TX HB4051

Physicians may delegate to qualified staff the dispensing of dangerous drugs to patients (not just administration), with requirements for child-resistant containers, proper labeling including drug name, date, prescriber, quantity, dosage, and expiration date, secure temperature-controlled storage, and written consumer information

Physicians can provide or dispense dangerous drugs to their patients and be reimbursed for costs without obtaining a pharmacy license, but cannot dispense controlled substances in Schedules II-V; must notify patients they can fill prescriptions at a pharmacy and notify the Texas State Board of Pharmacy and Texas Medical Board within 30 days of beginning dispensing activities

Rural area dispensing provisions for dangerous drugs are limited to physicians providing care under workers' compensation insurance coverage

Pharmacists gain authority to order and furnish prescription drugs to treat acute conditions identified through waived clinical laboratory tests (rapid strep tests, influenza tests, COVID-19 tests) or for minor uncomplicated infections including lice, ringworm, athlete's foot, and urinary tract infections

Pharmacists furnishing drugs under this authority must notify the patient's primary care physician within 14 days; Texas State Board of Pharmacy must adopt rules by January 1, 2026 establishing training requirements for pharmacists to order and furnish prescription drugs