Online applications are not compatible with mobile browsers, including Safari.
Waiver of Fee -- Determination of Eligibility
Controlled Substance Act Registration for Individual Practitioners or Researchers
Prescription Monitoring Program (PMP) Registration Required
CSA Registration Process without a current Drug Enforcement Administration (DEA) number
CSA Registration Process with a current Drug Enforcement Administration (DEA) number
Iowa Regulations
Military or Veteran Status
Required Documents
Any Prior Iowa Board of Pharmacy Licensure
Registration Sub-type
Registrant Information
Iowa Practice or Business Address
Mailing Address
Contact Information
Licensure Information
Attention: The Professional License # and Expiration Date must exactly match your Iowa professional license information. For example, DDS-xxxxx, DO-xxxxx, MD-xxxxx, etc.
Controlled Substances
Criminal History
Disciplinary Actions
Surrenders in lieu of Disciplinary Actions
Pending Investigations
Lost or Stolen Controlled Substances
Preview
Please review your application and return, using the Previous button, to any page(s) that needs to be changed or corrected. Once you click the Next button on this page you will not be able to make any changes to your application.
Confirm and Submit
Physical and Mailing Address: 6200 Park Avenue, Suite 100, Des Moines, IA 50321-1270. (P): (515) 281-5944 (F): (515) 281-4609