Any entity that falls within this definition, must register with the Wyoming State Board of Pharmacy as a Third-Party Logistics Provider.
Where operations are conducted at more than one location by a single third-party logistics provider, each location shall be licensed by the Wyoming State Board of Pharmacy.
This application requires a Designated Representative. A person can serve as the Designated Representative for only one location at a time. Any time there is a change in the Designated Representative, a new application must be submitted within 30 days.
New applications must be mailed.
Faxed or emailed applications are not accepted.
Designated Representative Application Included
A person can serve as the Designated Representative for only one location at a time. Any time there is a change in the Designated Representative, a new application must be submitted within 30 days.
Change of Ownership:
The Wyoming State Board of Pharmacy does not respond to hypothetical questions and evaluates changes of ownership for 3PLs on a case-by-case basis. In addition to a detailed description of the proposed transaction, which may include an org chart showing pre and post-transaction changes, the Board needs as much information about the proposed transaction as possible to conduct a review.
Change of Name or Address of a 3PL:
Submit the change in writing to the Board of Pharmacy, accompanied by copies of the following documents:
Copy of resident state license reflecting the change
Copy of DEA certificate reflecting the change (if applicable)
Copy of inspection report (for change of location)