COVID-19: Information from the States

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The chart below includes NASPA’s compilation of state actions affecting pharmacy. This is a work in progress.

The following are links to other collections of state actions:

National Resources on the COVID-19 Pandemic

Hydroxychloroquine, Chloroquine, and Azithromycin

Compounding Hand Sanitizer

Therapeutic Interchange

Telehealth

Testing

State Actions Affecting Pharmacy

State Actions and authorities affecting pharmacy Source Links Last Updated by NASPA
Alabama Governor’s emergency orders/declaration:
Emergency declared. (March 13).
Allows healthcare facilities to implement “alternative standards of care.” (March 13).
Prohibits price gouging. (March 13).
Emergency order suspending certain public gatherings due to risk of infection By COVID-19 (Safer at Home Order) (April 28)
Board of Pharmacy:
Directs institutional settings to conserve supplies for compounded medications (per CDC guidelines). (March 13).
Directs pharmacists with positive coronavirus test to stay home and not perform any pharmacy functions while ill. (March 13).
Encourages use of drive thru and curbside delivery. (March 14).
Authorizes offsite order entry under certain conditions. Expires July 18, 2020. (March 20).
Authorizes 30-day emergency refills under certain conditions NABP: Including CII’s. Expires July 21, 2020. (March 23).
Board will not enforce state controlled-substance-related regulatory requirements related to good-faith use of telemedicine and phoned-in CII prescriptions. Expires April 6 but may be extended. (March 23).
Technicians registered on or after Jan. 1, 2020 have until Dec. 31, 2020 to complete training requirements. (March 25).
Board does not intend to set policy regarding chloroquine and HCQ. (March 25).
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Authorizes Institutional Pharmacies to utilize “Emergency Dispensing” for Metered Dose Inhalers and other medications deemed necessary with board approval. (April 2)
Issuing temporary pharmacy practice permits to out-of-state applicants with certain standards. (April 2)
Issuing temporary in-state pharmacy permits under certain conditions. (April 2) Following DEA guidance for emergency prescriptions and allowing prescribers to provide written prescription (can be via fax, photo, or scan instead of paper) as soon as practicable but no later than 15 days (April 6) Clarifies pharmacists may be involved in CLIA-waived COVID-19 point-of-care tests with a CLIA waiver. (April 17)
Other State Agencies:
Department of Revenue: Several tax deadlines postponed or late penalties waived for small business, income tax, etc. Medicaid: Temporarily suspended rules requiring prescriptions be presented to Medicaid’s fiscal agent within 90 days from the date it was written. (Rule 560-X-13-.03). (March 24).
Governor’s and State Agencies’ Emergency Orders

Board of Pharmacy Homepage

BOP Emergency Orders

COVID-19 Related Emergency Actions of State Agencies

Public Health Info Page

State Pharmacy Association Resource Page

May 6
Alaska Health Mandates from Governor/DHSS:
Emergency declared. (March 11).
Public-facing businesses providing essential services are ordered to: 1) take reasonable precautions to ensure the health of their service sector and employees; 2) actively promote social distancing, including expanding delivery, drive-through services, limiting the number of people in a building, spacing lines to keep people 6ft apart, or making appointments; and 3) employees who can feasibly work from home should. (March 27)
Board of Pharmacy:
Authorized out-of-state pharmacists to practice in Alaska with an emergency permit under certain conditions, no need to take the MPJE. (March 12).
Advised pharmacists to make the public aware of any changes to pharmacy hours. (March 30).
Employees who test positive for COVID-19 should not work for 14 days. (March 30).
If the pharmacy must close, the pharmacy should make the public aware and notify the board. (March 30).
Allows certified pharmacy technicians to perform final checks and distribute non-controlled substances under certain conditions (technician product verification) (April 3) Allows for medication administration by a pharmacist or pharmacy intern in accordance with a prescriber’s order (no CPA needed). (April 3) Allows for attestation rather than documentation of completed continuing education requirements. (April 3) Allows for participation in shared pharmacy services during a disaster emergency declared by the governor without obtaining a shared pharmacy services license. (April 3) Authorizes pharmacists to dispense any quantity of a prescription drug so long as the total quantity does not exceed the total amount (original plus refills) authorized by the prescriber and is not for a controlled substance. (April 3) Authorizes pharmacists to dispense up to 120 days additional supply of existing, chronic, non-controlled medications if prescriber cannot be reached for renewal and no refills remain. (April 3) Eliminates one-year prescription order expiration date (April 3) Suspends CPR certification requirement for immunizing pharmacists and pharmacy interns during the emergency period (April 3) Licensed pharmacists who order or administer FDA-authorized COVID-19 testing under the HHS guidance should apply Alaska’s latest testing priorities. (April 15)
Medicaid:
Early refill restrictions relaxed. (March 6).
Guidance available regarding DME. (March 23).
Meds usually limited to 34-day supply now extended to 68-day supply. (March 26).
Prior authorizations for existing patients grandfathered in for continuity of care. (March 26).
Medicaid signature requirements waived. (March 26).
Requires ICD-10 diagnosis code regardless of indication for hydroxychloroquine and chloroquine, rejects claims for COVID-19 prophylaxis, and limits quantity to 28 dosage units per claim. (April 1)
Expanded shipping charge reimbursements to include instances when pharmacy and member are in same community. (April 1) Alaska Medicaid requires enrolled providers to use only the following two codes when submitting a claim for COVID-19 testing: U0001 (COVID-testing by CDC testing lab) and U0002 (COVID-19 testing by non-CDC lab) (April 15)
Emergency Declaration

State Health Mandates

Medicaid Updates

Public Health Info Page

State Pharmacy Association Resource Page

BOP COVID-19 Resource Page

May 6
Arizona Governor’s emergency orders/declaration:
Emergency declared. (March 11).
Requires insurance companies and health plans to cover out of network providers, including out of plan laboratories and telemedicine providers. (March 11)
Implements consumer protections, including prohibiting price-gouging on COVID-19 of diagnosis and treatment-related services. (March 11).
Identifies pharmacies and other “healthcare and public health operations” as essential functions. (March 23).
License renewal and continuing education deadlines extended by six months unless they can be done online. (March 26).
Directs boards to issue provisional licenses if licensing exam cannot be provided electronically. (March 26).
Requires health care insurance companies to expand telemedicine coverage for all services that would normally be covered for an in-person visit. (March 25)
Emergency Statutes and Rules Activated Due to Emergency Declaration:
Pharmacists can dispense up to two emergency 30-day refills. Out-of-state licensed pharmacies may relocate to a temporary facility or mobile facility to provide pharmacy services during a declared state of emergency. (April 2)
Waives electronic prescribing requirements outlined in A.R.S.§ 36-2525(D). (April 2)
Prescriber now has 15 days to deliver follow-up paper prescriptions for phoned-in emergency CII prescriptions and follow-up prescription may be sent via fax, scan, or photo as long as prescriber keeps hard copy. (April 2)
Waives hospital prescribing labeling restrictions outlined in A.R.S § 32-1934(B)(4) for multidose medications. (April 2) Regarding hydroxychloroquine/chloroquine- A) Documentation of diagnosis code required on written or phoned-in prescription B) Prescription is limited to 14 day supply with no refills. C) Not to be prescribed for prophylaxis unless peer-reviewed evidence supports use. D) These guidelines do not apply to patients that take hydroxychloroquine/chloroquine for treatement other than COVID-19. (April 2)
Pharmacists allowed to use professional judgment to perform therapeutic interchanges within drug classification unless prescriber has noted “dispense as written”. (April 2)
Waive the requirement for companies producing hand sanitizer to have a permit.(April 2)
Relaxes rules to alleviate pharmaceutical shortages- A) AZ licensed pharmacies may receive pharmaceuticals from out-of-state licensed wholesalers or third-party logistics providers. B) AZ licensed pharmacies may receive pharmaceuticals from an unpermitted manufacturer in another state or country as long as it is registered with the FDA and has a current Good Manufacturing Practice inspection within 6 months. (April 2)
Enhanced surveillance advisory allows local health authorities to access confidential patient information whether or not patient identity is known. (April 8)
Frontline healthcare workers responding to the COVID-19 outbreak are presumed to be providing medical services out of good faith and are immune from civil liability (April 9)
Board of Pharmacy:
Provides guidance on protecting pharmacy staff and patients. (March 30).
Pharmacists should notify the board if a pharmacy will be closed longer than 48 hours or will have different hours of operation. (March 30).
Recommends counseling via a drive-thru, over the phone or other technology, or providing written information. (March 30).
Recommends measures for controlling azithromycin, chloroquine, and HCQ dispensing. (March 30).
Clarifies that existing authority authorizes remote work under certain conditions. (March 30).
Stated that the board will take into consideration contingency plans to conserve PPE under certain conditions. (March 30).
Authorizes hand sanitizer compounding if following FDA/USP guidance. (March 30).
The board will not be enforcing USP 800. (March 30).
Pharmacies issued a permit by the board may provide or utilize shared services under specific conditions. (April 2)
Pharmacist may authorize up to two 90-day emergency refills of non-controlled maintenance medications. (April 2)
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/. (April 7)
Automatically extending pharmacy technician trainee licenses expiring during the health emergency to up to six months after the health emergency is over. (April 23)
Authorizes pharmacists to administer any vaccine to persons of any age without a prescription order during a public health emergency.
Emergency Declaration

Board of Pharmacy Home Page

Public Health Info Page

State Pharmacy Association Resource Page

May 6
Arkansas Governor’s emergency orders/declaration:
Emergency declared. (March 11).
Board of Pharmacy:
Linked to recommendations regarding PPE shortages and hand-sanitizer compounding and DEA guidance on controlled substances. (undated, last accessed April 1).
Provided guidance regarding existing authority for emergency 30-day refills, limiting hours of operation, limiting to drive thru or delivery only, and asking sick patients to not enter the pharmacy. (undated, last accessed April 1).
Recommended voluntary suspension of all non-emergency or non-urgent care or services through April 3 or longer. (undated, last accessed April 1).
Suspended rule requiring an endorsement on a pharmacist or intern license to administer medications. (Rule 09-00-0002). Expires April 16, may be extended. (March 17).
Suspended rule requiring current CPR certification to administer medications. (Rule 09-00-0002). Expires April 16, may be extended. (March 17).
Suspended rule requiring an endorsement to provide Disease State Management via written protocols Waived ratio of one pharmacy intern working per pharmacist. (Rule 02-01-0004(h)(4)). Expires April 16, may be extended. (March 17).
Authorized therapeutic substitution, without prescriber opt in, for albuterol and levalbuterol inhalers. Pharmacist must notify prescriber of the substitution. (Rule 17-92-101(18)(B)). Expires April 16, may be extended. (March 17).
Board will consider, on a case-by-case basis, remote activities like order entry and verification and other offsite activities. (Rules 04‐02‐0012 and 04‐05‐0004). Expires April 16, may be extended. (March 17).
NABP: April board meetings postponed
Other Agencies:
Department of Health: Recommendations regarding chloroquine and HCQ use. (March 21).
Emergency Declaration

Executive Orders
Board of Pharmacy HomepageBOP COVID-19 Resource PagePublic Health Info Page
April 1
California Governor’s emergency orders/declaration:
Emergency declared. (March 4).
Allows out-of-state medical personnel to practice in the state – with approval of the Director of the Emergency Medical Services Authority. (March 4).
Prohibits price gouging through Sept. 4. (March 4).
Provides tax extensions for business filing a return for less than $1 million in taxes along with other tax-related relief. (March 30).
Authorizes the Director of Consumer Affairs to waive CE requirements in Divisions 2 & 3 of the Business and Professions Code. (March 30).
Board of Pharmacy (waivers expire 30 days after issuance):
Waives certain requirements related to PPE and hand cleaning. (March 17). Waiver allows prescribers to dispense bronchodilators to ER patients. (March 17).
Waives certain consulting pharmacist requirements regarding quarterly visits. (March 17).
Waives signature requirement for drug deliveries to the pharmacy. (March 17).
Waiver authorizes pharmacists to conduct remote processing and pharmacy interns and technicians to conduct nondiscretionary tasks if in compliance with specific reccomendations. (March 18).
Waiver authorizes pharmacists to supervise one additional technician and one additional intern pharmacist under certain conditions. (March 19; March 20).
Waiver authorizes pharmacies to recieve drugs and devices from an unlicensed pharmacy, wholesaler, or third-party logistics provider in another state to alleviate shortages under certain conditions. (March 21).
Waiver allows a sterile compounding facility within a hospital to renew its license without completing renewal requirements under certain conditions. (March 21).
Waiver allows the temporary use of a mobile pharmacy or clinic under certain conditions. (March 24).
Waiver allows inventory reconciliation to be done every six months rather than every three months, if PIC deems the reduction necessary. (March 24).
Board provided a process for pharmacies to request specific waivers. (Updated March 24).
Emergency Proclamation

Executive Orders

Board of Pharmacy Waivers

Board of Pharmacy Homepage

Public Health Info Page

April 2
Colorado Governor’s emergency orders/declaration:
Emergency declared. (March 11).
Income tax payment – for individuals and businesses – extended to July 15, 2020. (March 20).
Board of Pharmacy:
Board met on March 19. Minutes not available as of April 2.
Other State Agencies:
Medicaid/CHIP Guidance for Pharmacies (March 31): All albuterol inhalers have preferred status; chloroquine and HCQ require prior authorization. (March 31).
Signature requirements are temporarily waived for Member Counseling and Proof of Delivery, keep record when counseling not provided. (March 31).
Early refills allowed after 50% of days supply has lapsed. See guidance for details. (March 31).
Eased prior authorization requirements for prescription cough and cold medicine. See guidance for details. (March 31).
Reminder that existing authority authorizes emergency refill and that maintenance meds can be dispensed with 100-day supply. (March 31).
Colorado Department of Regulatory Affairs:
Addresses measures to take if a phamacy decides to temporarily close. (March 18) Addresses remote pharmacy practice and provisions for remote practice as outlined in the Board of Pharmacy Rule 26. (March 18) Addresses what sterile compounding pharmacies should do in the event of a garb shortage. (March 18)
Emergency Declaration and Executive Orders

Board of Pharmacy Homepage

Public Health Info Page

Public Health Orders

COVID-19 Info for Medicaid and CHIP Providers

DORA Home Page

April 13
Connecticut Governor’s emergency orders/declaration:
Emergency declared. (March 10).
Suspends garbing requirements for non-hazardous compounding of sterile pharmaceuticals. (March 14).
Waives manufacturer registration requirement for hand sanitizer. (March 14).
Identifies pharmacies as essential health care operations. (March 20).
Suspends prescription copays for full-benefit dual-eligible Medicare Part D beneficiaries and HUSKY B clients. (March 21).
Allows for 90-day refills of maintenance and non-maintenance medications for HUSKY beneficiaries (non-controls only). (March 21).
Authorizes 30-day emergency refill dispensing. (March 21).
Authorizes agency leaders to extend regulatory administrative deadlines by 90 days. (March 25).
Single-use bag tax suspended. (March 26).
Allows healthcare providers to provide direct patient care at a healthcare facility or institution, with the permission of such facility or institution, with an identification badge displaying the name of a different healthcare facility or institution. (March 27).
Authorize the Commissioner of Public Health to waive licensing, renewal, and inspection requirements pursuant to Sections 19a-131j(b), (c) and (d). (March 27).
Authorizes non-traditional manufacturers to compound hand sanitizer under the implementing orders/guidance of the Commissioner of Consumer Protection. (March 27).
Requires stores to take protective measures to reduce transmission. Directs Commissioner of Economic and Community Development to issue rules immediately which “shall supersede and preempt any current or future municipal order. (April 1).
Waives regulatory administrative requirements to allow the Commissioner of Social Services to act quickly regarding Medicaid state plan amendments. (April 1).
Establishes tax deferment and low interest rate programs to assist individuals and businesses. (April 1).
Board of Pharmacy/ Department of Consumer Protection:
Executive order 7I gave the Commissioner of the Department of Consumer Protection, rather than the Commissioner of Pharmacy, the authority to waive pharmacy regulations. (March 21).
Guidance states practitioners may issues prescription refills for controls without seeing patient in-person under certain conditions. Rx should be transmitted using EPCS. (March 19).
Issued rules and guidance implementing Executive Order 7B regarding hand sanitizer compounding, preserving PPE, and remote order entry/verification. (March 15).
NABP: No more than 90 Day emergency supply and Cannot Exceed Amount Authorized by Prescriber
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Executive Orders (March 18)

Board of Pharmacy Home Page

Public Health Info Page

April 2
Delaware Governor’s emergency orders/declaration:
Declared state of emergency. (March 12).
Prohibits price gouging. (March 12).
Encourages public businesses to limit customers in the store to 50 or fewer at a time (including pharmacies). (March 16).
Directs essential businesses to implement various sick leave and preventive measures for employees (see Fourth Modification: Declaration of a State of Emergency for details). (March 22).
Defines pharmacies and facilities employing pharmacists as essential businesses. (March 22).
Out-of-state licensed pharmacists and Delaware pharmacists with expired licenses can practice in Delaware. (March 24).
Directs health care providers who are providing testing to do free of charge, regardless of the person’s insurance coverage. (Modified March 22 Order). (March 30).
Exempts healthcare workers traveling or commuting into Delaware from the travel-related self-quarantine order. (March 29).
Authorizes the Public Health Authority to change Title 16 rules and regulations and suspend licensure deadlines. (March 30).
Directs businesses open to implement policies for social distancing (see Ninth Modification: Declaration of a State of Emergency for details). (April 1).
Division of Professional Regulation:
License renewal dates unchanged but all online. Flexibility allowed for those unable to complete CE or CPR certification. (March 19).
Encourages prescribers and pharmacists to implement policies limiting hycroxychloroquine and chloroquine prescribing and dispensing and to refrain from prescribing these drugs prophylactically. (March 24).
Provides clarification to pharmacists regarding telehealth and prescribing (see Telehealth Letter to Pharmacists). (Undated, last accessed April 7).
Board of Pharmacy:
No actions identified as of April 7.
Emergency Declarations and Orders

Division of Professional Regulation: COVID-19 Information

Board of Pharmacy Home Page

Public Health Info Page

April 7
District of Columbia Mayor’s emergency orders/declaration:
Emergency declared. (March 11).
Prohibits price gouging. (March 11).
Authorizes the City Administrator to amend licensure deadlines. (March 23).
Defines pharmacies as essential businesses and encourages them to remain open. (March 24).
Board of Pharmacy:
April board meeting canceled, next meeting scheduled for June 4. Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Allows provision of 7-day emergency supply of medication.
Department of Health:
Authorizes out-of-state licensed health care providers to practice in DC. (March 13).
Directs healthcare facilities to conserve PPE per CDC recommendations. (March 26).
Discourages inappropriate prescribing of hydroxychloroquine and chloroquine for pre-exposure prophylaxis and treatment; encourages providers to exercise good professional judgment and stewardship over the drug supply chain. (March 27).
Emergency Declaration and Executive Orders

Board of Pharmacy Homepage and COVID-19 Info

Dept. of Health Notices and Guidance

Public Health Info Page

April 13
Florida Governor’s emergency orders/declaration:
Declared state of emergency. (March 9).
Authorizes 30-day emergency prescription refill of maintenance medication. (March 9).
Authorizes out-of-state licensees to practice in Florida if their services are provided free of charge and under the direction of the American Red Cross or the Florida Department of Health. (March 9).
Waives cost sharing for flu shots for state employees. (March 26).
Exempts healthcare workers from the 14-day self-quarantine order for those traveling to Florida. (March 27).
Authorizes re-employment of retired state employees, including health and medical professionals. (March 30).
Board of Pharmacy:
No actions identified as of April 7. Next scheduled board meeting April 8 via teleconference.
Executive Orders

Board of Pharmacy Home Page

Emergency Management Info Page

Public Health Info Page

April 7
Georgia Governor’s emergency orders/declaration:
Emergency declared. (March 14).
Prohibits price gouging. (March 14).
Authorizes a one-time 90-day emergency refill and allows early refills. Schedule II drugs not included. (March 20).
Authorizes the Board of Pharmacy to grant temporary licenses to out-of-state licensed pharmacists. (March 20).
Directs the Board of Pharmacy to suspend rules to allow remote prescription processing. (March 31).
Directs critical infrastructure businesses to implement certain measures to mitigate COVID-19 spread among the workforce. (April 2).
Board of Pharmacy:
Provided guidance that pharmacists can compound hand sanitizer. (March 16).
Authorizes pharmacists currently licensed in good standing in another state to obtain a temporary license if the pharmacist is engaged in documented relief effort. (March 17).
Authorizes pharmacy technicians and interns registered or licensed in another state to assist in dispensing prescription drugs. (March 17).
Emergency rule authorizes delivering prescriptions by mail upon patient request, under certain conditions. (March 20).
Emergency rule authorizes remote order verification under certain conditions. (March 20).
Provides guidance regarding Governor’s emergency authorization for 90-day emergency refills; excludes Schedule II, III, IV, and V controlled substances and other requirements. (March 26).
Emergency rule limits the quantity and conditions under which chloroquine, hydroxychloroquine, and mefloquine may be dispensed. (March 27).
Emergency rule provides for temporary pharmacy technician registration. (April 1).
Emergency rule authorizes oral Schedule II prescriptions under certain conditions. (April 1).
Department of Public Health:
Issued statement regarding hydroxychloroquine and azithromycin. (March 22).
Emergency Declaration and Executive Orders

Board of Pharmacy Homepage

Board of Pharmacy Press Releases

Board of Pharmacy COVID-19 Emergency Rules

Public Health Info Page

April 7
Hawaii Governor’s emergency orders/declaration:
Declared state of emergency. (March 5).
Prohibits price gouging. (March 5).
Authorizes out-of-state licensed physicians, physician assistants, and nurses to practice in Hawaii–pharmacists not included. (March 16).
Identifies pharmacies as essential businesses (but not as a “healthcare service or facility). (March 23).
Board of Pharmacy:
NAPLEX and MPJE exams closed until April 16. (March 17).
Board meetings cancelled through April 30. Next scheduled meeting is May 21.
Emergency Proclamations (March 16)

Board of Pharmacy Home Page

Public Health Info Page

April 7
Idaho Governor’s emergency orders/declaration:
Declared state of emergency (March 13)
Board of Pharmacy:
Implemented process for rapid licensure/registration of new support staff. (March 25)
Participating in the NABP Passport process for temporarily licensing out-of-state pharmacists and technicians. Outlines process for closing/limiting pharmacy hours, encourages pharmacies to stay open and use drive through or delivery if possible. (March 24)
Allows for use of the Critical Point recommendations regarding limited re-use of PPE (March 26), with some changes to the Critical Point webinar’s information (March 16)
Addresses hand sanitizer compounding (March 16), remote work (March 17), early refills on controls for hospice patients (March 17), Medicaid payment allowance for 90 day supply (March 17), other compounding (March 18).
Addresses prescribing limitations for hydroxychloroquine, chloroquine, and azithromycin. (March 26) Emphasizes that counseling signatures are not required, but counseling is required and it can be accomplished via technology. (March 19)
Since gathering identification can be a vector of transmission, the Board is not requiring positive ID for controlled substances – it remains a best practice (April 6)
Recognizes the extension of CPR certification beyond the expiration date through the end of the year for both pharmacists and technicians involved in immunizing. (March 20)
Addresses oral emergency CII prescription with an update from the DEA. (March 30)
Authorizes pharmacists to immunize patients of any age. (April 2)
Removes quantity limits on refilling prescription when prescriber is not available for authorization. (March 23)
BOP Memo (revised April 8)

Emergency Declaration

Executive Orders

April 13
Illinois Governor’s emergency orders/declaration:
Declared state of emergency (March 9)
Requires all health insurers regulated by the Department of Insurance to cover telehealth services and reimburse providers at the same rate as in-person visits and are prohibited from imposing any cost-sharing for in-network providers (includes pharmacists) (March 9).
Provides immunity from civil liability in certain circumstances for health care professionals providing health care services in response to the COVID-19 outbreak. (April 1)
Department of Healthcare and Family Services (Medicaid):
Authorized 90-day supply for insulin and diabetes testing supplies increased. Authorized refill-too-soon override code. 4 drug limit/3 brand limit/prescriber registration limits lifted. Waived signature requirements for receipt of prescriptions. (March 30)
Board of Pharmacy:
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/. Limits provision of emergency supply to 30 days.
Executive Orders

Medicaid

Board of Pharmacy Home Page

Public Health Info Page

April 13
Indiana Governor’s emergency orders/declaration:
Prohibits price gouging. Allows out-of-state licensed health care providers to practice in Indiana.
Board of Pharmacy:
Pharmacist:Technician ratio increased from 6:1 to 8:1.(25-26-13-18.5 & IC 25-26-19-2: Executive Order 20-12)
Pharmacists authorized to give a one-time, 90 day emergency refill for non-controlled substance of a maintenance medication. (IC 25-26-13-25(d)(8): Executive Order 20-12)
Telemedicine opioid prescribing authorized under specifically outlined conditions. (IC 25-1-9.5-8: Executive Order 20-12)
Board recommends using caution when dispensing “newly issued” prescriptions for hydroxychloroquine, chloroquine, or azithromycin without a supporting medical diagnosis and limits supplies of these drugs for presumptive COVID-19 positive patients or prophylactic use.
Fingerprinting completion for pharmacists, technicians and trainees are deemed critical and will be given priority.
Limits emergency refills to not more than the amount of the last refill OR to 30 days.
Health Department:
Issued guidance regarding PPE conservation.
Executive Orders (March 19)

Board of Pharmacy Homepage

Public Health Info Page

Health Dept. PPE Guidance

April 13
Iowa Governor’s emergency orders/declaration:
Allows certain healthcare providers whose license is inactive or lapsed to practice in Iowa. Does NOT include pharmacists. Issued Proclamation of Disaster relief.(March 23)
Board of Pharmacy: (see FAQ document on homepage):
Issued guidance on PPE conservation. Issued response to DEA guidance for oral CII emergency prescriptions- advised prescribers and pharmacists to review DEA guidance(March 30)
Issued guidance on chloroquine/hydroxychloroquine/azithromycin prescribing and dispensing(March 26)
Temporarily suspends the provision that limits drug product selection without prior approval from the prescriber to generically equivalent drug products. This suspension applies to drug shortage and formulary management situations only, and the pharmacist must make a reasonable effort to reach prescriber beforehand. This does not apply to controlled substances, biologics (except insulin), and narrow therapeutic index drugs. (April 6)
Through April 30, 2020, a pharmacist whose license has been inactive or expired for no more than 5 years may continue to engage in the practice of pharmacy with the inactive or lapsed license. (April 6)
Technician trainees whose registration expires between March 18, 2020 and May 31, 2020 and who are unable to sit for the national technician certification exam are authorized to continue practicing as a technician through May 31, 2020. (April 6)
The Board will continue to process license and registration applications which are otherwise complete and will defer the background check until the expiration of the disaster emergency, currently scheduled to expire on April 30, 2020. (April 6)
Participating in NABP Passport program for temporary licensure for out-of-state pharmacists. (April 6)
For candidates for initial licensure: Upon submission of a completed pharmacist license application, the Board will issue a pharmacist license and will defer the completion of the criminal history background check and successful completion of the NAPLEX and MPJE-Iowa edition examinations until the expiration of the emergency declaration (currently set to expire April 30, 2020).
Failure to successfully complete both required examinations with 120 days of the expiration date of the emergency declaration may result in license rescission. (April 6)
Executive Orders/ Proclamations (March 17)

Disaster Emergency Proclamation

Board of Pharmacy Homepage

PPE Guidance

Public Health Info Page

April 13
Kansas Governor’s emergency orders/declaration:
Declared state of emergency (March 12)
Board of Pharmacy:
Recommends pharmacies encourage customers use drive-throughs, when available, separate customers in line, put more space between customers and pharmacy staff at counter.
Addresses cleaning and detection policies and procedures to be put in place in the pharmacy to protect Kansas patients.
Sets up a process for pharmacies to report temporary closures.
Provides temporary authorization for certain pharmacists and certain technicians to work remotely.
Allows PPE reuse and recommends Critical Point training video.
Directs pharmacies to update policy and procedures and to train staff on changes.
Existing authority allows for emergency refills – the Board will not pursue disciplinary action against licensees or registrants that dispense emergency refills to patients in accordance with existing provisions for up to 30 days in the pharmacist’s discretion through May 31, 2020.
References FDA, WHO, and USP guidance on hand sanitizer and clarifies that the board requires all compounding documentation be maintained for sanitizer compounding.
Implements a grace period for CPR certificate renewal and will have until August 31, 2020 to renew the CPR certification.
Strongly encourages vigilance in processing new prescriptions for chloroquine and hydroxychloroquine and recommends reaching out to prescribers to verify diagnosis.
Concurs with the DEA’s exception to the regulations of emergency oral CII prescriptions in Kansas until it is rescinded by the DEA.
Board of Pharmacy Memo

Emergency Declaration (March 12)

Executive Orders (March 18)

Board of Pharmacy Home Page

Board of Pharmacy Memo (March 17)

Public Health Info Page

April 13
Kentucky Governor’s emergency orders/declaration:
Authorizes pharmacists to dispense a 30-day supply of non-controlled medications for residents of Kentucky (March 10)
Authorizes pharmacists to temporarily operate a pharmacy in an area not designated on the pharmacy permit. (March 10)
Authorizes pharmacists to “dispense drugs as needed to treat COVID-19 pursuant to protocols established by the CDC or the NIH or determined to be appropriate by the commissioner of public health or his designee to respond to the circumstances causing the emergency.” (March 10)
Authorizes pharmacists to administer immunizations to children per the protocols set by the CDC, NIH, or ACIP (Per KRS 315.500)
Board of Pharmacy:
Strongly encourages pharmacies to assess current and potential supply and implement policies that will ensure adequate supply for patients previously established on the drugs hydroxychloroquine and azithromycin.
Allows for pharmacists and technicians from other jurisdictions to practice in Kentucky (March 25)
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Executive Actions (March 17)

Emergency Declaration (March 6)

Board of Pharmacy Home Page

Public Health Info Page

April 13
Louisiana Governor’s emergency orders/declaration:
Prohibits price gouging.
Authorizes out-of-state and licensed medical professionals and personnel and those from other countries to practice in Louisiana. Must submit a copy of their license and photo ID to the State Health Officer.
Board of Pharmacy:
Authorized an extension of the expiration date for certain education requirements.
Changes for hospital pharmacies to accommodate additional storage needs, PPE conservation related to centralized compounding at hospitals with multiple locations.
Waived state laws related to limits on hospitals dispensing outpatient prescriptions to certain patients not affiliated with the hospital; meant to address needs of homeless patients.
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Increased Pharmacist to Technician ratio to 1:4.
Executive Orders (March 16)

Board of Pharmacy Home Page

Additional BOP Guidance and Resources (March 18)

BOP Guidance (Updated March 18)

Public Health Info Page

April 14
Maine Governor’s emergency orders/declarations:
Declared State of Emergency (March 15th)
Extended the expiration date of all licenses. (April 7th)
Authorizes out-of-state licensed healthcare providers to practice in Maryland (some admin requirements). (April 7th)
Authorizes healthcare providers with inactive licenses to practice under certain conditions. (April 7th)
Authorizes health care practitioners to engage in activities beyond their scope of practice if doing so is necessary and a qualified supervisor at the health care facility deems the practitioner competent to do so and reasonably supervises.
May only apply to pharmacists in institutional settings – review executive order and relevant statutes.
Suspension of any restrictions of mail order pharmacies from sending a patient that fits criteria from receiving an investigational drug for a clinical trial (March 26)
Suspension of any restrictions of mail order pharmacies from sending medications to patients in the state of Maine. (March 26)
All OPOR licensed health care providers may provide telehealth services to their patients, as necessary and appropriate during the declared state of civil emergency.
The Order expressly permits the use of telehealth by video, audio, or other electronic means. (April 7)
Board of Pharmacy:
Implement emergency policies as informed by CDC guidance for employers and information for pharmacies from APhA and ASHP;
Compound hand sanitizer per FDA guidance;
Send home staff exhibiting flu-like symptoms or respiratory illness.
States the board will not enforce tech supervision requirements if techs are working remotely–including prescription and data entry, insurance processing, other administrative functions.
Authorizes 30-day emergency refills under certain conditions.
Provides guidance regarding sterile compounding and conserving PPE.
States the board will not enforce 30-day notice requirements for changes in pharmacy hours.
Emergency Declaration

Executive Orders

Board of Pharmacy Home Page

Public Health Info Page

April 14
Maryland Governor’s emergency orders/declarations:
Extended the expiration date of all licenses.
Authorizes out-of-state licensed healthcare providers to practice in Maryland (some admin requirements).
Authorizes healthcare providers with inactive licenses to practice under certain conditions.
Authorizes health care practitioners to engage in activities beyond their scope of practice if doing so is necessary and a qualified supervisor at the health care facility deems the practitioner competent to do so and reasonably supervises. May only apply to pharmacists in institutional settings – review executive order and relevant statutes.
Board of Pharmacy:
Directs/authorizes pharmacies to:
implement emergency policies as informed by CDC guidance for employers and information for pharmacies from APhA and ASHP;
Compound hand sanitizer per FDA guidance;
Send home staff exhibiting flu-like symptoms or respiratory illness.
States the board will not enforce tech supervision requirements if techs are working remotely–including prescription and data entry, insurance processing, other administrative functions.
Authorizes 30-day emergency refills under certain conditions.
Provides guidance regarding sterile compounding and conserving PPE.
States the board will not enforce 30-day notice requirements for changes in pharmacy hours.
Maryland Department of Health:
During the state of emergency, the Maryland Medicaid Fee-for-Service permitted signature-less deliveries. Instead of a signature, pharmacies must use other means to confirm delivery, such as a phone call, text message, or email. (April 3)
Emergency Declaration (March 5)

Emergency Orders (March 19)

Board of Pharmacy Home Page

BOP Guidance (March 19)

Public Health Info Page

April 14
Massachusetts Governor’s emergency orders/declarations:
Declared a state of emergency (March 10th)
Authorizes pharmacists to administer methadone and buprenorphine for opioid use disorder. (March 18th)
Extends the registration of certain health care professionals’ licenses. (March 18th)
Permits pharmacists to compound and sell hand sanitizer over the counter. (April 3rd)
Pharmacists who have active licenses or certificates of good standing in any U.S. jurisdiction or whose license expired in the last ten years and were in good standing, may provide services within the scope of practice authorized by the license in such profession, both in-person in Massachusetts and across State lines into Massachusetts using telemedicine where appropriate. (April 3rd)
Pharmacies must provide alternative hours, at least one hour every day in early morning, for adults 60 years and older to limit exposure. (March 23rd)
Pharmacists can provide refills for chronic conditions for continuation of therapy when there are no refills remaining and no access to new prescription (March 24th)
Retail and institutional pharmacies may engage in central filling activities, including compounding of sterile and non-sterile preparations (March 24th)
Extended the time within which oral prescriptions must be reduced to writing from seven days to 15 business days (April 6th).
Authorizes the COVID Pharmacy Assistance Team to request prescription refills, transfer prescriptions, discuss medications lists and prescription history with providers and pharmacies, and facilitate the dispensing and delivery of medications on behalf of quarantined individuals in the Commonwealth.
Pharmacies and providers shall treat requests from the COVID Pharmacy Assistance Team on behalf of a quarantined individual as if they were made directly by the quarantined individual. (April 4th)
Board of Pharmacy:
Clarifies that pharmacists can work longer than 12 hours during the emergency. States that the board will not enforce pharmacist-to-technician ratios during the emergency.
Clarifies that pharmacists can refill clozapine without labs under certain circumstances.
Pharmacies that must temporarily close can notify board via email.
Must also notify patients of the continuity of care plan. Form required to change operational hours.
One time changes can be communicated via email. Pharmacy Technicians licensed by BOP may remotely verifiy prescriptions (March 24th)
Retail and hospital pharmacies should work to conserve garbing that is not required by USP <797> (March 24th)
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Emergency Declaration (March 10) and executive orders (March 18)

Board of Pharmacy Home Page

Board of Pharmacy FAQs

Hand Sanitizer Guidance (March 17)

Public Health Info Page

Health Department Order on Hand Sanitizer

April 14
Michigan Governor’s emergency orders/declarations:
Declared state of emergency (March 10th)
Prohibits price gouging. (March 20th)
Authorizes licensed pharmacists to provide Medical Services for routine health maintenance, chronic disease sates, or similar conditions without physician supervision. (March 29).
Suspends provisions related to scope of practice, supervision, and delegation, to the extent necessary to permit licensed pharmacists within health care facilities to provide care for routine health maintenance, chronic disease states, or similar conditions, as appropriate to the professional’s education, training, and experience, without physician supervision and without criminal, civil, or administrative penalty related to a lack of such supervision.
Professional certifications in BLS, ACLS, or first aid shall continue to remain in effect while the emergency declaration is in effect, even if they are due to expire during the emergency.
Allows health care professionals (including pharmacists) licensed and in good standing in any state to practice in Michigan.
Suspends requirements for exams, fingerprinting, and continuing education for the purposes of health care professional (including pharmacist) licensure, certification, registration, or renewal.
All health care facilities, residential care facilities, congregate care facilities, and juvenile justice facilities must prohibit unnecessary visitors (definitions outlined in EO 2020-37), and must screen permitted visitors for COVID symptoms/past risk of exposure (April 6th)
Pharmacists can dispense emergency refills on non-controlled maintenance medications for up to 60 days supply if failure to refill the prescription might have a significant adverse effect on the patient’s well-being, under certain circumstances.
Pharmacists allowed to operate a pharmacy in a temporary area not designated on the pharmacy license, but they may not prepare sterile drug products beyond low-risk preparation for immediate inpatient administration in said areas.
Pharmacists may dispense/administer drugs as needed to treat COVID-19 pursuant to CDC and NIH protocols, or as determined by the HHS Pharmacists may substitute a therapeutically equivalent medication for a medication subject to critical shortages without the authorization of a prescriber.
The pharmacist must inform the patient and the prescriber within a reasonable period of time. Preceptors may supervise student pharmacists remotely to fulfill eligibility for licensure and avoid delaying graduation.
Insurance companies must cover emergency refills under this order, and allow for early refills of all 30-day or 60-day covered prescription maintenance medications to allow for up to a 90-day supply.
Pharmacists may supervise pharmacy technicians and other staff remotely using a real-time, continuous audiovisual camera system capable of allowing the pharmacist to identify markings on tablets and capsules.
The pharmacist must have access to relevant patient information and be available for real-time patient consultation. A pharmacy technician may not perform compounding under this remote supervision.
Emergency Declaration (March 10) and executive orders (March 18)

Board of Pharmacy Home Page

Public Health Info Page

Executive Order 2020-25 (Pharmacy specific)

April 14
Minnesota Governor’s emergency orders/declarations:
Prohibits price gouging.
Board of Pharmacy:
Encourages pharmacies to stay open but clarifies there is no regulatory requirement to say open.
Authorizes remote work with certain conditions.
Provides guidance if a pharmacy has to close.
Authorizes out of state pharmacies to deliver prescriptions by mail during the emergency.
Clarifies existing authority for 30-day emergency refills under certain conditions.
Authorizes  curb-side delivery and associated counseling by phone.
Pharmacies that need staffing assistance from out-of-state licensed pharmacists should contact the board (will be updated if an executive order is later authorized).
Authorizes changes to the pharmacist-to-technician ratio.
Authorizes supervision of technicians to occur remotely.
Clarifies that pharmacists can test and treat flu/strep with a protocol under existing authority.
Provides guidance on hoarding and overprescribing of medications used to treat COVID19.
Clarifies that pharmacists can convert 30 day Rx to 90 days UNLESS it is the first fill. See FAQ for details.
Includes recommendations regarding PPE shortages and compounding.
Addresses compounding commercially available products under certain conditions.
Authorizes pharmacies to compound hand sanitizer.
Addresses board operation variances.
Excludes from 30 day emergency supply, instead 3 day supply. Only one emergency supply in 12 month period.
Emergency declaration (March 13) and executive orders (March 20)

Board of Pharmacy Home Page

BOP FAQs (March 20)

Public Health Info Page

April 14
Mississippi Governor’s emergency orders/declarations:
State of emergency declared (March 14)
Board of Pharmacy:
Authorized any pharmacy to compound alcohol based hand sanitizer until April 23 (March 23)
Emergency CII prescriptions authorized for 30 days instead of 48 hours (Article XIX and CFR §1306.11(d)) (March 19)
Pharmacist may dispense one-time emergency refill of NON-CONTROLLED medication during any State of Emergency declared by the Governor (March 14)
Chloroquine/hydroxychloroquine guidance-Pharmacists should use their professional judgment when dispensing these medications for non-FDA approved indications and are allowed to deny prescriptions if neccessary (March 24)
Required annual controlled substance inventory due date extended to July 1 (April 1)
Executive Orders

Board of Pharmacy Info Page

Public Health Info Page

BOP Emergency Refill Resolution

April 14
Missouri Governor’s emergency orders/declarations:
Directs monitoring of unfair market practices. (March 13)
Authorizes several state officials–including regulatory boards–to waive statutes/regulations to respond to the pandemic. (March 13)
Social services authorized expanded early refills. (March 13)
MO HealthNet Medicaid No co-pays for COVID-19 testing (March 25)
Extends coverage to Missourians ages 19-64 who test positive for COVID-19 (March 25)
Relaxes requirements related to prescription refills and prior authorizations (March 25)
Board of Pharmacy:
Board statement outlines process for a pharmacy that has to temporarily close. (March 20)
Allows pharmacies to compound hand sanitizer.(March 16)
Authorizes emergency 30-day refills of non-controls. (March 18)
Authorizes dispensing and Rx preparation when a pharmacist is not present under certain conditions. (March 23)
Authorizes remote product verification with certain conditions. (March 23)
Waives certain provisions regarding sterile compounding.(March 16)
Authorizes shared services between pharmacies in certain circumstances. (March 20)
Authorizes non-dispensing remote work and remote data entry by techs and interns.(March 23)
Authorizes out-of-state licensed or registered pharmacists and technicians to practice in MO. Must notify board.(March 17)
Allows delayed prescription transfers if needed.(March 20)
Recommends responsible prescribing for hydroxychloroquine, chloroquine, and azithromycin.
Allows 7-day emergency supply.
Emergency Declaration and Executive Orders

Board of Pharmacy Homepage

Public Health Info Page

April 14
Montana Governor’s executive order/declarations:
Declared state of emergency (3/12/20)
Governor is directing the Department of Labor & Industry (DLI) to implement an interstate licensure registration for out-of-state health care providers, which will allow qualified providers to begin practicing in Montana immediately and assist the state in responding to COVID-19.
Licensed professionals from out-of-state can register in Montana to work for the duration of the Governor’s emergency declaration. (March 28)
Board of Pharmacy:
Refers to Montana’s Existing Emergency Prescription Refill Rule ARM 24.174.836 for prescription refills, which does not apply to controlled substances, Schedules II – V per DEA requirements (already existing) Refers to DEA guidance on early refills of controlled substances (March 20)
Refers to DEA guidance on issuing Oral Schedule II Precriptions (March 27)
Board of Pharmacy regulations do not address the location from which an in-state pharmacist may perform his or her duties – please reference ARM 24.174.823 regarding centralized prescription filling and processing of drug orders as it may apply to your situation (already existing)
Montana Department of Labor and Industry

Emergency Declaration

Executive Order

Public Health Info Page

BOP Home Page

April 14
Nebraska Governors executive orders/declarations:
Allows pharmacists and pharmacy technicians in good standing and free from disciplinary action in other states where they are licensed to practice in Nebraska. Allows pharmacists and pharmacy technicians who have lapsed or inactive credentials to temporarily reactivate their credentials in order to practice as pharmacists and pharmacy technicians without having to complete the CE requirements, and upon submission of an application with DHHS. Temporarily suspends continuing education (CE) requirements and renewal fees for pharmacists and pharmacy technicians (unclear on technician certification requirements) Allows graduating student pharmacists to be provisionally licensed to practice pharmacy without submitting test scores Allows pharmacists to compound and sell hand sanitizer without a patient-specific prescription or collaborative practice agreement
March 30
Nevada Governor’s emergency orders/declarations:
Declared state of emergency (March 12)
Professional licensing boards regulating providers of medical services shall temporarily waive certain licensing requirements to allow the practice of currently unlicensed skilled medical professionals during the pendency of the COVID-19 crisis. (April 1)
The waiver and exemption of professional licensing requirements shall apply to qualified providers of medical services during this declared emergency who currently hold a valid license in good standing in another state (April 1)
Prohibits insurers from charging out-of-pocket costs for COVID-19 testing and vaccinations.
Requires insurers to provide coverage for off-formulary prescription drugs if the formulary drug is not available (due to shortages).
Directs law enforcement to diligently monitor for and investigate price gouging.
Identifies pharmacies as “Essential Licensed Businesses,” encourages their continued operation, and directs adoption of COVID-19 risk mitigation measures and other requirements included in the emergency regulation. (March 20)
Authorizes retail cannabis dispensaries to operate by delivery only. (March 20)
Board of Pharmacy:
Quantity limits and diagnosis requirements for dispensing chloroquine and hydroxychloroquine (March 23)
Process available to request regulatory waivers (via email) from the board. (March 13)
Remote order entry temporarily authorized for all pharmacy personnel, pursuant to board guidance (March 16)
Allows the reuse of certain PPE for sterile compounding under certain conditions (March 25)
Authorizes the compounding and sale of hand sanitzer under certain conditions (April 1)
Allows pharmacists to supervise up to 6 technicians (up to two of which can be in training) under certain conditions.(April 1)
Authorizes a maximum 30-day emergency refill for drugs essential to sustain life or for chronic conditions. Patient has to have been on “a consistent drug therapy as demonstrated by records maintained by a pharmacy.” Pharmacist must notify prescriber (April 1)
Clarifies that in-person counseling is required only if practical and can be done over the phone or in writing (March 20)
Clarifies that prescriptions may be delivered or mailed (March 20)
Provides guidance in regards to the transfer of drugs between pharmacies to alleviate a temporary shortage (April 1)
For Nevada-registered pharmacists and intern pharmacists who administer immunizations holding a certification in basic cardiac life support from the American Heart Association that is set to expire between March 1, 2020 – August 30, 2020, the Board is waiving the certification requirement and will permit recertification up to and including August 30, 2020.(March 26)
The Board has partially waived certain restrictions on the services which may be performed by pharmaceutical technicians in hospitals. (March 29)
The Board has temporarily authorized registered pharmaceutical technicians in training to be rotated and utilized at multiple Nevada-licensed pharmacies, and authorized an extension of time for pharmaceutical technicians in training to renew their registrations in response to the COVID-19 outbreak (April 2)
Temporary allowance of remote work by pharmacists and technicians.
Emergency Declaration

Executive Orders

Public Health Info Page

BOP Home Page

April 14
New Hampshire Governor’s Declarations:
Declared state of emergency. (March 13th)
All medical providers shall be allowed to perform health care services through the use of all modes of telehealth, including video and audio, audio-only, or other electronic media, to treat the residents of the state of NH for all medically necessary services. (March 18th)
All insurances, including state Medcaid, must allow in-network use of telemedicine during this time. New Hampshire pharmacists and pharmacies may compound and sell hand sanitizer over the counter following the requirements (see hand sanitizer tab). (March 23rd)
No price gouging. (March 23rd)
Board of Pharmacy:
Authorizes pharmacists to refill prescription drugs, including controlled substances listed in Schedules III, IV and V, without the authorization of the prescribing practitioner, if certain criteria are met. Authorizes out-of-state pharmacies to act as a licensed mail-order facility within the State of New Hampshire. (March 23rd)
Authorizes out-of-state medical providers to provide medically necessary services and provide services through telehealth. (March 18th)
Authorizes pharmacists and pharmacies to compound and sell hand sanitizer over the counter. (March 23rd)
Allows pharmacy technicians to perform non-dispensing tasks remotely. (March 23rd)
Typically a pharmacist who seeks to engage in the administration of vaccines shall hold current basic or higher certification in cardiopulmonary resuscitation (CPR) but under state of emergency pharmacists can continue giving vaccines up to 60 days past expiration. Facsimile prescription for a schedule II controlled substance shall be accepted as an original written prescription if it meets all the requirements of a written prescription. (April 6th)
A consultant pharmacist shall be considered an agent of the board and may oversee the destruction of controlled substances without prior authorization from the board as long as they meet the published criteria (April 6th).
An agent of the board may oversee the destruction of controlled substances remotely via videoconferencing (April 6th)
Allows for 30-day emergency supply
Emergency Declaration

BOP Homepage

Public Health Info Page

April 14
New Jersey Governor’s Declaration: 
Declared state of emergency (March 9th)
Healthcare professionals with an expired NJ license from within the last 5 years who were previously in good standing are permitted to practice without needing to pay for the license or produce CE credit proof.
Any requirement to hold a controlled dangerous substance registration as a precondition for registering with the Prescription Monitoring Program is suspended and waived for any healthcare professional with prescribing authority who is granted an expedited temporary license by the Director of the DCA and who holds a current valid registration with the U.S. Drug Enforcement Administration. (April 1st)
Healthcare professionals granted temporary license due to COVID are immune from civil liability for any damages alleged to have been sustained as a result of the individual’s acts or omissions undertaken in good faith, whether or not within the scope of the licensee’s practice as long as they are not acts or omissions that constitute a crime, actual fraud, actual malice, gross negligence or willful misconduct. (April 1st)
Board of Pharmacy:
Allows compounding pharmacies to reuse certain PPE (ie masks, gowns) as a proactive measure to conserve existing supplies of these items.
Allows pharmacies to be open for less than 40 hours per week until June 1, 2020. Waives requirement to obtain the signature of the patient or caregiver that counseling was provided or refused until June 1, 2020.
Allows for early medication refills and emergency fills of prescriptions.
NJPhA COVID Site

Emergency Declaration

Executive Orders

BOP Homepage

Public Health Info Page

AG Guidance for Pharmacy

April 14
New Mexico Department of Health Public Health:
Non-essential healthcare services, defined as those which can be delayed for 3 months without undue risk to a patient’s health, are prohibited for the duration of the Public Health Emergency. (March 25)
No healthcare provider or wholesale medical supplier in NM may sell, allocate, or distribute PPE without prior approval from the NM Dept of Health. (March 25).
Allows out-of-state licensed health care providers to practice in New Mexico. Authorizes pharmacists to dispense emergency fills with certain stipulations.
COVID FAQs

3/25/20 Public Health Orders

Board of Pharmacy Home Page

Emergency Declaration

Executive Orders

April 14
New York Governor’s emergency orders/declarations:
Declared state of emergency(March 7)
Authorizes unlicensed individuals to collect specimens for COVID-19 testing, after completing training deemed adequate by the Commissioner of Health.
Suspends regulations regarding prior authorizations in Medicaid to allow patients to receive prescribed drugs without delay.
Board of Pharmacy:
Provides option for temporary pharmacy closure (with form)
Executive Orders April 14
North Carolina Prohibits price gouging.
Allows out-of-state licensed healthcare providers to practice in North Carolina.
Authorizes MDs, NPs, and PAs to issue standing orders for COVID-19 testing.
Directs NCDHHS and NC Dept of Insurance to work with health plans to identify burdens related to COVID-19 testing,  prescription drug, and telehealth service access.
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Allows 30 to 90 day emergency supply Remote operations allowed according to waiver
BOP Emergency Services Waiver

BOP Guidance

Emergency Declaration

Executive Orders

Public Health Info Page

BOP Page

April 14
North Dakota Governor’s executive orders/declarations:
Declared state of emergency. (March 13).
Authorizes out-of-state licensed pharmacists to practice in North Dakota. (March 19).
Authorizes pharmacists to administer COVID-19 tests. (March 21).
Authorizes pharmacists to provide 30-day emergency refills (not Schedule II). (March 21).
Prohibits proof of delivery requirements for prescription delivery. (March 21).
Extends workers compensation coverage to healthcare providers who contract COVID-19. (March 25).
Board of Pharmacy:
No actions identified as of April 7. Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Emergency Declaration

Executive Orders

Public Health Info Page

Board of Pharmacy Homepage

April 7
Ohio Governor’s Declaration/ Executive Orders:
Emergency declared. (March 9).
Directs that price gouging incidents should be reported to the Attorney General. (March 9).
Board of Pharmacy:
Authorized remote order entry. (March 13).
Authorized the compounding and sale of hand sanitizer. (March 13, updated March 30).
Authorized reuse of PPE for sterile compounding. (March 14).
Authorized compounding for drug shortages. (March 16).
Authorized emergency refills: for Schedule III-V, up to 30-day supply, three times in 12 months; for non-controls, three 30-day supplies or one 90-day supply in 12 months. (March 16).
Authorized out-of-state licensed pharmacists, interns, and technicians to practice in Ohio. (March 16, updated March 26).
Authorized expedited onboarding of pharmacy technician trainees and extended renewal deadlines. (March 16, updated March 26, March 31).
Extended deadlines for life-support training for pharmacists and interns. (March 18).
Extended limits on compliance packaging from 31- to 90-day supply. (March 18, updated March 20).
Authorized central compounding. (March 20).
Issued guidance regarding technicians stocking automated drug storage systems. (March 20).
Emergency rule limits outpatient dispensing of chloroquine and hydroxychloroquine. (March 22).
Authorized the sale and shipment of non-reportable dangerous drugs that are in shortage by unlicensed, out-of-state facilities. (March 24).
Authorized storing drugs in temporary satellite locations. (March 31, updated April 3).
Extended deadline for annual controlled substances inventory. (March 31).
Issued mandatory guidance regarding infection control requirements for pharmacies. (Updated April 1).
Under the emergency preparedness resolution passed on March 2, the board authorized the exceptions in the DEA guidance, dated March 27, regarding oral schedule II prescriptions. (April 3).
Permits the temporary reinstatement of lapsed or expired Ohio pharmacist licenses in Ohio under certain conditions. (April 3).
Authorizes pharmacists, intern, and technicians may administer FDA-approved COVID-19 tests. (April 7).
Waives the pharmacy intern to pharmacist ratio. (April 7).
See link labeled “Board of Pharmacy Waivers, Guidance, and Emergency Rules” for reminders of non-emergency laws related to closures and hour changes, pharmacist administration of drugs, delivery services, use of alternate locations, signatures for Rx pick up, test administration, refills, consult agreements, and naloxone distribution.
Emergency Declaration, Executive Orders, and Public Health Orders

Board of Pharmacy Waivers, Guidance, and Emergency Rules

Board of Pharmacy Infection Control Requirements

Board of Pharmacy COVID-19 Resources

Board of Pharmacy Homepage

Public Health Info Page

April 7
Oklahoma Declared state of emergency, no pharmacy-related orders identified to date.
Quantity limits and diagnosis requirements for dispensing chloroquine and hydroxychloroquine.
Allows for 30-day emergency supply of non-controlled drugs, and 10-days supply for controlled drugs
Executive Order, chloroquine and HCQ
Oregon Declared State of Emergency (March 8)
Board of Pharmacy: 
OAAR 855-007-0085: Prohibits dispensing of chloroquine and hydroxychloroquine for presumptive treatment or prevention of COVID-19 infection (March 25)
Board strongly urges pharmacy drug outlets to deploy employee protection measures (March 23)
For the declared emergency time frame only, pharmacies may use remote processing functions where pharmacy personnel can perform limited functions from secure off-site, non-pharmacy location where a pharmacist may provide “remote monitoring” for prescription order entry, other data entry and insurance processing of prescriptions and medication orders (March 23)
Any pharmacist whose license has been inactive for no more than 2 years may reactivate their license (March 19)
For pharmacist licensure transfer application dates and internship requirements within the one-year period of reciprocity will be extended by 90 days (March 19)
All pharmacy technicians licenses with an expiration date of 6/23/2020 will now expire on 12/31/2020 (March 19)
Pharmacies can create alternative medication pick-up or dispensing locations as long as they fill out BOP application (March 16)
Any Oregon registered drug outlet may employee a pharmacist, intern or pharmacy technicians who hols a license in another state to work in Oregon during the emergency (March 16)
BOP permits temporary compounding of certain alcohol-based hand sanitizer for OTC-sale and patient-specific prescriptions (March 16)
During the emergency, if minimization of on-site personnel is needed, any Oregon licensed pharmacy may consider remote processing functions (March 13)
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Allows 30-day emergency supply of non-controlled substances.
BOP Guidance (March 13)

BOP Website

Executive Orders

Emergency Declaration

Public Health Information

April 14
Pennsylvania Allows pharmacy technicians and pharmacy interns to conduct data entry via technological means if the pharmacy has documented policies and procedures and other adequate safeguards to protect against patient harm and privacy incidents and if the technician or intern is under the supervision of a pharmacist. Suspends registration requirement for out-of-state pharmacies and allows pharmacies to ship into Pennsylvania under certain conditions Suspends requirement for pharmacist to hold active CPR certificate to administer injectables Suspends certain licensure and administrative requirements to allow for temporary licenses for out-of-state pharmacists on an expedited basis Authorizes pharmacy to retain its permit if closing longer than 24 hours as long as board is notified Advises licensees to follow USP guidance regarding PPE reuse
Urges pharmacists to confirm COVID-19 diagnosis before dispensing hydroxychloroquine if patient is not already established on therapy for other diagnoses. Encourages pharmacists to dispense hydroxychloroquine in smaller quantities when appropriate to prevent potential shortages


Emergency Declaration
Executive OrdersSuspended Licensing RegulationsPublic Health Info Page

 

March 30
Puerto Rico Declared state of emergency, more details to come.
Rhode Island Governor’s Declarations/Executive Orders:
Declared state of emergency. (March 13)
Board of Pharmacy: 
Temporarily suspended the annual inventory notarization requirement. (March 20) Temporarily suspended the requirement to have in-person contact for patient counseling in order to allow patient counseling to be performed by telephonic consultation. (March 20)
Temporarily suspended the requirement to obtain to obtain an inspection within the last renewal period in order to renew a Class A-S, Class B, Class C-S, and Class E-S pharmacy license. (March 20)
Temporarily suspended the requirement to the extent necessary to expand the pilot program for automated systems in order to allow for remote automated dispensing. (March 20)
Temporarily suspended the requirement to maintain documentation of current certification in American Heart Association’s Basic Cardiac Life Support for Health-Care Providers or its equivalent in order to provide immunization or vaccination under written protocol of a physician. (March 20)
No prescription or medication order for chloroquine, hydroxychloroquine, mefloquine, or azithromycin may be dispensed or distributed unless all the following apply (prescription is for an FDA approved use, the day supply is limited to 14 days (unless the patient was previously on it), and there are no refills. (March 20)
Pharmacist is able to dispense up to a 30-day supply of a prescription drug, other than a Schedule II controlled substance, without the authorization of the prescribing practitioner if certain criteria are met. (March 19)
Temporarily suspended the requirement for a pharmacist to visit an ambulatory surgical center or freestanding emergency medical care facility at least once each calendar week of board rule (March 27)
Temporarily suspended the expiration dates of pharmacist licenses and the continuing education requirements for pharmacists of board rule (March 27)
Temporarily suspended the expiration dates of pharmacy technician registrations and the continuing education and fingerprinting requirements of board rule (March 27)
Temporarily suspended the expiration dates of pharmacy technician trainee registrations of board rule (March 27)
Authorized dispensing emergency supply of prescribed medication (non-controlled substances) of up to ninety (90) days for continuation of therapy. (April 28)
Authorized autosubstitution of a prescribed product without having to adhere to a dispense-as-written directive. (April 28)
Deemed all basic CPR certifications for immunizing pharmacists to be current and valid after March 1, notwithstanding the stated expiration date. (April 28)
Permitted pharmacists and pharmacy technicians to work remotely, as operationally feasible and in accordance with applicable state and federal law, to conduct prescription data entry, prescription verification, clinical pharmacy, and other functions that are normally performed in a pharmacy. (April 28)
Allowed prescriptions transfers between pharmacies for any reason and for an unlimited number of times. (April 28)
Allowed patient’s personal medication to be administered in a hospital setting and allowed for patient’s personal medication to be stored in patient hospital room instead of transferring to hospital pharmacy. (April 28)
Extended the license of any retail pharmacy owned by a hospital to an established alternate hospital site. (April 28)
Suspended certain responsibilities of licensed pharmacies and pharmacists providing pharmaceutical services by contract to nursing, hospice, or correctional facilities. (April 28)
Permitted compounding personnel to adhere to current CDC recommendations or other nationally recognized public health agency for use of PPE during non-hazardous sterile compounding for the purpose of conserving PPE resources. (April 28)
Permitted pharmacies that engage in preparation of CSPs to extend the period for certification inspections beyond six months, subject to approval by the BOP Director. (April 28)
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Emergency Declaration

Executive Orders

Board of Pharmacy Homepage

Public Health Info Page

Out-of-State Licensee Information

Emergency Regulation: Prescribing for COVID-19

May 13
South Carolina Governor’s Declarations/Executive Orders:
State of Emergency declared. (March 13).
Prohibits price gouging. (March 13).
Board of Pharmacy:
With the Board of Medical Examiners, issued joint guidance on prescribing hydroxychloroquine, chloroquine, and azithromycin. (March 25).
Authorized expedited process for 90 day-temporary permit to non-resident facilities: out-of-state pharmacies, manufacturers, wholesale distributors, 3PLs, and 503b outsourccing facilities. (March 16).
Suspended enforcement of the prohibition on remote order entry with certain conditions. (March 16).
License renewal, CPR recertification, and CE deadlines extended. (March 23).
Temporarily authorized automated pharmacy pickup kiosks. (March 23).
Suspends enforcement for requirements regarding use of masks, shoes covers, gowns, disposable sleeve covers and alcohol-based hand rub for preparation of pharmaceutical products. (March 23).
NABP:
Temporary pharmacy permits and remote order entry allowed per EO
Other Agencies:
DHEC Bureau of Drug Control: Authorized a one-time early refill for Schedule III-V prescriptions with valid refills under certain conditions. (undated, accessed April 3).
Oral Schedule II prescriptions authorized under certain conditions. (undated, accessed April 3).
Deadline extended for SC Controlled Substances Registrations expiring in April 2020. (undated, accessed April 3).
Emergency Declaration

Executive Orders

Board of Pharmacy Homepage

Dept. of Health and Environmental Control: Resources for Healthcare Professionals

Public Health Info Page

April 5
South Dakota Governor’s declarations/executive orders:
Declared state of emergency. (March 13).
Authorizes out-of-state licensees to practice in South Dakota. (March 23).
Directs healthcare organizations to follow CDC guidance and prepare for the expected surge of patients. (March 23).
Board of Pharmacy:
Authorizes 30-day emergency refills for non-controlled medications in an emergency. (March 18).
Provided guidance regarding various situations to assist pharmacists using their professional judgment in managing personnel issues as they arise. (updated April 3).
Authorizes the board to waive some experiential hours required for licensure and issue temporary licenses if testing centers close. (updated April 3).
Authorizes pharmacists to supervise more than one intern. (April 3).
Authorizes out-of-state licensed pharmacists to practice in South Dakota with an NABP Passport. (April 3).
Extends board notification requirement from 10 days to 30 days if a pharmacy changes location or ownership. (April 3).
Authorizes therapeutic substitution under certain conditions. (April 3).
Authorizes the board to waive quantity limits for emergency kits. (April 3).
Authorizes pharmacists to administer naloxone. (April 3).
Refill transfer limitations waived. (April 3).
Authorizes non-resident pharmacies to ship medications to South Dakota patients without a license. (April 3).
Authorizes trained pharmacists to administer immunizations without prior Board approval. (April 3).
Waives technician registration application timeline and certification requirements in certain circumstances. (April 3).
Waives the pharmacist to technician ratio. (April 3).
Authorizes pharmacists to determine the tasks a technician may perform. (April 3).
Authorizes reuse of PPE for sterile compounding. (April 3).
Emergency Declaration

Executive Orders

Board of Pharmacy Homepage

Public Health Info Page

April 5
Tennessee Prohibits price gouging (March 19)
Suspension of Pharmacist-to-Technician Ratio (March 26)
Allows for refills of Maintenance Medications up to 90 days without proper authorization (March 19)
Allows pharmacy technicians and pharmacists to complete computer-based processing of prescriptions at alternative locations (March 19)
Allows for pharmacists to provide telehealth or telemedicine services (March 26)
Suspends fees and notary requirements for initial license applicants (March 26)
Allows the Commissioner of Health to grant a license, certificate, or registration for retired or out-of-practice healthcare professionals (March 26)
Suspension of continuing education requirements (March 26)
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Suspension of expiration dates for Health Care Professionals and Facilities Licenses (March 19)
Allows for out-of-state health care professionals to practice in Tennessee in response to COVID-19 (March 19)
Suspension of required board of pharmacy and health care facility inspections (March 26)
Allows for alternate testing sites (March 19)
Emergency Declaration

Emergency Orders

Public Health Info

BOP Homepage

April 14
Texas Governor’s declarations/executive orders:
Declared state of emergency. (March 13)
Temporarily suspended the annual inventory notarization requirement. (March 20)
Temporarily suspended the requirement to have in-person contact for patient counseling in order to allow patient counseling to be performed by telephonic consultation. (March 20)
Temporarily suspended the requirement to obtain to obtain an inspection within the last renewal period in order to renew a Class A-S, Class B, Class C-S, and Class E-S pharmacy license. (March 20)
Temporarily suspended the requirement to the extent necessary to expand the pilot program for automated systems in order to allow for remote automated dispensing. (March 20)
Temporarily suspended the requirement to maintain documentation of current certification in American Heart Association’s Basic Cardiac Life Support for Health-Care Providers or its equivalent in order to provide immunization or vaccination under written protocol of a physician. (March 20)
No prescription or medication order for chloroquine, hydroxychloroquine, mefloquine, or azithromycin may be dispensed or distributed unless all the following apply (prescription is for an FDA approved use, the day supply is limited to 14 days (unless the patient was previously on it), and there are no refills. (March 20)
Pharmacist is able to dispense up to a 30-day supply of a prescription drug, other than a Schedule II controlled substance, without the authorization of the prescribing practitioner if certain criteria are met. (March 19)
Temporarily suspended the requirement for a pharmacist to visit an ambulatory surgical center or freestanding emergency medical care facility at least once each calendar week of board rule (March 27)
Temporarily suspended the expiration dates of pharmacist licenses and the continuing education requirements for pharmacists of board rule (March 27)
Temporarily suspended the expiration dates of pharmacy technician registrations and the continuing education and fingerprinting requirements of board rule (March 27)
Temporarily suspended the expiration dates of pharmacy technician trainee registrations of board rule (March 27)
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Emergency Declaration

Executive Orders

Public Health Info

BOP Homepage

April 14
Utah Declared state of emergency.
Board of Pharmacy:
Allows the compounding and sale of certain alcohol-based hand sanitizer products by Utah-licensed pharmacies.
Allows emergency licenses for out-of-state pharmacists with current licenses and in good standing in home state
Allows for reuse of PPE for compounding activities
Pharmacists may provide patients with a 3-day emergency supply of medications according to Utah Code 58-17b-608 Emergency refills.
Pharmacist may dispense a one-time early dispensing of a Schedule II prescription, using professional judgement, and shall document the reason for early dispensing.
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Temporary suspension of “live” CE requirements.
Emergency Declaration

Executive Orders

COVID Specific Public Health Information Page

BOP Page

April 14
Vermont Governor’s Declarations:
Declared state of emergency. (March 13th)
Out-of-state licensees providing only telehealth to people in Vermont do not need a license and do not have to provide contact information to the Office of Professional Regulation.
If providing services to Vermonters in a licensed facility, out-of-state pharmacists do need to provide contact information to the Office of Professional Regulation. (March 30)
Retired Vermonters and those with expired licenses returning to the workforce to help in a state of emergency do not have to apply for a temporary license if expired within the past 3 years, but do have to submit contact information.
If license has been expired between 3 and 10 years, need to apply for a temporary license. (March 30th)
Board of Pharmacy:
A pharmacist may disregard individual fill quantities, up to the total prescribed quantity or ninety days, whichever first occurs. (March 18th)
Allows compounders to produce hand sanitizer consistent with FDA policy. (March 18th)
Prohibits BUD extension beyond USP <795> or <797> standards if reusing PPE. (read further in Emergency Guidance Link) (March 18th)
In a declared state of emergency, remote consultation by a provider who had no previous relationship with a patient may be “legitimate” if a pharmacist is comfortable that: (1) the provider is lawfully authorized to prescribe; (2) the provider collected from the patient, whether in-person or otherwise, information adequate to assess the patient’s fitness for the pharmacotherapy ordered; (3) the provider appears to have exercised responsible professional discretion; and (4) the prescription otherwise passes drug-utilization review. (March 18th)
Emergency Declaration

Public Health Info Page

Executive Orders

BOP Homepage

April 14
Virginia Declared state of emergency.
Authorizes compounding hand sanitizer in accordance with USP <795> standards for sale to the general public at a reasonable price.
Authorizes pharmacists or pharmacy technicians currently licensed in another state to practice in an affected area of the Commonwealth or to provide central/remote order processing or order verification services on behalf of an out-of-state pharmacy.
If a pharmacy must close for longer than 72 hours due to emergency circumstances, it is strongly recommended that the pharmacy notify the board of the closing, the anticipated duration of the closing, and actions taken to ensure patient continuity of care and to mitigate diversion of drug.
Pharmacists may exercise professional judgement regarding the dispensing of early refills for Schedule VI drugs and must document the reason for the early refill.
Pharmacists may refill a Schedule VI drug without authorization from the prescriber if the pharmacist ascertains that patient’s health would be in imminent danger without the benefits of the drug.
Pharmacists may dispense a one-time early refill of schedule III-V prescriptions and must document the reason for the early refill.
Pharmacists may dispense a one-time early dispensing of a Schedule II prescription for a chronic condition and must document the reason for the early dispensing.
Personnel may reuse garb if not soiled, contaminated, torn, or punctured.
Weekly surface in ISO5 space should be conducted if garbing in a manner not consistent with USP standards.
Pharmacy trainees may continue to perform pharmacy technician duties for the duration of the declared emergency that would be restricted due to recently expired or soon to be expired registration.
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
BOP Guidance and Waivers (March 13)

Public Health Info Page

BOP Homepage

Emergency Declaration

Emergency Orders

April 14
Washington Proclamations:
State of emergency proclaimed (February 29th) Prohibits lowering of reimbursment rates for telemedicine and prohibits denial of telemedicine claims based on prior contract details (March 25th)
Waives requirement for a pharmacist to compound or directly supervise the compounding of hand sanitizer (March 30th)
Directs health plans to allow for early refills to ensure patients can maintain an adequate supply of necessary medication.
Relaxes enforcement action against licensees for failure to comply with USP Chapters if failure to comply caused by COVID-19.
Encourages continuation of routine vaccinations. If there is limited resources, recommended to prioritize newborns and infants through 24 months of age.
Dept of Health:
All active healthcare professional licenses (including pharmacists) extended until September 30, 2020. (April 2nd)
Allows 30-day emergency supply for legend drugs and 7 days supply for schedule III-V.
WSPA Guidance

Insurance Commissioner Emergency Orders

Governor’s Proclamations

Emergency Proclamation

Public Health Info Page

April 14
West Virginia Prohibits price gouging.
Board of Pharmacy:
A prescription for chloroquine or hydroxychloroquine may only be dispensed if there is a written diagnosis, quantity is limited to 30 tablets (unless patient previously established on medication), and there are no listed refills. Permits licensed pharmacy professionals (pharmacists, pharmacy interns, and pharmacy technicians/pharmacy technician trainees) to process prescriptions and medication orders from remote locations. Authorizes exceeding pharmacist:technician ratio if there is actual impact of COVID-19 virus directly on the pharmacy, facility, or staff. Authorizes a pharmacist, pharmacy intern, or pharmacy technician to work in WV with a temporary permit from BOP. Authorizes reuse of masks due to PPE shortage, referencing CDC and FDA guidance and Critical Point resources. Requires weekly surface sampling in ISO 5 spaces when garbing in a manner inconsistent with USP standards. Waives the requirement to submit reports of “zero” to state PDMP when the pharmacy is closed due to COVID-19. Grants leniency for pharmacists that do not complete certain continuing education requirements for licensure renewal. Requires pharmacy to notify Board within 48 hours if closing due to illness or staff shortages. Requires staff exhibiting fever, cough, or shortness of breath to be sent home.
Cites the DEA Guidance published March 30th regarding emergency Schedule II prescriptions
Pharmacies are allowed to deliver prescribed meds, pharmacy supplies, and pharmacy products to patients via common carrier, mail delivery, or other home delivery methods if the pharmacy elects to do so.
Insurance companies/payers are required to reimburse for these services and are prohibited from enforcing contractual terms with pharmacies that prohibit these deliveries. (March 27)
Recognizing the NABP Passport, see https://nabp.pharmacy/coronavirus-updates/passport/.
Allow for 3-day emergency supply for Schedule III-V, and 30-day supply for non-controlled substances.
Department of Motor Vehicles
Extended expiration date of driver’s licenses and instructional permits expiring in March or April 2020 by three months from date of expiration on the face of the document (valid for controlled substances).
Executive Orders Pharmacies are classified as essential businesses/operations (March 24th)
Prescriptive authorization requirements for advanced practice registered nurses are currently the same as before the emergency, but the Board of Nursing has the authority to modify this as needed to respond to the covid emergency. (March 26th and March 31st)
In-person evaluation of chronic pain patients every 90 days before prescribing a refill of a Schedule II opioid medication can be waived as long as other appropriate tools are used to evaluate the necessity of the medication at the same intervals (March 31st)
BOP Home Page

Public Health Info Page

Executive Orders

Emergency Declaration

Insurance Commissioner Emergency Orders

April 14
Wisconsin Governor’s declarations/executive orders:
Declared state of emergency. Authorizes pharmacists who are licensed in good standing in another state to practice in Wisconsin, provided they apply for a temporary license within 10 days of beginning work in Wisconsin. Allows pharmacists who have recently retired or let their license lapse to reapply without needing to pay a late renewal fee or certify completion of 30 hours of continuing education
Board of Pharmacy
Approves the reuse of certain PPE for sterile compounding, including coveralls, shoe covers, hair and facial covers, face masks, eye shields, and gloves. Existing policy allows for remotely completing DURs or prescription verification. Pharmacy technicians are able to complete order entry and other tasks remotely if the supervising pharmacist is regularly available to coordinate, direct, and inspect the work of the technician. Existing policy allows pharmacists to dispense a 7-day supply of a prescription without refill authorization under certain conditions. Allows pharmacists to dispense prescription medications and devices in locations that are not licensed as pharmacies
Medicaid
Allows override of overuse precaution (early refill) alert, except for certain controlled substances. Encourages dispensing three-month supply, when possible. Allows for dispensing of 14-day emergency supply of drugs with prior authorization restrictions. Permits and encourages pharmacies to deliver prescription and OTC by mail service.
Rule variance to allow pharmacists to dispense in locations that are not licensed pharmacies
COVID19 Compiled Resources for Pharmacists

Department of Health Services Resource Page

April 14
Wyoming Declared state of emergency. (March 13th)
Department of Public Health
Exempts pharmacies from mandatory closure order.
Identifies pharmacy staff as essential personnel, allowing pharmacy staff continued access to child care centers and home daycares. If healthcare workers develop any signs or symptoms consistent with COVID-19 (for healthcare workers, fever cutoff is 100.0°F), they should NOT report to work. If any signs or symptoms occur while working, healthcare workers should immediately leave the patient care area, inform their supervisor per facility protocol, and isolate themselves from other people (March 28th)
Board of Pharmacy
References FDA, WHO, and USP guidance for compounding hand sanitizer.
References FDA, USP, and Critical Point guidance for reusing PPE due to shortage.
Existing policy requires a pharmacy to be locked and a sign stating “Prescription Department Closed – No Registered Pharmacist on Duty” to be conspicuously posted if the pharmacy decides to temporarily close.
Board remains open and fully operational with no changes to services, processing applications, renewals, or license/registration timelines.
Virtual support group available to help healthcare professionals cope with the stress, anxiety, and trauma of working in the healthcare field during COVID-19.
In the event that a pharmacy temporarily closes, the Wyoming Pharmacy Act Rules and Regulations Chapter 2 Section 5(a)(vii) requires the pharmacy to be locked and a sign stating “Prescription Department Closed – No Registered Pharmacist on Duty” to be conspicuously posted. (March 30th)
Issued guidance on azithromycin, hydroxychloroquine, and chloroquine dispensing.
Board of Pharmacy COVID-19 Guidance

Board of Pharmacy COVID-19 Guidance 3/30/20

Board of Pharmacy Homepage

Public Health Info Page

Executive Orders

Emergency Declaration

Wyoming DoH Notice for Health Workers including testing priorities

April 14

***The information on this page is for informational purposes ONLY. Please read and only rely on the most up to date information on the state website.***

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