| Application Fees | Cost |
|---|---|
| Application fee (non-refundable) | $350 |
| Initial licensing fee | $350 |
| Unlicensed activity fee | $5 |
| Dispensing Fees | Cost |
|---|---|
| Dispensing fee* | $100 |
* Optional: this fee is for dispensing pharmaceuticals in your office.
| NICA Fees | Cost |
|---|---|
| NICA fee (choose one NICA designation): | |
| NICA Exempt | $0 |
| NICA Non-Participating | $250 |
| NICA Participating | $5,000 |

