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The Pennsylvania Code website reflects the Pennsylvania Code changes effective through 53 Pa.B. 6142 (September 30, 2023).

49 Pa. Code § 21.285. Prescriptive authority collaborative agreements.

§ 21.285. Prescriptive authority collaborative agreements.

 (a)  The prescriptive authority collaborative agreement between a physician and a CRNP who will prescribe and dispense drugs and other medical therapeutic or corrective measures, as set forth in §  21.283(a) (relating to authority and qualifications for prescribing, dispensing and ordering drugs) must satisfy the following requirements. The agreement must:

   (1)  Be in writing, identify the parties, including the collaborating physician, the CRNP, and at least one substitute physician who will provide collaboration if the collaborating physician is unavailable, include the signature of the CRNP and the collaborating physician, and contain the date that the agreement is signed and the date that the agreement is effective.

   (2)  Identify the specialty in which the CRNP is certified.

   (3)  Identify the categories of drugs from which the CRNP may prescribe or dispense in accordance with section 8.3 (a)(2)(ii) of the act (63 P.S. §  218.3(a)(2)(ii)).

   (4)  Specify the circumstances and how often the collaborating physician will personally see the patient.

   (5)  Be kept at the primary practice location of the CRNP and a copy filed with the Bureau of Professional and Occupational Affairs.

   (6)  Be made available for inspection to anyone who requests it and be provided, without charge, to any licensed pharmacist or pharmacy upon request.

   (7)  Be reviewed and updated by the parties at least once every 2 years or whenever the agreement is changed.

   (8)  Specify the amount of professional liability insurance that covers the CRNP.

 (b)  The CRNP shall notify the Board, in writing, whenever a prescriptive authority collaborative agreement is updated or terminated, and, when appropriate, shall file the ‘‘Change Of Prescriptive Authority Collaborative Agreement’’ form and the amended prescriptive authority collaborative agreement with the Board and pay the fee set forth in §  21.253 (relating to fees).


   The provisions of this §  21.285 issued under section 15(b) of the Medical Practice Act of 1985 (63 P.S. §  422.15(b)) (Repealed).


   The provisions of this §  21.285 adopted November 17, 2000, effective November 18, 2000, 30 Pa.B. 5943; amended December 29, 2000, effective November 18, 2000, 30 Pa.B. 6911; amended December 11, 2009, effective December 12, 2009, 39 Pa.B. 6994. Immediately preceding text appears at serial pages (319601) to (319602).

Cross References

   This section cited in 49 Pa. Code §  21.283 (relating to authority and qualifications for prescribing, dispensing and ordering drugs); 49 Pa. Code §  21.369 (relating to general curriculum requirements).

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