No. 26998 (Amendment): R156-71-202. Naturopathic Physician Formulary

DAR File No.: 26998
Filed: 03/15/2004, 02:40
Received by: NL

 

RULE ANALYSIS

Purpose of the rule or reason for the change:

The Division needs to add some noncontrolled substance medications to the naturopathic physician formulary so that a naturopathic physician can prescribe these medications.

 

Summary of the rule or change:

The following noncontrolled substance medications are being added to the naturopathic physician formulary: Ace Inhibitors; Calcium Channel Blockers (2nd generation diphydramine); Leukotrine modulators; and Oxygen.

 

State statutory or constitutional authorization for this rule:

Section 58-71-101, and Subsections 58-1-106(1)(a) and 58-1-202(1)(a)

 

Anticipated cost or savings to:

the state budget:

The Division will incur minimal costs, less than $50, to reprint the rule once the proposed amendments are made effective. Any costs incurred will be absorbed in the Division's current budget.

 

local governments:

Proposed amendments do not apply to local governments.

 

other persons:

These proposed amendments will result in savings for the public and insurance carriers. Patients who presently see a naturopathic physician needing these types of medications cannot receive the required prescription. The patient needs to schedule another visit with a prescribing practitioner for the necessary prescription. If the naturopathic physician can prescribe the medication needed, it would reduce the duplication of services thus resulting in a lower cost for the patient. The Division is unable to determine an exact savings amount due to the wide varying charges among practitioners and the Division cannot determine how many persons would no longer need a second medical visit to a prescribing practitioner.

 

Compliance costs for affected persons:

These proposed amendments will result in savings for the public and insurance carriers. Patients who presently see a naturopathic physician needing these types of medications cannot receive the required prescription. The patient needs to schedule another visit with a prescribing practitioner for the necessary prescription. If the naturopathic physician can prescribe the medication needed, it would reduce the duplication of services thus resulting in a lower cost for the patient. The Division is unable to determine an exact savings amount due to the wide varying charges among practitioners and the Division cannot determine how many persons would no longer need a second medical visit to a prescribing practitioner.

 

Comments by the department head on the fiscal impact the rule may have on businesses:

No fiscal impact to businesses is anticipated as a result of this rule filing, which adds various medications that are not controlled substances to the list of medications that can be prescribed by naturopathic physicians. Klarice A. Bachman, Executive Director

 

The full text of this rule may be inspected, during regular business hours, at the Division of Administrative Rules, or at:

Commerce
Occupational and Professional Licensing
HEBER M WELLS BLDG
160 E 300 S
SALT LAKE CITY UT 84111-2316

 

Direct questions regarding this rule to:

Daniel T. Jones at the above address, by phone at 801-530-6767, by FAX at 801-530-6511, or by Internet E-mail at [e-mail]

 

Interested persons may present their views on this rule by submitting written comments to the address above no later than 5:00 p.m. on:

05/03/2004

 

This rule may become effective on:

05/04/2004

 

Authorized by:

J. Craig Jackson, Director

 

 

RULE TEXT

R156. Commerce, Occupational and Professional Licensing.

R156-71. Naturopathic Physician Practice Act Rules.

R156-71-202. Naturopathic Physician Formulary.

(1) In accordance with Subsections 58-71-102(8) and 58-71-202, the naturopathic physician formulary which consists of noncontrolled substance legend medications deemed appropriate for the scope of practice of naturopathic physicians, the prescription of which is approved by the Division in collaboration with the Naturopathic Formulary Advisory Peer Committee, consists of the following legend drugs, listed by category:

Adrenergic Stimulators, limited to: Albuterol, Epinephrine, and Metaproteranol;

Ace Inhibitors;

Amino Acids;

Anesthetics (local);

Antiemetics;

Antifungals, limited to: Nystatin and Fluconazole;

Antigout;

Antihistamines;

Anti-inflammatories, except DMARDS;

Antimicrobials (oral), limited to: Pencillins, 1st and 2nd generation Cephalosporins, Tetracyclines, Macrolides, Azalides, Lincosamines, Metronidazole, Hydantoins, and Sulfas;

Antimicrobials (ophthamologic), limited to: Sulfas and Macrolides;

Antimicrobials (topical);

Antivirals, limited to Acyclovir;

Biologics, limited to: Skin Testing, CDC recommended Immunizations, Toxoids, and Immunoglobulin;

Calcium Channel Blockers (2nd Generation Diphydramine);

Contraceptives, except implants and injections;

Corticosteroids (oral or topical), except Opthamologic Preparations;

Diabetic Agents, limited to: Insulin, and oral Hypoglycemics, except Thiazolidinediones;

Diuretics, limited to: Thiazide or Loop;

Electrolyte and Fluid Replacements;

Enzymes, limited to: Digestive and Proteolytic;

H2 Blockers;

Hormones (oral or topical), limited to: Estrogen, Progestins, and Thyroid;

Leukotrine modulators;

Migraine Preparations, limited to: Ergotamines and Sumatriptin;

Minerals: Macro and Micro;

Oxygen;

Osteoporosis agents, limited to: Calcitonin and Raloxifene;

Proton-Pump Inhibitors;

Urinary Antispasmodics;

Vitamins;

Other: Methergine and Pitocin, limited to use only after the uterus has been emptied;

Silver Nitrate.

(2) New categories or classes of drugs will need to be approved as part of the formulary prior to prescribing/administering.

(3) The licensed naturopathic physician has the responsibility to be knowledgeable about the medication being prescribed or administered.

 

KEY: licensing, naturopaths, naturopathic physician[*]

[July 5, 2001]2004

Notice of Continuation February 7, 2002

58-71-101

58-1-106(1)(a)

58-1-202(1)(a)