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Nurse Practitioner Alliance of Alabama

Alabama PA Prescribing

Posted over 6 years ago by Lori Lioce

The following information was published by the Alabama State Board of Medical Examiners Medical Licensure Commission newsletter in the April-June 2011 edition (Volume 26, Number 2).  As one can see, the prescriptive authority extended to our PA colleagues in Alabama is extremely restrictive.  This is the ‘same deal’ that was offered to Alabama NPs but declined, during the 2010 legislative session, because the BME would not allow the Alabama Board of Nursing to be our Certifying Body. Please read the below article:

"PAs controlled substances prescribing protocol

A standard protocol was adopted for PAs prescribing controlled substances pursuant to a Qualified Alabama Controlled Substances Certificate. The protocol states as follows: 1. The quantity of a controlled substance initially prescribed by a Physician

Assistant (PA) shall be limited to a fourteen (14) day supply, and any refill must be authorized by the supervising physician. The supervising physician must see the patient before authorizing a refill.

2. If a prescription for a controlled substance is initiated by the supervising physician, the P.A. may authorize only one (1) refill for a thirty (30) day supply of the medication.

3. A PA may make a verbal order for a con- trolled substance under the circumstances stated in this protocol."




Pauletta Caylor over 6 years ago

This is progress for PA's in the state of Alabama Now, lets see some for NP's.

Paula Helmly over 6 years ago

Sounds incredibly restrictive to me. Let's hope we can do better than this.

Chase Thomas over 6 years ago

This is ridiculous. What good does this do? It solves nothing. I might as well continue having my collaborating physician writing the ADHD meds because who just needs 14 days worth?

Amy Wybenga over 6 years ago

As NPs are licensed to prescribe medications in the State of Alabama as long as it is under the protocal of the practice setting in which one is practicing in, then why is just this class of medications excluded and resticted? There has never been an acceptable answer yet to this question. NPs can make decisions according to their practice protocals to treat every other disease process and acute health problem; however, when you have that patient in front of you with a kidney stone, newly fractured great toe, ADHD that is well controlled on medication, then it becomes this process of wasted time and useless paperwork on the part of the NP and the collaborating physician to treat the patient. The end result of this useless waste of time is increased suffering on the part of the patient and useless time wasted on the part of the practitioners that could be utilized to better serve other patients in need of healthcare.

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