Oregon Rx Prescribers Flashcards
Can they prescribe legend drugs?
Controls?
Optometrist
Yes, can prescribe legend drugs USING a Categorical Formulary.
2, 3, 3N, 4, and 5
Analgesics per formulary, no ordering
2 –> hydrocodone ONLY
Who can prescribe methadone?
-Physician
-Dentist (pain)
-Podiatrist (pain)
-Veterinarian (pain)
-Physician’s Assistant (pain)
-Nurse practitioner (pain)
Dentist
big 4
CII - CV, legend/OTC
Physician
big 4
CII - CV, legend/OTC
Podiatrist
big 4
CII - CV, legend/OTC
Veterinarian
big 4
CII - CV, legend/OTC
Can they prescribe legend drugs?
Clinical Psychologist
No
Can they prescribe legend drugs?
Controls?
Physician’s Assistant
Yes
Restricted to practice agreement terms, dependent prescribing authority
can prescribe, administer, dispense, procure
2, 2N, 3, 3N, 4, and 5
Can they prescribe legend drugs?
Controls?
Nurse Practitioner
Yes
No restrictions on scope, independent prescribing authority
can prescribe, administer, dispense, procure
2, 2N, 3, 3N, 4, and 5
Can they prescribe legend drugs?
Chiropractor
No
Can they prescribe legend/OTC drugs?
Midwife
Yes for legend/OTC
A direct entry midwife licensed under ORS 687.405 to 687.495 may purchase and administer authorized scheduled legend drugs and devices that are used in pregnancy, birth, postpartum care, newborn care or resuscitation and that are deemed integral to providing safe care to the public by the State Board of Direct Entry Midwifery by rule.
A pharmacist who dispenses drugs and devices to a licensed midwife as authorized by this section and in conformity with the provisions of ORS chapter 689 is not liable for any adverse reactions caused by administration of the legend drugs and devices by the midwife.
Can they prescribe legend drugs?
Physical therapist
No
Can they prescribe legend drugs?
Pharmacist
Yes
Collaborative drug therapy
management, statewide protocol, formulary independent
A pharmacist located and licensed in Oregon may prescribe and dispense FDA-approved drugs and devices included on either the Formulary or Protocol Compendia, set forth in this Division. A pharmacist may only prescribe a drug or device consistent with the parameters of the Formulary and Protocol Compendia, and in accordance with federal and state regulations.
A pharmacist must create, approve, and maintain policies and procedures for prescribing post-diagnostic drugs and devices or providing patient care services pursuant to statewide drug therapy management protocols. The policies and procedures must describe current and referenced clinical guidelines, and include but not be limited to:
● Patient inclusion and exclusion criteria;
● Explicit medical referral criteria;
● Care plan preparation, implementation, and follow-up;
● Patient education; and
● Provider notification; and
● Maintaining confidentiality.
The pharmacist is responsible for recognizing limits of knowledge and experience and for resolving situations beyond their expertise by consulting with or referring patients to another health care provider.
For each drug or device the pharmacist prescribes, the pharmacist must:
● Ensure training and education requirements have been met prior to engaging in prescribing activities. An attestation of or certificate of completion of all required training and education must be retained for 6 years or uploaded into the Pharmacist’s electronic licensing record with the board;
● Assess patient and collect subjective and objective information, including the diagnosis for Formulary Compendia items, about the patient’s health history and clinical status. The pharmacist’s physical assessment must be performed in a face-to-face, in-person interaction and not through electronic means; and
● Utilize information obtained in the assessment to evaluate and develop an individualized patient-centered care plan, pursuant to the statewide drug therapy management protocol and policies and procedures; and
● Implement the care plan, to include appropriate treatment goals, monitoring parameters, and follow-up; and
● Provide notification to the patient’s identified primary care provider or other care providers when applicable within five business days following the prescribing of a Compendia drug or device.
The pharmacist must maintain all records associated with prescribing and other related activities performed for a minimum of 7 years, and a copy must be made available to the patient and provider upon request. Pharmacy records must be retained and made available to the Board for inspection upon request. Records must be stored onsite for at least one year and then may be stored in a secure off-site location if retrievable within three business days. Records and documentation may be written, electronic or a combination of the two.
If consultation is provided through an electronic means, the Oregon licensed Pharmacist must use an audiovisual communication system to conduct the consultation.
Can they prescribe legend drugs?
Clinical Nurse Specialist
Yes
No restrictions on scope, independent prescribing authority
Can they prescribe legend drugs?
Controls?
Nurse practitioner midwife
Yes
No restrictions on scope, independent prescribing authority
Prescribe, administer, dispense, procure
2, 2N, 3, 3N, 4, and 5
