3 CCR 716-1.26 - RULES REGARDING THE USE OF BENZODIAZEPINES

The basis for the Board's promulgation of these rules and regulations by the State Board of Nursing is set forth in sections 12-20-204(1), 12-255-107, and 12-30-109(6), C.R.S.

The purpose for the Board's promulgation of these rules and regulations is to implement rules required by section 12-30-109(6), C.R.S., related to requirements for prescribing benzodiazepines to patients who have not previously prescribed benzodiazepines within the last twelve months.

A. Licensees must limit any prescription for a continuous benzodiazepine to a 30-day supply, for any patient who has not been prescribed a benzodiazepine in the last 12 months.

Prior to prescribing the second fill of a benzodiazepine for a condition that is not exempt under section 12-280-404(4) (a.5), C.R.S.,, a licensee must comply with the requirements of section 12-280-404(4), C.R.S.

B. The limitation stated in section (A) of this Rule does not apply to patients for whom licensees prescribe benzodiazepines for the following conditions:
1. Epilepsy;
2. A seizure, a seizure disorder, or a suspected seizure disorder;
3. Spasticity;
4. Alcohol withdrawal; or
5. A neurological condition, including a post-traumatic brain injury or catatonia.
C. These rules do not require or encourage abrupt discontinuation, limitation, or withdrawal of benzodiazepines. Licensees are expected to follow generally accepted standards of advanced practice nursing with prescriptive authority or of Certified Midwives with prescriptive authority as appropriate, based on an individual patient's needs, in tapering benzodiazepine prescriptions.

Adopted: October 27, 2021

Effective: November 1, 2021

Notes

3 CCR 716-1.26
38 CR 16, August 25, 2015, effective 9/14/2015 38 CR 20, October 25, 2015, effective 11/14/2015 38 CR 22, November 25, 2015, effective 12/30/2015 40 CR 10, May 25, 2017, effective 6/14/2017 40 CR 16, August 25, 2017, effective 9/14/2017 40 CR 16, August 25, 2017, effective 9/14/2017 42 CR 04, February 25, 2019, effective 3/17/2019 42 CR 04, February 25, 2019, effective 3/17/2019 44 CR 10, May 25, 2021, effective 6/14/2021 44 CR 22, November 25, 2021, effective 12/15/2021 45 CR 20, October 25, 2022, effective 9/22/2022 45 CR 23, December 10, 2022, effective 11/11/2022 46 CR 01, January 10, 2023, effective 12/10/2022 45 CR 22, November 25, 2022, effective 12/15/2022 46 CR 02, January 25, 2022, effective 1/9/2023 46 CR 21, November 10, 2023, effective 12/15/2023 47 CR 04, February 25, 2024, effective 3/16/2024

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