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

This review examined and summarized technician-check-technician (TCT) policies across all 50 states and the District of Columbia to better understand the existing regulatory framework and policy landscape. This review identified key components, requirements, and variations in TCT implementation to provide a resource for future development and advancement of TCT programs.

A review of state board of pharmacy websites, statutes, policies, and rules was conducted in 2025 and supplemented by expert clarification. Of the 51 jurisdictions evaluated, 30 authorized some form of TCT. Of these, 12 placed no restrictions on practice settings, while 18 limited TCT to specific practice environments. In addition, 15 jurisdictions mandated additional pharmacy technician training, 12 required quality assurance programs, and 7 linked TCT implementation to expansion of clinical pharmacy services. Considerable variability was observed in terminology, programmatic oversight, incorporation of technology, and definitions of roles and permitted activities.

The findings highlight substantial variability across states in TCT policy frameworks. The expansion of TCT from 12 states in 2009 to 30 in 2025 reflects the perceived value in TCT programs and the expansion of pharmacy clinical services. This review offers an overview of existing language and the current state of TCT nationally. The results can serve as a valuable resource to promote best practices and identify potential model language for expansion of TCT into additional states.