You may use this site to make payments for the following items: |
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3PL Provider NEW $400-3PL must send applica 3PL Provider Renw $200-3PL must send applica 3PL Provider Renw Late $400-3PL must send appl Agenda Notice $18 NxtYr DPH Active/Inactive Renw $100-dph must send applic DPH Active/Inactive RenwLate $200-dph must send ap DPH Immunization Duplicate $10 - incl dph # DPH Immunization New $25-dph must send imz app DPH Sr Inactive Renw $20-dph must send applic DPH Sr Inactive Renw Late $40-dph must send applic DPH Wall DuplCertif_if gone_$30 dph to send app DPH Wall OrigCertif_if gone_$50-dph must send ap DPH-Reinstatement $100, verify amt with PharmacyBd Drug Supplier NEW $20- pcy must send DS applic Drug Supplier Renw $20-pcy must 1st have one Drug Supplier Renw Late $40-pcy must 1st have one Duplicate RnwLicense/Permit $10-include name&lic# Durable Med Equip Sup NEW $400 Must send App Durable Med Equip Sup Renw $200 Must send App Durable Med Equip Sup RenwLATE $400-must send App Durable Med Equip Sup+MGD-NEW $600 Must send App Durable Med Equip Sup+MGD-Renw $300 Must send App Durable Med Equip Sup+MGD-RenwLATE $600 send App File-List_Facility $50 - NOT a license! File-List_Facility History $50 - NOT a license! File-List_Intern (not a license) $100 File-List_PharmaCIST $100 - NOT a license! File-List_PharmaCIST History $100 - NOT a license File-List_PharmaCY $75 - NOT a license! File-List_PharmaCY History $75, NOT a license! File-List_Technician $100 - NOT a license! File-List_Technician History $100 - NOT a license! Fine $1,125 Fine $3,750 Fine-partial pay $ 100 - include case # & name Fine-partial pay $1,000 - include case # & name Fine-partial pay $1,500 include case # & name Fine-partial pay $10,000 - include case # & name Inspection $200 Intern_New_$100-you must send application! License Verify-Certified $10-license typ+name+no Manuf'r Rnw Late fee $200-if already pd $200 rnw Manufacturer $200 change from renew to new Manufacturer NEW $400-mfg must send applicat Manufacturer Renw $200+mfg must send complete appl Manufacturer RenwLATE $400+mfg must send applicat Medical Gas Distributor NEW $400+mgd must send app Medical Gas Distributor Renw $200+mgd sends app Medical Gas DistributorRenwLATE $400+mgd sends app Medical Gas Supplier NEW $300+mgd must send applic Medical Gas Supplier Renew $100+application Medical Gas Supplier RenwLATE $200+mgs sends appli NAPLEX Fee (OK) $125-appl must send application Outsourcing New $400+must send complete applic Outsourcing Renw $200+must send complete appli Outsourcing RenwLATE $400+out must send applicatio Phcy Charitable NEW $275-pcy sends complete app Phcy Charitable Renw $75-pcy sends complete applic Phcy Charitable RenwLATE $150-pcy sends applic Phcy Hospital DrugRoom NEW $240-pcy sends app Phcy Hospital DrugRoom Renw $40-pcy sends applicat Phcy Hospital DrugRoom RenwLATE $80-pcy sends appl Phcy Hospital NEW $350-pcy sends complete appl Phcy Hospital Renw $150-pcy sends complete applica Phcy Hospital RenwLATE $300-pcy sends complete app Phcy LTC Emergency Kit Permit $50-pcy sends applic Phcy Non-Resident NEW $350-pcy sends complete appl Phcy Non-Resident Renw $150-pcy sends application Phcy Non-Resident Rnw+LATE $300-pcy sends applicat Phcy RMOP NEW $350-pcy sends complete application Phcy RMOP Renw $150-pcy sends complete application Phcy RMOP RenwLATE $300-pcy sends complete applica Phcy Retail NEW $350-pcy sends complete applicatio Phcy Retail Renw $150-pcy sends complete applicati Phcy Retail RenwLATE $300-pcy sends complete appli Postage, use qty to get to right amt Preceptor NEW $25-dph must send prc application Preceptor Renw $10-dph must have prc + send applic Preceptor RenwLATE $20+must have prc+send applic Reciprocity Fee (OK) $200 - list applicant name Record, Certified Copy NOT a LicenseVerify ($1/pg) Record, Copy NOT a Duplicate Licens/Perm ($.25/pg) Recording audio, open record, if available, $15 ea Repackager NEW $400+rpkgr must send complete appli Repackager Renw $200+repkgr sends complete applica Repackager RenwLATE $400+rpkgr sends complete appl Research, Computer $100/hr if available Research, Staff $20/hr if available Research, Staff, adtl 1/4 hr increments Returned payment fee $25-send name, license# & typ Score Transfer-$200-only within 90 days of naplex Spec 1 x $1.39 onl fee repaid Spec 1 x $1.62 onl fee repaid Spec 1 x $11.16 onl fee repaid Spec 1 x $15, diff prc new / prc rnw Spec 1 x $2.24 onl fee repaid Spec 1 x $2.27 onl fee repaid Spec 1 x $3.33 onl fee repaid Spec 1 x $4.10 onl fee repaid Spec 1 x $5.00 Spec 1 x $80.00 Sterile Compounding Prm NEW $75-pcy sends appli Sterile Compounding Prm Rnw $75-only if you have 1 Sterile Compounding Prm RnwLate $150-if you have 1 Tech Immunization Dupl $10, include tech # Tech Immunization New $25-Tech must send imz app Tech NEW $40-you must send complete application! Tech Reinstate $80-you must send complete applicat Tech Renew $40-you must send complete application! Tech Renew LATE $80-you must send complete applic Tech, Late, $40-you must've sent applic & fee Training Area NEW $25-pcy must send complet applic Training Area Rnw $10-only if you have one ! Training Area RnwLATE $20-only if you have one ! Training Area_Non-Licensed Renw $10 Wholesale DIST NEW $400+ send complete applicat Wholesale DIST Renw $200+ send application Wholesale DIST RenwLATE $400+ send application | |||
The below *items will require additional information. If you don't already have the code, please contact Board by the number below before proceeding so that you can be provided a transaction code. |
Email Address | pharmacy@pharmacy.ok.gov |
Telephone Number | 405-521-3815 |