Anaphylaxis is an immediate and life-threating emergency. The only life-saving treatment for anaphylaxis is epinephrine; any delay in administration increases the risk of morbidity and mortality.

Effective January 19, 2023, a standing prescription order was issued by Dr. Mario Riccardo Colella, State EMS Medical Director for Wisconsin Department of Health Services (DHS). This statewide epinephrine standing order delegates authority to pharmacists and outlines the policies and procedures necessary for dispensing epinephrine without a patient-specific prescription to authorized individuals or to employees or agents of authorized entities who have completed the required training.

This standing order authorizes pharmacists located, and licensed in Wisconsin, to maintain supplies of epinephrine for the purposes stated herein and does not prevent the use of patient-specific or third-party prescriptions for epinephrine written by prescribers.

This order is effective as of the date signed and shall remain effective until withdrawn by Dr. Colella, DHS Secretary, or either’s designee. Dr. Colella retains the right to modify or supplement this order as needed.

View the standing order on the DHS website.

Thank you for your continued dedication to the health and wellness of Wisconsinites.