Idaho pharmacists may independently prescribe any FDA-approved drug category (self-administered hormonal contraceptives)or device, provided they:
Prescribe for conditions that DO NOT require a new diagnosis, or minor/self-limiting conditions, or can be diagnosed using a CLIA-waived test, or it is an emergency requiring immediate dispensing.
Standing Order
Not required in Idaho. Idaho Pharmacists may independently prescribe under the conditions specified above.
Eligible Medications: Contraceptive pills, patches, and vaginal rings, and depot injections.
Prescription Limitations:
Idaho pharmacists may prescribe up to a 15-month supply of self-administered hormonal contraceptives under their independent prescriptive authority. Prescriptions may not be refilled beyond 15 months from the original date.
Insurance Coverage (Senate Bill 1234): Beginning January 1, 2025, Idaho law mandates that insurance companies cover up to a 6-month supply of contraceptives per fill under most health plans. This does not limit pharmacist prescribing authority but affects what insurers must cover in a single fill.
Age Restrictions: No specific age requirement, but pharmacists must screen patients using USMEC guidelines.
Documentation Requirements: Pharmacists must maintain documentation that justifies the care provided, including:
Patient record information
Prescription records
Notifications to other providers
Follow-up care plans
They must also recognize the limits of their knowledge and refer patients to other healthcare
providers when appropriate.
Training Requirements: Pharmacists must complete a Board-approved contraceptive prescribing training program before providing services.
Reimbursement Details
Eligibility
Pharmacists must enroll with Idaho Medicaid as providers to bill for clinical services. Use Idaho Provider Service Portal.
Enroll, verify eligibility, submit claims, and access billing guides.
Must submit NPI and NABP/NCPDP numbers (Must submit 365 days from date of service to receive
reimbursement.) Use rendering-only provider application if not billing as a standalone entity.
