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20-2-260
Section 20-2-260 Permit authorized. (a) The Board of Medical Examiners may at any future
date it chooses create a Limited Purpose Schedule II Permit (LPSP), and assess fees associated
with the permit, that, along with any other necessary registration, may permit assistants
to physicians, certified registered nurse practitioners, or certified nurse midwives to lawfully
prescribe, administer, authorize for administration, or dispense only those controlled substances
listed in Schedule II substances of Article 2 of Chapter 2 of this title in accordance, as
specified and limited by the permit, with rules adopted by the board and any protocols, formularies,
and medical regimens established by the board for regulation of a LPSP. Any protocols, formularies,
and medical regimens shall not be considered administrative rules under the Alabama Administrative
Procedure Act. (b) An assistant to physician, certified registered nurse practitioner, or
certified nurse midwife shall not utilize his or...
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20-2-253
Section 20-2-253 Prescription, administration, dispensing of controlled substances.
(a) Upon receipt of a Qualified Alabama Controlled Substances Registration Certificate (QACSC)
and a valid registration number issued by the United States Drug Enforcement Administration,
a certified registered nurse practitioner (CRNP) or certified nurse midwife (CNM) may prescribe,
administer, authorize for administration, or dispense only those controlled substances listed
in Schedules III, IV, and V of Article 2, Chapter 2, of this title in accordance with rules
adopted by the Board of Medical Examiners and any protocols, formularies, and medical regimens
established by the board for regulation of a QACSC. (b) A CRNP or a CNM shall not utilize
his or her QACSC for the purchasing, obtaining, maintaining, or ordering of any stock supply
or inventory of any controlled substance in any form. (c) A CRNP or a CNM authorized to prescribe,
administer, or dispense controlled substances in accordance with...
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34-21-81
Section 34-21-81 Definitions. As used in this article, the following terms shall have
the following meanings: (1) BOARD OF MEDICAL EXAMINERS. The State Board of Medical Examiners
established pursuant to Section 34-24-53. (2) BOARD OF NURSING. The Board of Nursing
established under Section 34-21-2. (3) ADVANCED PRACTICE NURSE. A registered nurse
that has gained additional knowledge and skills through successful completion of an organized
program of nursing education that prepares nurses for advanced practice roles and has been
certified by the Board of Nursing to engage in the practice of advanced practice nursing.
There shall be four categories of advanced practice nurses: Certified registered nurse practitioners
(CRNP), certified nurse midwives (CNM), certified registered nurse anesthetists (CRNA), and
clinical nurse specialists (CNS). Certified registered nurse practitioners and certified nurse
midwives are subject to collaborative practice agreements with an Alabama physician....
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20-2-254
Section 20-2-254 Grounds for denial of application or request for renewal, etc. The
Board of Medical Examiners may deny an application of a certified registered nurse practitioner
(CRNP) or a certified nurse midwife (CNM) requesting a Qualified Alabama Controlled Substances
Registration Certificate (QACSC), deny a request for a renewal of a QACSC, or initiate action
against the QACSC of a CRNP or a CNM possessing a QACSC based on the following grounds: (1)
Fraud or deceit in applying for, procuring, or attempting to procure a QACSC in the State
of Alabama. (2) Conviction of a crime under any state or federal law relating to any controlled
substance. (3) Conviction of a crime or offense which affects the ability of the CRNP or CNM
to practice with due regard for the health or safety of his or her patients. (4) Prescribing
a drug or utilizing a QACSC in such a manner as to endanger the health of any person or patient
of the CRNP, CNM, or collaborating physician. (5) Suspension or...
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20-2-255
Section 20-2-255 Hearings; restriction, suspension, revocation of certificate. (a) Any
hearing regarding the issuance, restriction, limitation, suspension, or revocation of a Qualified
Alabama Controlled Substances Registration Certificate (QACSC) held by a certified registered
nurse practitioner or a certified nurse midwife for any violations of this article shall be
before the Board of Medical Examiners. (b) The board shall have the authority to restrict,
suspend, or revoke a QACSC, whenever a CRNP or a CNM is found guilty on the basis of substantial
evidence of any of the acts or offenses enumerated in Section 20-2-254. The board shall
also have the authority to reinstate or to deny reinstatement of a QACSC. (c) The board may
limit revocation or suspension of a QACSC to the particular controlled substance with respect
to which grounds for revocation or suspension exist. (d) The board shall promptly notify the
Drug Enforcement Administration of the United States Department of Justice...
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20-2-214
Section 20-2-214 Limited access to database permitted for certain persons or entities.
(a) The following persons or entities shall be permitted access to the information in the
controlled substances database, subject to the limitations indicated below: (1) Authorized
representatives of the certifying boards; provided, however, that access shall be limited
to information concerning the licensees of the certifying board, however, authorized representatives
from the Board of Medical Examiners may access the database to inquire about certified registered
nurse practitioners (CRNPs), or certified nurse midwives (CNMs) that hold a Qualified Alabama
Controlled Substances Registration Certificate (QACSC). (2) A licensed practitioner approved
by the department who has authority to prescribe, dispense, or administer controlled substances.
The licensed practitioner's access shall be limited to information concerning himself or herself,
registrants who possess a Qualified Alabama Controlled...
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34-21-86
Section 34-21-86 Prescribing legend drugs; initiating call-in prescriptions; administering
legend drugs. (a) Certified registered nurse practitioners and certified nurse midwives, engaged
in collaborative practice with physicians practicing under protocols approved in the manner
prescribed by this article may prescribe legend drugs to their patients, subject to both of
the following conditions: (1) The drug type, dosage, quantity prescribed, and number of refills
shall be authorized in an approved protocol signed by the collaborating physician; and (2)
The drug shall be on the formulary recommended by the joint committee and adopted by the State
Board of Medical Examiners and the Board of Nursing. (b) A certified registered nurse practitioner
or a certified nurse midwife may not initiate a call-in prescription in the name of a collaborating
physician for any drug, whether legend or controlled substance, which the nurse practitioner
or certified nurse midwife is not authorized to...
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20-2-250
Section 20-2-250 Definitions. As used in this article, the following words shall have
the following meanings: (1) ADMINISTER. The direct application of a controlled substance whether
by injection, inhalation, ingestion, or any other means, to the body of a patient by any of
the following: a. A collaborating physician or, in his or her presence, his or her authorized
agent. b. A certified registered nurse practitioner or certified nurse midwife. c. The patient
at the direction and in the presence of the collaborating physician, certified registered
nurse practitioner, or certified nurse midwife. (2) BOARD. The Board of Medical Examiners
of the State of Alabama. (3) CERTIFIED NURSE MIDWIFE or CNM. An advanced practice nurse who
is subject to a collaborative practice agreement with a collaborating physician pursuant to
Title 34, Chapter 21, Article 5, and who has advanced knowledge and skills relative to the
management of women's health care focusing on pregnancy, childbirth, the...
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20-2-251
Section 20-2-251 Certifying board; advisory committee; access to records; protocols,
formularies, medical regimens. (a) The Board of Medical Examiners is hereby designated as
the certifying board for the registration and approval of a certified registered nurse practitioner
(CRNP) or a certified nurse midwife (CNM) in obtaining or renewing a Qualified Alabama Controlled
Substances Registration Certificate (QACSC). The board may adopt regulations concerning the
application procedures, fees, and grounds for the restriction, limitation, suspension, or
revocation of a QACSC, excluding the charge of expenses for conducting an investigation or
expenses of a hearing, and to provide for hearings in connection with the same. The board
shall establish a unique QACSC number that identifies the particular applicant as a certified
registered nurse practitioner or certified nurse midwife with a valid QACSC. However, nothing
in this article shall permit the board to encroach on the powers, duties,...
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20-2-63
Section 20-2-63 Prescriptive authority of a certified assistant to physician. (a) Upon
receipt of a Qualified Alabama Controlled Substances Registration Certificate and a valid
registration number issued by the United States Drug Enforcement Administration, an assistant
to physician may prescribe, administer, authorize for administration, or dispense only those
controlled substances listed in Schedules III, IV, and V of Article 2 of Chapter 2 of this
title in accordance with rules adopted by the board and any protocols, formularies, and medical
regimens established by the board for regulation of a QACSC. (b) An assistant to physician
shall not utilize his or her QACSC for the purchasing, obtaining, maintaining, or ordering
of any stock supply or inventory of any controlled substance in any form. (c) An assistant
to physician authorized to prescribe, administer, or dispense controlled substances in accordance
with this article shall not prescribe, administer, or dispense any controlled...
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