On February 6, 2025, the Massachusetts Board of Pharmacy eliminated the requirement for central fill pharmacies to file a petition and obtain Board approval prior to engaging in central fill activities.
Central fill pharmacies play a critical role in modern pharmacy practice by allowing multiple pharmacies to collaborate in preparing and filling prescriptions. Central fill or shared pharmacy services are not novel or unique, but over the past several years, we have seen a greater acceptance of shared service relationships from state boards of pharmacy. For example, the New York Board of Pharmacy, which previously was adamantly opposed to central fill relationships, adopted rules in 2024 that will permit these shared services beginning next year, 2026.
How Frier Levitt Can Help
While the easing of restrictions in Massachusetts and other states is a positive development, pharmacy stakeholders must remain cognizant of relevant state and federal regulations when participating in shared services and navigating the complexities of multiple states’ laws simultaneously when shared services are performed across state lines. State laws governing central fill pharmacy services, such as licensing, recordkeeping, contracting, and the responsibilities of each pharmacy vary across jurisdictions. Frier Levitt’s experienced regulatory attorneys are ready to help pharmacies strengthen their compliance frameworks, craft detailed policies that clearly define roles and responsibilities of each pharmacy, and proactively manage legal risks—including potential reimbursement challenges linked to central fill pharmacy arrangements. Contact us for assistance with your shared service model.