Pharmacist prescriptive-authority draft debated; members delay amendment votes to special session

Jan 13, 2026

The division reviewed LC 25.1386, a draft granting limited prescriptive authority and therapeutic-substitution provisions for pharmacists. Representative Rohrs proposed narrow amendments (limits on therapeutic substitution, exclusions for certain drugs, CGM exclusion, and auto-injector authority) but withdrew a motion to adopt them so stakeholders can testify at the special session.

The full story

The Rural Health Transformation division reviewed LC 25.1386 (25.1386.10.00), a draft that would add limited prescriptive authority for pharmacists, create new statutory sections on prescriptive authority and therapeutic substitution, require patient notice and the right to refuse substitutions, and add a provider-notice requirement within 24 hours of dispensing.

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