License Authorization Form (LAF) Details

A number of products sold by EMP require the approval of a Medical Director and/or Pharmacist-in-Charge via our License Authorization Form (LAF)*. These products include, but are not limited to prescription drugs, controlled substances and specific medical devices. It's likely you arrived to this page from a product that requires an LAF and our goal is to make this process as simple as possible for our customers. If you would like to purchase an item that requires an LAF and do not already have one on file with EMP, please follow these steps:

  1. 1. Download the License Authorization Form (LAF)
  2. 2. Print and complete the LAF
  3. 3. Scan the completed LAF and email to

You may continue with your purchase while EMP processes your completed form. We typically process these forms in 48 hours and will reach out to you directly with any questions or concerns. 

If you have any questions, or are not sure if you currently have an LAF on file, please give us a shout at 800.558.6270 or email us at

Note: Not all products on our website show they require a LAF today as they may be only required if a customer is purchasing from a specific state and/or purchasing the product for themselves.  If this situation happens, our Customer Licensing team will reach out and is here to help in those situations.