The ratio register
Pharmacist-to-technician ratios, state by state. Verified weekly.
Every rule below is read from the primary statute or regulation, cited, dated, and re-checked by our regulatory research every week. When a state changes its rule, this page changes with it. Last verification pass: 2026-09-01.
| State | The rule | How certification changes it | Citation | Verified |
|---|---|---|---|---|
| NevadaPending activity | One pharmacist may supervise up to 3 technicians, or 1 technician plus 2 technicians-in-training. | Certification does not change the cap; the 3-technician ceiling applies regardless. | NAC 639.250 | 2026-08-20 |
| California | An additive formula: 3 technicians for the first pharmacist on duty, plus 3 more for each additional pharmacist. | The formula counts technicians, not certifications; the pharmacist-in-charge sets ratios within it. | BPC 4115, as amended by AB 1503 (eff. Jan 1, 2026) | 2026-08-20 |
| Tennessee | Up to 6 non-certified technicians per pharmacist; certified technicians (CPhT) are not counted against the ratio. | Certified technicians are uncapped, so certification directly expands how many people can work a shift. | Tenn. Comp. R. & Regs. 1140-02-.02(7)(a) | 2026-09-01 |
| AlabamaPending activity | 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 raises the ceiling but certified technicians still count toward it; more certifications never push it past 4. | Ala. Admin. Code r. 680-X-2-.14(5) | 2026-08-20 |
| ColoradoPending activity | Up to 6 technicians and interns combined per pharmacist (no more than 2 interns); central-fill pharmacies may go to 8. | 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). | C.R.S. 12-280-122 | 2026-08-20 |
| Georgia | A flat ceiling of 4 technicians per pharmacist in the licensed area; remote technicians do not count toward the ratio. | 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. | O.C.G.A. 26-4-82 (as amended by HB 382, eff. July 1, 2026) and Board rule 480-15-.03(e) | 2026-08-20 |
| New Jersey | A base cap of 2 technicians per pharmacist for any mix; if every technician on duty is certified, there is no stated upper ceiling. | 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. | N.J.A.C. 13:39-6.15 | 2026-09-01 |
| Ohio | 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 does not enter Ohio's staffing math; the binding rules are hour caps and rest gaps. | OAC 4729:5-5-02.2 | 2026-09-01 |
| South Carolina | 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. | 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. | S.C. Code Ann. 40-43-86(B)(4)(b) | 2026-09-01 |
Pending items worth knowing: Nevada: 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. Alabama: 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. Colorado: 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.
This dataset is free to cite with attribution to RxShift (rxshift.io). It is also available machine-readable at /api/public/state-rules and as a running change log at /regulatory-updates. Informational only, not legal advice; always confirm against the cited source.
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