Oklahoma Administrative Code › Title 435 - State Board of Medical Licensure and Supervision › Chapter 15 - Physician Assistants › Subchapter 11 - Prescriptive and Dispensing Authority › Section 435:15-11-1 - Prescriptive and dispensing authority

Current through Vol. 41, No. 20, July 1, 2024
(a) A physician assistant who is recognized
				by the Board to prescribe under the direction of a supervising physician and is
				in compliance with the registration requirements of the Uniform Controlled
				Dangerous Substances Act, in good faith and in the course of professional
				practice only, may issue written and oral prescriptions and orders for medical
				supplies, services and drugs, including controlled medications in Schedules
				III, IV, and V pursuant to 63 O.S. §
									2-312
				as delegated by the supervising physician and as approved in the Physician
				Assistant Drug Formulary (OAC
				435:15-11-2 ).
(b) Any prescription for a pure
				form or combination of the following generic classes of drugs, listed in
				435:15-11-2, may
				be prescribed, unless the drug or class of drugs is listed as excluded. Written
				prescriptions for drugs or classes of drugs that are excluded may be
				transmitted, only with the direct order of the supervising physician.
(c) Prescriptions for
				non-controlled medications may be written for up to a 30-day supply with two
				(2) refills of an agent prescribed for a new diagnosis. For patients with an
				established diagnosis, up to a 90 day supply with refills up to one year can be
				written and signed, or called into a pharmacy by a physician assistant.
(d) Prescriptions for Schedules
				III, IV and V controlled medications may be written for up to a 30-day supply.
				No refills of the original prescription are allowed. In order for a physician
				assistant to prescribe a controlled substance in an out-patient setting, the
				physician assistant must be currently registered with the Drug Enforcement
				Administration and Oklahoma Bureau of Narcotics and Dangerous Drugs.
(e) A physician assistant may write an order
				for a Schedule II drug for immediate or ongoing administration on site.
				Prescriptions and orders for Schedule II drugs written by a physician assistant
				must be included on a written protocol determined by the supervising physician
				and approved by the medical staff committee of the facility or by direct verbal
				order of the supervising physician. In order for a physician assistant to
				prescribe and order a Schedule II controlled substance for immediate or ongoing
				administration on site, the physician assistant must be currently registered
				with the Drug Enforcement Administration and Oklahoma Bureau of Narcotics and
				Dangerous Drugs.
(f) A prescription
				issued by a physician assistant, whether written or oral, shall be the joint
				responsibility of the physician assistant and supervising physician. The
				supervising physician shall be responsible for the formulation and/or approval
				of all orders and protocols which allow the physician assistant to issue
				prescriptions. Questions concerning a prescription may be directed either to
				the supervising physician whose name shall appear on the prescription blank or
				to the physician assistant.
(g)
				All new drug entities will be restricted from the Drug Formulary, listed in
				435:15-11-2, and
				added, if at all, only after review and approval by the Oklahoma State Board of
				Pharmacy and the Committee, and subsequent approval by the Board. This
				restriction shall not apply to modifications of current generic drugs included
				on the Drug Formulary.
(h)
				Physician Assistants may not dispense drugs, but may request, receive and sign
				for professional samples and may distribute professional samples directly to
				patients in accordance with written policies established by the supervising
				physician.
Added at 10 Ok Reg 4377,
				  eff 7-27-93 (emergency); Added at 11 Ok Reg 2331, eff 5-26-94; Amended at 16 Ok
				  Reg 378, eff 10-6-98 (emergency); Amended at 16 Ok Reg 1214, eff 5-14-99;
				  Amended at 16 Ok Reg 3595, eff 8-25-99 (emergency); Amended at 17 Ok Reg 1352,
				  eff 5-11-00; Amended at 19 Ok Reg 2303, eff 6-28-02; Amended at 24 Ok Reg 1102,
				  eff 7-1-07; Amended at 26 Ok Reg 1079, eff
				  5-11-09