StateLicense NameReq Out of State Online VerificationReq PharmaciesNotes
AK No License Required No - No
AL Home Medical Equipment Services Provider A: Effective June 1, 2014, all new suppliers with a principal place of business outside this state shall maintain at least one physical location within the state of Alabama, each of which shall be licensed. Effective September 1, 2014, all currently licensed out-of-state suppliers must demonstrate compliance with the new location requirement. (Added: 04/25/2014) (8RKRWY6471) Y No A: Effective June 1, 2014, all new suppliers with a principal place of business outside this state shall maintain at least one physical location within the state of Alabama, each of which shall be licensed. Effective September 1, 2014, all currently licensed out-of-state suppliers must demonstrate compliance with the new location requirement. (Added: 04/25/2014)
D: The licensure requirements of this chapter do not apply to the following entities or practitioners: (1) Home health agencies certified by the State of Alabama to participate in the Medicare and Medicaid programs. (2) Hospital based home medical equipment services, whether or not the services are provided through a separate corporation or other business entity. (3) Health care practitioners legally eligible to order or prescribe home medical equipment, or who use home medical equipment to treat patients in locations other than the patient's residence, including, but not limited to, physicians, nurses, physical therapists, respiratory therapists, speech therapists, occupational therapists, optometrists, chiropractors, and podiatrists, except for those practitioners, other than a licensed physician practicing medicine, who provide home medical equipment services in a patient's residence. (4) Manufacturers and wholesale distributors, when not selling directly to the patient. (5) Retail community pharmacies, including providers of home infusion therapy services. (6) Hospice programs, except programs which provide home medical equipment services, including delivery to a patient's residence. (7) Skilled nursing facilities, except facilities which provide home medical equipment services, including delivery to a patient's residence. (8) Governmental agencies, including fire districts which provide emergency medical services and contractors to governmental agencies whose business deals only with the contracted agency. (9) Mail order companies, as defined by rule of the board (See note H).
AR No License Required No - No
AS No License Required No - No
AZ No License Required No - No
CA Home Medical Device Retailer License No - No A: Per California Health and Safety Code Section 111656.7: An Out-of-State Home Medical Device Retailer (HMDR) Registration is needed for out-of-state suppliers who sell or distribute prescription only medical devices as determined by the FDA into the state of California. Suppliers who sell or distribute non-prescription/over-the-counter only medical devices into California are not required to obtain the CA Out-of-State HMDR Registration. In addition, the HMDR license is not required if the supplier holds a California Retail Pharmacy Permit. Pharmacies located outside of California must hold a California Nonresident Pharmacy Permit. To verify a HMDR registration or HMDR exemptee license, complete the “HMDR Verification Form” located in the NSC DMEPOS License Directory. Click on the menu button at the top corner, select PDF Examples to locate the form. Email the completed form to FDBMedDevice@cdph.ca.gov.
CO No License Required No - No
CT Wholesaler of Drugs, Medical Devices and Cosmetics Registration Yes Y No
DC No License Required No - No
DE No License Required No - No
FL No License Required No - No
GA No License Required No - No
GU No License Required No - No
HI No License Required No - No
IA No License Required No - No
ID No License Required No - No
IL No License Required No - No
IN No License Required No - No
KS No License Required No - No
KY Home Medical Equipment License Yes Y No C: Exemptions to the HME license include: Unless home medical equipment and services are provided through a separate legal entity, nothing in KRS 315.510 to 315.524 or any administrative regulations promulgated thereunder shall be construed as preventing or restricting the practices, services, or activities of the following: (a) A person licensed or registered in this state under any other law who is engaging in the profession or occupation for which he or she is licensed or registered; (b) Health care practitioners who lawfully prescribe or order home medical equipment and services, or who use home medical equipment and services to treat their patients; (d) Hospitals that provide home medical equipment and services only as an integral part of patient care; (f) Pharmacies that are engaged in the sale, lease, or rental of home medical equipment and services [Pharmacies that provide home medical equipment to patients as a separate business entity from the pharmacy must have home medical equipment license]; [pharmacies located outside of KY must hold a KY out-of-state pharmacy permit] (g) An employee of a person licensed under KRS 315.510 to 315.524; (j) Government agencies, including fire districts which provide emergency medical services. (k) An out-of-state manufacturer or provider of a sole source type of equipment that is not available through a provider in Kentucky or one of its reciprocal states.
LA No License Required No - No
MA No License Required No - No
MD Residential Service Agency License D: The “Residential Service Agency” (RSA) license is required regardless of supplier type or pharmacy (in-state and out-of-state) if delivering DME, Orthotics, or Prosthetics to individuals in a private residence. This license is not needed if the business engages in mail order only via a common mail carrier. Additionally, the RSA license requirement does not apply to Maryland licensed home health agencies, hospitals, or individuals practicing in a health occupation for which the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland including Physicians, Podiatrists, Optometrists, Chiropractors, and Dentists. (8LMM280126) Y Yes C: “Residential service agency” means: (i) Any individual, partnership, firm, association, corporation, or other business entity of any kind that is engaged in a nongovernmental business of employing or contracting with individuals to provide at least one home health care service for compensation to an unrelated sick or disabled individual in the residence of that individual; or (ii) An agency that employs or contracts with individuals directly for hire as home health care providers. A branch office of the agency may operate under the same license that is issued to the agency (One license issued to multiple locations); however, each location must be listed on the branch letter provided with the RSA license from the Office of Health Care Quality (OHCQ). Effective July 1, 2018, the Residential Service Agency License is a non-expiring license.
D: The “Residential Service Agency” (RSA) license is required regardless of supplier type or pharmacy (in-state and out-of-state) if delivering DME, Orthotics, or Prosthetics to individuals in a private residence. This license is not needed if the business engages in mail order only via a common mail carrier. Additionally, the RSA license requirement does not apply to Maryland licensed home health agencies, hospitals, or individuals practicing in a health occupation for which the individual is authorized to practice under Health Occupations Article, Annotated Code of Maryland including Physicians, Podiatrists, Optometrists, Chiropractors, and Dentists.
E: “Home medical equipment services” means the delivery, installation, maintenance, or replacement of, or instruction in the use of, medical equipment used by a sick or disabled individual to allow the individual to be maintained in a noninstitutional environment.(9-1) “Medical equipment” means technologically sophisticated medical devices including but not limited to: (a) Oxygen and oxygen delivery systems; (b) Ventilators; (c) Respiratory disease management devices; (d) Electronic and computer-driven wheelchairs and seating systems; (e) Apnea monitors; (f) Transcutaneous electrical nerve stimulator (T.E.N.S.) units; (g) Low air loss cutaneous pressure management devices; (h) Sequential compression devices; (i) Neonatal home phototherapy devices; (j) Feeding pumps; and (k) Electrically powered hospital beds.
ME No License Required No - No
MI No License Required No - No
MN No License Required No - No
MO No License Required No - No
MP No License Required No - No
MS No License Required No - No
MT No License Required No - No
NC No License Required No - No
ND Durable Medical Equipment Retailer License Yes Y No A: Effective August 1, 2013 suppliers (in-state and out-of-state) providing any devices pursuant to a prescription, directly to a consumer, must either hold a pharmacy license, or the new Durable Medical Equipment Retailer license or Medical Gas Retailer license if selling or delivering medical gas and related oxygen equipment, and employ or contract with a North Dakota licensed individual specifically authorized by their practice to prescribe or dispense those devices (i.e. Physicians, Physician Assistants, Pharmacists, Licensed Nurses (LPN and RN), Physical Therapists, Respiratory Therapists). Additionally, suppliers providing custom orthotics, prosthetics, and diabetic footwear must employ or contract with an individual who holds a national certification through the American Board of Certification (ABC) or the Board of Certification (BOC) to provide these items.
NE No License Required No - No
NH No License Required No - No
NJ No License Required No - No
NM No License Required No - No
NV Medical Devices, Equipment & Gases License Yes Y No D: The Medical Devices, Equipment & Gases License is required of any business engaged as a medical products provider that wishes to sell, lease or otherwise provide medical devices, equipment, supplies, and gases to a consumer in this state. Additionally, suppliers providing custom orthotics or prosthetics must be approved by the Board and submit evidence that the supplier has employed or contracted with an individual who holds a national certification through the American Board of Certification (ABC) or the Board of Certification (BOC) to provide these items. The license requirement does not apply to NV licensed Pharmacies, Hospitals, or Health Professionals (i.e. Physicians, Dentists, Podiatrists, Physical Therapists, Occupational Therapist, Registered Nurses or Respiratory Therapists) who sell, lease or otherwise provide medical devices, and gases within the scope of their license or registration in a health care facility other than the facility of the medical equipment provider to a consumer for use by that consumer pursuant to the order of a practitioner.
NY No License Required No - No
OH No License Required No - No
OK Durable Medical Equipment (DME) Supplier License G: Any supplier that provides durable medical equipment to a consumer in this state shall possess a Durable Medical Equipment Supplier License issued by the State Board of Pharmacy pursuant to the Oklahoma Durable Medical Equipment Licensing Act. The Oklahoma Durable Medical Equipment Licensing Act shall not apply to: 1. Pharmacies and pharmacists; 2. Hospitals; 3. Ambulatory surgical centers; 4. Health care facilities owned or operated by the state or federal government; 5. Skilled nursing facilities; 6. Assisted living facilities; 7. Prosthetic or orthotic practitioners (within their scope of practice); 8. Health care practitioners who are licensed to practice health care in this state and who provide Durable Medical Equipment within the scope of their health care practice; 9. Manufacturers or wholesale distributors that do not sell or rent Durable Medical Equipment directly to consumers; 10. Suppliers of insulin infusion pumps and related supplies or services; or 11. Suppliers of medical devices approved by the U.S. Food and Drug Administration that are used in the treatment of cancerous tumors. (CRBLFF6502) Y No G: Any supplier that provides durable medical equipment to a consumer in this state shall possess a Durable Medical Equipment Supplier License issued by the State Board of Pharmacy pursuant to the Oklahoma Durable Medical Equipment Licensing Act. The Oklahoma Durable Medical Equipment Licensing Act shall not apply to: 1. Pharmacies and pharmacists; 2. Hospitals; 3. Ambulatory surgical centers; 4. Health care facilities owned or operated by the state or federal government; 5. Skilled nursing facilities; 6. Assisted living facilities; 7. Prosthetic or orthotic practitioners (within their scope of practice); 8. Health care practitioners who are licensed to practice health care in this state and who provide Durable Medical Equipment within the scope of their health care practice; 9. Manufacturers or wholesale distributors that do not sell or rent Durable Medical Equipment directly to consumers; 10. Suppliers of insulin infusion pumps and related supplies or services; or 11. Suppliers of medical devices approved by the U.S. Food and Drug Administration that are used in the treatment of cancerous tumors.
H: Per Title 59, Section 375.4 (A)(1), the applicant Maintains a physical office or place of business within this state; (A)(1)(b) For a Medicare or Medicaid enrolled out-of-state supplier, maintains a physical office or place of business within one hundred (100) miles of a resident of this state being served by the supplier; (B)(1), the Board may issue a license to a Medicare or Medicaid enrolled out of state supplier who has at least one accredited facility within one hundred miles of the patient of this state being served by the supplier. Each individual physical office or place of business owned or operated by the supplier must be licensed separately.
OR No License Required No - No
PA Drug & Device Registration, Category of Devices No Y No A: The Drug & Device Registration is required for medical device retailers located in Pennsylvania that are physically receiving, storing and handling, shipping medical devices/equipment, DME, or surgical supplies at the Pennsylvania storefront, warehouse, etc. The Drug & Device Registration does not apply to in state licensed healthcare facilities, pharmacies, and physicians/practitioners dispensing devices directly to their own patients within their respective scope of practice or license; out of state medical device retailers nor practitioners (i.e., physicians) /pharmacies supplying their own patients.
PR No License Required No - No
RI No License Required No - No
SC No License Required No - No
SD No License Required No - No
TN No License Required No - No
TX No License Required No - No
UT Class E Pharmacy License Yes Y No A: If a supplier is shipping to the end user, a Utah license is required. The pharmacy classifications are as follows: -Pharmacy Class A: Retail Operations in Utah -Pharmacy Class B: Institutional Pharmacy (Closed Door, Hospice Facility, Sterile Product Preparation) -Pharmacy Class C: Manufacturing, Producing, Wholesaling -Pharmacy Class D: Pharmacy located outside the state of Utah -Pharmacy Class E: Medical Gases, DME
B: A Utah Controlled Substance License can be attached to Classes A through D which will enable a pharmacy to provide Controlled Substances.
C: A Medical Supply Company providing Durable Medical Equipment or prescription devices to Utah residents, whether located in Utah or located in another state, must be licensed as a Class E Pharmacy in Utah. Utah Pharmacy Practice Act Rules specifically state that Class E pharmacies do not require a Pharmacist-In-Charge.
VA No License Required No - No
VI No License Required No - No
VT No License Required No - No
WA No License Required No - No
WI No License Required No - No
WV No License Required No - No
WY No License Required No - No