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Board of Pharmacy Responses to COVID-19 Outbreak – UPDATED

Heath & Life Sciences Alert Nicholas H. Meza

The following are the current state Board of Pharmacy responses to the COVID-19 outbreak. New information since the last update is bolded and italicized. We will update this page regularly as new information comes in, so watch this space. If you have any questions, please contact your Quarles & Brady Pharmacy attorney or:

Information updated as of 04/03/20

State

Response

Alabama

Alaska
  • Declared state of emergency
  • Division of Corporations, Business and Professional Licensing is posting COVID-19 information here
  • Board reiterate existing emergency rules, including emergency pharmacist permits and emergency refills
  • Board issued FAQ document addressing the following:
    • Pending emergency regulations
    • Prescriptions for albuterol
    • Emergency oral prescriptions for Schedule II controlled substances
    • Staffing and operational changes
    • Hydroxychloroquine and chloroquine
  • Remote pharmacy practice for pharmacists and technicians is permitted by existing law.
Arizona
  • Declared state of emergency triggering emergency rules permitting emergency refills and out of state pharmacist practice without licensure under A.R.S. § 32-1910
  • Governor issued Executive Order 2020-17, addressing the following pharmacy licensing requirements:
    • Defer requirements to renew licenses set to expire between March 1, 2020 and September 1, 2020, by 6 months from expiration date unless renewal can be completed online
    • Defer requirements to complete CE by 6 months, unless requirements can be completed online
    • Suspend rules preventing or limiting amount of online alternative hours permitted to renew a license
    • If examinations cannot be provided via electronic or remote format, Board to issue provisional license for applicant meeting certain requirements
  • The Board has posted an updated FAQ document providing guidance addressing:
    • Emergency rules and statutes
    • Continued pharmacy operations
    • Emergency refills and dispensing
    • Remote pharmacy
    • Compounding
    • Limited COVID-19 exposure
    • Changes in pharmacy hours
    • Face-to-face counseling
    • Hydroxychloroquine and chloroquine
  • Governor issued Executive Order 2020-20 expanding access to pharmacies and addressing the following issues:
    • Allows pharmacists to dispense emergency refills of maintenance medications for up to 90 days
    • Waive electronic prescribing requirements of A.R.S. § 36-2525(D)
    • Revises rules to mirror DEA's emergency oral prescription requirements allowing for paper prescription follow-up from 7 to 15 days
    • Waive hospital prescribing restrictions for multi-dose medications
    • Places restrictions on the filling of hydroxychloroquine and chloroquine
    • Pharmacists may exercise professional judgment to interchange therapeutically equivalent medications of the same FDA drug classification unless otherwise noted by the prescriber
    • Waive requirement for companies producing hand sanitizer to have a permit
    • Allows Arizona pharmacies to receive pharmaceuticals from unpermitted wholesalers or third-party logistics providers in another state provided the entity is licensed in their home
    • Allows Arizona wholesalers and pharmacies to receive pharmaceuticals from unpermitted manufacturers in another state or country if the unpermitted manufacturer is registered with the FDA and has a current GMP inspection within the past 6 months 
  • Board formed a seven-member panel to address COVID-19 issues. Quarles & Brady Partner Roger Morris has been appointed as a public member of the committee. The Board will meet on a weekly basis to address issues raised by the committee.
  • Remote pharmacy practice for pharmacists and technicians is permitted by existing law
  • Licensees can ask questions directly of the Board here
Arkansas
  • Declared state of emergency
  • Board has posted FAQs and guidance addressing:
    • Limiting hours of operation: Pharmacies can limit their hours of operations to 40 hours a week without approval, but reducing to less than 40 hours a week requires contacting the office
    • Service delivery via drive-through: Pharmacies can lock their front doors and serve patients via delivery, drive through, or curb-side pickup
    • Limiting potentially sick patient interaction: Pharmacies can request patients who have a fever or may have been exposed to the illness not to enter the pharmacy
    • Refills without response from prescriber: Pharmacists can refill medications pursuant to Arkansas Statutes 17-92-102 so long as certain requirements are met
    • The Board also reminds providers to be mindful of shortages of PPE and also that the Board of Pharmacy is aware of these shortages
  • Additional guidance documents:
  • Board issued emergency suspension of following rules:
    • Requirements for endorsement on a pharmacist or intern license to administer medications
    • Requirements for current CPR to administer medications
    • Requirements for endorsement to act as consultant pharmacist
    • 1:1 intern to pharmacist ratio waived
    • Therapeutic substitution when prescriber is unavailable under certain circumstances
    • The Board may review and consider approval of remote pharmacy practice by pharmacists for retail pharmacies
California
  • Declared state of emergency
  • Board issues multiple waivers and is updating on a daily basis
  • General pharmacy waivers
    • Waiver of in-person oral consultation under certain circumstances
    • Use of PPR waived under certain conditions
    • ​​​​​​​​​​​​​​Waive signature requirement for receipt of delivery of drugs
    • Waive provisions related to the prohibition against a prescriber to dispensing medications to an emergency room patient if the medication dispensed is a short-acting or long-acting bronchodilator
    • Waive the requirement for a consulting pharmacist to perform quarterly visits to a clinic under the certain conditions
    • Board expands the time period to complete controlled substance inventory reconciliation report from 3 months to 6 months
    • Permits temporary use of mobile pharmacy or clinics to ensure continuity of care
  • Waivers related to compounding
    • Waive USP <797> requirements related to the use of personal protective equipment (PPE) as related to Business and Professions Code section 4126.8, in that a PPE masks and gowns may be reused by staff performing sterile compounding under certain conditions
    • Waive 16 CCR section 1751.5(a)(5) to allow for hand cleaning with the use of non-persistent activity alcohol sanitizer prior to donning sterile gloves
  • Waiver of remote processing provisions
    • "Remote processing" means the entering of an order or prescription into a computer from outside of the pharmacy or hospital for a licensed pharmacy
    • Pharmacists are permitted to conduct remote processing as permitted by this waiver if in compliance with certain requirements
    • Pharmacy interns and pharmacy technicians are permitted to conduct nondiscretionary tasks related to remote processing as permitted by the waiver if in compliance with certain requirements
  • Waiver of staffing ratios, allowing one additional pharmacy technician for each supervising pharmacist under certain conditions
  • Waiver requests can be made to [email protected]
    • Any licensee needing a waiver may submit a request for such to [email protected]. The Board respectfully requests that such submissions include the following:
      • License number(s)
      • A brief statement regarding the extent of the waiver sought
      • A brief statement detailing how the declared emergency caused the need for the waiver
      • Relevant laws that the licensee is requesting are waived
      • Authorized contact person. An authorized contact person includes any owner, officer, member, pharmacist-in-charge, or other individual otherwise authorized to act on behalf of the licensee
  • Reiterated guidance from FDA on compounding hand sanitizer
  • Pursuant to the Governor's Executive Order N-39-20, during the state of emergency the Director of the California Department of Consumer Affairs may waive any statutory or regulatory requirements with respect to a professional license, including pharmacist licenses
    • ​​​​​​​Additional information and the application to restore your license can be found here
Colorado
  • Declared state of emergency
  • Board issued guidance document suspending various pharmacy statues and rules, including the following:
    • Suspension of the ratio requirements for pharmacists/pharmacy technicians currently required under § 12-280-122, C.R.S.
    • Suspension of Pharmacy Board Rule 5.00.60 and requirements around closure and notification, which deem a pharmacy to be closed if the compounding/dispensing area is not open for business the minimum number of hours specified in Rule 5.01.40(a)
    • Suspension of Pharmacy Board Rule 5.01.40, which currently requires a minimum number of hours of operation for PDOs (prescription drug outlets)
    • Suspension of Pharmacy Board Rule 6.00.30, which sets forth the qualifications for pharmacists to engage in drug therapy management and thereby restricts pharmacists from conducting screening tests for the coronavirus, so as to ensure that pharmacists may conduct screening tests in pharmacies and other testing centers
    • Suspension of Pharmacy Board Rule 14.00.80(e) that currently requires consultant pharmacists to perform consultant pharmacist visit to inspect, and document the inspection, on a quarterly basis for the pharmacy they are managing
    • Suspension of Pharmacy Board Rule 17.00.30, which sets forth pharmacist qualifications for collaborative pharmacy practice, including the requirements for education
    • Suspension of Pharmacy Board Rule 19.01.10 regarding qualifications to give vaccines
    • Suspension of Pharmacy Board Rule 26.00.20(g) which outlines remote pharmacy practice requirements for pharmacists, thereby allowing remote practice without application
    • Suspension of Pharmacy Board Rule 21.20.90(d)(e)(f) and requirements regarding sterile compounding and shortages around garbing supplies so as to ensure compounding pharmacies have adequate supplies
    • Suspension of all requirements for pharmacy technician certification pursuant to § 12-280-115.5, C.R.S., and Pharmacy Board Rule 29.00.00 to allow additional time for certification
  • Board issued guidance regarding dispensing of prescriptions for hydroxychloroquine
  • A FAQ document was also posted on the Board website
Connecticut
  • Declared state of emergency
  • Executive Order No. 7B
  • Executive Order 7I
    • Pharmacists may exercise professional judgement in refilling a prescription that is not a controlled drug
    • Department of Consumer Protection, rather than Commission of Pharmacy, is given authority to grant a waiver or modification of any regulation pertaining to the operation of a pharmacy
  • Remote pharmacy practice for pharmacists and technicians has not been addressed by the Board
Delaware
  • Declared state of emergency
  • Division of Professional Regulation issued a letter addressing telehealth and prescriptions of controlled substances pursuant to telehealth
  • Remote pharmacy practice for pharmacists and technicians has not been addressed by the Board
District of Columbia
  • Declared state of emergency
  • No Board action to date
  • Remote pharmacy practice for pharmacists and technicians has not been addressed by the Board
Florida
  • Declared state of emergency
  • Board has reiterated its emergency fill provisions: Pharmacist, in his or her professional judgment, may refill prescriptions early. In accordance with Section 465.0275, Florida Statutes, pharmacists may dispense up to a 30-day supply of maintenance medication for a chronic condition provided that:
    • The medication is essential to the maintenance of life or to the continuation of therapy in a chronic condition;
    • In the pharmacist’s professional judgment, the interruption of therapy might reasonably produce undesirable health consequences or may cause physical or mental discomfort;
    • The dispensing pharmacist creates a written order containing all of the prescription information required by this chapter and chapters 499 and 893 and signs that order; and
    • The dispensing pharmacist notifies the prescriber of the emergency dispensing within a reasonable time after such dispensing.
  • Emergency Rule Hearing to be held March 19 to discuss Consultant Pharmacist Obligations
    • Per Board staff, the Board is not moving forward with an emergency rule to modify the current regulatory structure and scope of practice regarding working from home.
  • Remote pharmacy practice for pharmacists and technicians is permitted by existing law
  • Department of Health issued Emergency Order permitting health care professionals holding a valid, unrestricted, and unencumbered license in any state, territory, and/or district to render services in Florida during a period not to exceed 30 days
Georgia
Hawaii
  • Declared emergency proclamation
  • No Board action to date
  • Governor issued Executive Order permitting out-of-state physicians and nurses to dispense, prescribe, and administer controlled substances in Hawaii without having to register with state if certain conditions are met. EO also suspends reporting of dispensation of controlled substances to the electronic prescription accountability system.
  • Remote pharmacy practice for pharmacists and technicians is permitted by existing law
Idaho
  • Declared state of emergency
  • Board issued FAQ guidance addressing:
    • Temporary licensure for facilities and individuals
    • Temporary rule enacted placing parameters on the dispensing of prescriptions for chloroquine and hydroxychloroquine
    • Pharmacy closures and medication limitations
    • Waivers may be submitted to [email protected] responses will be issued within 24 hours
    • Modifications to the refill rule, permitting a pharmacist to refill prescriptions when the prescriber is unavailable
    • Reiteration of DEA's temporary exemptions to emergency oral prescriptions
  • Remote pharmacy practice for pharmacists and technicians is permitted by existing law
Illinois
  • Declared disaster proclamation pursuant to 20 ILCS 3305/4
    • Additional executive orders available here
  • Information regarding policy changes of the Board will be posted in the "Notices" section at the following website
  • Illinois already allows pharmacists to work remotely. As of March 17, 2020, the Board is also approving on a case-by-case basis technician work-from-home models.
  • Additional information from the Illinois Department of Financial and Professional Regulation (IDFPR) can be found here
Indiana
  • Declared public health disaster emergency
  • Executive Orders 20-12 and 20-13 issued addressing the following:
    • Suspension of 1:6 pharmacist to pharmacy technician ratio and authorization of a 1:8 ratio
    • Supervision of technicians working remotely for data entry, insurance processing, and other ministerial and non-dispensing tasks now permitted
    • For non-controlled substances, suspension of the restriction on a refill being limited to no more than the quantity on the most recent refill or a 30-day supply, and permission to dispense a one-time 90-day emergency refill
    • Telemedicine prescriptions for opioids permitted under certain circumstances
    • Licensure waivers for pharmacies and pharmacists with expired licenses
  • Remote pharmacy practice for pharmacists is permitted by existing law and, pursuant to Executive Order 20-12, is now permitted for pharmacy technicians
  • Pharmacists, technicians, and trainees have been deemed "critical" and will be given priority by the Professional Licensing Agency
Iowa
  • Declared public health disaster emergency
  • The Board issued a FAQ document addressing:
    • Continued pharmacy operations
    • Prescription delivery
    • Prescription limitations, counseling substitution, and emergency refills
    • Remote processing now permitted by pharmacists and technicians
    • Licensing waivers
    • Compounding
  • The Board issued guidance on the re-use of PPE
  • Board releases guidance noting that it intends to exercise risk-based enforcement discretion for non-compliance with rules related to the practice of pharmacy in the wake of the state of emergency
  • Remote pharmacy practice for pharmacists and technicians is permitted
  • Board issued joint statement and guidance regarding prescriptions for hydroxychloroquine, chloroquine, and azithromycin
Kansas
  • Declared state of emergency
  • Board issued FAQ and a COVID-19 guidance memo addressing:
    • Board reiterates existing emergency refill rule
    • Board plans to proceed with regular renewal schedule
    • Remote Work: The Board now permits remote work by pharmacy employees, including technicians. This allowance only applies to pharmacies physically located in Kansas and persons licensed or registered with the Board. This allowance is only in effect until rescinded by the Board as published and noticed on the Board website. Guidelines for work-from-home models are detailed in the memo.
    • Board encourages vigilance in processing new prescriptions for chloroquine and hydroxychloroquine, and recommends reaching out to prescribers to verify diagnosis
    • Emergency use of hydroxychloroquine and chloroquine obtained from strategic national stockpile
    • Updated guidance from DEA regarding emergency oral prescriptions
    • Waivers for 18-month inspection requirements for non-resident pharmacies
Kentucky
  • Declared state of emergency; Executive Order 2020-224 triggers emergency rule
    • Pharmacists may dispense emergency refills up to 30-day supply for non-controlled substances
    • Pharmacists may operate temporary pharmacy in area not designated on pharmacy permit
    • Pharmacies may dispense drugs needed to treat COVID-19 pursuant to protocols established by CDC and NIH
  • Board issued FAQ document providing guidance on the following:
    • Continued operation of pharmacy, change in operating hours, and temporary closure
    • Reuse of PPE
    • Pharmacists and technicians are permitted to work remotely pursuant to Executive Order 2020-223
    • Compounding of hand sanitizer
  • Board issued document summarizing directives from special called Board meeting on March 25, 2020:
    • Restrictions on the dispensing of chloroquine, hydroxychloroquine, or azithromycin
    • Temporary licensure/registration for pharmacists and technicians. Additional guidance found here.
    • Pharmacy sanitation guidance
  • Kentucky Office of Inspector General issued clarification that Kentucky pharmacists must still follow Kentucky's more stringent controlled substance dispensation law during state of emergency, as opposed to DEA's relaxed rules
Louisiana
  • Declared state of emergency
  • Board issued FAQ for "Questions Already Answered as of 03-26-20
  • Board is maintaining a COVID-19 website with guidance:
    • 03-28-20 - NABP Passport: A Temporary Permission to Practice Pharmacy During the COVID-19 Public Health Emergency
    • 03-26-2020 - Guidance Document: Verbal Prescriptions for Controlled Substances Listed in Schedule II
    • 03-26-2020 - Guidance Document: Flexible Staffing Ratios During COVID-19 Public Health Emergency
    • 03-25-2020 - Guidance Document: Limitation on Dispensing Chloroquine & Hydroxychloroquine During COVID-19
    • 03-23-2020 - Emergency Rule Rescinded
    • Guidance Document on Pharmacy-to-Pharmacy Transfers of Drug Stock - March 22, 2020
    • Emergency Rule: Limitation on Dispensing Chloroquine & Hydroxychloroquine for COVID-19 - March 22, 2020
    • Guidance Document: Remote Processing by Pharmacy Personnel Permitted - March 21, 2020
    • Guidance Document: Prescription Dispensing, Compounding of Sterile Preparations, Remote Access to Medical Orders, Board Operations - March 18, 2020
    • Guidance to Hospital Pharmacies - March 17, 2020
    • Guidance to Marijuana Pharmacies - March 17, 2020
    • Guidance to Immunizers - March 17, 2020
    • FDA Guidance Document for Pharmacies Compounding Hand Sanitizer Products for OTC Sale - March 14, 2020
    • Questions Already Answered - March 22, 2020
Maine
  • Declared state of emergency
  • Remote pharmacy practice for pharmacists and technicians has not been addressed by the Board
  • Board proposes Emergency Rule removing the PIC physical presence requirement in certain circumstances at Opioid Treament Programs (OTPs)
Maryland
  • Declared state of emergency
  • Governor issued an Executive Order stating that all licenses, permits, registrations, and other authorizations issued by the state, its agencies, or any political subdivision that would expire during the current state of emergency will be extended until the 30th day after the state of emergency is lifted
  • Board guidance
    • Remote processing by pharmacists and technicians permitted
    • Emergency refills permitted
    • Sterile compounding guidance given regarding PPEs and hand sanitizer
    • License expirations extended 
  • Maryland Secretary of Health issued directive stating that manufacturers, wholesale distributors, or other entities engaged in the sale, purchase, distribution, or transfer of FDA-approved prescription devices for emergency medical reasons relating to COVID-19 are exempt from Maryland licensure requirements provided the entity is licensed to engage in such activity in its home state
  • Board issued a reminder regarding pharmacists' right to refuse to refill prescriptions that are not, in their professional judgment, clinically appropriate (specifically referencing chloroquine and hydroxychloroquine)  
Massachusetts
  • Declared state of emergency
  • FAQs have been posted to the Board website addressing issues including, but not limited to:
    • Curbside delivery allowed
    • Compounding products that are essentially copies of commercially available products in the event of shortages is only allowed under certain circumstances
    • Board does not intend to take enforcement action regarding perpetual inventory counts
    • Pharmacists may dispense an "emergency supply" on a prescription with no remaining refills
  • Compounding hand sanitizer - Pharmacists are allowed to compound hand sanitizer according to USP <797> and sell it OTC
  • Department of Public Health issued order addressing:
    • Remote processing of prescriptions by pharmacy technicians now permitted
    • Implementation of garb conservation
    • Emergency authorization to practice pharmacy in Massachusetts
    • Emergency prescription refills
    • Central filling of prescriptions
  • Board issued clarification regarding OTC hand sanitizer guidance, stating that compounding is acceptable as long as the formula is issued by an entity with validated, reviewed formulas, the pharmacist complies with USP <797>, and the sanitizer is labeled with the statement "for external use only." Additionally, OTC compounded hand sanitizer can only be sold to end users.
Michigan
  • Declared state of emergency
  • Governor Whitmer signed Executive Order 2020-25 permitting the following:
    • Emergency refills of up to 60 days of any non-controlled prescription
    • Pharmacists may temporarily operate a pharmacy in an area not designated on the pharmacy license
    • Pharmacists may dispense and/or administer drugs as needed to treat COVID-19, pursuant to protocols established by the Centers for Disease Control (CDC) and Prevention or the National Institute of Health (NIH)
    • Pharmacists may substitute a therapeutically equivalent medication for a medication subject to critical shortages without prescriber authorization
    • Preceptors may supervise student pharmacists remotely to fulfill eligibility for licensure and avoid delaying graduation
    • Remote pharmacy practice permitted by pharmacists, and pharmacists may supervise pharmacy technicians and other pharmacy staff remotely
    • Pharmacies and wholesalers licensed or permitted by another state must be granted a license to do business in Michigan
  • Governor Whitmer also signed Executive Order 2020-30, suspending Part 177 of Article 15 of the state's public health code, related to scope of practice, supervision, and delegation, to the extent necessary to permit licensed pharmacists 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
  • Michigan's Department of Licensing & Regulatory Affairs (LARA) has provided limited guidance permitting pharmacies to hire unlicensed individuals who by education, training, or experience meet the requirements of licensure normally required of pharmacists and technicians
  • LARA issued guidance to licensed prescribers and dispensers regarding over-dispensing of hydroxychloroquine or chloroquine to those intending to stockpile
  • For COVID-19-related questions regarding licensing and regulation topics, send emails to [email protected]
Minnesota
  • Declared state of emergency
  • Board-issued COVID-19 guidance addresses:
    • Pharmacy closures and continuation of operations
    • Delivery of prescriptions
    • Dispensing into Minnesota without a license
    • Counseling expectations
    • Remote access now permitted for pharmacists and technicians
    • Relaxation of technician ratios
    • Compounding
    • Controlled substance dispensing
    • License renewals
    • Dispensing of chloroquine, hydroxychloroquine, and azithromycin
    • Pharmacy personnel exposure guidance
    • PMP requirements
  • Executive Order 20-23 authorizes the following:
    • Health-related licensing boards may defer continuing education requirements and process applications without a full set of fingerprints
    • Board of Pharmacy to enforce 30-day dispensing limitation on chloroquine or hydroxychloroquine
  • Executive Order 20-16 requires:
    • Any Minnesota business, nonprofit, or non-hospital health care facility, whether veterinary, dental, construction, research, institution of higher learning, or other, in possession of PPE, ventilators, respirators, or anesthesia machines (including any consumable accessories to those devices) that are not required for the provision of critical health care services or essential services and were not produced by the organization for the purpose of sale, must undertake an inventory of such supplies no later than March 25, 2020
Mississippi
  • Declared state of emergency
    • The Board issued an Emergency Declaration on CII prescriptions:
      • Call-in prescriptions for CII drugs are allowed at this time.
      • The normal 48-hour rule has been waived and is now up to a 30-day limit
      • Pharmacists will need to receive a hard copy of the prescription within 7 days of the called-in prescription
      • This rule is only in effect during the Governor’s Declaration of the State of Emergency
      • It is recommended that this should only be used in an absolute emergency when a written or electronic prescription may not be obtained. Because of the strict requirement of the 7-day hard copy prescription, there could be major issues with the DEA if this is not followed.
      • Pharmacists are expected to use professional judgment. There is NO requirement to fill any prescription that you determine should not be filled.
      • Board has since modified this declaration to confirm with DEA guidance
    • Board issued guidance clarifying prescription signature requirements
    • Board issued guidance regarding emergency refills
    • Board issued guidance permitting pharmacies to compound hand sanitizer
    • Controlled substance inventory requirements extended until July 1, 2020
    • Remote pharmacy practice by pharmacists and technicians not currently permitted
    Missouri
    • The Board has established a COVID-19 page
    • Board guidance on licensure updates and renewals
    • Board guidance document on COVID-19 issues and questions
      • ​​​​​​​Remote work: Off-site pharmacists and technicians may perform non-dispensing activities
      • Hard copy prescriptions and facsimile prescriptions can only be accepted at a licensed pharmacy location
    • ​​​​​​​Summary of all Board waivers received due to COVID-19 as of 03/20/20:
      • ​​​​​​​Non-resident licensing waiver for pharmacists, pharmacy technicians, and pharmacies (waiver form available here)
      • Remote verification
      • Prescription/medication order transfers
      • Informed consent disclosures when engaged in remote counseling
      • Permits technology-assisted supervision
      • Explicitly permits remote data entry sites
      • Permits pharmacy technicians to perform non-dispensing activities outside of a licensed pharmacy
    • ​​​​​​​Supplemental guidance document on waivers received due to COVID-19
    • Additional pharmacy waivers, as of 03/31/20:
      • ​​​​​​​Pharmacies may dispense an emergency supply of controlled substances to a patient if the pharmacy that originally filled the prescription is closed or unable to fill the prescription due to the state of emergency
      • Annual inventory due extended to no later than 120 days after Executive Order 20-02 is terminared
      • Temporary hospitals or other health carfe facilities may operate without obtaining a controlled substance registration
    • ​​​​​​​A full list of requested and approved waivers is available here
    • Joint Statement issued with Board of Pharmacy and Board of Registration for the Healing Arts regarding prescriptions for hydroxychloroquine, chloroquine, and azithromycin
    Montana
    • Declared state of emergency
    • Board has posted limited guidance on its website addressing:
      • Interstate Licensure Recognition Registration - Board is permitting pharmacists and technicians licensed and in good standing in another state to practice in the state upon completion of its interstate licensure application and subsequent approval by the Board
      • Emergency Refill Rule - ARM 24.174.836
      • Remote pharmacy information - Board cites central filling & processing rule, does not discuss remote practice from an unlicensed location
      • Technicians - usage must be included in approved utilization plan
    • Remote pharmacy practice for pharmacists and technicians has not been addressed by the Board
    Nebraska
    • Declared state of emergency
    • Governor Ricketts released Executive Order 20-10, permitting pharmacies licensed in other states to practice in Nebraska, and loosening licensure requirements for pharmacist applicants
    • The US Department of Health and Human Services (HHS) has been working with the Governor's office and expects an executive order addressing pharmacies in the coming days
    • Remote pharmacy practice for pharmacists and technicians has not been addressed by the Board
    Nevada
    • Declared state of emergency
    • Declaration of Emergency Directive 009: All licenses and permits issued by the State of Nevada, Boards, Commissions, Agencies, or political subdivisions that are set to expire during the state's declaration of emergency are extended 90 days from the current expiration date, or 90 days from the date the state of emergency is terminated, whichever is later
    • Declaration of Emergency Directive 011: Board of Pharmacy shall temporarily waive certain licensing requirements to allow the practice of currently unlicensed pharmacists and pharmacy technicians
      • ​​​​​​​Waiver and exemptions shall apply to individuals who currently hold a valid license in another state, whose licenses are suspended for licensing fee delinquencies or continuing education requirements, and who have retired from practice in any state
      • Pharmacists and technicians are authorized to practice outside the scope of their specialization, within the limits of their competency, to the extent necessary to augment and bolster Nevada's health care system
      • No licenses shall be suspended for any administrative reasons until 60 days after directive expires
    • Board updates can be found here
      • Waivers: The Board is issuing waivers to certain regulatory requirements with guidance to assist licensees in addressing operational needs during the COVID-19 outbreak while still protecting the health and safety of Nevadans. The waiver process is detailed here.
      • Remote order entry: The Board has temporarily authorized the practice of remote order entry for all licensed/registered pharmacy personnel (pharmacists, intern pharmacists, and pharmaceutical technicians). The guidance can be accessed here.
      • PPE guidance: The Board has temporarily authorized licensees conducting sterile compounding to reuse certain personal protective equipment (PPE). The guidance can be accessed here.
      • Compounding hand sanitizer: The Board has temporarily authorized the compounding and sale of certain alcohol-based hand sanitizer products by Nevada-licensed pharmacies and outsourcing facilities. The guidance can be accessed here.
      • COVID-19 testing: The Board has temporarily authorized licensed/registered pharmacy personnel (pharmacists, intern pharmacists, and pharmaceutical technicians) to perform COVID-19 testing off-site, in non-pharmacy areas. The guidance can be accessed here.
      • Supervision: The Board has partially waived the existing regulation on the number of pharmaceutical technicians/technicians in training that a pharmacist may supervise in a pharmacy. The guidance can be accessed here.
      • Emergency refills: The Board has issued guidance on the authority of a pharmacist to issue refills pursuant to NRS 639.2394 to promote patient access to needed medications during the COVID-19 outbreak. The guidance can be accessed here.
      • Counseling: The Board has issued guidance for pharmacists and pharmacies on socially distanced methods of patient counseling and prescription delivery. The guidance can be accessed here.
      • MAT: The Board has received requests for information regarding medicated assisted treatment (MAT) utilizing telemedicine and the delivery of prescription medication during the COVID-19 outbreak. The Drug Enforcement Administration (DEA) guidance on this topic can be accessed here.
      • Chloroquine and hydroxychloroquine: The Board has adopted an emergency regulation in Chapter 639 of the Nevada Administrative Code that restricts the prescribing and dispensing of chloroquine and hydroxychloroquine during the COVID-19 outbreak. The emergency regulation can be accessed here.
      • Stock transfers: The Board has issued guidance on the existing authority for the transfer of a drug between pharmacies to alleviate a temporary shortage. The guidance can be accessed here.
      • In-person dispensing: The Board has partially waived certain requirements for dispensing controlled substances or dangerous drugs to human and animal patients to permit socially distances methods of dispensing during the COVID-19 outbreak. The partial waiver can be accessed here.
      • Immunization certification: The Board has partially waived existing regulations requiring continued certification of pharmacists and intern pharmacists in basic cardiac life support from the American Heart Association to administer immunizations during the COVID-19 outbreak. The partial waiver can be accessed here
      • Hospital pharmacy technicians: The Board has partially waived certain restrictions on the services which may be performed by pharmaceutical technicians in hospitals in response to COVID-19. The partial waiver can be found here.
      • Techs in training: 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. The guidance can be accessed here.
    New Hampshire
    • Declared state of emergency
    • Board issued general guidance regarding COVID-19 responses and telehealth guidance found here.
      • Due to the current State of Emergency around the COVID-19 Health Advisory, all Board and licensing business is being done electronically via email at this time. Please do not call the office or any Board phone listed on this page at this time. Email [email protected] and your inquiry will be responded to as soon as possible during normal business hours, Monday-Friday, 8:00am-4:00pm. Thank you for your patience and understanding during this time.
    • Board has adopted the following emergency rules:
      • Prescription refill: Interim supply - A pharmacist may refill a prescription drug order without the authorization of the prescribing practitioner
      • Vaccine qualifications and application: During a state of emergency, the Board shall allow pharmacists 60 days past the expiration of the state of emergency to complete requirements to administer vaccines
    • Governor Sununu issued two executive orders addressing pharmacy practice:
      • ​​​​​​​Emergency Order #13: Temporary allowance for New Hampshire pharmacists and pharmacies to compound and sell hand sanitizer over the counter, and to allow pharmacy technicians to perform non-dispensing tasks remotely
      • Emergency Order #14: Temporary authorization for out-of-state pharmacies to act as a licensed mail-order facility within the State of New Hampshire
    • Remote pharmacy practice for pharmacists and technicians is permitted
    New Jersey
    • Declared state of emergency
    • Board has issued guidance and this clarification:
      • Waivers: The Board of Pharmacy is currently permitting pharmacies to apply for wavers in the following scenarios: reuse of PPE in compounding; change in hours of operation; relaxed requirements to capture counseling signatures at POS (note waiver does not contemplate remote counseling). Extended closure requests must be submitted before the full Board for approval, and early refills, dispensing to a 90-day supply of medication, and relaxed requirement for delivery protocols do not require waivers. Guidance does not contemplate work from home. New Jersey Board of Pharmacy, Guidance for Pharmacy Community Regarding COVID-19.
      • Actions not requiring waiver: 90-day fills or early refill; delivery protocols
    • Remote pharmacy practice for pharmacists and technicians permitted if requirements outlined in this document are met and pharmacy supplies the requested information to the Executive Director via email at [email protected]
    • Governor Murphy issued Executive Order 109, requiring any business or non-hospital health care facility in possession of PPE, ventilators, respirators, or anesthesia machines that are not required for the provision of critical health care services to undertake an inventory of such supplies and send that information to the state by March 27, 2020 
    • Governor Murphy issued Executive Order 112, authorizing the Division of Consumer Affairs to temporarily reactivate the license of any health care professional who previously retired from practice in New Jersey, either by placing their license on inactive status or allowing their license to lapse. EO 112 also provides immunity for any health care facility (defined to include pharmacies) from civil damages alleged to have been sustained as a result of an act or omission undertaken in good faith while providing services in response to COVID-19
    • Governor Murphy issued Executive Order 113, authorizing the Director of Emergency Management to seize real or personal property (including "medical resources") from private entities for the purpose of protecting public health
    New Mexico
    • Declared state of emergency
    • Board has issued the following guidance on its FAQ page:
      • Emergency dispensing declaration, available here
      • Sterile compounding garb and PPE shortage, available here
      • Pharmacists may decline to fill when inappropriate or questionable prescribing or stockpiling occurs, available here
      • Consultant pharmacist visitation duties, available here and here
      • Temporary exceptions to Schedule II Controlled Substance oral prescribing, available here
    • Health Cabinet Secretary Kathyleen Kunkel released a Public Health Order requiring the following:
      • ​​​​​​​No health care provider or wholesale medical supplier in New Mexico with an inventory of PPE may reduce its inventory of PPE by selling, allocating, or otherwise distributing it without prior approval from the New Mexico Department of Health
      • No health care provider or wholesale medical supplier in New Mexico may sell, allocate, or otherwise distribute PPR outside of New Mexico without prior approval from the New Mexico Department of Health
      • Within three (3) business days of this Order, each health care provider and wholesale medical supplier in New Mexico with an inventory of PPE shall make a report to the New Mexico Department of Health describing its inventory of PPE
    • Remote pharmacy practice for pharmacists and technicians is permitted by existing law
    New York
    • Declared state of emergency
    • The Office of the Professions is posting executive order summaries implicating pharmacy and other health professions
    • Executive Order 202 temporarily suspends and modifies laws in response to COVID-19 outbreak, including:
      • Subdivision (1) of Section 6801 of the Education Law, Section 6832 of the Education Law, and Section 29.7(a)(21)(ii)(b)(4) of Title 8 of the NYCRR, to the extent necessary to permit a certified or registered pharmacy technician, under the direct personal supervision of a licensed pharmacist, to assist such licensed pharmacist, as directed, in compounding, preparing, labeling, or dispensing of drugs used to fill valid prescriptions or medication orders for a home infusion provider licensed as a pharmacy in New York, compliant with the United States Pharmacopeia General Chapter 797 standards for Pharmaceutical Compounding - sterile preparations, and providing home infusion services through a home care agency licensed under Article 36 of the Public Health Law
    • Executive Order 202.11 permits pharmacists and pharmacist technicians to work remotely, and permits registered pharmacies and outsourcing facilities to compound certain alcohol-based hand sanitizer products
      • ​​​​​​​Order 202.11 also amends Executive Order 202.10 related to restrictions on dispensing hydroxychloroquine and chloroquine for prophylactic purposes as follows:
        • ​​​​​​​No pharmacist shall dispense hydroxychloroquine or chloroquine except when written: as prescribed for an FDA-approved indication; for an indication supported by one or more citations included or approved for inclusion in the compendia specified in 42 U.S.C. 1396r-8(g)(1)(B)(i); for patients in inpatient settings and acute settings; for residents in a subacute part of a skilled nursing facility; or as part of a study approved by the Institutional Review Board.
      • Order 202.11 also suspended sections of the Education Law and associated regulations, to the extent necessary to temporarily permit registered resident pharmacies and outsourcing facilities to compound certain alcohol-based hand sanitizers
    • The Office of Professions has issued a FAQ document addressing:
      • PPEs
      • Temporary suspension of CPR and BLS live course requirement
      • Relaxation of recordkeeping requirements pursuant to Executive Order 202.10
      • Protective measures pharmacies should take to help prevent the spread of COVID-19
      • Notification requirements in the event a pharmacy needs to temporarily close due to a potential COVID-19 exposure
    North Carolina
    • Declared state of emergency
    • Board is posting updated guidance here
      • Board is compiling a list with the help of Mutual Drug of pharmacists and pharmacy personnel who may be able to assist if a pharmacy becomes short-staffed
      • Board issues guidance on the prescriptions for hydroxychloroquine, chloroquine, azithromycin, kaletra and other medications.
      • Board has created a pathway for the temporary reactivation of certain pharmacist licenses to provide patient care during the state of emergency
      • Recommendation for Compounding Garb Shortages (updated March 26, 2020)
      • Reactivation of Pharmacist Licensure to Provide for Patient Care
        • NOTE: As of March 18, 2020, the Board is not accepting temporary reactivation applications. This is a preparedness step. There is no identified immediate need for additional pharmacists to assist with COVID-19 containment and treatment efforts. In the coming days, the Board will develop and publish a temporary reactivation application form. Pharmacists are advised to continue to monitor the Board’s website for updates on this, and other, matters.
      • Emergency rule passed to mitigate shortages of hydroxychloroquine, chloroquine, lopinavir-ritonavir, ribarvin, oseltamivir, darunavir, and azithromycin
      • Out-of-state pharmacists and out-of-state certified technicians who wish to practice in North Carolina during the declared state of emergency must obtain an NABP Passport to do so. The NABP Passport is a license verification process administered by the National Association of Boards of Pharmacy to assist in the pandemic response.
      • Emergency Services Waiver: Addresses remote work permissions and processes. Remote pharmacy practice for pharmacists and technicians is now permitted by the Board upon submission of a waiver.
    North Dakota
    • Emergency declaration
    • Executive Orders 2020-09 and 2020-05.1 issued, addressing:
      • Authority to administer emergency refill prescriptions
      • Licensure waivers
    • No Board action to date
    • Remote pharmacy practice for pharmacists and technicians has not been addressed by the Board
    Ohio
    • Declared Emergency declaration
    • The Department of Health Director's order to stay at home includes additional requirements from pharmacies if the pharmacies want to remain open
    • Board has published guidance here. Topics include, but are not limited to:
      • Remote practice permitted of technicians and pharmacists
      • Compounding guidance on hand sanitizer
      • Reuse of PPE
      • Emergency refills authorized
      • Pharmacists, pharmacy interns, and technicians licensed in other states may work in Ohio pharmacies under certain conditions
      • Extension of renewal dates for pharmacy technicians
      • Authorized the temporary expansion of maximum days' supply
      • Authorized sterile compounding for another licensee (i.e., central compounding)
      • Authorized technicians may stock automated drug storage systems and clarified position on technicians transferring prescriptions
      • Authorized extension of drug distributor customer due diligence requirements
      • Authorized expedited licensure of drug distributors
      • Authorized sale and shipment of non-reportable dangerous drugs that are in shortage by unlicensed out-of-state facilities
      • Authorized the compounding and sale of certain alcohol-based hand sanitizer products by Ohio-licensed pharmacies and outsourcing facilities
      • Authorized use of temporary satellite locations for storage and use of dangerous drugs
      • Authorized temporary extension of annual controlled substances inventory requirements
      • Authorized the temporary reinstatement of lapsed or expired OH pharmacist licenses in OH under certain conditions
    • Board passes Emergency Rule regarding prescription requirements for chloroquine or hydroxychloroquine
    Oklahoma
    • Emergency declaration
    • Board Waiver guidance: The Oklahoma State Board of Pharmacy (OSBP) will be considering issuing waivers for rules on a case by case basis. The OSBP is requesting that these waiver requests be sent to in writing. The OSBP is asking that these waiver requests indicate the name, address, license number of the entity needing the waiver and the reason for needing a waiver. Waivers will be approved for limited time periods..
      • The Board OSBP issued a form for COVID-19 waiver requests
    • Governor issued Third Amended Executive Order 2020-07 placing requirements on prescriptions for chloroquine or hydroxychloroquine
    • Remote pharmacy practice for pharmacists and technicians is only permitted upon submission of a waiver on a case-by-case basis
    Oregon
    • Emergency declaration
    • The Board issued the following guidance addressing the following:
      • Inactive pharmacist license reactivation
      • Controlled substance refills
      • Temporary Pharmacies  permitted
      • Emergency Licensure  to be considered
      • Emergency Pharmacy Rules: Do not apply to controlled substance medications
      • Temporary Compounding of Certain Alcohol-Based Hand Sanitizer: The Oregon Board of Pharmacy permits this practice – guidance document from the FDA. Note: Permitted for OTC-sales and for patient-specific prescriptions
      • A pharmacy may deliver or mail medications to patients (permitted any time)
      • Pharmacy interns and pharmacy technicians may perform limited remote pharmacy functions. All licensees participating in remote processing should complete the Remote Processing Checklist and must notify the Board at [email protected].
      • Hydroxychloroquine and chloroquine dispensing limitations
    • Emergency Rule OAR 855-007-0085 adopted prohibiting the dispensing of chloroquine and hydroxychloroquine for presumptive treatment or prevention of COVID-19
    • FAQ document issued regarding prescription therapy for COVID-19 patients
    Pennsylvania
    • Declared state of emergency
    • Pennsylvania Department of State issues document suspending certain licensing and regulatory requirements for pharmacies and pharmacists during state of emergency:
      • Allows remote pharmacy practice for pharmacy technicians and pharmacy interns
      • Suspends registration requirements of non-resident pharmacies
      • Suspends certain licensure requirements to allow expedited temporary licensure to pharmacy practitioners and pharmacies in other states to provide goods and services to Pennsylvanians, for the duration of the state of emergency. The Temporary Pharmacist Licensure Form is available here.
      • Suspends the regulations that require a pharmacy to immediately turn in its permit in the event it closes or ceases operations
    • The Board issued prescribing suggestions for hydroxychloroquine
    Puerto Rico
    • Declared state of emergency
    • No Board action to date
    • Remote pharmacy practice for pharmacists and technicians has not been addressed by the Board
    Rhode Island
    • Declared state of emergency
    • Department of Health relaxes regulatory enforcement for health care professional licensing, including out-of-state pharmacists
    • Emergency Rule enacted regarding off-label prescribing of medications to treat COVID-19
    • Remote pharmacy practice for pharmacists and technicians has not been addressed by the Board
    • Any license due to expire July 1, 2020 or earlier is granted a 90-day extension for renewal with no penalties or late fee
    South Carolina
    South Dakota
    • Declared state of emergency
    • Board issued a COVID-19 Memorandum, which addresses the following topics:
      • ​​​​​​​The state mandated the Board to cancel inspections for the next three (3) weeks (until April 8);
      • The Board advises pharmacies to waive the signature requirement for non-controlled substance prescriptions to help avoid the spread of COVID-19;
      • Emergency dispensing for non-controlled substances;
      • Compounding of hand santizer; and
      • Addressing PPE shortages.
    • Remote pharmacy practice for pharmacists and technicians is permitted by the Board
    Tennessee
    • Declared state of emergency
      • From the declaration: The provisions of Tennessee Code Annotated, Section 63-10-207(a) and (c), are hereby suspended to allow a pharmacist to dispense an extra 30-day supply of maintenance prescriptions without proper authorization to persons as is necessary to respond to and prevent the spread of COVID-19 in Tennessee, subject to all other provisions of Tennessee Code Annotated, Sections 63-10-207 and 63-1-164.
    • Executive Order 15 permits pharmacist and technician remote pharmacy models
      • Order permits remote pharmacy practice for pharmacists and technicians
    • Application for Health Professional Practice By Executive Order
    • The Board released a "Top 10 Things You Can Do to Prepare for COVID-19" checklist for pharmacies
    • The Department of Health released a statement regarding hydroxychloroquine, chloroquine, and azithromycin. The statement does not place any restrictions on the prescribing or dispensing of these drugs, but does urge caution.
    • Governor issued Executive Order 20:
      • ​​​​​​​Suspending provisions of Tenn. Comp. R. & Regs. 1140-01-.08(1) and 1140-16-.02(1) related to certain inspection requirements; and
      • Suspending provisions of Tenn. Comp. R. & Regs. 1140-02-. so that there is no restriction on the ratio of pharmacy technicians to pharmacists
    Texas
    • Declared state of emergency
    • Governor temporarily suspended certain rule requirements pertaining to pharmacy practice, including:
      • §291.17 - the annual inventory notarization requirement in §291.17(c)(3)
      • §291.33 - the requirement in §291.33(c)(1)(B)(iii) to have in-person contact for patient counseling in order to allow patient counseling to be performed by telephonic consultation
      • §291.36 - the requirement in §291.36(2) to obtain to obtain an inspection within the last renewal period in order to renew a Class A-S pharmacy license
      • §291.54 - the requirement in §291.54(a)(13) to obtain an inspection within the last renewal period in order to renew a Class B pharmacy license
      • §291.77 - the requirement in §291.77(2) to obtain an inspection within the last renewal period in order to renew a Class C-S pharmacy license
      • §291.106 - the requirement in §291.106(4) to obtain an inspection within the last renewal period in order to renew a Class E-S pharmacy license
      • §291.121 - the requirement in §291.121(d)(3), (4)(C)(i) to the extent necessary to expand the pilot program for automated systems in order to allow for remote automated dispensing
      • §295.15 - the requirement in §295.15(c)(2)(C) 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
      • §291.76 - the requirement in §291.76(c)(1)(B)(xiv) for a pharmacists to visit an ambulatory surgical center at least once each calendar week
      • §291.151 - the requirement in §291.151(c)(1)(B)(xiv) for a pharmacist to visit a freestanding emergency medical care facility at least once each calendar week
      • §295.7 - the expiration dates of pharmacists licenses in §295.7
      • §295.8 - the continuing education requirements for pharmacists in §295.8(a)(1)
      • §297.3 - the expiration dates of pharmacy technician registrations and the continuing education and fingerprint requirements in §297.3(d)(1)-(3)
      • §297.5 - the expiration dates of pharmacy technician trainee registrations in §294.5
      • §297.8 - the continuing education requirements for pharmacy technicians in §297.8
    • The Board provided a COVID-19 resource page
    • Board adopts Emergency Rule limiting prescriptions of chloroquine, hydroxychloroquine, mefloquine, or azithromycin
    • Remote pharmacy practice for pharmacists and technicians is permitted by existing law
    • Board details procedures for emergency temporary pharmacist licensure and emergency temporary pharmacy technician registration
    Utah
    • Declared state of emergency
    • The Board has issued a guidance document which addresses:
      • Emergency compounding of hand sanitizer
      • Reuse of PPEs
      • Emergency refills
    • The Board is issuing COVID-19 emergency licenses for pharmacists, pharmacy technicians, and pharmacies
    • Remote pharmacy practice for pharmacists and technicians is not prohibited by existing law
    • The Board issued a guidance statement regarding hydroxychloroquine and chloroquine. The statement does not place any restrictions on the prescribing or dispensing of these drugs, but does suggest certain limitations.
    Vermont
    • Declared state of emergency
    • Governor added Addendum 4 to Executive Order 01-20, ordering close-contact businesses to cease in-person operations, beginning at 8:00pm on Monday, March 23
    • Board has issued a guidance document
      • Clarifies that so-called 90-day switches are permissible to minimize person-to-person contact and repeat pharmacy contacts
      • Clarifies that remote consultation with a first-time prescriber does not undermine the legitimacy of a prescription order, so long as the pharmacist is comfortable that there has been a bona fide medical assessment and exercise of prescriber discretion
      • Acknowledges and endorses FDA policy allowing compounders to make alcohol-based hand sanitizer products
      • Addresses expected PPE shortages—a matter of more concern to hospitals and compounders than to retail pharmacies
    • Remote pharmacy practice for pharmacists is permitted by existing law
    • The Department of Health issued a statement regarding the use of non-approved drugs for COVID-19 treatment. Specifically, the statement warns against the inappropriate use of chloroquine and hydroxychloroquine. The statement does not place any limits on prescribing or dispensing.
    • The Vermont Legislature passed emergency legislation waiving licensure requirements for health professionals from other states in response to the COVID-19 State of Emergency
    Virginia
    • Declared state of emergency
    • The Board has issued a guidance document which addresses:
      • Early refills
      • Inpatient hospital pharmacy dispensing
      • Compounding of hand sanitizer
      • PPE reuse
      • Permits assistance from pharmacists and technicians in other states
      • Permits remote processing by technicians
      • Emergency closing of a pharmacy
      • Pharmacy trainee allowance
      • Stat box and emergency kit replacement
      • Compounding for another hospital
      • Nurses practicing at an opioid treatment program (OTP) pharmacy may assist pharmacists
    Washington
    • Declared state of emergency
    • Pharmacy Quality Assurance Commission (PQAC) has posted a COVID-19 Response Packet which addresses:
      • ​​​​​​​The impacts of COVID-19 on compounding;
      • Pharmacy operation recommendations;
      • Delivery of prescription medications outside of the pharmacy; and
      • Other frequently asked questions
    • The Pharmacy Commission will hold special meetings (via webinar) on Wednesdays and Fridays during the coming weeks to address COVID-19 and other urgent issues
    • A pharmacy technician may perform order entry from a remote location as long as they are under the supervision and control of a pharmacist
    • The PQAC released a statement on chloroquine and hydroxychloroquine. The Commission reiterated that these drugs are not yet FDA-approved for COVID-19 and, as such, it discourages inappropriate prescribing of these medications for prophylaxis, as doing so may restrict access for patients that really need appropriate therapy.
    • The governor issued Proclamation 20-32 related t health care worker licensing. The provisions, which will be in effect until April 25, 2020 (unless extended), include waiving certain requirements related to:
      • ​​​​​​​"Immediate" supervision of technicians;
      • Retired pharmacist licenses;
      • Continuing education requirements for pharmacists;
      • Seven hours of HIV/AIDS training for pharmacists;
      • Continuing education requirements for pharmacy technicians; and
      • Four hours of HIV/AIDS training for pharmacy technicians and pharmacy assistants.
    • ​​​​​​​The commission will not refer or take enforcement actions against licensees or pharmacies that accept donated or manufactured hand sanitizer (using USP and/or non-USP grade ingredients) without obtaining a manufacturer license for consumer use and for health care personnel for the duration of the public health emergency
    West Virginia
    • Declared state of emergency
    • The Board is maintaining a COVID-19 resource page and a memo with helpful guidance, which addresses:
      • Ability to provide emergency refills and gross up of remaining refills.
      • Managing shortages of PPE needed for sterile compounding
      • Signature for Received Prescriptions
      • Early Refills for Controlled Substances
      • Pharmacy Technician to Pharmacist Ratios
      • Pharmacy emergency closures
      • Pharmacy preparedness
      • Continuing Pharmacist Education (CPE)
    • New temporary rule passed on March 21, 2020 limiting prescriptions of hydroxychloroquine and chloroquine.
    • Remote pharmacy practice for licensed pharmacy professionals (pharmacists, pharmacy interns, and pharmacy technicians, and pharmacy technician trainees) is permitted.
    • The Board issued an update pertaining to the prescribing and dispensing of Schedule II controlled substances. The update discusses exemptions to rules to § 15-1-17.1.6.c and § 15-2-8.9.2, which were recently put into place.
    Wisconsin
    • Declared state of emergency
    • The declaration empowers the Board to issue waivers for certain state laws related to the practice of pharmacy
    • The Board granted a rule variance that allows pharmacists and compounding pharmacy personnel to re-use PPE during the COVID-19 public health emergency 
    • Remote pharmacy practice for pharmacists and technicians is not currently permitted by the Board
    • The Board granted a rule variance that allows pharmacists to dispense in locations that are not licensed pharmacies
    • The Governor released Emergency Order 16. Under the EO, a pharmacist with a valid and current license issued by another state may practice under that license and within the scope of that license in Wisconsin without first obtaining a temporary or permanent license, provided certain conditions are met. EO also suspends renewal provisions for licensees./
      • ​​​​​​​The Department released a letter and a document addressing FAQs related to Emergency Order 16
    Wyoming
    • Declared state of emergency
    • Board has issued a guidance document addressing the following:
      • Prescriptions for azithromycin, chloroquine, and hydroxychloroquine
      • Temporary closures
      • Reuse of PPEs
      • Compounding hand sanitizer
    • Remote pharmacy practice for pharmacists and technicians has not been addressed by the Board
    • The Wyoming Board of Medicine issued a statement on COVID-19 Prescribing and Conservation of Health Resources. The statement addresses, but does not place limits upon, the prescribing and dispensing of chloroquine and hydroxychloroquine.