Ala. Admin. Code r. 540-X-7-.28 - Prescriptions And Medication Orders - Physician Assistants (P.A.)
(1) A physician
assistant may prescribe a legend drug to a patient subject to both of the
following conditions being met:
(a) The drug
type, dosage, quantity prescribed, and number of refills are authorized in the
job description which is signed by the supervising physician to whom the
physician assistant is currently registered and which is approved by the Board;
and
(b) The drug is included in the
formulary approved by the Board for governing the prescription practices of
physician assistants.
(2) Subject to any limitations stated in
protocols and medical regimens adopted by the Board and subject to any
limitations by the supervising physician in the approved formulary, a physician
assistant may prescribe any drug, substance or compound which is listed in
Schedules III through V of the Alabama Uniform Controlled Substances Act upon
being granted a Qualified Alabama Controlled Substances Certificate (QACSC) and
upon submission of an approved QACSC formulary.
(3) The supervising physician and the
physician assistant shall adhere to and follow all requirements and procedures
stated in written guidelines established by the Board to govern the prescribing
practices of physician assistants.
(4) A physician assistant who is registered
to a physician with prescriptive privileges shall not engage in prescribing
for:
(a) Self.
(b) Immediate family members.
(5) A physician assistant may not
initiate a call-in prescription in the name of the supervising physician for
any drug which the assistant is not authorized to prescribe unless the drug is
specifically ordered for the patient by the supervising physician either in
writing or by a verbal order reduced to writing and signed within seven (7)
working days of the date of the prescription.
(6) For any drug which the physician
assistant is authorized to prescribe, a written prescription signed by the
physician assistant and entered into the patient's chart may be called-in to a
pharmacy.
(7) Whenever a physician
assistant calls in a prescription to a pharmacy, the physician assistant shall
identify his or her supervising physician.
(8) A physician assistant may administer any
legend drug or controlled drug which the assistant is authorized to
prescribe.
(9) When prescribing
legend drugs or controlled drugs a physician assistant shall use a prescription
form which includes all of the following:
(a)
The name, medical practice site address and telephone number of the physician
supervising the physician assistant;
(b) The medical practice site address and
telephone number of the physician assistant, if different from the address of
the supervising physician;
(c) The
physician assistant's license number assigned by the Board and the QACSC
registration number, when a controlled substance is prescribed;
(d) The words "Product Selection Permitted"
printed on one side of the prescription form directly underneath a signature
line; and
(e) The words "Dispense
as written" printed on one side of the prescription form directly underneath a
signature line.
(10) For
inpatients and nursing home patients, a physician assistant may enter a verbal
order from the supervising physician for controlled substances or other
medications which the assistant is not authorized to prescribe, provided that
the order is co-signed by the supervising physician in accordance with
established guidelines and institutional policies.
Notes
Author: Alabama Board of Medical Examiners
Statutory Authority: Code of Ala. 1975, ยงยง 34-24-290, et. seq.
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