Illinois HB 4243: RETAIL PHARMACY ON SITE REQS

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104TH GENERAL ASSEMBLY 
State of Illinois 
2025 and 2026
HB4243

Introduced 1/14/2026, by Rep. Kevin Schmidt 

SYNOPSIS AS INTRODUCED:

225 ILCS 85/15.2 new

 Amends the Pharmacy Practice Act. Defines "retail pharmacy". Provides that a retail pharmacy that, on average, receives 150 or more prescription drug orders during its operating hours must satisfy one of the following requirements during all times that the pharmacy remains open for the transaction of business: (1) a pharmacist is present at the location and working in his or her capacity as a pharmacist, or (2) a registered pharmacy technician, registered certified pharmacy technician, student pharmacist, or other supportive staff that is authorized to sell prescriptions is present at the location and working in that capacity pursuant to provisions concerning pharmacy working conditions.

LRB104 15945 AAS 29180 b

A BILL FOR

HB4243LRB104 15945 AAS 29180 b

1 AN ACT concerning regulation.

2 Be it enacted by the People of the State of Illinois, 

3represented in the General Assembly:

4 Section 5. The Pharmacy Practice Act is amended by adding 

5Section 15.2 as follows:

6 (225 ILCS 85/15.2 new)

7 Sec. 15.2. Retail pharmacy; pharmacist on site. 

8 (a) As used in this Section, "retail pharmacy" means a 

9store, shop, or other place where drugs, medicines, or poisons 

10are dispensed, sold, or offered for sale at retail.

11 (b) A retail pharmacy that, on average, receives 150 or 

12more prescription drug orders during its operating hours must 

13satisfy one of the following requirements durin