In order to prevent erroneous association of prescriptions and
remain compliant with the PMP, any supervising or collaborating physician who
has delegated prescriptive authority to a mid-level practitioner is required to
log in and fill out the electronic form on the PMP website (www.ilpmp.org)
detailing what prescriptive authority he or she has delegated (see Section
318(k) of the Act). It is incumbent upon the collaborating or supervising
physician to keep this record up to date. The form will require, but not be
limited to, the following data fields:
a) Mid-level practitioner's
information
necessary for the electronic PMP form:
1)
Name (First, MI, Last);
2) DEA
number;
3) Profession;
and
4) Mid-Level Practitioner's
Professional License Numbers.
b) Delegating
physician or podiatrist:
1) Name (First, MI, Last);
2) DEA number;
3) Profession; and
4) Mid-Level Practitioner's Professional
License Numbers.
c) List
of drugs delegated.
