Prescribing Authority

who decides who has the competency to prescribe controlled substances?

the state

what type of doctors have full prescribing authority within scope of practice?

- physicians (M.D. and D.O.)

- medical interns, residents, foreign trained physicians

- ophthalmologists

- dentists

- psychiatrists

- podiatrists

- veterinarians

what type of doctor has limited independent prescribing authority?

optometrist

what are the limitations of an optometrists prescribing authority?

- must have therapeutic license

- max 6 week supply of CIII-V

- no CIIs, except codeine and hydrocodone combo products limited to a 72 hour supply

what type of doctors have limited dependent prescribing authority

- physician assistants

- certified registered nurse practitioner

- nurse midwife

what are the limitations of physician assistants prescribing authority?

- must have a collaborative agreement with a physician

- full authority for CIII-V

- CII: may dispense up to a 72 hour dose, must notify supervising physician within 24 hours from issuance of prescription

- may write a CII for up to a 30 day supply if it was approved by the supervising physician for ongoing theraoy

- prescription must clearly state on its face that its for initial or ongoing therapy

what are the limitations of certified registered nurse practitioners prescribing authority?

- must have collaborative agreement with a physician

- CII: 30 day supply

- CIII-IV: 90 day supply

- CV: full authority

what are the limitations of nurse midwifes prescribing authority?

- must have collaborative agreement with a physician

- CII: 72 hour supply

- CIII-IV: 30 day supply

- CV: full authority

what type of doctors have no prescribing authority?

- psychologists

- EMTs

- chiropractors

how are EMTs able to dispense medications while working?

a physician orders drugs for ambulances and does a standing order for the EMT to administer certain drugs in certain situations