New Jersey allows pharmacists to provide at-home COVID-19 and flu tests without prescriptions

Dr. Raynard Washington, Director
Dr. Raynard Washington, Director
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Pharmacists in New Jersey are now authorized to dispense FDA-approved at-home COVID-19 and influenza test kits without a prescription, following a new standing order issued by the New Jersey Department of Health (NJDOH). This measure comes as the state faces high levels of flu activity during the winter season.

The NJDOH stated that increased access to testing is important for early detection and timely treatment of respiratory viruses. Acting Commissioner Raynard E. Washington said, “During this season of frigid temperatures and high flu activity, we must use every tool available to prevent the spread of respiratory viruses. At-home testing can lead to faster diagnosis, helping to prevent further spread and allowing the opportunity for treatment. We are removing potential barriers for residents to make informed decisions about their health and well-being.”

Under the new order, individuals with qualifying insurance coverage in New Jersey can obtain at-home test kits from pharmacies without needing a prescription. The order may also allow Medicaid and other insurers to cover these test kits, which could reduce out-of-pocket expenses for patients.

The standing order builds on existing NJDOH programs aimed at improving access to home testing. Through its Division of Disaster Preparedness, Resiliency, and Emergency Medical Services, the department has distributed more than 72,000 over-the-counter test kits this season through county and local health departments targeting vulnerable populations.

Deputy Commissioner of Public Health Services Novneet Sahu, MD, who signed the standing order, emphasized the importance of quick diagnosis: “The window to begin treatment for the flu or COVID-19 is narrow, often within days of the start of symptoms. Home testing helps people find out sooner, giving them a fighting chance to get treated, and helping to reduce cases of severe illness, hospitalization, and even death. If your health care provider recommends you use an at-home test for flu or COVID-19, this standing order can help make it easier to get one.”

While not all patients require influenza testing before starting antiviral treatment—especially when flu is widespread—clinicians often diagnose based on symptoms during peak periods.

Vaccination remains central in preventing influenza and related complications. The NJDOH encourages all residents—particularly young children, pregnant individuals or those recently postpartum, people with chronic conditions such as diabetes or heart disease—to stay current with recommended vaccines. Older adults and those with compromised immune systems are considered high-risk groups for COVID-19.

Health officials also advise practicing good hygiene habits like covering coughs and sneezes, frequent handwashing, cleaning commonly touched surfaces, and staying home when sick.

Residents are encouraged to consult their healthcare providers about vaccinations and available treatments. More information about respiratory viruses can be found on the state’s website: https://nj.gov/health/respiratory-viruses



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