State permit
Check a pharmacy that sends medicine from elsewhere
As of October 1, 2026, Alabama requires a permit for pharmacies outside the state that send prescription drugs to Alabama patients.
Pharmacy notes / check the source
Ask who fills the prescription. If it is compounded—prepared for a patient’s need—ask who makes it. Keep that answer separate from the service arranging the visit.
A permit is the state’s authorization for a pharmacy to operate or serve its residents.
State permit
As of October 1, 2026, Alabama requires a permit for pharmacies outside the state that send prescription drugs to Alabama patients.
A pharmacist can answer questions about the medicine you receive.
As of October 1, 2026, Alabama requires an out-of-state pharmacy to offer a toll-free way to speak with a pharmacist.
That contact number must appear on the drug label.
Its supervising pharmacist must hold an Alabama licence.
Sterile means free of living germs. It matters when a medicine is prepared for injection.
As of October 1, 2026, Alabama pharmacies that compound must use the USP standards that apply.
USP is the group that sets standards for how medicines are made.
A pharmacy making sterile drugs needs special approval from Alabama’s pharmacy board, in addition to its pharmacy permit.
Its pharmacists who make those drugs must register and complete a board-approved course.
Ask how delivery works before a package is on its way.
Each medicine has its own storage instructions.
Some peptide medicines need a fridge; others can stay at room temperature.
Keep going
Understand when compounding fits