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Puerto Rico is a U.S. territory with its own regulatory framework for pharmaceutical manufacturers, distributors, and medical device companies. Federal registration alone is not sufficient. This guide covers what is required to enter the Puerto Rico market and remain compliant.
Puerto Rico does not require a license for non-resident manufacturers and distributors. However, any facility shipping product onto the island must be licensed in their home jurisdiction and must notify the Puerto Rico Department of Health (PRDOH). A letter of representation filed with the PRDOH satisfies the notification requirement.
Effective June 17, 2025, Administrative Order No. 612 repealed the Special Authorization License requirement for all non-resident pharmaceutical entities, including virtual manufacturers and wholesale distributors.
This is a common point of confusion, as the license was once required, however, it no longer exists.
Importantly, the repeal does not eliminate other regulatory obligations. Non-resident companies may now proceed directly to business and product registrations without obtaining a separate authorization first; and, if applicable, a controlled substance registration for Representative Agent as well.
Non-resident companies may now proceed directly to business and product registrations without obtaining a separate authorization first. Where applicable, a controlled substance registration for the Representative Agent will also be required.
Any company doing business in Puerto Rico must complete two registrations before shipping products or engaging customers:
Any company that passes title to pharmaceutical products in Puerto Rico must designate a licensed Representative Agent with a physical presence on the island, registered with the Puerto Rico Secretary of Health.
A Representative Agent must register with the Puerto Rico Secretary of Health and serves as the company's official liaison with the Department of Health. The agent handles regulatory communications, license filings, and product registrations on the company's behalf and must be physically located on the island.
Failure to maintain a qualified Representative Agent puts the company's registrations and compliance status at risk.
The label holder, otherwise known as the manufacturer, is responsible for registering all pharmaceutical products with the Puerto Rico Department of Health before they can be sold on the island. This is separate from FDA approval.
Wholesale distributors that sell products directly into Puerto Rico must also register those products, even if they are not the label holder. A wholesaler may register as an interested party regardless of whether they appear on the label.
All other business models, including 3PLs, do not register products themselves, but must ensure that any product they sell or distribute into Puerto Rico is already registered before doing so.
Each registration requires:
The Department of Health issues an official Certificate of Registration upon approval. Drug registrations do not expire. They are filed once and remain valid until the product is withdrawn from the Puerto Rico market, or a change occurs, such as a change in Representative Agent or product name.
Separate registration is required for any controlled substance product that will be distributed to the island.
The Controlled Substance Product Registration must be obtained in the name of the company as well as the Representative Agent, at the address on the island where shipment records are stored.
This means that two separate registrations need to be filed:
These controlled substance registrations must be submitted to Puerto Rico, even if you already have DEA approval.
For standalone medical devices that are FDA-cleared (510(k)) or FDA-approved (PMA), a separate Puerto Rico product registration is generally not required.
If the device is a combination product that includes a drug component or API, the medical device must be registered with the Puerto Rico Department of Health under the standard drug registration process.
Earlier this year, the Puerto Rico Department of Health Division of Controlled Substances confirmed that virtual manufacturers selling controlled substances in Puerto Rico are now required to obtain a Controlled Substance Registration for Representative Agent. This applies to Schedules II through V.
Previously, no registration pathway existed for virtual manufacturers. Companies that have been distributing controlled substances in Puerto Rico without this registration are out of compliance as of the agency's confirmation.
Virtual manufacturers cannot file directly. The registration must be obtained through a licensed Representative Agent. The Division will also request documentation from the CMO, including:
LighthouseAI provides professional support for state licensing and product registration on the island, and can serve as your Representative Agent through staff physically located in Puerto Rico.
As your Representative Agent, we act as your official liaison with the Department of Health, handling regulatory communications and filings on your behalf so you can focus on bringing your products to market.
If you have questions about Puerto Rico's requirements or are ready to get started, we are here to help. Contact Us


About the Author
Maria Serra is the Project Manager and Puerto Rico Representative Agent at LighthouseAI. As a resident of Puerto Rico, she brings firsthand knowledge of the Department of Health's licensing rules and regulations, working directly with clients to navigate successful Puerto Rico registrations.