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For Prescribers

Why write stock epinephrine?

Childcare centers, schools, businesses, and other organizations all across the country are looking to make their spaces safer with stock epinephrine. Writing stock epinephrine prescriptions is an easy and impactful way for prescribers to support their community, and laws exist to protect them should the medication be needed. Stock epinephrine, like EpiPens or AUVI-Q, can be a literal life-saver in situations where severe allergic reactions occur – which are so often unpredictable. By having stock epinephrine readily accessible in the community, prescribers can help ensure that help is available as quickly as possible in case of emergency. 

What do you need to write stock epinephrine?

Memorandum of Understanding

While not required, this is best practice to have to ensure that everyone has clear expectations in the partnership you are forming by writing stock epinephrine.

Prescription

A prescription for stock epinephrine should have information about the entity receiving the stock epinephrine along with the prescriber’s information. As there are different types and doses of auto-injectors, having them all on one sheet can also be helpful!

Standing Order Protocol

This protocol, typically required by law, gives the entity a clear plan of how to use the epi auto-injector when anaphyalxis is suspected. 

Training

Most laws require training for the staff of the school, center, business, or organization for them to legally have stock epinephrine. Code Ana has trainings for non-medical staff and for school nurses. You can find the best training for you on our Trainings page! 

Where is stock epinephrine permitted?

No two states are the same when it comes to stock epinephrine. Check out the map below to know what states have what laws when it comes to prescribing for your community. 

  • No Stock Epinephrine Legislation
  • Only School Epinephrine Laws
  • School, Childcare Center, and Non-School Entity Epinephrine Laws
  • School & Non-School Entity Laws
  • Individual Epinephrine Law
  • School & Childcare Center Epinephrine Laws
  • School & Individual Epinephrine Laws

Interested in other stock medications? Let us know!

Individual Law

School Law: https://law.justia.com/codes/alabama/2014/title-16/chapter-1/section-16-1-48
Non-School Entity Law: https://www.alabamapublichealth.gov/nursing/assets/ACT2016-0193.pdf

School Law: https://codes.findlaw.com/ar/title-6-education/ar-code-sect-6-18-707/#:~:text=(H)%20A%20student%20is%20prohibited,medications%20to%20any%20other%20person.ftp://www.arkleg.state.ar.us/acts/2013/Public/ACT1437.pdf
Non-School Entity Law: https://www.healthy.arkansas.gov/images/uploads/rules/EPIPEN_Rules-Final_9.28.16.pdf

School Law: https://www.azleg.gov/legtext/52leg/2r/laws/0085.htm
Non-School Entity Law: https://www.azleg.gov/viewDocument/?docName=http://www.azleg.gov/ars/36/02226-01.htm

School Law: https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201320140SB1266
Non-School Entity Law: https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=201520160AB1386

School Law: http://www.lpdirect.net/casb/crs/22-1-119_5.html
Non-School Entity Law: https://drive.google.com/file/d/1OVK7zD_kMQm1uJIeoUImW3aeJ_DDAxZ6/view

School Law: https://www.cga.ct.gov/2014/ACT/PA/2014PA-00176-R00HB-05521-PA.htm
Non-School Entity Law: https://cga.ct.gov/2019/ACT/pa/pdf/2019PA-00019-R00SB-00706-PA.pdf
Childcare Centers: TBD – passed in 2023

School Law: https://osse.dc.gov/sites/default/files/dc/sites/osse/publication/attachments/District%20Level%20Undesignated%20Epinephrine%20Auto-Injector%20Plan.pdf
Non-School Entity Law: https://code.dccouncil.us/us/dc/council/code/titles/7/chapters/23D/subchapters/II/

School Law: https://legis.delaware.gov/SessionLaws/Chapter?id=16327#:~:text=WHEREAS%2C%20the%20State%20of%20Delaware’s,on%2Dsite%20at%20each%20school.

School Law: http://laws.flrules.org/files/Ch_2013-063.pdf
Non-School Entity Law: http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&Search_String=&URL=0300-0399/0381/Sections/0381.88.html

School Law: http://www.legis.ga.gov/Legislation/20112012/116297.pdf
Non-School Entity Law: https://www.legis.ga.gov/api/legislation/document/20152016/154024

School Law: https://www.guamlegislature.com/Voting_Records_34th/Bill%20No.%20224-34%20(COR).pdf

No laws permitting stock epinephrine.

School Law: https://www.legis.iowa.gov/docs/publications/iactc/86.1/CH0068.pdf

School Law: https://legislature.idaho.gov/statutesrules/idstat/title33/t33ch5/sect33-520a/
Non-School Entity Law: https://legislature.idaho.gov/wp-content/uploads/sessioninfo/2016/legislation/S1322E1.pdf

School Law: https://www.ilga.gov/legislation/ilcs/documents/010500050K22-30.htm
Non-School Entity Law: https://www.ilga.gov/legislation/publicacts/99/PDF/099-0711.pdf

School Law: http://iga.in.gov/static-documents/a/7/8/9/a789e9aa/SB0245.05.ENRS.pdf
Non-School Entity Law: http://iga.in.gov/static-documents/2/e/3/f/2e3f4710/HB1454.04.ENRH.pdf

School Law: http://www.ksrevisor.org/statutes/chapters/ch65/065_028_0072b.html

School Law: https://apps.legislature.ky.gov/law/statutes/statute.aspx?id=51243
Non-School Entity Law: https://www.lawserver.com/law/state/kentucky/ky-statutes/kentucky_statutes_311-645

School Law: http://www.legis.la.gov/Legis/LawPrint.aspx?d=81087
Childcare Center Law: https://www.legis.la.gov/legis/ViewDocument.aspx?d=1288920

School Law: https://casetext.com/regulation/code-of-massachusetts-regulations/department-105-cmr-department-of-public-health/title-105-cmr-210000-the-administration-of-prescription-medications-in-public-and-private-schools/section-210100-administration-of-epinephrine

School Law: https://law.justia.com/codes/maryland/2014/education/division-ii/title-7/subtitle-4/section-7-426.2/
Non-School Entity Laws: http://mgaleg.maryland.gov/2018RS/chapters_noln/Ch_527_hb1473E.pdf http://mdrules.elaws.us/comar/10.16.07.15

School Law: http://www.mainelegislature.org/legis/statutes/20-A/title20-Asec6305.pdf
Non-School Entity Law: http://legislature.maine.gov/legis/bills/getPDF.asp?paper=HP0776&item=3&snum=127

School Law: http://www.legislature.mi.gov/documents/2013-2014/publicact/pdf/2013-PA-0187.pdf
Non-School Entity Law: http://www.legislature.mi.gov/documents/2015-2016/publicact/pdf/2015-PA-0221.pdf

School Law: https://www.revisor.mn.gov/statutes/cite/121A.2207
Non-School Entity Law: https://www.revisor.mn.gov/laws/2015/0/Session+Law/Chapter/71/

School Law: https://revisor.mo.gov/main/OneSection.aspx?section=167.630&bid=51222
Non-School Entity Law: https://revisor.mo.gov/main/OneSection.aspx?section=196.990

School Law: https://www.wyoleg.gov/2014/Bills/HB0173.pdf

School Law: https://www.wvlegislature.gov/wvcode/ChapterEntire.cfm?chap=18&art=5&section=22C#:~:text=Epinephrine%20auto%2Dinjectors%20shall%20be,personnel%20and%20not%20by%20students.https://www.wvlegislature.gov/wvcode/ChapterEntire.cfm?chap=18&art=5§ion=22C
Non-School Entity Law:
http://www.wvlegislature.gov/wvcode/code.cfm?chap=16&art=50

School Law: https://docs.legis.wisconsin.gov/statutes/statutes/118/2925
Non-School Entity Law: https://docs.legis.wisconsin.gov/2015/related/acts/35.pdf

School Law: https://app.leg.wa.gov/RCW/default.aspx?cite=28A.210.383
Non-School Entity Law: https://lawfilesext.leg.wa.gov/biennium/2015-16/Pdf/Bills/Session%20Laws/Senate/6421-S.SL.pdf

School Law: https://legislature.vermont.gov/statutes/section/16/031/01388

School Law: https://law.lis.virginia.gov/vacode/title22.1/chapter14/article2/section22.1-274.2/
Non-School Entity Law: https://lis.virginia.gov/cgi-bin/legp604.exe?201+ful+CHAP0556

School Law: https://le.utah.gov/~2015/bills/static/SB0147.html
Non-School Entity Law: https://le.utah.gov/xcode/Title26/Chapter41/26-41-S102.html

School Law: https://texreg.sos.state.tx.us/public/readtac$ext.ViewTAC?tac_view=5&ti=25&pt=1&ch=37&sch=U&rl=Y
Center Law: https://capitol.texas.gov/tlodocs/86R/billtext/pdf/HB01849F.pdf#navpanes=0
Non-School Entity Law: https://capitol.texas.gov/tlodocs/86R/billtext/pdf/HB01849F.pdf#navpanes=0

School Law: https://codes.findlaw.com/tn/title-49-education/tn-code-sect-49-50-1602.html
Non-School Entity Law: https://www.capitol.tn.gov/Bills/109/Bill/SB1989.pdf

School Law: https://sdlegislature.gov/Statutes/Codified_Laws/2042203

School Law: https://www.scstatehouse.gov/sess120_2013-2014/bills/3725.htm
Non-School Entity Law: https://www.scstatehouse.gov/sess121_2015-2016/bills/3706.htm

School Law: http://webserver.rilin.state.ri.us/BillText/BillText14/HouseText14/H7576A.pdf
Non-School Entity:
http://webserver.rilin.state.ri.us/Statutes/TITLE23/23-6.4/23-6.4-1.htm

No laws permitting stock epinephrine.

School Law: https://www.legis.state.pa.us/cfdocs/Legis/LI/uconsCheck.cfm?txtType=HTM&yr=2014&sessInd=0&smthLwInd=0&act=195
Non-School Entity Law: https://www.legis.state.pa.us/cfdocs/legis/LI/consCheck.cfm?txtType=HTM&ttl=35&div=0&chpt=55

School Law: https://www.oregonlegislature.gov/bills_laws/lawsstatutes/2013orLaw0486.pdf
Non-School Entity Law: https://www.oregonlegislature.gov/bills_laws/lawsstatutes/2013orLaw0486.pdf

School Law: https://oksenate.gov/sites/default/files/2019-12/os70.pdf
Non-School Entity Law: https://www.sos.ok.gov/documents/legislation/55th/2015/1R/SB/542.pdf

School Law: https://codes.ohio.gov/ohio-revised-code/section-3313.7110
Non-School Entity Law: https://search-prod.lis.state.oh.us/solarapi/v1/general_assembly_131/bills/hb200/EN/06?format=pdf

School Law: https://www.p12.nysed.gov/sss/schoolhealth/schoolhealthservices/Article19Sections.html#S921
Non-School Entity Law: https://www.nysenate.gov/legislation/bills/2015/S6800

School Law: https://www.leg.state.nv.us/Session/77th2013/Bills/SB/SB453_EN.pdf
Non-School Entity Law: https://www.leg.state.nv.us/Session/78th2015/Bills/AB/AB158_EN.pdf

School Law: https://www.nmlegis.gov/Sessions/14%20Regular/final/SB0075.pdf

School Law: https://www.njleg.state.nj.us/2014/Bills/PL15/13_.HTM
Individual Law:
https://pub.njleg.gov/bills/2014/A4500/4094_R1.HTM

School Law: http://www.gencourt.state.nh.us/legislation/2015/SB0025.html
Non-School Entity Law: https://legiscan.com/NH/text/SB25/id/1426978

School Law: https://www.education.ne.gov/nderule/regulations-for-school-health-and-safety/

Individual Law: https://www.legis.nd.gov/information/acdata/pdf/33-37-01.pdf?20160222233032

School Law: https://www.ncleg.net/EnactedLegislation/Statutes/HTML/ByArticle/Chapter_115c/Article_25A.html
Non-School Entity Law: https://www.ncleg.net/Sessions/2015/Bills/House/PDF/H647v5.pdf

School Law: https://leg.mt.gov/bills/2013/mca/20/5/20-5-421.htm

School Law: http://billstatus.ls.state.ms.us/documents/2014/html/SB/2200-2299/SB2218SG.htm#:~:text=37%2D11%2D71.,onset%20and%20may%20cause%20death.

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