Prescribers Flashcards
Broad Prescriptive Privileges
These professionals have wide authority to prescribe medications, often within their field of expertise.
Physicians (MD, DO)
Includes international equivalents (MBBS, MBChB)
Dentists
Veterinarians
Podiatrists
All within their respective scope of practice
Qualified Prescriptive Privileges:
These professionals have limited prescriptive authority, often tied to specific training or a collaborative relationship with other healthcare providers.
Physician Assistants (PAs) (under physician supervision)
Nurse Practitioners (NPs) (within specialty)
Midwives (pregnancy/childbirth-related)
Certified Optometrists (for eye conditions)
Pharmacists (CDTM agreements)
Prescriber Identification on NYS Prescriptions
All prescriptions must include the prescriber’s 6-digit NY registration number.
Physicians are exempt and use their NPI number instead.
The NPI is required for Medicaid billing.
Prescription Transmission Rules in NY
Prescription Transmission Rules: NY
Written = Electronic
Verbal = Faxed (Fax to fax only)
Faxed Rx must be signed and on the prescriber’s ONYSRx form.
Fax-backs for refills are no longer allowed.
Failover faxes (from software outages) are not valid prescriptions.
prescription samples
Any practitioner authorized to prescribe
in NYS may give prescription samples of
what they are allowed to prescribe
*It is illegal to sell samples
*No samples of controlled substances are
allowed in NYS. Federal laws allows samples of CS
*May have coupons.
Physician assitants (PAs) and Registerded specialists (RSAs): Roles and Supervision
PAs: Can prescribe and provide medical services under supervision.
RSAs: Cannot prescribe but perform services under physician supervision.
Supervision must be continuous but not require physical presence.
PAs Prescription Authority
May prescribe Schedules II-V and medical orders. Also can prescribe syringes/needles w. or w.o needles
DEA number required for controlled substances. obtaining dea# and prescribing CS are optional
Prescriptions can be written in both inpatient and outpatient settings.
Noncontrolled Prescription Requirements for PAs
Must be on an Official NY Prescription blank.
Include PA’s name, supervising physician’s name, address, and phone number.
Prescriptions do not require countersignature from the physician.
PA Signature Requirements
Imprint or stamp of supervising physician’s name.
Imprint or stamp of PA’s name.
PA signs their own name followed by P.A. or LPA and registration number.
Controlled Substance Prescriptions: PA Requirements
Written on ONYSRx.
PA must use their own DEA number (starts with M).
Can use own or supervising physician’s blanks, but must include supervising physician’s name.
Electronic Prescriptions by PAs
Must include PA’s electronic signature.
Include the name, address, and phone number of the supervising physician.
Verbal Prescriptions by PAs
Allowed for:
Noncontrolled drugs
Controlled substances (including emergency oral prescriptions for benzodiazepines)
Oral prescriptions for syringes
Inpatient Medical Orders by PAs
PAs can write medical orders (including controlled substances) if employed by the institution or granted extended privileges, and care of the physician.
Countersignature is required within 24 hours if mandated by the supervising physician or hospital policy.
Collaborative Agreements & Relationships (NPs)
NPs need a written collaborative agreement or collaborative relationship to prescribe.
3,600 hours of practice allows NPs to practice autonomously under a collaborative relationship according to the nurse practioner modernization act
