An assessment of state policy across the United States on pharmacy technician-check-technician

Purpose To provide an overview and summary of the key components of and differences in technician-check-technician (TCT) policies across the United States. Methods A review of relevant policies in all 50 states and the District of Columbia was conducted in 2025. Pharmacy statutes, rules, and regulations for each individual jurisdiction were accessed via the jurisdiction’s board of pharmacy website. Formal guidance documents issued by boards, such as FAQs and pharmacy lawbooks, were also reviewed for relevant information. Relevant policies were identified via manual review through each state’s board of pharmacy website. Pharmacists actively involved in state affiliates and public policy, as well as subject matter experts from every jurisdiction, were contacted for clarification, with responses received for 47 out of 51 jurisdictions. Results The findings indicated that 30 of the 51 jurisdictions included in the review authorized TCT programs. Of those jurisdictions, 12 do not have limitations on practice settings, with 18 limiting TCT to specified practice sites. Among the 30 jurisdictions identified as authorizing some form of TCT, 15 required additional training for pharmacy technicians, 12 mandated a quality assurance program, and 7 included a requirement to expand clinical pharmacy services as a result of TCT implementation. Conclusion Existing TCT policies are highly variable and present opportunities for standardization and professional advancement of the pharmacy workforce.