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CRITERIA FOR FURNISHING NUMBER UTILIZATION.pdf - BUSINESS,...

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NPR-I-16 05/1997REV.06/2000, 11/2000, 02/2003, 12/2004BUSINESS, CONSUMER SERVICES AND HOUSING AGENCYGAVIN NEWSOM, GOVERNORBOARD OF REGISTERED NURSINGPO BOX 944210, Sacramento, CA 94244-2100P(916) 322-3350|TTY(800) 326-2297|CRITERIA FOR FURNISHING NUMBER UTILIZATIONBY NURSE PRACTITIONERSHISTORYThe passage of AB 1077 (Chapter 455) amended the Nurse Practitioner (NP) furnishing law,effective January 1, 1997.Prior to the amendment, the Nursing Practice Act, Business andProfessions (B&P) Code Section 2836.1, authorized nurse practitioners (NPs) to obtain andutilize a “furnishing number” to furnish drugs and/or devices. Furnishing is defined as “the act ofmaking a pharmaceutical agent or agents available to the patient in strict accordance withstandardized procedures.”AB 1077 (Chapter 455) 1997 amended Business and Professions Code Section 2836.1 givingNPs the authority to furnish Schedule lll through Schedule V controlled substances listed in theCalifornia Uniform Controlled Substance Act, Division 10 (commencing with Section II000) ofthe Health and Safety Code.Following the enactment of AB 1077 (Chapter 455) 1997, the Drug Enforcement Administration(DEA) determined that the new law did not afford prescriptive authority to NPs. Rather,furnishing is a delegated authority utilizing standardized procedures. The DEA requiresprescriptive authority to obtain a DEA registration number.In order for NPs to furnish controlledsubstances as authorized by AB 1077 (Chapter 455), the law needed to be amended to includeprescriptive privileges.SB 816 (Chapter 741) 1/2000 amended Business and Professions Code, Section 2836.1. Thisnew law added “order”and “drug order” to Section 2836.1. The new law changed furnishing ofcontrolled substances Schedule III through V to mean issuing an “order” for a drug. The intentof this legislation was furnishing could now be known as an “order” and could be considered thesame as an “order” initiated by the physician. This new law required the NP who has afurnishing number to obtain a DEA number to “order” controlled substances, Schedule III, IV, V.AB II96, (Chapter) 748 1/2004 amended Business and Professions Code Section 2836.1 andexpanded furnishing authority to Schedule II controlled substances under the California UniformControlled Substance Act. This new law’s effective date is January 1, 2004. Other provisions ofthis law added toB&P Code Section 2836.1: the Schedule II controlled standardized procedureor protocols shall address the diagnosis of the illness, injury, or condition for which theSchedule II controlled substance is to be furnished. Drugs and devices furnished or ordered bya NP may include Schedule II through V and are limited to those drugs and devices agreedupon by the NP, physician and surgeon and specified in the standardized procedure. Schedule

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Term
Fall
Professor
professor_unknown
Tags
Controlled Substances Act

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