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. 2024 Jun 25;12:1360349. doi: 10.3389/fpubh.2024.1360349

Table 2.

Pharmacist PrEP prescriber requirements.

State Legislation Education requirements Prescribing criteria
Florida House Bill 389
  • Expands pharmacy practice to include certain drug therapy services, including PrEP

  • Under Collaborative Pharmacy Practice Agreement (CPPA), testing and treatment under a written protocol with a supervising physician

  • Doctor of Pharmacy Degree or 5 years of experience as a licensed pharmacist

  • License renewal every 2 years with an 8-h continuing education course

  • 20-h course: performance of patient assessment; ordering, performing, and interpreting clinical and laboratory tests

  • Professional liability insurance coverage

  • Patient records medical system for at least 5 years

North Carolina House Bill 96
  • Under CPPA and standing order from collaborating physician, may dispense without a prescription

  • Pharmacists must counsel patients and notify primary care provider of PrEP usage

  • Doctor of Pharmacy degree

  • Bachelor of Science in Pharmacy

  • Completed two NCCPC or ACPE approved certificate programs

  • Completion of an ASHP accredited residency program

  • CPPA with a physician licensed in NC who has prescribing authority, including of controlled substances, approved by the North Carolina Board of Pharmacy

  • 5 years of clinical experience

Tennessee Tennessee Board of Pharmacy Rule 1140–03-0.17 (5)(b)
  • Under CPPA and standing order from collaborating physician, may dispense PrEP without a prescription

  • Pharmacists must counsel patients and notify their primary care provider of PrEP usage

  • Doctor of Pharmacy degree OR Bachelor of Science degree in pharmacy and in active practice

  • Pass the NAPLEX and MPJE

  • Licensed by Tennessee Board of Pharmacy

  • CPPA with a physician, that includes guidelines for treatment, screening, and preventative care

  • CPPA is renewed and updated every 2 years

Nevada Nevada Senate Bill 325
  • Pharmacists may prescribe, dispense, and administer PrEP

  • Requires all state regulated health plans, including Medicaid and state employee plans, to provide coverage and reimbursement for medications and related pharmacist clinical services at a rate equal to other practitioners

  • Doctor of Pharmacy degree

  • Pass the NAPLEX and the MPJE

  • Licensed by Nevada Board of Pharmacy

  • Complete a two-hour education course approved by ACPE

  • Liability insurance coverage of 1 million dollars

  • Pharmacist must complete patient HIV screening assessment and counseling on proper use of medication