OAR 847-050-0041
Prescribing and Dispensing Privileges
(1)
An Oregon grandfathered physician assistant may issue written, electronic or oral prescriptions for Schedule III-V medications, which the supervising physician has determined the physician assistant is qualified to prescribe commensurate with the practice agreement or Board-approved practice description, if the physician assistant has passed a specialty examination approved by the Board prior to July 12, 1984, and the following conditions are met:(a)
The Oregon grandfathered physician assistant has passed the Physician Assistant National Certifying Examination (PANCE); and(b)
The Oregon grandfathered physician assistant has documented adequate education or experience in pharmacology commensurate with the practice agreement or Board-approved practice description.(2)
A physician assistant may issue written, electronic or oral prescriptions for Schedule III-V medications, which the supervising physician has determined the physician assistant is qualified to prescribe commensurate with the practice agreement or Board-approved practice description, if the physician assistant has met the requirements of OAR 847-050-0020 (Qualifications)(1).(3)
A physician assistant may issue written or electronic prescriptions or emergency oral prescriptions followed by a written authorization for Schedule II medications if the requirements in (1) or (2) are fulfilled and if the following conditions are met:(a)
A statement regarding Schedule II controlled substances prescription privileges is included in the practice agreement or Board-approved practice description. The Schedule II controlled substances prescription privileges of a physician assistant are limited by the practice agreement or Board-approved practice description and may be restricted further by the supervising physician at any time.(b)
The physician assistant is currently certified by the National Commission for the Certification of Physician Assistants (NCCPA) and must complete all required continuing medical education coursework.(4)
A physician assistant may prescribe and dispense buprenorphine for medication-assisted treatment for opioid dependency if the requirements in (1) or (2) are fulfilled and the following conditions are met:(a)
The physician assistant has obtained a buprenorphine waiver from the Drug Enforcement Administration;(b)
The physician assistant has been granted dispensing authority if the physician assistant will dispense buprenorphine;(c)
The scope of practice of the physician assistant’s supervising physician includes use of buprenorphine for medication-assisted treatment for opioid dependency;(d)
The physician assistant’s practice agreement includes use of buprenorphine for medication-assisted treatment for opioid dependency as a delegated medical service; and(e)
The physician assistant complies with all federal and state requirements for recordkeeping specific to buprenorphine treatment.(5)
All prescriptions given whether written, electronic, or oral must include the name, office address, and telephone number of the supervising physician and the name of the physician assistant. The prescription must also bear the name of the patient and the date on which the prescription was written. The physician assistant must sign the prescription and the signature must be followed by the letters “P.A.” Also the physician assistant’s Federal Drug Enforcement Administration number must be shown on prescriptions for controlled substances.(6)
A supervising physician or primary supervising physician of a supervising physician organization may apply to the Board for a physician assistant to dispense drugs specified by the supervising physician or supervising physician organization.(a)
The physician assistant must have prescribing privileges and be in good standing with the Board and the NCCPA to qualify for dispensing authority. The physician assistant may dispense Schedule II medications only if the physician assistant has been delegated Schedule II prescription privileges by the supervising physician.(b)
If the facility where the physician assistant will dispense medications serves population groups federally designated as underserved, geographic areas federally designated as health professional shortage areas or medically underserved areas, or areas designated as medically disadvantaged and in need of primary health care providers as designated by the State, the application must include:(A)
Location of the practice site;(B)
Accessibility to the nearest pharmacy; and(C)
Medical necessity for dispensing.(c)
If the facility where the physician assistant will be dispensing medications is not in one of the designated areas or populations described in subsection (6)(b) of this rule:(A)
The physician assistant may not dispense Schedule I through II controlled substances;(B)
The physician assistant must complete a drug dispensing training program jointly developed by the Oregon Medical Board and the State Board of Pharmacy; and(C)
The supervising physician or primary supervising physician of a supervising physician organization must submit to the Board:(i)
A plan for drug delivery and control;(ii)
An annual report on the physician assistant’s use of dispensing authority;(iii)
A list of the drugs or classes of drugs the physician assistant will dispense; and(iv)
A list of all facilities where the physician assistant will dispense and documentation that each of these facilities has been registered with the State Board of Pharmacy as a supervising physician dispensing outlet; and(d)
The physician assistant must report the dispensing of any Schedule III or IV controlled substance to the Oregon Health Authority consistent with the requirements for pharmacies as described in ORS 431A.855 (Establishment of program) to 431A.900 (Civil penalty for violation of ORS 431A.855 to 431A.900).(7)
A physician assistant with dispensing authority must:(a)
Dispense medications personally;(b)
Dispense only medications that are pre-packaged by a licensed pharmacist, manufacturing drug outlet or wholesale drug outlet authorized to do so under ORS 689, and the physician assistant must maintain records of receipt and dispensing; and(c)
Register with the Drug Enforcement Administration and maintain a controlled substances log as required in OAR 847-015-0015 (Maintenance of Controlled Substances Log by Prescribing Practitioners).(8)
Distribution of samples, without charge, is not dispensing under this rule. Administering drugs in the facility is not dispensing under this rule. Distribution of samples and administration of drugs must be documented in the patient record. Documentation must include the name of the drug, the dose, the quantity distributed or administered, and the directions for use if applicable.(9)
A supervising physician or primary supervising physician of a supervising physician organization for a physician assistant who is applying for dispensing authority must be registered with the Oregon Medical Board as a dispensing physician.(10)
Failure to comply with any subsection of this rule is a violation of the ORS Chapter 677 (Regulation of Medicine, Podiatry and Acupuncture) and is grounds for a $195 fine. The licensee may be subject to further disciplinary action by the Board.
Source:
Rule 847-050-0041 — Prescribing and Dispensing Privileges, https://secure.sos.state.or.us/oard/view.action?ruleNumber=847-050-0041.