§ 43-15-31.4 — Limited prescriptive practices

North Dakota § 43-15-31.4

• Jurisdiction: North Dakota
• Title 43: Occupations and Professions
• Ch. 43-15: Pharmacists

Text

1. A pharmacist has limited prescriptive practices to initiate or modify drug therapy
following diagnosis or established protocols by a licensed physician or an advanced
practice registered nurse, under the supervision of the licensed physician or advanced
practice registered nurse, in accordance with this section. The licensed physician,
advanced practice registered nurse, and the pharmacist must have access to the
patient's appropriate medical records. The care provided to the patient by the
pharmacist must be recorded in the patient's medical records and communicated to
the licensed physician or the advanced practice registered nurse.
2. The licensed physician or advanced practice registered nurse, and the pharmacist,
shall prepare a collaborative agreement concerning the scope of the pharmacist's
prescriptive practices and shall update the agreement if the scope of the pharmacist's
prescriptive practices is modified. The collaborative agreement, or an amendment to
the agreement, is effective if executed by the licensed physician or advanced practice
registered nurse, and the pharmacist.
3. The collaborative agreement may be between a medical director and
pharmacist-in-charge. The medical director and pharmacist-in-charge shall document
and update the agreement for any physician, advanced practice registered nurse, and
pharmacist covered under the agreement.
4. A collaborative agreement must be made available to the respective licensing boards
of the parties to the agreement.

5. The collaborative agreement must include a provision that requires the pharmacist to
immediately notify the licensed physician or advanced practice registered nurse if the
pharmacist initiates or modifies a drug therapy.