j. Physical Therapists. Physical therapists who have been credentialed and
who are authorized by the commander may write prescriptions for aspirin; aspirin,
phenacetin and caffeine (APC); and acetaminophen. Physical therapists are not
authorized to prescribe Note Q and Note R controlled substances.
k. Community Health Nurses. Community health nurses who are functioning
under a protocol acceptable to the Chief, Pulmonary Disease or Chief, Internal Medicine
and the Credentials Committee may write refill prescriptions for isoniazid and
pyridoxine. Community health nurses may be authorized to write prescriptions for
Gamma Benzene Hexachloride shampoo while working under the direct supervision of
the Chief, Pediatrics.
Prescriptions written by licensed civilian physicians, osteopaths, dentists, or
podiatrists for personnel eligible for military medical care will be honored at
Army MTF subject to the availability of pharmaceuticals and personnel.
Filling a prescription written by a civilian practitioner does not imply
knowledge of or responsibility for a patient's medical condition. Under no
circumstances will civilian prescriptions be countersigned by military
practitioners. Local policy pertaining to filling such prescriptions will be
established and announced by the commander. The local policy will address--
but not be limited to--such matters as professional responsibility and
requirement to determine authenticity and accuracy of the prescription,
methods of proving eligibility for prescription services, and any limitations or
other rules regarding refills and amounts to be dispensed. The policy for
filling civilian prescriptions and prescriptions should coincide except that in
those MTFs located in any state where product selection by the pharmacist is
not authorized, the generic equivalent will not be substituted (generic
substitution) for a brand name drug on a civilian prescription without prior
approval of the prescriber.
Section IV. REFILLING OF PRESCRIPTIONS
Many patients have conditions for which they take the same medication for a
long period of time. In these circumstances, the prescriber may wish to allow the patient
to receive refills on a prescription for a particular medication without having to see the
prescriber for a new prescription for the same drug. You probably know already that
many prescriptions are refilled during the work day at any Army pharmacy.
3-10. REFILLING OF PRESCRIPTIONS FOR CONTROLLED SUBSTANCES
a. Refills for Schedule II controlled substances are prohibited; for example, ethyl
alcohol and alcoholic liquors. These items are designated as Note R in the Federal