| 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. |