Veterinary prescription orders
Last updated October 2020
The following is a list of states that AVMA research has found with specific statutes, rules or agency policy statements addressing whether or not a veterinarian is required to provide a written prescription at the request of his or her client. Forty-one states have adopted laws, regulations or policy statements that specifically or implicitly require veterinarians to provide their clients with a written prescription upon request in some circumstances. Some of those states do so by incorporating into their discipline standards for veterinarians the AVMA’s Principles of Veterinary Medical Ethics, which state that veterinarians shall honor a client’s request for a prescription in lieu of dispensing (Section III-C).
It’s important to note that even in states not listed below, state boards of veterinary medicine could find in acting on a complaint that failure to honor a client’s request for a prescription constitutes unprofessional conduct, leading to discipline against a veterinarian. Unprofessional conduct generally refers to a departure from or failure to conform to the standards of acceptable and prevailing practice of a veterinary medicine.
State |
Cite |
Language |
Arizona |
A.A.C. R3-11-801: Notification That Prescription-only Drugs or Controlled Substances May Be Available at A Pharmacy |
A. A dispensing veterinarian shall notify an animal owner that some prescription-only drugs and controlled substances may be available at a pharmacy by:
B. A dispensing veterinarian may provide a written prescription to the animal owner if requested by an animal owner. |
California |
West's Ann. Cal. Bus. & Prof. Code § 4170: Conditions; enforcement of chapter; prescriber 16 CCR § 2032.2: |
6. The prescriber, prior to dispensing, offers to give a written prescription to the patient that the patient may elect to have filled by the prescriber or by any pharmacy. 7. The prescriber provides the patient with written disclosure that the patient has a choice between obtaining the prescription from the dispensing prescriber or obtaining the prescription at a pharmacy of the patient's choice.
Pursuant to section 4170(a)(6) and (7) of the Business and Professions Code, veterinarians must notify clients that they have a choice to obtain either the medication or a written prescription and that they shall not be charged for the written prescription.
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Colorado |
4 CCR 727-1: |
Veterinarians are charged with knowledge of the pharmacy practice act provisions that apply to their practice, as well as the laws and regulations of the federal food and drug administration. When a client requests a copy of a prescription for their animal under current treatment, the veterinarian must provide it to the client. |
Connecticut |
C.G.S.A. § 20-202: Disciplinary action; grounds |
In determining whether a licensee has acted with negligence, the board may consider standards of care and guidelines published by the American Veterinary Medical Association including, but not limited to, guidelines for the use, distribution and prescribing of prescription drugs |
Delaware |
24 Del. Admin. Code CSA 8.0: |
Before dispensing any controlled substance, the patient must be advised that the prescription may be filled in the practitioner's office or any pharmacy. |
Florida |
West's F.S.A. § 474.214: |
The following acts shall constitute grounds for which the disciplinary actions in subsection (2) may be taken: (pp) Failing to give the owner of a patient, before dispensing any drug, a written prescription when requested. |
Georgia |
Ga Comp. R. & Regs. 700-8-.01: |
Within the meaning of GA. Code subsection 43-50-21(a)(7), unprofessional conduct means: (e) Prescription Drugs:
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Hawaii |
HRS § 471-10: |
The board may revoke or suspend the license of any veterinarian or fine the licensee, or both, for any cause authorized by law, including but not limited to the following: (12) Conduct or practice contrary to the recognized principles of medical ethics of the veterinary profession as adopted by the Hawaii Veterinary Medical Association and the American Veterinary Medical Association. The AVMA principles provide that veterinarians shall honor a client’s request for a prescription in lieu of dispensing. |
Idaho |
IDAPA 46.01.01.153: |
The Idaho Administrative Code adopts the Principles of Veterinary Medical Ethics, published by the American Veterinary Medical Association and violation of such principles constitutes unprofessional conduct. These principles provide that veterinarians shall honor a client’s request for a prescription in lieu of dispensing. |
Illinois |
225 ILCS 115/19.2: |
Veterinarians shall honor a client's request for a prescription in lieu of dispensing a drug when a veterinarian-client-patient relationship exists and the veterinarian has determined that the drug is medically necessary. |
Indiana |
IC 25-38.1-4-5: |
(d) If a veterinarian prescribes a drug for the client's animal, upon request, the veterinarian shall provide the prescription to the client, unless prohibited by state or federal law or to prevent inappropriate use. This requirement does not apply to livestock. |
Iowa |
Iowa Admin. Code 811-10.6(17A,169,272C): |
A licensed veterinarian is subject to disciplinary action for the violation of any of the following: a. Engaging in unethical conduct which includes, but is not limited to, a violation of the standards of practice as set out in 811—Chapter 12, and which may include acts or offenses in violation of the AVMA Principles of Veterinary Medical Ethics. These principles provide that veterinarians shall honor a client’s request for a prescription in lieu of dispensing. |
Kansas |
K.A.R. 70-7-1: |
Each veterinarian shall meet the following minimum standards in the practice of veterinary medicine: |
Kentucky |
201 Ky. Admin. Regs. 16:110: |
Section 5:
|
Louisiana |
La. Admin Code. tit. 46, Pt LXXXV, § 705: |
G. Providing Prescriptions
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Maine |
Maine Department of Professional and Financial Regulation |
If the veterinarian is prescribing a medication for a patient, yes the doctor is required to provide the patient, upon request, with a written prescription. |
Maryland |
COMAR 15.14.01.12-1: |
A veterinarian or employee approved by a veterinarian may transmit prescriptions that are not controlled dangerous substances from the prescriber to a pharmacy chosen by a client and note such action in the record of the animal belonging to the client. Acceptable methods of transmission include but are not limited to:
|
Massachusetts |
256 CMR 5.02: |
A licensee shall provide prescription information to an off-site pharmacy or a written prescription to the client if requested. The prescription may be written or transmitted by any electronic means at the discretion of the prescribing licensee and in accordance with M.G.L. c. 94C. |
Mississippi |
Mississippi Board of Veterinary Medicine |
Veterinarians shall abide by the AVMA Code of Ethics as set forth in the AVMA Directory. The AVMA’s Principles of Veterinary Medical Ethics provide that veterinarians shall honor a client’s request for a prescription in lieu of dispensing. |
Missouri |
20 Mo. Code of State Regulations 2270-4.031: |
(3) Dispensed Drug Labeling:
|
Montana |
Mont. Admin. R. 24.225.514: |
If a veterinarian, based upon his or her medical opinion, is willing to dispense medication, then the veterinarian must also provide a prescription in place of said medication should the owner request a prescription. If a veterinarian, based upon his or her medical opinion, is not willing to dispense medication, then the licensee should deny a request for a prescription. |
Nebraska |
Failure to provide a prescription upon client request in appropriate circumstances could be considered unprofessional conduct, and a ground for discipline against the license. |
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Nevada |
N.R.S. 638.140: |
The following acts, among others, are grounds for disciplinary action:
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New Hampshire |
N.H. Code Admin. R. Vet 501.01: |
New Hampshire Board rules require all licensed veterinarians to comply with the Principles of Veterinary Medical Ethics, published by the American Veterinary Medical Association. These principles provide that veterinarians shall honor a client’s request for a prescription in lieu of dispensing. |
New Jersey |
N.J.A.C. 13:44–4.1: |
(e) A licensed veterinarian, in the course of professional practice and an existing veterinarian-client-patient relationship, shall, upon request, provide a written prescription to a client who does not wish to purchase a prescription item directly from the licensed veterinarian. |
New Mexico |
N.M. Admin. Code 16.25.9: |
H. Veterinarians shall honor client requests to dispense and/or provide a written prescription for a drug that has been determined by the veterinarian to be appropriate for the patient. |
New York |
8 NYCRR 29.1: |
Based on a conversation with the New York Board of Veterinary Medicine on Nov. 30, 2011, it would be considered unprofessional conduct for a veterinarian not to provide a written prescription to his or her client upon request. It would be a violation of section 29.1(b)(2) which states that unprofessional conduct includes exercising undue influence on the patient or client, including the promotion of the sale of services, goods, appliances or drugs in such a manner as to exploit the patient or client for the financial gain of the practitioner or of a third party. |
North Carolina |
If a veterinarian, based upon his or her medical opinion, is willing to dispense medication, then they (veterinarians) must also provide a prescription, in place of said medication, should the owner request a prescription. If a veterinarian, based upon his or her medical opinion, is not be willing to dispense medication, then it would also be appropriate to deny a request for a prescription. |
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North Dakota |
NDAC 87-04-01-02: |
After a valid veterinarian-client-patient relationship has been established, a veterinarian shall make available, upon request, and may assess a reasonable cost for, a prescription for a drug that has been determined by the veterinarian to be appropriate for the patient. |
Oklahoma |
59 Okl. St. Ann. § 354: |
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Oregon |
OAR 875-015-0020: OAR 875-015-0030: |
If requested, a written prescription shall be provided to a client for medications prescribed by the veterinarian under a valid VCPR. The facility shall post in a place conspicuous to the public a notice indicating availability of written prescriptions. The facility shall use, or replicate the specifications of, a notice template provided by the Board. If requested, a prescription shall be provided to a client for medications prescribed by the veterinarian under a valid VCPR. |
Rhode Island |
216-RICR- 40-05-14.9: |
Any veterinarian licensed in the state of Rhode Island who writes a prescription for an animal patient shall provide a copy of that prescription to the owner of the animal patient, upon request of the owner, for the purpose of filling the prescription with a licensed pharmacy. |
South Carolina |
S.C. Code of Regulations R. 120-8: |
Licensed veterinarians shall comply with the American Veterinary Medical Association Code of Professional Ethics. |
South Dakota |
Policy based on AVMA Principles of Veterinary Medical Ethics provision that veterinarians should honor a client’s request for a prescription in lieu of dispensing. |
|
Tennessee |
Position Statement, Tennessee Board of Veterinary Medical Examiners |
It is a violation of Rule 1730-01-.13 for a veterinarian to refuse to honor a client’s request to prescribe, rather than dispense, a drug (AVMA Principles of Veterinary Medical Ethics). The client has the option of filling a prescription at any pharmacy. Veterinarians asked by pharmacies to approve prescriptions they have not initiated should do so only if the prescription is appropriate and a veterinarian-client-patient relationship exists. It is within the veterinarian's (not the pharmacy's) purview to determine the medical criteria whereby a drug is indicated. It is not unethical for a veterinarian to charge a reasonable professional fee for a prescription. |
Utah |
U.A.C. R156-28: |
Unprofessional conduct includes failing to conform to the generally accepted and recognized standards and ethics of the profession including those established in the Principles of Veterinary Medical Ethics of the American Veterinarian Medical Association. These principles provide that veterinarians shall honor a client’s request for a prescription in lieu of dispensing. |
Vermont |
Vt. Admin. Code 20-4-2000:3: |
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Virginia |
18 VAC 150-20-140: |
Unprofessional conduct shall include the following:
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Washington |
WAC 246-933-350: |
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West Virginia |
W. Va. Code St. R. § 26-4-5: |
a. A veterinarian shall not prescribe, dispense or administer any prescription drug without the establishment of a veterinarian/client/patient relationship.
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Wyoming |
WY Rules and Regulations 251.0001.9 § 1: |
Wyoming Rules and Regulations adopt, incorporate and enforce as standards for professional conduct, the Principles of Veterinary Medical Ethics, published by the American Veterinary Medical Association Judicial Council. These principles provide that veterinarians shall honor a client’s request for a prescription in lieu of dispensing. |
Source: Staff research, AVMA Division of State Advocacy
Contact: State Policy Analyst, AVMA Division of State Advocacy