South Dakota State Board of Pharmacy

Varies

Due in conjunction with the DEA Controlled Substance Registration renewal.

South Dakota Pharmacy Application / Renewal Form

$200

South Dakota Pharmacy Application / Renewal Form

$200

Annually by June 30.

Nonresident Pharmacy Application / Renewal Form

$200

• Payment methods – MasterCard, Visa or American Express ONLY. If you do not have a MasterCard, Visa, or American Express, purchase a MasterCard, Visa, or American Express gift card to complete the payment process. 

• Current home state license, its equivalent, or a written explanation why one is not available. (A primary source verification does fulfill this requirement).
• Most recent inspection conducted in the last 4 years by home state regulatory or other inspecting entity. If one is not available, upload an explanation why.
  • Documentation corrections for of all non-compliance noted in the inspection. 
• DEA certificate (if dispensing controlled substances).
• Notarized Pharmacist-in-Charge Affidavit
• Notarized Supplemental Affidavit must be completed if pharmacist-in-charge is not sole owner of merchandise and fixtures.
• A list of other state(s) licensed in.
• A complete Description of Type of Pharmacy Practice, i.e. retail, hospital, compounding, central fill, central processing, etc. including a description of the prescription drugs and services provided to patients in South Dakota.
• Court documents if regulatory question(s) answered yes.
  • `First regulatory question is: Has the pharmacist-in-charge, sole proprietor, any other managing officer, director, or member ever plead guilty, no contest, or received a suspended imposition of sentence for a felony or other criminal offense (excluding minor traffic violations) that was not been reported on the last renewal.
  • Second regulatory question is: Has the pharmacy been disciplined in the last four (4) years?
• If a Power of Attorney (POA) granting signing authority is being used, upload that document along with form that is signed using the POA. 
• List all registered tecnicians
• List all pharmacists
• List all pharmacy interns
• If this location is requesting a waiver/exemption from reporting to the PDMP, provide the reason
•  

Nonresident Pharmacy Application / Renewal Form

$200

Annually by June 30.