Hover over a state to read their prescription reuse laws.

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
– Subject to restricted distribution pursuant

Read more about Montana’s prescription reuse laws here.

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 dugs in single unit doses may be accepted if unopened

Read more about Nebraska’s prescription reuse laws here.

Donation & Reuse Laws:
No

Operational Program:
No

Donation & Reuse Laws:
No

Operational Program:
No

Notes:
Repealed their reclamation law 09/01/23

Read more about New Hampshire’s prescription reuse laws here.

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.

Read more about New Jersey’s prescription reuse laws here.

Donation & Reuse Laws:
Yes

Operational Program:
Yes

Donors:
Established patients of that participating practitioner of licensed clinic

Repositories:
Clinic or licensed practitioner (authorized to prescribe drugs & registered with the board)
Can only accept donation originally prescribed for use by established patients of that participating practitioner/licensed clinic

Patients:
Any individual who signs a form acknowledging the drug donation process

Notes:
– No controlled substances or drugs with a REMS program requirement.
– Must be stored in tamper-evident container, has expiration date of 6 months or greater, no drug shall be re-dispensed more than one time.
– Handling fee not to exceed $20 charged to the recipient
– Participating practitioners must register with the NM Board of Pharmacy
– Donors to sign the Board approved Donor Form

Read more about New Mexico’s prescription reuse laws here.

Donation & Reuse Laws:
Yes

Operational Program:
No

Donors:
Any person or entity

Repositories:
Pharmacy Hospital or non profit clinic

Patients:
Residents of NY based on economic need

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

Read more about New York’s prescription reuse laws here.

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

Read more about North Carolina’s prescription reuse laws here.

Donation & Reuse Laws:
Yes

Operational Program:
Yes

Donors:
Any person or entity

Repositories:
Contracted entities with state board of pharmacy

Repositories:
An eligible individual

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

Read more about North Dakota’s prescription reuse laws here.

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:
– Appear to be unadulterated, safe, and suitable for dispensing
– Drugs must have an expiration date of “6 months or greater” (from day of donation)

Read more about Ohio’s prescription reuse laws here.

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

Read more about Oklahoma’s prescription reuse laws here.

Donation & Reuse Laws:
Yes

Operational Program:
Yes

Donors:
Individual
Long term care facility
Pharmacy
Practitioner with dispensing privileges and within their scope of practice
Registered charitable pharmacy
Medical clinic
Manufacturer or wholesaler
Medication Assistance Program (MAP)

Repositories:
Charitable Prescription Drug Program (registered with OR Board of Pharmacy)

Patients:
OR resident
Uninsured
No insurance coverage for the requested prescription drug
Enrolled in public assistance program
“Needy” individuals with barriers to prescription drug access
Another charitable prescription drug program

Notes:
Program may accept and distribute within this state:

– Rx drugs in original, sealed, tamper-evident packaging, displays lot number and expiration date

– No drugs with fewer than 9 months from its expiration date

– No controlled substances or non-prescription, REMS drugs

– No drug donated from another state

Read more about Oregon’s prescription reuse laws here.

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 specific criteria:
1. Dx with cancer
2. None or limited prescription drug coverage related to cancer Tx that prevent patient from obtaining therapy
3. Not eligible for State Medical Assistance Program for cancer Tx coverage

Financial eligibility for Cancer Drug Repository Program:
1. “Indigent patient” for the Cancer Drug Repository Program
2. 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

Read more about Pennsylvania’s prescription reuse laws here.

Donation & Reuse Laws:
Yes

Operational Program:
Yes

Donors:
Any person or institution

Repositories:
Redistributor: any person or institution partaking in redistribution

Patients:
Uninsured, underinsured, or are reliant on public health programs

Notes:
Can transfer drugs to other instate redistributors and out of state redistributors

Read more about Rhode Island’s prescription reuse laws here.

Donation & Reuse Laws:
No

Operational Program:
No

Read more about South Carolina’s prescription reuse laws here.

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

Read more about South Dakota’s prescription reuse laws here.

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

Read more about Tennessee’s prescription reuse laws here.

Donation & Reuse Laws:
Yes

Operational Program:
Yes

Donors:
Patient
Manufacturer
Health care facility (hospital, ambulatory surgical center)
Pharmacy
Family Member
Caregiver
Healthcare Provider
Donor must sign a form confirming (owner of donated drug, proper storage, voluntary)

Repositories:
Health care facility
Pharmacy
Pharmacist employed by the facility or pharmacy that has elected to participate in the collection/redistribution of donated prescription drugs

Patients:
Recipient with a valid prescription by a health care professional
(must acknowledge that the donor is not a pharmacist if the donor is an individual/manufacturer/health care facility; donor is known to the participating provider; accepting risk from accidental mishandling; releasing donor/participating provider/manufacturer from liability)

Notes:
No controlled substance, REMS drugs
Must be unopened, sealed, temper-evident, unit-dose, single-dose (if unopened)
May charge a handling fee up to $20 to a recipient

Read more about Texas’ prescription reuse laws here.

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

Read more about Utah’s prescription reuse laws here.

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

Read more about Vermont’s prescription reuse laws here.

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

Read more about Virginia’s prescription reuse laws here.

Donation & Reuse Laws:
Yes

Operational Program:
Yes

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

Patients:
Priority give to uninsured patients

Repositories:
Pharmacies

Notes:
– Secure packaging
– Not a controlled substance

Read more about Washington’s prescription reuse laws here.

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

Read more about West Virginia’s prescription reuse laws here.

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

Read more about Wisconsin’s prescription reuse laws here.

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

Read more about Wyoming’s prescription reuse laws here.