(a)

1. (1)

   1. (A) A physician assistant must be authorized by his or her supervising physician to prescribe legend drugs and scheduled medication for patients.
   2. (B) Said authorization must be stated in the delegation agreement and the request approved by the Arkansas State Medical Board.
   3. (C) A supervising physician may only authorize a physician assistant to prescribe schedule medication that the physician is authorized to prescribe.
2. (2) A physician assistant may only be authorized to receive, prescribe, order, and administer Schedule II – Schedule V medications, except that a physician assistant may prescribe hydrocodone combination products reclassified from Schedule III to Schedule II as of October 6, 2014, if authorized by the physician assistant’s supervising physician, and in accord with other requirements of this section.

3. (3) A physician assistant’s prescriptive authority extends to drugs in Schedule II, except regarding hydrocodone as stated above, only if the prescription is for:

   1. (A) An opioid, if the prescription is only for a five-day period or less; or
   2. (B) A stimulant, if the:

(i) Prescription was originally initiated by a physician;

1. (ii) Physician has evaluated the patient within six (6) months before the physician assistant issues a prescription; and

   1. (iii) Prescription by the physician assistant is to treat the same condition as the original prescription.

(b) The physician assistant will make an entry in the patient chart noting the name of the medication, the strength, the dosage, the quantity prescribed, the directions, the number of refills, together with the signature of the physician assistant and the printed name of the supervising physician for every prescription written for a patient by the physician assistant.

1. (c)
2. (1) Patient care orders generated by a physician assistant shall be construed as having the same medical, health, and legal force and effect as if the orders were generated by the physician assistant’s supervising physician.

3. (2) The orders shall be complied with and carried out as if the orders had been issued by the physician assistant’s supervising physician.

   1. (d) Physician assistants who prescribe controlled substances shall register with the Drug Enforcement Administration as part of the Drug Enforcement Administration’s Mid-Level Practitioner Registry, 21 C.F.R. pt. 1300, 58 FR 31171 – 31175, and the Controlled Substances Act.