Ga. Comp. R. & Regs. R. 480-22-.12 - Requirements of Prescription Drug Orders as Issued by a Physician's Assistant (PA), or an Advanced Practice Registered Nurse (APRN) Licensed to Practice in the State of Georgia
(1)
Under O.C.G.A. §
43-34-103(e.1), a
physician assistant (PA) licensed by the Georgia Composite Medical Board is
permitted to issue a prescription drug order or orders for any dangerous drugs,
as defined in O.C.G.A. §
16-13-71, or for any Schedule III,
IV, or V controlled substance without the co-signature of a supervising
physician under the following conditions:
(a)
The supervising physician has delegated the authority to prescribe dangerous
drugs and/or controlled substances in the PA's job description on file with the
Georgia Composite Medical Board.
(b) If the prescription is for controlled
substances, the PA has a DEA number.
(c) If the prescription is a hard-copy of an
electronic visual image prescription drug order given directly to the patient
or his/her agent, the hard copy must be printed on security paper with the
wording that indicates the signature was electronically generated.
(d) The prescription drug order must include
the following:
(i) The name, address, and
telephone number of the supervising physician and the PA;
(ii) The patient's name and
address;
(iii) The drug name,
strength and quantity prescribed;
(iv) The directions to the patient with
regard to taking the drug;
(v) The
number of authorized refills, if any; and
(vi) If applicable, the DEA permit number of
the PA.
(e) If the
prescription is transmitted by facsimile or computer, the prescription shall
include:
(i) The complete name and address of
the supervising physician and the PA;
(ii) In the case of a prescription drug order
for a controlled substance, the DEA registration number of the PA;
(iii) The telephone number of the PA for
verbal confirmation;
(iv) The name
and address of the patient;
(v) The
time and date of the transmission;
(vi) The full name of the person transmitting
the order;
(vii) The drug name,
strength and quantity prescribed;
(viii) The directions to the patient with
regard to taking the drug;
(ix) The
number of authorized refills, if any; and
(x) The signature of the PA as provided in
Rule 480-27-.02(2) or, in
the case of a controlled substances prescription, in accordance with
21 C.F.R. 1301.22.
(f) No prescription drug order issued by a PA
can be used to authorize refills more than twelve (12) months past the date of
the original drug order.
(2) Under O.C.G.A. §
43-34-25, an advanced practice
registered nurse (APRN) who is recognized by the Georgia Board of Nursing as
having met the requirements to engage in advanced nursing practice, and whose
registered nurse license and advanced practice registered nurse license are in
good standing with the Georgia Board of Nursing, is permitted to issue a
prescription drug order or orders for any dangerous drugs, O.C.G.A. §
16-13-71 except for drugs intended
to cause an abortion to occur pharmacologically, or for any Schedule III, IV,
or V controlled substance without the co-signature of a delegating physician
under the following conditions:
(a) The APRN
has been delegated the authority to issue prescription for the dangerous drugs
and controlled substances by a physician licensed by the Georgia Composite
Medical Board in a nurse protocol agreement and that agreement has been filed
with the Georgia Composite Medical Board.
(b) If the prescription is for controlled
substances, the APRN has a DEA number.
(c) If the prescription is a hard-copy of an
electronic visual image prescription drug order given directly to the patient
or his/her agent, the hard copy must be printed on security paper with the
wording that indicates the signature was electronically generated.
(d) The prescription drug order must include
the following:
(i) The name, address, and
telephone number of the delegating physician and the APRN;
(ii) The patient's name and
address;
(iii) The drug name,
strength and quantity prescribed;
(iv) The directions to the patient with
regard to taking the drug;
(v) The
number of authorized refills, if any; and
(vi) If applicable, the DEA permit number of
the APRN.
(e) If the
prescription is transmitted by facsimile or computer, the prescription shall
include:
(i) The complete name and address of
the delegating physician and the APRN;
(ii) In the case of a prescription drug order
for a controlled substance, the DEA registration number of the APRN;
(iii) The telephone number of the APRN for
verbal confirmation;
(iv) The name
and address of the patient;
(v) The
time and date of the transmission;
(vi) The full name of the person transmitting
the order;
(vii) The drug name,
strength and quantity prescribed;
(viii) The directions to the patient with
regard to taking the drug;
(ix) The
number of authorized refills, if any; and
(x) The signature of the APRN as provided in
Rule 480-27-.02(2) or, in
the case of a controlled substances prescription, in accordance with
21 C.F.R. 1301.22.
(f) No prescription drug order issued by an
APRN can be used to authorize refills more than twelve (12) months past the
date of the original drug order unless the prescription drug order is for oral
contraceptives, hormone replacement, or prenatal vitamins. Oral contraceptives,
hormone replacement and prenatal vitamins may be refilled up to twenty-four
(24) months from the date of the original drug order.
(3) Nothing in this Rule, Title 16, Chapter
13 or Title 43, Chapter 34, shall be construed to create a presumption of
liability, either civil or criminal, on the part of a pharmacist who in good
faith fills a prescription drug order presented by a patient that had been
issued by a PA or an APRN consistent with this Rule.
(a) A pharmacist shall presume that a
prescription drug order issued by a PA or APRN was issued by a PA or APRN duly
licensed and qualified under Title 43, Chapter 34 to prescribe pharmaceutical
agents.
(b) A pharmacist shall
presume that the drug prescribed by the PA is a drug approved by the
supervising physician in the PA's job description and that the drug prescribed
by an APRN is a drug authorized by the delegating physician in the APRN's nurse
protocol agreement, unless the pharmacist has actual or constructive knowledge
to the contrary.
(4) Any
prescription drug order form containing less information than that described in
this Rule shall not be offered to or accepted by any pharmacist.
Notes
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