12 AAC 40.975 - Prescribing controlled substances

When prescribing a drug that is a controlled substance, an individual licensed under this chapter shall

(1) create and maintain a complete, clear, and legible written record of care that includes

(A) a patient history and evaluation sufficient to support a diagnosis;

(B) a diagnosis and treatment plan for the diagnosis;

(C) a plan for monitoring the patient for the primary condition that necessitates the drug, side effects of the drug, and results of the drug, as appropriate;

(D) a record of drugs prescribed, administered, or dispensed, including the type of drug, dose, and any authorized refills.

(2) review the information from the controlled substance prescription database under AS 17.30.200 before initially dispensing, prescribing, or administering a controlled substance designated schedule II or III under federal law to the patient, and at least once every 30 days for up to 90 days, and at least once every three months if a course of treatment continues for more than 90 days the reguirement under this paragraph will not applv if the licensee is not required under AS 17.30.200 to review the information in the controlled substance prescription database before dispensing, prescribing, or administering the contrnlled substance to the patient;

(3) comply with the maximum dosage for opioid prescriptions under AS 08.64.363; the maximum daily dosage for an initial opioid prescription issued under AS 08.64.363(a) mav not exceed 50 morphine milligram equivalents;

(4) practice pain management

(A) with sufficient knowledge, skills, and training, and in accordance with specialty board practice standards, and

(B) in accordance the Federation of State Medical Boards (FSMB) Guidelines for the Chronic Use of Opioid Analgesics, dated April 2017, and the Centers for Disease Control (CDC) Guidelines for Prescribing Opioids for Chronic Pain, dated March 2016, which are adopted by reference as the standards of .:h (S.1 a. practice for prescribing controlled substances for pain management;

(C) or refer a patient to a pain management phvsician.

Notes

12 AAC 40.975

Eff. 6/28/97, Register 142; am 10/8/2017,Register 224, January 2018; am 8/17/2018,Register 227, October 2018

A copy of the Guidelines for the Chronic Use of Opioid Analgesics adopted as policy bv the Federation of State Medical Boards (FSMB), dated Ap.ril 2017, adopted bv reference in 12 AAC 40.975, may be obtained from the Federation of State Medical Boards, 400 Fuller Wiser Road, Euless, TX 76039, or website at https://www.fsmb.org/policy/a.dvocacy-policy/policy-documents. A copy of the CDC Guidelines for Prescribing Opioids (or Chronic Pain, dated March 2016, adopted by reference in 12 AAC 40.975, mav be obtained from the Centers for Disease Control and Prevention, 1600 Clifton Road, Atlanta, GA 30329, or website at https://www.cdc.gov/drugoverdose/prescribing/guideline.html.

Authority:AS 08.64.100

AS 08.64.107

AS 08.64.326

AS 08.64.363

AS 08.64.380

AS 17.30.200