g. Nurse Practitioners and Clinical Nurse Specialists with Additional Skill
Identifiers and Nurse Midwives. Army Nurse Corps officer nurse practitioners and
clinical nurse specialists with additional skill identifiers and nurse midwives who have
been authorized by the commander may write prescriptions for selected medications
that have been recommended by the Therapeutic Agents Board, reviewed by the
Credentials Committee (AR 40-6-0), and approved by the commander. Controlled
substances authorized for prescribing by nurse practitioners and clinical nurse
specialists are butalbital, aspirin, caffeine and phenacetin (Fiorinal) tablets (NSN
6505-00-962-4375) (Note Q), and diphenoxylate hydrochloride and atropine (Lomotil)
tablets (NSN 6505-00-074-4702) (Note Q). Psychiatric drugs including anti-anxiety
drugs (such as benzodiazepine-like drugs), neuroleptics (such as phenothiazines) and
anti-depressant drugs (such as MAO Inhibiting and Non-MAO Inhibiting drugs) may not
be prescribed by non-physicians without an exception to policy approved by the Office
of the Surgeon General. You should read and study current regulations and the policies
of your local pharmacy to ensure your knowledge concerning the prescribing
authorization of this group of health-care extenders is up to date.
h. Graduate Physician Assistants. Graduate physician assistants authorized
by the commander may write prescriptions for selected medications which have been
recommended by the Therapeutic Agents Board, reviewed by the Credentials
Committee (AR 40-66), and approved by the commander. Controlled substances (Note
Q and Note R) will not be prescribed by graduate physician assistants except that
diphenoxylate and atropine (Lomotil) tablets may be prescribed only for active duty
personnel with a maximum limit of twenty tablets. These prescriptions will be refillable.
You should read and study current regulations and the policies of your local pharmacy
to ensure your knowledge concerning the prescribing authorization for physician
assistants is up to date.
NOTE:
Graduate physicians assistants may, when authorized by the commander,
dispense those drugs which they are authorized to prescribe when the
graduate physician assistants are functioning in a troop medical clinic (TMC)
setting.
i. Automated Military Outpatient System. Enlisted medical corpsmen
(AMOSISTS) are authorized by the commander to write prescriptions for selected
medications which are delineated in logic flow charts developed and prepared by the
supervising physician of an AMOSIST program. The medications selected will be
reviewed by the Therapeutic Agents Board and the Credentials Committee and
approved by t commander. Automated Military Outpatient System personnel are
authorized to write prescriptions only when functioning within the limits of the AMOSIST
program. Automated Military Outpatient System personnel are not authorized to deviate
from the list of medications selected by the supervising physicians and outlined in the
logic flow charts. Controlled substances (Note Q and Note R) will not be included as
medications in the logic flow charts.
MD0810
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