Class -D May be referring to OPIODS
SPECIAL NOTE: Texas Pharmacy Rules & Regulations prohibit a Class D pharmacy from being placed in or
issued to a physician’s office setting. Rule 291.93 defines Clinic Pharmacy (Class D) as a facility/location other than a
physician's office, where limited types of dangerous drugs or devices restricted to those listed in and approved for the
clinic's formulary are stored, administered, provided, or dispensed to outpatients. A Class D pharmacy license that is
issued to a clinic with limited scope of services (must be reviewed by TSBP), and which authorizes the pharmacy to
provide (supply) or administer a dangerous drug contained in the clinic’s formulary (limited to anti-infective drugs,
musculoskeletal drugs, vitamins, obstetrical and gynecological drugs and devices, topical drugs, and serums toxoids, and
vaccines) in accordance with a medical directive (e.g., standing practitioner orders, etc.) and with the objectives of the
clinic. Examples of such settings include rural health care clinics, school-based clinics; clinics for the homeless, indigent,
or low-income; family planning clinics; TB, STD, or immunization clinics operated by state or local government; and onsite
industrial clinics for company employee use. In a Class D pharmacy, the “provision” of unit-of-use packages of
dangerous drugs at a Class D pharmacy site may be carried out by certain non-pharmacist personnel in accordance with
the Texas Pharmacy Rules. However, any “dispensing” (defined separately from “provision” and “administration”) of a
prescription drug order for a dangerous drug contained in the clinic’s formulary must be performed by a licensed
pharmacist in accordance with Class A regulations.
pharmacy.texas.gov/files_pdf/INSTRUCTIONS_CLASS_D.pdf