Title 20 — Title 20

The Board of Medical Examiners may grant a Qualified Alabama Controlled Substances Registration Certificate (QACSC) to a certified registered nurse practitioner (CRNP) or certified nurse midwife (CNM) who: (1) Is practicing in accordance with this article, Title 34, Chapter 21, A…

(a) Upon receipt of a Qualified Alabama Controlled Substances Registration Certificate (QACSC) and a valid registration number issued by the United States Drug Enforcement Administration, a certified registered nurse practitioner (CRNP) or certified nurse midwife (CNM) may prescr…

The Board of Medical Examiners may deny an application of a certified registered nurse practitioner (CRNP) or a certified nurse midwife (CNM) requesting a Qualified Alabama Controlled Substances Registration Certificate (QACSC), deny a request for a renewal of a QACSC, or initiat…

(a) Any hearing regarding the issuance, restriction, limitation, suspension, or revocation of a Qualified Alabama Controlled Substances Registration Certificate (QACSC) held by a certified registered nurse practitioner or a certified nurse midwife for any violations of this artic…

(a) A certified registered nurse practitioner (CRNP) or certified nurse midwife (CNM) adversely affected by an order of the Board of Medical Examiners denying an application for a Qualified Alabama Controlled Substances Registration Certificate (QACSC) or the renewal of a QACSC m…

The Board of Medical Examiners may charge and collect fees to defray expenses incurred in the registration and issuance of a Qualified Alabama Controlled Substances Registration Certificate (QACSC) and the administration of this article shall be the same as other mid-level provid…

Any member of the Board of Medical Examiners, any agent, employee, consultant, or attorney of the board, any person making any report or rendering any opinion or supplying any evidence or information or offering any testimony to the board in connection with any investigation or h…

The Board of Medical Examiners may adopt rules necessary to carry out the intent, purposes, and provisions of this article. History: (Act 2013-223, p. 531, §1.)

The State Board of Health shall place a substance in Schedule III if it finds that: (1) The substance has a potential for abuse less than the substances listed in schedules I and II; (2) The substance has currently accepted medical use in treatment in the United States; and (3) A…

(a) The Board of Medical Examiners may at any future date it chooses create a Limited Purpose Schedule II Permit (LPSP), and assess fees associated with the permit, that, along with any other necessary registration, may permit assistants to physicians, certified registered nurse …

(a) The controlled substances listed in this section are included in Schedule III: (1) Any material, compound, mixture, or preparation which contains any quantity of the following substances having a potential for abuse associated with a stimulant effect on the central nervous sy…

The State Board of Health shall place a substance in Schedule IV if it finds that: (1) The substance has a low potential for abuse relative to substances in Schedule III; (2) The substance has currently accepted medical use in treatment in the United States; and (3) Abuse of the …

(a) For the purposes of this section, “opioid antagonist” means naloxone hydrocholoride or other similarly acting drug that is approved by the federal Food and Drug Administration for the treatment of an opioid overdose. (b) A physician licensed under Article 3 of Chapter 24 of T…

(a) Notwithstanding any other law to the contrary, an individual under 21 years of age may not be prosecuted for the possession or consumption of alcoholic beverages if law enforcement, including campus safety police, became aware of the possession or consumption of alcohol solel…

Antagonists. On or before January 1, 2016, the Alabama Department of Public Health shall approve a specific training curriculum for completion by law enforcement officers who elect to carry and administer opioid antagonists. History: (Act 2015-364, §3.)

The State Health Officer or the respective county health officers shall have authority to publish the standing order or orders, including any necessary guidelines or other requirements that shall be followed, for dispensing opioid antagonists under Section 20-2-280 in their juris…

Any individual dispensing an opioid antagonist pursuant to Section 20-2-280 who is otherwise qualified, including a registered nurse in the employment of the State Health Department or a county health department, and who complies with the standing order or orders and other requir…

(a) The controlled substances listed in this section are included in Schedule IV: (1) Any material, compound, mixture, or preparation which contains any quantity of the following substances having a potential for abuse associated with a depressant effect on the central nervous sy…

Substance by Minor Child. All persons employed in any capacity in the public, private, and church elementary and secondary schools shall be immune from civil liability for communicating information to the parents of a minor child, law enforcement officers, or health care provider…

The State Board of Health shall place a substance in Schedule V if it finds that: (1) The substance has low potential for abuse relative to the controlled substances listed in Schedule IV; (2) The substance has currently accepted medical use in treatment in the United States; and…

THIS SECTION REPEALED BY ACT 2023-339, EFFECTIVE SEPTEMBER 1, 2023. This article shall be known and may be cited as the MAT Act of 2019. History: (Act 2019-500, §1.)

THIS SECTION REPEALED BY ACT 2023-339, EFFECTIVE SEPTEMBER 1, 2023. (a)(1) For all patients receiving medication assisted treatment, adequate billing records shall be maintained, in any format, for all patient visits. Billing records shall be maintained for a period of three year…

THIS SECTION REPEALED BY ACT 2023-339, EFFECTIVE SEPTEMBER 1, 2023. Because the intent of the Legislature in this article is to educate physicians and to mitigate patient abuse and diversion of buprenorphine, nothing in this article shall modify, amend, repeal, or supersede any p…

The controlled substances listed in this section are included in Schedule V: (1) Any compound, mixture, or preparation containing limited quantities of any of the following narcotic drugs, which also contains one or more nonnarcotic active medicinal ingredients in sufficient prop…

The State Board of Health shall revise and republish the schedules annually. History: (Acts 1971, No. 1407, p. 2378, §213.)

for Registration and Administration of Provisions Relating to Manufacture, Etc., of Controlled Substances; Disposition of Fees Collected. (a) The certifying boards shall promulgate rules and charge reasonable fees to defray expenses incurred in registration and administration of …

Controlled Substances - General Requirements. (a) Every person who manufactures, distributes, or dispenses any controlled substance within this state or who proposes to engage in the manufacture, distribution, or dispensing of any controlled substance within this state must obtai…

Controlled Substances - Standards; Requirements as to Practitioners Conducting Research; Effect of Federal Registration. (a) The certifying boards shall register only an applicant certified by their respective boards to manufacture, dispense, or distribute controlled substances e…

Controlled Substances - Order to Show Cause; Proceedings; Review; Issuance of Stay. (a) Before denying, suspending, or revoking a registration or refusing a renewal of registration, the certifying boards shall serve upon the applicant or registrant an order to show cause why regi…

Controlled Substances - Revocation or Suspension of Registration - Grounds and Procedure Generally. (a) A registration under Section 20-2-52 to manufacture, distribute, or dispense a controlled substance may be suspended or revoked by the certifying boards upon a finding that the…

The certifying boards under the Alabama Uniform Controlled Substances Act, the State Board of Medical Examiners, and the Medical Licensure Commission are each authorized to promulgate such rules and regulations as may be required to implement the provisions of this chapter. Histo…

Controlled Substances - Revocation or Suspension of Registration - Suspension Without Prior Order to Show Cause. The certifying boards may suspend, without an order to show cause, any registration simultaneously with the institution of proceedings under Section 20-2- 54 or where …

Persons registered to manufacture, distribute, or dispense controlled substances under this article shall keep records and maintain inventories in conformance with the record keeping and inventory requirements of federal law and with any additional rules issued by the State Board…

Another Registrant. Controlled substances in Schedules I and II shall be distributed by a registrant to another registrant only pursuant to an order form. Compliance with the provisions of federal law respecting order forms shall be deemed compliance with this section. History: (…

Records and Inventories by Registered Pharmacies. (a) Except as otherwise provided in this section or as otherwise provided by law, a pharmacist may dispense directly a controlled substance in Schedule II only pursuant to a written prescription signed by the practitioner. Except …

As used in this article the following words shall have the following meanings: (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 supervising phy…

Formularies, or Medical Regimens. (a) The board is designated as the certifying board for the registration and approval of an assistant to physician in obtaining or renewing a Qualified Alabama Controlled Substances Registration Certificate. The board is authorized to adopt regul…

The board may grant a Qualified Alabama Controlled Substances Registration Certificate to an assistant to physician who: (1) Is practicing with appropriate physician supervision as defined herein and in accordance with this article; Title 34, Chapter 24, Article 7, and all rules …

(a) Upon receipt of a Qualified Alabama Controlled Substances Registration Certificate and a valid registration number issued by the United States Drug Enforcement Administration, an assistant to physician may prescribe, administer, authorize for administration, or dispense only …

The board may deny an application of an assistant to physician requesting a Qualified Alabama Controlled Substances Registration Certificate, deny a request for a renewal of a QACSC, or initiate disciplinary action against an assistant to physician possessing a Qualified Alabama …

Certificate. (a) Any hearing for disciplinary action against an assistant to physician holding a valid Qualified Alabama Controlled Substances Registration Certificate for violations of this article shall be before the board. (b) The board shall have the authority to restrict, su…

(a) An assistant to physician adversely affected by an order of the board denying an application for a Qualified Alabama Controlled Substances Registration Certificate or the renewal of a Qualified Alabama Controlled Substances Registration Certificate may obtain judicial review …

(a) The board is authorized to charge and collect fees to defray expenses incurred in the registration and issuance of Qualified Alabama Controlled Substances Registration Certificates and the administration of the provisions of this article. The types and amounts of fees shall b…

Proceedings. Any member of the board, any agent, employee, consultant, or attorney of the board, any person making any report or rendering any opinion or supplying any evidence or information or offering any testimony to the board in connection with any investigation or hearing c…

The board may adopt rules necessary to carry out the intent, purposes, and provisions of this article. History: (Act 2009-489, p. 891, §1.)

(a) It is unlawful for any person: (1) To knowingly or intentionally distribute or dispense a controlled substance in violation of Section 20-2-58; (2) Who is a registrant to manufacture a controlled substance not authorized by his or her registration or to distribute or dispense…

(a) It is unlawful for any person: (1) To distribute as a registrant a controlled substance classified in Schedules I or II, except pursuant to an order form as required by Section 20-2-57; (2) To use in the course of the manufacture or distribution of a controlled substance a re…

Practitioners of Veterinary Medicine for Use of Human Beings or by Practitioners of Dentistry for Persons Not Under Treatment in Regular Practice of Profession. (a) It shall be unlawful for any practitioner of dentistry to prescribe, administer, or dispense any controlled substan…

Administrative Penalties or Sanctions. Any penalty imposed for violation of this chapter is in addition to and not in lieu of any civil or administrative penalty or sanction otherwise authorized by law. History: (Acts 1971, No. 1407, p. 2378, §404.)

Etc., to Enforce Chapter; Drug Inspectors to Meet Minimum Standards. (a) The State Board of Pharmacy and its drug investigators shall enforce this chapter. The agents and officers of the Alabama State Law Enforcement Agency, the drug and narcotic agents and inspectors of the Stat…