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Outline

The Texas Lic 018 form is a crucial document for anyone looking to establish a new pharmacy in the state. It serves as a checklist to ensure that all necessary requirements are met before submitting a new pharmacy application. This form requires detailed information about the pharmacy's name and location, confirming that the physical space is adequate for the services provided. It mandates the existence of essential utilities, such as water and electrical supply, to support operations. Additionally, the form emphasizes the importance of having designated areas for prescription services and patient counseling, ensuring compliance with confidentiality standards. Prospective owners must also disclose any ownership interests in other Texas pharmacies, which helps maintain transparency in the industry. Completing this form accurately is essential for a smooth application process and ultimately for the successful launch of a new pharmacy.

Sample - Texas Lic 018 Form

TEXAS STATE BOARD OF PHARMACY

333 Guadalupe Street, Ste. 3-600

Austin, Texas 78701

512-305-8021

512-305-8082 (fax)

www.tsbp.state.tx.us

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

LIC-018 (Rev. 08/04)

1 of 1

Form Information

Fact Name Description
Governing Body This form is governed by the Texas State Board of Pharmacy.
Form Purpose The Texas Lic 018 form serves as a New Pharmacy Checklist, ensuring all requirements are met before submission.
Submission Timing It must be submitted only after all items on the checklist are completed.
Contact Information The form includes contact details for the Texas State Board of Pharmacy, including a phone number and fax number.
Pharmacy Requirements Pharmacies must have adequate space, a dedicated prescription department, and facilities for confidential counseling.
Ownership Disclosure Applicants must disclose any ownership interest in other Texas pharmacies, if applicable.
Revision Date The current version of the form was revised in August 2004 (Rev. 08/04).

Detailed Guide for Filling Out Texas Lic 018

To successfully complete the Texas Lic 018 form, ensure that you have all required information and documents ready. This form must be submitted after confirming that all items on the checklist are complete. Follow these steps to fill out the form accurately.

  1. Obtain the Texas Lic 018 form from the Texas State Board of Pharmacy website or their office.
  2. Fill in the pharmacy name in the designated field.
  3. Provide the location address, including street, city, and ZIP code.
  4. Confirm that the building has adequate space for the pharmacy's services.
  5. Indicate if there is a dedicated area for the prescription department and patient counseling.
  6. Check if there is a reliable water supply and electrical supply in the pharmacy.
  7. List any fixtures ordered for drug storage and pharmacy operations, such as shelving and countertops.
  8. Answer the question regarding ownership interest in any other pharmacy in Texas by selecting "YES" or "NO."
  9. If you selected "YES," provide the name and address of the other pharmacy.
  10. Review the completed form for accuracy and completeness.
  11. Submit the form along with all new pharmacy applications to the Texas State Board of Pharmacy.

Obtain Answers on Texas Lic 018

  1. What is the Texas Lic 018 form?

    The Texas Lic 018 form is a checklist that must be completed and submitted to the Texas State Board of Pharmacy as part of the application process for opening a new pharmacy. It ensures that all necessary requirements and conditions are met before the pharmacy begins operations.

  2. What information is required on the form?

    The form requires the pharmacy name and location address, including street, city, and ZIP code. Additionally, it asks for confirmation that the building has adequate space for pharmaceutical services and includes specific areas for the prescription department and confidential patient counseling.

  3. Are there any specific requirements for the pharmacy location?

    Yes, the pharmacy must have:

    • A building with sufficient space for the services offered.
    • A dedicated area for the prescription department.
    • A suitable area for confidential patient counseling.
    • Access to a reliable water supply and electrical supply.
    • Ordered fixtures for storage of drugs, equipment, and supplies.

  4. Do I need to disclose ownership interests in other pharmacies?

    Yes, the form requires you to indicate whether you have an ownership interest in any other pharmacy in Texas. If you answer "yes," you must provide the name and address of that pharmacy.

  5. When should I submit the Texas Lic 018 form?

    This form should only be submitted after all items on the checklist are complete. It is a critical part of the new pharmacy application process, so ensure that all requirements are fulfilled before submission.

  6. Who do I contact if I have questions about the form?

    If you have any questions or need assistance regarding the Texas Lic 018 form, you can contact the Texas State Board of Pharmacy directly at 512-305-8021. They can provide guidance and support throughout the application process.

  7. What happens after I submit the form?

    Once you submit the Texas Lic 018 form along with your new pharmacy application, the Texas State Board of Pharmacy will review your submission. They will ensure that all requirements are met before granting approval for your pharmacy to operate.

Common mistakes

When filling out the Texas Lic 018 form, one common mistake is neglecting to provide complete and accurate information regarding the pharmacy name and location address. This section is crucial as it identifies your pharmacy to the state board. Incomplete addresses can lead to delays in processing your application, or worse, rejection. Ensure that every detail is correct, including the street name, city, and ZIP code.

Another frequent error occurs when applicants fail to confirm that their facility meets the necessary requirements. The form specifies that the building must have adequate space for the size and scope of the pharmaceutical services provided. If your pharmacy does not meet these specifications, it could jeopardize your application. Take the time to assess your space and ensure it aligns with the guidelines outlined in the checklist.

Many applicants overlook the importance of confirming the availability of essential utilities. The form requires that a water supply and electrical supply exist in the pharmacy. Without these utilities, your pharmacy cannot operate effectively. Double-check that these services are in place before submitting your application to avoid any complications.

Additionally, applicants sometimes forget to address their ownership interests in other pharmacies. The form asks if the prospective owner currently has ownership interest in any other pharmacy in Texas. Failing to answer this question accurately could raise red flags during the review process. If you do have other interests, provide the name and address of those pharmacies as requested.

Lastly, one critical mistake is submitting the form without ensuring that all items on the checklist are complete. This form is only to be submitted after confirming that every requirement has been met. Incomplete submissions can lead to delays or outright denial of your application. Review the checklist thoroughly before finalizing your submission to ensure that everything is in order.

Documents used along the form

When applying for a new pharmacy license in Texas, several other forms and documents accompany the Texas Lic 018 form. Each of these documents plays a crucial role in ensuring that the application process is thorough and compliant with state regulations. Below is a list of commonly required documents.

  • New Pharmacy Application Form: This comprehensive form gathers essential details about the pharmacy, including ownership, location, and services offered. It serves as the primary document for the licensing process.
  • Pharmacy Floor Plan: A detailed layout of the pharmacy's physical space is required. This plan must show the prescription department, counseling area, and storage for drugs and supplies, ensuring compliance with safety and operational standards.
  • Ownership Disclosure Form: This document discloses any ownership interests the prospective owner may have in other pharmacies. Transparency in ownership is vital for regulatory compliance and conflict of interest assessment.
  • Proof of Insurance: Documentation showing that the pharmacy has the necessary liability insurance is essential. This protects the pharmacy and its customers from potential risks associated with pharmaceutical services.
  • Background Check Authorization: A form that authorizes the state to conduct background checks on the pharmacy's owners and key personnel. This step ensures that individuals involved in pharmacy operations meet the required ethical and professional standards.
  • Certificate of Occupancy: This document proves that the pharmacy location complies with local zoning and building codes. It confirms that the space is suitable for the operation of a pharmacy.

Each of these documents must be completed and submitted along with the Texas Lic 018 form to facilitate a smooth application process. Ensuring that all forms are accurate and complete will help in obtaining the necessary pharmacy license efficiently.

Similar forms

The Texas Lic 018 form serves as a critical document for new pharmacies in Texas. It is similar to several other important forms used in the healthcare and business sectors. Here are five documents that share similarities with the Texas Lic 018 form:

  • New Business License Application: This document is essential for any new business wishing to operate legally. Like the Texas Lic 018, it requires detailed information about the business location and ownership, ensuring compliance with state regulations.
  • Pharmacy Registration Application: This form is specifically for pharmacies seeking to register with the state. Similar to the Texas Lic 018, it includes a checklist of requirements that must be met before the pharmacy can open its doors.
  • Facility Inspection Report: After submitting the Texas Lic 018, a facility inspection is often required. This report assesses whether the pharmacy meets health and safety standards, paralleling the checklist nature of the Lic 018.
  • Controlled Substance Registration Application: Pharmacies must register to handle controlled substances. This application, like the Texas Lic 018, requires information about the pharmacy's operations and compliance with state laws.
  • Health Department Permit Application: This document is necessary for any business providing health-related services. It shares similarities with the Texas Lic 018 in that it requires proof of proper facilities and adherence to health regulations.

Dos and Don'ts

When filling out the Texas Lic 018 form, there are important guidelines to follow. Here is a list of things you should and shouldn't do:

  • Do ensure that all items on the checklist are complete before submission.
  • Do provide the correct pharmacy name and location address, including street, city, and ZIP code.
  • Do confirm that the building has adequate space for the pharmaceutical services offered.
  • Do include details about the dedicated area for the prescription department and patient counseling.
  • Don't forget to verify the existence of essential utilities like water and electrical supply.
  • Don't neglect to order necessary fixtures for drug storage and pharmacy operations.
  • Don't omit information regarding any ownership interest in other pharmacies in Texas.

Following these guidelines will help ensure a smooth application process for your new pharmacy.

Misconceptions

There are several misconceptions surrounding the Texas Lic 018 form, which is crucial for those looking to establish a new pharmacy in Texas. Understanding these misconceptions can help streamline the application process. Here are ten common misunderstandings:

  1. The form is optional for new pharmacy applications. Many believe that the Lic 018 form is optional, but it is actually a required document that must be submitted with all new pharmacy applications.
  2. Only large pharmacies need to complete this form. This form is necessary for any pharmacy, regardless of size or scope of services. Small pharmacies must also comply with the checklist.
  3. The checklist items are merely suggestions. Some applicants think the checklist items are suggestions, but they are mandatory requirements that must be completed before submitting the form.
  4. Water and electrical supplies are not critical. There is a misconception that having water and electrical supplies is not essential. However, both are necessary for the operation of a pharmacy.
  5. Confidential patient counseling areas are optional. A dedicated area for confidential patient counseling is required if the pharmacy serves the general public. This is not an optional feature.
  6. Ownership interest in other pharmacies does not need to be disclosed. Applicants often overlook the need to disclose any ownership interest in other pharmacies in Texas, which is a key part of the form.
  7. The form can be submitted at any time. Some believe they can submit the form whenever they want. In reality, it should only be submitted after all checklist items are complete.
  8. There is no need for adequate space for pharmaceutical services. Adequate space is crucial for the size and scope of services provided. This is a fundamental requirement for the application.
  9. Fixtures for storage can be ordered after submission. Fixtures such as shelving and countertops must be ordered before submitting the form. This ensures readiness for operation.
  10. The form is the only requirement for opening a pharmacy. While the Lic 018 form is important, it is not the only requirement. Other permits and licenses may also be necessary to legally operate a pharmacy.

Clarifying these misconceptions can help ensure a smoother application process for those looking to open a pharmacy in Texas.

Key takeaways

When filling out the Texas Lic 018 form, it's important to keep several key points in mind. This form is crucial for anyone looking to establish a new pharmacy in Texas. Here are some essential takeaways:

  • Complete the Checklist: Ensure that all items on the new pharmacy checklist are fully completed before submission.
  • Provide Accurate Information: Fill in the pharmacy name and location address clearly, including street, city, and ZIP code.
  • Space Requirements: The building must have adequate space to meet the size and scope of the pharmacy's services.
  • Dedicated Areas: There should be a designated area for the prescription department, including a space for confidential patient counseling.
  • Utilities: Confirm that both water and electrical supplies are available in the pharmacy location.
  • Fixtures Ordered: Ensure that necessary fixtures, such as shelving and countertops, have been ordered for drug storage and pharmacy operations.
  • Ownership Disclosure: If you have ownership interest in another pharmacy in Texas, disclose this information by providing the name and address of that pharmacy.
  • Submission Requirement: Remember that this form must be submitted along with all new pharmacy applications.
  • Contact Information: Keep the contact information of the Texas State Board of Pharmacy handy for any questions or clarifications.
  • Stay Updated: Check the Texas State Board of Pharmacy website for any updates or changes to the form or requirements.

By keeping these points in mind, you can ensure a smoother application process for your new pharmacy in Texas.