Pharmacy Forms and Policies
Pharmacy Unit Request Forms
- New Facility: Home - Texas DSHS Pharmacy Providers Enrollment Site (force.com)
- PIOS Disenrollment Form: Pharmacy Inventory and Ordering System Disenrollment Form
- MOU Form: 340B MOU
- Program Assurance form:340B Program Assurance form
Pharmacy Unit Policies
- 020.050 Public Complaints Related to the Delivery of Section Programs
- 090.001 Roles and Responsibilities of the Section Regarding Contractors
- 090.010 Contact Monitoring
- 130.001 Condom Distribution
- 2011.001 Confidential Information Security
- 2012.01 Overall Responsible Party for HIV/STD Surveillance Data
- 2023.019 PIOS User Access
- 302.001 Release of Tuberculosis (TB), Human Immunodeficiency Virus (HIV), Sexually Transmitted Disease (STD) and Viral Hepatitis Data
- 700.004 HIV Medications Ordering Process for Pharmacies
- 2021.001 Program Income
- PMCY01 Prescription Medication Shortages