Title 12 . Professional and Vocational Regulations

Chapter 40 . Big Game Guides and Transporters

Section 450. Authority to prescribe, order, administer, and dispense medications

12 AAC 40.450. Authority to prescribe, order, administer, and dispense medications

(a) A physician assistant who prescribes, orders, administers, or dispenses controlled substances must have a current Drug Enforcement Administration (DEA) registration number, valid for that handling of that controlled substance on file with the department.

(b) A physician assistant may not write a prescription for a schedule I or II controlled substance.

(c) A physician assistant with a valid DEA registration number may write a prescription for a schedule III, IV, or V controlled substance only with the authorization of the physician assistant's primary collaborating physician. The authorization must be documented in the physician assistant's current plan of collaboration approved under 12 AAC 40.980.

(d) A physician assistant with a valid DEA registration number may order, administer, and dispense a schedule II controlled substance only with the authorization of the physician assistant's primary collaborating physician. The authorization must be documented in the physician assistant's current plan of collaboration approved under 12 AAC 40.980. For purposes of this subsection, the primary collaborating physician's current DEA registration number, reflecting the physician's level of authority to handle controlled substances, must be included in the physician assistant's current plan of collaboration approved under 12 AAC 40.980;

(e) A physician assistant may use the physician assistant's own DEA registration number to request, receive, order, or procure a controlled substance sample from a pharmaceutical distributor, warehouse, or other entity only with the explicit authorization of the physician assistant's primary collaborating physician. The authorization must be documented in the physician assistant's current plan of collaboration approved under 12 AAC 40.980.

(f) A physician assistant may prescribe, order, administer, or dispense a medication that is not a controlled substance only with the authorization of the physician assistant's primary collaborating physician. The authorization must be documented in the physician assistant's current plan of collaboration approved under 12 AAC 40.980.

(g) A graduate physician assistant licensed under this chapter may not prescribe, order, administer, or dispense a controlled substance.

(h) Termination of a collaborative relationship terminates a physician assistant's authority to prescribe, order, administer, and dispense medication under that relationship.

(i) A prescription written under this section by a physician assistant must include the

(1) primary collaborating physician's name;

(2) primary collaborating physician's DEA registration number;

(3) physician assistant's name; and

(4) physician assistant's DEA registration number.

(j) In this section,

(1) "order" means writing instructions on an order sheet to dispense a medication to a patient from an on-site pharmacy or drug storage area; for purposes of this paragraph, "on-site pharmacy" means a secured area that provides for the storage and dispensing of controlled substances and other drugs and is located in the facility where the physician assistant is practicing;

(2) "prescription" means a written document regarding a medication prepared for transmittal to a licensed pharmacy for the dispensing of the medication;

(3) "schedule," used in conjunction with a controlled substance, means the relevant schedule of controlled substances under 21 U.S.C. 812 (Sec. 202, Federal Controlled Substances Act).

History: Eff. 1/13/80, Register 73; am 3/12/89, Register 109; am 4/27/97, Register 142; am 6/28/97, Register 142; am 3/16/98, Register 146; am 12/16/99, Register 152

Authority: AS 08.64.100

AS 08.64.107

Editor's note: An emergency repeal and readoption of 12 AAC 40.450 took effect March 16, 1998, Register 146. In reviewing the "permanent" regulation, the regulations attorney disapproved the last sentence of subsec. (a) of that section and made technical wording corrections throughout the section. The disapproved language was omitted, and the technical corrections appeared, in the "permanent" regulation as it was published in Register 147, October 1998. The section's history note does not reflect the changes made by the regulations attorney.