NEW JERSEY REGISTER
VOLUME 40, ISSUE 11
ISSUE DATE: JUNE 2, 2008
LAW AND PUBLIC SAFETY
DIVISION OF CONSUMER AFFAIRS
STATE BOARD OF MEDICAL EXAMINERS
PHYSICIAN ASSISTANT ADVISORY COMMITTEE
Adopted Amendments: N.J.A.C. 13:35-2B.12
Requirements for Issuing Prescriptions for Medications; Special Requirements for Issuance of CDS
June 4, 2007 at 39 N.J.R. 2201(a).
March 19, 2008 by the State Board of Medical Examiners, Mario A. Criscito, M.D., President, in consultation with the Physician Assistant Advisory Committee.
April 29, 2008 as R.2008 d.135, without change.
Effective Date: June 2, 2008.
Expiration Date: March 17, 2010.
Federal Standards Statement
A Federal standards analysis is not required because the adopted amendments are subject to State statutory requirements and are not subject to any Federal requirements.
Full text of the adoption follows:
13:35-2B.12 Requirements for issuing prescriptions for medications; special requirements for issuance of CDS
(a) A physician assistant may issue prescriptions for medications 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"). license number, address and telephone number. This information shall be printed on all prescription blanks;
2. The supervising physician's full name, printed or stamped;
3. A statement indicating whether the prescription is written pursuant to protocol or specific physician direction. Acceptable abbreviations are "prt" for protocol and "spd" for specific physician direction;
4. The full name, age and address of the patient;
5. The date of issuance of the prescription;
6. The name, strength and quantity of drug or drugs to be dispensed and route of administration;
7. Adequate instruction for the patient. A direction of "p.r.n." or "as directed" alone shall be deemed an insufficient direction;
8. The number of refills permitted or time limit for refills, or both;
9. The signature of the prescriber, hand-written;
10. 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
11. 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; and
2. The physician assistant has registered with and obtained authorization to order or prescribe controlled dangerous substances from the appropriate State and Federal agencies.
(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 N.J.S.A. 45:14-14.