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Board of Pharmacy

Emergency Applications

These forms can be used by a pharmacist, pharmacist intern, or pharmacy technician emergency permit or courtesy license applicant. The emergency permit application is to be used for staffing purposes when a pharmacy is without the services of a pharmacist due to death, illness, or other emergency circumstance. The emergency courtesy license is to be used to respond to an urgent situation, which is defined in 12 AAC 52.110. Please refer to the ‘Authorized Emergency Courtesy License Activities’ document when filling out the emergency courtesy license application.

Emergency PERMIT

Initial Applications

Pharmacists, Technicians, and Interns
  • Pharmacist Application
    Emergency permit applicants: download the instructions HERE.
    #08-4032, Revised 02/18/2021
    Application of pharmacist licensure by examination, by score transfer, or by credentials through NABP.
  • Pharmacy Intern Application
    #08-1468, Revised 11/19/2019
    Application for licensure as a pregraduate or postgraduate. License required before beginning an internship in the state.
    Applications submitted on or after 10/31/2019 no longer require a declaration of sponsorship form to be completed. In addition, individuals wishing to practice within the scope of a pharmacy intern must be licensed in Alaska prior to engaging in an internship.
  • Pharmacy Technician Application
    #08-4353, Revised 08/30/2020
    License required before beginning employment as a technician.
  • Pharmacist Collaborative Practice Application
    #08-4410, Revised 11/26/2019
  • Intern Affidavit of Experience
    #08-4068, Revised 08/07/2019

Questions? See the Guide to Obtaining Your Alaska Pharmacist License

Facilities

In-State

Out-of-State

New License Type FAQs

To find answers to common questions regarding outsourcing facilities, third-party logistics providers (3PLs), and non-resident wholesale drug distributors, please view this New License Types FAQs document.

Important Information Regarding New License Types

SB 37 will take effect on July 1, 2019, which will authorize licensing of third-party logistics providers, outsourcing facilities, and wholesale drug distributors located outside of the State. The Alaska Board of Pharmacy convened on June 27th to review proposed regulations to implement these new license types; however, applications will be available before October 31, 2019.

Please note that an Alaska business license will be required before engaging in any business activity; however, to receive a business license, a professional license must be obtained first. Applicable NAICS business codes are provided below. After receiving a professional license in Alaska, you may call 907-465-2550 or email BusinessLicense@Alaska.gov for more information on how to obtain the proper business license.

  • 424210 – Drug Wholesalers
  • 423490 – Professional Equipment Wholesalers

If you have questions about business licensing specifically, please call them directly at (907) 465-2550.

Renewal Applications

Please be advised: the Board of Pharmacy intends to extend this year’s renewal expiration date to September 30, 2022, which includes an extension for continuing education completion. Renewal forms for 2022 – 2024 will be available by mid-June. Please subscribe to the Board of Pharmacy ListServ to keep apprised of renewal updates.

Please also be aware that only licensees and registrants whose license/registration lapsed in 2020 and who are needing to be renewed through 2022 (not 2024) should email BoardOfPharmacy@Alaska.Gov to request a copy of the renewal form for the previous biennium. Requests for 2020 – 2022 renewal forms for licensees/registrants who are current through June 30, 2022 will not be returned since the 2022 – 2024, which is not yet available, is what will need to be submitted.

Self-Inspection Reports

Miscellaneous Forms