Virginia Pharmacy Law and Regulatory Updates

D epar t m ent of H eal t h P r of essi ons Virginia Bo ard of Pha rmacy Law Update Virgi nia Ph armacy Associatio n August 28, 2025 Caroli ne D. Juran, RPh Ex ecutive D irector

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Disclosur e • No financial relationships or conflicts of interest to declare.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Objectives • Describe recent pharmacy legislative activity • Briefly summarize recent regulatory activity • Describe recent Board - relat ed activities

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pre- Test Questions • In lieu of completing an AS HP/A CPE - accredited training program, a pharmacy technician trainee may complete a training program recognized by PTC B or NH A as of July 1, 2025. Tr u e or False.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pre- Test Questions As of July 1, 2025, hospital pharmacies may distribute compounded drugs within its health system under common ownership wh en th e compounded drug products are administered only to patients within the hospital or health system. Tr u e or False.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pre- Test Questions The pharmacist and pharmacy technician renewal fee may increase this year. Tr u e or False.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Board Me mbers Larry Kocot, JD, Chairman Shannon Dowdy, PharmD, V ice Chairman Michelle Hoffer, JD, Citizen Patricia Richards - Spruill, RPh 2nd term ends June 30, 2026 Kelly Hasty Kale, RPh Tim Robertson, RPh Wendy Nash, PharmD Derek Webb, PharmD Kristopher S. Ratliff, DPh Ling Yuan, Pharm D 2nd term ends June 30, 2026 1 st term ends June 30, 2026

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov 2025 Legislat ion

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharm acy Technician Ed ucation al Stand ards • HB2307 • Amended § 54.1 - 3321 (B ) to allow compl etion of a traini ng program rec ognized by t he Pharmacy T echnician Certi fication Boar d or National Healthcar eer Associat ion in addition to ex isting educational opti ons

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Collab orative Practice Agr eements • HB1582 • Amended § 54.1 - 3300.1 to specify that a CPA may include pr escribi ng, modificati on, continuation, or disconti nuation of Schedule II - V drugs after proof of such signed agreement i s submitt ed to and authorized by the Board of Phar macy. • Facili tates pharm acists in obtaini ng D EA mi d - level practit ioner regis tration

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Process fo r Ph armacists to O btain D EA Registrati on • Pharmaci sts should send signed col laborativ e practice agreement i nvolving a Schedule II - V drug to board office for review • Board wil l li st pharmacis t’s name and l icense number on website to inform DEA of eligibili ty to obtain a mid - level pr actitioner regi stration • Submit application t o DEA • DEA w ill onl y issue for applicable drug schedule and only for presc ribing pur poses, not for stock ing.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Process fo r Ph armacists to O btain D EA Registrati on • Must inform the Board and DEA i f collaborative practic e agreement is res cinded. • Board may peri odically audit to ensure CPA is stil l in effect. • Unless r equired by 18VAC 110 - 40 - 30, CPAs for Schedule VI drugs only do not need to be submi tted to the Board.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacist Initiating Treatment • DMA S implemented reimbursement pathways for statewide protocols and CPAs. • Pharmacist/pharm acy must enroll with DMA S, MCOs, and FFS. • https://vamedicai d.dmas.virginia.gov/traini ng/pro viders#gsc.tab=0

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov EMS Report • SB1318 • Requires Board, in c ollaboration w ith VDH and Off ice of Emergenc y Medical Serv ices, to report on progres s of Vir ginia EMS agenci es in meeting new standards for EMS drug box ex change program. • Due 11/1/25

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Single PBM for D MAS • HB2610/SB875 • Requires DMAS to sel ect and contrac t with a single pharmacy benefit manager by 7/1/26. • DMAS to engage independent c onsultant

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Hospita l Centr al Compounding • SB1366 and HB1905 • Amends § 54.1 - 3410.2 t o allow for distribution of compounded drug within health systems under common ow nership when the compounded dr ug products ar e administered onl y to patients within the hospital or healt h system.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Advanc ed Medication Aides • HB2468 • Amends § 54.1 - 3408 to allow advanced medicat ion aides t o administer drugs in nursi ng homes, as determi ned permiss ible by the Boar d of Nursi ng. • Board of Pharmacy exem pt regulati ons to be adopted in September

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov NTPs repor ting to PMP • HB2649 • Amends § 54.1 - 2522 to allow narcoti c treatment programs to r eport dispensations of c overed substances to the Prescr iption Moni toring Progr am in compli ance with federal law.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Therapeuti c Interchange Workgroup • SB745 • Direc ts Board to convene workgroup of stakeholders to review and analyze authority of pharmacis ts to initiat e therapeutic inter change, make recomm endations to stream line process and moderniz e authority, parti cularl y in cases of drug shortages. • Meeting held August 12 th • Legislati ve report due 11/15/25

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Recently R egulatory Act ivity

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Accessible P rescriptio n Labels fo r Visu ally Impaired • HB 516 (Del. Hope; 2024 GA) am ended § 54.1 - 3410.3 • R equires every pharmacy to notify each person that identifies as blind or visually impaired that an accessible prescription label or alternate accommodat ion available at no cost; 1. As det ermined between the pharmacist and the patient, the pharmacy shall provide the person, either at the pharmacy or through mail order, an accessible prescription label fixable to the bott le or c ontainer that is:

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Accessible P rescriptio n Labels fo r Visu ally Impaired a. Available in a timely manner; b. Utilizes audible, large print, or Braille labels that are appropriate to t he disability and pat ient preferenc e; c. Seeks to attain best practice st andards est ablished by U.S. Access Board; and d. Compatible with a prescription reader, or 2. As determined between the pharm acist and patient, provide appropriat e counseling and accommodation, and dispense medication in suitable packaging with sufficient labeling and other infor mation.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Accessible P rescriptio n Labels fo r Visu ally Impaired • Regulation 18VAC110 - 20 - 351 and Guidance Document 110 - 14 now in effect

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Central Fill, Rem ote Pharm acy Techs • HB 1068 (Del. Hodges) and SB607 (Sen. McDougle) Section 1 bill from 2024 General Assembly Session • Directed Board to promulgate r egulations to: 1. Allow phar macy to outsour ce dispensing of Schedule VI drugs to a central fill phar macy (form er pilot); 2. Allow pharm acy technicians to ac cess pharmacy database from remote location.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Central Fill Pharmacy • Pharmacy may outsource tasks associated with dispensing drug to centr al fill pharmacy, can be deliver ed back to originating pharmacy for patient pick - up • Central fill pharmac y must: – Have sufficient automation to support practice & limit distraction; – Not accept prescript ions or communications directly from patients or providers; – Dispense only Schedule VI drugs • Emergency regulat ions effective 6/16/2025 to 12/15/2026 • Replacement regulations underway

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Remo te Processin g by Pharmacy Technician s • Allows Techs and Interns perfor ming duties of Tech to remotely acc ess pharmacy database; • Pharmacist on - site at pharmacy must be readily available, must have technology for adequate supervision • Pharmacist m ay supervise up to 6, but only 4 may be on - site in the pharmacy • Technician Trainees may NO T practice r emotely • Emergency regulations effect ive 6/16/2025 - 12/15/2026 • Replacement regulations underway

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmac y Work ing Conditions • Emergency regulat ions in effect • Replacement regulations t o become eff ective on 8/27/2025

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmac y Work ing Conditions, cont. • (i) addresses suf ficient staffing to pr event fat igue, distraction, or other conditions that interf ere with a pharmacist's ability t o practice with competence and safety; • (ii) standar ds for uninterrupted rest periods and m eal breaks for pharmacy per sonnel;

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmac y Work ing Conditions, cont. • (iii) standards that ensure adequate time for pharmac ists to complete professional dut ies and responsibilities, including DUR, immunization adm inistration, patient counseling, and verification of prescript ion accuracy; • (iv) limiting external fact ors such as product ivity or production quotas to the extent t hat such fact ors interfer e with the ability to pr ovide appropr iate professional services to the public.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmac y Work ing Conditions, cont. • Staffing request or concerns form on Board’s website • https:/ /www.dhp.virginia.gov/Boar ds/Pharmacy/Phar mac yHomepageitems/ News/Content - 8305 35 - en.html • To be pr ovided to immediate supervisor of PIC or pharmacist on duty; • Must maint ain copy in pharmacy for 3 years for board inspection

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmac y Work ing Conditions, cont. Permit holder mus t: – res pond to repor ting st aff member to acknowledge receipt, – res olve issue timely, – docum ent any correct ive action, steps taken toward correct ion as of tim e of inspection, or just ification f or inaction; doc umentation must be maintained on s ite for board inspection or produced within 48 hours of request, – Comm unicate cor rective action or justif ication for inaction to PIC or repor ting pharmacist on duty.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Increase in Licen sure Fees • DHP is a non - General Fund agency • Challenges: Recent increas es in licensee count and complaints/invest igations, state em ployee salary increases. • Final regulations under Administrative Review • Unclear if will be finalized prior to December renewal period

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Increase in Licen sure Fees • Examples of proposed fees: – Pharm acy renewal: $490 (up from $350) – New additional fee for facilities performing st erile compounding: $400 – Change of PIC: $125 (up from $65) – Init ial pharmacist: $300 (up from $235) – Pharm acist renewal: $175 (up from $125) – Pharm acy Technician initial: $40 (up from $35) – Pharm Tech renewal: $45 (up from $35)

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Centrali zed Wareho user Review of Drug s for Hospita l ADDs • Final regulations effective 8/27/25 • Permits pharm acist at centralized warehouse or wholesale distributor to verify Schedule VI drugs for ADD s in hospitals • Innovative pilots closed

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Automate d Dispensing Dev ices in Nur sing Homes • Amended 18V AC110 - 20 - 555 • Allows emergency or stat - use m edications stored in an autom ated dispensing device to be accessed prior to receiving elect ronic authorization from pharm acist • Final regulations in effect.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Drug s for E mergen cy Medical Services • Emergency regs effective 8/20/24 - 2/19/26 • Public comm ent period on proposed replacement regulations ends 9/12/25 • Many EMS agencies and EMS councils have begun procuring their own drugs • Most hospitals have ceased providing emergency drug kits to E MS agencies.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Regulat ory Town Hall • All regulatory acti vity m ay be accessed at https://tow nhall.virginia.gov/L/Now InProgress.cf m • Sign up to become a publi c user (receive email notifications regarding meetings and regulatory actions): https://tow nhall.virginia.gov/L/Regi ster.cfm

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Miscellaneous Board - Related Activities

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov 2024 Pharm acist and Pharmacy Technician Workfo rce Reports • Adopted by Board on 3/ 25 / 25 • Accessible at https://ww w.dhp.virginia.gov/ PublicResources/H ealthcareWorkforceDataC enter/ProfessionR epor ts/PharmacyR eports/

D epar t m ent of H eal t h P r of essi ons w w w. d hp. v i r g i n i a. g ov 2024 P h ar m aci st an d P h ar m acy T ech n i ci an W o r kfo r ce R ep o rts • A dopt ed by B oard on 3 / 25 / 25 • A ccessi bl e at ht t ps: / / w w w. dhp. vi rgi ni a. gov/ P ubl i cR esources/ H eal t hcareW orkf orceD at aC ent er/ P rof essi onR epor t s/ P harm acyR eport s/

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmac ist Work Force Trends • Total number of licensed pharmaci sts has grown by 33% since 2013. • Number working in the state w orkforce has also increased by approximately 15%. • There was a 9% increase in F TE provided in state by pharmacists between 2013 and 2024.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmac ist Work Force Trends • Diversity index of Virginia’s pharm acists increased from 47% in 2013 to 56% in 2024. • Percentage of femal e pharmacists increased from 62% in 2013 to 69% in 2024. • Median age relatively stable between 44 and 45 years since 2013. • Percent under age 40 increased slightly f rom 37% in 2013 to 38% in 2023 and decreased to 37% in 2024.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmac ist Work Force Trends • Percent wit h PharmD degree increased from 51% in 2013 to 75% in 2024. • Percent reporting educational debt increased from 35% in 2013 to 40% in 2024. • Median educational debt increased from $90K - $100K in 2013 to $140K - $160K in 2024.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmac ist Work Force Trends • 92% reported being employed in the profession, compared to 93% in 2013. • Median income increased from $110K - $120K i n 2013 to $130K - $140K in 2024. • Pharmacists int ending to retire within 10 years increased from 22% in 2013 to 26% in 2024.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmac ist Work Force Trends • 11% hold board certification • 20% have completed a PG Y1 residency • 7% have completed a PG Y2 residency • Job satisfaction decreased from 93% in 2013 t o 90% in 2024.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmac ist Work Force Trends • 64% of the 406 pharmacists with a collaborat ive practice agreement were involved in providing at least one disease management service; anticoagulation and diabetes most comm on • 24% of pharmacists in t he state w orkforce also utilized at least one of the statewide protocols; immunization, naloxone, COV ID testing most common

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacist P ractice Locations

D epar t m ent of H eal t h P r of essi ons w w w. d hp. v i r g i n i a. g ov Pharmacist P ractice Locations

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacy Tech nician Tren ds Median Inc ome: $35k - $40k

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Scam Alerts • Be aware of persons continuing to impersonate DHP or Board of Pharmacy investigat ors. • https: //www. dhp. virginia. gov/media/dhpw eb/docs/ ph armacy/news / 2021 /ScamAlert 03052021. pdf

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Inspection & Licensur e Activitie s Inspection Reports: • Shortening sterile compounding inspection report • Continu ing to use NABP Blueprint inspection report for those sterile compounders shi pping into other states Online applications: • Online chan ge of PIC and pharmacy pe rmit applicati ons in development Licensure roadma ps: • For pharmacists and pharmacy inter ns • https: //www. dhp. virginia. gov/B oards /Pharmacy /Applica ntResourc es/Licensur eRoadmaps/

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Educat ional Forum he ld Apr il 25, 202 5 Agenda Topics: • Status of pharmacy wo rking conditions • Overview of inspecti on progr am • Overview of innovati ve pilot programs • Pharma cist licens ure trends • Pharmacy techni cian trai nee and pharmacy technicia n registra tion trends • Utilizatio n of co llaborative practice agreements and statewide protocols • Overview of process for handli ng theft/loss reports • Overview of Bylaws • Increase of stimulant pres cripti ons

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Educat ional Forum he ld Apr il 25, 202 5 • Agenda Packet and Minutes: https://w ww.dhp.vi rginia.gov/ Boards/Pharm acy/Aboutt heBoard/Cal endar/

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Educat ional Forum he ld Apr il 25, 202 5

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Educat ional Forum he ld Apr il 25, 202 5

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmaci st Li censure Trends

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacist Li censure Trends • North American Pharmaci st Licensur e Ex amination (NAPLEX) pass rates on all attempts for in - state graduates of ACPE - accr edited institutions f or the calenda r y ears of 2018 to 2024 • Number of Candidates Who Took the Nor th American Pharmacist Li censure Examinati on (NAPLEX) for in - state graduates of ACP E - accredit ed insti tutions for the calendar years of 2018 to 2024 0 397 371 355 348 259 216 0 100 200 300 400 500 CY 2018 CY 2019 CY 2020 CY 2021 CY 2022 CY 2023 CY 2024 Number of Candidate s Who T ook the NA PLE X Examinatio n 81 77 74 75 75 71 69 60 65 70 75 80 85 CY 2018 CY 2019 CY 2020 CY 2021 CY 2022 CY 2023 CY 2024 NA P LEX % Pass Rates

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacist Li censure Trends • Multi state Pharmacy Juri sprudence Exami nation (M PJE) pass rates on all attempts for in - state gr aduates of ACPE - accredi ted insti tutions for the calenda r y ears of 2018 to 2024 • Number of Candidates Who Took the Mul tistate Pharmacy Jurispruden ce Ex am inat ion (M PJE) for in - state g raduates of ACPE - accredit ed insti tutions for the calend ar year s of 2018 to 2024 86 80 74 76 68 79 81 0 20 40 60 80 100 CY 2018 CY 2019 CY 2020 CY 2021 CY 2022 CY 2023 CY 2024 MPJE % Pass Rates 259 299 286 243 250 168 123 0 50 100 150 200 250 300 350 CY 2018 CY 2019 CY 2020 CY 2021 CY 2022 CY 2023 CY 2024 Number of Candidate s Who T ook the MPJE E xaminatio n

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacist Li censure Trends • A total of 13,485 licensure t ransfer applications were submitted through NABP’s Electronic Licensure Transfer Prog ram® (eLTP) in 2024. • Out of th e 13,485 eLTP applications submitted to NABP, 1,110 were related to trans fers to or from the s tate of Virginia. • Virginia had a total numb er of 723 reque sts submi tted in 2024 to transfer licensure to the jurisdiction. • NABP identified Virgi nia as one of the states with the highest number of licensure transf er requests to the state in 202 4. • Data from NABP a lso revealed that Virginia had a total number of 3 87 request submitted in 2024 to transfer licensure f rom the state.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacist Li censure Trends 583 690 638 686 681 644 723 0 100 200 300 400 500 600 700 800 CY 2018 CY 2019 CY 2020 CY 2021 CY 2022 CY 2023 CY 2024 e LT P A p plica tion s completed for VIRGI NIA from 2018 to 2024

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacist Li censure Trends 211 216 195 162 164 130 126 0 50 100 150 200 250 CY 2018 CY 2019 CY 2020 CY 2021 CY 2022 CY 2023 CY 2024 NA P LEX Score T ransfers to V irginia from 2018 to 2024

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacist Li censure Trends • Uniform M ultistate Pharmacy Jurisprudence Examination – T he uniform v ersion of the MPJE is a national standardized pharmacy jurisprudence exam to asses s knowledge of pharmacy laws and regulations applicable across participating jurisdic tions. o Expected t o launch in June of 2026. o An additional tool that boards can lev erage to assess candidates’ knowledge of pharmacy law. o The current MPJE will remain a valuable, state - spe cific exam. o Pharmacists who pass the uniform MP JE would not need to take a law exam in participating states prior to licensure

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacy Tec hnician and Pharmacy Techni cian Trainee Registr ation Trends

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacy Technician Registrat ion Trends 13,689 14,042 12,421 12,924 13,522 13,875 12,312 12,871 13,310 13,640 12,275 12,807 13,437 13,925 11,000 11,500 12,000 12,500 13,000 13,500 14,000 14,500 Q1 2022 Q2 2022 Q3 2022 Q4 2022 Q1 2023 Q2 2023 Q3 2023 Q4 2023 Q1 2024 Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 Pharmac y T echnici an C urrent T ota l License Count 397 309 407 445 528 292 383 463 376 270 412 445 562 427 0 100 200 300 400 500 600 Q1 2022 Q2 2022 Q 3 2022 Q4 2022 Q1 2023 Q2 2023 Q3 2023 Q4 2023 Q1 2024 Q2 20 24 Q3 2024 Q4 2024 Q1 2025 Q2 2025 Pharmacy T echnicia n New License Count

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Pharmacy Technician Trainee Registration Trends 3,309 4,628 5,930 6,258 6,977 8,041 8,581 8,178 8,190 8,063 8,095 8,014 8,234 8,016 0 2,000 4,000 6,000 8,000 10,000 Q1 2022 Q2 2022 Q3 2022 Q4 2022 Q1 2023 Q2 2023 Q3 2023 Q4 2023 Q1 2024 Q2 2024 Q3 2024 Q4 2024 Q1 2025 Q2 2025 Pharmac y T e chnicia n T rainee Current T otal Li cense Count 988 1,431 1,456 692 1,072 1,186 983 971 966 1,103 999 903 1,125 958 0 500 1,000 1,500 2,000 Q1 2022 Q2 2022 Q3 2022 Q4 2022 Q1 2023 Q2 2023 Q3 2023 Q4 2023 Q1 20 24 Q2 2024 Q3 20 24 Q4 2024 Q1 2025 Q2 20 25 Pharmacy T echnici an T rainee New License Count

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Other Boar d - Related Activ ities and Subjects

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov GLP - 1 Drugs • Semaglut ide and terzepatide no longer on F DA’s shortage lis t • Cannot compound with retatrut ide and cag rilintide – not safe for any conditi on • Cannot compound with salt forms, including semagluti de sodium and semagluti de acetate • Counterf eit Ozempi c - https: //www. ozempic.com /content/dam/ novomedl ink/ semagluti de/04 - 14 - 25 - c ompany - st atement. pdf

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov GLP - 1 Drugs • Illegal online sales • FDA encourages health care professi onals, patients and compounder s to report adver se events or quality probl ems with these or any medication s to FDA’s MedWat ch Adverse Event Reporti ng • https: //www. fda. gov/ drugs/po stmar ket - dr ug - safety - information - pat ients - and - provi ders/fdas - concern s - unapproved - glp -1- dru gs - used - weight - loss

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Revised Heal th Commissio ner Naloxone Standing Or der • Now inclu des nalmefene nasal spray and allowance for reside nt assistants in student h ousing at pub lic institut ions of higher education • https: //www.vdh. v irginia. gov/clini cians/standi ng - orders /

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Next Board Meetin g • September 30, 2025 • Agenda: https: //www. dhp. virginia. gov/B oards /Pharmacy /Aboutt heBoard/Cal endar/

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Post - Test Questions • In lieu of completing an AS HP/A CPE - accredited training program, a pharmacy technician trainee may complete a training program recognized by PTC B or NH A as of July 1, 2025. Tr u e.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Post - Test Questions As of Jul y 1, 2025, hospital pharmacies may distribute compounded drugs within its health system und er common ownership whe n the compounded drug products are administered only to patients within the hospital or health system. Tr u e.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Post - Test Questions The pharmacist and pharmacy technician renewal fee may increase this year. T rue, if regulatory action bec o mes effective this fall.

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov

D epar t m ent of H eal t h P r of essi ons ww w.dhp.virginia.gov Contact Infor mation Department of Health Professions Virginia Board of Phar macy Perimeter Cent er 9960 Mayland Drive, Suite 300 Henrico, VA 23233 (804) 367 - 4456 pharmbd@dhp.v irginia.gov