Can Pharmacists Prescribe in Georgia? 2026 Scope of Practice Guide
Status Check: Georgia is a Yellow State. Current Authority Level: Protocol-Based
If you are a pharmacist in Georgia, you are likely leaving revenue on the table—or practicing efficiently but dangerously.
The laws in Georgia have evolved in recent years. Whether you are looking to expand clinical services 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 Georgia.
At-A-Glance: What Can You Prescribe?
| Clinical Service | Authority Status | Protocol / Requirement | Billing Code |
|---|---|---|---|
| HIV PrEP/PEP | ✅ YES | Protocol Agreement | CPT 99202 |
| Flu/Strep | ✅ YES | Nurse Protocol / CPA | CPT 87880 |
| Hormonal Contraception | ❌ NO | MD Prescription Req | N/A |
| Paxlovid (COVID-19) | ✅ YES | Federal Authority | CPT 99211 |
| Opioid Antagonist | ✅ YES | Statewide Protocol | Product Only |
1. HIV PrEP/PEP Authority
The Law: Georgia Protocol Agreement
Georgia pharmacists can furnish HIV PrEP and PEP therapy under a protocol agreement, making preventive care more accessible.
The Protocol: To legally prescribe, you must:
- Establish a Protocol Agreement with a prescriber.
- Complete required training on PrEP/PEP protocols.
- Perform baseline HIV testing and assessments.
⚠️ Key Point: Georgia's PrEP/PEP authority positions pharmacies as key players in HIV prevention efforts.
Revenue Potential:
- Consult Fee: Bill CPT 99202 for the assessment.
- Product: Standard dispensing margin plus possible 340B savings.
2. Test & Treat (Flu / Strep)
The Law: Nurse Protocol / CPA
Georgia allows pharmacists to test and treat flu and strep under Nurse Protocols or Collaborative Practice Agreements.
The Workflow:
- Test: Perform a CLIA-waived rapid test.
- Evaluate: Assess symptoms and patient history.
- Treat: If positive, prescribe appropriate therapy per protocol.
Rx Agent Tip: The Nurse Protocol pathway can be easier to establish than a traditional CPA in some Georgia communities.
3. Hormonal Contraception
The Status: Not Authorized
In Georgia, pharmacists cannot independently furnish hormonal contraception. A physician prescription is required.
What This Means:
- Patients must obtain contraception through a traditional prescriber.
- Advocacy efforts continue to expand pharmacist authority in this area.
4. How to Bill for Services in Georgia
It is not enough to do the work; you must get paid.
Medicaid Enrollment: To bill Georgia Medicaid for CPT codes (like 99202, 87880), you must enroll as an Ordering/Referring Provider.
- Portal Link: Georgia Medicaid Provider Enrollment
Commercial Payers: Most commercial plans in Georgia have limited recognition of pharmacists as clinical providers. We recommend billing the patient a cash "Consult Fee" and providing a Superbill using the codes above.
Compliance Checklist for Georgia
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).
- Protocol Agreement: Is your agreement current and properly executed?
- Liability Insurance: Does your policy cover "Prescribing" or just "Dispensing"?
- CLIA Waiver: Is your pharmacy registered as a laboratory?
- PrEP/PEP Training: Have you completed required HIV prevention training?
Need the Official Protocols?
Stop searching through the Georgia Board of Pharmacy website.
Rx Agent has the official, up-to-date Protocols and Standing Orders for Georgia built right into the chat.
Ask Rx Agent:
"How do I set up a protocol agreement for PrEP in Georgia?"
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Rx Agent Clinical Team writes about Georgia pharmacy laws and healthcare compliance for prescribers and pharmacists.
