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COVID-19: Hydroxychloroquine, Chloroquine, and Azithromycin [Does Your State Permit The Use of These Drugs For Covid]
naspa.us ^ | 5/15/2020 | NASPA

Posted on 05/15/2020 10:48:53 AM PDT by ransomnote

COVID-19: Hydroxychloroquine, Chloroquine, and Azithromycin

Posted on April 13, 2020

***This page is being continuously updated as we collect more information. Please excuse any formatting challenges for the time being. If you have other info to add, please let us know in the comment box below!

The chart below includes NASPA’s compilation of state actions affecting Hydroxychloroquine, Chloroquine, and Azithromycin. This is a work in progress.

The following are other relevant links:

Return to COVID-19: Information from the States

State Date Guidance
Alabama 3/25/2020 Pharmacists should use their professional judgement when filling prescriptions for hydroxychloroquine and chloroquine.
Alaska 4/1/2020 Medicaid claims for hydroxychloroquine and chloroquine requre ICD-10 diagnosis code regardless of indication. These medications are not for use for COVID-19 prophylaxis, and the quantity limit is 28 dosage units per claim. COVID-19 cases must be confirmed before using medications as treatment.
Arizona 4/2/2020 The following is required when filling hydroxychloroquine and chloroquine: • The prescription must be presented with a diagnosis code for COVID-19 from the prescriber.
• For a phoned-in prescription, the pharmacist must document a diagnosis code for COVID-19.
• The prescription is limited to no more than a 14-day supply.
• No refills may be permitted unless a new prescription is furnished.
• Prophylactic prescriptions for the prevention of COVID-19 are strictly prohibited unless peer-reviewed evidence citing prophylactic effectiveness becomes available.
• This section does NOT apply to patients that are taking hydroxychloroquine and/or chloroquine for treatment other than COVID-19 (i.e. autoimmune disease) or to prescriptions written prior to April 2, 2020.
Arkansas 3/21/2020 Pharmacists should exercise caution, keeping in mind that there are no FDA approved treatments for COVID19 at this time; monitor supplies of hydroxychloroquine and chloroquine; and encourage prescribers to note indication (lupus, etc) on prescription when sending to pharmacy.
California 4/1/2020 The California Department of Consumer Affairs, the Medical Board of California, and the California State Board of Pharmacy remind health care professionals that inappropriately prescribing or dispensing medications constitutes unprofessional conduct in California. Prescribers and pharmacists are obligated to follow the law, standard of care, and professional codes of ethics in serving their patients and public health.
Colorado 3/26/2020 (From Colorado DORA) 1. Continue to fill prescriptions for existing patients who are being prescribed these medications for FDA-approved indications on chronic therapy.
2. For new prescriptions, prescribers should be cognizant that hydroxychloroquine use in COVID-19 patients is not the standard of care. Pharmacists should verify and document diagnosis with the prescriber or prescriber’s agent and limit to a 30-day supply of medication with the drug frequently on back order at this time for prescriptions with an FDA-approved indication.
3. Due to limited supply, reserve hydroxychloroquine for patients with known autoimmune disorders and those ill enough to be hospitalized for COVID-19.
Connecticut 4/6/2020 From CT Department of Public Health
Off Label Use of Hydroxychloroquine and Azithromycin: The FDA issued an EUA allowing hydroxychloroquine sulfate and chloroquine phosphate products donated to the Strategic National Stockpile to be distributed and prescribed by doctors to hospitalized teen and adult patients with COVID-19, as appropriate, when a clinical trial is not available or feasible.
CT DPH strongly advises against off-label use of hydroxychloroquine and azithromycin in the outpatient setting for COVID-19 prophylaxis or treatment due to lack or safety and efficacy data. Both these medications should be conserved for those who require them for indicated purposes.
Delaware 3/24/2020 The Division of Professional Regulation encourages prescribers, pharmacies, and pharmacists to adopt policies such as limiting quantity dispensed and restricting use to certain patient populations. DPR asks prescribers to refrain from prescribing these drugs prophylactically for COVID-19 exposure to ensure that patients with chronic disease can continue to manage their diseases and that the most critically ill get the medication they need.
Florida    
Georgia    
Hawaii    
Idaho 3/26/2020 1. No prescription for chloroquine or hydroxychloroquine may be dispensed unless all of the following apply: a. The prescription bears a written diagnosis from the prescriber consistent with the evidence for its use; b. The prescription is limited to no more than a fourteen (14) day supply; and c. No refills may be permitted unless a new prescription is furnished. d. The provisions of subsections b and c do not apply if the patient was previously established on the medication prior to the effective date of this rule. 2. No prescription for oral azithromycin may be dispensed unless all of the following apply: a. The prescription bears a written diagnosis from the prescriber consistent with the evidence for its use; b. The prescription is limited to no more than a five (5) day supply; and c. No refills may be permitted d. The provisions of subsections b and c do not apply if the patient was previously established on the medication prior to the effective date of this rule.
Illinois    
Indiana 4/1/2020 For Pharmacists:
• Pharmacists should use their professional judgment and take appropriate steps to verify that newly issued prescriptions for hydroxychloroquine, chloroquine and azithromycin are issued for a legitimate medical purpose. To prevent drug shortages, the Board recommends contacting prescribers to confirm the diagnosis for patients newly prescribed these medications during the Public Health Emergency.
• The Board recommends that licensees limit supplies of hydroxychloroquine, chloroquine and azithromycin prescribed for presumptive COVID-19 positive patients or prophylactic use. Multiple states have adopted a 14-day supply limit. While Indiana has not adopted a similar limit at this time, licensees should consider limited dispensing for patients newly prescribed hydroxychloroquine, chloroquine or azithromycin during the Public Health Emergency without a supporting medical diagnosis.
• The Board is not recommending that pharmacies refuse to fill, the Board is recommending that pharmacies use caution.
While both Boards are recommending caution, licensees should avoid interruptions in care for patients previously established on these medications with an appropriate medical diagnosis. The Boards recognize this may be a difficult balance, however, licensees should make a good faith effort to ensure appropriate prescribing, dispensing and patient care.
Iowa 3/23/2020 Pharmacies are strongly encouraged to assess their current and potential supply and implement policies that will ensure adequate supply for patients who were previously established on the drug.
Kansas 3/24/2020 The Board strongly encourages vigilance in processing new prescriptions for chloroquine and hydroxychloroquine and recommends reaching out to prescribers to verify diagnosis.
Kentucky 3/20/2020 The pharmacist must use professional judgement to determine if a valid patient-prescriber relationship exists and keep in mind if there is enough of the drug in stock to treat RA patients who receive it on a regular basis when deciding whether or not to dispense the prescription.
Louisiana 3/25/2020 With respect to the dispensing of chloroquine and hydroxychloroquine for the COVID-19 outbreak, the Board strongly encourages dispensing pharmacists in community pharmacies to ensure the prescription bears a COVID-19 diagnosis, and to dispense a maximum of a 14-day supply, with no refills unless a new prescription is presented.
With respect to the dispensing of chloroquine and hydroxychloroquine for all other diagnoses, the Board strongly encourages dispensing pharmacists in community pharmacies to dispense a maximum of a 30-day supply per dispensing.
The Board specifically encourages pharmacists to exercise their professional discretion when presented prescriptions written for large quantities, or for what appears to be outside the context of a legitimate physician-patient relationship, or for what may not be a legitimate medical purpose.
Maine 4/11/2020 Pharmacists should use their professional judgment and take appropriate steps to verify that newly issued prescriptions for chloroquine, hydroxychloroquine, and azithromycin are issued for legitimate medical purposes and not for prophylactic treatment unless consistent with prescribing guidelines of the Food and Drug Administration and the Centers for Disease Control and Prevention. To prevent drug shortages, pharmacists should contact prescribers to confirm the diagnoses of patients newly prescribed these medications, and pharmacies should refrain from inappropriately stockpiling these medications. A pharmacist should expect that a prescription for these medications for purposes of treating COVID-19 contain a diagnosis code of an active or presumed case of COVID-19 and be limited to a 14-day supply. Pharmacists should continue to fill prescriptions for up to 90-day supplies for patients who have existing prescriptions for any of these medications for treatment of conditions other than COVID-19.
Maryland    
Massachusetts    
Michigan    
Minnesota 3/23/2020 The Board will support pharmacists who, in good faith and based on their clinical assessment of the situation, refuse to dispense prescriptions for such drugs (chloroquine, hydroxychloroquine, and azithromycin) that prescribers issue for themselves, their family members, or their friends. Pharmacies are always prohibited from ordering any drugs from manufacturers and wholesalers and then selling them in more than minimal quantities to practitioners. In the case of drugs used to prevent or treat COVID-19, it would be appropriate for pharmacists to inquire about the need and intended use of the drugs before selling even minimal quantities for office use. In addition, while pharmacists are required to fill prescriptions that pharmacists are reasonably expected to fill, pharmacies and pharmacists are not required to sell any medication to practitioners for office use.
Mississippi 3/24/2020 Pharmacists should exercise caution dispensing hydroxychloroquine and chloroquine in a community setting. Pharmacists should use their professional judgment when dispensing these medications for non-FDA approved indications and are allowed to deny prescriptions if neccessary.
Missouri   Pharmacists should use their professional judgment and take appropriate steps to verify that newly issued prescriptions for hydroxychloroquine, chloroquine and azithromycin are issued for a legitimate medical purpose. To prevent drug shortages, the Board recommends contacting prescribers to confirm the diagnosis for patients newly prescribed these medications during the State of Emergency. The Board recommends that licensees limit supplies of hydroxychloroquine, chloroquine and azithromycin prescribed for presumptive COVID-19 positive patients or prophylactic use. Licensees should consider limiting dispensing for patients newly prescribed hydroxychloroquine, chloroquine or azithromycin during the State of Emergency without a supporting medical diagnosis. The Board is not recommending that pharmacies refuse to fill, the Board is recommending that pharmacies use caution.
Montana    
Nebraska    
Nevada 3/24/2020 Restrictions prohibit the prescribing and dispensing of chloroquine and hydroxychloroquine for a COVID-19 diagnosis or any new diagnosis made after the effective date of the regulation, and require an ICD-10 code and a limit to a 30 day for any new prescription for these drugs. The provisions of this emergency regulation do not apply to a chart order for an inpatient in an institutional setting or to an existing course of treatment for a diagnosis made before the effect date of the regulation.
New Hampshire 4/3/2020 Executive Order:
Chloroquine, hydroxychloroquine, and albuterol inhalers shall be subject to the following controls, restrictions, and rationing:
a) Outpatient prescriptions for patients not already established on chloroquine and hydroxychloroquine shall be limited to a 30-day supply.
b) No prescriptions of chloroquine or hydroxychloroquine shall be issued or dispensed as prophylaxis treatment for COVID-19.
c) Prescribing providers, when issuing a prescription in any form for chloroquine or hydroxychloroquine, must document an indication for all patients, including patients already established on these medications.
d) For albuterol inhalers, prescribing providers shall limit prescriptions to one inhaler with up to three refills for all new prescriptions to treat respiratory symptoms of COVID-19.
e) For all prescriptions of albuterol inhalers, pharmacists shall conduct a prospective drug utilization review to ensure adherence to asthma controller or maintenance medications, and counsel patients that are non-compliant and over-utilizing rescue inhalers.
New Jersey 3/29/2020 DCA Administrative Order:
1. Pharmacists shall refuse to fill prescriptions for any medication that may be in short supply due to their use in possible treatment of COVID-19 unless they contain a diagnosis or diagnostic code.
2. All dispensing of hydroxychloroquine or chloroquine for treatment of COVID-19 shall be limited to prescriptions supported by a positive test result, which must be documented on the prescription. Dispensing is limited to a 14-day supply, with no refills permitted.
3. Patients who present maintenance prescriptions for certain pre-existing conditions, such as lupus or other autoimmune disease, may continue to obtain refills of hydroxychloroquine and chloroquine, and shall not be subject to the 14-day limitation. If presented with a new prescription for hydroxychloroquine and chloroquine for a pre-existing condition, the prescription shall contain a diagnosis or diagnostic code which supports continue dispensing with refills.
4. Pharmacists shall not fill prescriptions for drugs for treatment of COVID-19 where the pharmacist believes the prescriber is acting outside of the scope of his or her practice.
5. Pharmacists may exercise judgment when filling or refilling prescriptions for medications that may soon be in short supply due to increased demand of certain drugs or drug delivery systems due to the COVID-19 pandemic. For example, the demand for metered dose inhalers (MDI) has increased. In there situations, dispensing one MDI, when a prescription was written for three, may be a prudent decision.
6. These restrictions and limitations do not apply to dispensing pursuant to medication orders for inpatient hospital use OR state or federal clinical trials.
New Mexico 3/21/2020 The Board does not intend to take action against a pharmacist or pharmacy that declines to fill a questionable prescription for such medications (chloroquine, hydroxychloroquine, mefloquine, Kaletra, azithromycin, etc.), or limits the day supply dispensed for an acute condition to the recognized duration of treatment for the same based on the drug. Pharmacists are expected to exercise due diligence and professional judgment in such determinations, including communicating with the practitioner and patient as practicable. Pharmacists are to be aware of current recommendations and indications for the prescribed drug as part of the determination whether to fill a such a prescription.
New York 3/23/2020 No pharmacist shall dispense hydroxychloroquine or chloroquine except when written as prescribed for an FDA-approved indication; or as part of a state approved clinical trial related to COVID-19 for a patient who has tested positive for COVID-19, with such test result documented as part of the prescription. No other experimental or prophylactic use shall be permitted, and any permitted prescription is limited to one 14-day prescription with no refills.
North Carolina 3/22/2020 Pharmacists are reminded of their ability to refuse to fill prescriptions that, in the pharmacist’s professional judgment, are not clinically appropriate. Exercising that professional judgment may include setting reasonable policies designed to ensure that prescription drugs are available for all patients, including use of partial fills for limited days’ supply and otherwise ensuring that patients taking these medications for established, and approved, indications do not have their drug therapy interrupted.
North Dakota    
Ohio 3/22/2020 Unless otherwise approved by the board’s executive director, no prescription for chloroquine or hydroxychloroquine may be dispensed by a pharmacist or sold at retail by a licensed terminal distributor of dangerous drugs unless all the following apply:
(1) The prescription bears a written diagnosis code from the prescriber; and
(2) If written for a COVID-19 diagnosis, the diagnosis has been confirmed by a positive test result, which is documented on the prescription and both of the following apply:
(a) The prescription is limited to no more than a fourteen-day supply; and
(b) No refills may be permitted unless a new prescription is furnished.
Prescriptions for either presumptive positive patients or prophylactic use of chloroquine or hydroxychloroquine related to COVID-19 is strictly prohibited unless otherwise approved by the board’s executive director in consultation with the board president, at which time a resolution shall be issued.
Oklahoma 3/24/2020 No prescription for hydroxychloroquine or chloroquine may be dispensed unless all of the following apply:
a. The prescription bears a written diagnosis from the provider consistent with evidence for its use
b. The prescription is limited to no more than a 14 day supply unless the patient was previously on the medicaiton prior to the effective date of this order
c. No refills may be permitted unless a new prescription is furnished
If a scenario is not addressed in these medication limitations, a pharmacy can use the waiver form provided by the board of pharmacy to request further consideration.
Oregon 3/25/2020 Oregon Board of Pharmacy adopts temporary emergency rule (OAR 855-007-0085) prohibiting the dispensing of chloroquine and hydroxychloroquine for presumptive treatment or prevention of COVID-19 infection to preserve supplies for treatment of malaria, inflammatory conditions, and documented COVID-19 infection in hospitalized or residential patients.
Pennsylvania 3/26/2020 In response to COVID-19 and potential shortages of medications that may be effective against the virus such as hydroxychloroquine, pharmacists should verify the patient is confirmed COVID-19 positive before dispensing. Patients established on therapy or utilizing the medication for other diagnoses (e.g. Lupus or Rheumatoid Arthritis) should be able to continue to access without diagnosis verification. Smaller quantities of hydroxychloroquine should be dispensed to COVID-19 patients when appropriate to prevent potential shortages.
Rhode Island 3/22/2020 No practitioner shall prescribe any medication for COVID-19, either for treatment or prevention, unless treatment or prevention of COVID-19, or similar infectious disease, is within such practitioner’s usual and customary scope of practice.
Any practitioner who chooses to prescribe an FDA-approved medication for the off-label purpose of treating COVID-19 shall:
(1) Indicate on the prescription the applicable ICD-10 diagnosis code.
(2) Indicate on the prescription a telephone number at which the dispensing authority (e.g., pharmacist) may reach the health care provider to address questions relative to dose and treatment.
(3) Document in the associated patient’s medical record that the specific risks and benefits of the off-label treatment were discussed with the patient.
(4) Document in the associated patient’s medical record the clinical rationale for the off-label prescribing, citing:
(a) At least one peer-reviewed article that justifies the clinical decision for the off-label prescribing, in the event that the FDA publishes such guidance.
(b)Applicable FDA guidance justifying the clinical decision for the off- label prescribing, in the even that the FDA publishes such guidance.
South Carolina 3/25/2020 1. Physicians should not prescribe Hydroxychloroquine, Chloroquine, and Azithromycin to themselves or family members unless faced with a bona fide emergency involving an actual diagnosis of a COVID-19 infection; 2. Physicians should consider the tremendous stress placed upon the supply chain by prescribing Hydroxychloroquine, Chloroquine, and Azithromycin prophylactically and/or simply for the patient to have available in the event the patient develops a COVID-19 infection. Physicians should also consider that irresponsible prescribing can prevent patients with a diagnosed COVID-19 infection from receiving these 3 drugs, even in an hospital setting, should they be determined to be effective in treating the condition. 3. Physicians should include a bona fide diagnosis on any prescription issued for Hydroxychloroquine, Chloroquine, and Azithromycin and could be subject to discipline for including an inaccurate diagnosis. 4. Pharmacists should use their professional judgment in determining whether to fill prescriptions for Hydroxychloroquine, Chloroquine, and/or Azithromycin and should consider the needs of patients previously prescribed these medications for conditions for which the medications have been approved by the FDA or for which have been historically used off-label to treat certain conditions. Pharmacists should also consider the effect on the supply of Hydroxychloroquine, Chloroquine, and/or Azithromycin prior to filling prescriptions for these drugs. 5. As this is a fluid situation, the Boards will continue to monitor the supply of the medications, as well as additional data regarding their effectiveness in the treatment of COVID-19 as it comes available. Should the circumstances so dictate, the Board will issue additional guidance.
South Dakota 3/25/2020 From the Joint Statement of the American Medical Association, American Pharmacists Association, and American Society of Health-System Pharmacists on Inappropriate Ordering, Prescribing or Dispensing of Medications to Treat COVID-19 (referenced on the South Dakota BOP website): “We collectively support state and federal requirements that direct a prescription must be written only for a legitimate medical purpose. We also strongly support a pharmacist’s professional responsibility to make reasonable inquiries to a prescriber to resolve any questions about a prescription. If a prescription is not for a legitimate medical purpose, it should not be written, and it should not be dispensed. That determination can and should be made on a case-by-case basis, and physicians, pharmacists and other members of the healthcare team are more than capable of working together and resolving questions.”
Tennessee 3/26/2020 “We want providers and pharmacists to act with their best discretion to ensure patients continue to receive appropriate treatment in times of shortages. We discourage inappropriate prescribing or hoarding of this medication for prophylaxis or treatment of COVID-19, which may limit access for patients that require these medications for therapy for approved indications.”
South Carolina   Pharmacists should use their professional judgment in determining whether to fill prescriptions for Hydroxychloroquine, Chloroquine, and/or Azithromycin and should consider the needs of patients previously prescribed these medications for conditions for which the medications have been approved by the FDA or for which have been historically used off-label to treat certain conditions. Pharmacists should also consider the effect on the supply of Hydroxychloroquine, Chloroquine, and/or Azithromycin prior to filling prescriptions for these drugs.
Texas 3/20/2020 No prescription or medication order for chloroquine, hydroxychloroquine, mefloquine, or azithromycin may be dispensed or distributed unless all the following apply:
(1) the prescription or medication order bears a written diagnosis from the prescriber consistent 9 with the evidence for its use;
(2) the prescription or medication order is limited to no more than a fourteen (14) day supply, unless the patient was previously established on the medication prior to the effective date of this rule; and
(3) no refills may be permitted unless a new prescription or medication order is furnished.
Utah    
Vermont 3/20/2020 For the foregoing reasons, and on the basis of the foregoing authority and findings: Vermont retail pharmacists and pharmacies shall, for any newly established outpatient prescription drug order for a drug known or popularly believed to be under investigation for COVID-19 indications, and specifically for
• azithromycin,
• baloxavir,
• chloroquine,
• hydroxychloroquine,
• lopinavir,
• oseltamivir,
• remdesivir,
• ritonavir,
• sarilumab,
• sirolimus, and
• tocilizumab:
1. Apply enhanced drug utilization review, by requiring that: a. the prescription order includes a documented diagnosis from the prescriber; b. the diagnosis and drug are plausibly within the scope of the prescriber’s practice, if known; c. the drug is reasonably indicated for the diagnosis, as indicated by FDA approval or support by credible literature, meaning literature upon which a reasonable professional competent in clinical pharmacology would rely; and d. the drug is not prescribed in a quantity manifestly in excess of the patient’s anticipated need.
2. Regard as illegitimate and refuse any newly established outpatient prescription drug order that does not satisfy the required elements of enhanced drug utilization review.
3. Take reasonable steps to protect access for patients already prescribed these medications for established maintenance needs, or who may be newly and legitimately diagnosed with conditions for which these drugs are indicated.
4. Report any clearly inappropriate prescribing activity to the Executive Officer for the Board of Pharmacy, at: carrie.phillips@vermont.gov.
Virginia 3/25/2020 Prescriptions for chloroquine, hydroxychloroquine, mefloquine and azithromycin should be restricted in the outpatient setting and should require a diagnosis “consistent with the evidence for its use.”
Community pharmacists should use professional judgement to determine whether a prescription is valid and that there is a bona fide practitioner-patient relationship prior to dispensing.
Prioritize treatment for continuation of existing medication therapy, inpatient settings, and other indications where there is not an alternative therapy.
Advise against hoarding these medications or stockpiling.
Washington 3/24/2020 Providers and pharmacists should act with their best discretion to ensure patients continue to receive appropriate treatment in times of shortages.
PQAC discourages inappropriate prescribing of chloroquine and hydroxychloroquine for prophylaxis, which may restrict access for patients that really need appropriate therapy such as those patients in our state with lupus, rheumatoid arthritis, and malaria diagnoses.
West Virginia 3/21/2020 No prescription for chloroquine or hydroxychloroquine may be dispensed except if all the following apply:
(a) The prescription bears a written diagnosis from the prescriber consistent with the evidence for its use;
(b) The prescription is limited to no more than thirty (30) tablets, unless the patient was previously established on the medication prior to the effective date of this rule; and
(c) No refills may be permitted unless a new prescription is furnished.
This requirement does not apply to the patient previously established on the medication prior to the effective date of this rule.
Wisconsin    
Wyoming 3/23/2020 For Azithromycin, Chloroquine and Plaquenil (Hydroxychloroquine: Pharmacists should use their professional judgment when they evaluate therapeutic appropriateness when determining whether or not they should dispense what was prescribed. Pharmacists may want to carefully evaluate prescriptions for these medications to help prevent shortages that can be caused by excessive prescribing. Some things pharmacists may want to consider could include:
Is there a diagnosis that is consistent with the evidence for its use from the prescriber?
Is this a routine medication for this patient?
Limiting what is dispensed to no more than a 14-day supply for prescriptions that do not have a diagnosis consistent with evidence for patients that have never received that medication before.
Topics:   Tagged: , , , ,


TOPICS: Miscellaneous
KEYWORDS: andazithromycin; chloroquine; hcq; hcqscript; hcqstateslist; hcqtreatment; hcqzpaczinc; hydroxychloroquine; stateslist
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Following a link on Twitter titled, "Does Your State Say You Can't Have HCQ?", I found a table of data, organized by state, documenting information given to pharmacists regarding HCQ.

The table is constantly being updated so the data is only valid today as tomorrow could bring changes. I took the time to post it above because it will likely be made unavailable to the public if people actually reference their state's information - we aren't allowed information.

For California - there's a warning dated 4/1/2020 that it's unprofessional to prescribe medication "inappropriately" and that they must follow the law etc. Here's the CA notice:

"The California Department of Consumer Affairs, the Medical Board of California, and the California State Board of Pharmacy remind health care professionals that inappropriately prescribing or dispensing medications constitutes unprofessional conduct in California. Prescribers and pharmacists are obligated to follow the law, standard of care, and professional codes of ethics in serving their patients and public health."

So, no, in California we are not permitted to have HCQ but no one will actually tell us that! I've seen documents stressing that all patients are entitled to and should be guaranteed the "standard of care" but the upper echelon medical community insists that these drugs are NOT the standard of care. The documents I'm seeing are written to imply we all get the care we need when they are actually declaring that we shall not get HCQ.

Here's the link to the table of states' info:

https://naspa.us/resource/hydroxychloroquine-chloroquine-and-azithromycin/

1 posted on 05/15/2020 10:48:53 AM PDT by ransomnote
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To: ransomnote

I live in CA. my doc prescribed it to me when I asked him for it went to the pharmacy at Walmart and had no problem having it filled!! This was about 2 weeks ago!!


2 posted on 05/15/2020 10:52:48 AM PDT by Trump Girl Kit Cat (Yosemite Sam raising hell)
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To: ransomnote

some of the language used in some states is quite hard to understand clearly- some parts make it look like the state does prescribe it- then the next part makes it appear like it can only be prescribed in basically an emergency situation in a hospital setting in some states-


3 posted on 05/15/2020 10:54:56 AM PDT by Bob434
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To: Trump Girl Kit Cat

YAY~!
I hope more docs follow in his decision. I fear hard hit areas where CA has been cultivating slumps will not get the “standard of care” drugs. Los Angeles and San Francisco have garbage pile slums with feces on the sidewalks and I fear areas like that, and other Dem strong holds may “toe the line” and “prescribe inappropriately”. But your doc gives me HOPE!


4 posted on 05/15/2020 10:55:33 AM PDT by ransomnote (IN GOD WE TRUST)
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To: Bob434

They could write it clearly, if they wanted to. :/


5 posted on 05/15/2020 10:56:13 AM PDT by ransomnote (IN GOD WE TRUST)
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To: ransomnote

i know0- they are like doctors- can’t understand anythign they write- lol


6 posted on 05/15/2020 11:00:07 AM PDT by Bob434
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To: ransomnote

from texags

Infection_Ag11In reply to Pulmcrit_ag • 12:32pAG
Pulmcrit_ag said:
My anecdote of the day, had patient present who has lupus and is on plaquenil. Nasal swabs negative x3. Now intubated and tracheal aspirate sample is positive. Clearly has severe disease. Has been on 200mg bid plaquenil since 2017.


I’ve had 6 patients so far on HCQ at baseline who came in with moderate to severe COVID-19. 3 did fine, just some O2 via NC and home in a few days, 1 needed HFNC, 2 got tubed with 1 recovering and 1 dying.

So I have no conclusions whatsoever to draw from that lol


7 posted on 05/15/2020 11:01:50 AM PDT by RummyChick ( Yeah, it's Daily Mail. So what.)
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To: ransomnote

I find it interesting that Guvs are telling pharmacists that they can override a doctor’s order...


8 posted on 05/15/2020 11:05:09 AM PDT by jeffc (The U.S. media are our enemy)
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To: jeffc

good news in texas

21 edit
alf8311:48aAG
Texas Pharmacy Board Backs Down on Coronavirus Medicine Restrictions

The Texas pharmacy board changed its guidance so that physicians are no longer required to provide a written diagnosis when prescribing hydroxychloroquine for coronavirus patients.


9 posted on 05/15/2020 11:07:04 AM PDT by RummyChick ( Yeah, it's Daily Mail. So what.)
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To: jeffc

I find it interesting that Guvs are telling pharmacists that they can override a doctor’s order...
~~~~~
Yes - guvs practicing medicine. We go to doctors and guvs write the prescriptions guvs decide we need.


10 posted on 05/15/2020 11:11:38 AM PDT by ransomnote (IN GOD WE TRUST)
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To: ransomnote

Banned because they cant charge medicare 59000 per if your home getting well with medication can they


11 posted on 05/15/2020 11:12:57 AM PDT by ronnie raygun
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To: ransomnote

ping for later.


12 posted on 05/15/2020 11:14:25 AM PDT by chuckles
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To: ransomnote

My doc firmly believes this remedy keeps people OUT of hospitals he told me first sign of fever and sore throat start taking HYDRO, ZPACK, ZINC!! No problems so far for myself or my mother who is 90, I am out all the time and I refuse to wear the damn mask unless forced by store!! So far only store forcing is Costco I buy my meats at Costco, went to Smart and Final they told me I had to wear a mask I left because Walmart doesn’t force the mask issue and I can get groceries there instead of Smart and Final!!


13 posted on 05/15/2020 11:21:47 AM PDT by Trump Girl Kit Cat (Yosemite Sam raising hell)
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To: ransomnote
Good find.

The limiting of HCQ in NYS as outlined in this chart has been horrendous. I see some other states have similar limits.

14 posted on 05/15/2020 11:28:09 AM PDT by FreeReign
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To: ransomnote

Ms. Note:
If the States are not hyperlinked (example: Michigan) does that mean there is no info available to NASPA?
Tabular formatting didn’t carry over clean.


15 posted on 05/15/2020 11:28:25 AM PDT by Cletus.D.Yokel (When we look to government to solve our problems, our "rights" become reduced to "privileges".)
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To: ransomnote

The power of big money/Big Pharma on display at state capitols.


16 posted on 05/15/2020 11:37:17 AM PDT by fella ("As it was before Noah so shall it be again,")
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To: ransomnote
State attorney generals need to get involved with all HIPA information required by the pharmacist to fill the prescription. If there is a HIPA violation they need to start prosecuting.
17 posted on 05/15/2020 11:57:59 AM PDT by Trouble065
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To: ransomnote

Has it been the case for awhile, that state regs dictate what Doctors can prescribe ..?


18 posted on 05/15/2020 12:01:48 PM PDT by urtax$@work (The only kind of memorial is a Burning memorial !)
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To: RummyChick

“Texas Pharmacy Board Backs Down on Coronavirus Medicine Restrictions”
I saw a doctor from Texas on Fox last night who was being told by pharmacies
that they would not fill her prescriptions. She was pissed and rightfully so I think. The government getting involved in this is criminal. Thanks for getting the list out there.


19 posted on 05/15/2020 12:03:17 PM PDT by freefdny
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To: Cletus.D.Yokel

Ms. Note:
If the States are not hyperlinked (example: Michigan) does that mean there is no info available to NASPA?
Tabular formatting didn’t carry over clean.

~~~~~~~~~~~~~~~

At the link, the table looks the same (e.g., Michigan has no information). In a related link to this page, there’s more information (e.g., Michigan)

https://naspa.us/resource/covid-19-information-from-the-states/


20 posted on 05/15/2020 12:22:29 PM PDT by ransomnote (IN GOD WE TRUST)
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