Pharmacists have sufficient training to autonomously prescribe medications to prevent or treat many medical conditions. But states generally require patients to obtain a doctor’s prescription before purchasing pharmaceuticals. This restriction drives up health care costs and unnecessarily inconveniences patients, often when they are in distress. Canadian provinces, by contrast, give pharmacists a wide scope for prescribing pharmaceuticals, as Ross Tsuyuki will discuss. Alex Adams will explain recent pharmacist scope of practice reform in Idaho, Colorado, and Montana; Marc Joffe will provide an overview of relevant federal and state policies; and Dr. Jeffrey Singer will offer policy recommendations that could improve the patient experience while reducing health care costs.