Ohio § 4723.481

§ 4723.481.

This section establishes standards and conditions regarding the authority of an advanced

practice registered nurse who is designated as a clinical nurse specialist, certified

nurse-midwife, or certified nurse practitioner to prescribe and personally furnish

drugs and therapeutic devices under a license issued under section 4723.42 of the Revised Code . (A) A clinical nurse specialist, certified nurse-midwife, or certified nurse practitioner

shall not prescribe or furnish any drug or therapeutic device that is listed on the

exclusionary formulary established in rules adopted under section 4723.50 of the Revised Code . (B) The prescriptive authority of a clinical nurse specialist, certified nurse-midwife,

or certified nurse practitioner shall not exceed the prescriptive authority of the

collaborating physician or podiatrist, including the collaborating physician's authority

to treat chronic pain with controlled substances and products containing tramadol

as described in section 4731.052 of the Revised Code . (C)(1) Except as provided in division (C)(2) or (3) of this section, a clinical nurse specialist,

certified nurse-midwife, or certified nurse practitioner may prescribe to a patient

a schedule II controlled substance only if all of the following are the case: (a) The patient has a terminal condition, as defined in section 2133.01 of the Revised Code . (b) A physician initially prescribed the substance for the patient. (c) The prescription is for an amount that does not exceed the amount necessary for the

patient's use in a single, seventy-two-hour period. (2) The restrictions on prescriptive authority in division (C)(1) of this section do

not apply if a clinical nurse specialist, certified nurse-midwife, or certified nurse

practitioner issues the prescription to the patient from any of the following entities: (a) A hospital as defined in section 3722.01 of the Revised Code ; (b) An entity owned or controlled, in whole or in part, by a hospital or by an entity

that owns or controls, in whole or in part, one or more hospitals; (c) A health care facility operated by the department of mental health and addiction

services or the department of developmental disabilities; (d) A nursing home licensed under section 3721.02 of the Revised Code or by a political subdivision certified under section 3721.09 of the Revised Code ; (e) A county home or district home operated under Chapter 5155. of the Revised Code that

is certified under the medicare or medicaid program; (f) A hospice care program, as defined in section 3712.01 of the Revised Code ; (g) A community mental health services provider, as defined in section 5122.01 of the Revised Code ; (h) An ambulatory surgical facility, as defined in section 3702.30 of the Revised Code ; (i) A freestanding birthing center, as defined in section 3701.503 of the Revised Code ; (j) A federally qualified health center, as defined in section 3701.047 of the Revised Code ; (k) A federally qualified health center look-alike, as defined in section 3701.047 of the Revised Code ; (l) A health care office or facility operated by the board of health of a city or general

health district or the authority having the duties of a board of health under section 3709.05 of the Revised Code ; (m) A site where a medical practice is operated, but only if the practice is comprised

of one or more physicians who also are owners of the practice;  the practice is organized

to provide direct patient care;  and the clinical nurse specialist, certified nurse-midwife,

or certified nurse practitioner providing services at the site has a standard care

arrangement and collaborates with at least one of the physician owners who practices

primarily at that site; (n) A site where a behavioral health practice is operated that does not qualify as a

location otherwise described in division (C)(2) of this section, but only if the practice

is organized to provide outpatient services for the treatment of mental health conditions,

substance use disorders, or both, and the clinical nurse specialist, certified nurse-midwife,

or certified nurse practitioner providing services at the site of the practice has

a standard care arrangement and collaborates with at least one physician who is employed

by that practice; (o) A residential care facility, as defined in section 3721.01 of the Revised Code . (3) A clinical nurse specialist, certified nurse-midwife, or certified nurse practitioner

shall not issue to a patient a prescription for a schedule II controlled substance

from a convenience care clinic even if the clinic is owned or operated by an entity

specified in division (C)(2) of this section. (D) A pharmacist who acts in good faith reliance on a prescription issued by a clinical

nurse specialist, certified nurse-midwife, or certified nurse practitioner under division

(C)(2) of this section is not liable for or subject to any of the following for relying

on the prescription:  damages in any civil action, prosecution in any criminal proceeding,

or professional disciplinary action by the state board of pharmacy under Chapter 4729.

of the Revised Code. (E) A clinical nurse specialist, certified nurse-midwife, or certified nurse practitioner

shall comply with section 3719.061 of the Revised Code if the nurse prescribes for a minor, as defined in that section, an opioid analgesic,

as defined in section 3719.01 of the Revised Code .