Is it permissible to fill a CII prescription from a state that is not contiguous?

Filling a CII (Schedule II controlled substance) prescription from a non-contiguous state is indeed permissible as long as the prescription is verified for validity. This means the pharmacist must ensure that the prescription meets all federal and state requirements prior to dispensing the medication. Verification may include confirming that the prescribing practitioner is licensed in the state where the prescription was issued, checking for adherence to any regulations related to controlled substances, and ensuring that the prescription is authentic and filled in accordance with state laws.

The acceptance of prescriptions from non-contiguous states is supported by federal laws, which permit the inter-state dispensing of controlled substances, provided that all necessary safeguards and verification steps are followed. This is essential to preventing misuse and ensuring that the prescription is legitimate.

Considering the other options, a restriction to contiguous states would limit access unnecessarily and is not a standard requirement. Similarly, there is no need for a specific state agreement beyond the general verification processes required by law, and CII prescriptions do not need to be federal for them to be valid—they must simply comply with state and federal guidelines.