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Content Overview

The Texas Lic 018 form is an essential document for anyone looking to establish a new pharmacy in Texas. This form is part of the new pharmacy application process and must be submitted only after all checklist items are complete. It requires specific information, including the pharmacy's name and location address, ensuring that the proposed site has adequate space for the pharmaceutical services intended to be offered. Key aspects of the form include confirmation of essential utilities, such as water and electrical supply, as well as the existence of fixtures necessary for drug storage and pharmacy operations. Additionally, the form inquires about any current ownership interests in other pharmacies within Texas, which must be disclosed. The Texas State Board of Pharmacy oversees this process, and the form is a critical step in ensuring compliance with state regulations and standards for pharmacy operations.

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LIC-018 (Rev. 08/04) 1 of 1
NEW PHARMACY CHECKLIST
(Submit this form only after all the items on this checklist are complete)
PHARMACY NAME & LOCATION ADDRESS (Street, City, ZIP)
A building with space adequate for the size and scope of pharmaceutical
services provided by the pharmacy.
An area dedicated for the prescription department, including an area suitable for
confidential patient counseling if the pharmacy serves the general public.
Water supply exists.
Electrical supply exists
Fixtures (i.e. shelving, counter tops, etc.) for storage of drugs, equipment and
supplies, necessary to operate a pharmacy have been ordered.
Does the prospective owner currently have ownership interest in any other pharmacy in
Texas?
YES NO
If yes, please provide the name and address of the pharmacy:
THIS FORM MUST BE SUBMITTED WITH ALL
NEW PHARMACY APPLICATIONS
T
EXAS STATE BOARD OF PHARMAC
Y
333 Guadalupe Street, Ste. 3-600 Õ Austin, Texas 78701
512-305-8021 Õ
512-305-8082
(
fax
)
Õ
www.tsb
p
.state.tx.us

Form Specifications

Fact Name Details
Governing Authority This form is governed by the Texas State Board of Pharmacy.
Form Purpose The Texas Lic 018 form serves as a checklist for new pharmacies to ensure all requirements are met before opening.
Submission Requirement Submit this form only after completing all items on the checklist.
Contact Information The Texas State Board of Pharmacy can be reached at 512-305-8021 or via fax at 512-305-8082.
Physical Space Requirements The pharmacy must have adequate space for the services it will provide, including a dedicated prescription department.
Utilities Both water and electrical supplies must be available at the pharmacy location.
Ownership Disclosure The form requires disclosure of any ownership interest in other pharmacies in Texas.

Texas Lic 018: Usage Guidelines

Filling out the Texas Lic 018 form is a crucial step in the process of establishing a new pharmacy. Once you complete this form, you will be ready to submit it along with your new pharmacy application. Ensure that all required information is accurate and complete to avoid delays in processing.

  1. Begin by entering the pharmacy name at the top of the form.
  2. Provide the location address of the pharmacy, including street, city, and ZIP code.
  3. Confirm that the building has adequate space for the size and scope of pharmaceutical services. Check that there is a dedicated area for the prescription department.
  4. Ensure there is a suitable area for confidential patient counseling if the pharmacy serves the general public.
  5. Verify that a water supply exists in the building.
  6. Confirm the presence of an electrical supply in the pharmacy.
  7. Order necessary fixtures, such as shelving and countertops, for the storage of drugs, equipment, and supplies.
  8. Indicate whether the prospective owner has any ownership interest in another pharmacy in Texas by selecting YES or NO.
  9. If you answered YES, provide the name and address of the other pharmacy.
  10. Review the form for completeness and accuracy before submission.

Your Questions, Answered

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.

Common mistakes

  1. Inaccurate Pharmacy Name or Address: One common mistake is providing incorrect or incomplete information for the pharmacy name and location address. Ensure that the name matches the one you intend to use officially, and double-check the street, city, and ZIP code for accuracy.

  2. Neglecting Space Requirements: Failing to confirm that the building has adequate space for the pharmacy's operations can lead to issues. The space should not only accommodate the prescription department but also allow for confidential patient counseling.

  3. Overlooking Utilities: Some applicants forget to verify the availability of essential utilities. Both water and electrical supplies must be present in the building before submitting the form.

  4. Insufficient Fixtures: Not ordering the necessary fixtures, such as shelving and countertops, can cause delays. These items are crucial for storing drugs, equipment, and supplies essential for pharmacy operations.

  5. Ownership Interest Disclosure: Applicants sometimes fail to disclose ownership interests in other pharmacies in Texas. If you do have such interests, you must provide the name and address of those pharmacies.

  6. Submitting Incomplete Forms: It is vital to ensure that the form is complete before submission. Missing signatures or unchecked boxes can result in delays or rejections of your application.

  7. Ignoring the Checklist: Lastly, some applicants overlook the importance of the new pharmacy checklist. This checklist is designed to ensure that all necessary items are completed before submitting the form.

Documents used along the form

When applying for a new pharmacy in Texas, the Texas Lic 018 form is just one of several important documents that you will need to submit. Each of these forms plays a crucial role in ensuring that your application is complete and meets all regulatory requirements. Below is a list of other forms and documents often required alongside the Texas Lic 018 form.

  • Application for Pharmacy License (Form LIC-001): This is the primary application form that provides the Texas State Board of Pharmacy with essential information about the pharmacy, including ownership details, business structure, and proposed services.
  • Pharmacy Layout Plan: A detailed blueprint showing the physical layout of the pharmacy. This plan should highlight the prescription area, storage spaces, and areas designated for patient counseling, ensuring compliance with safety and operational standards.
  • Ownership Disclosure Form: This document requires the applicant to disclose any ownership interests in other pharmacies. Transparency in ownership is crucial for regulatory compliance and helps the Board assess potential conflicts of interest.
  • Proof of Insurance: Evidence of liability insurance coverage is essential. This document protects both the pharmacy and its clients by ensuring that there is financial backing in case of any claims or lawsuits.
  • Verification of Pharmacy Technician Registration: If the pharmacy will employ technicians, proof that they are registered with the Texas State Board of Pharmacy is necessary. This ensures that all staff meet the required qualifications.
  • Background Check Consent Form: This form grants permission for the Texas State Board of Pharmacy to conduct background checks on the pharmacy owners and key personnel. This step is vital for maintaining the integrity of pharmacy operations.

By gathering these documents and completing the necessary forms, you can help ensure a smooth application process for your new pharmacy. Each document serves a specific purpose in establishing compliance with state regulations and promoting the safe practice of pharmacy services.

Similar forms

The Texas Lic 018 form serves as a critical component in the application process for establishing a new pharmacy. Several other documents share similarities with this form, each serving specific purposes in the realm of pharmacy operations and compliance. Here are four documents that are comparable to the Texas Lic 018 form:

  • Pharmacy Application Form: This document is essential for any new pharmacy seeking to obtain a license. Like the Texas Lic 018, it requires detailed information about the pharmacy's location, ownership, and operational plans. Both forms aim to ensure that all necessary requirements are met before a pharmacy can commence operations.
  • New Pharmacy Checklist: Similar to the Texas Lic 018, this checklist outlines the prerequisites that must be fulfilled before submitting an application. It emphasizes the importance of having adequate facilities, equipment, and supplies, ensuring that the pharmacy is prepared to meet regulatory standards.
  • Ownership Disclosure Form: This document is often required to disclose any ownership interests in other pharmacies. Like the Texas Lic 018, it aims to provide transparency regarding the ownership structure, which is crucial for regulatory compliance and conflict of interest considerations.
  • Pharmacy Facility Inspection Report: After submitting the Texas Lic 018, a pharmacy must undergo an inspection to verify compliance with state regulations. This report shares similarities with the Lic 018 in that it assesses the pharmacy's readiness to operate and ensures that it meets all safety and operational standards.

Dos and Don'ts

When filling out the Texas Lic 018 form, attention to detail is crucial. Here are ten important do's and don'ts to keep in mind:

  • Do ensure that all required items on the checklist are complete before submission.
  • Don't submit the form without verifying that your pharmacy name and location address are accurate.
  • Do provide a clear description of the building's adequacy for the pharmaceutical services you plan to offer.
  • Don't overlook the need for a dedicated area for the prescription department and patient counseling.
  • Do confirm that both water and electrical supplies are available in your pharmacy space.
  • Don't forget to order the necessary fixtures for drug storage and operational needs.
  • Do disclose any ownership interests in other pharmacies in Texas if applicable.
  • Don't assume that the form will be accepted without all required information filled out completely.
  • Do keep a copy of the completed form for your records.
  • Don't hesitate to reach out to the Texas State Board of Pharmacy if you have questions or need clarification.

Following these guidelines will help ensure that your application process goes smoothly. Taking the time to carefully fill out the form can prevent delays and potential issues down the line.

Misconceptions

When it comes to the Texas Lic 018 form, there are several misconceptions that can lead to confusion. Here are seven common misunderstandings:

  • It’s optional to submit the form. Many believe that the Lic 018 form is just a suggestion. In reality, it is a required part of the new pharmacy application process.
  • Only large pharmacies need this form. Some think that only big pharmacies are required to submit the Lic 018. However, any new pharmacy, regardless of size, must complete and submit this form.
  • The form is only about location. While the form does ask for the pharmacy's address, it also covers critical operational requirements, such as adequate space and necessary equipment.
  • Submission guarantees approval. A common belief is that submitting the Lic 018 form will automatically lead to approval of the pharmacy application. This is not true; the form is just one step in a comprehensive review process.
  • It can be submitted at any time. Some people think they can submit the form whenever they want. It must be submitted only after all checklist items are complete, as indicated on the form.
  • Providing information about other pharmacies is optional. There’s a misconception that disclosing ownership interests in other pharmacies is not necessary. In fact, this information is required if applicable.
  • The form is the same for all states. Many assume that pharmacy application forms are standardized across the country. However, each state, including Texas, has its own specific requirements and forms.

Understanding these misconceptions can help streamline the application process and ensure that all necessary steps are followed. If you're planning to open a pharmacy in Texas, being informed is key.

Key takeaways

When filling out the Texas Lic 018 form, there are several important points to keep in mind. Understanding these key takeaways can help ensure a smooth application process for your new pharmacy.

  • Complete the Checklist: This form should only be submitted after you have completed all items on the checklist. Ensure that every requirement is met before proceeding.
  • Provide Accurate Information: Clearly state the pharmacy name and location address. This includes the street address, city, and ZIP code. Accurate details are essential for processing your application.
  • Space Requirements: Confirm that your building has adequate space for the pharmaceutical services you plan to offer. This includes a dedicated area for the prescription department and a confidential space for patient counseling.
  • Utilities Must Be Available: Ensure that your pharmacy has access to necessary utilities, including water and electrical supply. These are crucial for the operation of a pharmacy.
  • Ownership Interests: If you have an ownership interest in any other pharmacy in Texas, you must disclose this information. Be prepared to provide the name and address of that pharmacy.

By keeping these takeaways in mind, you can navigate the application process with greater confidence and clarity.