What's Being Discussed

Prescription pickup lockers: Two pharmacies — Costco and East Hawaii Health — are asking the Board for guidance on installing automated kiosks where patients can pick up prescriptions. The Board will discuss security, patient counseling, permits, and whether controlled substances can be stored in these machines.
Non-dispensing pharmacy services: A request for clarification on whether a Hawaii pharmacist can open a clinic-style pharmacy that offers clinical services but does not fill or dispense prescriptions, and what rules would apply.
Out-of-state prescription processing: Whether an out-of-state pharmacy that processes orders for Hawaii patients — but never handles physical medications — needs a Hawaii license.
Hazardous drug handling standards: Whether non-compounding pharmacies must follow USP 800, a federal safety standard for handling hazardous drugs.
Unapproved drug alert: Eli Lilly has flagged illegal manufacturing and selling of retatrutide, an unapproved drug, and is asking the Board to take action to protect Hawaii consumers.
GLP-1 medication labeling: Information from the FDA about labeling rules for compounded GLP-1 drugs (such as semaglutide) and multidose vials.
Vaccine emergency proclamation: A new emergency order allows pharmacists to keep giving COVID-19 and flu vaccines even though updated 2026–2027 federal guidance has not yet been issued.
Administrative rule updates: The Board will review proposed changes to state pharmacy licensing and regulation rules.

Decisions Expected

Approval of meeting minutes from July 23, 2026
Formal guidance or opinions on prescription lockers, non-dispensing pharmacies, and out-of-state processors
Possible action regarding illegal retatrutide distribution
Discussion and potential advancement of administrative rule amendments

Who Should Pay Attention

Pharmacists and pharmacy owners in Hawaii, especially those considering new service models or technology
Compounding pharmacies and those handling hazardous or GLP-1 drugs
Foreign pharmacy graduates seeking certification in Hawaii
Patients and consumers who use prescription pickup services or weight-loss medications