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August 24, 2010
Dear Fellow PA:
The Illinois Department of Financial and Professional Regulations has issued a
press release announcing that PAs may
now register for Controlled Substance Schedule II privileges.
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If the PA currently has an Illinois Controlled
Substance license number and only wishes to add Schedule II privileges, the PA
needs to have the supervising
physician sign a new
Prescriptive Authority form and mail it to the Division. A fee does NOT have to be paid to add
Schedule II to an existing Illinois Controlled Substance License Number. The Division will write a letter of
confirmation to the PA. Once
privileges are received by the IDFPR, then the PA may contact the DEA and update
privileges at
http://www.deadiversion.usdoj.gov/drugreg/change_requests/index.html request
a change to add Schedule II privileges.
You do not have to pay another fee.
A PA
CANNOT WRITE FOR
SCHEDULE II MEDICATIONS UNTIL YOU HAVE YOUR DEA NUMBER IN HAND GRANTING YOU THIS
PRIVILEGE.
·
If the PA is applying for
licensure for the
first time or for
Controlled Substances
privileges for the first time, the PA must complete the appropriate forms, mail
in their fee, and wait for the Controlled Substance License Number to be mailed
to you. THEN, you may go to the DEA
http://www.deadiversion.usdoj.gov and complete Form 224 and pay your fee.
The new statutes in the PA Practice Act outlining Schedule II privileges are
described below. A PA must comply
with these statutes.
225 ILCS 95/)
Physician Assistant Practice Act of 1987.
Sec. 7.5.
Prescriptions; written supervision agreements; prescriptive authority.
(A) Participates in the joint formulation and joint
approval of orders or guidelines with the physician assistant and he or she
periodically reviews such orders and the services provided patients under such
orders in accordance with accepted standards of medical practice and physician
assistant practice.
(B) Meets in person
with the physician assistant at least once a month to provide supervision.
IAPA REOCOMMENDS: IF YOU OBTAIN PRESCIPTIVE AUTHORITY
PRIVILEGES,YOU MUST SET UP A ONCE-A-MONTH FACE-TO-FACE MEETING WITH YOUR
SUPERVISING PHYSICIAN TO REVIEW SUCH CASES. IAPA RECOMMENDS THESE
MEETINGS BE NOTATED IN A FILE OR MEDICAL CHART.
(3) .....In addition to the
requirements of subsection
(b) of this Section, a supervising physician may, but
is not required to, delegate authority to a physician assistant to prescribe
Schedule II controlled substances, if all of the following conditions apply:
(A) No more than 5 Schedule II controlled substances by oral dosage may be delegated.
IAPA RECOMMENDS SIGN AN
AGREEMENT WITH YOUR SUPERVISING PHYSICIAN TO INCLUDE THE FIVE ORAL SCHEDULE II
CONTROLLED SUBSTANCES. EVERY THREE MONTHS CHECK THIS AGREEMENT AND ADJUST THE
MEDICATIONS AS NEEDED FOR YOUR CURRENT PRACTICE/PATIENTS. THIS AGREEMENT SHOULD
BE KEPT ON FILE IN THE OFFICE AT ALL TIMES.
(B) Any delegation must be
controlled substances that the supervising physician prescribes.
(C) Any prescription must be
limited to no more than a 30‑day oral dosage, with any
continuation authorized only after prior approval of the supervising physician.
IAPA RECOMMENDS THIS APPROVAL
SHOULD BE DOCUMENTED IN THE MEDICAL CHART.
The IDFPR will still be promulgating
rules to implement Public Act 96-268 granting PAs Schedule II privileges, which
IAPA successfully passed in 2009. If
you have questions, please call the IAPA office at 800-975-9344.
IIf you are not a member of the Illinois Academy of Physician Assistants, please
consider joining us
now. This privilege is an example of
how the IAPA can change the way you practice.
We welcome this opportunity to better serve our patients with Schedule II
Controlled Substances privileges.
Regards,
Sarah Smalley, MMS, PA-C
IAPA President
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