North Dakota Administrative Code › Title 50 - North Dakota Board of Medicine › Article 50-06 - Naturopathic Licensure › Chapter 50-06-02 - Authority Of Naturopaths › Section 50-06-02-08 - Formulary

Current through Supplement No. 393, July, 2024
1. A naturopath may only prescribe drugs
				pursuant to this formulary after obtaining an endorsement for prescriptive
				authority under section 50-06-02-06.
2. A naturopath may not recommend altering or
				discontinuing a drug that is not within the naturopath's scope of practice and
				prescriptive authority that may be prescribed under this formulary. The
				naturopath instead shall refer the patient to their primary provider or
				prescribing provider.
3. The
				formulary for naturopaths with an endorsement for prescriptive authority
				consists of noncontrolled legend drugs and testosterone deemed appropriate for
				the primary health care of patients within the scope of practice and training
				of each naturopath. Prescribing pursuant to the formulary must be in accordance
				with the standard of care provided by the naturopath's training, experience,
				and the degree of expertise.
4. The
				use of all drugs must be supported by FDA label, compendia, expert opinion, or
				clinical practice guidelines. Compendia supported use is defined as recommended
				with evidence favoring efficacy in the American Hospital Formulary Service Drug
				Information; United States Pharmacopeia-Drug Information, or the DRUGDEX
				information system.
5. The
				following formulary references the United States Pharmacopeia (USP) drug
				classification system.
6. Unless
				otherwise indicated in the formulary, drugs specified in the formulary that are
				allowed to be prescribed include all forms of the drug including time release
				forms and other generic forms.
7. A
				naturopath who obtains an endorsement for prescriptive authority under section 50-06-02-06 may prescribe the following drugs or classes of drugs, and may only
				prescribe for use within the corresponding category and indication:
Category/Indication
Drugs or Classes of Drugs that May be
								Prescribed with Prescriptive Endorsement
Application and Other
								Limitations
Analgesics
All drugs within the NSAID class may be
								prescribed.
Anesthetics
All drugs within the local anesthetics class may be
								prescribed.
Antiaddiction/Substance abuse treatment
								agents
Naltrexone
Nicotine
Antibacterials
Neomycin
Gentamicin (topical only)
Tobramycin (topical only)
Amoxicillin
Amoxicillin/Clavulanate potassium
Penicillin G
Doxycycline
Clarithromycin
Clindamycin (topical only)
Nitrofurantoin
Metronidazole
Acetic acid
Polymyxin B sulfate
Rifaximin
May not administer any drugs in this category via
								intravenous administration.
Antiemetics
Ondansetron
Diphenhydramine hydrochloride
Hydroxyzine hydrochloride
Meclizine hydrochloride
Metoclopramide hydrochloride
Scopolamine
Antifungals
Terbinafine (topical only)
Miconazole nitrate (topical only)
Ketoconazole (topical only)
Terconazole (topical only)
Fluconazole
Nystatin
Antigout agents
Probenecid
Allopurinol
Colchicine
Antimigraine agents
Propranolol hydrochloride
Antineoplastics
Anastrozole
Alitretinoin
Tretinoin
Topical only All drugs may only be prescribed for
								noncancer purposes and uses.
Antiobesity agents
Orlistat
Antiparasitics
Albendazole
Ivermectin
Mebendazole
Topical only
Antispasticity agents
Baclofen
Tizanidine hydrochloride
Antivirals
Acyclovir
Valacyclovir
Oseltamivir
Anxiolytics
Buspirone Hydroxyzine
Blood glucoses regulators
All drugs within the antidiabetic agents and
								glycemic agents class may be prescribed.
All drugs within the biguanide and DPP 4 inhibitors
								group may be prescribed.
Blood products and modifiers
Aspirin
Heparin sodium (for nontherapeutic blood thinning
								only)
Not allowed to do blood transfusions.
Cardiovascular agents
All drugs within the following classes may be
								prescribed:
* Alpha-adrenergic agonists;
* Alpha-adrenergic blocking agents;
* Angiotensin II receptor antagonists;
* Angiotensin-converting enzyme (ACE)
								inhibitors;
* Calcium channel blocking agents -
								Dihydropyridines and nondihydropyridines;
* Loop diuretics;
* Potassium-sparing diuretics;
* Thiazide diuretics;
* Dyslipidemics - Fibric acid derivatives, HMG CoA
								reductase inhibitors, and PCSK9 inhibitors.
Beta adrenergics medications are limited to 100
								mg.
Nondihydropyridines medications are limited to 120
								mg.
Central nervous system agents
Clonidine hydrochloride
Contraceptives
Dental and oral agents
All drugs within the oral contraceptives
								combinations and oral progestins classes may be prescribed.
Citric acid/Lactic acid/Potassium bitartate
Ethinyl estradiol/Etonogestrel
Ethyinyl estradiol/Norelgestromin
Levonorgestrel
Doxycycline hyclate
Minocycline hyclate
Prilocaine hydrochloride
Triamcinolone acetonide
May not prescribe any drug within this category
								that would require a procedure such as implantable contraceptives.
Dermatological agents
All drugs within this category may be
								prescribed.
Topical only except can allow triamcinolone injection.
Electrolytes - Minerals -Metals - Vitamins
All drugs within this category may be
								prescribed.
Gastrointestinal agents
All drugs within the following classes may be
								prescribed:
* Anticonstipation agents;
* Antidiarrheal agents;
* Antispasmodics, gastrointestinal;
* Histamine receptor antagonists;
* Protectants;
* Proton pump inhibitors.
Metoclopramide hydrochloride
Rifaximin
Ursodiol
Cholic acid
Betaine
Betaine hydrochloride
Cromolyn sodium
Amoxicillin/Clarithromycin/Omeprazole
Genitourinary agents
All drugs within this category may be
								prescribed.
Hormonal agents: stimulant, replacement, modifying
								(adrenal)
Hydrocortisone (dose limit: 30 mg daily)
Prednisone (dose limit: 5 mg daily)
Methylprednisolone acetate (burst dose pack -dose
								limit of 1 pack per 60 days)
Triamcinolone acetonide
Hormonal agents: stimulant, replacement, modifying
								(sex hormones, modifies)
Testosterone (no more than 400 mg/month)
All drugs within the androgens and progestins
								classes may be prescribed.
All drugs within the estrogens class may only be
								prescribed as topical and vaginal HRT. Exception for oral estrogens prescribed
								for purposes of contraception.
Estradiol/Levonorgestrel
Estradiol/Norethindrone acetate
Estradiol/Norgestimate
Estradiol/Progesterone
Hormonal agents: stimulant, replacement, modifying
								(thyroid)
All drugs within this category may be
								prescribed.
Immunological agents
All drugs within the vaccines class may be
								prescribed.
All drugs within the other immunological agents -
								Allergen specific immunotherapy group may be prescribed.
Inflammatory bowel disease agents
Hydrocortisone Prednisone
Metabolic bone disease agents
Alendronate
Ibandronate
Cholecalciferol
Calcitriol
Doxercalciferol
Paricalcitol
Ophthalmic agents Otic agents
All drugs within antiallergy agents class may be
								prescribed.
All drugs within the anti-infectives class may be
								prescribed (topical only).
Diclofenac sodium
Ketorolac tromethamine
Nepafenac
Bacitracin zinc/Hydrocortisone acetate/Neomycin
								sulfate/Polymyxin B sulfate
Bacitracin zinc/Hydrocortisone acetate/Polymyxin B
								sulfate
Hydrocortisone acetate/Neomycin sulfate/Polymyxin B
								sulfate
Ciprofloxacin (topical only)
All drugs within this category may be
								prescribed.
Topical use only
Respiratory tract/ Pulmonary agents
All drugs within the following classes may be
								prescribed:
* Antihistamines;
* Anti-inflammatories - Inhaled
								corticosteroids;
* Antileukotrienes;
* Anticholinergic bronchodilators;
* Sympathomimetic bronchodilators;
* Combination bronchodilators;
* Cold-cough; and
* Mast cell stabilizers.
Acetylcysteine
Sexual disorder agents
All drugs within the sexual disorder agents (male)
								class may be prescribed.
Skeletal muscle relaxants
Cyclobenzaprine hydrochloride
General Authority:
NDCC 43-58-03.1
Law Implemented:
NDCC
					 43-58-08(3)(c)