How to Use the Map

1. Hover your mouse over your state to display a pop-up box with information for the state.

2. Click on state to freeze the display box on the map. Upon click, a button labeled Sources will appear in the bottom left corner.

• Note: Keep your cursor on the displayed box when navigating to the Sources button. The display box will disappear if the mouse moves to another state.

3. Click the Source button to scroll the webpage down to the selected state; where sources for the listed measures are linked. (If display boxes are not revealing a Source button, please reload the webpage.)

• You can also scroll down past the map to find sources for your state’s measures.

 

This webpage has been tested in Google Chrome and Mozilla Firefox. We recommend using one of these browsers for the best experience.

The map was last updated May 14, 5:00pm ET.

Thank you to the following organizations for providing resources that Healthcare Ready used as sources to create this map:

• National Association of Chain Drug Stores (NACDS) – COVID-19 State Status Tracker
• National Alliance of State Pharmacy Associations (NASPA) – COVID-19 Information from the States
• National Association of Boards of Pharmacy (NABP) – COVID-19 Board of Pharmacy Status

 

COVID-19 FAQs:

• For tips and information on how the COVID-19 pandemic may impact your healthcare and prescription medications, read here.
• For information on how the COVID-19 pandemic may impact your pharmacy operations and ways you can prepare your pharmacy, read here. 
• See full FAQ here.

 

Sources for Information by State

Alabama

• Board of Pharmacy Re: Coronavirus (COVID-19)
  • Pharmacists may process emergency prescription refills for a 30-day supply of maintenance medications if certain requirements are met.
• Alabama State Board of Pharmacy – COVID-19 Schedule II Requirements/Clarifications
  • Schedule ll medications may be prescribed either electronically or by calling in or faxing an emergency prescription to the pharmacy.

Alaska

• Board of Pharmacy Re: Response to COVID-19
  • If a disaster emergency has been declared, pharmacists may dispense a one-time 30-day emergency refill; if the declared emergency lasts more than 21 days, a second 30-day refill may be issued.
• Medicaid Pharmacy Update
  •  Alaska Medicaid is allowing 68-day refills on medications normally restricted to a 34-day supply.

American Samoa

Arizona

• Arizona State Board of Pharmacy FAQS: COVID-19
  • If a state of emergency has been declared, pharmacists may dispense a one-time 30-day emergency refill if certain requirements are met; if the declared emergency lasts more than 21 days, a second 30-day refill may be issued.

Arkansas

• Arkansas Department of Human Services: Allowance of Early Refills during COVID0-19 Outbreak
  • Arkansas’ Division of Medical Services is allowing early refills of non-controlled drugs.
  • Days of resupply allowed not specified.

California

• CA Medi-Cal FFS Pharmacy Benefit (Emergency Refill, Early Refill)
  • When necessary, maintenance medications may be filled prior to the date that the medication runs out as long as a minimum of 75 percent of the estimated duration of the supply dispensed has expired.
• Fee-for-Service Pharmacy Benefit Reminders and Clarifications
  • Medi-Cal is allowing early refills for maintenance medications.

Colorado

• HB19-1077 Pharmacist Dispense Drug Without Prescription in Emergency
  • Pharmacists may dispense an emergency supply of a chronic maintenance drug if the refill does not exceed the size of previous prescriptions.

Connecticut

• Connecticut Executive Order No. 71
  • Pharmacists have discretion in refilling certain prescriptions for not more than a 30-day supply.
• Connecticut Insurance Department Re: Coronavirus (COVID-19) Outbreak and Testing
  • Health Insurers and healthcare centers are encouraged to authorize payment to pharmacies for a ninety (90) day supply of maintenance prescription medications.

Delaware

• Insurers Bulletin NO. 115
  • Allows emergency supplies or refills without additional authorization.
• Emergency refills of noncontrolled drugs
  • Authorizes an emergency supply if the amount dispensed is the minimum necessary.

District of Columbia

• Emergency Authorization of a 90-day supply for maintenance medications and 30-day supply for non-maintenance medications
  • Pharmacists allowed to dispense a refill before the expiration of the waiting period; also allows for a 90-day supply of maintenance medications and a 30-day supply of non-maintenance medications.

Florida

•  Section 465.0275, Florida Statutes
  • Under state of emergency, Florida pharmacists may dispense up to a 30-day supply of maintenance medication for a chronic condition provided that the medication is essential, and the pharmacist notifies the prescriber.
• Office of Insurance Regulation information Memorandum OIR-20-02M
  • “Refill too soon” limitations lifted allowing patients to receive early refills.

Georgia

• Executive Order Reducing Regulations To Assist The State’s Response To The Spread Of Covid-19
  • Allows pharmacists to dispense up to 90-day supply without authorization, also permits early refills.
• Department of Community Health Attn: Georgia Medicaid Prescribers and Pharmacy Providers
  • For Georgia Medicaid FFS members early refill limits on 30-day prescriptions have been waived.

Idaho

• State Board of Pharmacy FAQ for COVID-19 Declaration of Emergency
  • Authorizes pharmacists to refill prescriptions.
  • For Idaho Medicaid many maintenance prescriptions are available as a 3-month supply, early; and early refills can be requested.

Illinois

• Illinois: Pharmacy Practice Act
  • Allows pharmacists to use professional judgement for an emergency refill of no more than a 30-day supply of maintenance medication.

Indiana

• Executive Order 20-12
  • Permits a 90-day refill of maintenance medication.
• IHCH changes pharmacy benefits and Emergency Department Autopay List in response to COVID-19
  • Allows early refills for noncontrolled substances.

Iowa

• 155A.29 Prescription refills
  • Prescriptions may be refilled for a period of time that is “reasonably necessary.”
• Department of Human Services Informational Letter NO. 2119-MC-FFS-CVD
  • Medicaid will allow early refills and a 90-day supply.

Kansas

• Board of Pharmacy Rules and Regulations
  • Emergency refills only until the pharmacist can reach the prescriber, and not for any longer than 7 days or one package.

Kentucky

• 201 KAR 2:330. Emergency pharmacy powers.
  • Allows pharmacists to dispense a 30-day supply.

Louisiana

• Board of Pharmacy COVID-19 Guidance Information
  • Under a “State of Emergency” a pharmacist may dispense a one-time 30-day prescription for maintenance medication.
• Program Updates from Louisiana Medicaid
  • LA Medicaid members may receive early refills and 90-day supplies of maintenance medications.
• Office of Workers’ Compensation Health Care Services Regarding Prescription Refills
  • Workers’ compensation insurers should allow insured individuals to obtain early refills for 30-90 day prescriptions.

Maine

• Insurance Bulletin 442 Emergency Measures Responding to the Coronavirus Pandemic
  • Insurers should allow insurance enrollees to obtain one-time refills of their prescription medications.
  • Insurance providers should allow one-time early refills of prescriptions.

Maryland

• Maryland Department of Health Memorandum RE: COVID-19 Guidance Information
  • 30-day refill allowed for non-controlled substances under a state of emergency.
• Maryland: Insurance Bulletin 20-05
  • Authorize Payment to Pharmacies for at least a 30-day supply of any prescription medication.
• Maryland:  Advisory No. 206 Novel Coronavirus 2019 (COVID-19)
  • MD Medicaid FFS Program allows a one-time early refill of 30-day supply and up to 90-day supply for maintenance medication.
• Maryland: Advisory No. 207 2019 Novel Coronavirus (COVID-19) Pandemic Update
  • MD Medicaid FFS Program allows a 14-day emergency supply instead of the usual 72-hour emergency supply.

Massachusetts

• COVID Emergency Prescription Refill Guidance
  • Allows for pharmacists to prescribe a 30-day supply of maintenance medication.
• Title 21 Code of Federal Regulations Part 1306 – Prescriptions
  • Emergency prescriptions of Schedule II drugs falls under existing DEA rules; if in an emergency situation, a pharmacist may prescribe Schedule II drugs limited to the amount adequate for the emergency situation.
• MassHealth Coronavirus Disease 2019 Frequently Asked Questions
  • MassHealth allows early refills and 90-day supplies of medication.

Michigan

• Medicaid Pharmacy Flexibilities in Response to COVID-19 Emergency
  • Michigan Medicaid allows some early refills
• Executive Order 2020-25 (COVID-19)
  • Allows pharmacists to dispense 60-day emergency refills for maintenance medications.

Minnesota

• Board of Pharmacy Frequently Asked Questions COVID-19
  • Pharmacists are allowed to refill prescriptions even if no refills remain, for a 30-day or standard unit supply; pharmacists cannot provide more than one emergency refill in a 12-month period; insurers are required to pay for emergency refills even though there were no remaining refills.
• Memorandum to Health Insurance Carriers Related to Coronavirus (COVID-19)
  • Insurance carriers asked to provide a one-time refill of covered medications prior to the expiration of the waiting period between refills.

Mississippi

• Board of Pharmacy Resolution Regarding Prescription Medications
  • Allows for pharmacists to dispense one-time emergency refill of non-controlled maintenance medications.
• Board of Pharmacy CII Drugs – Emergency Declaration
  • Allows for up to a 30-day supply of a Schedule II controlled substance to be provided by a pharmacist even with only an oral prescription for that substance.

Missouri

• Missouri Board of Pharmacy COVID-19 Rule Updates
  • Pharmacists allowed to dispense up to a 30-day supply of emergency medication.
• Department of Social Services Provider Bulletin Pharmacy Early Refill
  • MO HealthNet changed the early refill policy from 85 percent to 50 percent for controlled and non-controlled substances.

Montana

• 24.174.836 Emergency Prescription Refills
  • Pharmacists may dispense an emergency refill for the minimum sufficient quantity, so long as the medication is not listed in Schedule II.

Nebraska

• Medicaid COVID-19 Provider Bulletin
  • Nebraska Medicaid will allow for a one-time early refill of medications.

Nevada

• Guidance on the Authority of a Pharmacist to Issue Emergency Refills in Response to COVID-19
  • Allows pharmacists to issue emergency refills when exercising their professional judgement.

New Hampshire

• Emergency Rule Ph 704.15 Prescription Refill – Interim Supply
  • Pharmacists may refill prescriptions for not over a 90-day supply.

New Jersey

• Guidance for the Pharmacy Community Regarding COVID-19
  • Early refills and up to a 90-day supply are allowed.

New Mexico

• NMSA 61-11-7 Drug Dispensation; Limitations
  • Emergency refills are allowed for a 3-day supply.

New York

North Carolina

• Emergency Prescription Refill Due to Interruption of Medical Services
  • Pharmacists may issue a one-time emergency supply of up to 90 days of a maintenance medication if the prescriber is unable to provide medical services to the patient.
• Emergency Prescription Refills
  • Pharmacists may issue a one-time emergency supply of up to 90 days of a maintenance medication
• Medicaid Special Bulletin COVID-19 #2
  • NC Medicaid allows for early refills and coverage of up to a 90-day supply of the medication.

North Dakota

• Executive Order 2020-09
  • Allows pharmacists to fill emergency prescription refills for up to a 30-day supply for non-schedule II substances.

Ohio

• Ohio: Extension of Emergency Refills
  • Emergency refill of schedule III-V control substances extended to a 30-day supply; a pharmacist may dispense a one-time emergency refill of a 90-day supply for a non-controlled medication
• Ohio: Temporary Expansion of the Maximum Days’ Supply for Multiple Drugs in Single-Dose Containers
  • Maximum supply for applicable drugs extended from 31 days to 60 days.

Oklahoma

• Pharmacy Law Book Emergency/Disaster Prescription Drug Rules
  • Pharmacists allowed to issue a one-time emergency supply of up to a 30-day supply of medication.

Oregon

• Board of Pharmacy: Emergency Pharmacy Rules
  • Pharmacists have the authority to issue emergency refills of a 30-day supply of prescription drugs during a declared emergency.
• COVID-19 UPDATE- Oregon Board of Pharmacy (OBOP) Information April 8, 2020
  • A pharmacist may dispense an emergency supply of a Schedule II controlled substance if given oral authorization of a practitioner.

Pennsylvania

• 63 Pa. Stat. § 390-8
  • Pharmacists may issue a 3-day emergency refill.
• PACE Now Allowing Early Prescription Refills
  • PACE will now reimburse refills purchased before 75 percent of the supply has passed except for opioids and controlled substances, which will be handled on a case-by-case basis.
• CHIP Policy Clarification Pharmacies May Override Early Refill Alerts for Medications
  • Pharmacies are allowed to override the “to early to fill” alert for early refill.

Rhode Island

• Emergency Prescription Refill
  • The pharmacist may dispense a one-time emergency refill of up to a 72-hour supply.

South Carolina

• South Carolina Pharmacy Practice Act
  • Under a State of Emergency, a pharmacy may dispense a one-time 30-day emergency refill.
• Information from SC DHEC regarding the practice of pharmacy with controlled substances
  • Allows for a one-time early refill of Schedule III-V prescriptions due to COVID-19.

South Dakota

• South Dakota Board of Pharmacy COVID-19 Update
  • The pharmacist may fill any non-controlled substance with the supply that is needed.

Tennessee

• Executive Order No. 15
  • Suspended provisions allow a pharmacist to dispense up to a 90-day supply of maintenance prescriptions.

Texas

• Emergency Dispensing of Prescription Medications
  • Allows pharmacists to dispense up to a 30-day supply of a prescription drug, other than a Schedule II controlled substance.
• Coronavirus (COVID-19) Workers’ Compensation Issues
  • Insurers must authorize payments to pharmacies for up to a 90-day supply, regardless of the most recent date the prescription was filled.

Utah

• 58-17b-608 Emergency Refill
  • Emergency refills are allowed for up to a 3-day supply.

Vermont

• Important Pharmacy Information in response to COVID-19
  • Medicaid members may request early refills for up to a 90-day supply; the supply limit for Suboxone Film has been extended up to 30 days.

Virginia

• Dispensing of New Prescriptions or Refills
  • Pharmacists may dispense early refills, with one-time early refills for Schedule II-V drugs.

Washington

• WSPA Guidance to Pharmacy Practitioners for Safe Practice During COVID-19 Outbreak
  • Emergency Order No. 20-01 directs insurance companies to allow for a one-time early refill.
• WAC 246-869-100 Prescription Record Requirements
  • Pharmacists may dispense emergency refills not to exceed a 72-hour supply.

West Virginia

• Emergency prescriptions for life-sustaining medication
  • Pharmacist may dispense a 30-day supply; Schedule III-V are limited to 72-hour supply.

Wisconsin

• Initial Fills and Refills
  • A pharmacist may fill an emergency prescription for no more than 7-days.
• Forward Health Update COVID-19 Information for Pharmacies
  • ForwardHealth is allowing pharmacies to override the overuse precaution, excluding Schedule II drugs; ForwardHealth has moved all non-Schedule II drugs to allow them to be dispensed in a 3-month supply.

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