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 Texas for individuals and businesses. You will find state requirements, application fees, filing instructions, and more. For assistance with licensing, please contact us to learn about our software and managed license services.
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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 |
Notarization Required?: | 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. |
Notarization Required?: | 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. |
Notarization Required?: | 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. |
Notarization Required?: | 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 Device Distributor License
Initial Registration
Form: | |
Filing Method: | Mail or online. |
Agency Fee: | License fees are based on gross annual sales of all devices sales at each licensed place of business:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
Required Attachments: |
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Registration Renewal
Form: | |
Filing Method: | Mail or online. |
Agency Fee: | License fees are based on gross annual sales of all devices sales at each licensed place of business:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
Due: | Biennially by the date of issuance. |
Required Attachments: |
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Texas Device Manufacturer License
Initial Registration
Form: | |
Filing Method: | Mail or online. |
Agency Fee: | License fees are based on gross annual sales of all devices sales at each licensed place of business:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
Registration Renewal
Form: | |
Filing Method: | Mail or online. |
Agency Fee: | License fees are based on gross annual sales of all devices sales at each licensed place of business:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
Due: | Biennially by the date of issuance. |
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. |
Notarization Required?: | 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. |
Notarization Required?: | 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. |
Notarization Required?: | 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 |
Registered Agent (Special Agency) Required? | Yes |
Initial Registration
Form: | |
Agency Fee: | License fees are based on gross annual sales of all drug sales at each licensed place of business:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
Registration Renewal
Form: | |
Agency Fee: | License fees are based on gross annual sales of all drug sales at each licensed place of business:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
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 |
Registered Agent (Special Agency) Required? | Yes |
Initial Registration
Form: | In-State Manufacture of Prescription Drugs Initial/Renewal License Application |
Agency Fee: | License fees are based on gross annual sales of all drug sales at each licensed place of business:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
Registration Renewal
Form: | In-State Manufacture of Prescription Drugs Initial/Renewal License Application |
Agency Fee: | License fees are based on gross annual sales of all drug sales at each licensed place of business:
|
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: | License fees are based on gross annual sales of all drug sales at each licensed place of business: $1,040 per location for gross annual drug sales of less than $200,000 |
Registration Renewal
Form: | In-State Wholesale Distributors of Nonprescription Drugs Initial/Renewal License Application |
Agency Fee: | License fees are based on gross annual sales of all drug sales at each licensed place of business:
|
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: | License fees are based on gross annual sales of all drug sales at each licensed place of business:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
Registration Renewal
Form: | In-State Wholesale Distributors of Prescription Drugs Initial/Renewal License Application |
Agency Fee: | License fees are based on gross annual sales of all drug sales at each licensed place of business:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
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 |
Notarization Required?: | 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
Initial Registration
Form: | Multiple Product (Including Medical Gases) Initial/Renewal License Application |
Agency Fee: | License fees are based on gross annual sales of all devices sales at each licensed place of business:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
Registration Renewal
Form: | Multiple Product (Including Medical Gases) Initial/Renewal License Application |
Agency Fee: | License fees are based on gross annual sales of all devices sales at each licensed place of business:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
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 |
Notes: | Entities applying for this license must have a physical address within the state of Texas. |
Initial Registration
Form: | Multiple Product Nonprescription Drug Initial/Renewal License Application |
Agency Fee: | License fees are based on gross annual sales of all drug sales at each licensed place of business:
|
Registration Renewal
Form: | Multiple Product Nonprescription Drug Initial/Renewal License Application |
Agency Fee: | License fees are based on gross annual sales of all drug sales at each licensed place of business:
|
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 |
Notarization Required?: | 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 |
Notarization Required?: | 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. |
Notarization Required?: | 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: | License fees are based on gross annual sales of all drugs delivered into Texas:
|
Registration Renewal
Form: | Out-of-State Wholesale Distributors of Nonprescription Drugs Initial/Renewal License Application |
Agency Fee: | License fees are based on gross annual sales of all drugs delivered into Texas:
|
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: | License fees are based on gross annual sales of all drugs delivered into Texas:
|
Registration Renewal
Form: | Out-of-State Wholesale Distributors of Prescription Drugs Initial/Renewal License Application |
Agency Fee: | License fees are based on gross annual sales of all drugs delivered into Texas:
A person is exempt from the license fees required by this section if the person is a charitable organization, as described in the Internal Revenue Code of 1986, 501(c)(3) |
Due: | Biennially by the date of issuance. |
Individual Licenses
Texas Individual Healthcare and Pharmaceutical Licenses
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.