Legal Status of EPT in Guam

I. Statutes/regs on health care providers’ authority to prescribe for STDs to a patient’s partner(s) w/out prior evaluation

II. Specific judicial decisions concerning EPT (or like practices)

III. Specific administrative opinions by the Attorney General or medical or pharmacy boards concerning EPT (or like practices)

IV. Laws that incorporate via reference guidelines as acceptable practices (including EPT)

V. Prescription requirements

[-] “Prescription means an order given individually for the person for whom prescribed, either directly from a licensed practitioner of medicine, osteopathy, podiatry, dentistry or veterinary medicine, to the pharmacist or indirectly by means of written order for the compounding or dispensing of drugs bearing the name and address of the prescriber, his license classification, the name and address of patient, the name and quantity of the drug prescribed, directions for use and the date of issue…” 25 Guam R. & Regs. § 13101

[+] “Dispense means to select, compound, mix, combine, measure, count, or otherwise prepare a drug or drugs for delivery to the patient, or to deliver a drug or drugs to the patient. […] (3) Patient means the individual for whom drugs are prescribed or to whom prescription drugs are administered…” 25 Guam R. & Regs. § 13110

VI. Assessment of EPT’s legal status with brief comments

EPT is potentially allowable. The definition of “patient” under Guam’s laws does not require a physician-patient relationship and therefore could be interpreted to include a sexual partner. In consideration of potential legal barriers to prescribing and dispensing EPT medications, in the absence of explicit legal authorization of EPT, EPT is potentially allowable in Guam.