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.

Wholesale Distributor of Prescription Drugs for Human Use – Because this type of license requires a Designated Representative (who must pass a criminal background check), please email bop@wyo.gov, provide a mailing address and ask that an application packet be mailed to you. We do not email application packets. Please do not use an old copy of an application form that you may have on file, as we update our applications frequently and we prefer that applicants always use the most recent version of the application.

Wholesale Distributor of Prescription Drugs for Human Use Application

Wholesale Distributor of Prescription Drugs for Human Use Renewal Application

Wholesale Distributor of Prescription Drugs for Human/Vet/Oxygen 2021 Renewal Instructions

Use the application below if you are a current Wholesale Distributor licensee who needs to add Controlled Substance registration.

Controlled Substances registration to current Wholesale Distributor of Prescription Drugs of Human Use License Application

Wholesale Distributor of Medical Oxygen – Because this type of license requires a Designated Representative (who must pass a criminal background check), please email bop@wyo.gov, provide a mailing address and ask that an application packet be mailed to you. We do not email application packets. Please do not use an old copy of an application form that you may have on file, as we update our applications frequently and we prefer that applicants always use the most recent version of the application.

Wholesale Distributor of Prescription Drugs for Medical Oxygen Application

Wholesale Distributor of Medical Oxygen Renewal Application

Wholesale Distributor of Prescription Drugs for Non-Human (Veterinary) Use Only – This type of license does not require a Designated Representative

Wholesale Distributor of Prescription Drugs for Non-Human (Veterinary) Use Application

Wholesale Distributor of Prescription Drugs for Non-Human (Veterinary) Use Renewal Application

Designated Representative – A person can serve as the Designated Representative for only one location at a time. Any time there is a change in Designated Representative for a particular license location, a new application for that person is required within 30 days. Email bop@wyo.gov, provide a mailing address and ask that an application packet be mailed to you. We do not email application packets.

Designated Representative for a Wholesale Distributor of Prescription Drugs for Human Use or Medical Oxygen

Change of Name or Address of a Wholesale Distributor requires that you 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)