stark law - Answers Physicians are not allowed to refer patients to a practitioner with whom they have a
financial relationship.
**physician anti-referral law
physicians may not have ownership in a pharmacy but they may can form a business corporation which
may have pharmacy ownership but medicare/medicaid will d/c them
who has broad priveleges - Answers MD
dentist
vet
podiatrist (ankle down)
who has qualified priveleges - Answers PA
NP
midwife
optometrist
pharmacists (CDTM)
**all prescriptions in NYS myst have the prescribers 6 digit registration number--> the only exception is
MDs
prescription samples - Answers any practitioner authorized to prescribe in NYS may give prescription
samples of what they are allowed to prescribe
-no controls-
Physician assistant- prescriptive authority - Answers RSA- registered specialist assistant- may not
prescribe
supervision must be continuous but doesn't have to require physical presence
PA inpatient orders have to be countersigned within 24 hrs by the physician, but signature of physician is
not required prior to ordering
**Written Rxs outpatient that are NCS do not have to be countersigned**
CS must have supervising MD imprint
,DEA- starts w/ M--> midlevel practitioners
LPA- rx requirements - Answers name, mechanical imprint, address, phone of PA
imprint of supervising MD
on RX:
imprinted name of physician
imprinted name of PA
PA signature, license #, letters: PA
who can sign protocols for pharmacists to immunize?? - Answers MDs and NPs
**NOT PAs!!!!!
NPs prescriptive authority ONYSRx - Answers may have their own prescription blanks--> name of
collaborating physician is not on there
must include: name of NP, designation (NP/RN/CNP), certification (F-followed by 6 digits including
speciality code), and office address + phone
what do NPs have to do in order to write prescriptions - Answers collaborative agreement/protocol
w/prescriber
collaborative relationships for experienced NPs--allows NPs to practice autonomously --> no written
agreement but need 3600 hrs (just needs to be able to communicate w/ physician)
limitations on NPs per collaborative agreement w/ physician: max of 4 NPs if different facilities, but no
max if same facility
midwives prescriptive authority - Answers written collaborate agreement b/w midwives + MD (OBGYN)
+ take exam prior to prescribing
may have RX blanks but name of collaborating physician is not required on blank
SED- certificate that authorizes same privileges as NP but restricted to midwifery
,requirements: 3 credit program w/ pharmacology component
*NYSBOP oversees midwives
requirements for midwife blanks - Answers name of midwife
office info
"midwife" or "professional midwife"
certification # (F followed by 6 digits- same as NP but no specialty code)
optometrists- prescriptive authority - Answers only for drugs for topical application of eye-no
injections/syringes/controls
phase 1 agents- shorter acting--> U
phase 2 agents--BB/a agonists/ PG/CAI (drugs for glaucoma)--> V
optometrists can be issued a DEA # but may not prescribe controls
to meet professional education requirements: must submit evidence of >60hrs of pre-professional
postsecondary education
after initial diagnosis of glaucoma and before initiating tx of any pt: in order to write for phase II drugs
they must consult w/ opthamologists- either 3 yrs or 75 consultations (whatever occurs later)
phase 1: 300 clinical hours (excluding glaucoma/HTN) + pass exam
phase 2: hold phase 1 certificate + complete additional 100 clinical hours, pass oral and written exam-->
this must all be done within 3 yrs of getting phase 1 license
*if this can't get certification within 3 yrs, then dept can suspend certification for the use and prescribing
of phase I
, 36hrs of CE triennially
NYS public health law- EPT - Answers physicians, midwives, NPs, LPAs
only for chlamydia
-1gm azithromycin
what components of Erx can RPh write in if not clear? - Answers address
age
strength
quantity
SIG/directions
prescriber address/telephone#/ profession
registration #
exceptions to ONYRx- white blanks - Answers prescribers not practicing in NY
clinics/hospitals
VA/inidian reservations
how many drugs per blank - Answers 1 drug per blank
exceptions:
article 28 facilities- general hospital, nursing homes, RHCF
mental health hospitals
what if a verbal order gets called in >1 drug - Answers that's ok
*1drug/blank is for written=eRX
mandatory eRX - Answers public health law
PR has to use erx server that is validated by the FDA