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Compliance news and scheduling guidance
Written by a working pharmacist.
Texas Pharmacy Ratio: 6 Per Pharmacist, Only 3 Trainees
In a Texas Class A pharmacy, one pharmacist may supervise 6 technicians and trainees combined, and no more than 3 of them may be trainees.
Susie Monahan-West Pharm.D., BCGP. · October 19, 2026
New York's Pharmacy Staffing Limit: Four Support People
New York caps a pharmacist at four support people at once, clerks included, and no more than two may be registered technicians doing technician tasks.
Susie Monahan-West Pharm.D., BCGP. · October 16, 2026
Build my week: your first draft already knows your state's rules
RxShift’s new Build my week proposes shifts checked against your state’s ratio, hour, and break rules, leaving staffing gaps visible when targets exceed the limits. Review the proposals, see why hours remain unstaffed, and decide what to accept before publishing.
Susie Monahan-West Pharm.D., BCGP. · October 15, 2026
Colorado rule update (2026-10-05): what changed and what it means
Colorado adopted new final product verification rules without changing pharmacist supervision limits. As of October 5, 2026, no effective date had been set, and technicians assigned to verification still counted toward the staffing cap.
Susie Monahan-West Pharm.D., BCGP. · October 5, 2026
Massachusetts Pharmacy Ratios: Why Four People Can Still Be a Violation
Massachusetts sets the ceiling by who is working, not how many. One pharmacist with one certified technician and two trainees is four support staff, and it is not a lawful four.
Susie Monahan-West Pharm.D., BCGP. · September 18, 2026
Nevada rule update (2026-09-14): what changed and what it means
Nevada's ratio rule is unchanged: under NAC 639.250 a pharmacist may supervise up to three technicians, or one technician and two technicians in training. The proposed R072-25 was tabled in June 2026 and has not been adopted.
Susie Monahan-West Pharm.D., BCGP. · September 14, 2026
Georgia Pharmacy Ratios: Why 1:4 Isn't the Whole Story
Georgia caps a pharmacist at four technicians. This post sets out what the statute and the Board rule each say about certification within those four.
Susie Monahan-West Pharm.D., BCGP. · September 10, 2026
North Carolina pharmacy ratios: the ratio you have to ask for
North Carolina allows two technicians per pharmacist unless the Board has approved more for your permit, and every technician above the second must be certified. Certification alone does not raise the limit.
Susie Monahan-West Pharm.D., BCGP. · September 5, 2026
California rule update (2026-09-01): what changed and what it means
California's Board of Pharmacy has extended its approval of the PTCB and NHA technician certification programs through June 30, 2027, under 16 CCR 1793.65. The technician ratio in Business and Professions Code section 4115 is unchanged.
Susie Monahan-West Pharm.D., BCGP. · September 2, 2026
Ohio Pharmacy Scheduling: No Ratio Law, But a Real 13-Hour Rule
Ohio's pharmacy scheduling laws provide flexibility with no strict pharmacist-to-technician ratio but emphasize work-hour limits and rest requirements, ensuring both staff well-being and patient safety while requiring diligent documentation and thoughtful staffing decisions.
Susie Monahan-West Pharm.D., BCGP. · August 26, 2026
Tennessee's 6:1 Ratio: The Certified-Technician Exception Pharmacists Miss
In Tennessee a pharmacist may supervise up to six non-certified technicians, and certified technicians do not count toward that six at all.
Susie Monahan-West, PharmD, BCGP · August 20, 2026
New Jersey Pharmacy Ratios: No Ceiling, One Catch
New Jersey caps a pharmacist at two technicians unless every technician on duty is certified, and then the rule states no upper limit. One uncertified technician puts the whole crew back to two.
Susie Monahan-West Pharm.D., BCGP. · August 15, 2026
South Carolina Pharmacy Ratios: The Dual-Cap Most Owners Miss
In South Carolina one pharmacist may supervise up to four technicians, and no more than two of them may be non-certified. Certified technicians still count toward the four.
Susie Monahan-West Pharm.D., BCGP. · August 13, 2026
Colorado Pharmacy Ratios: The 3-Tier Certification Rule Most Owners Miss
Colorado's pharmacist-to-technician ratio comes with a three-tier certification rule most owners miss, and getting the headcount right takes more than just counting bodies on shift.
Susie Monahan-West Pharm.D., BCGP. · August 11, 2026
Alabama Pharmacy Ratios: The Certification Ladder Most Owners Get Wrong
Alabama's pharmacist-to-technician ratio runs on a three-tier certification ladder, and it works the opposite way from Tennessee's rule, a mix-up that trips up more owners than you'd think.
Susie Monahan-West Pharm.D., BCGP. · August 5, 2026
Illinois has no technician ratio: it regulates your shift instead
Illinois sets no pharmacist-to-technician ratio, whatever you have heard about a 1:4 cap. Its pharmacy law regulates the shift instead: how long a pharmacist, student pharmacist or technician can be required to work, and the breaks a pharmacist gets on a long day.
Susie Monahan-West Pharm.D., BCGP. · June 30, 2026
Nevada Tech Ratio Rules
Nevada's proposed rule R072-25 sets out a path for some pharmacies to be staffed with a single pharmacist. The Board tabled it on June 4, 2026, and it has not been adopted, so NAC 639.250 still applies.
Susie Monahan-West Pharm.D., BCGP. · June 22, 2026
The Compliance Record: what actually happened, hour by hour
A published schedule shows who was supposed to work, not who counted toward the pharmacist-to-technician ratio. RxShift’s Compliance Record reconstructs each hour from the schedule and status changes, preserving the record with room for managers to add context.
Susie Monahan-West Pharm.D., BCGP. · June 18, 2026
The live ratio board: who can step away right now
RxShift’s live ratio board now includes a wall display and pharmacist step-away indicators, helping teams see who can step away while keeping their location in ratio. Pharmacists can also check beside their status buttons on their phones before making a change.
RxShift · June 17, 2026
Why I Built RxShift
As Pharmacist in Charge of a new specialty pharmacy in Las Vegas, I was checking the staffing ratio by hand every week, and that is why RxShift exists.
Susie Monahan-West Pharm.D., BCGP. · June 8, 2026