Overview: Pharmacy Corporations in California
California permits pharmacies to operate as corporations, LLCs, partnerships, or sole proprietorships. Unlike some healthcare professions, pharmacy ownership is not limited to licensed pharmacists. However, each pharmacy must have a designated Pharmacist-in-Charge (PIC) and comply with California Board of Pharmacy regulations.
Why Form a Pharmacy Corporation?
- Limited liability protection
- S-Corp tax election benefits
- Non-pharmacist ownership permitted
- Easier capital raising and investor access
- Professional credibility and permanence
Regulatory Framework
- California Board of Pharmacy
- Business & Professions Code ยง 4000+
- California Code of Regulations Title 16
- DEA registration requirements
- State Controlled Substances laws
Business Structure Options
- Corporation (standard or PC)
- Limited Liability Company (LLC)
- Partnership
- Sole proprietorship
- Chain pharmacy structures
Key Requirements
- Pharmacist-in-Charge (PIC) required
- Pharmacy permit for each location
- DEA registration for controlled substances
- Proper security and storage
- Record-keeping compliance
๐ก Non-Pharmacist Ownership Permitted
Unlike most healthcare professional corporations, California allows non-pharmacists to own pharmacy corporations. Chain pharmacies, investor groups, and publicly traded companies can own California pharmacies. However, every pharmacy must have a designated Pharmacist-in-Charge who is personally responsible for pharmacy operations and compliance.
Ownership Requirements
California pharmacy ownership rules differ significantly from other healthcare professions. The law focuses on operational control rather than ownership restrictions.
Permitted Owners
- Licensed pharmacists
- Non-pharmacist individuals
- Corporations and LLCs
- Investment groups/PE firms
- Hospital/health systems
Disclosure Requirements
- All owners must pass background check
- 10%+ owners disclosed to Board
- Prior convictions may disqualify
- Officers and directors disclosed
- Ownership changes reported within 30 days
โ ๏ธ Background Check Requirements
All pharmacy owners, officers, and directors must undergo background checks by the Board of Pharmacy. Criminal convictions related to controlled substances, fraud, or dishonesty may result in permit denial. The Board has discretion to deny permits based on "substantial relationship" between prior conduct and pharmacy operations.
Pharmacy Permit Types
California issues different pharmacy permits based on the type of services offered. Each permit type has specific requirements and operational limitations.
Community Pharmacy
Retail pharmacy serving the general public:
- Prescription dispensing
- OTC medications
- Patient counseling
- Immunizations (with protocol)
- Most common permit type
Hospital Pharmacy
Pharmacy within licensed healthcare facility:
- Inpatient dispensing
- IV compounding
- Clinical pharmacy services
- 24/7 operations common
- Linked to hospital license
Specialty Pharmacy
High-cost specialty medication dispensing:
- Limited distribution drugs
- Cold chain/specialty handling
- Patient management programs
- Prior authorization services
- URAC or ACHC accreditation common
Compounding Pharmacy
Sterile and non-sterile compounding:
- 503A (patient-specific) compounding
- 503B outsourcing facility (separate license)
- USP 795/797/800 compliance
- Additional inspections required
- Accreditation recommended
Formation Process
Forming a California pharmacy corporation involves corporate formation, Board of Pharmacy licensing, and DEA registration. The process typically takes 3-6 months.
Form the Corporation
- File Articles of Incorporation with Secretary of State
- Obtain EIN from IRS
- Adopt bylaws and issue stock
- Consider S-Corp election
Identify Pharmacist-in-Charge
- Must hold active California RPh license
- Cannot be PIC at another pharmacy
- Responsible for all pharmacy operations
- Must work at least 30 hours/week on-site
Apply for Pharmacy Permit
- Complete Board of Pharmacy application
- Submit floor plans and security details
- Pay application fee ($520+)
- Background checks for all owners
- Wait for Board inspection
Obtain DEA Registration
- Apply after state permit issued
- Complete DEA Form 224
- Required for controlled substances
- Separate registration per location
Establish Wholesaler Accounts
- Primary wholesaler agreement
- Specialty drug accounts if needed
- Verify DSCSA compliance
- Set up ordering systems
Pharmacist-in-Charge Requirements
Every California pharmacy must designate a Pharmacist-in-Charge (PIC) who is personally responsible for the pharmacy's compliance with all laws and regulations.
PIC Responsibilities
- Ensure legal compliance
- Supervise all pharmacy staff
- Maintain proper records
- Control inventory and security
- Report to Board as required
Time Requirements
- Work minimum 30 hours/week at pharmacy
- Cannot be PIC at multiple locations
- Must be on-site during operating hours
- Designate coverage when absent
- Notify Board of extended absences
Personal Liability
- PIC personally liable for violations
- License at risk for pharmacy issues
- Board can discipline PIC for staff errors
- Professional liability insurance essential
- Employment agreement should address liability
Frequently Asked Questions
Yes. California permits non-pharmacist ownership of pharmacies. The owner can be an individual, corporation, LLC, or other entity. However, every pharmacy must have a designated Pharmacist-in-Charge who is a licensed California pharmacist responsible for all pharmacy operations.
The Board of Pharmacy permit process typically takes 3-6 months. This includes application review, background checks, and site inspection. Delays can occur if there are issues with the application, building permits, or background check results.
Yes. California permits mail-order pharmacies with a standard pharmacy permit plus compliance with shipping and patient counseling requirements. To ship into other states, you may need non-resident pharmacy licenses in those states. VIPPS accreditation is recommended but not required.
You must notify the Board within 30 days of a PIC change and designate a new PIC. The pharmacy cannot operate without a designated PIC. If there's a gap, another licensed pharmacist must serve as interim PIC. The outgoing PIC should conduct a thorough inventory and transition documentation.