What 50-State Pharmacy Licensure Means for Your Program
One License per State, Maintained Continuously
A pharmacy that ships to patients in every state answers to every state's board of pharmacy. Here is what that involves, what it does not guarantee, and how to check it for any pharmacy you are considering, including us.
Pricing is discussed privately. Licensure details below are published in full on our compliance page.
How it works
There is no national pharmacy license
Each state's board of pharmacy licenses the pharmacies that dispense to its residents. A pharmacy holds a resident license in the state where it physically operates and a non-resident license in every other state it ships into.
ProCompounding is licensed in all 50 states and the District of Columbia, with a resident pharmacy license in Tennessee, where we are based, and a non-resident license in every other state and D.C. Every one of those licenses has its own permit number, and we publish all of them, with the pharmacist in charge for each state and a link to each board's lookup, on our state licensure and compliance directory.
Why each state is different
A non-resident license is not a form filed once
Each board sets its own application, fee schedule and renewal cycle, and each can add conditions of its own. The common threads are proof that the home-state license is in good standing, a named pharmacist in charge, and a recent inspection report. Beyond that, states diverge.
Inspections
Some boards accept a home-state inspection report. Some accept an inspection from the National Association of Boards of Pharmacy's Verified Pharmacy Program. Some require their own inspection and bill the pharmacy for it.
Pharmacist in charge
Some states require the pharmacist in charge to hold that state's pharmacist license as well, so one pharmacy may name different pharmacists in charge in different states. Our compliance page lists the pharmacist in charge for each state.
Renewals
Renewal dates fall on different cycles in different states, so licensure is maintained continuously rather than renewed once a year.
Reporting and records
States set their own rules on labeling, recordkeeping, prescription-monitoring reports, and how quickly a pharmacy must report a change in ownership, location or pharmacist in charge.
Controlled substances
Prescriptions for controlled substances carry additional federal and state registration requirements. These are confirmed program by program during onboarding.
Requirements also change. A state can add a new condition for out-of-state pharmacies with a set effective date, and every pharmacy shipping there has to meet it by that date. Holding all 50 means tracking all 50.
Worth knowing
What a license does not tell you
A license is not accreditation
State licensure is required to operate. PCAB accreditation is a voluntary third-party review of a pharmacy's facilities, procedures and quality systems, held by fewer than 1% of compounding pharmacies. ProCompounding is PCAB accredited, LegitScript certified and NABP Verified Pharmacy Program inspected, and those are separate from the licenses above. Read about PCAB accreditation.
A license is not a promise that every preparation ships everywhere
The ship-to address and the specific preparation determine which rules apply. We confirm the prescription and the state's requirements before dispensing.
A 503A license is not a 503B registration
A 503A pharmacy prepares patient-specific prescriptions under state board oversight. A 503B outsourcing facility is registered federally to produce office-use batches. We are a 503A pharmacy and we do not produce office stock. 503A vs 503B for telehealth programs.
The checklist
Seven questions to ask any pharmacy, including us
- 1
Ask for the permit number in each state your patients live in.
Not the list of states. The number that state's board issued.
- 2
Look each number up on that board's free verification tool.
Confirm the license is active and unexpired. Our license verification guide links all 51 lookups.
- 3
Ask who the pharmacist in charge is.
And whether that person holds a license in the states that require it.
- 4
Ask whether the pharmacy is 503A or 503B, and whether its scope is non-sterile, sterile or both.
ProCompounding is a non-sterile 503A pharmacy.
- 5
Ask what the pharmacy will not prepare.
A clear no early is easier to plan around.
- 6
Ask about accreditation and who granted it.
Then verify it with the accrediting body.
- 7
Ask how state-specific program requirements are handled.
Ours are reviewed during onboarding, before the first prescription.
Run this list on us. Every answer is on our compliance page, and our pharmacists will talk through the rest with your prescribers.
Licensed in all 50 states and the District of Columbia
PCAB accredited, LegitScript certified, NABP VPP inspected
One compounding location, Johnson City, Tennessee
48-hour compounding time on most preparations. Shipping time is additional.
Frequently Asked Questions
What is a non-resident pharmacy license?
A resident license is the license a pharmacy holds in the state where it physically operates. A non-resident license is one it holds in a state where it has no location but does ship prescriptions. ProCompounding is licensed in all 50 states and the District of Columbia, with a resident pharmacy license in Tennessee, where we are based, and a non-resident license in every other state and D.C.
Does being licensed in all 50 states mean a pharmacy can ship any medication to any state?
No. The ship-to address and the specific preparation determine which rules apply, and controlled substances carry additional federal and state registration requirements. We confirm the prescription and the state's requirements before dispensing.
How do I verify a pharmacy's license in a specific state?
Ask the pharmacy for its permit number in that state, then look it up on that state board of pharmacy's free verification tool. Our license verification guide links all 51 lookups, and our permit numbers are published on our compliance page.
Is state licensure the same as PCAB accreditation?
No. Licensure is required to operate and is issued by each state board. PCAB accreditation is a voluntary third-party review of a pharmacy's quality systems, chosen on top of licensure. ProCompounding holds both.
Is ProCompounding licensed in the states where our patients live?
Yes. ProCompounding is licensed in all 50 states and the District of Columbia, with a resident license in Tennessee. Permit numbers, the pharmacist in charge for each state, and board verification links are published on our compliance page.
Who should run this checklist?
The compliance or operations lead at a telehealth program or clinic. Each state takes a few minutes with the permit number in hand.
Talk With Our Team
Bring Us Your States
Tell us where your patients live and what your protocol needs. We will tell you plainly what we can prepare and what we cannot, before anything is made.
Discuss our clinic programAlready ready? Start clinic onboarding
Building a telehealth program? See our compounding pharmacy for telehealth clinics page and our telehealth fulfillment overview.
Compounded preparations are not reviewed or approved by the FDA for safety or efficacy.