1. (a) To be eligible to serve as supervising physician for physician assistants (PA) and/or advanced practice registered nurses (APRN) with prescriptive authority, an allopathic physician shall meet the following criteria
2. (1) Pursuant to 59 O.S. § 519.2, a delegating physician must have a license in good standing as a physician by either the: State Board of Medical Licensure and Supervision, or State Board of Osteopathic Examiners.
3. (A) The physician shall also possess permits from the Drug Enforcement Agency (DEA) and Oklahoma Bureau of Narcotics (OBN) for any drug on the formulary as defined in the Oklahoma Administrative Code 435:15-11-2 and the Oklahoma Board of Nursing Exclusionary Formulary for Advanced Practice Registered Nurses with Prescriptive Authority; or.
4. (B) A physician who does not possess permits from the Drug Enforcement Agency (DEA) or the Oklahoma Bureau of Narcotics (OBN, but is otherwise authorized to prescribe other drugs on the formulary described in OAC 435:15-11-2 or the Oklahoma Board of Nursing Exclusionary Formulary for Advanced Practice Registered Nurses may continue to delegate or supervise physician assistants or advanced practice registered nurses provided that at no time shall the physician assistant or advanced practice registered nurse prescribe any drug from either formulary if the supervising physician currently delegating to the physician assistant or advanced practice registered nurse is unable to prescribe said drug.
5. (2) Review. A delegating physician shall review the care provided to each patient receiving health care services by a physician assistant with a temporarily approved license.
6. (3) The physician shall be in an active clinical practice in which no less than twenty (20) hours per week shall involve direct patient contact.
7. (4) The delegating physician shall be trained and fully qualified in the field of the physician assistant's and/or advanced practice registered nurse's specialty.
8. (5) No physician shall supervise more than a total of six (6) physician assistants and/or advanced practice registered nurses regarding their prescriptive authority. The Board may make an exception to any limit set herein upon request by the physician.
9. (6) Subsection (a)(5) shall not apply to a delegating physician who:
10. (A) is a medical director or delegating physician of a state institution, correctional facility, or hospital; or
11. (B) works in a hospital, emergency department, urgent care, multi-specialty clinic or community health center.
12. (C) Delegating physicians claiming an exception pursuant to this subsection may supervise an unlimited number of advanced practice registered nurses regarding their respective authority and/or physician assistants but shall not actively clinically supervise more than six (6) at any one time.
13. (7) On the request of the delegating physician, the board may, upon consideration, may waive the requirements under subsection (a)(5).
14. (b) Proper physician supervision of the advanced practice registered nurse with prescriptive authority is essential. The supervising physician should regularly and routinely review the prescriptive practices and patterns of the advanced practice registered nurse with prescriptive authority. Supervision implies that there is appropriate referral, consultation, and collaboration between the advanced practice registered nurse and the supervising physician.

Added at 15 Ok Reg 42, eff 9-10-97 (emergency)

Added at 15 Ok Reg 2021, eff 5-26-98

Amended at 37 Ok Reg 2000, eff 9-11-20

Amended at 42 Ok Reg, Number 21, effective 7-25-25

Amended at 43 Ok Reg, Number 7, effective 11-10-25 (emergency)