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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 3392 (June 24, 2023).

49 Pa. Code § 21.283. Authority and qualifications for prescribing, dispensing and ordering drugs.

§ 21.283. Authority and qualifications for prescribing, dispensing and ordering drugs.

 (a)  A CRNP with prescriptive authority approval may, when acting in collaboration with a physician as set forth in a prescriptive authority collaborative agreement and within the CRNP’s specialty, prescribe and dispense drugs and give written or oral orders for drugs and other medical therapeutic or corrective measures. These orders may include:

   (1)  Orders for drugs, total parenteral nutrition and lipids, in accordance with § §  21.284 and 21.285 (relating to prescribing and dispensing parameters; and prescriptive authority collaborative agreements).

   (2)  Disposables and devices adjunctive to a treatment plan.

 (b)  To obtain prescriptive authority approval, a CRNP shall:

   (1)  Successfully complete at least 45 hours of course work specific to advanced pharmacology in accordance with the following:

     (i)   The course work in advanced pharmacology may be either part of the CRNP education program or, if completed outside of the CRNP education program, an additional course or courses taken from an educational program or programs approved by the Board.

     (ii)   The course work shall be at an advanced level above a pharmacology course required by a professional nursing (RN) education program.

     (iii)   The course work shall have been completed within 5 years immediately preceding the date the applicant applies for initial prescriptive authority approval.

   (2)  Submit an application for prescriptive authority approval to the Board.

   (3)  Pay the fee set forth in §  21.253 (relating to fees).

 (c)  A CRNP who has prescriptive authority shall complete at least 16 hours of Board-approved continuing education in pharmacology in the 2 years prior to the biennial renewal date of the certification. The CRNP shall verify completion of the continuing education when submitting a biennial renewal.


   The provisions of this §  21.283 issued under section 15(b) of the Medical Practice Act of 1985 (63 P.S. §  422.15(b)) (Repealed).


   The provisions of this §  21.283 adopted November 17, 2000, effective November 18, 2000, 30 Pa.B. 5943; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial pages (335546) and (319599).

Cross References

   This section cited in 49 Pa. Code §  21.253 (relating to fees); 49 Pa. Code §  21.285 (relating to prescriptive authority collaborative agreements); 49 Pa. Code §  21.332a (relating to inactive status and reactivation); and 49 Pa. Code §  21.369 (relating to general curriculum requirements).

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