{"name":"State pharmacist-to-technician ratio rules","publisher":"RxShift (https://rxshift.io)","documentation":"https://rxshift.io/states","change_log":"https://rxshift.io/regulatory-updates","license":"Free to cite with attribution to RxShift (rxshift.io). Informational only, not legal advice; always confirm against the cited primary source.","last_verified":"2026-09-01","verification":"Each state is re-checked against its primary statute or regulation on a weekly research cadence.","states":[{"code":"NV","name":"Nevada","rule":"One pharmacist may supervise up to 3 technicians, or 1 technician plus 2 technicians-in-training.","certification_effect":"Certification does not change the cap; the 3-technician ceiling applies regardless.","citation":"NAC 639.250","pending":"Proposed rule R072-25 would change staffing requirements, but it was tabled at the Board's June 4, 2026 hearing and has not been adopted. Current law is unchanged.","last_verified":"2026-08-20","detail_url":"https://rxshift.io/nevada"},{"code":"CA","name":"California","rule":"An additive formula: 3 technicians for the first pharmacist on duty, plus 3 more for each additional pharmacist.","certification_effect":"The formula counts technicians, not certifications; the pharmacist-in-charge sets ratios within it.","citation":"BPC 4115, as amended by AB 1503 (eff. Jan 1, 2026)","pending":null,"last_verified":"2026-08-20","detail_url":"https://rxshift.io/states/california"},{"code":"TN","name":"Tennessee","rule":"Up to 6 non-certified technicians per pharmacist; certified technicians (CPhT) are not counted against the ratio.","certification_effect":"Certified technicians are uncapped, so certification directly expands how many people can work a shift.","citation":"Tenn. Comp. R. & Regs. 1140-02-.02(7)(a)","pending":null,"last_verified":"2026-09-01","detail_url":"https://rxshift.io/states/tennessee"},{"code":"AL","name":"Alabama","rule":"A certification-scaled ceiling: 2 technicians with none certified, 3 with at least one certified, 4 with at least two certified. Four is a hard ceiling.","certification_effect":"Certification raises the ceiling but certified technicians still count toward it; more certifications never push it past 4.","citation":"Ala. Admin. Code r. 680-X-2-.14(5)","pending":"A rulemaking filed July 15, 2026 (hearing September 16, 2026) corrects a statutory reference only; the ratio text in the proposal is identical to current law.","last_verified":"2026-08-20","detail_url":"https://rxshift.io/states/alabama"},{"code":"CO","name":"Colorado","rule":"Up to 6 technicians and interns combined per pharmacist (no more than 2 interns); central-fill pharmacies may go to 8.","certification_effect":"Once 3 or more technicians are on duty, a majority must be fully certified and every technician needs at least a provisional certification (valid up to 18 months, non-renewable).","citation":"C.R.S. 12-280-122","pending":"HB26-1336 (effective Aug 12, 2026) lets pharmacists delegate final product verification to certified technicians for non-controlled orders; it changes no ratio and requires Board rulemaking by the end of 2026.","last_verified":"2026-08-20","detail_url":"https://rxshift.io/states/colorado"},{"code":"GA","name":"Georgia","rule":"A flat ceiling of 4 technicians per pharmacist in the licensed area; remote technicians do not count toward the ratio.","certification_effect":"Board rule 480-15-.03(e) still requires at least 1 certified technician to staff 3 and at least 2 certified to staff 4, even though HB 382 removed the tiers from the statute itself.","citation":"O.C.G.A. 26-4-82 (as amended by HB 382, eff. July 1, 2026) and Board rule 480-15-.03(e)","pending":null,"last_verified":"2026-08-20","detail_url":"https://rxshift.io/states/georgia"},{"code":"NJ","name":"New Jersey","rule":"A base cap of 2 technicians per pharmacist for any mix; if every technician on duty is certified, there is no stated upper ceiling.","certification_effect":"The uncap is all-or-nothing: a single non-certified technician on duty returns the whole crew to the 2-per-pharmacist base. A written policy-and-procedure manual is also mandatory.","citation":"N.J.A.C. 13:39-6.15","pending":null,"last_verified":"2026-09-01","detail_url":"https://rxshift.io/states/new-jersey"},{"code":"OH","name":"Ohio","rule":"No numeric pharmacist-to-technician ratio. Instead: a 13-hour single-workday cap, a mandatory 8-hour rest gap between shifts, and documented exceptions retained for 3 years.","certification_effect":"Certification does not enter Ohio's staffing math; the binding rules are hour caps and rest gaps.","citation":"OAC 4729:5-5-02.2","pending":null,"last_verified":"2026-09-01","detail_url":"https://rxshift.io/states/ohio"},{"code":"SC","name":"South Carolina","rule":"A dual cap for community and retail pharmacies: at most 4 technicians per pharmacist at a time, of which no more than 2 may be non-certified.","certification_effect":"State-certified technicians are what allow a pharmacist to go above 2 technicians, but they still count toward the cap of 4. Institutional pharmacies follow a separate 1-to-3 employment ratio.","citation":"S.C. Code Ann. 40-43-86(B)(4)(b)","pending":null,"last_verified":"2026-09-01","detail_url":"https://rxshift.io/states/south-carolina"}]}