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Commission reviews nonresident pharmacy applications; staff warns against approving without home-state inspections

Pharmacy Commission · April 29, 2026
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Summary

Staff told the commission it does not approve nonresident pharmacy licenses without a home-state inspection; the commission recommended denials or requests for additional documentation for several nonresident applications, including MedFront (Dallas) and a Kentucky facility.

Commission staff briefed the Pharmacy Commission on nonresident pharmacy applications and recommended denial or further review where home-state inspection documentation was missing. Staff specifically flagged Costco’s central-fill submission from Everett, Washington for lacking a required home-state inspection and recommended the commission either deny the application or request full 795/797 inspection reports before approving services such as sterile compounding.

"We never approve pharmacies without their home state inspection," the staff member told commissioners, highlighting the commission’s practice of requiring a Form 795 (home-state inspection) as part of nonresident review. Commissioners discussed several specific recommendations: denial was recommended for MedFront of Dallas for an incomplete 795, and for a Kentucky facility cited for cleaning and endotoxin-testing deficiencies that lacked a corrective-action plan. Conversely, staff recommended approval for three other nonresident applicants that had submitted the required surveys and inspections (including a Tennessee lab and two other out-of-state facilities that provided 795/797 documentation).

After discussion the commission acted on motions to accept staff recommendations — denying some applications and approving requested additional services for those applicants that had provided complete inspection documentation.