{"id":38577,"date":"2026-07-10T08:50:20","date_gmt":"2026-07-10T08:50:20","guid":{"rendered":"https:\/\/healthcareethicscourses.com\/us\/?page_id=38577"},"modified":"2026-07-13T17:52:10","modified_gmt":"2026-07-13T17:52:10","slug":"texas-pharmacy-board-discipline-actions-penalties","status":"publish","type":"page","link":"https:\/\/healthcareethicscourses.com\/us\/texas-pharmacy-board-discipline-actions-penalties\/","title":{"rendered":"Texas Pharmacy Board Discipline: Actions &#038; Penalties"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"38577\" class=\"elementor elementor-38577\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-749c0e2 e-con-full e-flex e-con e-parent\" data-id=\"749c0e2\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-6403ef9 elementor-widget elementor-widget-html\" data-id=\"6403ef9\" data-element_type=\"widget\" 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<\/style>\r\n  <nav class=\"crumbs wrap\" aria-label=\"Breadcrumb\"><a href=\"https:\/\/healthcareethicscourses.com\/us\/\">Home<\/a><span class=\"sep\">&rsaquo;<\/span><a href=\"https:\/\/healthcareethicscourses.com\/us\/knowledge-support\/\">Knowledge &amp; Support<\/a><span class=\"sep\">&rsaquo;<\/span><a href=\"https:\/\/healthcareethicscourses.com\/us\/knowledge-support\/\">Texas Pharmacists<\/a><span class=\"sep\">&rsaquo;<\/span>Disciplinary Actions<\/nav>\r\n  <header class=\"head wrap\">\r\n    <h1>Texas State Board of Pharmacy disciplinary actions and penalties, explained<\/h1>\r\n    <div class=\"meta\"><span>5 min read<\/span><span class=\"dot\">&middot;<\/span><span>Last updated July 2026<\/span><\/div>\r\n    <p class=\"lead\">If your case moves past the investigation, this is where the outcomes take shape &mdash; from a private remedial plan to a public order. Knowing the pathway and the range of sanctions helps you make good decisions about whether to settle, and how to present your case.<\/p>\r\n  <\/header>\r\n\r\n  <div class=\"takeaways wrap\">\r\n    <h2>Key takeaways<\/h2>\r\n    <ul>\r\n      <li>Formal cases start with an <strong>Informal Settlement Conference (ISC)<\/strong>: a panel of Board staff and generally two Board members proposes dismissal, a warning or a sanction.<\/li>\r\n      <li>An agreed sanction becomes an <strong>Agreed Board Order (ABO)<\/strong>, approved by the full Board; if there is no agreement, the case goes to a <strong>SOAH<\/strong> hearing before an Administrative Law Judge.<\/li>\r\n      <li>Sanctions under Occupations Code &sect;565.051 range from reprimand and restriction through probation, suspension and revocation &mdash; and more than one may be imposed together.<\/li>\r\n      <li>Administrative penalties can reach <strong>$5,000 per violation<\/strong> (Occupations Code &sect;566.002), with each day counted separately; the &sect;281.65 schedule sets amounts and &sect;281.62 lists aggravating and mitigating factors.<\/li>\r\n      <li>Public orders are reported to the <strong>NABP Clearinghouse<\/strong> and can trigger action in every other state where you are licensed.<\/li>\r\n    <\/ul>\r\n  <\/div>\r\n\r\n  <div class=\"wrap\">\r\n    <h2>The disciplinary pathway<\/h2>\r\n    <p>When the Board decides a case warrants formal action, it does not usually jump straight to a courtroom. Texas uses a structured pathway that gives you several chances to be heard: an Informal Settlement Conference, then &mdash; if needed &mdash; a formal hearing, then a Board decision, and finally a right of appeal.<\/p>\r\n\r\n    <h2>The Informal Settlement Conference<\/h2>\r\n    <p>The <strong>Informal Settlement Conference (ISC)<\/strong> is the pivotal step, because most Texas pharmacy cases are resolved here. You (ideally with counsel) meet a panel made up of Board staff and generally two Board members. You are given the opportunity to show compliance with the law and to explain the circumstances. The panel then proposes a resolution, which may be <strong>dismissal<\/strong>, a <strong>formal warning<\/strong>, or a <strong>disciplinary sanction<\/strong>.<\/p>\r\n    <p>If the panel recommends a sanction and you agree, the terms are written into a proposed <strong>Agreed Board Order (ABO)<\/strong>, which goes to the full Board at its next regular meeting to be approved or rejected. If you and the panel cannot agree &mdash; or the Board rejects the proposed order &mdash; the case proceeds to a formal, public hearing.<\/p>\r\n\r\n    <h2>Formal hearings at SOAH<\/h2>\r\n    <p>A contested case is heard by an Administrative Law Judge (ALJ) at the <strong>State Office of Administrative Hearings (SOAH)<\/strong>, independent of the Board. After the hearing, the ALJ issues a <strong>Proposal for Decision (PFD)<\/strong> containing findings of fact, conclusions of law and a recommended action. The Board members then make the final decision. A licensee who disagrees with the Board's action generally has the right to appeal to the Texas state courts, and the Board must follow the Texas Administrative Procedure Act throughout.<\/p>\r\n\r\n    <h2>The range of sanctions<\/h2>\r\n    <p>Under Occupations Code <strong>&sect;565.051<\/strong>, the Board can impose a range of disciplinary actions, and it may combine several in one order:<\/p>\r\n    <ul>\r\n      <li><strong>Reprimand<\/strong> &mdash; a public censure.<\/li>\r\n      <li><strong>Restriction<\/strong> &mdash; limits on what you may do or how you may practice, for a set term and conditions.<\/li>\r\n      <li><strong>Probation with monitoring<\/strong> &mdash; you report regularly to the Board, may have your practice limited, may be required to complete education until your skill is satisfactory, and pay a probation fee.<\/li>\r\n      <li><strong>Suspension<\/strong> &mdash; active or stayed (probated).<\/li>\r\n      <li><strong>Revocation<\/strong> &mdash; the license is taken away.<\/li>\r\n      <li><strong>Retirement or voluntary surrender<\/strong> of the license, which still resolves the case as a reported action.<\/li>\r\n    <\/ul>\r\n\r\n    <h2>Penalties, fines and the sanction schedule<\/h2>\r\n    <p>The Board can also impose an <strong>administrative penalty<\/strong>. Under Occupations Code <strong>&sect;566.002<\/strong>, that penalty may not exceed <strong>$5,000 per violation<\/strong> &mdash; including a violation involving controlled-substance diversion &mdash; and each day a violation continues counts as a separate violation. The rules at <strong>22 TAC &sect;281.65<\/strong> set a schedule of penalty amounts (commonly in the $250&ndash;$5,000 range depending on the violation), and <strong>&sect;281.62<\/strong> lists the <strong>aggravating and mitigating factors<\/strong> the Board weighs: the gravity of harm, whether conduct was willful or merely negligent, any pattern of misconduct, and &mdash; importantly &mdash; whether you took remedial steps to correct the problem.<\/p>\r\n    <p>In practice, agreed orders for lesser matters frequently pair a reprimand with a fine (often $1,000&ndash;$3,000), a set number of continuing-education hours, up to a couple of years of probation, and sometimes a Continuous Quality Improvement Program for the pharmacy.<\/p>\r\n\r\n    <h2>The remedial plan alternative<\/h2>\r\n    <p>For minor issues that merit only a warning, the Board can offer a <strong>remedial plan<\/strong> under Occupations Code &sect;565.060. This is expressly <strong>non-disciplinary<\/strong>: it is not a sanction, and once you complete its conditions, the Board removes the records of the original complaint and the plan. Because a remedial plan keeps a matter off your public record, it is often the best available outcome for a first, low-harm issue.<\/p>\r\n\r\n    <h2>After the order: the wider consequences<\/h2>\r\n    <p>A formal sanction rarely stays in one place. Public orders appear in the Board's <strong>Disciplinary Action Summaries<\/strong> and searchable records, and are reported to the <strong>NABP Clearinghouse<\/strong>, which can carry the discipline to every other state where you hold a license. Controlled-substance matters can run in parallel with DEA action against your registration. If a license is revoked, reinstatement is not automatic &mdash; it requires a formal petition, evidence of rehabilitation, and often PRN participation (Occupations Code &sect;565.101&ndash;565.103).<\/p>\r\n\r\n    <div class=\"note\">\r\n      <span class=\"note-h\">A note on continuing education<\/span>\r\n      <p>Any CE the Board orders as part of a disciplinary sanction is <strong>in addition to<\/strong> the 30 hours of approved CE Texas already requires each renewal period (Board rule 295.8). For renewal, that CE must be ACPE-accredited; disciplinary education is a separate obligation aimed squarely at the conduct that led to the order.<\/p>\r\n    <\/div>\r\n\r\n    <h2>Putting yourself in the best position<\/h2>\r\n    <p>The factors that reduce a sanction are largely within your control: genuine <strong>insight<\/strong> into what went wrong, concrete <strong>remediation<\/strong> already underway, honest <strong>reflection<\/strong>, and evidence that you have put safeguards in place so it will not happen again. Panels respond to a pharmacist who understands the problem and has acted, far more than to one who minimizes it. Building that record early &mdash; before the ISC &mdash; is one of the most useful things you can do.<\/p>\r\n  <\/div>\r\n\r\n  <section class=\"courses wrap\">\r\n    <h2>Courses that support your response<\/h2>\r\n    <p class=\"intro\">If you are building a written response, an insight statement, or a remediation record, these Healthcare Ethics Courses modules for pharmacists can help you structure it.<\/p>\r\n    <a class=\"course\" href=\"https:\/\/healthcareethicscourses.com\/us\/courses\/remediation-for-fitness-to-practise\/\">\r\n      <span class=\"course-tag\">Remediation<\/span>\r\n      <span class=\"course-name\">Remediation for Fitness to Practise<\/span>\r\n      <span class=\"course-arr\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/span>\r\n    <\/a>\r\n    <a class=\"course\" href=\"https:\/\/healthcareethicscourses.com\/us\/courses\/insight-for-fitness-to-practice\/\">\r\n      <span class=\"course-tag\">Insight<\/span>\r\n      <span class=\"course-name\">Insight for Fitness to Practice<\/span>\r\n      <span class=\"course-arr\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/span>\r\n    <\/a>\r\n    <a class=\"course\" href=\"https:\/\/healthcareethicscourses.com\/us\/courses\/reflection-for-fitness-to-practise\/\">\r\n      <span class=\"course-tag\">Reflection<\/span>\r\n      <span class=\"course-name\">Reflection for Fitness to Practise<\/span>\r\n      <span class=\"course-arr\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/span>\r\n    <\/a>\r\n    <a class=\"course\" href=\"https:\/\/healthcareethicscourses.com\/us\/courses\/ensuring-no-repeat-of-misconduct-or-mistake-in-future-practice\/\">\r\n      <span class=\"course-tag\">Prevention<\/span>\r\n      <span class=\"course-name\">Ensuring No Repeat of Misconduct or Mistake in Future Practice<\/span>\r\n      <span class=\"course-arr\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/span>\r\n    <\/a>\r\n    <a class=\"course\" href=\"https:\/\/healthcareethicscourses.com\/us\/courses\/rebuilding-trust-of-patients-public-and-healthcare-regulators\/\">\r\n      <span class=\"course-tag\">Trust<\/span>\r\n      <span class=\"course-name\">Rebuilding Trust of Patients, Public, and Healthcare Regulators<\/span>\r\n      <span class=\"course-arr\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/span>\r\n    <\/a>\r\n    <a class=\"course\" href=\"https:\/\/healthcareethicscourses.com\/us\/courses\/probity-and-honesty-for-healthcare-professionals-2\/\">\r\n      <span class=\"course-tag\">Probity<\/span>\r\n      <span class=\"course-name\">Probity and Honesty for Healthcare Professionals<\/span>\r\n      <span class=\"course-arr\"><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/span>\r\n    <\/a>\r\n    <p class=\"caveat\">These are professional-development and ethics courses, not ACPE-accredited continuing education. They will not count toward the 30 hours of approved CE that Texas requires each renewal period, and any CE ordered as part of a disciplinary sanction is separate again. Confirm with the Board how any completion is recognized.<\/p>\r\n  <\/section>\r\n\r\n  <section class=\"siblings wrap\">\r\n    <h2>More Texas pharmacist guides<\/h2>\r\n    <a class=\"sib\" href=\"https:\/\/healthcareethicscourses.com\/us\/texas-board-of-pharmacy-complaint-what-happens-next\/\"><span>Reported to the Texas State Board of Pharmacy? What happens next<\/span><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/a>\r\n    <a class=\"sib\" href=\"https:\/\/healthcareethicscourses.com\/us\/texas-pharmacy-board-investigations-pharmacist-guide\/\"><span>Texas State Board of Pharmacy investigations: what pharmacists need to know<\/span><svg viewBox=\"0 0 24 24\" fill=\"none\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\" aria-hidden=\"true\"><path d=\"M9 6l6 6-6 6\"\/><\/svg><\/a>\r\n  <\/section>\r\n\r\n  <section class=\"faq wrap\">\r\n    <h2>Frequently asked questions<\/h2>\r\n    <div class=\"faq-item\">\r\n      <h3>What sanctions can the Board impose?<\/h3>\r\n      <p>Under Occupations Code &sect;565.051: reprimand, restriction, probation with monitoring, suspension, revocation, or retirement of the license &mdash; and the Board may impose more than one in a single order.<\/p>\r\n    <\/div>\r\n    <div class=\"faq-item\">\r\n      <h3>How much can the Board fine me?<\/h3>\r\n      <p>Administrative penalties can reach $5,000 per violation under Occupations Code &sect;566.002, with each day counted separately. The 22 TAC &sect;281.65 schedule commonly sets amounts in the $250&ndash;$5,000 range by violation type.<\/p>\r\n    <\/div>\r\n    <div class=\"faq-item\">\r\n      <h3>Will the discipline be public?<\/h3>\r\n      <p>Yes. Formal orders appear in the Board's Disciplinary Action Summaries and searchable records. A non-disciplinary remedial plan, by contrast, is removed once completed.<\/p>\r\n    <\/div>\r\n    <div class=\"faq-item\">\r\n      <h3>Does a Texas order affect my license in other states?<\/h3>\r\n      <p>It can. Public discipline is reported to the NABP Clearinghouse and may prompt action by any other board where you are licensed; controlled-substance cases may also involve the DEA.<\/p>\r\n    <\/div>\r\n    <div class=\"faq-item\">\r\n      <h3>What is a remedial plan?<\/h3>\r\n      <p>A non-disciplinary resolution under Occupations Code &sect;565.060 for minor issues. Complete its conditions and the Board removes the records of the complaint and the plan, keeping it off your public record.<\/p>\r\n    <\/div>\r\n    <div class=\"faq-item\">\r\n      <h3>Can I get my license back after revocation?<\/h3>\r\n      <p>Reinstatement is possible but not guaranteed. It requires a formal petition, evidence of rehabilitation and often PRN participation (Occupations Code &sect;565.101&ndash;565.103), and the Board has broad discretion.<\/p>\r\n    <\/div>\r\n  <\/section>\r\n\r\n  <div class=\"wrap\">\r\n    <p class=\"disclaimer\">This article is general information for education purposes and is not legal advice. If you have received a complaint, a records request, or notice of a formal proceeding, seek advice from a Texas attorney experienced in pharmacy license defense and notify your professional liability insurer. Healthcare Ethics Courses is an independent education provider and is not affiliated with, endorsed by, or acting on behalf of the Texas State Board of Pharmacy or any state agency; names are used for reference only.<\/p>\r\n  <\/div>\r\n\r\n  <script type=\"application\/ld+json\">\r\n{\r\n  \"@context\": \"https:\/\/schema.org\",\r\n  \"@graph\": [\r\n    {\r\n      \"@type\": \"Article\",\r\n      \"headline\": \"Texas State Board of Pharmacy disciplinary actions and penalties, explained\",\r\n      \"description\": \"The Texas State Board of Pharmacy disciplinary process explained: informal settlement conferences, Agreed Board Orders, SOAH hearings, sanctions and penalties.\",\r\n      \"mainEntityOfPage\": {\r\n        \"@type\": \"WebPage\",\r\n        \"@id\": \"https:\/\/healthcareethicscourses.com\/us\/knowledge-support\/pharmacists\/texas\/discipline\/\"\r\n      },\r\n      \"author\": {\r\n        \"@type\": \"Person\",\r\n        \"name\": \"Dr Shehzad Iqbal\"\r\n      },\r\n      \"publisher\": {\r\n        \"@type\": \"Organization\",\r\n        \"name\": \"Healthcare Ethics Courses\",\r\n        \"url\": \"https:\/\/healthcareethicscourses.com\/\"\r\n      },\r\n      \"datePublished\": \"2026-07-07\",\r\n      \"dateModified\": \"2026-07-07\",\r\n      \"inLanguage\": \"en-US\",\r\n      \"about\": [\r\n        \"Texas State Board of Pharmacy\",\r\n        \"Pharmacy Ethics\",\r\n        \"Pharmacist License Defense\"\r\n      ]\r\n    },\r\n    {\r\n      \"@type\": \"BreadcrumbList\",\r\n      \"itemListElement\": [\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 1,\r\n          \"name\": \"Home\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/us\/\"\r\n        },\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 2,\r\n          \"name\": \"Knowledge & Support\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/us\/knowledge-support\/\"\r\n        },\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 3,\r\n          \"name\": \"Texas Pharmacists\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/us\/knowledge-support\/\"\r\n        },\r\n        {\r\n          \"@type\": \"ListItem\",\r\n          \"position\": 4,\r\n          \"name\": \"Disciplinary Actions\",\r\n          \"item\": \"https:\/\/healthcareethicscourses.com\/us\/knowledge-support\/pharmacists\/texas\/discipline\/\"\r\n        }\r\n      ]\r\n    },\r\n    {\r\n      \"@type\": \"FAQPage\",\r\n      \"mainEntity\": [\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"What sanctions can the Board impose?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"Under Occupations Code &sect;565.051: reprimand, restriction, probation with monitoring, suspension, revocation, or retirement of the license &mdash; and the Board may impose more than one in a single order.\"\r\n          }\r\n        },\r\n        {\r\n          \"@type\": \"Question\",\r\n          \"name\": \"How much can the Board fine me?\",\r\n          \"acceptedAnswer\": {\r\n            \"@type\": \"Answer\",\r\n            \"text\": \"Administrative penalties can reach $5,000 per violation under Occupations Code &sect;566.002, with each day counted separately. 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