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“... rsquo;s emergency department, contingent upon the prescription being filled at the hospital’s facility-based pharmacy. A PA or APRN may also issue such prescriptions as part of the plan of care for the treatment of a person who has executed a written certification of a terminal illness, ... ”
“... nacted)
H.B. 2561 S. Thompson (V. Taylor) — Prescription Monitoring Program
S.B. 315 Hinojosa (Burkett) — Subpoena Authority and Pain Management Regulation
S.B. 674 Schwertner (S. Davis) — Licensing Provisions and Elimination of Dual Registration
S.B. 1625 Uresti (Cortez) — P ... ”
“... s been granted by the appropriate agency.
A prescription for a controlled substance is not required to be issued electronically and may be issued in writing if the prescription is issued:
by a veterinarian;
in circumstances in which electronic prescribing is not available due to temporary tec ... ”
“... ity of patients are issued, on a monthly basis, a prescription for opioids, benzodiazepines, barbiturates, or carisoprodol, but not including suboxone.
A pain management clinic may not operate in Texas without obtaining a certificate from the Texas Medical Board (TMB). Certain exemption ... ”
Description: Rule Changes Effective July 7, 2016
Document: ... quirement that if
such circumstances apply and a prescription is filled at a pharmacy other than the designated pharmacy,
the patient inform the primary or covering physician of the circumstances and the
name of the
pharmacy that dispensed the medication.
CHAPTER 171
.
POSTGRADUATE TRAININ ...
Description: TMB disciplines 21 physicians at October meeting
Document: ... t a written office policy for handling triplicate prescription forms. The Board found Dr. Gilmore
pre
-
signed
two official DPS prescription forms, when he determined he was not going to issue the prescriptions, he did not
immediately void them or ensure they were stored securely.
Kennedy, C ...
Description: TMB disciplines 25 physicians at December meeting
Document: ... ent. The Board found Dr. Fisher kept pre
-
signed prescription pads in a locked safe with limited access. One of
her former employees, who did not have authority to access the safe, was able to obtain a prescription pad wh
ich the
employee used to fraudulently obtain controlled substances.
V ...
Description: PA Board 2017 March - Full Board Minutes
Document: ... reminder on the required elements of the written prescription authority agreement. The next bulletin will be published in the next few weeks and will include information about the new Medical Board members, a rules reminder, and some other items of interest.There were no itemsfor Agenda item #7Ag ...
Description: TMB disciplines 59 physicians at March meeting, adopts rule changes
Document: ... ,000. The Board found Dr. Currier signed official prescription forms and provided them to a Licensed Vocational Nurse
to complete pursua
nt to Dr͘ Currier’s verbal orders when refills on narcotic prescriptions were needed for residents of a
nursing facility.
Ethridge, Richard Thomas, M.D., ...
Description: PA Board 2016 November - Full Board Minutes
Document: ... substances should be aware of the transfer of the Prescription Monitoring Program from the DPS to the Pharmacy Board, including the monitoring prescribed controlled substances and ordering of prescription pads. After discussion, the board directed staff to include a copy of prescriptive authority ag ...
Description: TMB disciplines 61 physicians at June meeting
Document: ... e Board found Dr. Lane failed to check the online prescription
database to determine if a patient with substance abuse history was obtaining controlled substances from other
providers and to verify the patien
t’s compliance with treatment.
Loredo, Pedro Juan, III, M.D., Lic. No. N0228, Hurst ...
Description: TMB suspends Houston physician (Craig)
Document: ...
controlled substances.
Dr. Craig’s
Texas Prescription Monitoring Progr
am Prescriber Activity Report
drawn from
April
26, 2016 through July 26, 2017
shows that among other controlled substances,
she
issued over
10,300 pre
scriptions for Hydrocodo
ne/Acetaminophen 10/325mg and
over ...
Description: Medical Board 2017 - June - Full Board Minutes
Document: ... me of the priority legislative items included the Prescription Management Program that will be administered by the Pharmacy Boardand a bill relating to the maintenance of certificationwhichis not required for initial licensureThe board discussreviewing if there are any rules regarding maintenance of ...
Description: Medical Board 2017 - August - Licensure Committee Minutes
Document: ... Schedules II
-
V in the approved setting.
Any prescription of controlled
substances outside of the hos
pital setting shall result in the immediate suspension of
Applicant’s license to practice medicine.
ï‚·
Within one year from the date of the entry of the Order, completion of at least 1 ...
Description: TMB disciplines 26 physicians at October meeting, adopts rules changes
Document: ... h telemedicine while adding
new definitions of "Prescription," "Store and forward technology," "Telehealth services," "Telemedicine medical
services," and "Ultimate user" to comport with the new definitions in Senate Bill 1107 dealing with telemedicine and
telehealth services.
The
amendment ...
Description: Medical Radiologic Technology Board Full Board Minutes (July 27, 2017)
Document: ... tions did pass. Primary topics discussed included prescription management programecommendationdid pass and amended to the pharmacy boards sunset bill. Thedate has been pushed back to 2019 in order to provide more education. Appropriation and FTE’s for FY 1819 biennium
��TEXAS EDI ...
Description: Rule Changes Effective November 26, 2017
Document: ... th
telemedicine while adding new definitions of "Prescription," "Store and forward technology,"
"Telehealth services," "Telemedicine medical services," and "Ultimate user" to comport with the new
definitions in Senate Bill 1107 dealing with telemedicine and t
elehealth services.
The amendment ...
Description: Medical Board 2017 - December - Licensure Committee Minutes
Document: ... o prescribe controlled substances and access the
Prescription Drug Monitoring Program described by §§481.075, 481.076, and 481.0761 of
the Texas Health and Saf
ety Code, the Board shall charge an additional reasonable and
necessary fee sufficient to cover the Board's responsible portion for costs ...
Description: TMB disciplines 31 physicians at December meeting, adopts rules changes
Document: ... agement. The Board
found Dr. Harrison prescribed prescription drugs and controlled substances (non
-
opioid) to himself and his immediate
family members in absence of immediate need.
Ma
rtincheck, David J., M.D., Lic. No. N5841, Waco
On December 8, 2017, the Board and David J. Martincheck, M ...
“... ian or advanced practice professional issuing the prescription. For providers seeking information on how to access the PMP, please review Pharmacy Board PMP information at https://www.pharmacy.texas.gov/pmp/. ”
Is the Prescription Monitoring Program (PMP) check mandated each and every time a physician or authorized delegate prescribes one of the four scheduled drug types?
Yes. Prior to and each and every time a physician or advanced practice professional (such as a physician assistant or advanced practice registered nurse acting under a physician’s delegated authority) prescribes opioids, benzodiazepines, barbiturates, or carisoprodol, the patient’s prescribing history must be reviewed by the physician or advanced practice professional issuing the prescription. For providers seeking information on how to access the PMP, please review Pharmacy Board PMP information at https://www.pharmacy.texas.gov/pmp/.
“... s are allowed in very limited circumstances). All prescription drugs that are not controlled substances fall into the category of "dangerous drugs." Physician assistants with prescriptive authority must have their own DEA numbers to prescribe controlled substances. In addition, physician assistants ... ”
Can a PA sign a prescription for controlled substances?
Yes, the PAs supervising physician must delegate prescriptive authority allowing a PA to sign prescriptions for controlled substances, also called scheduled drugs, as well as Dangerous Drugs. However, PA's are generally limited to Schedules III – V (Schedule IIs are allowed in very limited circumstances). All prescription drugs that are not controlled substances fall into the category of "dangerous drugs." Physician assistants with prescriptive authority must have their own 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 DEA.
Please note: Under Senate Bill 195, the requirement for controlled substances registration (CSR) with the Texas Department of Public Safety (DPS) was eliminated as of September 1, 2016.
“Yes, a PA can call in a prescription to a pharmacy. However, the PA can only do so at the direction of a physician. ”
Can a PA call in a prescription to a pharmacy?
Yes, a PA can call in a prescription to a pharmacy. However, the PA can only do so at the direction of a physician.
“... rity of patients are issued on a monthly basis, a prescription for opioids, benzodiazepines, barbiturates, or carisoprodol, but not including suboxone. ”
What is a “pain management clinic”?
A pain management clinic is defined in statute and rule as a publicly or privately owned facility for which a majority of patients are issued on a monthly basis, a prescription for opioids, benzodiazepines, barbiturates, or carisoprodol, but not including suboxone.
“... atment, including surgery, with the issuance of a prescription for a majority of the patients. Note: The TMB cannot give legal advice. Please consult an attorney if you have questions regarding whether or not your clinic meets one of the exemptions listed above. However, the Board does have inspecti ... ”
Who does not need to register a pain management clinic?
Regulations regarding the registration and operation of pain management clinics do not apply to the following settings:
Note: The TMB cannot give legal advice. Please consult an attorney if you have questions regarding whether or not your clinic meets one of the exemptions listed above. However, the Board does have inspection authority, and owners of clinics that have not been properly registered can be investigated.
“... ts of which relate to the distribution of illegal prescription drugs or a controlled substance as defined by Texas Occupations Code Annotated §551.003(11) The medical director of a pain management clinic must operate the clinic in compliance with Drug Prevention and Control Act, 21 U.S.C ... ”
Who can own or operate a pain management clinic?
A pain management clinic may not operate in Texas unless the clinic is owned and operated by a medical director who: • is a physician who practices in Texas • has an unrestricted medical license • holds a certificate of registration for that pain management clinic In addition, the owner/operator of a pain management clinic, an employee of the clinic, or a person with whom a clinic contracts for services may not: • have been denied, by any jurisdiction, a license issued by the Drug Enforcement Agency or a state public safety agency under which the person may prescribe, dispense, administer, supply, or sell a controlled substance; • have held a license issued by the Drug Enforcement Agency or a state public safety agency in any jurisdiction, under which the person may prescribe, dispense, administer, supply, or sell a controlled substance, that has been restricted; or • have been subject to disciplinary action by any licensing entity for conduct that was a result of inappropriately prescribing, dispensing, administering, supplying, or selling a controlled substance A pain management clinic may not be owned wholly or partly by a person who has been convicted of, pled nolo contendere to, or received deferred adjudication for: • an offense that constitutes a felony; or • an offense that constitutes a misdemeanor, the facts of which relate to the distribution of illegal prescription drugs or a controlled substance as defined by Texas Occupations Code Annotated §551.003(11) The medical director of a pain management clinic must operate the clinic in compliance with Drug Prevention and Control Act, 21 U.S.C.A. 801 et.seq. and the Texas Controlled Substances Act, Chapter 481 of the Texas Health and Safety Code, relating to the prescribing and dispensing of controlled substances. The medical director of a pain management clinic must, on an annual basis, ensure that all personnel: • are properly licensed, if applicable, • are trained including 10 hours of continuing medical education related to pain management, and • are qualified for employment.
“... lephone number are required to be included on the prescription drug order. If the prescription is for a controlled substance, the physician’s DEA number is also required to be included on the prescription. SB 406 did not change the requirements for what needs to be included on a pr ... ”
Does the physician's name need to be included on the prescription?
Yes, the physician’s name, address and telephone number are required to be included on the prescription drug order. If the prescription is for a controlled substance, the physician’s DEA number is also required to be included on the prescription. SB 406 did not change the requirements for what needs to be included on a prescription drug order.
“... Caution: federal law prohibits dispensing without prescription” or “Rx only” or another legend that complies with federal law. Many other states use the term “legend drugs.” ”
What is a dangerous drug? Are these legend drugs?
Texas is one of just a few states that use the term “dangerous drugs.” The Dangerous Drug Act defines a dangerous drug as a device or drug that is unsafe for self-medication and that is not included in Schedules I through V or Penalty Groups 1 through 4 of Chapter 481, Health and Safety Code (Texas Controlled Substances Act). The term includes a device or drug that bears, or is required to bear, the legend: “Caution: federal law prohibits dispensing without prescription” or “Rx only” or another legend that complies with federal law. Many other states use the term “legend drugs.”
“... nd §481.002, Health and Safety Code. A prescription is an order to dispense a drug or device to a patient for self-administration as defined by §551.003, Occupations Code. ”
What is the difference between medication orders and prescriptions?
A medication order is an order for administration of a drug or device to a patient in a hospital for administration while the patient is in the hospital or for emergency use on the patient’s release from the hospital, as defined by §551.003, Occupations Code and §481.002, Health and Safety Code. A prescription is an order to dispense a drug or device to a patient for self-administration as defined by §551.003, Occupations Code.
“... lt with the delegating physician for refills of a prescription for controlled substances after the initial 90 day supply. Consultation is also required when prescribing controlled substances for children under the age of two years. In both cases, the consultation must be documented in th ... ”
How often is physician consultation required when prescribing controlled substances?
APRNs and PAs must consult with the delegating physician for refills of a prescription for controlled substances after the initial 90 day supply. Consultation is also required when prescribing controlled substances for children under the age of two years. In both cases, the consultation must be documented in the patient’s medical record.
“... that the PMP has been checked prior to issuing a prescription. Certain electronic medical record systems, for example, may provide other ways to document that the review has been completed. ”
May I maintain a copy of the PMP history report in the patient’s medical record?
Yes. The provider may maintain a copy of the PMP history report in the patient’s medical record. There is no specific method required for documenting that the PMP has been checked prior to issuing a prescription. Certain electronic medical record systems, for example, may provide other ways to document that the review has been completed.
“Refills issued to the patient pursuant to a valid prescription and without any reauthorization from the prescriber do not require a PMP check by the prescriber. However, if a prescriber is issuing a prescription for a patient that is unchanged from a previous prescription issued to the patient ... ”
What if a prescriber is just approving a refill?
Refills issued to the patient pursuant to a valid prescription and without any reauthorization from the prescriber do not require a PMP check by the prescriber. However, if a prescriber is issuing a prescription for a patient that is unchanged from a previous prescription issued to the patient (often referred to as a refill), then this would be considered a new prescription and would require a PMP check.
“... count any relevant information prior to issuing a prescription. ”
Is only the prescriber allowed to check the PMP, or can someone else check on behalf of the physician?
A physician, their delegated midlevel provider, or any other qualified and licensed individual delegated authority to check the PMP may do so on behalf of the prescriber. Ultimately though, it is the prescriber’s responsibility to ensure that the PMP has been checked and that they have reviewed and taken into account any relevant information prior to issuing a prescription.
“... ans. If a prescribing delegate is issuing a prescription under the authority of a physician who does not have a waiver, then the prescribing delegate must issue the prescription via e-prescribing. If an individual wants to look up whether a prescribing delegate has a waver they can do so ... ”
Do delegates who have prescribing authority have to apply for their own waiver or are they covered by the supervising physician’s waiver?
If the supervising physician has a waiver, then the prescribing delegate is also covered under that waiver. So long as the prescribing delegate is prescribing under the authority of a physician who has been granted a waiver, then the prescribing delegate may use non-electronic prescribing means. If a prescribing delegate is issuing a prescription under the authority of a physician who does not have a waiver, then the prescribing delegate must issue the prescription via e-prescribing.
If an individual wants to look up whether a prescribing delegate has a waver they can do so as listed below:
For physician assistants: A PA’s waiver status will not be viewable on their TMB public profile. Each PA’s public profile has a link to their supervising physician’s profile page. The physician’s profile page will list the waiver status.
For nurse practitioners: APRN waivers are determined by the Texas Board of Nursing. Information on the waiver process for the APRNs is available on the Texas Board of Nursing Website.