Wholesale Distributor Applications
Wholesale Distributor Applications
Embedded Files
All entities engaged in the distribution of prescription drugs into and/or from Wyoming are required to be licensed. For more information, please refer to Wyoming Statute 33-24-153 and the Wyoming Pharmacy Act Rules and Regulations Chapter 8. The wholesale distributor license covers multiple business activities. Virtual entities are not exempt from the requirements for licensure.
There are three types of Wholesale Distributor Licenses in Wyoming. Each has different requirements and serves a different purpose. If you are not sure which type of license is required, email bop@wyo.gov with your question and we will attempt to answer your question. You may wish to consult with your own legal counsel for help understanding and/or complying with Wyoming's requirements.
Wholesale Distributor Renewals are now OPEN
Wholesale Distributor Renewals are now OPEN
Wholesale distributor license (manufacturers, wholesale distributors, medical oxygen distributors, etc.), renewals are now open. Renewal notices are emailed to the email address on file with the Board. Licensees are encouraged to renew online. Email bop@wyo.gov if you do not remember your login credentials. Renewal forms and renewal instructions are also available below. If you choose to submit your renewal form and payment to the Board office, please note:
We do not verify the receipt of renewal applications due to heavy volume, and
We cannot accept renewal applications that are submitted via fax or email.
Wholesale Distributor of Prescription Drugs for Human Use
Wholesale Distributor of Prescription Drugs for Human Use
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.
Wholesale Distributor of Prescription Drugs for Veterinary Use
Wholesale Distributor of Prescription Drugs for Veterinary Use
New applications must be mailed.
Faxed or emailed applications are not accepted.
Designated Representative Application Not Required
Wholesale Distributor of Medical Oxygen
Wholesale Distributor of Medical Oxygen
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.
Other Forms
Other Forms
Application to Add a Business Controlled Substance Registration to an Existing Wholesale Distributor of Prescription Drugs for Human or Veterinary Use License
A Wyoming Controlled Substance Registration is required for all entities that distribute controlled substances in Wyoming.
Additional Information
Additional Information
Change of Ownership:
The Wyoming State Board of Pharmacy does not respond to hypothetical questions and evaluates changes of ownership for wholesale distributors 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 Wholesale Distributor:
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)
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