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Mandatory E-Prescribing for Controlled Substances from 2026

Starting January 1, 2026, most prescriptions for controlled substances will be required to be issued electronically. This aims to enhance safety and streamline the medication dispensing process, though exceptions are provided for specific circumstances to ensure continued access to treatment. Citizens can expect their prescriptions for these medications to be digital, potentially reducing wait times at pharmacies.
Key points
Most prescriptions for controlled substances (Schedules II-V) must be electronically transmitted starting January 1, 2026.
Health insurance plans and issuers will need to implement policies for electronic prescribing.
Exceptions to e-prescribing requirements include technical failures, specific drug types, hospice care, or public health emergencies.
Pharmacies are not required to verify a provider's waiver status or deny valid written, oral, or fax prescriptions.
Patients retain the right to choose their preferred pharmacy for dispensing controlled substances.
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Additional Information
EPCS 2.0 Act
Print number: HR 7312
Sponsor: Rep. Kuster, Ann M. [D-NH-2]
Process start date: 2024-02-09