Staff Report with Final Results: Texas State Board of Pharmacy Page: 7
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which are customized injectable medications that pose
a higher risk of infection than other drugs. Appendix Prescription Medications
D, Licensed Pharmacies, details the classes of pharmacies " A controlled substance is a drug that has the
and number of pharmacies licensed in each class in fiscal potential for abuse. Controlled substances
are ranked in five schedules depending on
year 2015. The application materials and pre-inspection the drug's addictive nature and potential
requirements vary depending on the class of pharmacy, for abuse. Controlled substances include
with sterile compounding pharmacies receiving the highest prescriptions such as pain medications.
level of scrutiny. In fiscal year 2015, the board licensed " A dangerous drug is any medication for
7,914 pharmacies. which a prescription is required that is not
a controlled substance. Dangerous drugs
Pharmacists. Pharmacists review prescriptions, dispense include prescriptions such as antibiotics.
drugs, counsel patients, administer certain immunizations,
and supervise pharmacy technicians and technician trainees. Each pharmacy must have a designated
pharmacist-in-charge, who must ensure the pharmacy complies with board regulations. The board
licensed 31,807 pharmacists in fiscal year 2015. All applicants seeking a pharmacist license must
first graduate from a board-approved doctor of pharmacy program. Applicants must complete
1,500 internship hours and usually begin their internships in their first year of school. Interns can
perform any task delegated to them by a supervising pharmacist who must receive a special preceptor
license designation from the board. In fiscal year 2015, the board registered 3,725 interns and 9,593
preceptors. After completing the educational and internship requirements, the applicant must pass
the national pharmacist licensure exam and a state-specific pharmacy jurisprudence exam before
licensure.
Pharmacy technicians and technician trainees. Pharmacy technicians perform technical tasks that
do not require professional judgment, such as counting and labeling medications, and must work
under the supervision of a pharmacist. Texas began regulating pharmacy technicians more recently,
in 2004, due to concerns about theft and loss of drugs. All applicants seeking a pharmacy technician
license must have a high school diploma or equivalency and pass a board-approved national certifying
exam. Prospective pharmacy technicians may choose to first apply for technician trainee status, which
allows the trainee to gain experience for up to two years before taking and passing the certifying
exam. In fiscal year 2015, the board registered 41,990 pharmacy technicians and 18,777 technician
trainees.
" Inspections. The board employs 12 inspectors in nine regions to conduct inspections before
licensure, routine compliance inspections, and inspections in response to complaints. Appendix E,
Map oflnspection Regions, shows the regions in which inspectors work and the number of inspectors
assigned to each region. The Pharmacy Act requires the board to inspect all sterile compounding
pharmacies before initial licensure and before renewal every two years following. The board inspects
all other pharmacies depending on staff availability, with the goal of inspecting each pharmacy at
least once every four years. When inspectors identify violations of pharmacy regulations, they may
note areas that need improvement, issue a warning notice, or refer a violation to the board's legal
department. In fiscal year 2015, the board completed 2,992 inspections and issued 1,293 warning
notices for minor violations.
" Investigations. The board employs eight commissioned peace officers as investigators who conduct
in-depth investigations, often undercover, of pharmacies that have been the subject of serious
complaints, including reported theft or loss of drugs or suspected improper dispensing. Investigators
also audit drug inventory and gather evidence for board enforcement proceedings.Texas State Board of Pharmacy Staff Report with Final Results
Agency at a Glance7
Sunset Advisory Commission
June 2017
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Ogle, Steven; Schiff, Tamara; Hartley, Cee & Teleki, Katharine. Staff Report with Final Results: Texas State Board of Pharmacy, report, June 2017; Austin, Texas. (https://texashistory.unt.edu/ark:/67531/metapth1033475/m1/29/: accessed July 17, 2024), University of North Texas Libraries, The Portal to Texas History, https://texashistory.unt.edu.; crediting UNT Libraries Government Documents Department.