Physician Assistants with Prescriptive Authority
Effective September 1, 2008, state law requires that all prescriptions for controlled substances include the prescriber’s controlled substance registration number issued by the Texas Department of Public Safety (DPS) in addition to the United States Drug Enforcement Administration (DEA) number. Physician assistants with prescriptive authority must put both DPS and DEA numbers on all prescriptions for controlled substances in Schedules III through V.
Physician assistants with prescriptive authority must have their own DPS and DEA numbers to prescribe controlled substances. In addition, physician assistants must have the name of their current delegating physician authorizing prescriptive authority on file with DPS. If a physician assistant does not notify the DPS of a new physician within 60 days of a supervision/delegation termination, the physician assistant’s DPS number will be terminated.
- If you need to change or add delegating physicians on file with the DPS, this can be done on a modification form from the DPS website at: http://www.txdps.state.tx.us/InternetForms/Forms/NAR-117.pdf This form cannot be used renew your DPS registration.
- Updating your supervising physician with the TMB can be done on a form available on the TMB website at: http://www.tmb.state.tx.us/professionals/physicianassist/licensed/pasupreg.php
The following information from the Texas Administrative code, Title 37, Part 1, Chapter 13, Subchapter F, Rule §13.132 is available at: http://info.sos.state.tx.us/pls/pub/readtac$ext.viewtac
(g) Mid-level practitioners.
(1) each mid-level practitioner must have a supervisory physician delegating prescriptive authority as required by the Act, §481.002(39)(D). Each physician must certify the authorizing delegation on the mid-level practitioner's application and include the physician's:
(A) name;
(B) Texas Medical Board license number;
(C) DPS registration number;
(D) signature; and
(E) date of signature.
(2) Effect of signature. A physician who signs a mid-level practitioner's application as the supervising physician assumes responsibility for ensuring that the mid-level practitioner practices under the laws of this state related to controlled substances prescribing activities. A physician who fails to properly monitor the mid-level practitioner's activities is subject to disciplinary action.
(3) Registration and License Status. A supervising physician must have an unrestricted and active DPS registration and Texas Medical Board license number.
(4) Change of Delegating Physician.
(A) A change of delegating physician must be submitted in writing as required in §13.208 of this title (relating to Requirements to Update Information).
(B) A delegating physician shall notify the director in writing to terminate delegation with a mid-level practitioner.
(5) Limitations. The physician is limited to the extent and number of mid-level practitioners that the physician delegated as outlined in Chapter 157, Occupations Code.
The following information from the Texas Administrative code, Title 37, Part 1, Chapter 13, Subchapter F, Rule §13.30 is available at: http://info.sos.state.tx.us/pls/pub/readtac$ext.viewtac
(e) Mid-level practitioner. Upon dissolution of a professional relationship between a mid-level practitioner and the delegating physician, the mid-level practitioner has no authority to distribute, prescribe, possess, or dispense a controlled substance. If the mid-level practitioner does not have a new delegating physician certifying delegation within 60 days after the dissolution of such relationship, the director may terminate the registration of the mid-level practitioner.
Prescriptive Delegation Online Registration