Application Forms & Publications

APPROVAL FOR AN INNOVATIVE PILOT AND DEMONSTRATION RESEARCH PROJECT

Application Form

IMPORTANT – PLEASE READ

APPLICANTS FOR A HAWAII PHARMACIST LICENSE/EXAM AND PHARMACY INTERNS MUST ALSO SUBMIT PROOF OF DATE OF BIRTH (DOB) WHEN FILING YOUR APPLICATION, i.e. government issued I.D., birth certificate, or signed statement indicating your name and DOB. WITHOUT THIS INFORMATION, WE WILL NOT BE ABLE TO PROCESS YOUR APPLICATION.

PHARMACY INTERN PERMIT

Abandoned Application Important Notice and FAQ’s

Requirements, Instructions and Application
Application Fillable Form

Statement of Practical Experience
Application Fillable Form

IMPORTANT – PLEASE READ

APPLICANTS FOR A HAWAII PHARMACIST LICENSE/EXAM AND PHARMACY INTERNS MUST ALSO SUBMIT PROOF OF DATE OF BIRTH (DOB) WHEN FILING YOUR APPLICATION, i.e. government issued I.D., birth certificate, or signed statement indicating your name and DOB. WITHOUT THIS INFORMATION, WE WILL NOT BE ABLE TO PROCESS YOUR APPLICATION.

PHARMACIST EXAM AND LICENSE

Requirements and Application
Application Form

PHARMACY (IN-STATE ONLY)

Requirements, Instructions and Application
Application Form

PHARMACY MISCELLANEOUS PERMIT (OUT-OF-STATE PHARMACIES)

Abandoned Application Important Notice and FAQ’s

Requirements, Instructions and Application
Application Fillable Form

Verification of license – Pharmacist
Application Fillable Form

Verification of license – Pharmacy
Application Fillable Form

WHOLESALE PRESCRIPTION DRUG DISTRIBUTORS

Abandoned Application Important Notice and FAQ’s

Requirements, Instructions and Application
Application Fillable Form

Inactivation Application for Pharmacist, Pharmacy, Pharmacy-Misc Permit and Pharmacy-Wholesale Distributor

Instructions & Application
Application Fillable Form

Reactivation Application for Pharmacist, Pharmacy, Pharmacy-Misc Permit and Pharmacy-Wholesale Distributor

Instructions & Application
Application Fillable Form