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Physician Dispensing Limits:
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Physician Dispensing Limits:
Physician dispensing regulations in Washington state are very favorable and allow physicians to dispense medications in-office to patients under their care with no dispensing permit required.Physicians in Oregon can dispense medications to their patients in the ordinary course of practice once they are registered as a dispensing physician. Registering as a dispensing physician requires a simple application with the Oregon Medical Board and is designated on the physician's state medical license.May dispense but must give patient option to purchase medication elsewherePhysicians and other practitioners may dispense medications to their patients as long as they comply with all state and federal laws and complete the Application for Authority to Dispense Drugs and receive a dispensing permit. This permit is required for all legend drugs (controlled and noncontrolled).May dispense legend drugs if physician is acting within scope of licensePhysician dispensing not allowed except in very limited circumstances. Wyoming does not allow physician dispensing outside of rare exceptionsAllowed pre-packaged dispensing in employer sponsored clinicsCan dispense as long as they register with the State BoardNo restrictions and may compound and dispense. PAs and NPs may also dispense. No registration requiredPhysicians may dispense noncontrolled legend (prescription) drugs in New Mexico under their state medical license to patients under their care so long as they comply with all state and federal regulations (including labeling and drug storage requirements).Physician dispensing regulations in North Dakota are among the most favorable in the country, with no special permitting requirements.Physicians in South Dakota may dispense medications to patients under their care but must first complete a controlled substances registration form and pay a small fee (currently $150). Nurse practioners (NPs) and Physician Assistants (PAs) may also dispense as long as it is expressly allowed by their supervising physician.Physicians who wish to dispense in Nebraska must first apply for and receive a pharmacy permit. The permit allows physicians to dispense any medication that the physician is eligible to prescribe as long as they comply with all state and federal laws.Physicians and Physician Assistants in Kansas may dispense non-controlled legend drugs to their patients, so long as they meet all labeling requirements and follow all state and federal regulations.Physicians in Oklahoma are eligible to dispense medications in the normal course of practicing medicine once they have registered with the state medical board as a dispensing physician (no charge to register)Physician dispensing is not allowed in Texas aside from a handful of exceptions, such as rural clinics.The state of Minnesota allows a physician who is authorized to prescribe legend drugs in the state the ability to dispense those medications during the normal course of practicing medicine. No dispensing permit is required for noncontrolled or controlled medicationsPhysicians in Iowa may dispense noncontrolled legend drugs within their medical purviewPhysicians and Physician Assistants in Kansas may dispense non-controlled legend drugs to their parents, so long as they meet all labeling requirements and follow all state and federal regulations.Physicians who wish to dispense medications in Louisiana must register with the state as a dispensing physician and pay the registration fee. Advance Practice Registered Nurses (APRNs) are allowed to hand prepackaged medications to the patient ("distribute").Wisconsin is a very favorable state for inoffice physician dispensing, requiring no special permit, license or fee for physicians to dispense medications to patients under their care. This applies to both controlled and non-controlled legend drugsMay dispense legend drugs under state medical license in compliance with state and federal lawsLicensed physicians, advanced practice nurses, and physician assistants may dispense legend drugs in Indiana in the course of their professional practiceKentucky permits physicians to dispense medications in the normal course of their practice that they are authorized to prescribe. Under Kentucky law, the physician may not delegate the dispensing duties to Physician Assistants, Nurse Practitioners or other staffPhysicians in Tennessee may dispense medications to patients under their care with no additional permit requiredMississippi is a very favorable physician dispensing state, with no separate permit required for dispensing, including dispensing controlled substances. Nurse Practioners (NPs) and Physician Assistants (PAs) may also dispense under their licenses.Physicians can dispense, does not need to register unless prescribing controlled substancesMust register with the Dept of Health and pay a feeMust notify the Georgia Composite Medical Board in writingPhysicians can dispense medications in South Carolina to patients under their care. A dispensing permit is required for "non-owned" sites, meaning sites not directly and wholly owned by the dispensing practitioner.Physicians can dispense medications in North Carolina after applying for and receiving a state Dispensing Physician Registration. As always, dispensing practitioners must comply with all state and federal regulations when dispensing. Physician Assistants (PAs) and Nurse Practitioners (NPs) may also dispense prescriptions they have written but must also apply for a dispensing permit.Physicians can dispense medications in-office in Virginia but must first apply for and receive a dispensing license, regardless of whether the physicians is dispensing controlled or non-controlled prescription medications. The regulation allows for a pharmacy technician, nurse practitioner, or physician assistant to assist the licensed physician in preparing the drug for dispensing, but the physician must be on site and is responsible for offering to counsel the patient and inspecting the medication, among other requirements. Each dispensing physician must have his or her own license, and the facility where dispensing occurs must also be licensed and may be subject to periodic inspection.Physicians in West Virginia can dispense medications to patients under their care but must first register as a "dispensing physician" and pay a small fee (currently $35 for two years). Medications may only be dispensed to patients under the physician's care and must be dispensed as part of an office visit. Physicians must also post a sign in a conspicuous place no smaller than 8.5" x 11" including the following language: "Every patient has the right to receive a written prescription as an alternative to having legend drugs dispensed by your physician."Physician dispensing is allowed in Ohio but there are certain restrictions. Sole practitioners may be able to dispense without a permit, but most practitioners will need to apply for and receive a Terminal Distributor of Dangerous Drugs (TDDD) license (in Ohio, "dangerous drugs" refers to all medications that require a prescription).Physicians can dispense in Michigan but must first obtain a drug control license (even if only dispensing noncontrolled legend drugs) and pay a small feePhysician dispensing is currently permitted in Maine under the physician's state medical license.Physicians can dispense in Pennsylvania under their state medical license to patients under their care, with certain restrictions. In particular, physicians may dispense no more than a 30 day supply of medications (7 days for schedule II and schedule III medicationsPhysician dispensing is limited to no more than a 72-hour supply except for certain specific exceptions. As such, very few physicians dispense in New York state.Physicians can dispense in Vermont to patients under their care as long as they comply with all state and federal regulations, including drug storage and labeling requirements. No separate license is required for physician in-office dispensing. Nurse Practitioners (NPs) and Physician Assistants (PAs) may also dispense as long as this responsibility has been delegated by the supervising physician.Physicians may dispense medications to their patients under their state medical license with no dispensing permit requiredPhysicians in Massachusetts can only dispense a single dose or enough for "immediate" needs, making it impractical for physicians to dispense in the state.Physicians in Rhode Island who are authorized to prescribe medications in the state have the ability to dispense those medications to patients under their care during the normal course of practicing medicine. No additional permit or license is required although physicians wishing to dispense controlled medications must register with the state.No Restrictions, no permit requiredPhysician shall not dispense more than a 7-day supply of drugs or medicines to any patientProviders can dispense medications in Maryland but must first obtain a dispensing permit from the Maryland Board of Physicians and pay a fee (currently $1,050). Maryland also requires that dispensing physicians display their dispensing permit at the location where prescription drugs are being dispensed and follow certain labeling and record-keeping requirements.Physicians may dispense medication as long as they do not represent themselves as a pharmacistMust obtain a wholesale prescription drug distribution license and pay a small feePhysicians must dispense medications themselves. For topical applications of legend drugs, no permission from Board needed. Must obtain approval from the State Medical board to dispense
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