Under Article 137-A, registered pharmacy technicians may:
• Work under direct supervision of a licensed pharmacist.
• Use the title Registered Pharmacy Technician
• Assist in compounding, preparing, labeling, and dispensing drugs for valid prescriptions or anticipated orders.
• Practice in any licensed pharmacy
• Cannot perform any duty which requires professional judgement.

Technicians may also perform tasks that do not require a pharmacy license, including:
• Receiving written/electronic prescriptions (with pharmacist review).
• Typing labels and entering prescription data.
• Retrieving drugs and records from storage.
• Counting and packaging dosage units.
• Affixing labels and preparing manual records.
• Delivering prescriptions and advising on pharmacist counseling availability.
• Other duties as defined by the commissioner.

• A pharmacist may supervise:
o Up to 2 registered pharmacy technicians for licensed tasks.
o Up to 4 unlicensed individuals for non-licensed tasks.
o Total support staff must not exceed 4 at any time.
• Pharmacy interns are exempt from these ratios but must be supervised per regulations.
• Unit-dose cart staff in institutional settings are also exempt.

• Licensed Pharmacist: Authorized under Article 137.
• Pharmacy Intern: Practicing under a limited permit.
• Professional Judgment: Includes interpreting prescriptions, evaluating drug interactions, receiving oral orders, and counseling.
• Compounding: Altering or mixing drugs to create a new formulation.
• Direct Supervision: Is to require a supervising pharmacist to observe the work of the Registered Pharmacy Technician in person and in real time, with direct sight to witness any activities that require sterile compounding, and to confirm the accuracy of the work performed.

To become a registered pharmacy technician, applicants must:
1. File an application with the department.
2. Have a high school diploma or equivalent.
3. Hold certification from an accredited national program (PTCB or NHA).
4. Be at least 18 years old.
5. Demonstrate good moral character.
6. Pay applicable licensing and registration fees.
7. PTCB requires technicians to complete 20 CE hours every two years to renew including one on Pharmacy Law and one on Patient Safety.
8. Registration is a triennial registration period.

• State Board composure includes two registered pharmacy technicians.