Out of state RX

Trauma Columnist · Feb 23, 2012

No for several reasons:

1. You are not licensed in that state.

2. You do not have a professional pt/provider (along with documentation) relationship.

3. If you are required by that state to have a collaborative agreement, you would not have that.

4. Your DEA is based on your practice setting. For instance, for awhile I had two jobs and two DEA numbers as they are based on the practice where I was working.

5. In many states, you can find your license disciplined for prescribing to friends and family members. Definitely not a practice to start doing.

DizzyJ DHSc PA-C · Feb 25, 2012

4. Your DEA is based on your practice setting. For instance, for awhile I had two jobs and two DEA numbers as they are based on the practice where I was working.
QUOTE]
Your DEA is state based, not practice based. I work at 3 different hospitals and use the same DEA number. Technically, if you work in 2 states you are suppossed to have 2 DEA numbers, but I have known people to use the same one.

sandnnw, BSN, MSN, EMT-B, APRN · Feb 26, 2012

It doesn't matter where you call from. Your office, home, Russia, as long as you treat/Rx folks in your state of licensure. The exception is federal practice (e.g. VA, military, PHS, IHS)

While I'm on vacation, I use my web based e-Rx software and continue to fill tele-meds, update refills, etc.

I had a patient of mine (MD!) in Hawaii who called for a Z-pack, Rx'd at Walgreens in my home state and to my surprise, they transferred.

I had patchy strep on vacation, called my family NP and CVS filled out of state, no problem.

I would be very careful who I offered to do this for. If anything goes wrong, you are technically practicing out of state as folks above have mentioned. I would NEVER fill a scheduled medication in this manner.

sandnnw, BSN, MSN, EMT-B, APRN · Feb 26, 2012

Actually, your DEA is "practice" setting. If you work for three different employers, you should have three different DEA numbers. If you work for ONE employer at three different hospitals, then you are good to go.

I'd be careful with one DEA at three different hospitals. State Pharmacy auditors will eat you alive.

DizzyJ DHSc PA-C · Feb 27, 2012

Actually, your DEA is "practice" setting. If you work for three different employers, you should have three different DEA numbers. If you work for ONE employer at three different hospitals, then you are good to go.
I'd be careful with one DEA at three different hospitals. State Pharmacy auditors will eat you alive.

"Question: Are separate registrations required for separate locations?

Answer: A separate registration is required for each principal place of business or professional practice where controlled substances are stored, administered, or dispensed by a person. If a practitioner will only be prescribing from another location(s) situated within the same state, then an additional registration is not necessary"

Technically, we both are right. I work ER. So, I don't store, the hospital does. When they are administered in the ER, it is associated with the hospital's DEA number and isn't pharmacy reported. I rarely dispense. If I do have a patient sent home with narcotics then it is reported to the pharm board as if I prescribed it.

Trauma Columnist · Feb 27, 2012

Your DEA IS practice based. When I had two jobs, working for two practices (nephrology and ER)and two different physician groups, I had two different DEA numbers. In fact, I worked at one hospital with two different jobs and had to use two different DEA numbers depending on where and who I was working for.

The other caveat to this situation is that you are prescribing for friends, not patients. Therefore no patient/provider relationship exists, no charting, no nothing. This leaves you wide open and more than one APN has bit the dust for this infraction.