What is the Texas Lic 018 form?
The Texas Lic 018 form is a checklist that must be completed and submitted as part of the application process for opening a new pharmacy in Texas. This form ensures that all necessary requirements are met before the pharmacy can begin operations.
What information do I need to provide on the form?
You will need to provide the pharmacy name and location address, including the street, city, and ZIP code. Additionally, the form requires details about the physical space of the pharmacy, such as whether it has adequate room for pharmaceutical services, a dedicated prescription area, and facilities for confidential patient counseling.
Are there specific facility requirements that must be met?
Yes, the pharmacy must have a sufficient building size for its services. It should include an area for prescriptions and a space for patient counseling. The pharmacy must also have a reliable water supply and electrical supply. Furthermore, necessary fixtures like shelving and countertops must be ordered for the storage of drugs and equipment.
Do I need to disclose other pharmacy ownership?
If you currently own or have an ownership interest in another pharmacy in Texas, you must indicate this on the form. You will need to provide the name and address of that pharmacy. This information helps the Texas State Board of Pharmacy assess any potential conflicts of interest.
When should I submit the Texas Lic 018 form?
The form should only be submitted once all items on the checklist are complete. This means that all requirements for the new pharmacy, including facility readiness and necessary supplies, should be finalized before submission.
Where do I send the completed form?
Once you have completed the Texas Lic 018 form, it should be submitted to the Texas State Board of Pharmacy. The address is 333 Guadalupe Street, Ste. 3-600, Austin, Texas 78701. You can also contact them by phone at 512-305-8021 or send a fax to 512-305-8082 if you have any questions.
What happens after I submit the form?
After submission, the Texas State Board of Pharmacy will review your application and the accompanying checklist. They will ensure that all requirements are met before granting a license for your new pharmacy. This process is crucial for ensuring compliance with state regulations and for the safety of patients.