Board of Pharmacy. Practical Experience (Intern Hours) Exam Requirements. Pharmacist Licensure. Continuing Education. Pharmacy Licensure Requirements

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1 Board of Pharmacy Practical Experience (Intern Hours) Exam Requirements Pharmacist Licensure Continuing Education Pharmacy Licensure Requirements Prescribing Authority Alaska State Law Review -5 pharmacist and 2 public members -Pharmacist members must be actively practicing -Pharmacists must have at least 3 years practice experience -Appointed by governor -Each pharmacist term is 4 years and is limited to 2 consecutive terms -Interns and Preceptors need to be registered with the Board -Intern registration fee: $25 plus one-time application fee of $50 -Intern renewal fee every 2 years: $25 (may only be renewed once) -Intern hours start after third year of a five- or six-year program -1,500 hours internship required by Board. Maximum of 1,000 hours completed in conjunction with educational requirement of the college of pharmacy. -Graduation from an accredited college of pharmacy -Pass NAPLEX and MPJE exams -NAPLEX score transfer is valid for 1 year -Licenses are issued by the Division of Licensing and Registration and approval of Board -Initial certificate fee: $200 plus one-time application fee of $50 -Biennial renewal (even years) fees change biennially. Contact the Board. Expires June 30, mailing date is May 1 -Temporary licensing for license transfer applicants only -Pharmacists may administer vaccines to patients 18 and older with a valid prescription -License transfer fee: $200 plus $185 for MPJE -Each pharmacist seeking renewal of a license shall satisfactorily complete thirty (30) credit hours of CPE biennially offered by ACPE-approved providers during the previous licensure period. - Only programs administered by ACPE-approved providers will be accepted by the Board of Pharmacy. -Licensure/registration fee $200 biennially plus one-time application fee of $50 -Nonresident pharmacies must be registered ($500 fee) -4 License categories -Pharmacists may initiate, modify, and/or discontinue drug therapy under a collaborative agreement -Pharmacists may administer immunizations with Board-approved collaborative practice protocol application. -State does not have Freedom of Choice legislation -Medical Doctors, Doctors of Osteopathy: unlimited, independent prescribing authority -Doctors of Dental Surgery, Podiatric Medicine, Veterinary Medicine: independent prescribing authority limited to their course of practice -Physician Assistant: dependent prescribing authority -Advanced Registered Nurse Practitioner, Nurse Practitioner, OB/GYN Nurse Practitioner, Pediatric Nurse Practitioner, Psychiatric Nurse Practitioner, Certified Registered Nurse

2 Legend Drug Prescriptions Patient Counseling Facsimile Transmission Electronic Transmission Pharmacy Technicians Anesthetist: may prescribe and dispense within the scope of their specialty -EMT Paramedic: use only -Chiropractic Doctor, Clinical Nurse Specialist, Nurse Midwife, Naturopathic doctor: no prescribing authority -Midwife: use only -Optometrist: independent authority -Time Limit for refills: 1 year -Must maintain prescription records for 2 years -Can sell C-V over the counter -Counseling is required for all patients for new prescriptions when patient is in pharmacy; counseling on refill prescriptions is not required -Counseling must be performed by the pharmacist face-to-face. When not possible, pharmacist must make reasonable effort to counsel by telephone, two-way radio, or in writing. -Patient profiles are not mandated -Faxing of controlled substance prescriptions allowed -signature of prescriber s transmitting agent required -All legend drug and controlled substance prescriptions (except for C- II) are allowed given that they comply with DEA regulations -C-II prescriptions are not allowed -Technicians must be licensed but do not have to be registered or certified -Technician registration fee of $50 (biennial) plus one-time application fee that are reevaluated June of even-numbered years -Technicians cannot accept a called in Rx from physician, no tech check tech -Technicians may call for refill authorization under supervision from a pharmacist, enter prescriptions, and compound -Technicians do have CE requirements (10 hours, every 2 years) *Information included in table is not all inclusive and is adapted from the Survey of Pharmacy Law book provided by NABP and states rules and regulations

3 Arizona State Law Review Board of Pharmacy Practical Experience (Intern Hours) Exam Requirements Pharmacist Licensure Continuing Education Pharmacy Licensure Requirements Prescribing Authority 6 pharmacists, 2 public members, and 1 technician Only the community pharmacist member must be in active practice Minimum number of years of practice experience requirement: 10 years Each pharmacist term is 5 years and the number of terms is unlimited Appointed by governor 1500 hours required Hours counted starting from first professional year Up to 1,500 hours for a PharmD program can count to board required hours Interns and preceptors need to be registered with the Board, but training sites do not Intern fee: $50 (renewal fee of $50 up to max of 6 years; after 6 years, must be re evaluated) Graduation from an accredited college of pharmacy Pass NAPLEX and MPJE State participates in NAPLEX score transfer program NAPLEX score transfer is valid for 1 year Licenses are issued by the state board of pharmacy Initial certificate fee: $180 plus $20 for wall license No minimum age at which initial license can be obtained Biennial renewal fee $180, license expires Oct 31, mailing for renewal 60 days prior to expiration Expiration year is odd numbered year for odd numbered license holders and even numbered year for even numbered license holders Temporary licensing not applicable License transfer fee: $300 Pharmacists must satisfactorily complete three (3) CEUs biennially of continuing professional education activities sponsored by ACPE or Board approved providers. At least 0.3 CEUs shall be pharmacy law subjects. Satisfactory proof of participation should be retained by participants for five (5) years. No carryover of credit is allowed. Initial licensure/registration fee $480 Renewal fee of $480 biennially Nonresident pharmacies must be licensed/registered 3 license categories Nonresident pharmacists do not have to be licensed, but PIC must have an Arizona license Pharmacists may initiate, modify, and/or discontinue drug therapy pursuant to a collaborative practice agreement Pharmacists may administer drugs and vaccinations *Information included in table is not all inclusive and is adapted from the Survey of Pharmacy Law book provided by NABP and states rules and regulations. You can contact the specific Board of Pharmacy for each state with specific questions.

4 Prescribing Authority (cont.) Legend Drug Prescriptions Patient Counseling Facsimile Transmission Pharmacy Technicians State has freedom of choice legislation Medical doctors and doctors of osteopathy have unlimited, independent prescribing authority Doctors of Dental Surgery, Podiatric Medicine, and Veterinary Medicine have independent prescribing authority limited to their course of practice Chiropractors and EMT paramedics have no prescribing authority Doctor of Homeopathy have independent limited prescribing authority Advanced registered nurse practitioners, clinical nurse specialists, nurse practitioner, OB/GYN NP, pediatric NP, psychiatric NP, and certified registered nurse anesthetists have independent prescribing authority. PAs have independent limited prescribing authority Naturopathic doctors have limited prescribing authority A nurse midwife has prescribing authority if also NP Optometrists may prescribe any topical drug; oral drugs limited to certain classes or specific agents Time limit for refills: Limited to 1 year. Time limit for refills of Schedule II, III and IV controlled substances: 6 months Time limit for refills of C V substances: 1 year Must maintain prescription records for 7 years Sale of schedule V preparations allowed as OTC Counseling is required for all patients for new prescriptions and refill prescriptions if different directions/dose/dose form. Face to face counseling is required Patient profiles are mandated Faxing of controlled substance prescriptions allowed per DEA regulations Prescriber information is required State licenses technicians; does not certify or register Technician trainee fee $36, Certified technician fee $72 Biennial tech renewal schedule Technician training is required Tech CE = 20 hours every 2 years (2 hours must be pharmacy law) PTCB examination is required No maximum technician to pharmacist ratio May enter prescription into computer and call physician for refill authorization No tech check tech Tech cannot accept called in prescription from PCP May only transfer non controlled drugs electronically between pharmacies owned by the same company using a shared computer database *Information included in table is not all inclusive and is adapted from the Survey of Pharmacy Law book provided by NABP and states rules and regulations. You can contact the specific Board of Pharmacy for each state with specific questions.

5 Pharmacy Technicians (cont.) Tech can compound medication for dispensing if certified (not trainee) subject to approved policy and procedure manuals, pharmacy technician training, and pharmacist final verification and initialing. *Information included in table is not all inclusive and is adapted from the Survey of Pharmacy Law book provided by NABP and states rules and regulations. You can contact the specific Board of Pharmacy for each state with specific questions.

6 Board of Pharmacy Practical Experience (Intern Hours) Exam Requirements Pharmacist Licensure Continuing Education Pharmacy Licensure Requirements Prescribing Authority Colorado State Law Review -5 pharmacist and 2 public members -Appointed by governor -Each term is 4 years and members can serve up to 2 consecutive terms -Pharmacist members must be actively practicing and have been for the past 5 years -Interns need to be registered with the Board -Pharmacist preceptors need to be registered as well -Intern registration is valid for two years (Nov. 1- Oct. 31 renew every other year) fee changes annually hours of practical experience are required -Hours begin the first professional year of pharmacy school -Graduation from an accredited college of pharmacy -Pass NAPLEX and MPJE exams -NAPLEX score validity for transfer is one year -Licenses are issued by the State board of Pharmacy -Initial certificate has no fee -Biennial renewal on odd years (fee changes annually)- expiration date is October 31 st with mailing date in September -No age minimum -No temporary licensing -Fee for license transfer changes annually -Pharmacists must obtain twenty-four (24) hours of ACPE approved CPE prior to renewal date of October 31 of odd numbered years. -Up to six (6) hours may be pharmacy-related Continuing Medical Education (CME) -Single license category -Non-resident pharmacies need to be registered with the state -Initial licensure/registration fees change annually -Pharmacists may initiate, modify, and/or discontinue drug therapy under a collaborative practice agreement -Pharmacists may administer immunizations -Medical Doctors, Doctors of Osteopathy: unlimited, independent prescribing authority -Doctors of Homeopathy: not licensed -Advanced Registered Nurse Practitioner (if approved by the nursing board, have a DEA number, and maintain a collaborative agreement with a physician licensed in CO whose background and active practice corresponds with that of the nurse): independent authority -Doctors of Dental Surgery, Podiatric Medicine, Veterinary Medicine: independent prescribing authority limited to their course of practice -Physician Assistant, Clinical Nurse Specialist, Nurse Practitioner, OB/GYN Nurse Practitioner, Pediatric Nurse Practitioner, Psychiatric Nurse Practitioner, Certified Registered Nurse Anesthetist: dependent prescribing authority

7 Legend Drug Prescriptions Patient Counseling Facsimile Transmission Electronic Transmission Pharmacy Technicians -Optometrist: Only drugs related to the diagnosis or treatment of eye and adjacent structures -Nurse Midwife: limited prescribing authority - Naturopathic Doctor: no prescribing authority, except for vitamins, minerals, etc. -EMT paramedic, Midwife, Chiropractic Doctor: no prescribing authority -Duration of Validity: 1 year, C-III, C-IV, & C-V controlled substance prescriptions valid for 6 months -Maintain records for 2 years from date of last transaction of the order -Cannot sell C-V products over the counter -Counseling is required only for Medicaid patients -Patient profiles are not mandated -Counseling does not have to be face to face with a pharmacist -Faxed prescriptions are handled the same as written -Faxing of controlled prescriptions are allowed -All legend drugs and controlled substances are permitted as long as the prescription comply with the federal law -Technicians are allowed to: enter Rx, enter patient information, call doctor s office for refill authorization (but cannot accept oral authorization), compound medication, may check other techs but pharmacist is ultimately responsible -Technicians cannot accept a called-in Rx from physician/office or transfer prescriptions -All activities need to be checked and verified by a pharmacist -A technician can check another technician s work -State does not register or license technicians

8 Board of Pharmacy Practical Experience (Intern Hours) Exam Requirements Pharmacist Licensure Continuing Education Pharmacy Licensure Requirements Prescribing Authority Georgia State Law Review -7 pharmacists and 1 public member -Appointed by governor -Pharmacists must be actively practicing for 5 years or more -Each term is 5 years and members can serve unlimited terms -Interns need to be registered with the Board -Intern registration is valid for 5 years ($25 fee) and may be renewed hours of practical experience are required by the board including hours obtained during externship experience -Hours begin during the first professional year of pharmacy school -Graduation from an accredited college of pharmacy -Pass NAPLEX, MPJE, and practical exam -NAPLEX score validity for transfer is unlimited -Licenses are issued by the State Board of Pharmacy -Initial certificate fee is a one time application fee of $125 -Biennial renewal (even years), expiration is Dec. 31 st but renewals are mailed in November (renewal fee of $80) -Applicants must be at least 18 years of age -No temporary licensing -Fee for license transfer is $125, must take MPJE -Pharmacists need 30 hours from an ACPE approved provider or other board approved provider every 2 years to renew license -There are 9 categories for pharmacy licensure -Non-resident pharmacies do not need to be registered with the state -Initial licensure/registration fee $100 with biennial renewal fee of $95 -Pharmacists may initiate, modify, and/or discontinue drug therapy under a collaborative practice agreement -Pharmacists may administer immunizations -Medical Doctors, Doctors of Osteopathy: unlimited, independent prescribing authority -Doctors of Dental Surgery, Podiatric Medicine, Veterinary Medicine: independent prescribing authority limited to their course of practice -Physician Assistant: dependent prescribing authority, limited prescribing authority Advanced Registered Nurse Practitioner, Nurse Midwife, Nurse Practitioner, OB/GYN Nurse Practitioner, Pediatric Nurse Practitioner, Psychiatric Nurse Practitioner: dependent prescribing authority -Optometrist: independent authority but may not prescribe oral steroids -Midwife, Clinical Nurse Specialist, Certified Registered Nurse Anesthetist, EMT Paramedic: no prescribing authority -Doctor of Homeopathy and Naturopathic Doctor: not licensed

9 Legend Drug Prescriptions Patient Counseling Facsimile Transmission Electronic Transmission Pharmacy Technicians Georgia State Law Review -Maintain records for 2 years -No time limit on refills -Sale of OTC CV preparations is allowed but check state requirements -Counseling is required for all patients for new prescriptions -Counseling must be performed personally to the patient face-to-face by the pharmacist whenever practicable -Patient profiles are mandated -Faxed prescriptions are permitted -Faxing of controlled prescriptions are allowed as per DEA regulation 21 CFR and All legend drug and controlled substance prescriptions are allowed provided that they comply with DEA requirements -Technicians do not need to be registered or certified -Technicians are allowed to enter Rx into computer -Technicians can compound IV admixtures only if the pharmacist verifies the final product for accuracy, efficacy, patient utilization, and active ingredients added to the IV mixture -Technicians cannot call physician for refill authorizations, accept new Rx called in from physician/office, or compound in a community setting -All activities need to be checked and verified by a pharmacist *Information included in table is not all inclusive and is adapted from the Survey of Pharmacy Law book provided by NABP and states rules and regulations

10 Board of Pharmacy Practical Experience (Intern Hours) Exam Requirements Pharmacist Licensure Continuing Education Pharmacy Licensure Requirements Prescribing Authority Legend Drug Illinois State Law Review -7 pharmacist and 2 public members -Pharmacists must have practiced 5 years (don t need to be actively practicing but licensure must be active and in good standing) -Appointed by Governor -Each term is 5 years and members can serve 2 terms -Interns must be registered as pharmacy technicians -Initial registration fee is $40 with annual renewal fee of $ hours required in conjunction with academic credit required by rule/regulation -Hours begin your first professional year -Graduation from an accredited college of pharmacy -Pass NAPLEX and MPJE exams -NAPLEX score validity for transfer is 1 year -Licenses are issued by Department of Financial and Professional Regulation -Initial certificate fee $75 -Biennial renewal on even years costing $150, expires March 31 st, mail date in January -Fee for license transfer is $200 if graduated from ACPE accredited school -No temporary licensing -Pharmacists need 30 hours from an ACPE approved provider every 2 years -There is a single license category -Non-resident pharmacies must register -Initial licensure/registration fee $100 with biennial renewal (Fee $200) -Pharmacist may not initiate, modify, and/or discontinue drug therapy pursuant to a collaborative practice agreement or protocol - Pharmacists may administer influenza immunizations with a prescription or protocol from a physician -Medical Doctors and Doctors of Osteopathy: unlimited, independent prescribing authority -Doctors of Dental Surgery, Podiatric Medicine, Veterinary Medicine: independent prescribing authority limited to their course of practice - Physician assistant, advanced registered nurse practitioner, clinical nurse specialist, nurse practitioner, OB/GYN nurse practitioner, pediatric nurse practitioner, psychiatric nurse practitioner, and certified registered nurse anesthetist: Dependent prescribing authority: -Doctors of homeopathy, doctors of chiropractic and EMT paramedic: no prescribing authority - Midwife has dependent prescribing authority -Naturopathic doctor: Not licensed -Optometrist: full prescriptive authority, may not prescribe oral steroids -Duration of Validity: 1 year, 6 months for C-III to C-V -Can sell C-V OTC if sold by a pharmacist in a pharmacy

11 Prescriptions Patient Counseling Facsimile Transmission Pharmacy Technicians Electronic Transmission of Prescription -Maintain records for 5 years -Only an offer to counsel is required to all patients (including Medicaid patients) for both new prescriptions and refills -Counseling must be performed personally and face-to-face by the pharmacist to the patient or patient s agent if the prescription is delivered within the pharmacy. If not, a written offer must be made with toll-free access to a pharmacist -Counseling must be offered unless a pharmacist deems it inappropriate or unnecessary; then it may be written, by telephone or as appropriate -Patient profiles are mandated -A faxed Rx is handled in the same manner as a phoned-in prescription except for C-II -Photocopying or immediately reducing to writing is required in order to produce a non-faded Rx -C-II fax is only allowed for home infusion prescriptions, LTCF inpatients, hospice patients -Need to be registered but not certified -Technician certification available -Beginning on January 1, 2010, within two years of becoming employed as a registered technician, must become certified by successfully passing PTCB or other Board-approved examination. Does not apply to pharmacy technicians hired prior to January 1, Registration fee $40 initially with annual renewal fee of $25 -Technicians are allowed to: enter prescription and patient information into computer, compound, and call for physician authorization on refills -Technicians may accept called-in prescriptions -Training and exam requirements -No CE requirements -Technicians are not allowed to: transfer prescriptions, check other technicians -Rules/regulations currently being developed/proposed and may alter the above statements -effective January 1 st, 2012, Schedule II controlled substances are allowed as long as transmission is in compliance with federal regulations

12 Board of Pharmacy Practical Experience (Intern Hours) Exam Requirements Pharmacist Licensure Continuing Education Pharmacy Licensure Requirements Legend Drug Prescriptions Patient Counseling Facsimile Transmission Indiana State Law Review -6 pharmacists and 1 public member -Appointed by Governor -Each term is 4 years and there is no limit on the number of terms that a member can serve - Pharmacist members do not have to be actively practicing -Interns must be registered -Initial registration fee is $10 with annual renewal fee of $ hours of practical experience required by the Board - Internship/externship credit begins with the first professional year in a college of pharmacy -Graduation from an accredited college of pharmacy -Pass NAPLEX and MPJE exams -State participates in NAPLEX Score Transfer Program on a reciprocal basis with any other state that will accept its scores -No validity period for a NAPLEX score transfer -Licenses are issued by professional licensing agency -Individuals must be at least 18 years of age to obtain license -License expires June 30, mailing date is 60 days prior to expiration -Criminal background check required through the Indiana State Police. Separate fee for the police - Initial certificate fee $100 -Biennial renewal costing $160 -Fee for license transfer is $100 -Temporary licenses are not available -Pharmacists are required to complete thirty (30) hours of approved CE every two (2) years. -No more than six (6) hours of business- or computer-related CPE is accepted. -No carry over of credit is allowed. -At least half of total hours must be ACPE approved; any other hours must be approved by the Board. -There are 6 categories of pharmacy licenses -Non-resident pharmacies must register -Initial licensure/registration fee of $100 with biennial renewal (Fee $200) -Initial Controlled Substance fee is $100 with a $100 biennial renewal fee -Time limit on refills: 1 year (Six months for C-III and C-IV controlled substance prescriptions.) -Maintain records for 2 years -Can sell schedule V products over the counter (Must be sold by pharmacist only in pharmacy.) -Patient counseling must be offered for all patients for both new prescriptions and refills -It must be performed personally and face to face (when appropriate/applicable) by the pharmacist -Patient profile is mandated -Schedule III-V may only be sent from an institutional facility by the authorizing practitioner or an authorized agent. P Schedule II permitted only for home infusion prescriptions, long-term care facility (LTCF) inpatients, and hospice patients.

13 Electronic Transmission Prescribing Authority Pharmacy Technicians -Prescriptions may be transmitted electronically if the pharmacy passes through a Board-approved intermediary -Electronic transmission of the controlled substances is permitted given that it complies with DEA requirement -Pharmacists may administer immunizations under a drug order, prescription or physician-approved protocol for flu and shingles -Medical Doctors and Doctors of Osteopathy: unlimited, independent prescribing authority -Doctors of Dental Surgery, Podiatric Medicine, Veterinary Medicine: independent prescribing authority limited to their course of practice -Doctors of chiropractic have no prescribing authority -Doctors of homeopathy are not licensed -Physician assistants have no prescribing authority -Nurse Midwives, Nurse Practitioners, OB/GYN Nurse Practitioners, Pediatric Nurse Practitioners, Psychiatric Nurse Practitioners, and Certified Registered Nurse Anesthetists, Midwife: Dependent prescribing authority ( Advanced Practice Nurses must be certified under rules promulgated by the Board of Nursing and Medical Licensing Board. When certified, they will have dependent authority. Must have collaborative agreement with physician and may only prescribe within the scope of the physician s practice. The state does not necessarily recognize each listed nursing specialty. Hospital and private mental institutional Pharmacists may adjust drug therapies pursuant to protocol and under the supervision of a physician.) - Optometrists: Limited prescribing authority (Optometrists must be certified by a committee of the Pharmacy Board and use formularies to prescribe. They may not prescribe for controlled substances. May only prescribe drugs related to eye and adjacent structures.) -State certifies technicians and has training requirements -Registration fee $25 initially, with biennial renewal -Separate criminal background check fee for Indiana State Police -Technicians are allowed to: enter prescription and patient, compound, call for physician authorization on refills and accept new prescriptions from a physician as long as they are under immediate and personal supervision of the pharmacist. -Technicians cannot transfer prescription orders - Technicians must be under the immediate and personal supervision of the pharmacist.

14 Board of Pharmacy Practical Experience (Intern Hours) Exam Requirements Pharmacist Licensure Continuing Education Pharmacy Licensure Requirements Prescribing Authority Kansas State Law Review -6 pharmacists and 1 public member -Appointed by governor -Each term is 4 years and members can serve up to 2 terms -Pharmacists must be actively practicing and have practiced for 5 years -Interns and preceptors need to be registered with the Board -Intern registration is valid for 6 years, no fee required hours of practical experience are required -Hours begin after admission to a college of pharmacy -Graduation from an accredited college of pharmacy -Pass NAPLEX and MPJE exams -NAPLEX score validity for transfer is 1 year -Licenses are issued by the State Board of Pharmacy -Initial certificate fee: $50 -Biennial renewal- odd license numbers renew in odd years, even licenses numbers renew in even years; fee $150 expiration date is June 30 with mail-in date in May -No criminal background check but the board may require -Applicants must be at least 18 years of age -No temporary licensing -Fee for license transfer is $80 and must take MPJE -Pharmacists need 30 hours from an ACPE approved provider or other approved provider every 2 years to renew license; no carryover of credit is allowed -There are 2 categories for pharmacy licensure -Non-resident pharmacies need to be registered with the state -Initial licensure/registration fee $140 with annual renewal fee $125 -Kansas does not have a collaborative practice law -Pharmacists can administer immunizations subject to protocol after proper study and training -Medical Doctors, Doctors of Osteopathy: unlimited, independent prescribing authority -Doctors of Dental Surgery, Podiatric Medicine, Veterinary Medicine: independent prescribing authority limited to their course of practice -Physician Assistant, Advanced Registered Nurse Practitioner, Naturopathic Doctor (pursuant to protocol with a physician): dependent prescribing authority -Optometrist: Independent, full prescribing authority -EMT Paramedic: use only -Homeopathic doctors: limited, dependent prescribing authority -Midwife, Clinical Nurse Specialist, Nurse Midwife, Nurse Practitioner, OB/GYN Nurse Practitioner, Pediatric Nurse Practitioner, Psychiatric Nurse Practitioner, Certified Registered Nurse Anesthetist, Chiropractic Doctor: no prescribing authority

15 Legend Drug Prescriptions Patient Counseling Facsimile Transmission Pharmacy Technicians Electronic Prescriptions -Time limit on refills: 1 year; CIII-IV is 6 months -Maintain records for 5 years -Can sell schedule V products over the counter if sold by a pharmacist in a pharmacy -Counseling is required for all patients for new prescriptions, pharmacist judgment is used for refills -Counseling must be performed personally to the patient face-to-face by the pharmacist if dispensed in the pharmacy, otherwise by telephone or in writing -Patient profiles are mandated -C-II fax is only allowed for home infusion prescriptions, LTCF inpatients, hospice patients. For all others, C-II may be faxed but the original must be presented to the pharmacist before dispensing -Other prescriptions may be faxed to the pharmacy -Technicians must be registered, but not certified or licensed ($25 biennial fee) -Technicians are allowed to: enter Rx, enter patient information, call doctor s office for refill authorization, compound medication -Technicians cannot accept a called-in Rx from physician/office (unless it is a refill) or transfer prescriptions -All activities need to be checked and verified by a pharmacist -Technicians may check the work of other technicians in the hospital/institutional setting -Training and an exam are required -Electronic transmission of prescription is allowed for all legend drugs -Electronic prescriptions for controlled substances are not allowedregulation pending

16 Board of Pharmacy Practical Experience (Intern Hours) Minnesota State Law Review -5 pharmacist and 2 public members -Pharmacists must be actively practicing with at least 5 years experience -Appointed by governor -Each term is 4 years and members can serve unlimited terms -Interns and preceptors need to be registered with the board -Intern registration fee is $30 (no renewal fee) -Intern registration duration continues through entire internship experience hours of practical experience are required by the board (400 hours while attending classes, 800 hrs must be actual dispensing hrs) -Hours begin after the first professional year of pharmacy school Exam Requirements -Graduation from an accredited college of pharmacy -Pass NAPLEX and MPJE exams Pharmacist Licensure Continuing Education Pharmacy Licensure Requirements Prescribing Authority -NAPLEX score transfer valid for 1 year -Licenses are issued by the Board of Pharmacy -Initial certificate fee is $130 -Annual renewal costing $130 (expiration date is March 1 st mailing date is in January) -Fee for license transfer is $225 -No temporary licenses -Must be at least 18 years old -Requires at least thirty (30) hours of credit from accredited CPE programs every two (2) years. -Carry over and splitting of program hours are not allowed. -There are 6 categories of pharmacy licenses -Non-resident pharmacies have to be registered -Initial licensure/registration fee $190 with annual renewal fee $190 -Pharmacists may modify and/or discontinue drug therapy under a collaborative practice agreement -Pharmacists may administer influenza immunizations to patients age 10 and older and other immunizations to patients age 18 and older -Medical Doctors and Doctors of Osteopathy: unlimited, independent prescribing authority -Doctors of Dental Surgery, Podiatric Medicine, Veterinary Medicine: independent prescribing authority limited to their course of practice -Physician Assistant, Advanced Registered Nurse Practitioner, Clinical Nurse Specialist, Nurse Practitioner, OB/GYN Nurse Practitioner, Pediatric Nurse Practitioner, Psychiatric Nurse Practitioner, Certified Registered Nurse Anesthetist: dependent prescribing authority -Optometrist: independent authority but may not prescribe oral steroids. All optometrists must hold full prescriptive authority by August 1, EMT Paramedic: use only -Doctor of Homeopathy, Midwife, Chiropractic Doctor: no prescribing authority -Naturopathic Doctor: NDs may prescribe extracts of food, nutraceuticals,

17 Prescribing Authority (con t) Legend Drug Prescriptions Patient Counseling Facsimile Transmission Electronic Transmission Pharmacy Technicians vitamins, minerals, amino acids, enzymes, botanicals and their extracts, botanical medicines, herbal remedies, homeopathic medicines, dietary supplements, and nonprescription drugs as defined by the federal, Food, Drug, and Cosmetic Act,glandulars, protomorphogens, and barrier devices for contraception. -Nurse Midwife: independent prescribing authority -Duration of validity: 1 year; 6 months for schedule III and IV medications -Maintain records for 2 years -Schedule V can be sold OTC, but with more stringent rules on frequency than DEA -Counseling is required for all patients for both new prescriptions, and for refills when applicable/appropriate -Counseling must be performed personally, face-to-face by the pharmacist -Patient profiles are mandated -Controlled substances prescriptions may be faxed -Has controlled substance prescriptive monitoring program (as of 2010) -Electronic transmission is allowed for all legend drugs -Electronic prescribing on controlled substances is not allowed -Technicians are allowed to enter prescription and patient information into computer, compound (bulk only for community technicians), and check other technicians with Board approval in limited situations (only in hospital/institutional setting not community) -Technician registration fee is $30 and is renewable annually; registration is required but not licensure or certification. -Technicians cannot transfer prescriptions by telephone -Technicians can request refill authorizations from a physician s office but cannot accept orders for new prescriptions -Specific functions are exempted from the 2:1 (technician to pharmacist) ratio as follows: for intravenous admixture preparation, unit-dose dispensing, prepackaging, and bulk compounding, ratio is 3:1. One additional technician per pharmacy if that technician is certified..

18 Board of Pharmacy Practical Experience (Intern Hours) Exam Requirements Pharmacist Licensure Continuing Education Pharmacy Licensure Requirements Legend Drug Prescriptions Patient Counseling Missouri State Law Review -6 pharmacists and 1 public member -Appointed by Governor -Each term is 5 years and there is no limit on the number of terms that a member can serve -Pharmacist members must be actively practicing -No minimum number of years of practice experience -Interns must be registered (board approval required for preceptors and training sites) -Initial registration fee is $50 with renewal fee of $80 every 2 years hours of practical experience required by the Board for out-of-state schools or foreign students, 480 hours required for in-state schools -Internship/externship credit begins after 30 hours of college of pharmacy. -Graduation from an accredited college of pharmacy -Pass NAPLEX and MPJE exams -State participates in NAPLEX Score Transfer Program on a reciprocal basis with any other state that will accept its scores -NAPLEX score validity for transfer is indefinite -Licenses are issued by Board of Pharmacy -Individuals must be at least 21 years of age to obtain license -Initial certificate fee $150 (plus a fingerprint fee) -Biennial renewal costing $225 (license expires October 31 st, mailing date in August) -Fee for license transfer is $375 -To transfer must present proof of initial licensure and proof that license is in good standing. -Temporary licenses are available -Pharmacists need to submit 30 hours of credit biennially -No carry-over of credit is allowed -An audit of randomly selected renewal licenses is conducted -There are 12 categories of pharmacy licenses -Non-resident pharmacies must register -Initial licensure/registration fee of $300 with biennial renewal (Fee $450) -Nonresident pharmacists do not need to be registered but must be registered in the state in which they are located -Duration of validity: 1 year -Maintain records for 5 years -Cannot sell schedule V products over the counter -Patient counseling is required for all patients for both new prescriptions and refills -It must be performed personally and face to face either by the pharmacist or extern (under the supervision of a pharmacist) -Patient profile is mandated *Information included in table is not all inclusive and is adapted from the Survey of Pharmacy Law book provided by NABP and states rules and regulations. You can contact the specific Board of Pharmacy for each state with specific questions.

19 Prescribing Authority Facsimile Transmission Pharmacy Technicians -Pharmacists may administer drugs and immunizations -State has freedom of choice legislation -Medical Doctors and Doctors of Osteopathy: unlimited, independent prescribing authority -Doctors of Dental Surgery, Podiatric Medicine, Veterinary Medicine: independent prescribing authority limited to their course of practice - Physician Assistants (limited prescribing authority), Advanced Registered Nurse Practitioners, Clinical Nurse Specialists, Nurse Midwives, Nurse Practitioners, OB/GYN Nurse Practitioners, Pediatric Nurse Practitioners, Psychiatric Nurse Practitioners, and Certified Registered Nurse Anesthetists (limited prescribing authority): Dependent prescribing only when in collaborative practice arrangement with a physician. -Optometrists: Independent authority -Doctors of Homeopathy, Doctors of Chiropractic, Midwives, EMT Paramedics, and Naturopathic Doctors (not licensed): no prescribing authority. -Controlled prescriptions allowed -C-II fax is only allowed if the written and signed prescription is presented to the pharmacist for review prior to the dispensing of the controlled substance (exceptions: long-term care patients, parenteral narcotic drugs for direct administration, and emergency dispensing) -Prescriber information is required -Need to be registered but not certified or licensed -Registration fee $35 initially (plus a fingerprint fee) with annual renewal -No training, CE, or examination requirements -No maximum ratio of technician to pharmacist -Technicians are allowed to: enter prescription and patient information into computer, compound, call for physician authorization on refills and accept new prescriptions from a physician as long as they are under direct supervision of a licensed pharmacist -Under pharmacist supervision, technicians can transfer prescriptions by telephone as long as prescriptions are not for controlled substances. -Tech-check-tech not allowed *Information included in table is not all inclusive and is adapted from the Survey of Pharmacy Law book provided by NABP and states rules and regulations. You can contact the specific Board of Pharmacy for each state with specific questions.

20 Board of Pharmacy Practical Experience (Intern Hours) Exam Requirements Pharmacist Licensure New York State Law Review 14 pharmacists, 2 public members Pharmacist members need not be active Minimum number of years of practice experience requirement: 5 years Each pharmacist term is 5 years and the max number of terms each can serve is 2 Appointed by governor 1040 hours required by rule or regulation Grads of an ACPE accredited PharmD program automatically meet requirement Hours counted starting from first professional year Interns need to be registered with the Board, but training sites and preceptors do not Intern fee: $70 for 5 year registration. (renewal fee of $70 up to max of 2 years) Graduation from an accredited college of pharmacy Pass NAPLEX and MPJE NAPLEX score transfer is valid for 5 years Licenses are issued by the department of education Initial certificate fee: $224 Triennial renewal fee $224, license expires during pharmacist s birth month, mailing for renewal 4 months prior to expiration Temporary licensing not applicable Pharmacists may administer influenza and pneumococcal vaccines and drugs to treat reactions License transfer fee: $339 (includes fee for application and initial license) Continuing Education During each triennial registration period, pharmacists must complete a minimum of forty five (45) hours of acceptable formal CPE with no more than twenty two (22) hours consisting of self study courses. Every pharmacist is required to complete three (3) of the forty five (45) hours in the area of strategies used to reduce medication errors. Pharmacy Licensure Requirements Licensure/registration fee $345 Renewal fee of $260 triennially Nonresident pharmacists needs to be licensed when performing remote entry activities but does not dispense prescriptions into the state (telemedicine) Prescribing Authority 1 license category All prescription (both controlled and legend) must be issued on a serialized official NY state prescription form Medical doctors and doctors of osteopathy have unlimited, independent prescribing authority Doctors of Dental Surgery, Podiatric Medicine, and Veterinary Medicine have independent prescribing authority limited to their course of practice Chiropractors have no prescribing authority

21 Prescribing Authority (con t) Legend Drug Prescriptions Patient Counseling Facsimile Transmission Pharmacy Technicians EMT paramedics: use only Advanced registered NP have independent prescribing authority Clinical nurse specialist, nurse midwife, certified registered nurse anesthetist have no prescribing authority. Doctor of Homeopathy and naturopathic doctors are not licensed and have no prescribing authority PAs have dependent prescribing authority Nurse practitioner, OB/GYN NP, pediatric NP, and psychiatric NP are authorized to issue prescriptions in accordance with practice agreements and practice protocols between the physician and NP. Effective 1994, implementation of the Midwifery Practice Act resulted in licensure of professional midwives, so they have independent prescribing authority Optometrists may prescribe topical medications only. Pharmacists may initiate, modify and/or discontinue drug therapy according to collaborative practice agreement only in teaching hospitals Pharmacists may administer flu/pneumonia vaccines Time limit for refills: None Must maintain prescription records for 5 years Sale of schedule V preparations as OTC NOT allowed A pharmacist or intern must counsel on all new prescriptions or when a regimen is changed. Anyone under the direction of a pharmacist may make an offer to counsel on refills. Face to face counseling is required, but if the patient or agent is not present when the prescription is dispensed; tollfree number required Patient profiles are mandated Faxing of controlled substance prescriptions allowed Faxed Schedule II may be used as original only for home infusion prescriptions, LTCF inpatients, and hospice patients. State does not license, certify, or register techs No tech check tech 2:1 technician to pharmacist ratio in ambulatory care and institutional care setting May enter prescription into computer under pharmacist supervision Tech may not compound, transfer, or accept any prescriptions.

22 North Carolina State Law Review Board of Pharmacy Practical Experience (Intern Hours) Exam Requirements Pharmacist Licensure Continuing Education Pharmacy Licensure Requirements 5 pharmacists and 1 public member Pharmacist members do not have to be actively practicing No minimum number of years of practice experience Each pharmacist term is 5 years and is limited to 2 consecutive terms Appointed by governor Applicants with ACPE accredited PharmD received after January 1, 2001, are deemed to have met internship requirements for licensure. Interns, preceptors, and training sites do not need to be registered with the Board Intern hours counted by board begin after second academic year Reporting is for actual hours worked Graduation from an accredited college of pharmacy Pass NAPLEX and MPJE State participates in NAPLEX score transfer program NAPLEX score transfer is valid for 2 years Licenses are issued by the Board of Pharmacy Initial certificate fee: $200 No minimum age at which initial license can be obtained Annual renewal fee $135, license expires December 31 st, no mailing for renewal (frequent e mail communication only) Temporary licensing not applicable License transfer fee: $600 Photographs, identification, and special forms furnished by state in addition to official NABP application Pharmacists who have not been in active practice for two years or more prior to seeking transfer may have to complete additional testing, continuing education, or internship requirements. Requires fifteen (15) hours (1.5 CEUs) of CPE per year, with no more than seven (7) hours (0.7 CEUs) of noncontact (ie, correspondence/home study) program credit. Licensure/registration fee $500 Renewal fee of $200 annually Nonresident pharmacies must be registered 3 license categories Non resident pharmacists do not have to be licensed, but out of state pharmacy must certify that it employs a pharmacist that has met requirements for licensure equivalent to those required in North Carolina. Such pharmacist must also agree to be subject to the Board s jurisdiction and to comply with all North Carolina statutes and regulations governing pharmacy practice. *Information included in table is not all inclusive and is adapted from the Survey of Pharmacy Law book provided by NABP and states rules and regulations. You can contact the specific Board of Pharmacy for each state with specific questions.

23 Prescribing Authority Legend Drug Prescriptions Patient Counseling Facsimile Transmission Pharmacy Technicians Pharmacists may initiate, modify, and/or discontinue drug therapy pursuant to a collaborative practice agreement Pharmacists may administer drugs Pharmacists may administer influenza, pneumococcal and zoster immunizations State has freedom of choice legislation Medical doctors and doctors of osteopathy have unlimited, independent prescribing authority Doctors of Dental Surgery, Podiatric Medicine, and Veterinary Medicine have independent prescribing authority limited to their course of practice Physician Assistants, advanced registered nurse practitioner, nurse practitioner, OB/GYN nurse practitioner, nurse midwife, midwife, pediatric NP, psychiatric NP, have dependent prescribing authority Advanced registered nurse practitioners, nurse practitioners, OB/GYN Nurse Practitioner, certified nurse practitioner, psychiatric nurse practitioner, and certified registered nurse anesthetist may prescribe and dispense within the scope of their specialty Naturopathic doctor is not licensed Chiropractic doctor, clinical nurse specialist, EMT paramedic have no prescribing authority Optometrist: independent authority Time limit for refills: Limited to one year if refills are indicated as needed. Prescriber may specifically authorize refills for greater than one year. Must maintain prescription records for 3 years C V sold over the counter at pharmacy Counseling is required for all patients for new prescriptions. The offer to counsel may be delegated by the pharmacist to non licensed personnel. The actual counseling must be performed by the pharmacist or pharmacist intern/extern For refill prescriptions, the pharmacist may use professional judgment in determining who to counsel Counseling must be performed by the pharmacist face toface. Patient profiles are mandated Faxing of controlled substance prescriptions allowed Prescriber information required Technicians must be registered No state requirement for licensure or certification Tech registration fee of $30 (annual) Technicians require training but do not have CE requirements Maximum technician to pharmacist ratio is 2:1 in ambulatory and institutional setting (ratio may be increased above 2:1 if additional technicians are certified and Board approves in advance) Only certified tech may accept called in prescriptions, call for refill authorization, or transfer prescriptions *Information included in table is not all inclusive and is adapted from the Survey of Pharmacy Law book provided by NABP and states rules and regulations. You can contact the specific Board of Pharmacy for each state with specific questions.

24 Pharmacy Technicians (cont.) Tech may enter prescription into computer Tech may compound medications for dispensing, but pharmacist is responsible for verification and check Tech check tech allowed in institutional setting only Board rule allows technicians with an AAS degree in pharmacy technology to check other technicians work in certain non patient specific distributive functions *Information included in table is not all inclusive and is adapted from the Survey of Pharmacy Law book provided by NABP and states rules and regulations. You can contact the specific Board of Pharmacy for each state with specific questions.

25 Board of Pharmacy Practical Experience (Intern Hours) Exam Requirements Pharmacist Licensure Continuing Education Pharmacy Licensure Requirements Prescribing Authority Nebraska State Law Review -4 pharmacists and 1 public member -Appointed by Board of Health -Each term is 5 years, members can serve up to 2 consecutive terms -Pharmacists must be actively practicing and for at least 5 years -Interns need to be registered with the Board (Fee $50), preceptors and training sites do not. -Duration of registration is 15 months post graduation -Applicants shall file proof of sufficient internship experience in pharmacy, under the supervision of a licensed pharmacist as may be required by the department, with recommendation of the Board, which shall comply with national requirements for internship as set forth by NABP bylaws. -Board recognition of credit begins during the first professional year -Graduation from an accredited college of pharmacy -Pass NAPLEX and MPJE exams -State participates in NAPLEX score transfer program -NAPLEX score transfer is valid for 1 year -Licenses are issued by Health and Human Services Division of Public Health Licensure Unit -Initial certificate has a $178 fee -Must be 19 years of age to obtain initial license -Biennial renewal ($178 fee) -Expiration date is Jan. 1 of even years with mailing date 30days prior -Temp licensing: A temporary pharmacist license may be granted to persons meeting all of the qualifications for a pharmacist license except the requirement that they be citizens of the United States. Limit of five years during which the temporary pharmacist must obtain US citizenship. Applicants must be an alien lawfully admitted into the US who is eligible for a credential, or a nonimmigrant whose visa for entry, or application for visa for entry, is related to employment as a credential holder in the US. -Fee for license transfer is $178 -Every two (2) years, pharmacists will be required to complete thirty (30) hours (3 CEUs) of CPE that meet ACPE criteria for quality. -Each pharmacist is responsible for keeping his or her own records. -No carry over of credit is permitted. -There are 4 categories for pharmacy licensure -Non-resident pharmacies and pharmacists need to be registered with the state -Initial licensure/registration fee $625 with annual renewal fee $625 -Pharmacists may initiate, modify, and/or discontinue drug therapy under a collaborative practice agreement -Pharmacists may administer drugs and immunizations *Information included in table is not all inclusive and is adapted from the Survey of Pharmacy Law book provided by NABP and states rules and regulations. You can contact the specific Board of Pharmacy for each state with specific questions.