N.J. Admin. Code § 13:35-2B.12

Current through Register Vol. 56, No. 21, November 4, 2024

Section 13:35-2B.12 - Requirements for issuing prescriptions for medications; special requirements for issuance of CDS

(a) A physician assistant may order, prescribe, dispense, and administer medications and medical devices to the extent delegated by a supervising physician only in accordance with the requirements contained in this section.

(b) A physician assistant shall provide the following on all prescription blanks:

1. The physician assistant's full name, professional identification ("PA-C," "PA," or "physician assistant"), license number, address, and telephone number. This information shall be printed on all prescription blanks;

2. The full name, age and address of the patient;

3. The date of issuance of the prescription;

4. The name, strength and quantity of drug or drugs to be dispensed and route of administration;

5. Adequate instruction for the patient. A direction of "p.r.n." or "as directed" alone shall be deemed an insufficient direction;

6. The number of refills permitted or time limit for refills, or both;

7. The signature of the prescriber, hand-written;

8. The words "substitution permissible" and "do not substitute" and shall contain space for the physician assistant's initials next to the chosen option, in addition to the space required for the signature required by (b)9 above; and

9. The physician assistant's Drug Enforcement Administration (DEA) registration number, if the physician assistant is authorized to issue CDS.

(c) A physician assistant may order or prescribe controlled dangerous substances (CDS) if:

1. A supervising physician has authorized a physician assistant to order or prescribe Schedule II, III, IV, or V controlled dangerous substances in order to:

i. Continue or reissue an order or prescription for a controlled dangerous substance issued by the supervising physician;

ii. Adjust the dosage of an order or prescription for a controlled dangerous substance originally ordered or prescribed by the supervising physician, provided there is prior consultation with the supervising physician;

iii. Initiate an order or prescription for a controlled dangerous substance for a patient, provided there is prior consultation with the supervising physician if the order or prescription is not pursuant to iv below; or

iv. Initiate an order or prescription for a controlled dangerous substance as part of a treatment plan for a patient with a terminal illness, which for the purposes of this subparagraph means a medical condition that results in a patient's life expectancy being 12 months or less as determined by the supervising physician;

2. The physician assistant has registered with and obtained authorization to order or prescribe controlled dangerous substances from the Federal Drug Enforcement Administration and any other appropriate State and Federal agencies; and

3. The physician assistant complies with all of the requirements and limitations as set forth in N.J.A.C. 13:35-7.6 and 13:45H.

(d) Only one controlled dangerous substance shall appear on a prescription blank.

(e) Written prescriptions shall be issued only on New Jersey Prescription Blanks (NJPB), secured from an approved vendor and subject to the required security mandates of the prescription blank program pursuant to 45:14-55.

(f) The dispensing of medication or a medical device by a physician assistant shall comply with relevant Federal and State rules and regulations, and shall occur only if:

1. Pharmacy services are not reasonably available;

2. It is in the best interest of the patient; or

3. The physician assistant is rendering emergency medical assistance.

(g) A physician assistant may request, receive, and sign for prescription drug samples and may distribute those samples to patients.

N.J. Admin. Code § 13:35-2B.12

Amended by 49 N.J.R. 1433(a), effective 6/5/2017

Amended by 50 N.J.R. 1368(a), effective 6/4/2018