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MPJE review
CH3: Dangerous Drugs and Prescription Authority
| Question | Answer |
|---|---|
| May a practitioner’s office employee who is not otherwise a healthcare professional act as a designated agent? | Yes if they are trained and authorized by the provider, but they cannot act independently |
| Must a pharmacist be able to identify a practitioner’s designated agents? | Yes, the pharmacist may request the names of the authorized agents |
| Which Texas practitioners does Dr. C identify as having independent prescriptive authority? | Physicians, dentists, podiatrists, veterinarians, and appropriately licensed therapeutic optometrists/optometric glaucoma specialists within their scope. |
| For dangerous drugs (non controlled) what situations are not allowed in terms of sending in a script? | 1) RPh can't call in a verbal as a prescriber, only as a delegate 2)Canadian/mexican providers cant send electronic/fax/verbal scripts (must only be paper) |
| Can a Texas pharmacist fill an out-of-state dangerous drug script from a podiatrist/physician/dentist/t-optometrist/glaucoma specialist/veternarian? | Yes, as long as they are liscensed in the US and are prescribing within their scope |
| What are the rules for scripts from canadian/mexican providers? | Must be written script, must be a physician/dentist/podiatrist/vet |
| Can out of state NP/PA send scripts to Texas pharmacies? | Yes, as long as delegating physician info is documented. |
| For C3-5 scripts, who can never prescribe in Texas? | -out of state NPs/PAs -Canadian/mexican providers -Pharmacists |
| Who CAN write scripts for C3-5 drugs in Texas? | All US-based Physicians/vets/DDMs/podiatrists In-state PA/NPs (90-day max) with attending DEA T/TGs (3-day max) |
| For C3-5 prescribing, for the providers allowed to write scripts for these drugs, can these approved providers use any method of prescribing? (ie Electronic/written/fax/verbal) | Yes, if they are allowed to write for these meds, they can use any method of prescribing for C3-5s |
| For C2 scripts, which providers are allowed to prescribe these meds in texas? | -independant presribers in texas (all forms) -**PAs/NPs in texas (with attending DEA #) (all forms) **only for |
| Which providers, under certain conditions, might be able to write scripts for C2s? | Out of state independant prescribers but only if via a TSBP approved plan |
| For written scripts, when is a manual signature required by law? | For all controls, for dangerous drugs a electronic replica can be used on secure paper. |
| When are scripts from PAs/NPs required to have attending DEA #? | For all controls (not needed for non-controls) |
| When do written scripts require an official TSBP form? | For C2s only |
| What is the rule for faxed scripts for controls? | Must have a manually signed signiture on the faxed script |
| In what forms can mid-level providers send scripts for controls? | They can use any method, electronic/written/fax/verbal for all controls as long as they follow the rules from the table. |
| What are the situations in which a midlevel provider can write for a C2? | Admitted to the hosptial for intended stay of 24+ hours Patient is in the ED Terminal illnesses under hospice care |
| Can T/TGs write scripts for oral/parenteral drugs for for glaucoma? | T: No, only eye drops TG: Yes, can prescribe oral/parenteral meds |
| Which professions are strictly limited to their scope of practice? | Dentists, vets, and podiatrists, and T/TGs can only prescribe for specialty *Physicians can treat any human conditions even if it falls outside their specific specialty |
| Can a provder write a prescription for office use? | No, must order the drug from the manufacturer/wholesaler |
| What can a pharmacist do for a patient's script if the provider dies/retires under texas law? | Non-controls: Can give a 30 day supply C3-5: May give a 72 hour supply C2: nothing |
| Does texas law prohibit self prescribing for dangerous and/or controls by a physician? | No, but professional standards may impose limits Texas Medical Board calls it improper |
| What are the rules (from the TMB) for a family or self prescription of a control by physicians? | No more than 72-hours |
| How can a pharmacist legally dispense an opioid antagonist? | 1) under valid Rx 2)under standing order to a person at risk or their family/friends |
| Can DXM containing script be sent for a patient under 18? | Yes |
| Does DXM containing OTC meds requiring ID of the purchaser? | Yes |
| What are the Texas rules for abortion related meds? | Cannot be dispensed/prescribed with the intent to cause an abortion. Can be given for non-abortion uses |
| Are gender-affirming care or drugs for kids strictly banned in texas? | Yes |
| In texas, can a pharmacist dispense ivermectin w/o a script? | Yes, under a standard procedure |
| Can pharmacies participate as a donor of donated drugs? | Yes, but not for controls |
| Can midlevel providers operate independently in a free standing medical clinic if it is owned by a LTCF or hosptial? | No |
| What is the limit/ratio for attendings:NP/PAss? | Cant be more than 1:7, unless in underserved areas OR in a hospital/LCTF |
| May a PA/NP prescribe for a patient less than 2 years old? | Yes, but MUST consult with attending and document it in the chart |
Created by:
cdaughtry