Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Health facilities; Pharmacy

Repositories: Health facilities; Pharmacy

Patients: Indigent, uninsured, or underinsured; Other patients, if a need for the donated drugs is not identified among the above three

Notes: No controlled substances or samples

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Patient; Patient representative; Practitioner; Pharmacist; Medical facility; Drug manufacturer; Drug wholesaler

Repositories: Pharmacies

Patients: Priority give to uninsured patients

Notes: Secure packaging. Not a controlled substance.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Patient; Family Member; Caregiver; Healthcare Provider; Manufacturer

Repositories: Physician’s office; Pharmacies; Healthcare facilities

Patients: Eligible patients based on application info includes: Demographic info with income, number of people in household, and payment frequency of income; Prescription info with pharmacy info, prescriber info, and any known allergies to meds; Proof of income (or no income) and residency in Wyoming

Notes: Secure packaging. Redispensed drugs shall not be within 2 months of expiration date. Dispensed drugs must be in the donation program under the Medical Assistance and Services Act. Available drugs for redispensing are inventoried and listed on the department’s internet website.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any individual over 18; Pharmacy; Medical facility; Manufacturer; Distributor

Repositories: Medical facility; Pharmacy

Patients: Any Wisconsin resident who is: Uninsured; Recipients of eligible recipients of Medicaid, Medicare, or other government based health care; All other individuals

Notes: Medical facility or pharmacy may charge an individual receiving a drug or supply a handling fee that may not exceed amount specified by department rule. Secure packaging. Drug bears an expiration date that is later than 90 days after the date donated. Donated drug or supplies cannot be resold. Recipient of donated drug or drug supplies must have valid Rx.

Donation & Reuse Laws: Yes

Operational Program: No

Donors: Any person or entity

Repositories: Pharmacy; Hospital; Health care institution

Patients: Indigent patients prioritized

Notes: No controlled substances or drugs subject to REMS programs

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Manufacturers; Wholesalers; Pharmacies; Oncology Centers; Individuals; Facilities; Hospitals

Repositories: Registered drug donation site

Patients: Indigent patients

Notes: Secure packaging. Drug bears an expiration date that is later than 90 days after the date donated. No controlled substances. No REMS program drugs. No compounded drugs.

Donation & Reuse Laws: Yes

Operational Program: No

Donors: Any person or institution in Vermont (including pharmacies, long-term care facilities, VA, correctional facilities, hospitals)

Repositories: Pharmacies; Hospitals; Cancer centers; Long-term care facilities (nursing homes, residential care homes, assisted living facilities). Must be approved by VT DHHS first

Patients: One of the following: Under 400% of the FPL; Uninsured or underinsured; Be in the medicare ‘donut hole’ and/or have high deductible coverage, or high copays

Notes: No controlled or compounded drugs. No REMS drugs.

Donation & Reuse Laws: Yes

Operational Program: No

Donors: Nursing care facility; Manufacturer; Wholesaler; Assisted living facility; An eligible pharmacy (licensed in UT as Class A retail or operated by county/health department, UT DHHS, or charitable clinic); Physician’s office; Intermediate care facility for intellectual disability

Repositories: Pharmacy operated by a charitable clinic

Patients: Medically indigent; Uninsured; Lack reasonable means to purchase prescribed meds; Insured (and lack reasonable means to pay the insured portion of the cost of prescribed meds)

Notes: No controlled substance or drugs that require registration with the manufacturer. Secure packaging. Cancer drugs may be dispensed in an unopened single unit dose that has been removed from a multi-unit dose pack.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: An individual, a prescription drug manufacturer, or a health care facility, including a pharmacy.

Repositories: Participating providers, meaning a health care facility or pharmacy, or a pharmacist who is an employee of the facility or pharmacy, that elects to participate in the program.

Patients: Individuals who voluntarily receive donated prescription drugs through participating providers.

Notes: The program is administered by the Texas Department of State Health Services, which maintains a participating-provider database.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Person; Pharmacy; Medical facility; Drug manufacturer or wholesaler licensed by the board; Prison or government entity federally authorized to possess prescription drugs

Repositories: Pharmacies

Patients: Indigent patient (person with an income < 600% of the federal poverty level); Uninsured; Underinsured; Can lastly go to another individual if an indigent, uninsured, or underinsured person is unavailable

Notes: Secure packaging. Recipient must have a valid Rx. No controlled substances. No REMS Drugs. No restriction of use of samples.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person or entity

Repositories: Pharmacies

Patients: “Eligible patient,” an indigent, uninsured, or underinsured person prioritized

Notes: Original, tamper-evident packaging

Donation & Reuse Laws: Yes

Operational Program: No

Donors: South Carolina permitted pharmacies only, subject to Board Policy and Procedure #144. Donated legend medications or legend medical devices must have remained in the chain of custody of a licensed health care provider.

Respositories: Free medical clinic operations serving indigent or uninsured patients

Patients: Indigent or uninsured patients receiving free clinic services

Notes: This is a limited Board-approved donation pathway, not a broad statewide operational repository program. No patient-origin donations. No controlled substances. Donated products must be in original manufacturer containers or compliant single-dose tamper-evident packaging, with pharmacist-supervised transfer and recordkeeping.

Donation & Reuse Laws: Yes

Operational Program: No

Donors: Any person or institution authorized to possess prescription drugs and willing to provide them to a re-distributor, including patients, healthcare proxies, licensed healthcare facilities and providers, pharmacies, long-term care facilities, and state or federal prisons.

Repositories: Licensed re-distributors and other authorized participants in Rhode Island’s pharmaceutical redistribution program.

Patients: Individuals who are most in need, uninsured, underinsured, reliant on public health programs, or otherwise experiencing financial burden, subject to program rules.

Notes: Rhode Island has enacted a pharmaceutical redistribution law, but the program is not currently operational. Rules are being amended, with new changes taking effect April 12, 2026.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Healthcare Facilities; Pharmacy; Manufacturer; Wholesaler

Repositories: Pharmacies

Patients: Uninsured or underinsured with income below 350% of FPL

Notes: Secure packaging. Opened multi-dose pack okay if single-unit doses remain intact. Must have an expiration date later than “6 months after the date the drug will be restocked.” No controlled substances. Cannot require any temp other than room temp for storage. Cannot be a drug that is subject to restricted distribution by FDA.

Patient eligible for the Cancer Drug Repository Program that meet the following criteria: Dx with cancer, none or limited prescription drug coverage related to cancer Tx that prevent patient from obtaining therapy, or not eligible for State Medical Assistance Program for cancer Tx coverage.

Financial eligibility for Cancer Drug Repository Program: “Indigent patient” for the Cancer Drug Repository Program; income limits are based on prior year’s family income not to exceed 350% of the prior year’s Department of Health and Human Services Federal Poverty Income Guidelines for the appropriate family size

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Manufacturer; Wholesaler; Pharmacy; Medical clinic; Physician; Individual

Repositories: Charitable Prescription Drug Program

Patients: Charitable Prescription Drug Program eligible patients that are a state resident, underinsured or lack health insurance coverage for the prescription drug requested, or enrolled in a public assistance or a medical assistance program.​

Notes: Program may accept and distribute within this state Rx drugs in original, sealed, tamper-evident packaging, displays lot number and expiration date. May not distribute donated Rx drugs that have an expiration date that is less than 9 months from the date the drugs are donated. No controlled substances that are under the program as adopted by the board by rule pursuant to ORS 689.774.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Nursing home resident; Guardian of resident; Representative of resident

Repositories: Pharmacy; Charitable clinic

Patients: Based on the economic needs of the person who will receive the prescription drug(s) under the Program. Patient has identification card showing they are eligible to receive donated prescription drugs under the Program.

Notes: Only Rx drugs in their original sealed packaging or unused injectables. No controlled substances.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any pharmacy, drug manufacturer, or health care facility, or other person or government entity may donate or give drugs to a drug repository program. Any person or government entity may facilitate the donation or gift of drugs to the program.

Repositories: Ohio Pharmacy; Ohio Hospital; Ohio Nonprofit clinic

Patients: Ohio resident or currently resides in Ohio; Uninsured or underinsured; Meets any other eligibility requirements as determined by the program’s policy

Notes: Drugs must not be controlled substances, except for controlled substances in a long-acting or extended-release form used for treatment of opioid dependence/addiction. No drug samples. For orally administered cancer drugs not in original sealed and tamper-evident unit dose packaging: drugs must appear to be unadulterated, safe, and suitable for dispensing and must have an expiration date of “6 months or greater” (from day of donation).​

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person or entity

Repositories: Contracted entities with state board of pharmacy

Patients: An eligible individual

Notes: Secure packaging. Opened multi-dose pack okay as long as single-unit doses remain in tact.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Patient or family member; Manufacturer, Wholesaler; Pharmacy, free clinic, hospital, or hospice care program​

Repositories: Pharmacy or free clinic holding a valid, current North Carolina permit

Patients: An uninsured or underinsured patient who meets the eligibility criteria established by the board, free clinic, or pharmacy

Donation & Reuse Laws: Yes

Operational Program: No

Donors: Any person or entity

Repositories: Pharmacy Hospital or nonprofit clinic

Patients: Residents of NY based on economic need

Notes: Only prescription drugs in their original sealed and tamper-evident unit dose packaging

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person, including persons from other states, may donate unused and unexpired prescription drugs to an eligible recipient.

Repositories: Eligible recipients registered with the New Mexico Board of Pharmacy, including persons licensed to receive and distribute prescription drugs, licensed health care facilities, and practitioners licensed to prescribe.

Patients: Patients served by eligible recipients in accordance with New Mexico law and Board rules

Donation & Reuse Laws: Yes

Operational Program: No

Donors: Any person or entity that is properly licensed and authorized to possess prescription drugs (manufacturer, wholesaler, repackager, returns processor, third-party logistics provider, health care facility, correctional facility, pharmacy); “Health care facility” (physician’s office, hospital, outpatient clinic, FQHC, rural health clinic, clinic providing services under Ryan White HIV/AIDS Program, mental health center, VA)

Repositories: Pharmacist or other health care professional who is authorized by law to dispense over-the-counter drugs and prescription drugs

Patients: Prioritized to individuals who are indigent (below 250% of FPL), uninsured, or enrolled in a public health benefits program; Other individuals if prioritized patient population is not identified

Notes: No controlled or compounded drugs. No prescription drugs that require patient registration with the manufacturer. Redistributor can accept OTC, Rx, admin supplies from out-of-state donors. Redistributor can charge a handling fee to an eligible recipient.

Donation & Reuse Laws: No

Operational Program: No

Notes: Repealed their reclamation law 09/01/23

Donation & Reuse Laws: No

Operational Program: No

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person or entity

Repositories: Physician’s office; Pharmacy; Hospital; Health clinic

Patients: Eligible residents of Nebraska

Notes: Cancer drugs and immunosuppressants drugs only. Original, unopened packaging, except cancer drugs in single unit doses may be accepted if unopened.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person or entity

Repositories: Any participating health entity

Patients: Any person who the board considers “qualified”

Notes: May accept cancer drugs if drug/device is in its original, unopened, sealed, and tamper-evident unit dose packaging. Cancer drug package in single-unit doses may be accepted if unopened.
Can’t accept expiration date earlier than 6 months after the date the drug was donated, consider adulterated or misbranded, or subject to restricted distribution pursuant.

Donation & Reuse Laws: Yes

Operational Program: No

Donors: Any person or entity

Repositories: Pharmacy; Hospital; Nonprofit clinic

Patients: Any person whose family income is 300% below the PFL

Notes: Donated drugs may be repackaged in a manner appropriate for distribution by participating pharmacies, hospitals, and nonprofit clinics

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Individuals, health care facilities, and government entities under the drug repository statute; and, under Board regulations, certain long-term care and assisted living facilities donating through the charity-pharmacy pathway.

Repositories: Participating pharmacies, hospitals, nonprofit clinics, and permitted charity pharmacies authorized under Mississippi law and Board regulations.

Patients: Individuals meeting program economic-need criteria, including medically indigent Mississippi residents served through the charity-pharmacy pathway.

Notes: Mississippi law authorizes a drug repository program for participating pharmacies, hospitals, and nonprofit clinics, and Board regulations separately authorize charity pharmacies to receive and dispense donated medications, including LTC/ALF donations, subject to packaging, documentation, and no-controlled-substances rules.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person over 18 or entity

Repositories: Pharmacy; Medical facility; Nonprofit community clinic or FQHC​

Patients: Any state resident that is uninsured or underinsured

Notes: Must be more than 6 months from expiration. No controlled substances or drugs that require storage temperatures other than normal room temps, unless donated directly by its manufacturer, wholesale drug distributor, or a pharmacy located in Minnesota.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Residents of an eligible facility (or the representative or guardian of a resident of an eligible facility); Manufacturers

Repositories: Pharmacy; Charitable clinic; Health professionals

Patients: Any state resident who is eligible for medicare/medicaid who otherwise has no health insurance

Notes: Drugs not accepted include expired Rx drugs, controlled substances, drugs that have been held outside of a health professional control where sanitation/security cannot be assured, or drugs that can only be dispensed to a patient registered with a drug’s manufacturer under FDA requirements

Donation & Reuse Laws: No

Operational Program: No

Notes: No enacted statewide prescription drug repository law as of April 1, 2026. Current legislation has been filed, but it has not been enacted.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person or entity

Repositories: Pharmacy; Board approved drop-off sites

Patients: Any needy Maryland resident as indicated by resident’s practitioner

Notes: Must be in secure packaging. Donor must sign statement indicating ownership of drugs and voluntarily offering them to program. A repository may not establish a waiting list for any Rx drug or med supply dispensed by program. Cannot charge a dispense fee >$10.

Donation & Reuse Laws: No

Operational Program: No

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person or entity

Repositories: Charitable pharmacies

Patients: Appropriately screened and qualified patients

Notes: Secure packaging; HIPAA; No drug dispensed through a charitable pharmacy shall be eligible for reimbursement from Medicaid Pharmacy Program.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Adult care homes; Mail service pharmacies; General medical care facilities

Repositories: Qualified center or clinic

Patients: Any medically indigent resident

Notes: Must come from a controlled storage unit of donating entity. Must be in original or tamper-evident packaging. Drugs purchased under Medicaid or SCHIP do not apply. No controlled substances.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person over the age of 18

Repositories: Pharmacy; Medical facility

Patients: Any individual resident of Iowa who is indigent, has no 3rd party reimbursement coverage for the drug prescribed, receives income that doesn’t exceed 200% of FPL, acknowledges that the drug may be donated, or consents to waiver of child resistant packaging.

Notes: No controlled substances. No drugs that require storage temperature outside of room temp. No drugs that expire before completion.

Donation & Reuse Laws: Yes

Operational Program: No

Donors: Any person over 18​

Repositories: Pharmacy; Wholesale drug distributor; Hospital licensed under IC 16-21; Health care facility; Nonprofit health clinic

Patients: Income < 200% FPL and is either uninsured or underinsured with no third party prescription drug reimbursement coverage

Notes: No controlled substances; No medicaid drugs unless product costs credited back to medicaid

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person or entity

Repositories: Any person or entity legally authorized to possess medicine with a license or permit in the state

Patients: Indigent patients prioritized

Notes: No controlled substances

Donation & Reuse Laws: Yes

Operational Program: No

Donors: Pharmacy; Hospital; Nursing home; Drug manufacturers or wholesale distributors; Prescriber drug outlet​

Repositories: Charitable clinics; Pharmacies; Regional behavioral health center

Patients: Qualifying medically indigent patients

Notes: No controlled substances (II-V). Cannot accept drugs with fewer than 3 months from its expiration date.

Donation & Reuse Laws: No

Operational Program: No

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person or entity

Repositories: Pharmacy; Hospital; Federally qualified health center; Nonprofit clinic​

Patients: Medically indigent person; Uninsured/underinsured; Those enrolled in a public assistance health benefits program

Notes: Drugs must be in sealed original or tamper-evident unit dosed packaging. Drug must not expire before completion of medication for prescription and OTC meds. No controlled substances or REMS.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person or entity

Repositories: A healthcare practitioner’s office; Pharmacy; Hospital; A nursing home facility; Free clinic or nonprofit healthcare clinic​

Patients: State residents (indigent, uninsured, or underinsured) (Excluding those who are Medicaid eligible or those who are covered by prescription drug programs)

Notes: Must remain within shelf-life for redispensing purposes for pharmacist verification. State has a prescription drug donation repository program and a cancer drug donation program.

Donation & Reuse Laws: No

Operational Program: No

Donation & Reuse Laws: Yes

Operational Program: No

Donors: Long-term care facilities

Repositories: Vendor pharmacy (for repackaging and reimbursement to the Department of Social Services)

Notes: No controlled substances. Oral/parenteral must be in single-dose containers. Inhalent/topical must be in unit-dose containers.

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: A person legally authorized to possess medicine, including an individual member of the public and other authorized donors such as a pharmacy, long-term care facility, surgical center, prescriber or other health-care professional or facility, wholesaler, distributor, or third-party logistics provider.

Repositories: A donation recipient authorized to possess medicine and holding a credential in good standing, including a hospital, pharmacy, clinic, health-care provider, or prescriber office; nonprofit-affiliated wholesalers, distributors, third-party logistics providers, reverse distributors, and repackagers may also qualify.

Patients: Eligible patients, with donated medicine first dispensed to patients who are indigent, uninsured, or underinsured.

Notes: No controlled substances; Must be sealed in individual packaged units; Must be within shelf life for re-dispensing purposes

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Eligible donor organizations and pharmacies permitted under California’s surplus medication collection and distribution law.

Repositories: County-established repository and distribution programs and participating entities operating within those county programs.

Patients: Medically indigent patients and other eligible patients served through an operating county program.

Notes: California is operational, but it is not a single uniform statewide operating model. Counties may establish repository and distribution programs, and a regional pilot may operate in Santa Clara County, San Mateo County, and the City and County of San Francisco through January 1, 2030..

Donation & Reuse Laws: Yes

Operational Program: No

Donors: Clinic pharmacies of nursing facilities

Repositories: Charitable clinic including licensed outpatient pharmacy

Patients: Patients below 200% poverty level

Notes: No controlled substances

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Any person, any individual member of the public, or any entity legally authorized to possess medicine, including manufacturers, wholesalers, distributors, third-party logistics providers, pharmacies, dispensers, clinics, surgical centers, health centers, detention and rehabilitation centers, laboratories, medical schools, pharmacy schools, health care professionals, and health care facilities; this also includes certain government agencies and federally authorized entities.

Repositories: Authorized recipients licensed or permitted in Arizona and legally authorized to possess medicine, including wholesalers, distributors, reverse distributors, repackagers, hospitals, pharmacies, and health care institutions.

Patients: Eligible patients who are indigent, uninsured, underinsured, or enrolled in a public health benefits program.

Notes: Donated medicine must be unopened and tamper-evident or properly repackaged, not adulterated or misbranded, and accompanied by a donor attestation regarding temperature control. Biologics may be donated only by a health care professional or an entity legally authorized to possess the biologic.

Donation & Reuse Laws: No

Operational Program: No

Donation & Reuse Laws: Yes

Operational Program: Yes

Donors: Patient; Patient Relative (adult child, spouse, sibling, parent, legal guardian, administrator of patient estate)​

Repositories: Charitable Clinic; Community Health Center

Patients: Charitable Patients
* Does not include patients who are eligible for Alabama Medicaid Program or other patients covered by the State of Alabama

Notes: Must be unit dosed and individually sealed dosed containers. No medicaid/controlled substance restrictions. Can accept medications in bulk containers from hospice programs only.