmacy Permit	Yes	Y	Yes
CO	Prescription Drug Outlet License	Yes	Y	Yes
CT	Pharmacy License	Yes	Y	Yes	A: For out of state suppliers a Non-Resident Pharmacy license is required. Edited 11-02-16
DC	Pharmacy License	Yes	Y	Yes
DE	Retail Pharmacy License	Yes	Y	Yes
FL	Community Pharmacy License	Yes	Y	Yes
GA	Pharmacy License	Yes	Y	Yes
GU	Pharmacy License	Yes	-	Yes	A: If the supplier is out of state, the supplier is not required to have a physical representative located in the state. Also the out of state supplier must be licensed in their home state.
HI	Pharmacy License	Yes	Y	Yes
HI	Pharmacy Miscellaneous Permit	Yes	Y	No
IA	Pharmacy License	Yes	Y	Yes	A: If a licensed pharmacy from out of state ships prescription pharmaceuticals or devices to patients in Iowa, the pharmacy must maintain an Iowa Nonresident Pharmacy License. Edited 12/12/2019
ID	Community Pharmacy License	Yes	Y	Yes	A: If an out of state supplier, you must obtain the Out of State Mail Order Pharmacy License or register as a DME provider with the Idaho Board of Pharmacy.
IL	Pharmacy License	Yes	Y	Yes	A: The HME license is needed if the pharmacy is engaged in the sale or rental of home medical equipment and services. (i.e. providing technologically sophisticated devices or other similar articles bearing label that states “Caution: federal law requires dispensing by or on the order of a physician.” Example: oxygen, ventilators, Tens units, custom fitted or motorized wheelchairs, pumps, beds, etc.)
IN	Pharmacy Permit	Yes	Y	Yes	A: As of January 1, 2009, a nonresident pharmacy that dispenses more than twenty-five percent (25%) of the pharmacy’s total prescription volume as a result of an original prescription order received or solicited through the Internet must be accredited through the National Association of Boards of Pharmacy’s (NABP) VIPPS and shall obtain and display a seal of approval on their internet site and anywhere the pharmacy advertises.
KS	Pharmacy Registration	Yes	Y	Yes
KY	Pharmacy Permit	Yes	Y	Yes
LA	Pharmacy Permit	Yes	Y	Yes
MA	Retail Drug Store Permit	M: Currently, the Board of Pharmacy does not license any out of state pharmacies. However, the Board of Registration in Pharmacy will soon have regulations to require licensure for non-resident pharmacies that ship medications into Massachusetts. (Revised 11/21/17). (9P2QTW0336)	Y	Yes
MD	Pharmacy Permit	Yes	Y	Yes	A: If out of state, a Non-Resident Pharmacy Permit is required. D: The “Residential Service Agency” (RSA) license is required regardless of supplier type or pharmacy (in-state and out-of-state) if delivering DME, Orthotics, or Prosthetics to individuals in a private residence. This license is not needed if the business engages in mail order only via a common mail carrier. Additionally, the RSA license requirement does not apply to Maryland licensed home health agencies, hospitals, or individuals practicing in a health occupation for which the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland including Physicians, Podiatrists, Optometrists, Chiropractors, and Dentists. E: “Home medical equipment services” means the delivery, installation, maintenance, or replacement of, or instruction in the use of, medical equipment used by a sick or disabled individual to allow the individual to be maintained in a noninstitutional environment.(9-1) “Medical equipment” means technologically sophisticated medical devices including but not limited to: (a) Oxygen and oxygen delivery systems; (b) Ventilators; (c) Respiratory disease management devices; (d) Electronic and computer-driven wheelchairs and seating systems; (e) Apnea monitors; (f) Transcutaneous electrical nerve stimulator (T.E.N.S.) units; (g) Low air loss cutaneous pressure management devices; (h) Sequential compression devices; (i) Neonatal home phototherapy devices; (j) Feeding pumps; and (k) Electrically powered hospital beds.
MD	Residential Service Agency License	D: The “Residential Service Agency” (RSA) license is required regardless of supplier type or pharmacy (in-state and out-of-state) if delivering DME, Orthotics, or Prosthetics to individuals in a private residence. This license is not needed if the business engages in mail order only via a common mail carrier. Additionally, the RSA license requirement does not apply to Maryland licensed home health agencies, hospitals, or individuals practicing in a health occupation for which the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland including Physicians, Podiatrists, Optometrists, Chiropractors, and Dentists. (8LMM280126)	Y	Yes	C: “Residential service agency” means: (i) Any individual, partnership, firm, association, corporation, or other business entity of any kind that is engaged in a nongovernmental business of employing or contracting with individuals to provide at least one home health care service for compensation to an unrelated sick or disabled individual in the residence of that individual; or (ii) An agency that employs or contracts with individuals directly for hire as home health care providers. A branch office of the agency may operate under the same license that is issued to the agency (One license issued to multiple locations); however, each location must be listed on the branch letter provided with the RSA license from the Office of Health Care Quality (OHCQ). Effective July 1, 2018, the Residential Service Agency License is a non-expiring license. D: The “Residential Service Agency” (RSA) license is required regardless of supplier type or pharmacy (in-state and out-of-state) if delivering DME, Orthotics, or Prosthetics to individuals in a private residence. This license is not needed if the business engages in mail order only via a common mail carrier. Additionally, the RSA license requirement does not apply to Maryland licensed home health agencies, hospitals, or individuals practicing in a health occupation for which the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland including Physicians, Podiatrists, Optometrists, Chiropractors, and Dentists. E: “Home medical equipment services” means the delivery, installation, maintenance, or replacement of, or instruction in the use of, medical equipment used by a sick or disabled individual to allow the individual to be maintained in a noninstitutional environment.(9-1) “Medical equipment” means technologically sophisticated medical devices including but not limited to: (a) Oxygen and oxygen delivery systems; (b) Ventilators; (c) Respiratory disease management devices; (d) Electronic and computer-driven wheelchairs and seating systems; (e) Apnea monitors; (f) Transcutaneous electrical nerve stimulator (T.E.N.S.) units; (g) Low air loss cutaneous pressure management devices; (h) Sequential compression devices; (i) Neonatal home phototherapy devices; (j) Feeding pumps; and (k) Electrically powered hospital beds.
ME	Pharmacy License	Yes	Y	Yes	B: Out of state pharmacies: A mail order prescription pharmacy is an entity that dispenses prescription (Rx-only) medications or devices by mail or carrier from a facility not located in the state of Maine to a patient who resides in Maine.
MI	Pharmacy License	Yes	Y	Yes	B: Wholesale Distributor license: Required for items which are considered to be Rx-only by FDA. The Wholesale Distributor license does not apply to dentists, licensed doctor of medicine, licensed doctor of osteopathic medicine and surgery, licensed doctor of podiatric medicine and surgery, or licensed optometrist if item falls within the scope of their practice and dispensed to their own patients.
MN	Pharmacy License	Yes	Y	Yes
MO	Pharmacy Permit	Yes	Y	Yes	A: Out of State Pharmacies are required to obtain a Non-Resident Pharmacy Permit.
MP	No License Required	No	-	No
MS	Retail Community Pharmacy Permit	Yes	Y	Yes	A: Out-of-state pharmacies are required to hold a MS Non-Resident Pharmacy Permit. Effective July 1st, 2011, the supplier must have a pharmacist licensed in the state of Mississippi if out of state.
MT	Certified Pharmacy License	Yes	Y	Yes	B: Suppliers (in-state and out-of-state) who ship, sell, or dispense legend (Rx-only) medical devices as determined by the FDA pursuant to a prescription, directly to a consumer in this state, must be licensed with the Montana Board of Pharmacy and either hold a Wholesale Drug Distributor License or Certified Pharmacy License. If the supplier is a pharmacy and is located outside the state of Montana, a Mail Order Pharmacy license is required.
NC	Pharmacy Permit	Yes	Y	Yes	A: If they provide drugs or parenteral nutrition: “Pharmacy Permit,” with issue and renewal date, issued by the Board of Pharmacy, at 919-942-4454. Each facility must have one. If the business moves, the address may not match till the permit is renewed at renewal time.
ND	Pharmacy Permit	Yes	Y	Yes	A: Effective August 1, 2013 suppliers (in-state and out-of-state) providing any devices pursuant to a prescription, directly to a consumer, must either hold a pharmacy license, or the new Durable Medical Equipment Retailer license or Medical Gas Retailer license if selling or delivering medical gas and related oxygen equipment, and employ or contract with a North Dakota licensed individual specifically authorized by their practice to prescribe or dispense those devices (i.e. Physicians, Physician Assistants, Pharmacists, Licensed Nurses (LPN and RN), Physical Therapists, Respiratory Therapists). Additionally, suppliers providing custom orthotics, prosthetics, and diabetic footwear must employ or contract with an individual who holds a national certification through the American Board of Certification (ABC) or the Board of Certification (BOC) to provide these items.
NE	Community Pharmacy Permit	Yes	Y	Yes
NH	Pharmacy Permit	Yes	Y	Yes
NJ	Pharmacy Permit	Yes	Y	Yes
NM	Pharmacy License	Yes	Y	Yes
NV	Pharmacy Registration	Yes	Y	Yes
NY	Registered Pharmacy Certificate	Yes	Y	Yes
OH	Terminal Distributor of Dangerous Drugs, Retail Pharmacy	Yes	Y	Yes
OK	Retail Pharmacy License	Yes	Y	Yes	D: The Sterile Permit is printed on the Pharmacy License. F: Non-resident pharmacies must have an Oklahoma licensed PIC after November 1, 2015. New pharmacies will be required upon application and renewals will be required upon renewal after November 1st. (Added 07/02/15)
OR	Retail Drug Outlet	Yes	Y	Yes
PA	Pharmacy Permit	Yes	Y	Yes
PR	Licencia Para Farmacia	No	-	Yes
RI	Pharmacy License	Yes	Y	Yes
SC	Pharmacy Permit	Yes	Y	Yes	B: For out of state suppliers: A Non-Resident Pharmacy Permit authorizes facilities outside of this State whose primary business is filling mail order or internet prescriptions to engage in the sale, distribution, or dispensing of legend drugs or devices in this State. A Non-Resident Medical Gas & Legend Device Permit authorizes a facility to dispense to a patient or patient’s agent, medical gases and legend devices to end users in SC. Edited 11/07/2016
SD	Registered Pharmacy Permit	Yes	Y	Yes	A: Out of state suppliers are required to obtain the Non Resident Pharmacy License which is unnecessary for DME products such as test strips. Furthermore, the out of state supplier is required to have an agent located in the state of South Dakota. If an agent is not noted, the Secretary of State of South Dakota will be considered the agent.
TN	Pharmacy License	Yes	Y	Yes
TX	Retail Pharmacy License	Yes	Y	Yes	A: The Device Distributor license is not needed if the supplier holds a Device Manufacturer License. The Device Distributor and Manufacturer licenses do not apply to Physicians, Podiatrists, Optometrists, Dentists, Pharmacies, or licensed Hospitals if they only obtain the device for lawful administration to a patient or only provide the device directly to a patient. In addition, the Device Distributor and Manufacturer licenses do not apply to providers who only deliver non-FDA RX only (over-the-counter) devices directly to a patient. The provider may hold the Multi Products license that shows each covered commodity on the license. (i.e. Compressed Medical Gases, Nonprescription Drugs, Food, Devices) (Effective: 09/01/1989; Added: 09/2011; Rev.2: 03/20/2014)
UT	Class A or B or D Pharmacy License	Yes	Y	Yes	A: If a supplier is shipping to the end user, a Utah license is required. The pharmacy classifications are as follows: -Pharmacy Class A: Retail Operations in Utah -Pharmacy Class B: Institutional Pharmacy (Closed Door, Hospice Facility, Sterile Product Preparation) -Pharmacy Class C: Manufacturing, Producing, Wholesaling -Pharmacy Class D: Pharmacy located outside the state of Utah -Pharmacy Class E: Medical Gases, DME B: A Utah Controlled Substance License can be attached to Classes A through D which will enable a pharmacy to provide Controlled Substances. C: A Medical Supply Company providing Durable Medical Equipment or prescription devices to Utah residents, whether located in Utah or located in another state, must be licensed as a Class E Pharmacy in Utah. Utah Pharmacy Practice Act Rules specifically state that Class E pharmacies do not require a Pharmacist-In-Charge.
VA	Pharmacy Permit	Yes	Y	Yes	A: Per http://www.dhp.virginia.gov/pharmacy/pharmacy_faq.htm “If the out-of-state pharmacy is shipping, mailing, or otherwise delivering prescription drugs into Virginia to Virginia residents, registration as a non-resident pharmacy is required. However, if the out-of-state pharmacy is not mailing, shipping, or delivering into Virginia and is only dispensing to Virginia residents who come into the pharmacy to have prescriptions filled, Virginia law does not require registration.”
VI	Pharmacy License	Yes	-	Yes
VT	Retail Pharmacy License	Yes	Y	Yes	A: If a supplier is an out of state pharmacy, you are required to have a Non- Resident Pharmacy License issued by the Vermont Board of Pharmacy.
WA	Pharmacy License	Yes	Y	Yes	A: If providing controlled substances, must have an additional endorsement on the pharmacy license to dispense controlled substances. This additional endorsement, “Controlled Substances Registration Certificate,” is issued by the US DOJ/DEA.
WI	Pharmacy License	Yes	Y	Yes	C: The supplier may dispense prescription items without being licensed as a pharmacy if they are a Remote Dispensing Site and has a licensed supervising pharmacy that oversees the operations and administration of all aspects of the remote dispensing site. Please refer to Wisconsin Administrative Code Chapter Phar 7.095
WV	Registered Pharmacy Certificate	Yes	Y	Yes	A: The “Controlled Substance Permit” is part of--and is printed on the same sheet as--the “Registered Pharmacy Certificate” issued by the WV Board of Pharmacy, at 304-558 0558. B: Out of state suppliers are required to hold a pharmacy license in the state of residence and a Mail Order Permit issued by West Virginia.
WY	No License Required	No	-	No