Can Pharmacists Prescribe in Florida? 2026 Scope of Practice Guide

Status Check: Florida is a Green State. Current Authority Level: Test & Treat Certification

If you are a pharmacist in Florida, you are likely leaving revenue on the table—or practicing efficiently but dangerously.

The laws in Florida have changed significantly in recent years. Whether you are looking to launch a "Test and Treat" clinic or just want to legally dispense Paxlovid, you need to know exactly which protocol protects your license.

Here is the Breakdown of Pharmacist Prescribing Authority for Florida.

At-A-Glance: What Can You Prescribe?

Clinical Service	Authority Status	Protocol / Requirement	Billing Code
Minor Non-Chronic (Flu, Strep)	✅ YES	Must hold T&T Cert	CPT 99202
Hormonal Contraception	⚠️ Restricted	Collaborative Practice Only	N/A
Paxlovid (COVID-19)	✅ YES (Federal)	PREP Act Authority	CPT 99211
HIV PrEP/PEP	❌ NO	Not Authorized	N/A
Opioid Antagonist	✅ YES	Statewide Protocol	Product Only

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1. Test & Treat Authority (Flu / Strep)

The Law: Florida Test & Treat Certification

Florida allows certified pharmacists to test and treat minor, non-chronic conditions including influenza and streptococcal pharyngitis.

The Protocol: To legally prescribe, you must:

1. Obtain the Test & Treat Certification from the Florida Board of Pharmacy.
2. Perform CLIA-waived rapid diagnostic tests.
3. Follow established treatment protocols for positive results.

⚠️ Important: The T&T certification is mandatory—practicing without it puts your license at risk.

The Workflow:

1. Test: Perform a CLIA-waived rapid test (Flu A/B, Strep).
2. Evaluate: Assess symptoms and patient history.
3. Treat: If positive, prescribe Tamiflu or appropriate antibiotic per protocol.

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2. Hormonal Contraception Authority

The Status: Restricted

In Florida, pharmacists cannot independently furnish hormonal contraception. This service requires a Collaborative Practice Agreement (CPA) with a supervising physician.

Alternative Options:

• Partner with a local physician to establish a CPA.
• Refer patients to providers who can prescribe.

Rx Agent Tip: Legislation is pending to expand pharmacist contraception authority in Florida. Stay updated on bill status through Rx Agent.

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3. Paxlovid (COVID-19 Treatment)

The Law: Federal PREP Act Authority

Florida pharmacists can prescribe Paxlovid under federal emergency authorization. This does not require state-level certification beyond standard pharmacist licensure.

Requirements:

1. Perform renal function assessment (or obtain recent labs).
2. Screen for drug-drug interactions.
3. Document the clinical encounter.

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4. How to Bill for Services in Florida

It is not enough to do the work; you must get paid.

Medicaid Enrollment: To bill Florida Medicaid for CPT codes (like 99202, 99211), you must enroll as an Ordering/Referring Provider.

• Portal Link: Florida Medicaid Provider Enrollment

Commercial Payers: Most commercial plans in Florida do not yet recognize pharmacists as providers for clinical services. We recommend billing the patient a cash "Consult Fee" and providing a Superbill using the codes above.

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Compliance Checklist for Florida

Before you write your first prescription, ensure you have these documents on file:

• NPI Type 1: Do you have an individual NPI? (Type 2 is for the pharmacy).
• T&T Certification: Have you completed Florida's Test & Treat certification?
• Liability Insurance: Does your policy cover "Prescribing" or just "Dispensing"?
• CLIA Waiver: Is your pharmacy registered as a laboratory?
• Protocols: Do you have printed copies of treatment protocols on file?

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Need the Official Protocols?

Stop searching through the Florida Board of Pharmacy website.

Rx Agent has the official, up-to-date Protocols and Standing Orders for Florida built right into the chat.

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