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| State | Physician Dispensing Regulations | Additional Costs |
|---|---|---|
| Alabama | Permitted. Alabama Board of Medical Examiners does require that dispensing physicians register. | $0 |
| Alaska | Permitted. Physicians may dispense medication as long as they do not represent themselves as a pharmacist. | $0 |
| Arizona | Permitted. Physicians do need to register with their appropriate Board of Medicine. Separate DEA license required if dispensing in multiple locations. | $200 Initial ($150 Annual Renewal) MD / $240 DO |
| Arkansas | Permitted. A permit must be obtained from the state medical board. NPs and PAs are not permitted to dispense medications. | $0 |
| California | Permitted. CA Seller's Permit and Tax Permit required before starting. Physician cannot be sole proprietor to obtain Seller's Permit. | $0 |
| Colorado | Permitted. No known registration requirement. PAs can also dispense. | $0 |
| Connecticut | Permitted. No known registration requirement. | |
| Delaware | Permitted. No known registration requirement. PAs and NPs can dispense. | |
| District of Columbia | Appears to be permitted without any registration requirement. Permits for Scheduled/Controls only. | |
| Florida | Permitted. Formalized process with dispensing form, registration with specific Florida Board of Medicine and fee. | $100 (Annual Renewal) |
| Georgia | Permitted. Physicians that wish to dispense must notify the Georgia Composite Medical Board. | $0 |
| Hawaii | Permitted. No known registration requirement. | |
| Idaho | Permitted. Certification of No Dispensing of Controlled Substances Prescriber Drug Outlets must be obtained. Facility inspection required before dispensing. | $35 |
| Illinois | Permitted with limitations to legend drugs. | $0 |
| Indiana | Permitted. No known registration requirement. | $100 |
| Iowa | Permitted. No known registration requirement. Must notify State Board of Intent to dispense every 2 years. | $0 |
| Kansas | Permitted. No known registration requirement. | $0 |
| Kentucky | Permitted. PAs and NPs cannot dispense. | $0 |
| Louisiana | Permitted. Physicians (MD / DO) do need to register with the Louisiana Board of Medicine. | $75 |
| Maine | Permitted. No known registration requirement. | $0 |
| Maryland | Permitted; however, must submit a detailed applications to the Maryland Board of Physicians. A litany of requirements must be met and customized continuing education related to dispensing is required. | $1,050 |
| Massachusetts | Not Available. | |
| Michigan | Permitted. Must first obtain Drug Control license for each location in which the storage and dispensing of prescription drugs occur. | Minimal Fee |
| Minnesota | Permitted. Must file with practitioner's licensing board before dispensing for profit. | $0 |
| Mississippi | Permitted. No known registration requirement. | $0 |
| Missouri | Permitted. No known registration requirement. | $0 |
| Montana | Limited to dispensing in an emergency, or “whenever there is no community pharmacy available to the patient,” or “the dispensing of drugs occasionally, but not as a usual course of doing business, by a medical practitioner.” | $0 |
| Nebraska | Permitted with approval of Pharmacy permit. | TBD |
| Nevada | Permitted. Application for Authority to Dispense Drugs and receive a dispensing permit. This permit is required for all legend drugs (controlled and noncontrolled). Facility inspection required before dispensing. | $300 |
| New Hampshire | Not Available. | |
| New Jersey | Not Available. | |
| New Mexico | Permitted. No known registration requirement. | $0 |
| New York | Limited. | $0 |
| North Carolina | Permitted. Physician must apply for a state Dispensing Physician Registration. | $75 |
| North Dakota | Permitted. No known registration requirement. | $0 |
| Ohio | Permitted. State of Ohio Board of Pharmacy requires that dispensing physicians obtain a Terminal Distributor of Dangerous Drugs license unless the practice has a single prescriber who is the sole shareholder, member or owner of the practice. | $0 |
| Oklahoma | Permitted. Must register with the state medical board as a dispensing physician. | $0 |
| Oregon | Permitted. Must register with the state medical board as a dispensing physician and dispensing site as a drug outlet. The registered DPDO must maintain written policies and procedures for the management of drugs intended for dispensing, to include security, acquisition, storage, dispensing and drug delivery, disposal and record keeping (for at least three years). | $100 Annual |
| Pennsylvania | Permitted. No known registration requirement. | $0 |
| Rhode Island | Permitted. Initial application must be accompanied by the established fee. The registered DPDO must maintain written policies and procedures for the management of drugs intended for dispensing, to include security, acquisition, storage, dispensing and drug delivery, disposal and record keeping (for at least three years). | $100 |
| South Carolina | Permitted. A dispensing permit is required for sites not 100% physician owned. | TBD |
| South Dakota | Permitted. Physician must apply for a controlled substances registration form. PAs and NPs can dispense. | $150 |
| Tennessee | Permitted. No known registration requirement. | $0 |
| Texas | Not Available. | |
| Utah | Permitted with limitations to only "cosmetic drugs," "injectable weight loss drugs," or a "cancer drug treatment regimen." | $200 |
| Vermont | Permitted. No known registration requirement. PAs and NPs can dispense. | $0 |
| Virginia | Permitted. Application and approval for dispensing license required. Practitioner Inspection Report and Facility Permit Application are both required before dispensing. Requires locked cabinets, security, sinks within range of dispensing area. | Starting at $180 |
| Washington | Permitted. No known registration requirement. | $0 |
| West Virginia | Permitted. Physician must apply for a state Dispensing Physician Registration. | $35 |
| Wisconsin | Permitted. No known registration requirement. | $0 |
| Wyoming | Not Available. |
The materials are for general information purposes only. Nothing in these materials is intended as legal advice. Practitioners should retain their own legal counsel to advise them on their state’s law and regulations.
