CRITERIA

Yes

No

1

A letter of appointment for the responsible pharmacist;

NB: No pharmacist maybe the, responsible pharmacist for more than one pharmacy

2

A letter of acceptance of the above appointment;

3

Copy of the site plan of the building indicating the location, of the pharmacy premises in relation to adjoining or surrounding businesses and access to and from the premises;

4

Copy of the professionally drawn floor plan indicating the actual layout of the pharmacy premises drawn to scale with exact measurements;

5

Signed affidavit regarding eligibility, ownership and compliance with standards (must be signed by sole proprietor, all partners of the partnership, all members of the Close Corporation, all shareholders of a Private Company and all Directors of a Public Company;

6

In case of a Close Corporation the latest CK2 as approved),

7

In case of a company a coy of the Certificate of Incorporation (Change of name if applicable) and the latest CM29;

8

If applicable, schedules from the auditors certifying the names of the directors and shareholders;

9

A bank guaranteed cheque or proof of payment of the licence application fee made payable to the SAPC.

CRITERIA

Yes

No

1

The size of the premises;

2

The size of the dispensary;

3

All entrances and exits of the pharmacy;

4

All entrances to the enclosed areas in the pharmacy e.g. admin office, manger's office, dispensary, kitchen, private area and consultation area;

5

A separate facility for washing hands;

6

A separate facility for compounding of extemporaneous preparations and cleaning of equipment;

7

Sufficient and adequate lighting;

8

A suitable waiting area;

9

A fridge for heat sensitive pharmaceuticals and vaccines;

10

A suitable separate private room for private consultation of patients;

11

A suitable consultation area for the provision of screening and monitoring tests, where applicable;

12

All Scheduled medicines to be stored/displayed inaccessible to the public;

13

A dispensing counter for prescriptions and pharmacist initiated prescriptions (OTC), with a suitable semi private area for each point where dispensing of medicine to the patient or the patient's agent/caregiver occurs; the dimensions of the dispensing counter and semi-private area are to be indicated on the floor plan and are to comply with the following requirements;

(i)

Height of partitioning of the semi-private area from floor - 1800 mm

(ii)

Dispensing point: 900mm deep by 1 000 mm wide

(iii)

400 mm from edge of the counter

NB:

If a counter for pharmacist initiated prescriptions (OTC) is separate from the prescription counter, the above criteria apply to both counters.

CRITERIA

Yes

No

1

The use of the same or a similar name, including a name that sounds similar but is spelt differently, as that of another pharmacy if such pharmacies do not have the same owner;

2

Any name which is likely to be considered offensive;

3

A name that is calculated to suggest that the pharmacy in question is superior to another pharmacy or pharmacies;

4

A name which creates the impression that medicines are being sold at discounted prices;

5

A name which may be misleading to the public;

6

A name that is not associated with or does not belong to the pharmacy concerned;

7

A name that is calculated to suggest that the professional skills or ability or facilities for the rendering and supply of services which form part of the scope of practice of a pharmacist are superior or better than those of other pharmacies or pharmacists;

8

A name that is calculated to suggest that a pharmacy is associated with, belongs to or is in any way connected with a body corporate, firm or business, when not owned or part owned by that body corporate, firm or business;

9

Any name which is in contravention to the Pharmacy Act 53 of 1974.