Alabama Administrative Code

Notes Ala. Admin. Code r. 540-X-15-.05 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-15-.06 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-15-.07 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-15-.08 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-15-.09 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-15-.10 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-15-.11 New Rule:Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of …

Notes Ala. Admin. Code r. 540-X-15-.12 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-15-.13 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-15-.14 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-15-.15 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-15-.16 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-15-.17 New Rule: Filed December 12, 2013; effective January 16, 2014. Repealed by Alabama Administrative Monthly Volume XXXIV, Issue No. 02, November 30, 2015, eff. 12/23/2015. Author: Alabama Board of Medical Examiners Statutory Authority: Code of…

Notes Ala. Admin. Code r. 540-X-16-.01 New Rule: Filed September 17, 1997; effective October 22, 1997. Repealed by Alabama Administrative Monthly Volume XL, Issue No. 11, August 31, 2022, eff. 10/15/2022. Authors: Wendell R. Morgan, Patricia E. Shaner, Attorneys for the Alabama B…

Notes Ala. Admin. Code r. 540-X-16-.02 New Rule: Filed September 17, 1997; effective October 22, 1997. Repealed by Alabama Administrative Monthly Volume XL, Issue No. 11, August 31, 2022, eff. 10/15/2022. Authors: Wendell R. Morgan, Patricia E. Shaner, Attorneys for the Alabama B…

Notes Ala. Admin. Code r. 540-X-16-.03 New Rule: Filed September 17, 1997; effective October 22, 1997. Repealed by Alabama Administrative Monthly Volume XL, Issue No. 11, August 31, 2022, eff. 10/15/2022. Authors: Wendell R. Morgan, Patricia E. Shaner, Attorneys for the Alabama B…

Notes Ala. Admin. Code r. 540-X-16-.04 New Rule: Filed September 17, 1997; effective October 22, 1997. Repealed by Alabama Administrative Monthly Volume XL, Issue No. 11, August 31, 2022, eff. 10/15/2022. Authors: Wendell R. Morgan, Patricia E. Shaner, Attorneys for the Alabama B…

Notes Ala. Admin. Code r. 540-X-16-.05 New Rule: Filed September 17, 1997; effective October 22, 1997. Repealed by Alabama Administrative Monthly Volume XL, Issue No. 11, August 31, 2022, eff. 10/15/2022. Authors: Wendell R. Morgan, Patricia E. Shaner, Attorneys for the Alabama B…

Notes Ala. Admin. Code r. 540-X-16-.06 New Rule: Filed September 17, 1997; effective October 22, 1997. Repealed by Alabama Administrative Monthly Volume XL, Issue No. 11, August 31, 2022, eff. 10/15/2022. Authors: Wendell R. Morgan, Patricia E. Shaner, Attorneys for the Alabama B…

Notes Ala. Admin. Code r. 540-X-16-.07 New Rule: Filed September 17, 1997; effective October 22, 1997. Repealed by Alabama Administrative Monthly Volume XL, Issue No. 11, August 31, 2022, eff. 10/15/2022. Authors: Wendell R. Morgan, Patricia E. Shaner, Attorneys for the Alabama B…

(1) The purpose of these rules is to provide guidelines, and in some instances standards, for licensed medical doctors (M. D.s) and doctors of osteopathy (D. O.s) who determine that the use of a controlled substance as an adjunct for a weight reduction regimen is medically approp…

A physician shall not order, prescribe, dispense, supply, administer or otherwise distribute any Schedule II amphetamine or Schedule II amphetamine-like anorectic drug, or Schedule II sympathomimetic amine drug or compound thereof or any salt, compound, isomer, derivative or prep…

(1) Only a doctor of medicine or doctor of osteopathy licensed by the Medical Licensure Commission of Alabama may order, prescribe, dispense, supply, administer or otherwise distribute a controlled substance in Schedule III, IV or V to a person for the purpose of weight control, …

(1) Before initiating treatment for weight reduction or obesity utilizing any Schedule III, IV or V controlled substance, a physician should comply with the following: (a) An initial evaluation of the patient should be conducted by and recorded by the prescribing physician prior …

(1) A physician should not prescribe, order or dispense a controlled substance for the purpose of weight reduction or treatment of obesity in an amount greater than a thirty-five (35) day supply. (2) Within the first thirty-five (35) days following initiation of a controlled subs…

(1) Every physician who prescribes, orders, dispenses or administers a controlled substance to a patient for the purpose of weight reduction or treatment of obesity should maintain medical records in compliance with the provisions of this Chapter and Medical Licensure Commission …

1An example of evidence based medicine would include the Bariatric Practice Guidelines as established by the American Society of Bariatric Physicians and which can be found on the website www.ASBP.org. (1) A physician should not initiate or should discontinue utilizing a controll…

The following definitions shall apply to the rules in this chapter: (1) Administer - The direct application of a controlled substance, whether by injection, inhalation, ingestion, or any other means, to the body of a patient by any of the following:(a) A collaborating physician, …

(1) The Board is the certifying board which may issue to and renew, deny, restrict, limit, suspend, or revoke a QACSC of a CRNP or CNM. (2) Beginning October 1, 2013, QACSCs may be issued by the Board to CRNPs and CNMs. (3) A CRNP or CNM who prescribes, administers, or authorizes…

To qualify for a QACSC, an individual must meet the following requirements: (1) Be a CRNP or CNM who is practicing in accordance with § 34-21-5, Code of Ala. 1975, as amended, and all Alabama Board of Nursing and Alabama Board of Medical Examiners rules governing collaboration be…

An applicant for a Qualified Alabama Controlled Substances Certificate shall disclose whether: (1) Applicant's privilege for prescribing controlled substances has ever been suspended, restricted, voluntarily surrendered while under investigation, revoked, or disciplined in any ma…

(1) The Board may issue a QACSC to a CRNP or CNM when all of the requirements for issuance have been met. (2) Every QACSC issued shall have a unique QACSC number which identifies the particular applicant as a CRNP or CNM with a valid QACSC. Notes Ala. Admin. Code r. 540-X-18-.04 …

(1) Renewal of a QACSC shall be annually on or before January 1 of each year. An application for annual renewal of a QACSC shall be received by the Board on or before December 31 and shall be accompanied by the required QACSC renewal fee. (2) As a requirement for renewing a QACSC…

(1) The applicant shall disclose whether:(a) Applicant's privilege for dispensing or prescribing controlled substances has ever been suspended, restricted, voluntarily surrendered while under investigation, revoked, or disciplined in any manner in any state or U.S. territory. (b)…

(1) An applicant for a QACSC shall submit to the Board an application fee in the amount of One Hundred and Ten Dollars ($110.00), which includes the fee payable to the Alabama Department of Public Health Prescription Drug Monitoring Data Bank required by § 20-2-217, Code of Ala. …

(1) The authority of a CRNP or CNM to prescribe, administer, authorize for administration or dispense pursuant to a QACSC is limited to those controlled substances enumerated in Schedules III, IV and V. (2) A CRNP or CNM shall not use the authority of his or her QACSC to prescrib…

(1) When prescribing controlled substances, a CRNP or CNM shall use a prescription form that includes all of the following:(a) The name, medical practice site address, and telephone number of the collaborating physician. (b) The name of the CRNP or CNM; (c) The medical practice s…

The Board may deny a CRNP's or CNM's application for a QACSC, deny a CRNP's or CNM's application for renewal or reinstatement of a QACSC, or initiate action against the QACSC of a CRNP or CNM based on the following grounds: (1) Fraud or deceit in applying for, procuring, or attem…

(1) Before denying an application for a QACSC, denying an application for renewal or reinstatement of a QACSC, or taking action against a QACSC of a CRNP or CNM, the Board shall serve upon the CRNP or CNM an order to show cause why registration should not be denied or why the QAC…

Except when §§ 20-2-250 through 20-2-259, Code of Ala. 1975, as amended, and Board Rule 540-X-18-.09 are in conflict and shall take precedence, hearings related to a QACSC are to be governed and conducted in accordance with Board Rules 540-X-6-.03 (Hearing Officer); 540-X-6-.04 (…

(1) A CRNP or CNM may obtain judicial review when adversely affected by any of the following: (a) An order of the Board denying an application for a QACSC; (b) An order of the Board denying an application for renewal of a QACSC; (c) An order of the Board suspending, revoking or r…

The Board, its agents, attorneys, investigators, or inspectors shall be permitted access to inspect and copy any records of a CRNP or CNM, including patient records, which relate to a request for a QACSC; a renewal of a QACSC; possible violations of any of the provisions of the A…

(1) A covering physician who applies to collaborate with or does collaborate with a CRNP or CNM possessing a QACSC, shall hold a valid, current and unrestricted Alabama Controlled Substances Registration Certificate (ACSC). (2) The covering physician shall state in writing to the…

All CRNPs or CNMs possessing a QACSC who are permitted access to the information in the controlled substances database shall abide by the requirements and limitations stated in §§ 20-2-210 through 20-2-220, Code of Ala. 1975, as amended, where applicable. Notes Ala. Admin. Code r…

(1) The Board recognizes that all controlled substances, including but not limited to, opiates, benzodiazepines, stimulants, anticonvulsants, and sedative hypnotics, have a risk of addiction, misuse, and diversion. It is the opinion of the Board that the best practice when prescr…

The Board finds that the diversion, abuse, and misuse of controlled substances constitute a serious threat to the health, safety and welfare of the citizens of the state of Alabama. To assist in preventing diversion, abuse and misuse of controlled substances, the Board is authori…

The following definitions shall apply to the rules in this chapter: (1) ACUTE PAIN. The normal, predicted, time-limited physiological response to nociceptive stimuli such as injury, trauma or illness. (2) APPLICANT. A person who has submitted or who is in the process of submittin…

(1) Beginning January 1, 2014, and continuing every year thereafter, all physicians who provide pain management services must obtain a pain management registration from the Board. (2) All physicians who otherwise meet the criteria established by the Board shall obtain a pain mana…

(1) All registrants must provide pain management services at a location owned and operated by one of the following: (a) One or more physicians licensed to practice medicine in Alabama. (b) A business entity registered with the Alabama Secretary of State's Office. (c) A government…

(1) A Medical Director shall be a physician who must meet all of the requirements stated in this rule. (2) A Medical Director shall possess an active, unrestricted license to practice medicine or osteopathy in Alabama. (3) A Medical Director shall possess an active, unrestricted …