reglab/statecodes huggingface dataset:
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.02 - Telehealth Medical Services By Physicians According To Licensure Status. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.03 - Scope Of Practice Of Non-Physician Healthcare Practitioners. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.04 - Exemptions. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.05 - Definitions. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.06 - Telehealth Medical Services. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.07 - Asynchronous Telehealth Medical Services. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.08 - Notice To Patients. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.09 - Telehealth Medical Services Provided At An Established Medical Site. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.10 - Telehealth Medical Services Provided At A Site Other Than An Established Medical Site. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.11 - Evaluation And Treatment Of The Patient. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.12 - Technology And Security Requirements. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.13 - Medical Records For Telehealth Medical Services. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.14 - On Call Services. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.15 - State Licensure. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala. 1975,
				  §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.16 - Special Purpose Licenses To Practice Medicine Or Osteopathy Across State Lines. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-15 - TELEHEALTH. (REPEALED) › Section 540-X-15-.17 - Certificates Of Qualification And Licenses Issued Without Examination: "Limited" Certificates Of Qualification And Licenses For Teaching Physicians, Residents, And Physicians At State Penal And Mental Institutions. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										34-24-53,
				  34-24-508.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-16 - THE PRACTICE OF MEDICINE OR OSTEOPATHY ACROSS STATE LINES (REPEALED) › Section 540-X-16-.01 - Authority. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Authors:
Wendell R. Morgan, Patricia E. Shaner,
				  Attorneys for the Alabama Board of Medical Examiners
Statutory Authority:
Act 97-166
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-16 - THE PRACTICE OF MEDICINE OR OSTEOPATHY ACROSS STATE LINES (REPEALED) › Section 540-X-16-.02 - Definitions. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Authors:
Wendell R. Morgan, Patricia E. Shaner,
				  Attorneys for the Alabama Board of Medical Examiners
Statutory Authority:
Act 97-166
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-16 - THE PRACTICE OF MEDICINE OR OSTEOPATHY ACROSS STATE LINES (REPEALED) › Section 540-X-16-.03 - License Requirement. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Authors:
Wendell R. Morgan, Patricia E. Shaner,
				  Attorneys for the Alabama Board of Medical Examiners
Statutory Authority:
Act 97-166
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-16 - THE PRACTICE OF MEDICINE OR OSTEOPATHY ACROSS STATE LINES (REPEALED) › Section 540-X-16-.04 - Qualifications For A Certificate Of Qualification For A Special Purpose License. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Authors:
Wendell R. Morgan, Patricia E. Shaner,
				  Attorneys for the Alabama Board of Medical Examiners
Statutory Authority:
Act 97-166
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-16 - THE PRACTICE OF MEDICINE OR OSTEOPATHY ACROSS STATE LINES (REPEALED) › Section 540-X-16-.05 - Issuance Of Certificate Of Qualification, Transmittal To Medical Licensure Commission. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Authors:
Wendell R. Morgan, Patricia E. Shaner,
				  Attorneys for the Alabama Board of Medical Examiners
Statutory Authority:
Act 97-166
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-16 - THE PRACTICE OF MEDICINE OR OSTEOPATHY ACROSS STATE LINES (REPEALED) › Section 540-X-16-.06 - Appeal From Denial Of Application For Certificate Of Qualification For Special Purpose License. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Authors:
Wendell R. Morgan, Patricia E. Shaner,
				  Attorneys for the Alabama Board of Medical Examiners
Statutory Authority:
Act 97-166
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-16 - THE PRACTICE OF MEDICINE OR OSTEOPATHY ACROSS STATE LINES (REPEALED) › Section 540-X-16-.07 - Effect Of Special Purpose License. (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Authors:
Wendell R. Morgan, Patricia E. Shaner,
				  Attorneys for the Alabama Board of Medical Examiners
Statutory Authority:
Act 97-166
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-16 - THE PRACTICE OF MEDICINE OR OSTEOPATHY ACROSS STATE LINES (REPEALED) › Appendix A - APPLICATION FOR CERTIFICATE OF QUALIFICATION FOR A SPECIAL PURPOSE LICENSE TO PRACTICE MEDICINE OR OSTEOPATHY. (REPEALED)

Current through Register Vol. 42, No. 9, June 28, 2024
Authors:
Wendell R. Morgan, Patricia E. Shaner,
				  Attorneys for the Alabama Board of Medical Examiners
Statutory Authority:
Act 97-166
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-17 - GUIDELINES AND STANDARDS FOR THE UTILIZATION OF CONTROLLED SUBSTANCES FOR WEIGHT REDUCTION › Section 540-X-17-.01 - Preamble

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The purpose of
			 these rules is to provide guidelines, and in some instances standards, for
			 licensed medical doctors (M. D.s) and doctors of osteopathy (D. O.s) who
			 determine that the use of a controlled substance as an adjunct for a weight
			 reduction regimen is medically appropriate for a patient.
(2) The Board of Medical Examiners is
			 obligated under the laws of the state of Alabama to protect the public health
			 and safety. The Board recognizes that inappropriate prescribing of controlled
			 substances, including those used for the purpose of weight reduction, may lead
			 to drug diversion and abuse by individuals who seek drugs for other than
			 legitimate medical use. Physicians should be diligent in preventing the
			 diversion of drugs for illegitimate purposes.
(3) Prescribing or dispensing a controlled
			 substance for weight reduction or the treatment of obesity should be based on
			 accepted scientific knowledge and sound clinical grounds. All such prescribing
			 and dispensing should be in compliance with applicable state and federal
			 law.
(4) Each case of prescribing
			 or dispensing a controlled substance for weight reduction or the treatment of
			 obesity will be evaluated on an individual basis. The Board will not take
			 disciplinary action against a physician for failing to adhere strictly to the
			 provisions of these guidelines and standards, if good cause is shown for such
			 deviation. Whether the drug used is medically and/or pharmacologically
			 recognized to be appropriate for the patient's individual needs will be
			 considered by the Board in evaluating individual cases. The Board will judge
			 the validity of prescribing based on the physician's treatment of the patient
			 and on available documentation.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-54,
				  34-24-53,
				  34-24-360.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-17 - GUIDELINES AND STANDARDS FOR THE UTILIZATION OF CONTROLLED SUBSTANCES FOR WEIGHT REDUCTION › Section 540-X-17-.02 - Schedule II Controlled Substances

Current through Register Vol. 42, No. 9, June 28, 2024
A physician shall not order, prescribe, dispense, supply,
				administer or otherwise distribute any Schedule II amphetamine or Schedule II
				amphetamine-like anorectic drug, or Schedule II sympathomimetic amine drug or
				compound thereof or any salt, compound, isomer, derivative or preparation of
				the foregoing which is chemically equivalent thereto or other non-narcotic
				Schedule II stimulant drug, which drugs or compounds are classified under
				Schedule II of the Alabama Uniform Controlled Substances Act, to any person for
				the purpose of weight control, weight loss, weight reduction or treatment of
				obesity.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-54,
				  34-24-53,
				  34-24-360.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-17 - GUIDELINES AND STANDARDS FOR THE UTILIZATION OF CONTROLLED SUBSTANCES FOR WEIGHT REDUCTION › Section 540-X-17-.03 - Schedule III, IV And V Controlled Substances

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Only a doctor of medicine or doctor of
			 osteopathy licensed by the Medical Licensure Commission of Alabama may order,
			 prescribe, dispense, supply, administer or otherwise distribute a controlled
			 substance in Schedule III, IV or V to a person for the purpose of weight
			 control, weight loss, weight reduction, or treatment of obesity, except that a
			 Physician Assistant, Certified Registered Nurse Practitioner or Certified Nurse
			 Midwife may prescribe non-controlled drugs for such purpose. If a Physician
			 Assistant, Certified Registered Nurse Practitioner or Certified Nurse Midwife
			 prescribes non-controlled drugs for weight reduction or the treatment of
			 obesity, the prescriber shall comply with the guidelines and standards of this
			 Chapter which apply to M. D.s and D. O.s.
(2) A written prescription or a written order
			 for any controlled substance for a patient for the purpose of weight reduction
			 or treatment of obesity shall be signed by the prescribing physician on the
			 date the medication is to be dispensed or the prescription is provided to the
			 patient. If an electronic prescription is issued for any controlled substance
			 for a patient for the purpose of weight reduction or treatment of obesity, the
			 prescribing physician must sign and authorize the transmission of the
			 electronic controlled substance prescription in accordance with federal law and
			 must comply with all applicable requirements for Electronic Prescriptions for
			 Controlled Substances (See 21 CFR Parts 1300, 1304, 1306 and 1311, as amended
			 effective June 1, 2010). Such prescriptions or orders shall not be called in to
			 a pharmacy by the physician or an agent of the physician.
(3) The prescribing/ordering physician shall
			 be present at the facility when he or she prescribes, orders or dispenses a
			 controlled substance for a patient for the purpose of weight reduction or
			 treatment of obesity.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §
										34-24-53.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-17 - GUIDELINES AND STANDARDS FOR THE UTILIZATION OF CONTROLLED SUBSTANCES FOR WEIGHT REDUCTION › Section 540-X-17-.04 - Initial Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Before
			 initiating treatment for weight reduction or obesity utilizing any Schedule
			 III, IV or V controlled substance, a physician should comply with the
			 following:
(a) An initial evaluation of the
			 patient should be conducted by and recorded by the prescribing physician prior
			 to the prescribing, ordering, dispensing or administering of any drug. Such
			 evaluation should include an appropriate physical and complete history;
			 appropriate tests related to medical treatment for weight reduction; and
			 appropriate medical referrals as indicated by the physical, history, and
			 testing; all in accordance with general medical standards of care. Relative
			 contraindications to the use of anorectic drugs should be addressed prior to
			 prescribing or dispensing these medications.
(b) The patient should have a Body Mass Index
			 (BMI) of 30 or above, or a BMI of greater than 25 with at least one comorbitity
			 factor, or a measurable body fat content equal to or greater than 25% of total
			 body weight for male patients or 30% of body weight for female patients, or an
			 abdominal girth of at least 40 inches for male patients or an abdominal girth
			 of at least 35 inches for female patients. BMI is calculated by use of the
			 formula BMI=kg/m2.
(c) The prescribing physician should assess
			 and document the patient's freedom from signs of drug or alcohol abuse and the
			 presence or absence of contraindications and adverse side effects.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-17 - GUIDELINES AND STANDARDS FOR THE UTILIZATION OF CONTROLLED SUBSTANCES FOR WEIGHT REDUCTION › Section 540-X-17-.06 - Medical Records

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Every
			 physician who prescribes, orders, dispenses or administers a controlled
			 substance to a patient for the purpose of weight reduction or treatment of
			 obesity should maintain medical records in compliance with the provisions of
			 this Chapter and Medical Licensure Commission Rule
			 545-X-4-.09, Minimum Standards
			 for Medical Records.
(2) The
			 treatment of obesity should be based on evidence based
			 medicine.1 The Board considers the promotion and use
			 for weight reduction of controlled and non-controlled substances which have not
			 been scientifically validated to be of questionable benefit (e.g., HCG, etc.).
			 The promotion and use of these substances is under scrutiny by the Board for
			 possible sanctions for non-legitimate medical use violations. Adequate medical
			 documentation should be kept so that progress as well as the success or failure
			 of any modality is easily ascertained.
(3) At a minimum, every thirty-five (35) days
			 when a controlled substance is being provided to a patient for the purpose of
			 weight reduction or treatment of obesity, the physician or PA or CRNP should
			 record in the patient record, information demonstrating the patient's
			 continuing efforts to lose weight, the patient's dedication to the treatment
			 program and response to treatment, and the presence or absence of
			 contraindications, adverse effects and indicators of possible substance abuse
			 that would necessitate cessation of treatment utilizing controlled
			 substances.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §
										34-24-53.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-17 - GUIDELINES AND STANDARDS FOR THE UTILIZATION OF CONTROLLED SUBSTANCES FOR WEIGHT REDUCTION › Section 540-X-17-.07 - Conditions Warranting Discontinuance Of A Controlled Substance

Current through Register Vol. 42, No. 9, June 28, 2024
1An example of evidence based
				medicine would include the Bariatric Practice Guidelines as established by the
				American Society of Bariatric Physicians and which can be found on the website
www.ASBP.org
.
(1) A physician should not initiate or should
			 discontinue utilizing a controlled substance for the purpose of weight
			 reduction or treatment of obesity of a patient immediately upon ascertaining or
			 having reason to believe:
(a) That the patient
			 has failed to progress toward medically established goals while under treatment
			 with the controlled substance over a period of seventy (70) days, which
			 determination should be made by assessing the patient with regard to previously
			 established goals at least every thirty-five (35) days.
(b) That the patient has developed tolerance
			 to the anorectic effects of the controlled substance being utilized.
(c) That the patient has a history of or
			 shows a propensity for alcohol or drug abuse or has made any false or
			 misleading statement to the physician or PA or CRNP relating to the patient's
			 use of drugs or alcohol.
(d) That
			 the patient has consumed or disposed of a controlled substance other than in
			 compliance with the treating physician's directions.
(e) That the patient has repeatedly failed to
			 comply with the physician's treatment recommendations.
(f) That the patient is pregnant.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.01 - Definitions

Current through Register Vol. 42, No. 9, June 28, 2024
The following definitions shall apply to the rules in this
				chapter:
(1) Administer - The direct
			 application of a controlled substance, whether by injection, inhalation,
			 ingestion, or any other means, to the body of a patient by any of the
			 following:
(a) A collaborating physician, or,
			 in his or herpresence, his or her authorized agent;
(b) A certified registered nurse practitioner
			 (CRNP)or certified nurse midwife (CNM); or
(c) The patient at the direction and in the
			 presence of the collaborating physician, certified registered nurse
			 practitioner (CRNP) or certified nurse midwife (CNM).
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.02 - General Requirements

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 Board is the certifying board which may issue to and renew, deny, restrict,
			 limit, suspend, or revoke a QACSC of a CRNP or CNM.
(2) Beginning October 1, 2013, QACSCs may be
			 issued by the Board to CRNPs and CNMs.
(3) A CRNP or CNM who prescribes,
			 administers, or authorizes for administration any controlled substance within
			 Alabama or who proposes to engage in the prescribing, administering, or
			 authorizing for administration any controlled substance within Alabama shall
			 obtain, annually, a QACSC for each collaborative practice agreement approved by
			 the Alabama Board of Nursing and the Alabama Board of Medical
			 Examiners.
(4) A CRNP or CNM who
			 prescribes, administers, or authorizes for administration, or who proposes to
			 engage in the prescribing, administering, or authorizing for administration of
			 any controlled substance within Alabama shall obtain the appropriate
			 registration or registrations issued by the United States Drug Enforcement
			 Administration.
(5) A CRNP or CNM
			 who applies for a Qualified Alabama Controlled Substances Certificate shall
			 provide the Board with the DEA registration number authorizing his or her
			 prescribing of controlled substances in Alabama at the time of application, or,
			 if no such registration has been issued, shall provide the Board with the DEA
			 registration number as soon as it is issued. Each CRNP or CNM who is issued a
			 Qualified Alabama Controlled Substances Certificate shall provide a copy of the
			 DEA registration certificate to the Board immediately upon renewal of the
			 registration.
(6) The Board of
			 Medical Examiners may decline to consider an application when the CRNP or CNM
			 or the collaborating physician is under investigation by the Board of Medical
			 Examiners for a potential violation of the Code of Alabama, Sections
			 20-2-1, et. seq., or 34-24-50, et.
			 seq., or any rule of the Alabama Board of Medical Examiners or Medical
			 Licensure Commission of Alabama.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-250, et. seq.; Act
				  2013-223
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.03 - Requirements for the Issuance of a Qualified Alabama Controlled Substances Registration Certificate (QACSC)

Current through Register Vol. 42, No. 9, June 28, 2024
To qualify for a QACSC, an individual must meet the following
				requirements:
(1) Be a CRNP or CNM who
			 is practicing in accordance with §
								34-21-5,
Code of Ala.
			 1975
, as amended, and all Alabama Board of Nursing and Alabama
			 Board of Medical Examiners rules governing collaboration between a qualified
			 physician and a qualified CRNP or CNM and who is in a collaborative practice
			 with a physician who holds and maintains a valid, current and unrestricted
			 QACSC;
(2) Submit proof of
			 successful completion of a course or courses (AMA PRA Category 1T) approved by
			 the Board which includes eight (8) hours of instruction regarding the
			 prescribing of controlled substances and four (4) hours of advanced
			 pharmacology and prescribing trends relating to controlled substances within
			 one (1) year preceding the filing of an application for a QACSC.
(3) Provide accurate and complete
			 documentation of a minimum of twelve (12) months of active clinical practice
			 pursuant to one or more collaborative practice agreements approved by the
			 Alabama Board of Nursing and the Alabama Board of Medical Examiners. Temporary
			 approval practice and provisional approval practice shall not be considered or
			 used to meet this requirement;
(4)
			 Provide information regarding whether the QACSC will be utilized at a remote
			 site and/or in a different type of clinical setting than the collaborating
			 physician.
(5) Submit an
			 application on forms provided by the Board; and
(6) Pay the required application fee required
			 by the Board.
Authors:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, 20-2-250,
et seq
.; Act
				  2013-223.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.04 - Issuance Of A Qualified Alabama Controlled Substances Registration Certificate (QACSC)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board
			 may issue a QACSC to a CRNP or CNM when all of the requirements for issuance
			 have been met.
(2) Every QACSC
			 issued shall have a unique QACSC number which identifies the particular
			 applicant as a CRNP or CNM with a valid QACSC.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-250, et. seq.; Act
				  2013-223
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.05 - Renewal Of A Qualified Alabama Controlled Substances Registration Certificate (QACSC)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Renewal of
			 a QACSC shall be annually on or before January 1 of each year. An application
			 for annual renewal of a QACSC shall be received by the Board on or before
			 December 31 and shall be accompanied by the required QACSC renewal
			 fee.
(2) As a requirement for
			 renewing a QACSC, a CRNP or CNM shall obtain, every two years, four (4) AMA PRA
			 Category 1 creditsT or equivalent through a Board approved course or courses
			 regarding the prescribing of controlled substances.
(3) Before renewing a Qualified Alabama
			 Controlled Substances Certificate, the applicant shall have a current
			 registration to access the Controlled Substances Prescription Database
			 established and maintained by the Alabama Department of Public
			 Health.
(4) Before renewing a
			 Qualified Alabama Controlled Substances Certificate, an applicant shall have a
			 current and appropriate registration issued by the United States Drug
			 Enforcement Administration.
Authors:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, 20-2-250, et. seq.; Act 2013-223
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.06 - Fees - Qualified Alabama Controlled Substances Registration Certificate (QACSC)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) An
			 applicant for a QACSC shall submit to the Board an application fee in the
			 amount of One Hundred and Ten Dollars ($110.00), which includes the fee payable
			 to the Alabama Department of Public Health Prescription Drug Monitoring Data
			 Bank required by §
								20-2-217,
Code of Ala.
			 1975
, as amended.
(2)
			 An applicant for annual renewal of a QACSC submitted on or before December 31
			 shall submit to the Board a QACSC renewal fee in the amount of Sixty Dollars
			 ($60.00), which includes the fee payable to the Alabama Department of Public
			 Health Prescription Drug Monitoring Data Bank required by §
								20-2-217,
Code of Ala.
			 1975
, as amended.
(3)
			 An applicant for annual renewal of a QACSC submitted after the renewal deadline
			 of December 31 and prior to January 31 shall submit to the Board a QACSC
			 renewal fee in the amount of Sixty Dollars ($60.00), which includes the fee
			 payable to the Alabama Department of Public Health Prescription Drug Monitoring
			 Data Bank required by §
								20-2-217,
Code of Ala.
			 1975
, as amended, and a late fee in the amount of Seventy-Five
			 Dollars ($75.00).
(4) An applicant
			 for annual renewal of a QACSC submitted after January 31 shall submit to the
			 Board of QACSC renewal fee in the amount of Sixty Dollars ($60.00) which
			 includes the fee payable to the Alabama Department of Public Health
			 Prescription Drug Monitoring Data Bank required by §
								20-2-217,
Code of Ala.
			 1975
, as amended, and a penalty fee in the amount of One Hundred
			 Ten Dollard ($110.00).
(5) An
			 applicant for annual renewal of a QACSC submitted after January 31 who has also
			 prescribed controlled substances between January 1 and the date of application
			 shall submit to the Board a QCSAS renewal fee in the amount of Sixty Dollars
			 ($60.00), which includes the fee payable to the Alabama Department of Public
			 Health Prescription Drug Monitoring Data Bank required by §
								20-2-217,
Code of Ala.
			 1975
, as amended, and a penalty fee in the amount of One Hundred
			 Fifty Dollars ($150.00).
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-250, et. seq.; Act
				  2013-223
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.07 - Utilization Of Qualified Alabama Controlled Substances Registration Certificate (QACSC) - Limitations

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The
			 authority of a CRNP or CNM to prescribe, administer, authorize for
			 administration or dispense pursuant to a QACSC is limited to those controlled
			 substances enumerated in Schedules III, IV and V.
(2) A CRNP or CNM shall not use the authority
			 of his or her QACSC to prescribe, administer, authorize for administration, or
			 dispense any controlled substance enumerated in Schedule I or Schedule II;
			 however, a CRNP or CNM may administer a Schedule II controlled substance which
			 has been ordered, prescribed or dispensed by a collaborating or covering
			 physician.
(3) A CRNP or CNM shall
			 prescribe, administer, or authorize for administration controlled substances in
			 accordance with the requirements of
Code of Ala. 1975
,
			 §§
								20-2-250 through
			 20-2-259; any other applicable
			 sections of the Alabama Uniform Controlled Substances Act (
Code of
			 Ala. 1975
, §§
								20-2-1, et. seq.); Board rules;
			 protocols, formularies, and medical regimens established by the Board for
			 regulation of a QACSC; and any requirements or limitations established in an
			 approved formulary by the collaborating physician.
(4) A CRNP or CNM shall not utilize his or
			 her QACSC for the purchasing, obtaining, maintaining or ordering of any stock
			 supply or inventory of any controlled substance in any form.
(5) A CRNP or CNM who has been issued a valid
			 and current QACSC may accept from pharmaceutical representatives prepackaged
			 samples or starter packs in their original packages or containers for
			 controlled substances enumerated in Schedules III, IV or V, subject to any
			 restriction or limitations on the CRNP's or CNM's approved formulary and
			 subject to any protocols or medical regimens established by the
			 Board.
(6) A CRNP or CNM shall not
			 prescribe, administer, authorize for administration or dispense any controlled
			 substance to his or her own self, spouse, child or parent.
(7) If the Alabama Controlled Substances
			 Certificate of the collaborating physician under whose supervision the CRNP or
			 CNM utilizes a QACSC becomes inactive, revoked, suspended, restricted, or
			 placed on probation, then the QACSC of the CRNP or CNM shall be
			 administratively terminated by operation of law.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-250, et. seq.; Act
				  2013-223.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.07.01 - Prescription Guidelines - Qualified Alabama Controlled Substances Registration Certificate (QACSC)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) When
			 prescribing controlled substances, a CRNP or CNM shall use a prescription form
			 that includes all of the following:
(a) The
			 name, medical practice site address, and telephone number of the collaborating
			 physician.
(b) The name of the CRNP
			 or CNM;
(c) The medical practice
			 site address and telephone number of the CRNP or CNM if different from that of
			 the collaborating physician;
(d)
			 CRNP or CNM's registered nurse license number assigned by the Board of
			 Nursing.
(e) The words "Product
			 Selection Permitted" printed on one side of the prescription form directly
			 beneath a signature line;
(f) The
			 words "Dispense as written" printed on one side of the prescription form
			 directly beneath a signature line.
(g) The date that the prescription is issued
			 to the patient.
(h) The patient's
			 full name and address.
(i) The CRNP
			 or CNM's QACSC registration number.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.08 - Grounds for Denial, Restriction, Limitation, Suspension or Revocation - Qualified Alabama Controlled Substances Registration Certificate (QACSC)

Current through Register Vol. 42, No. 9, June 28, 2024
The Board may deny a CRNP's or CNM's application for a QACSC,
				deny a CRNP's or CNM's application for renewal or reinstatement of a QACSC, or
				initiate action against the QACSC of a CRNP or CNM based on the following
				grounds:
(1) Fraud or deceit in
			 applying for, procuring, or attempting to procure a QACSC in the state of
			 Alabama.
(2) Conviction of a crime
			 under any state or federal law relating to any controlled substance.
(3) Conviction of a crime or offense which
			 affects the ability of the CRNP or CNM to practice with due regard for the
			 health or safety of his or her patients.
(4) Prescribing a drug or utilizing a QACSC
			 in such a manner as to endanger the health of any person or patient of the
			 CRNP, CNM or collaborating physician.
(5) Suspension or revocation of a
			 registration number issued to the CRNP or CNM by the United States Drug
			 Enforcement Administration.
(6)
			 Excessive dispensing or prescribing of a controlled substance to any person or
			 patient of the CRNP, CNM or collaborating physician.
(7) Unfitness or incompetence due to the use
			 of or dependence on alcohol, chemicals, or any mood-altering drug to such an
			 extent as to render the CRNP or CNM unsafe or unreliable to prescribe drugs or
			 to hold a QACSC.
(8) Any violation
			 of a requirement set forth in §§
								20-2-250 through
			 20-2-259,
Code of Ala.
			 1975
, as amended; a rule of the Board; a protocol or medical
			 regimen adopted by the Board; or a limitation established by the collaborating
			 physician in an approved formulary.
(9) Prescribing a controlled substance
			 without a valid QACSC.
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-250, et. seq.; Act
				  2013-223
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.09 - Due Process Proceedings - Denial of and Actions Against Qualified Alabama Controlled Substances Registration Certificate (QACSC)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) Before denying
			 an application for a QACSC, denying an application for renewal or reinstatement
			 of a QACSC, or taking action against a QACSC of a CRNP or CNM, the Board shall
			 serve upon the CRNP or CNM an order to show cause why registration should not
			 be denied or why the QACSC should not be restricted, limited, suspended or
			 revoked.
(2) Any hearing concerning
			 the order to show cause shall be before the Board.
(3) The order to show cause shall contain a
			 statement of the basis therefor and shall call upon the applicant or registrant
			 to appear before the Board at a time and place not less than thirty (30) days
			 after the date of service of the order, but in the case of denial of renewal of
			 registration, the show cause order shall be served not later than thirty (30)
			 days before the expiration of the registration.
(4) Proceedings to deny renewal of
			 registration shall not abate the existing registration which shall remain in
			 effect pending the outcome of the administrative hearing.
(5) The Board may restrict, suspend or revoke
			 a QACSC whenever a CRNP or CNM shall be found guilty on the basis of
			 substantial evidence of any of the acts or offenses enumerated in Rule
			 540-X-18-.08.
(6) The Board may limit revocation or
			 suspension of a QACSC to the particular controlled substance with respect to
			 which grounds for revocation or suspension exist.
(7) The Board shall promptly notify the Drug
			 Enforcement Administration of the United States Department of Justice of all
			 orders restricting, limiting, suspending or revoking a QACSC.
(8) Any hearing before the Board shall be
			 considered a contested case under the Alabama Administrative Procedure Act,
			 §
								41-22-1, et. seq.,
Code of Ala. 1975
, as amended, and shall be conducted
			 in accordance with the requirements of that Act.
(9) In a hearing on the request for
			 reinstatement of a QACSC, the Board has the authority to reinstate or deny
			 reinstatement of a QACSC. In a hearing on a request for reinstatement of a
			 QACSC, the applicant shall have the burden of establishing to the reasonable
			 satisfaction of the Board that the applicant is entitled to the specific relief
			 requested.
Author
: Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-250, et. seq.; Act
				  2013-223
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.10 - Conduct Of Hearings - Qualified Alabama Controlled Substances Registration Certificate (QACSC)

Current through Register Vol. 42, No. 9, June 28, 2024
Except when §§
								20-2-250 through
				20-2-259,
Code of Ala.
				1975
, as amended, and Board Rule
				540-X-18-.09 are in conflict and
				shall take precedence, hearings related to a QACSC are to be governed and
				conducted in accordance with Board Rules
				540-X-6-.03 (Hearing Officer);
				540-X-6-.04 (Conduct of Hearings
				in Contested Cases; and
				540-X-6-.05 (Miscellaneous
				Provisions).
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-250, et. seq.; Act
				  2013-223
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.11 - Appeals - Qualified Alabama Controlled Substances Registration Certificate (QACSC)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A CRNP or
			 CNM may obtain judicial review when adversely affected by any of the following:
(a) An order of the Board denying an
			 application for a QACSC;
(b) An
			 order of the Board denying an application for renewal of a QACSC;
(c) An order of the Board suspending,
			 revoking or restricting a QACSC; or
(d) An order of the Board denying
			 reinstatement of a QACSC.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.12 - Access To Records - Qualified Alabama Controlled Substances Registration Certificate (QACSC)

Current through Register Vol. 42, No. 9, June 28, 2024
The Board, its agents, attorneys, investigators, or inspectors
				shall be permitted access to inspect and copy any records of a CRNP or CNM,
				including patient records, which relate to a request for a QACSC; a renewal of
				a QACSC; possible violations of any of the provisions of the Alabama Uniform
				Controlled Substances Act; possible violations of §§
								20-2-250 through
				20-2-259,
Code of Ala
				1975
, as amended; or possible violations of any Board rule
				governing a QACSC.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-250, et. seq.; Act
				  2013-223
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.13 - Covering Physician - Qualified Alabama Controlled Substances Registration Certificate (QACSC)

Current through Register Vol. 42, No. 9, June 28, 2024
(1) A covering
			 physician who applies to collaborate with or does collaborate with a CRNP or
			 CNM possessing a QACSC, shall hold a valid, current and unrestricted Alabama
			 Controlled Substances Registration Certificate (ACSC).
(2) The covering physician shall state in
			 writing to the Board the following:
(a) That
			 he or she is familiar with the Board rules concerning the QACSC;
(b) That he or she is familiar with any
			 protocols or medical regimens adopted by the Board concerning the
			 QACSC;
(c) That he or she is
			 familiar with any limitation on the prescribing of controlled substances agreed
			 to in the approved formulary by the CRNP or CNM and the collaborating
			 physician; and
(d) That, having
			 full knowledge of the authority of the CRNP or CNM to prescribe controlled
			 substances, the covering physician agrees to provide medical oversight for the
			 CRNP or CNM accordingly.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.14 - Controlled Substances Prescription Database Access

Current through Register Vol. 42, No. 9, June 28, 2024
All CRNPs or CNMs possessing a QACSC who are permitted access
				to the information in the controlled substances database shall abide by the
				requirements and limitations stated in §§
								20-2-210 through
				20-2-220,
Code of Ala.
				1975
, as amended, where applicable.
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-250, et. seq.; Act
				  2013-223
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Section 540-X-18-.15 - Risk And Abuse Mitigation Strategies

Current through Register Vol. 42, No. 9, June 28, 2024
(1) The Board recognizes that all controlled
			 substances, including but not limited to, opiates, benzodiazepines, stimulants,
			 anticonvulsants, and sedative hypnotics, have a risk of addiction, misuse, and
			 diversion. It is the opinion of the Board that the best practice when
			 prescribing controlled substances shall include medically appropriate risk and
			 abuse mitigation strategies, which will vary from patient to patient.
			 Additional care should be used by practitioners when prescribing medication to
			 a patient from multiple controlled substance drug classes.
(2) Every practitioner shall provide his or
			 her patient with risk education prior to initiating controlled substances
			 therapy and prior to continuing the controlled substances therapy initiated by
			 another practitioner.
(3) Every
			 practitioner shall utilize medically appropriate risk and abuse mitigation
			 strategies when prescribing controlled substances. Examples of risk and abuse
			 mitigation strategies include, but are not limited to:
(a) Pill counts;
(b) Urine drug screening;
(c) PDMP checks;
(d) Consideration of abuse-deterrent
			 medications;
(e) Monitoring the
			 patient for aberrant behavior;
(f)
			 Using validated risk-assessment tools, examples of which shall be maintained by
			 the Board; and
(g) Co-prescribing
			 naloxone to patients receiving opioid prescriptions when determined to be
			 appropriate in the clinical judgment of the treating practitioner.
Alabama Administrative Code › Title 540 - ALABAMA BOARD OF MEDICAL EXAMINERS › Chapter 540-X-18 - QUALIFIED ALABAMA CONTROLLED SUBSTANCES CERTIFICATE (QACSC) FOR CERTIFIED REGISTERED NURSE PRACTITIONERS (CRNP) AND CERTIFIED NURSE MIDWIVES (CNM) › Appendix A - Application For Qualified Controlled Substances Registration Certificate For Certified Registered Nurse Practitioners And Certified Nurse Midwives (Repealed)

Current through Register Vol. 42, No. 9, June 28, 2024
Author:
Alabama Board of Medical
				  Examiners
Statutory Authority:
Code of Ala.
				  1975
, §§
										20-2-50,
				  20-2-259.