permits-cmg
Medical Gas/DME Permit Information
If you have any questions about medical gas and/or DME permits, please email April Romero, Licensing Administrator.
For new permits only. If you have an existing permit, be sure to verify if a new/another permit is required.
resident distributor/supplier requirements
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Non-REsident distributor/supplier requirements
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| Permit Type | Initial Application | Renewal Application |
| Medical Gas (Supplier/DME) | $100.00 | $100.00 |
| Medical Gas (Distributor) | $200.00 | $200.00 |
| Other Documents | ||
| Duplicate - license, permit or certificate | $10.00 |
Medical Gas/DME permit holders will need to log in through their profile to renew their permit online. Creating a profile is free.
Create or login to your profile
Medical Gas/DME permit holders may also submit a hard copy renewal form with a check or money order by postal mail or at the Board office.
Submitting a hard copy renewal form can take 3-4 weeks for processing.
Medical Gas/DME renewal form
The Arizona State Board of Pharmacy no longer provides hardcopy verifications of licensure, however we are still able to offer this service via our website.
Use the options below to verify applications, licenses, and permits:
**Please note printing of this verification is not a license
Click here to verify the status of an application
Click here to verify a license
Click here to verify a permit
When verifying your application status should a "no records found" message appear, please try your search using the license/permit tab.
Pursuant to A.R.S. § 32-3214(C), a person may obtain additional public records related to any licensee or certificate holder, including dismissed complaints and nondisciplinary actions and orders, by contacting the Board directly. Please click here to submit a public records request.
| Permit Specific Forms | Last Revision |
| Medical Gas/DME - Renewal | 08.28.2020 |
| Miscellaneous Permit Forms | |
| DEA - form 41 (Registrants Inventory of Drugs Surrendered) | 10.22.2015 |
| DEA - form 106 (Theft or Loss of Controlled Substances) | web link |
| DEA - form 224 (Registration Application) | web link |
| Deviation Request | 02.16.2019 |
| Duplicate / Replacement Request | 05.08.2017 |
| Name Change Request | 06.08.2020 |
| Relocation - Non-Resident | 03.23.2018 |
| Relocation - Resident | 03.23.2018 |
| Request for License / Permit data | 12.24.2019 |
| Verification of Licensure | web link |
| W-9 (2020) | 06.05.2020 |
Below are some of the more common statutes & rules associated with CMG/DME permits.
For questions or additional information, please contact the Board office.
| Statutes | Description |
| A.R.S. § 32-1927.02 | Permittees; disciplinary action |
| A.R.S. § 32-1929 | Biennial registration of pharmacies, wholesalers, third-party logistics providers, manufacturers and similar places; application |
| A.R.S. § 32-1930 | Types of permits; restrictions on permits; discontinuance of pharmacy permit |
| A.R.S. § 32-1931 | Permit fees; issuance; expiration; renewals; online profiles |
| A.R.S. § 32-1933 | Display of license or permit |
| A.R.S. § 32-1939 | Condition of probation; repayment of inspection costs |
| Rules | |
| A.A.C. R4-23-601 | General Provisions |
| A.A.C. R4-23-602 | Permit Application Process and Time frames |
| A.A.C. R4-23-692 (Distributor only) | Compressed Medical Gas (CMG) Distributor - Resident or nonresident |
| A.A.C. R4-23-693 (Supllier/DME only) | Durable Medical Equipment (DME) and Compressed Medical Gas (CMG) Supplier - Resident or Nonresident |
| AZ State Legislature |
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| AZ Open Books |
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