Table II.3: State-Reported Categories of Licenses, Permits, or Registrations for Pharmacies and Other Entities, by Number of States
Category of license, permit, or registration Number of states (%)
  Yes No No response
Resident (in-state) pharmacies 50 (100) 0 (0) 0 (0)
Nonresident (out-of-state) pharmacies 48 (96)a 2 (4)b 0 (0)
Resident (in-state) sterile compounding pharmacy 12 (24) 38 (76) 0 (0)
Nonresident (out-of-state) sterile compounding pharmacy 12 (24) 38 (76) 0 (0)
Resident (in-state) community pharmacy 22 (44) 27 (54) 1 (2)
Resident (in-state) nuclear pharmacy 17 (34) 30 (60) 3 (6)
Resident (in-state) long-term-care pharmacy 11 (22) 38 (76) 1 (2)
Resident (in-state) hospital pharmacy 25 (50) 23 (46) 2 (4)
Resident (in-state) home infusion pharmacy 7 (14) 41 (82) 2 (4)
Resident (in-state) specialty pharmacy 8 (16) 40 (80) 2 (4)
Resident (in-state) Internet pharmacy or mail-order pharmacy 5 (10) 41 (82) 4 (8)
Nonresident (out-of-state) Internet pharmacy or mail-order pharmacy 11 (22) 35 (70) 4 (8)
Resident (in-state) wholesale distributorc 41 (82) 7 (14) 2 (4)
Nonresident (out-of-state) wholesale distributorc 36 (72) 10 (20) 4 (8)
Resident (in-state) outsourcing facility 18 (36) 30 (60) 2 (4)
Nonresident (out-of-state) outsourcing facility 15 (30) 31 (62) 4 (8)

Source: GAO survey of state pharmacy regulatory bodies, survey question 6. | GAO-17-363SP
Notes: GAO surveyed the state pharmacy regulatory bodies in the 50 states, the District of Columbia, Guam, Puerto Rico, and the U.S. Virgin Islands, and all but 4 completed the survey.
aOne state reported that state legislation created this new license category that will be implemented once regulations are promulgated; another state reported proposed rules and regulations to include separate license categories had been proposed in the state legislature at the time of our survey.
bTwo states reported that they have a pharmacy license, but not separate licenses for resident and nonresident pharmacies.
cSome states reported that they do not differentiate between resident and nonresident wholesale distributors, and some states reported that other state agencies, such as the department of health, oversee these entities.