Okla. Stat. tit. 59, § 59-567.4a

The Oklahoma Board of Nursing may grant prescriptive authority

through the Advanced Practice Registered Nurse license to Certified

Nurse Practitioners, Clinical Nurse Specialists, and Certified

Nurse-Midwives who meet the requirements for prescriptive authority

identified by law and in the Board’s rules. The rules regarding

prescriptive authority recognition promulgated by the Oklahoma Board

of Nursing pursuant to this section, Section 567.3a of this title,

and Sections 1 and 4 of this act shall:

1. Define the procedure for documenting supervision by a

supervising physician, as defined in Section 567.3a of this title,

of a Certified Nurse Practitioner, Clinical Nurse Specialist, or

Certified Nurse-Midwife who has not obtained independent

prescriptive authority under Section 1 of this act. Such procedure

shall include a written supervision agreement that meets the

requirements of Section 4 of this act. The supervision agreement

shall be part of the initial application and the renewal application

submitted to the Board for recognition for prescriptive authority

for the Advanced Practice Registered Nurse. Changes to the

supervision agreement shall be filed with the Board within thirty

(30) days of the change and shall be effective on filing;

2. Define procedures for assessing the qualifications of

applicants for independent prescriptive authority as provided by

Section 1 of this act;

3. Define minimal requirements for initial application for

prescriptive authority which shall include, but not be limited to,

evidence of completion of a minimum of forty-five (45) contact hours

or three (3) academic credit hours of education in

pharmacotherapeutics, clinical application, and use of

pharmacological agents in the prevention of illness, and in the

restoration and maintenance of health in a program beyond basic

registered nurse preparation, approved by the Board. Such contact

hours or academic credits shall be obtained within a time period of

three (3) years immediately preceding the date of application for

prescriptive authority;

4. Define minimal requirements for application for renewal of

prescriptive authority which shall include, but not be limited to,

documentation of a minimum of:

a. fifteen (15) contact hours or one (1) academic credit

hour of education in pharmacotherapeutics, clinical

application, and use of pharmacological agents in the

prevention of illness, and in the restoration and

maintenance of health in a program beyond basic

registered nurse preparation, and

b. two (2) hours of education in pain management or two

(2) hours of education in opioid use or addiction,

Oklahoma Statutes - Title 59. Professions and Occupations Page 564

unless the Advanced Practice Registered Nurse has

demonstrated to the satisfaction of the Board that the

Advanced Practice Registered Nurse does not currently

hold a valid federal Drug Enforcement Administration

registration number,

approved by the Board, within the two-year period immediately

preceding the effective date of application for renewal of

prescriptive authority. Such minimal requirements for renewal of

prescriptive authority for an Advanced Practice Registered Nurse who

has obtained independent prescriptive authority under Section 1 of

this act shall include, but not be limited to, documentation that

the Advanced Practice Registered Nurse has successfully earned at

least forty (40) hours of Category I continuing medical education

hours within the two-year period immediately preceding the effective

date of application for renewal of independent prescriptive

authority, which may include the continuing education described in

subparagraphs a and b of this paragraph if such continuing education

meets the criteria for Category I continuing medical education;

5. Require that an Advanced Practice Registered Nurse

demonstrates successful completion of a master’s degree or higher in
e effective

date of application for renewal of independent prescriptive

authority, which may include the continuing education described in

subparagraphs a and b of this paragraph if such continuing education

meets the criteria for Category I continuing medical education;

5. Require that an Advanced Practice Registered Nurse

demonstrates successful completion of a master’s degree or higher in

one of the following Advanced Practice Registered Nurse roles:

a. Certified Nurse Practitioner,

b. Clinical Nurse Specialist, or

c. Certified Nurse-Midwife,

in order to be eligible for initial application for prescriptive

authority under the provisions of the Oklahoma Nursing Practice Act;

6. Define the method for communicating authority to prescribe

or termination of same, and the formulary to the State Board of

Pharmacy, all pharmacies, and all registered pharmacists;

7. Define terminology used in such rules;

8. Define the parameters for the prescribing practices of the

Advanced Practice Registered Nurse;

9. Define the methods for termination of prescriptive authority

for the Advanced Practice Registered Nurse; and

10. a. Establish a Formulary Advisory Council that shall

develop and submit to the Board recommendations for an

exclusionary formulary that shall list drugs or

categories of drugs that shall not be prescribed by an

Advanced Practice Registered Nurse recognized to

prescribe by the Oklahoma Board of Nursing. The

Formulary Advisory Council shall also develop and

submit to the Board recommendations for practice-

specific prescriptive standards for each category of

Advanced Practice Registered Nurse recognized to

prescribe by the Oklahoma Board of Nursing pursuant to

the provisions of the Oklahoma Nursing Practice Act.

The Board shall either accept or reject the

Oklahoma Statutes - Title 59. Professions and Occupations Page 565

recommendations made by the Council. No amendments to

the recommended exclusionary formulary may be made by

the Board without the approval of the Formulary

Advisory Council.

b. The Formulary Advisory Council shall be composed of

twelve (12) members as follows:

(1) four members, to include a pediatrician, an

obstetrician-gynecological physician, a general

internist, and a family practice physician;

provided, that three of such members shall be

appointed by the Oklahoma State Medical

Association, and one shall be appointed by the

Oklahoma Osteopathic Association,

(2) four members who are registered pharmacists,

appointed by the Oklahoma Pharmacists

Association, and

(3) four members, one of whom shall be a Certified

Nurse Practitioner, one of whom shall be a

Clinical Nurse Specialist, one of whom shall be a

Certified Nurse-Midwife, and one of whom shall be

a current member of the Oklahoma Board of

Nursing, all of whom shall be appointed by the

Oklahoma Board of Nursing.

c. All professional members of the Formulary Advisory

Council shall be in active clinical practice, at least

fifty percent (50%) of the time, within their defined

area of specialty. The members of the Formulary

Advisory Council shall serve at the pleasure of the

appointing authority for a term of three (3) years.

The terms of the members shall be staggered. Members

of the Council may serve beyond the expiration of

their term of office until a successor is appointed by

the original appointing authority. A vacancy on the

Council shall be filled for the balance of the

unexpired term by the original appointing authority.

d. Members of the Council shall elect a chair and a vice

chair from among the membership of the Council. For

the transaction of business, at least seven members,

with a minimum of two members present from each of the

identified categories of physicians, pharmacists, and

Advanced Practice Registered Nurses, shall constitute

a quorum. The Council shall recommend and the Board

shall approve and implement an initial exclusionary
ct a chair and a vice

chair from among the membership of the Council. For

the transaction of business, at least seven members,

with a minimum of two members present from each of the

identified categories of physicians, pharmacists, and

Advanced Practice Registered Nurses, shall constitute

a quorum. The Council shall recommend and the Board

shall approve and implement an initial exclusionary

formulary on or before January 1, 1997. The Council

and the Board shall annually review the approved

exclusionary formulary and shall make any necessary

Oklahoma Statutes - Title 59. Professions and Occupations Page 566

revisions utilizing the same procedures used to

develop the initial exclusionary formulary.