Texas Healthcare and Pharmaceutical Licensing
Licensing requirements for Texas healthcare and pharmaceutical companies and individuals.
This page provides an overview of healthcare and pharmaceutical industry licensing in
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- Texas Healthcare and Pharmaceutical Company Licenses
- Texas Individual Healthcare and Pharmaceutical Licenses
Company Licenses
Texas Healthcare and Pharmaceutical Company Licenses
Texas Central Prescription Drug or Medication Order Processing Pharmacy (Class G) License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Form: | Central Prescription Drug or Medication Order Processing Pharmacy (Class G) Application |
Agency Fee: | $459 |
Notarize: | Required |
Registration Renewal
Filing Method: | |
Agency Fee: | $456 |
Due: | Biennially by the end of the registration anniversary month. |
Texas Clinic Pharmacy (Class D) License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Form: | |
Agency Fee: | $459 license fee + $25 per pharmacy balance/scale. |
Notarize: | Required |
Registration Renewal
Filing Method: | |
Agency Fee: | $456 license fee + $25 per pharmacy balance/scale. |
Due: | Biennially by the end of the registration anniversary month. |
Texas Community Pharmacy (Class A) License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Form: | |
Agency Fee: | $459 license fee + $25 per pharmacy balance/scale. |
Notarize: | Required |
Registration Renewal
Filing Method: | |
Agency Fee: | $456 license fee + $25 per pharmacy balance/scale. |
Due: | Biennially by the end of the registration anniversary month. |
Texas Community Pharmacy Compounding Sterile Preparations (Class A-S) License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Form: | Community Pharmacy Compounding Sterile Preparations (Class A-S) License Application |
Agency Fee: | $459 license fee + $25 per pharmacy balance/scale. |
Notarize: | Required |
Registration Renewal
Filing Method: | |
Agency Fee: | $456 license fee + $25 per pharmacy balance/scale. |
Due: | Biennially by the end of the registration anniversary month. |
Texas Freestanding Emergency Medical Care Center Pharmacy (Class F) License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Form: | Freestanding Emergency Medical Care Center Pharmacy (Class F) License Application |
Agency Fee: | $459 license fee + $25 per pharmacy balance/scale. |
Notarize: | Required |
Registration Renewal
Filing Method: | |
Agency Fee: | $456 license fee + $25 per pharmacy balance/scale. |
Due: | Biennially by the end of the registration anniversary month. |
Texas Home & Community Support Services Agency (HCSSA) License
Agency: | Texas Health and Human Services |
Foreign Qualification is Prerequisite: | No |
Registered Agent (Special Agency) Required? | No |
Initial Registration
Filing Method: | |
Agency Fee: | $1,750 |
Registration Renewal
Filing Method: | |
Agency Fee: | $1,750 |
Due: | Biennially |
Texas Hospital Pharmacy Engaged in Compounding Sterile Preparations (Class C-S) License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Form: | Hospital Pharmacy Engaged in Compounding Sterile Preparations (Class C-S) License Application |
Agency Fee: | $459 license fee + $25 per pharmacy balance/scale. |
Notarize: | Required |
Registration Renewal
Filing Method: | |
Agency Fee: | $456 license fee + $25 per pharmacy balance/scale. |
Due: | Biennially by the end of the registration anniversary month. |
Texas Hospital/Ambulatory Surgical Center Pharmacy (Class C) License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Form: | Hospital/Ambulatory Surgical Center Pharmacy (Class C) License Application |
Agency Fee: | $459 license fee + $25 per pharmacy balance/scale. |
Notarize: | Required |
Registration Renewal
Filing Method: | |
Agency Fee: | $456 license fee + $25 per pharmacy balance/scale. |
Due: | Biennially by the end of the registration anniversary month. |
Texas In-State Manufacturer of Nonprescription Drugs License
Agency: | Texas Department of State Health Services - Drug and Medical Devices Group |
Initial Registration
Form: | |
Agency Fee: | $1,040 for facilities with less than $200k in gross annual drug sales, $1,690 for facilities with between $200k and $20M in gross annual drug sales, or $2,210 for facilities with more than $20M in gross annual drug sales. |
Registration Renewal
Form: | |
Agency Fee: | $1,040 for facilities with less than $200k in gross annual drug sales, $1,690 for facilities with between $200k and $20M in gross annual drug sales, or $2,210 for facilities with more than $20M in gross annual drug sales. |
Due: | Biennially by the date of issuance. |
Texas In-State Manufacturer of Prescription Drugs License
Agency: | Texas Department of State Health Services - Drug and Medical Devices Group |
Initial Registration
Form: | In-State Manufacture of Prescription Drugs Initial/Renewal License Application |
Agency Fee: | $1,080 for facilities with less than $200k in gross annual drug sales, $1,755 for facilities with between $200k and $20M in gross annual drug sales, or $2,295 for facilities with more than $20M in gross annual drug sales. |
Registration Renewal
Form: | In-State Manufacture of Prescription Drugs Initial/Renewal License Application |
Agency Fee: | $1,080 for facilities with less than $200k in gross annual drug sales, $1,755 for facilities with between $200k and $20M in gross annual drug sales, or $2,295 for facilities with more than $20M in gross annual drug sales. |
Due: | Biennially by the date of issuance. |
Texas In-State Wholesale Distributors of Nonprescription Drugs License
Agency: | Texas Department of State Health Services - Drug and Medical Devices Group |
Initial Registration
Form: | In-State Wholesale Distributors of Nonprescription Drugs Initial/Renewal License Application |
Agency Fee: | $1,040 for facilities with less than $200k in gross annual drug sales, $1,690 for facilities with between $200k and $20M in gross annual drug sales, or $2,210 for facilities with more than $20M in gross annual drug sales. |
Registration Renewal
Form: | In-State Wholesale Distributors of Nonprescription Drugs Initial/Renewal License Application |
Agency Fee: | $1,040 for facilities with less than $200k in gross annual drug sales, $1,690 for facilities with between $200k and $20M in gross annual drug sales, or $2,210 for facilities with more than $20M in gross annual drug sales. |
Due: | Biennially by the date of issuance. |
Texas In-State Wholesale Distributors of Prescription Drugs License
Agency: | Texas Department of State Health Services - Drug and Medical Devices Group |
Initial Registration
Form: | In-State Wholesale Distributors of Prescription Drugs Initial/Renewal License Application |
Agency Fee: | $1,080 for facilities with less than $200k in gross annual drug sales, $1,755 for facilities with between $200k and $20M in gross annual drug sales, or $2,295 for facilities with more than $20M in gross annual drug sales. |
Registration Renewal
Form: | In-State Wholesale Distributors of Prescription Drugs Initial/Renewal License Application |
Agency Fee: | $1,080 for facilities with less than $200k in gross annual drug sales, $1,755 for facilities with between $200k and $20M in gross annual drug sales, or $2,295 for facilities with more than $20M in gross annual drug sales. |
Due: | Biennially by the date of issuance. |
Texas Limited Prescription Deliver Pharmacy (Class H) License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Form: | Limited Prescription Deliver Pharmacy (Class H) License Application |
Agency Fee: | $459 |
Notarize: | Required |
Registration Renewal
Filing Method: | |
Agency Fee: | $456 |
Due: | Biennially by the end of the registration anniversary month. |
Texas Medicaid Provider Enrollment - Facility
Agency: | Texas Health and Human Services |
Foreign Qualification is Prerequisite: | No |
Registered Agent (Special Agency) Required? | No |
Initial Registration
Filing Method: | |
Agency Fee: | $599 |
Notes: | Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee. |
Registration Renewal
Filing Method: | |
Agency Fee: | $599 |
Due: | Every 3 or 5 years depending on the type of services provided. |
Texas Medicaid Provider Enrollment - Group
Agency: | Texas Health and Human Services |
Foreign Qualification is Prerequisite: | No |
Registered Agent (Special Agency) Required? | No |
Initial Registration
Filing Method: | |
Agency Fee: | $599 |
Notes: | Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee. |
Registration Renewal
Filing Method: | |
Agency Fee: | $599 |
Due: | Every 3 or 5 years depending on the type of services provided. |
Texas Medicaid Provider Enrollment - Performing Provider
Agency: | Texas Health and Human Services |
Foreign Qualification is Prerequisite: | No |
Registered Agent (Special Agency) Required? | No |
Initial Registration
Filing Method: | |
Agency Fee: | $599 |
Notes: | Providers who have already paid the Medicare Enrollment application fee or the Medicaid Enrollment fee for another state may be exempt from paying the application fee. |
Registration Renewal
Filing Method: | |
Agency Fee: | $599 |
Due: | Every 3 or 5 years depending on the type of services provided. |
Texas Multiple Product (Including Medical Gases) Nonprescription Drug License
Agency: | Texas Department of State Health Services - Drug and Medical Devices Group |
Initial Registration
Form: | Multiple Product (Including Medical Gases) Initial/Renewal License Application |
Agency Fee: | $540 for facilities with less than $200k in combined gross annual sales, $810 for facilities with between $200k and $500k in combined gross annual sales, $1,080 for facilities with between $500k and $1M in combined gross annual sales, $1,350 for facilities with between $1M and $10M in combined gross annual sales, $2,025 for facilities with more than $10M in combined gross annual sales. |
Registration Renewal
Form: | Multiple Product (Including Medical Gases) Initial/Renewal License Application |
Agency Fee: | $540 for facilities with less than $200k in combined gross annual sales, $810 for facilities with between $200k and $500k in combined gross annual sales, $1,080 for facilities with between $500k and $1M in combined gross annual sales, $1,350 for facilities with between $1M and $10M in combined gross annual sales, $2,025 for facilities with more than $10M in combined gross annual sales. |
Due: | Biennially by the date of issuance. |
Texas Multiple Product Nonprescription Drug License
Agency: | Texas Department of State Health Services - Drug and Medical Devices Group |
Initial Registration
Form: | Multiple Product Nonprescription Drug Initial/Renewal License Application |
Agency Fee: | $520 for facilities with less than $200k in combined gross annual sales, $780 for facilities with between $200k and $500k in combined gross annual sales, $1,040 for facilities with between $500k and $1M in combined gross annual sales, $1,300 for facilities with between $1M and $10M in combined gross annual sales, $1,950 for facilities with more than $10M in combined gross annual sales. |
Registration Renewal
Form: | Multiple Product Nonprescription Drug Initial/Renewal License Application |
Agency Fee: | $520 for facilities with less than $200k in combined gross annual sales, $780 for facilities with between $200k and $500k in combined gross annual sales, $1,040 for facilities with between $500k and $1M in combined gross annual sales, $1,300 for facilities with between $1M and $10M in combined gross annual sales, $1,950 for facilities with more than $10M in combined gross annual sales. |
Due: | Biennially by the date of issuance. |
The Class E pharmacy license or non-resident pharmacy license--a license issued to a pharmacy located in another state whose primary business is to:
(A) dispense a prescription drug or device under a prescription drug order; and
(B) to deliver the drug or device to a patient, including a patient in this state, by the United States mail, common carrier, or delivery service.
This pharmacy does NOT:
1. Engage in compounding sterile preparations in the state of residence;
2. Dispense, distribute, deliver, or ship sterile compounded preparations to residents in Texas or to any other state;
3. Dispense, distribute, deliver, or ship sterile compounded preparations to practitioners in Texas or to any other state; or
4. Obtain sterile compounded preparations from a separate pharmacy, whether there is an affiliation or not, and use the sterile compounded preparations to fulfill a prescription drug order for a Texas
resident, or to fulfill a purchase order or initiative from a Texas practitioner for sterile compounded preparations to be used as office drug supplies by the practitioner for administration to the practitioner’s patients.
Texas Non-Resident Pharmacy (Class E) License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Application for a facility located in a state other than Texas whose primary business is to dispense a prescription drug or device under a prescription drug order; and deliver the drug or device to a patient, including a patient in this state, by United States mail, common carrier, or delivery service. This license does not provide for engaging in compounded sterile preparations.
Form: | |
Filing Method: | Mail to: Texas State Board of Pharmacy |
Agency Fee: | $459 |
Notarize: | Required |
Notes: |
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Before you Apply: |
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Registration Renewal
Filing Method: | |
Agency Fee: | $456 |
Due: | Biennially by the end of the registration anniversary month. |
Texas Non-Resident Pharmacy Compounding Sterile Preparations (Class E-S) License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Form: | Non-Resident Pharmacy Compounding Sterile Preparations (Class E-S) |
Agency Fee: | $459 |
Notarize: | Required |
Registration Renewal
Filing Method: | |
Agency Fee: | $456 |
Due: | Biennially by the end of the registration anniversary month. |
Texas Nuclear Pharmacy (Class B) License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Form: | |
Agency Fee: | $459 license fee + $25 per pharmacy balance/scale. |
Notarize: | Required |
Registration Renewal
Filing Method: | |
Agency Fee: | $456 license fee + $25 per pharmacy balance/scale. |
Due: | Biennially by the end of the registration anniversary month. |
Texas Out-of-State Wholesale Distributors of Nonprescription Drugs License
Agency: | Texas Department of State Health Services - Drug and Medical Devices Group |
Initial Registration
Form: | Out-of-State Wholesale Distributors of Nonprescription Drugs Initial/Renewal License Application |
Agency Fee: | $1,300 for facilities with less than $20M in gross annual drug sales, $1,950 for facilities with more than $20M in gross annual drug sales. |
Registration Renewal
Form: | Out-of-State Wholesale Distributors of Nonprescription Drugs Initial/Renewal License Application |
Agency Fee: | $1,300 for facilities with less than $20M in gross annual drug sales, $1,950 for facilities with more than $20M in gross annual drug sales. |
Due: | Biennially by the date of issuance. |
Texas Out-of-State Wholesale Distributors of Prescription Drugs License
Agency: | Texas Department of State Health Services - Drug and Medical Devices Group |
Initial Registration
Form: | Out-of-State Wholesale Distributors of Prescription Drugs Initial/Renewal License Application |
Agency Fee: | $1,080 for facilities with less than $200k in gross annual drug sales, $1,755 for facilities with between $200k and $20M in gross annual drug sales, or $2,295 for facilities with more than $20M in gross annual drug sales. |
Registration Renewal
Form: | Out-of-State Wholesale Distributors of Prescription Drugs Initial/Renewal License Application |
Agency Fee: | $1,080 for facilities with less than $200k in gross annual drug sales, $1,755 for facilities with between $200k and $20M in gross annual drug sales, or $2,295 for facilities with more than $20M in gross annual drug sales. |
Due: | Biennially by the date of issuance. |
Individual Licenses
Texas Individual Healthcare and Pharmaceutical Licenses
Texas Medicaid Provider Enrollment - Individual
Agency: | Texas Health and Human Services |
Foreign Qualification is Prerequisite: | No |
Registered Agent (Special Agency) Required? | No |
Initial Registration
Filing Method: | |
Agency Fee: | $0 |
Registration Renewal
Filing Method: | |
Agency Fee: | $0 |
Due: | Every 3 or 5 years depending on the type of services provided. |
Texas Pharmacist License
Agency: | Texas State Board of Pharmacy |
Initial Registration
Form: | Pharmacist License Application by Examination |
Filing Method: | |
Agency Fee: | $103 |
Original Ink: | Not required |
Reciprocal Registration
Form: | Pharmacist License Application by Reciprocity |
Filing Method: | |
Agency Fee: | $255 |
Original Ink: | Not required |
Registration Renewal
Filing Method: | |
Agency Fee: | $281 |
Due: | Biennially. |
Original Ink: | Not required |
Penalties: | $400 total if submitted within 90 days following expiration; $519 total beyond 90 days. |
Learn about healthcare and pharmaceutical licensing in other states:
Controlled Substance Registration - In addition to a pharmacy license, controlled substance registration registration is required in many states for pharmacies that distribute controlled substances.
NABP (National Association of Boards of Pharmacy) - Host a variety of programs and resources relating to pharmacist and pharmacy licensure and examination.
Pharmacist in Charge - A licensed pharmacist designated by a pharmacy to act as the party responsible for compliance with regulations.
VPP (Verified Pharmacy Program) - A program run by NABP that allows state boards to share information and more easily register out-of-state pharmacies.