Pharmacist Prescribing: HIV PrEP and PEP

 Current Landscape

Direct Prescribing Authority: 

  1. California (2019): can furnish PrEP and PEP if certain conditions met
  2. Colorado (2020/2021): can prescribe drugs for conditions that have a test used to guide diagnosis or clinical decision-making and is CLIA-waived; also has specific statewide protocol for HIV PrEP and PEP
  3. Idaho (2018): can prescribe drugs for conditions that have a test used to guide diagnosis or clinical decision-making and is CLIA-waived
  4. Illinois (2022): can initiate, dispense, or administer drugs for HIV PrEP and PEP via standing order by a physician or a medical director of a county/local health department
  5. Maine (2021): can prescribe, dispense, and administer HIV prevention drugs pursuant to statewide protocol, standing order, or CPA
  6. Nevada (2021): can prescribe, dispense, and administer drugs for preventing HIV, via statewide protocol
  7. New Mexico (2020): issued new statewide protocol for prescribing PEP
  8. Oregon (2021): can prescribe, dispense, and administer PrEP (and PEP in accordance with Board rules)
  9. Utah (2021): prescribe PrEP and PEP (via statewide protocol or standing order)
  10. Virginia (2021): initiate treatment, dispense, and administer, via statewide protocol, controlled substances for prevention of HIV, including for PrEP and PEP

Delegated Prescribing Authority/Collaborative Practice Agreements:

Beyond direct statewide prescribing authority, many states have CPA authority broad enough to allow pharmacists to prescribe PrEP and PEP for HIV prevention:

  • Illinois, Michigan, Minnesota, Montana, Nebraska, New Mexico, North Dakota, South Dakota, Tennessee, Vermont, Washington, and Wisconsin

 

Additional Support and Publications

 

CE Opportunities