<?xml version="1.0"?>
<ownershipDocument>
    <schemaVersion>X0101</schemaVersion>

    <documentType>4</documentType><periodOfReport>2003-06-12</periodOfReport>
    <issuer>
        <issuerCik>0001106773</issuerCik>
        <issuerName>FIRST HORIZON PHARMACEUTICAL CORP</issuerName>
        <issuerTradingSymbol>FHRX</issuerTradingSymbol></issuer><reportingOwner><reportingOwnerId>
            <rptOwnerCik>0001114911</rptOwnerCik>
            <rptOwnerName>GODFREY ROBERT D JR</rptOwnerName>
        </reportingOwnerId>
        <reportingOwnerAddress>
            <rptOwnerStreet1>  </rptOwnerStreet1>
            <rptOwnerStreet2>  </rptOwnerStreet2>
            <rptOwnerCity>  </rptOwnerCity>
            <rptOwnerState>  </rptOwnerState>
            <rptOwnerZipCode>  </rptOwnerZipCode>
        </reportingOwnerAddress>
            <reportingOwnerRelationship>
<isDirector>0</isDirector><isOfficer>1</isOfficer><isTenPercentOwner>0</isTenPercentOwner><isOther>0</isOther><officerTitle>Vice President, Sales</officerTitle></reportingOwnerRelationship></reportingOwner><derivativeSecurity><securityTitle><value>Non-qualified Stock Option</value></securityTitle><conversionOrExercisePrice><value>3.955</value></conversionOrExercisePrice><transactionDate><value>2003-06-12</value></transactionDate><transactionCoding><transactionFormType>4</transactionFormType><transactionCode>A</transactionCode><equitySwapInvolved>0</equitySwapInvolved></transactionCoding><transactionAmounts><transactionShares><value>80000</value></transactionShares><transactionValue><value>0</value></transactionValue><transactionAcquiredDisposedCode><value>A</value></transactionAcquiredDisposedCode></transactionAmounts><exerciseDate><value>2004-06-12</value><footnoteId id="F1"/></exerciseDate><expirationDate><value>2010-06-12</value></expirationDate><underlyingSecurity><underlyingSecurityTitle><value>Common Stock</value></underlyingSecurityTitle><underlyingSecurityShares><value>80000</value></underlyingSecurityShares></underlyingSecurity><postTransactionAmounts><sharesOwnedFollowingTransaction><value>80000</value></sharesOwnedFollowingTransaction></postTransactionAmounts><ownershipNature><directOrIndirectOwnership><value>D</value></directOrIndirectOwnership><natureOfOwnership><value></value></natureOfOwnership></ownershipNature></derivativeSecurity><footnotes><footnote id="F1">Stock option vests 25% per year beginning on first anniversary of grant date.</footnote></footnotes><ownerSignature><signatureName>Robert D. Godfrey, Jr.</signatureName><signatureDate>2003-06-16</signatureDate></ownerSignature></ownershipDocument>

