Rx for Aloha: Medication Management on Your Trip

Travelers to Hawaii: Don't Get Caught Without Your Meds! Understanding Prescription Refills

Traveling to Hawaii offers a chance for relaxation and adventure, but unprepared visitors relying on prescription medications may face unexpected challenges. Hawaii has specific rules regarding prescriptions from out-of-state doctors that could cause problems if you need a refill during your trip.

The Challenge:

Hawaii generally does not allow pharmacies to fill prescriptions written by out-of-state "mid-level practitioners" or for out-of-state controlled substances. This means if you need a refill for a controlled substance or a medication prescribed by someone like a Physician Assistant (PA) from your home state, you might be out of luck unless you visit a doctor licensed to prescribe in Hawaii.

What You Should Do:

• Plan Ahead: Before you travel, ensure you have enough medication to cover your entire trip, including any potential delays.

• Bring Your Prescription Information: Carry a copy of your prescription and your doctor's contact information.

• Keep Medications in Original Containers: This is a good practice for travel in general and helps avoid issues during security screenings.

• Pack Over-the-Counter Medications: Some medications that do not require prescriptions in other states may require a prescription in Hawaii, so bring a supply of common remedies.

• Know Hawaii's Telehealth Options: While some restrictions exist, Hawaii has progressive telehealth laws and may offer remote consultations for certain conditions. However, an in-person visit is often required to establish a doctor-patient relationship for controlled substance prescriptions.

• Emergency Room Visit: In a pinch, you may be able to have your prescription renewed (for up to a 7-day period) by an emergency room doctor.

Important Notes:

• Mid-Level Practitioners: Be aware that prescriptions from out-of-state mid-level practitioners (e.g., PAs) might not be recognized.

• Controlled Substances: Pharmacies in Hawaii are prohibited from dispensing controlled substances without a prescription from someone licensed in Hawaii.

• Telemedicine Limitations: Prescribing opiates or medical cannabis via telemedicine requires an in-person consultation in Hawaii.

The key to a smooth and enjoyable trip to Hawaii with your prescriptions is preparation. By understanding the local laws and taking necessary precautions, you can avoid unnecessary stress and ensure access to the medication you need.