The landscape for access to PrEP for HIV prevention is changing, and some states have established policies to allow pharmacists to prescribe PrEP. Below is a list of of states in the U.S. that currently have legislation to allows licensed pharmacists to prescribe PrEP.
Prepared by Maria Lopez, Pharm.D., CBA Specialist & President of Mission Wellness Pharmacy
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States with Pharmacist-Delivered PrEP Legislation |
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| State | Year Passed | Bill | Unlimited Quantities | Main points on training, days allowed & reimbursement |
| CA | 2019 | SB159
AB317 |
PrEP & PEP
Training Required:90 minutes CE Up to 60 days PrEP per 2 year period PEP 30 days, unlimited times Mandates reimbursement from Medicaid (not specific to labs, visits) Requires insurers to cover PrEP and PEP medication without PA AB317 passed in 2023 requires insurance companies to reimburse for pharmacists’ services within scope of practice at an in network pharmacy or out of network pharmacy if the plan has an out of network plan. |
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| CO | 2020 | HB1061 | X | PrEP & PEP
Can prescribe drugs for conditions that have a test used to guide diagnosis or clinical decision making and is CLIA waived & in 2021 update created statewide protocol for PrEP & PEP
Requires private insurers to reimburse for pharmacists for PrEP and PEP and requires payment of consultative fee for pharmacist at 100% rate of physician fee |
| ID | 2018 | Can prescribe drugs for conditions that have a test used to guide diagnosis or clinical decision-making and is CLIA waived | ||
| IL | 2022 | HB4430 | X | Rph must have a standing order by licensed MD or county health dept. Mandates payment by Medicaid + payors for patient care services provided by a pharmacist at min 85% of the rate that the services are covered and reimbursed when ordered or administered by physicians. |
| ME | 2021 | LD1115 | Can prescribe, dispense or administer HIV prevention drugs pursuant to a statewide protocol, standing order or CPA. Requires insurers to cover PrEP and PEP medication without PA or step therapy requirements | |
| NV | 2021 | SB325 | X | PrEP & PEP
NV Medicaid- must pay pharmacist for services at rate = to MD, PA, advanced RN Laboratory services covered |
| NM | 2021 | State protocol | Pharmacist PrEP and PEP protocol | |
| NY | 2017 | State guidance | 7 days PEP | |
| OR | 2021 | HB2958 | Pharmacists can prescribe, dispense, and administer PrEP (up to 30 days) and PEP in accordance with Board rules. Must have negative HIV test. | |
| UT | 2021 | HB0178 | X | Unlimited PrEP and PEP prescribed via statewide protocol, 100% reimbursed |
| VA | 2021 | HB2079 | X | Initiate treatment, dispense and administer PrEP and PEP via statewide protocol. Includes controlled substances for prevention of HIV
Payment at 100% reimbursement |
(Updated 11/6/23)
